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College: Kapiolani Community College
|The last comprehensive review for this program was on MICT is undergoing self study for initial accreditation. No CPR required..|
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 Hawai'i, the Mobile Intensive Care Technician (MICT) is one of the programs. In addition to the EMT and MICT programs, the department faculty, also provide continuing medical education classes for those who are current pre-hospital care providers and CPR, first aid, and first responder courses to promote public safety education.
The MICT is also known as a Paramedic. Certification as an EMT is a prerequisite to the MICT program. The MICT is prepared to perform advanced life support functions in the pre-hospital emergency setting under the direction of a medical doctor. In addition to all functions performed by an EMT, a MICT performs advanced functions such as administering intravenous fluids; administering medication; performing endotracheal intubation; recording and reading electrocardiograms; and using the cardiac monitor defibrillator. Students who successfully complete the program receive an Associate in Science Degree which affords them the opportunity to continue in a career pathway. In addition, graduates are qualified to take the National Registry Examination for certification as a paramedic and can apply for work with an ambulance service. Positions for MICTs are readily available on Hawai'i and O’ahu. Kapi’olani Community College EMS program is the education/training arm for the state of Hawai’i.
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. 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 national EMS related associations.
The Kap CC EMS program plays an integral role in the quality of patient care in the pre-hospital setting in the state of Hawai'i. To that end, the MICT program is currently in the process of seeking national accreditation by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). A self-study was submitted in July 2012 with the site visit occuring in June 2013. The CAAHEP will be meeting in January 2014 to make an accreditation recommendation.
With the accreditation, all programs within the department will be aligned with the National Registry and therefore with the majority of all 50 states. Curriculum in the EMT and paramedic programs will be adjusted accordingly when the third level, Advanced Emergency Medical Technician (AEMT), is implemented by the state DOH EMS Branch. These changes will correspond with changes occurring in state licensure levels.
In addition, the state of Hawai'i is currently reviewing the alignment with the national EMS standards for certification/licensure. The Department of Commerce and Consumer Affairs and the Board of Medical Examiners are moving from two levels of licensure (Emergency Medical Technician, Paramedic) to three different levels of licensure (Emergency Medical Technician, Advanced Emergency Medical Technician, Paramedic). With the addition of the third level of licensure, Kapiolani CC’s EMS department will need to adjust current curricula to accommodate the state changes. Course hours and content will all be revamped. The state plans to implement the new licensure levels in approximately 2 years. The state will be looking to Kapi'olani CC to develop and provide transition courses for those EMS providers who require additional training with the licensure changes as well as for reciprocity providers who desire to be licensed to practice in the state of Hawaii.
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:
Majors Included: MICT Program CIP: 51.0904
|Demand Indicators||Program Year||Demand Health Call|
|1||New & Replacement Positions (State)||14||12||23||Healthy|
|2||*New & Replacement Positions (County Prorated)||6||6||9|
|3||*Number of Majors||31||33||16.5|
|3a||Number of Majors Native Hawaiian||9||12||6|
|3d||Fall Part-Time who are Full-Time in System||0%||0%||0%|
|3g||Spring Part-Time who are Full-Time in System||0%||0%||0%|
|4||SSH Program Majors in Program Classes||899||1,130||653|
|5||SSH Non-Majors in Program Classes||12||32||0|
|6||SSH in All Program Classes||911||1,162||653|
|7||FTE Enrollment in Program Classes||30||39||22|
|8||Total Number of Classes Taught||10||14||9|
|Efficiency Indicators||Program Year||Efficiency Health Call|
|9||Average Class Size||12.8||10.6||9.9||Cautionary|
|11||FTE BOR Appointed Faculty||1||0||0|
|12||*Majors to FTE BOR Appointed Faculty||31||0||0|
|13||Majors to Analytic FTE Faculty||12.1||8.3||6.8|
|13a||Analytic FTE Faculty||2.6||4||2.4|
|14||Overall Program Budget Allocation||$398,686||$464,062||$151,405|
|14a||General Funded Budget Allocation||$398,686||$412,062||$66,084|
|14b||Special/Federal Budget Allocation||$0||$0||$0|
|14c||Tuition and Fees||$0||$52,000||$85,321|
|15||Cost per SSH||$438||$399||$232|
|16||Number of Low-Enrolled (<10) Classes||4||7||3|
|*Data element used in health call calculation||Last Updated: January 27, 2014|
|Effectiveness Indicators||Program Year||Effectiveness Health Call|
|17||Successful Completion (Equivalent C or Higher)||94%||78%||80%||Cautionary|
|18||Withdrawals (Grade = W)||8||6||3|
|19||*Persistence Fall to Spring||95%||23.3%||3.7%|
|19a||Persistence Fall to Fall||0%|
|20||*Unduplicated Degrees/Certificates Awarded||6||2||28|
|20b||Certificates of Achievement Awarded||0||0||21|
|20c||Advanced Professional Certificates Awarded||0||0||0|
|20d||Other Certificates Awarded||0||0||0|
|21||External Licensing Exams Passed||Not Reported||100%|
|22||Transfers to UH 4-yr||1||2||0|
|22a||Transfers with credential from program||0||2||0|
|22b||Transfers without credential from program||1||0||0|
Completely On-line Classes
|23||Number of Distance Education Classes Taught||0||0||0|
|24||Enrollments Distance Education Classes||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
|29||1P1 Technical Skills Attainment||90.00||100.00||Met|
|30||2P1 Completion||50.00||3.57||Not Met|
|31||3P1 Student Retention or Transfer||74.25||67.86||Not Met|
|32||4P1 Student Placement||60.00||100.00||Met|
|33||5P1 Nontraditional Participation||17.00||20.34||Met|
|34||5P2 Nontraditional Completion||15.25||0.00||Not Met|
|Performance Funding||Program Year|
|35||Number of Degrees and Certificates||28|
|36||Number of Degrees and Certificates Native Hawaiian||12|
|37||Number of Degrees and Certificates STEM||28|
|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|
The program demand indicators show the program to be "healthy" at this time. All data indicates that the program is meeting the community EMS needs at this time. Demand for trained MICT graduates has increased from the last APRD to the current year for the State and County. The State shows an increase from 12 to 23 positions and from 6 to 9 in the County.
In August 2013 one of the two vacant O'ahu faculty positions was filled. Hilo continues to have one vacancy. The recruitment process has been opened nationally with positions being advertised on national EMS websites. An effort to classify EMS faculty positions as "high demand" is in process. The classification will raise salaries to attract more qualified applicants.
The O'ahu faculty that was hired will become the EMS clinical coordinator handling clinical scheduling and management for the EMT and MICT programs. This will free up the lead instructor to soley focus on didactic and clinical instruction. In addition, MICT program accreditation requires a program director. To address this need, the current department chair will step down to focus on obtaining accreditation of the program.
Program effectiveness shows "cautionary" at this time. The MICT program is a 12-13 month program. O'ahu's program starts in January and runs to December. The 2012-2013 Hilo MICT class also started in January. As a result of the spring start, fall to spring persistence rates will be low as students complete and graduate in the fall semester and do not progress from fall to spring.
The number of certificates increased significantly because the MICT Certificate of Achievement was added in the spring of 2012.
The indicators that show student retention and completion were not met. Obtaining an associate's degree is not a requirement for licensure and employment in the state of Hawai'i. Because of this, students who complete the MICT program often do not obtain the degree until later in their careers for promotion or as a first step towards obtaining a bachelor's degree.
The classes included in MICT Certificate of Achievement are all that is needed for licensure and employment. All students who complete the MICT program are eligible for the MICT Certificate of Achievement.
Long term plans for the MICT 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.
The Action Plan for the MICT Program is:
1. Gain national accreditation from the Commission on Accreditation for Allied Health Education Programs (CAAHEP) through the Committee on Accreditation of Educational Programs for the Emergency Medical Services Programs (CoEMSP). The report from the summer 2013 accreditation site visit team included multiple recommendations. The recommendations are being addressed. The CoEMSP board is scheduled to meet in the 4th quarter of 2013 and will make a recommendation to the CAAHEP board regarding accreditation status. The CAAHEP board will be meeting in the 1st quarter of 2014 and will send a decision soon after (Strategic Outcome D: Globally Competitive and Collaborative Workforce).
2. Increase EMS faculty salaries to match market rates to attract and retain higly qualified faculty (Strategic Outcome D: Globally Competitive and Collaborative Workforce and Strategic Outcome E: Resources and Stewardship).
3. Hire faculty to fill the vacant faculty positions on O'ahu and Hawai'i Island (Strategic Outcome D: Globally Competitive and Collaborative Workforce).
4. Continue to develop mentoring program to oversee MICT student internship rotations and to assist with instruction in skills lab sessions (Strategic Outcome E: Resources and Stewardship).
5. Update equipment through repair or by purchasing new pieces (Strategic Outcome E: Resources and Stewardship).
Funding for to cover the high demand classification of EMS faculty will come from the Department of Health EMS Branch.
Financial resources are also needed to repair damaged equipment and to purchase updated equipment. The EMS CME program shares equipment and supplies with the MICT program. This arrangement works well when students are on their clinical and internship rotations. However, when CME classes and MICT classes are held at the same time equipment and supply resources are limited. Funding to purchase a set of equipment for the CME program is needed at this time.
During the months of January, February and March the MICT and CME programs compete for classroom space. Classroom space for the CME class needs to be allocated. For the time being, CME classes for the City and County of Honolulu EMS will be held at a City facility reducing the size of the CME classes while the MICT didactic portion of class is in session. This will allow the MICT program to utilize the two classrooms required for didactic and skills sessions.
For the 2012-2013 program year, some or all of the following P-SLOs were reviewed by the program:
|Program Student Learning Outcomes|
|1. Apply and possess the knowledge, skills, and critical thinking necessary for an entry-level Paramedic 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 of settings.|
|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. Display proficiency managing emergencies on scene and identifying coping strategies to manage long-term stress.|
|4. Demonstrate professional and ethical behavior as an EMS health care provider.|
|5. Incorporate knowledge of multicultural perspectives to meet the needs of diverse populations.|
|6. Develop effective treatment plans that ensure consistent high quality patient care, cognizant of EMS’ role within a larger continuum of care.|
The MICT Program is validated by the National Highway Traffic Safety Administration (NHTSA) standards
Graduates of the program are qualified to take the National Registry Examination for certification as an EMT-P and can apply for work with an ambulance service. Positions for MICTs are readily available on Hawai'i and O’ahu.
100% Pass National Registry of Emergency Medical Technicians cognitive and skills examinations.
100% completion rates for MICT 350
Course competenices are assessed based on the National Registry of Emergency Medical Technicians Paramedic cognitive and skills examinations.
Students must pass 12 of 12 skills tests along with a cognitive exam with a score of 72% or higher.
The 12 skills tests include:
Dynamic Cardiology, IV Therapy/Meds, Oral Stations,Medical and Trama Patient Assessments, Pediatric IO Infusion, Pediatric Airway Mgmt,
Static Cardiology, Supraglottic Airway, Ventilatory Mgmt Adult, Cardiac Arrest Mgmt and Supine Immobilization
The MICT program assessments for 2012-2013 were based on student pass rates.
1. The Oahu MICT class had 11 of 16 students pass the program or a 78% success rate
2. Of the 11 who passed the MICT program, 100% went on to pass the National Registry Paramedic cognitive and skills examination on the first attempt
3. The Hilo class had 9 of 14 pass the program or a 64% success rate.
4. Of the 9 who passed the MICT program, 100% went on to pass the National Registry Paramedic cognitive and skills examination on the first attempt.
5. The Maui Island MICT program was not offered dueing 2012 or 2013. The next class will be held in May 2014.
The O'ahu 2012 MICT class graduated 11 out of the initiall enrolled 16 students. All 16 students successfully completed the didactic portion of the class. Five, or 22%, of the initial 16, faltered during the internship phase.
The 2013 MICT students are currrently in the last program course, MICT 350. Delivery of the MICT program is based on a partneship with the City and County of Honolulu EMS. There were 9 applicants for the MICT program, of the 9, 5 qualified to enroll in the class. The MICT program underwent accreditation in June 2013. All five students successfully completed the didactic portion of the class. To date, 1 of the 5 has faltered in the clinical internship.
A new faculty member was hired on Oahu and has assisted in the clinical coordination of the MICT and EMT classes. He spent the fall of 2013 riding with City and County EMS and AMR learning the systems and was being trained by the part-time EMT clinical person as well as the primary MICT instructor when he had time available.
There are 16 students accepted into the 2014 MICT class. Both the clinical coordinator and program director will assist the primary instructor during MICT 301, 302, and 350. The clinical coordinator has also begun to assemble a more comprehensive training program for MICT field instructors. With additional staff and a solid training program, the pass rates for MICT 350 will hopefull improve significantly for this upcoming class.
The Hilo 2012 class graduated 9 of the initial 14 who enrolled. Of the 14, 3 dropped out in MICT 150, 1 in MICT 301 and the last one in MICT 350. Finding a second permanent faculty member has been a challenge. Over the last 9 years, there have been two faculty who have come and gone in the position. For the last 4 of the past 9 years, the position has been vacant. Searches have been done on island, state wide and nationally, with no results up to this point. Along with the salary rate, the location, size of Hilo, demographics and culture all seem to be factors to consider in the search process.
The 2013 Hilo class of 5 students will be starting their internship phase in early 2014. The clinical coordinator and program director will also assist the Hilo MICT primary instructor with internship instruction. Maui has scheduled a class to start in May 2014.
Filling the vacant faculty position on O'ahu has been extremely helpful for student success, especially during the clinical and internship phases. The program director is no longer the department chair and will to focus on the MICT program to complete the program accreditation process. Based on a Letter of Review (LOR), the program will continue to graduate students who are elligible to sit for the National Registry exam. This is key as the National Registry exam is the state of Hawai'i's licensing exam.
The Hilo campus continues to have a vacant faculty position. One of the accreditation standards citations addressed this issue. In response, reclassifying of EMS faculty to a "high demand" category could help attract faculty to the position. It is also expected that an increase in salary will help address faculty attrition and thereby stabilize the program. Other alternatives regarding CME and EMT class offerings should be explored.