NJAC receives $1.6 million to implement a Long Term Care residency program

PRESS RELEASE:  New Jersey Action Coalition Receives $1.6 Million from CMS for Long Term Care Residency Program.

The New Jersey Action Coalition (NJAC) is pleased to announce civil monetary penalties funding of 1.6 million from the Centers for Medicare and Medicaid Services (CMS), to develop, implement and evaluate a RN transition into practice model for Long Term Care (LTC) facilities in NJ.  Working with volunteers of the education pillar for the NJAC, along with their partner the Health Care Association of New Jersey, 50 preceptors and 50 new graduate nurses will be solicited for this 12 month residency.   The Nurse of the Future Core Competencies© will be used to develop the curriculum.  This project was developed as a result of the Institute of Medicine (IOM) landmark report, the Future of Nursing: Leading Change, Advancing Health (2011) recommendation to implement residency models across settings.   While residency models are available in acute care settings they are not available in long term care environments.  “As the Affordable Care Act evolves long term care will have a more prominent role and will require more nurses with different competencies” according to Loretta Kaes, RN, B-C, C-Al, LNHA, CALA, Director of Quality Improvement, Health Care Association of NJ.  
This project hopes to improve care for the residents in long term care as well as help stabilize the RN workforce.  
Currently NJ is ranked 48th among all states for having the highest readmission rates of geriatric adults with chronic diseases.  Reducing re-hospitalizations will improve the quality as well as cost of care.  New nurses often do not see these environments as a first choice in seeking employment because of the limited number of RN staff and lack of preparation in their academic programs for these environments.  The retention rate in 2010 for staff nurses in Long Term Care facilities in NJ was 53.8% and the turnover rate was 37.7% according to a recent American Health Care Association study.  While better than the national rate it is still higher as compared to other sectors in healthcare.
Edna Cadmus PhD, RN, NEA-BC, FAAN described the overall focus of this project, stating: “the unique aspects of this project includes: 1) a focus on quality and safety using evidence based care for the residents of the LTC facility, 2) application of core knowledge, skills, and attitude as it relates to the older adult, 3) partnership between academic institutions and the LTC practice setting, 4) preceptor education and 5) evaluation of organizational characteristics that help increase recruitment and retention of the new RN graduate.”    
Rutgers University, Nursing in Newark will take the lead in overall management of the funds with Dr. Edna Cadmus co-lead for the NJAC and Susan Salmond, EdD, RN, ANEF, FAAN co-chair for the Education Pillar as co-investigators.  The HCANJ will engage Long Term Care facilities in recruitment efforts for this project.  Evaluation of this project will be conducted by the Heldrich Center for Workforce Development in the Edward J Bloustein School of Planning and Public Policy at Rutgers, the State University of New Jersey.  The New Jersey Department of Health will provide in-kind support for this project as well. Dr.Susan Salmond stated: “with a prestigious interdisciplinary team, along with others who will be participating with us over the next 30 months, we are excited about the impact we can make for the Long Term Care residents in NJ.” The NJAC co-leads and members would like to especially thank the NJ Department of Health team who have been working with us hand and hand to make this funding a reality, we appreciate their guidance and leadership on this important project. The NJAC was one of the first 5 coalitions piloted by the Robert Wood Johnson Foundation in collaboration with the Center to Champion Nursing at ARRP to implement the IOM recommendations.
For more information contact: ednacadm@rutgers.edu. or salmondsu@sn.rutgers.edu.  
by Edna Cadmus | November 12, 2013

Tags: new-jersey

Janeth Stuart

As a student nurse who is about to graduate in a few months, I have become increasingly aware of the job hunting difficulties that I and my cohorts may soon encounter. With the current economic environment and the uncertainties surrounding healthcare, it is apparent that fewer hospitals are eager to hire new graduate nurses, or have any type of residency program opportunities. This particular press release brings forth some encouragement for someone like me, who will be academically prepared but only have nursing experience through the clinical rotations that is set (and can be limited) by the curriculum. This is a wonderful opportunity that will allow educators, preceptors and new graduate nurses to work together to spearhead a positive change in long-term care environments.
Posted on: December 3, 2013, 2:53 pm

Edna Cadmus

Janeth: Thank you for your comment. I would encourage you to look beyond the hospital setting and consider Long Term Care and Home Care environments. There are many resources that you can explore to build up your knowledge about care of the older adult. Be encouraged. There are going to be many opportunities for nurses as we roll out the Affordable Care Act. It may not be where you thought you might start but every experience is a learning opportunity. Edna
Posted on: December 9, 2013, 11:46 am

Nicha Ubol

Thank you so much for posting this article! As a student who also will be graduating in a few months, it is good to know that there are places (other than hospitals) that are willing to hire fresh graduates with some clinical experience. I found the both the article and your reply Ms. Cadmus to be encouraging, especially since I've only been focused about finding jobs in hospitals.
Posted on: December 10, 2013, 4:10 pm

Saunia Graham

This program is a wonderful endeavor. It will, for one, encourage more recent graduates to consider this area for a career. Also, this program will provide the necessary skills and confidence for the new nurse entering the workforce. Recent nursing graduates only think of hospitals as a place for employment, not realizing that there are a multitude of areas to explore. This program opens up the doors for various opportunities for the new graduate and increase retention in this area. This is a program that I would definitely be interested in pursuing and will give me an advantage in learning and developing various skills over other new graduates.
Posted on: December 16, 2013, 9:39 am

Suzanne DeMatteo

As a Rutgers ABSN student and soon to be graduate, my interest peaked when I saw this article. Over the past few weeks I have been astounded at the lack of nursing residencies available. In speaking with friends most did not even realize there was such a thing. What I think all nursing students find upon starting clinicals is that the divide between book learning and hands-on learning is vast. This is felt even more in accelerated programs where there is only a little over a year of hands-on clinical experience before going out into the workforce. This article was encouraging because it shows me that the nursing community is moving in the direction of better patient care through better trained nurses. In addition, my own grandfather recently went into a long-term care facility and I have experienced firsthand the quick turn-over of nurses as well as the lack of RN's available who really want to be there. I agree that with more focused training in the area of long-term care these facilities can have lower turnover rates and higher quality of care. Thank you for this initiative!
Posted on: February 20, 2014, 2:46 pm

Mike Napolitano

I am extremely pleased to hear about this initiative for two very personal reasons. From a student nurse perspective, I see this as a fantastic opportunity for all nurses since long term care (LTC) will have a more prominent role in nursing. This will require more nurses a with a variety of abilities and create opportunities for the new graduate nurse. The creation and implementation of this 12 month residency program will hopefully be a catalyst and a stepping stone for the formulation of a permanent residency model for the LTC setting. Our population is aging as more people are living well into their 80's and 90's, as a result LTC demands are undeniably increasing. Establishing a solid model of care within the LTC facility only makes sense. My mother, who was diagnosed with ALS at 55 ended up becoming a resident of a LTC for 6 years and nothing would make me happier than to see advancements in care, knowledge, skills and attitude as it relates to the residents of the LTC facility. In addition, improvements in the retention of nurses benefits not only the organization, but most importantly the patient and their outcome. High turnover rates are very disruptive to the patients involved in LTC. In my mothers case, she lost her ability to speak soon after she became a resident. As a result, she relied heavily on me and on the nurses and aids who she had come to know and trust to give her the compassionate care she required. Thankfully, the turnover rate in this particular facility was low, however had it been high, it would have greatly impacted the level of care my mother received. Again, I cannot say how pleased I am for this initiative, thank you!
Posted on: March 20, 2014, 1:53 pm

Christina Pickerell

As soon as I saw the title of this article I was intrigued to read further, especially as a nursing student who is about to graduate in a few short months. However, I can wholeheartedly relate to why most nurses do not look into long term care facilities as a career. As we go through nursing school, we run into many different types of nurses and professors. I will never forget a story in which I was told about how working in long term care facilities there are a lack of staff and you are basically thought to give about 30 patients their medications, all within an hour... with no errors (obviously!). This immediately turned me off because I can see how difficult it is to give 6-8 patients on a med-surge unit all of their medications on time. Long term care facilities are going to need the staff because as the baby boomers get older, more nurses will be needed to care for this generation. It is nice to see that there is a program to get new nurses properly trained and feel comfortable when they eventually start this job on their own. It is also a wonderful thing to see so many people come together in order to ensure proper care. There are a handful of nurses that I have come into contact with in our clinical experience who want nothing to do with student nurses. However, as students and new nurses, we need people who are willing to educate us properly in order for us to give the best care possible to our patients. It is wonderful to see that there are programs out there trying to do this for new nurses. Prior to reading this article, I was very concerned thinking that there would be next to no opportunities available for new nurses with no experience. After reading this, it puts my mind a little bit more at ease knowing that there are these options out there.
Posted on: April 7, 2014, 2:36 pm


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