Elinor M' Greenberg, Ed'D'

1
MAPPMountain and Plains PartnershipColorado
Wyomingand the bordering states

• Elinor M. Greenberg, Ed.D.
• Regional Coordinator
• Mountain and Plains Partnership (MAPP)
• University of Colorado Health Sciences Center

2
MAPPMountain and Plains PartnershipColorado
Wyomingand the bordering states

• funded by the
• Robert Wood Johnson Foundation
• State of Colorado
• MAPP Partners

• Total 2.5 million six years (1997 2002)
  1.3 million Robert Wood Johnson Foundation
• Based as the University of Colorado Health
  Sciences Center, Colorado Area Health Education
  Center (AHEC) System (http//www.uchsc.edu/ahec/ma
  pp)

3
MAPP is

• One of eight projects nationally supported by the
  Robert Wood Johnson Foundation (RWFJ)
  Partnerships for Training (PFT) initiative
  (http//www.pftweb.org).
• Delta Arkansas, Louisiana, Mississippi,
  Tennessee
• San Joaquin Valley California
• Colorado / Wyoming
• Detroit Michigan
• Minnesota
• New Mexico
• Duke / East Carolina Universities North Carolina
• WIS-TREC Wisconsin

4
MAPP is

• An Internet (online) and Interactive Video (ITV)
  based Masters degree program for homegrown
  working adults who wish to become
• Nurse Practitioners (NP)
• Certified Nurse-Midwives (CNM)
• Physician Assistants (PA)

5
MAPP is

• In rural and urban health underserved communities
  in
• Colorado
• Wyoming
• New Mexico
• Arizona

6
The MAPP Partners are

• 8 Institutions of Higher Education
  Graduate Programs
• Beth El College of Nursing and Health Sciences,
  University of Colorado at Colorado Springs
• Planned Parenthood of the Rocky Mountains
• Red Rocks Community College
• Regis University
• University of Colorado Health Sciences Center
• University of Northern Colorado
• University of Phoenix
• University of Wyoming

7
The MAPP Partners are

• 8 Agencies / Organizations
• Colleagues In Caring
• Colorado Department of Public Health and
  Environment Womens Health Section
• Colorado Rural Health Center
• Denver Health Medical Center,
  Denver Community Health
  Services
• Kaiser Permanente, Rocky Mountain Division
• U.S. Department of Health and Human Services,
  Public Health Service, Region VIII
• WICHE Western Cooperative for Educational
  Telecommunications

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The MAPP Partners are

• 5 Colorado Area Health Education Centers (AHECs)
  64 Counties
• Centennial AHEC (NE) 10 counties
• Central AHEC (Front Range) 11 counties
• San Luis Valley AHEC (SO) 6 counties
• Southeastern Colorado AHEC (SE) 16 counties
• Western Colorado AHEC (Western Slope) 21
  counties

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The MAPP Partners are

• State of Wyoming 23 counties
• Colorado, Wyoming 87 counties
• Bordering states New Mexico and Arizona 5
  counties
• Total 92 counties

10
MAPP Goals and Results are

• Goals
• Students 125
• Graduates 110
• Distance Learning curriculum delivery
• Shared common curriculum

• Results
• Students 202
• (NP-134, CNM-13, PA-55)
• Graduates 110
• (NP-66, CNM-4, PA-40)
• Online and ITV Distance Learning in five partner
  institutions 1197 enrollments (10 semesters)
• MAPP ONLINE Common Curriculum 7 required
  courses

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MAPP Goals and Results are

• Goals
• ITV enrollment expanded
• Online enrollment expanded
• New primary care providers in underserved
  communities

• Results
• 10 semesters (1/98-5/01) 595 ITV enrollments
• 10 semester (1/98-5/01) 602 online enrollments
• 110 graduates practicing in more than 100 rural
  and urban underserved communities 72 more
  graduates after December 2002

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MAPP ? Mountain and Plains Partnership September
9, 2002
MAPP ? Mountain and Plains Partnership

September 9, 2002

MAPP Student Geographic Distribution
(01-01-97 09-09-02
Cumulative Student Enrollment Students
202 ? Graduates 107

MAPP Student Geographic Distribution (01-01-97
09-09-02)
Cumulative Student Enrollment Students 202 ?
Graduates 107
www.uchsc.edu/ahec/mapp


www.uchsc.edu/ahec/mapp

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MAPP Assessment and Evaluation 10 Studies

• MAPP TeleLearning / Evaluation Project Impact
  of MAPP computers on students (21) and faculty
  (7)
• MAPP TeleLearning / Evaluation Project Impact
  of MAPP ONLINE courses on students (28) and
  faculty (9)

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MAPP Assessment and Evaluation 10 Studies

• Listening to MAPP ONLINE Voices Learning and
  Teaching Over the Internet qualitative
  analysis of telephone interviews with MAPP
  students (28) and Lead Faculty (9)
• Continuum of Intellectual Development
  (Greenberg, 1998-2000, based on Perry, 1970)
  used to analyze student interviews
• One key finding the majority of MAPP students
  would not have returned to school if their
  curriculum had not been available online.

Perry, William G., Jr. Forms of Intellectual
and Ethical Development in the College Years A
Scheme. New York. Holt, Rinehart and
Winston, 1970 San Francisco Jossey-Bass, 1999.
15
(No Transcript)
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Seven MAPP StudiesExpectations, Realities and
Outcomes

• Study of MAPP Nursing Deans / Directors
• Study of MAPP Education Institution
  Representatives
• Study of MAPP Agency / Organization Partners
• Study of Colorado AHEC Directors
• Study of MAPP Students at Beth El College of
  Nursing and Health Sciences at University of
  Colorado at Colorado Springs
• Study of MAPP Graduates
• Study of the Employers of MAPP Graduates

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Deans / Directors Study

• Benefits -
• Communication
• Collaboration
• Development of online curriculum
• Computer support
• Disappointments
• Lack of collaboration
• Clinical sites and preceptors
• Online courses

18
Education Institution Representatives Study

• Benefits -
• Cooperation, collaboration and sharing
• Enrollments
• Catalyst for online curriculum, funding,
  articulation agreements and opportunities
• Disappointments -
• Lack of collaboration
• MAPP ONLINE Common Agreement
• Preceptors and clinical sites
• RWJF / PFT National collection (non-MAPP students)

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Agency / Organization Representatives Study

• Benefits -
• Training through distance learning
• Opportunity for rural nurses
• Collaboration among the schools
• Disappointments -
• Lack of time
• No financial incentives
• Role uncertainties
• Future -
• Adapt MAPP to ADN, RN-BSN and MSN
• Grow ITV
• Maintain collaboration

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AHEC Directors Study

• Benefits -
• Number of mid-levels
• Online ITV to their regions
• Disappointments -
• Funding for some
• Future -
• Continue needs assessment
• Respond to needs for distance learning

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Student Study Findings

• Convenience and flexibility of online and ITV
• Would not have returned to school without MAPP
• Working adults with multiple roles /
  responsibilities
• Subject to important life cycle events
• Needed technical and library support
• Independent, self-directed, self-motivated and
  focused life-long learners
• Challenges increased self-confidence and esteem
• Creativity and resourcefulness
• Gratitude for opportunities

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Seven MAPP StudiesMAPP Graduate Study Findings

• MAPP Graduate profile
• Working adults
• Married with Children
• Female
• White
• Age 31 60 majority 41 50
• Self-directed, motivated, independent, lifelong
  learners
• Live and / or work in rural and urban underserved
  communities

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Seven MAPP StudiesMAPP Graduate Study Findings

• Positive attributes of MAPP
• Flexible and accessible faculty
• Gained new computer skills
• Empowerment and collegiality with other students
  and faculty
• MAPP new pedagogy and a glimpse of the
  future
• Achieved certificates passed boards licensed
  (NP, CNM, PA)
• Being hired at increased salaries (50,000 plus)

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Seven MAPP StudiesMAPP Graduate Study Findings

• Suggestions for MAPP
• Wanted more online curriculum
• Wanted more computer skills
• Wanted fewer changes in faculty

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Seven MAPP StudiesEmployers of MAPP Graduates
Study Findings

• Positive attributes
• Employers positive about MAPP graduates a good
  fit
• Knew the local, homegrown graduates before
  hiring a good situation
• Graduates brought new skills

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Seven MAPP StudiesEmployers of MAPP Graduates
Study Findings

• Special populations now being served
• Womens health
• Elderly
• Minorities
• Disabilities
• Advanced practice employees a step-up for the
  employing facility / practice

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Seven MAPP StudiesEmployers of MAPP Graduates
Study Findings

• Benefits
• Many newly created positions
• Potential expansion and outreach for practice
• Expected homegrown employees to stay in job and
  in underserved community a good thing

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Elinor M. Greenberg, Ed.DRegional
CoordinatorMountain and Plains Partnership
(MAPP)Colorado Area Health Education Center
(AHEC) SystemUniversity of Colorado Health
Sciences Center at FitzsimonsP. O. Box 4508,
Mail Stop F433Aurora, CO 80045-0508Phone
303.724.0339 ? Fax [phone]ellie.greenberg_at_uc
hsc.edu ? http//www.uchsc.edu/ahec/mapp

• providing competent, homegrown, advanced
  practice, primary healthcare providers to
  underserved urban and rural communities in
  Colorado, Wyoming and the bordering states and
  that utilizing online and ITV distance learning
  methods to deliver graduate education programs
  has made this possible.
  Elinor Greenberg, August 2002