Report 2019-120 Recommendation 9 Responses
Report 2019-120: Board of Registered Nursing: It Has Failed to Use Sufficient Information When Considering Enrollment Decisions for New and Existing Nursing Programs (Release Date: July 2020)
Recommendation #9 To: Registered Nursing, Board of
To identify additional facilities that might offer clinical placement slots, by October 1, 2021, and annually thereafter, BRN should compare its nursing program database with OSHPD's list of health care facilities. BRN should share the results of its comparison with nursing programs by publishing this information on its website.
Annual Follow-Up Agency Response From July 2024
As recommendations 6, 7, and 9 are interdependent, when the tool discussed in Recommendation 6 is complete this will allow the Board of Registered Nursing (BRN) to compare its nursing program database with HCAI's list of health care facilities. The tool will provide up-to-date data that will be validated annually as requested through Recommendation 5 and updated in regulation 16 CCR 1427(e). During testing it was noted that several academic institutions utilize clinical placements that are not part of the HCAI list of health care facilities. This function needed to be added to the build to allow BRN to utilize this technological tool to capture all clinical facility information. This redesign is with the BRN - OIS contractor. This data will be available on the BRN's public facing website once recommendations 6 and 7 are completed.
- Estimated Completion Date: July 2025
California State Auditor's Assessment of Annual Follow-Up Status: Pending
Annual Follow-Up Agency Response From October 2023
Recommendations 6, 7, and 9 are interdependent and are being managed through one OIS build. When the tool discussed in Recommendation 6 is complete this will allow BRN to compare its nursing program database with HCAI's list of health care facilities and this clinical capacity information will be available on the BRN's public facing website. The tool will provide up-to-date data that will be validated annually as outlined in the response to Recommendation 5 via the regulatory amendment.
- Estimated Completion Date: December 2024
California State Auditor's Assessment of Annual Follow-Up Status: Pending
Annual Follow-Up Agency Response From July 2023
As recommendations 6, 7, and 9 are interdependent, when the tool discussed in Recommendation 6 is complete this will allow the Board of Registered Nursing (BRN) to compare its nursing program database with HCAI's list of health care facilities. The tool will provide up-to-date data that will be validated annually and will be available on the BRN's public facing website.
- Estimated Completion Date: September 2024
California State Auditor's Assessment of Annual Follow-Up Status: Pending
Annual Follow-Up Agency Response From October 2022
Recommendations 6, 7, and 9 are interdependent and are being managed through one Office of Information Services build. When the tool discussed in Recommendation 6 is complete this will allow the Board of Registered Nursing (BRN) to compare its nursing program database with HCAI's list of health care facilities and this clinical capacity information will be available on the BRN's public facing website. The tool will provide up-to-date data that will be validated annually as outlined in the response to Recommendation 5 via the regulatory amendment.
- Estimated Completion Date: June 2023
California State Auditor's Assessment of Annual Follow-Up Status: Pending
Annual Follow-Up Agency Response From July 2022
Recommendations 6, 7, and 9 are interdependent and are being managed through one OIS build. When the tool discussed in recommendation 6 is complete this will allow BRN to compare its nursing program database with HCAI's list of health care facilities and this clinical capacity information will be available on the BRN's public facing website. The tool will provide up to date data which will be validated annually as outlined in the response to recommendation 5 through the regulatory update.
- Estimated Completion Date: June 2023
California State Auditor's Assessment of Annual Follow-Up Status: Pending
Annual Follow-Up Agency Response From October 2021
The BRN has made progress towards full implementation and will continue its efforts to compare information in our nursing program database to OSHPD's list of health care facilities. Full implementation is dependent on Recommendations 6 and 7 which are in process.
- Estimated Completion Date: 10/31/2022
California State Auditor's Assessment of Annual Follow-Up Status: Pending
1-Year Agency Response
As discussed in 12-month response to Recommendation 6, the BRN continues to implement and expand a technological tool that will allow BRN to compile clinical facility and school specific information that will receive facility data from CDPH and OSHPD to allow for comparison. The development and testing for Phase 1 of this tool was completed on or about June 23, 2021. Upon completion of the data entry and validation discussed in Recommendations 6 and 7, the clinical capacity information will be available on the BRN's public facing website and will be updated annually.
- Estimated Completion Date: October 2021
- Response Date: July 2021
California State Auditor's Assessment of 1-Year Status: Pending
6-Month Agency Response
As discussed in Recommendation 6, the BRN continues to work with OIS and other internal stakeholders to explore a system that will allow BRN to compile clinical facility and school specific information and receive facility data from CDPH and OSHPD. However, until this system can be developed, the BRN shared various OSHPD reports including OSHPD's Healthcare Facilities List, Healthcare workforce, and Healthcare Utilization with the NECs. The NECs are using these reports when working with the Directors of Nursing at their assigned Schools when assisting them to find new and alternative clinical placements. This has been particularly helpful during the COVID-19 pandemic as clinicals have been displaced from most acute care healthcare facilities. These reports have been referenced by the NECs and the Program Directors when working to complete requirement b. in the DCA Waiver DCA-20-03 Nursing Student Clinical Hours and again in the newly enacted statute 2786.3 (A)(i) where it states: "The list of alternative agencies or facilities listed within 25 miles of the impacted approved nursing program, campus, or location, as applicable, using the facility finder on the Office of Statewide Health Planning and Development's website."
- Estimated Completion Date: October 2021
- Response Date: January 2021
California State Auditor's Assessment of 6-Month Status: Pending
60-Day Agency Response
The BRN will continue to work with OIS to explore options for a system that will allow BRN to compile clinical facility and school specific information from the EDP-P-18 and receive facility data from CDPH and OSHPD. Reports from this system would be published to BRN's website. The BRN is in the processing of developing a data landing page on its website that will contain all data reports, links, and portals.
- Estimated Completion Date: October 2021
- Response Date: September 2020
California State Auditor's Assessment of 60-Day Status: Pending
Although BRN indicated it is exploring options to develop a system to compare clinical facility information, its date of implementation is October 2021. In the meantime, we believe BRN can and should start now by comparing its nursing program database with OSHPD's list of health care facilities to identify additional facilities that might offer clinical placement slots, as we described on pages 26 and 27 of our report.
All Recommendations in 2019-120
Agency responses received are posted verbatim.