University of Hawaii Community Colleges
Instructional Annual Report of Program Data (ARPD)

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Review Year: College: Program:

College: Kapiolani Community College
Program: Emergency Medical Technician

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The last comprehensive review for this program was on 2013, and can be viewed at:
http://ofie.kapiolani.hawaii.edu/wp-content/uploads/2013/01/cpr2013EMS.pdf
STEM Program

Program Description

Program Mission

The Department of Emergency Medical Services (EMS) at Kapi’olani Community College provides the education needed for students to work in the Emergency Medical Services pre-hospital field in the state of Hawaii, this includes the Emergency Medical Technician (EMT)Program.

The Emergency Medical Technician (EMT) provides basic life support to patients in the prehospital emergency setting. Specific EMT functions include: establishment and maintenance of airway; administration of cardiopulmonary resuscitation (CPR); control of hemorrhage; treatment of shock; immobilization of fractures; bandaging of wounds; assisting in childbirth; management of patients with behavioral disorders; and initiation of treatment for poisoned and burned victims. Students who successfully complete the Emergency Medical Technician Program received a Certificate of Completion (effective Fall 2014, this will be a Certifcate of Competence).  Graduates of the EMT Program are qualified to take the National Registry Examination for certification as an EMT and may apply for work with an ambulance service.

The EMS department is in the unique position of being the primary educational source for initial pre-hospital education as well as for continuing medical education for currently licensed EMS personnel in throughout state.  In essence, the Kapi’olani Community College EMS program is the training arm for the state of Hawai’i.  The department has working relationships with every EMS agency in the state as well as the Hawaii State Department of Health, the Department of Commerce and Consumer Affairs, and several national EMS related associations.  The College KAP EMS program plays an integral role in the quality of patient care in the pre-hospital setting in the state of Hawai'i.

Emergency Medical Services Department Mission Statement

The mission of Kapi’olani Community College’s Health Education Unit is to develop and deliver student-centered health career programs that employ industry standards through partnerships with the healthcare community by:

The mission of the Emergency Medical Services department is to follow the Health Education Unit as well as to serve the needs of the EMS community by:

·      Providing state-wide high quality initial training at the EMT and Paramedic levels throughout the state of Hawai’i

·      Providing state-wide high quality continuing medical education for the state-wide EMS community

Part I. Quantitative Indicators

Overall Program Health: Cautionary

Majors Included: EMT     Program CIP: 51.0904

Demand Indicators Program Year Demand Health Call
10-11 11-12 12-13
1 New & Replacement Positions (State) 14 12 23 Healthy
2 *New & Replacement Positions (County Prorated) 7 5 14
3 *Number of Majors 39.5 30.5 27
3a     Number of Majors Native Hawaiian 8 8 4
3b     Fall Full-Time 96% 92% 89%
3c     Fall Part-Time 4% 8% 11%
3d     Fall Part-Time who are Full-Time in System 0% 0% 0%
3e     Spring Full-Time 66% 84% 74%
3f     Spring Part-Time 34% 16% 26%
3g     Spring Part-Time who are Full-Time in System 0% 0% 0%
4 SSH Program Majors in Program Classes 1,300 1,060 559
5 SSH Non-Majors in Program Classes 4 100 32
6 SSH in All Program Classes 1,304 1,160 591
7 FTE Enrollment in Program Classes 43 39 20
8 Total Number of Classes Taught 10 6 10

Efficiency Indicators Program Year Efficiency Health Call
10-11 11-12 12-13
9 Average Class Size 13.4 19.3 9.3 Cautionary
10 *Fill Rate 91.7% 95% 69.9%
11 FTE BOR Appointed Faculty 6.3 7.3 6.3
12 *Majors to FTE BOR Appointed Faculty 6.3 4.2 4.3
13 Majors to Analytic FTE Faculty 13.3 13.7 14.0
13a Analytic FTE Faculty 3.0 2.2 1.9
14 Overall Program Budget Allocation $497,437 $464,062 $171,660
14a General Funded Budget Allocation $497,437 $412,062 $94,440
14b Special/Federal Budget Allocation $0 $0 $0
14c Tuition and Fees $0 $52,000 $77,220
15 Cost per SSH $381 $400 $290
16 Number of Low-Enrolled (<10) Classes 2 0 6
*Data element used in health call calculation Last Updated: January 27, 2014

Effectiveness Indicators Program Year Effectiveness Health Call
10-11 11-12 12-13
17 Successful Completion (Equivalent C or Higher) 96% 96% 94% Cautionary
18 Withdrawals (Grade = W) 0 5 5
19 *Persistence Fall to Spring 32.1% 21.7% 25.9%
19a Persistence Fall to Fall     11.1%
20 *Unduplicated Degrees/Certificates Awarded 46 18 39
20a Degrees Awarded 0 0 0
20b Certificates of Achievement Awarded 0 0 0
20c Advanced Professional Certificates Awarded 0 0 0
20d Other Certificates Awarded 46 18 40
21 External Licensing Exams Passed   Not Reported 96%
22 Transfers to UH 4-yr 0 3 0
22a Transfers with credential from program 0 0 0
22b Transfers without credential from program 0 3 0

Distance Education:
Completely On-line Classes
Program Year  
10-11 11-12 12-13
23 Number of Distance Education Classes Taught 0 0 0  
24 Enrollments Distance Education Classes N/A N/A N/A
25 Fill Rate N/A N/A N/A
26 Successful Completion (Equivalent C or Higher) N/A N/A N/A
27 Withdrawals (Grade = W) N/A N/A N/A
28 Persistence (Fall to Spring Not Limited to Distance Education) N/A N/A N/A

Perkins IV Core Indicators
2011-2012
Goal Actual Met  
29 1P1 Technical Skills Attainment 90.00 97.92 Met  
30 2P1 Completion 50.00 27.08 Not Met
31 3P1 Student Retention or Transfer 74.25 64.29 Not Met
32 4P1 Student Placement 60.00 75.44 Met
33 5P1 Nontraditional Participation 17.00 25.00 Met
34 5P2 Nontraditional Completion 15.25 23.08 Met

Performance Funding Program Year  
10-11 11-12 12-13
35 Number of Degrees and Certificates     0  
36 Number of Degrees and Certificates Native Hawaiian     0
37 Number of Degrees and Certificates STEM     0
38 Number of Pell Recipients     0
39 Number of Transfers to UH 4-yr     0
*Data element used in health call calculation Last Updated: January 27, 2014
Glossary | Health Call Scoring Rubric

Part II. Analysis of the Program

Program Demand

The program demand indicators show the program to be "healthy" at this time.  All data indicate that the program is meeting the community EMS needs at this time.

Program Efficiency

Efficiency indicators show the program to be "cautionary" at this time.  The fill rates at all sites are at or near capacity.  O'ahu has had full classes (18 students) for both EMT classes offered.  Hilo has had one EMT class in the calendar year.  A large fire department recruit class is warranting an additional class in 2014.  Maui is on cycle (1 EMT class every 3 years) and did not teach a class this year.  This has proven to ensure that graduates have ample job opportunities in the field.

The Diamond Head campus on O'ahu hired a fulltime faculty member in August 2013.  A second position is under recruitment. Hilo campus has one vacancy and it too is under recruitment which was advertised nationally on EMS websites.  An effort to classify EMS faculty positions as "high demand" is in process.  The classification would raise salaries to attract more qualified applicants. The analytic FTE has been declining, which indicates a decline in the need for lecturers.

Program Effectiveness

Program effectiveness shows "cautionary" at this time.  The EMT class continues to be a one semester class with persistence data indicating so. The number of certificates awarded has increased from last year from 18 to 39.   100% of program graduates have successfully passed the National Registry of EMT certification exam.

Perkins Indicators

The indicators that show student retention and completion were not met.  The EMT program is one semester with graduates often finding full-time employment soon after completion.  Graduates who wish to attend the MICT program are required to return to college and complete prerequisite courses.  Of those who attend the MICT class, the majority will complete the MICT Certificate of Achievement.

Part III. Action Plan

EMT Program Action Plan

Long term plans for the Emergency Medical Technician program are guided by the college’s strategic plan.  In the intermediate term, plans are guided by the program’s three-year comprehensive program review (CPR).  The actions indicated in this report provide short term measures which will contribute to the goals of the three year comprehensive program review, aligned with the college’s strategic plan.

1.  Fill full-time faculty vacancies on O'ahu and Hilo (Strategic Outcome E:  Resources and Stewardship).  This is expected to positively impact the efficiency indicator which would result in a "Healthy" benchmark for the program.

2.  Review the total number of hours taught in the EMT class and based upon the local needs and national research determine the most appropriate number of hours for the program.  Currently the class is taught at 360 hours with 100 hours of lecture, 100 hours of lecture/lab and 160 hours of clinical time (Strategic Outcome D: Globally Competitive and Collaborative Workforce).  Should the assessment result in a fewer hours to complete the program, it may postively effect student completion rates found in Perkins indicator 2P1.

3.  Continue to work to align curriculum with National EMT education standards (Strategic Outcome D: Globally Competitive and Collaborative Workforce).  Alignment of currilcum content may impact student placement percentages or Perkins Indicator - 4P1.

4.  Identify new and replacement equipment needs.

Perkins Indicators

The prerequisites for the Associates Degree in MICT has been redistributed with ENG 100 being added to the EMT program and MATH 103 to the MICT program.  With these additions students will have completed more of the general education courses needed to complete the associates degree.

Part IV. Resource Implications

To meet workforce demand numbers and improve the program efficiency and effectiveness a top priority is to fill the faculty vacancy in Hilo and thereby lower the cost to deliver the program.  Currently, instructors fly to Hilo to assist in delivery of the EMT program.

In addition, the efficiency of the program will improve once approval is obtained to increase faculty pay rates based on current industry rates. 

The effectiveness of the program is also related the ability to provide skills training using up-to-date equipment.  The program relies on grant funding to  support the cost of program equipment. 

Program Student Learning Outcomes

For the 2012-2013 program year, some or all of the following P-SLOs were reviewed by the program:

Assessed
this year?
Program Student Learning Outcomes

1

Yes
1. Apply and possess the knowledge, skills, and critical thinking necessary for an entry-level EMT required to ensure scene safety, effectively assess patient(s), make critical decisions, competently treat patient(s), safely extricate and appropriately transport patients in a variety settings.

2

No
2. Effectively communicate, interact and work appropriately with patients, family members, bystanders, fellow emergency workers, EMS partners/colleagues, hospital health care providers, and supervisors.

3

Yes
3. Display proficiency at managing emergencies on scene and identifying coping strategies to manage long-term stress.

4

No
4. Demonstrate professional and ethical behavior as an EMS health care provider

5

No
6. Incorporate knowledge of multicultural perspectives to meet the needs of diverse populations.

6

No
7. Develop effective treatment plans that ensure consistent high quality patient care, cognizant of EMS' role within a large continuum of care.

A) Evidence of Industry Validation

Determined by National Highway Traffic Safety Administration (NHTSA) standards

B) Expected Level Achievement

-100% Pass National Registry of Emergency Medical Technicians cognitive and skills examinations.

-100% Completion rates for EMT 101.

C) Courses Assessed

EMT 101

D) Assessment Strategy/Instrument

-National Registry of Emergency Medical Technicians cognitive and skills examinations. 

-Students must pass 7 of 7 skills stations along with a cognitive exam with a score of 72% or higher.

-The 7 skills stations are Bag Valve Mask Ventilation, Cardiac Arrest AED, Medical Assessment, Trauma Assessment, Oxygen Administration, Spinal Immobilization Supine, and one of (Bleeding/Shock Mgmt, Joint Immboblization, Long Bone Immobilization, Spinal Immobilization Seated)

E) Results of Program Assessment

-Over the last year 2011-2012 on pass rates on the following islands are:

O’ahu

38 of 38 or 100% passed the skills exam and 35 of 38 or 92% passed the cognitive exam

Hawai’i

16 of 16 or 100% passed the cognitive and skills exams

F) Other Comments

No content.

G) Next Steps

-Per National Standards and feedback from Hawai’i state EMS agencies, EMT curriculum has changed.  The original curriculum combined two levels, Basic and Intermediate.  The new curriculum focuses solely on the Basic curriculum.  As a result the credit hours of the course have been reduced.

-Per the 2011-2012 ARPD, the next assessment period for this program will be following the 2013-2014 semester.