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Page 1: 2011/12 Student Learning Assessment Report · 2011/2012 MHA Student Learning Assessment Report ... The MHA student Learning Portfolio (Direct), ... Admission Rubric and Decision Spreadsheet

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2011/12 Student Learning Assessment Report

October 2012

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2011/2012 MHA Student Learning Assessment Report

Introduction The Master of Health Care Administration (MHA) program updated its Student Learning and Assessment Plan (SLAP) for the 2011/2012 academic year (AY) taking into consideration feedback provided by the Student Learning and Assessment Committee (SLAC), the program’s faculty, as well as changes the program was undertaking through the new curriculum roll out. A copy of the program’s current plan is provided in the Appendix.

MHA Program & Learning Objectives The MHA faculty met and agreed on a combination of program and learning outcomes as a foundation for assessing student learning: Program Objectives—

1. The program will admit students that fit our target student (early to mid careerist) 2. Students will successfully complete the culminating experiences of the curriculum: Administrative Internship (MHA 640/642)

and Capstone (MHA 649). 3. MHA graduates will be satisfied with their academic investment at DMU/MHA

Learning Objectives—

4. Students will achieve the mid-careerist level on the 9 NCHL competencies the faculty identified as key learning outcome measures for the MHA curricula.

Measures and Data Collection

The MHA student Learning Portfolio (Direct), the annual Graduate Survey (Indirect), admissions data (Direct) and Capstone and Internship performance data (Direct) were identified as the primary measures of program objectives and student learning. The program director, program assistant, and special project coordinator for CHS identified Feedback Server as a tool to collect the portfolio data.

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Learning Portfolio (Direct). The following instruments were developed within Feedback Server to allow for data collection:

• NCHL Competency Assessment – Initial and post-program (Student completes) –http://feedback.dmu.edu/fs.aspx?surveyid=9f850f0da494-f46997ee870cdd165df

• Preceptor Internship Evaluation (Preceptor and one other individual from host organization completes) - http://feedback.dmu.edu/fs.aspx?surveyid=027e30861d74198b7f81b1c2b3bc2bc

• Faculty Evaluation of Internship Portfolio (Faculty advisor completes) - http://feedback.dmu.edu/fs.aspx?surveyid=cf5bc365dd84bd0a536ead9967657b1

• Preceptor Capstone Evaluation (New data added to 2011/12 SLAP. Capstone preceptor completes) - http://feedback.dmu.edu/fs-Capstone.aspx

Links to the first three forms are provided on the program’s AdvisorConnection (MHA 600) faculty student advising Angel site; the Capstone preceptor evaluation is found within the Capstone Angel course. Directions on how to use each form are provided to the user. Returned forms are collected and the submitted data is maintained in the Feedback Server database. Annually, data is downloaded into Microsoft Excel for analysis and reporting.

Graduate Survey (Indirect). Each year, members of the graduating class are emailed a link to a survey in Feedback Server asking them to provide their summative views of the MHA program support, curriculum, faculty, faculty advisor, staff, etc. This year the survey was sent to graduates as soon as their diploma request was received versus waiting until the spring to survey the class. This change was made to increase response rates. Program faculty are most interested in the graduates view of the overall value of their academic experience. The four questions selected for review follow in the table below. A full copy of the survey results is available in the Program office. Admission Rubric and Decision Spreadsheet (Direct). The MHA program had two admission cycles in the 2011/12 AY. For each cycle, program faculty used an admission rubric they developed that can award each applicant up to 100 points. Once all the files are reviewed with the rubric, the data is combined into a decision support spreadsheet. The spreadsheet is used by the faculty to determine who the program will extend offers of admission to. Once admission decisions are finalized, program faculty run descriptive statistics on the accepted versus rejected groups and compare to see if their decisions fit the profiled student.

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Assessment Results The following table summarizes the programs student learning goals, measures, and outcomes: Program    Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  Summary  

Action  Planned/  Taken  

1. The  program  will  admit  students  that  fit  our  target  student  (early  to  mid  careerist).  

 

Admission  demographic  data  (decision  spread-­‐sheet  and  data  analysis)  pulled  from  the  admission  rubric  evaluation  work  history,  academic  rigor,  communication  skills,  and  work  ethic  (D)  

• Average:    o 5  years  of  work  experience  

o 3.25  cumulative    GPA  

o Rating  of  3  (75%+)  or  “Good”  for  admission  essays  

o Rating  of  3  (75%+)  or  “Good”    for  references  

• For  prior  2  admission  cycles  (October  and  May):  

• Average  age=  29.4  yrs  • Average  years  of  experience=6.7  • Cumulative  incoming  GPA=  3.42  • Average  essay  score  for  admitted  applicants:  

o October  ‘11  =  88%  o May  ‘12=  78%  

• Average  reference  score  for  admitted  applicants:  

o October  ‘11  =  93%  o May  ‘12=  78%  

• Reviewed  65  applications/52  admission  offers=  80%  acceptance  rate  

MHA  Faculty    and  Admiss-­‐  ions  staff  

 Goal  Met  

Continue  using  developed  admission  process.  Work  to  further  define  each  criteria  within  rubric  to  add  more  consistency/validity  to  our  review/scoring  process.    

2. Students  will  successfully  complete  the  culminating  experiences  of  the  curriculum:  Administrative  Internship  (MHA  640/642)  and  Capstone  (MHA  649).  

Comparison  of  student  enrollment  versus  successful  completion  (D)  

• The  program  targets  a  completion  rate  of  90%  for  these  two  required  courses.    

Cumulative  data  from  Summer  2011  –  Fall  2012.    

• Internship  =  100%  pass  rate  (35  total;  23  pass,  12  still  in  process).    

• Capstone  =  95%  pass  rate  (62  total;  59  pass,  2  fail,  1  withdrawal)  

MHA  Faculty    and  Capstone  course  faculty    

 Goal  Met  

Phasing  out  the  Internship  &  Capstone  courses  with  new  curriculum.  Will  update  this  objective/measure  to  the  Field  Based  Learning  course  (MHA  749)  for  next  years  plan.  

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  Calculating  average  GPA  of  student  completing    the  Capstone  course  (D)          

• The  program  target  is  set  a  an  average  GPA  of  3.0  or  higher  

• 3.53  GPA     MHA  Faculty    and  Capstone  course  faculty  

 Goal  Met  

 �  

Learning    Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  Summary  

Action  Planned/  Taken  

3. Students  will  achieve  mid-­‐careerist  level  on  the  9  key  NCHL  competencies    that  the  faculty  identified  as  key  learning  outcome  measures  for  the  MHA  curricula.  

 

MHA  “9  Key”  NCHL  Competencies—  (D)    

Level  “3”  or  Mid-­‐careerist  level  identified  by  NCHL—  

Cumulative  data  Fall  2011  –  Summer  2012;    

N  =  64  Students.      Bar  Chart  Scale:      1  =  student  pre  program  assessment  on  NCHL  competencies  

2=  student  post  program  assessment  3  =  mentors  assessment  post  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

       

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These  9  key  competencies  are  listed  (right)  along  with  the  established  benchmark  (Achievement    Level  3)  identified  by    NCHL  for  a  mid-­‐careerist.      

1. Analytic  Thinking   Level  3:    Recognizes  multiple  relationships,  makes  causal  links.    

 Bar  Chart  Scale:      1  =  student  pre-­‐  program  assessment  on  NCHL  competencies  

2=  student  post-­‐  program  assessment  

3  =  mentors  assessment  post-­‐  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

       

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

Continue  to  monitor  as  new  curriculum  is  rolled  out.  Implement  new  measures/data  collection  from  revised  curriculum  map  and  new  ePortfolio  tool.    

   �  

Learning  Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  Summary  

Action  Planned/  Taken  

2.7  3.6   3.4  

0  

1  

2  

3  

4  

1   2   3  

Analytical  Thinking  

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MHA  students  will  achieve  competency  at  the  mid-­‐careerist  level  by  the  end  of  their  academic  program.      Student  self-­‐reported  pre  and  post-­‐achievement  will  be  validated  by  triangulating  student  ratings  with  preceptor  and  faculty  ratings  from  the  Administrative  

2. Financial  Skills     Level  3:    Understands  impact  of  reimbursement  models  

 Bar  Chart  Scale:      1  =  student  pre  program  assessment  on  NCHL  competencies  

2=  student  post  program  assessment  

3  =  mentors  assessment  post  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

�    

Added  note:  Course  coordinator  redesigned  the  two  finance  courses  during  2010/11  AY.  The  goal  was  not  met  last  year,  but  improved  and  was  met  this  year.      

�  

Internship  Learning    Portfolio  and  the  Capstone  course  evaluations.            

3. Interpersonal  Understanding    

Level  3:    Commits  to  Understanding    Others  

   

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

 �          �          �  

Learning  Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  

Action  Planned/  

1.8  3   3.6  

0  

1  

2  

3  

4  

1   2   3  

Financial  Skills  

3.4   4.1   4.1  

0  

1  

2  

3  

4  

5  

1   2   3  

Interpersonal  Understanding  

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Learning  Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  Summary  

Action  Planned/  Taken  

  4. Professionalism     Level  3:  Maintains  social  accountability  

 

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

�          �          �  

  5. Self  Development   Level  3:  Considers  the  impact  one  has  on  others  

 Bar  Chart  Scale:      1  =  student  pre  program  assessment  on  NCHL  competencies  

2=  student  post  program  assessment  

3  =  mentors  assessment  post  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

 

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

 �          �          �  

2.6   3   3.4  

0  

1  

2  

3  

4  

1   2   3  

Professionalism  

2.7   3.2   3.4  

0  1  2  3  4  

1   2   3  

Self  Development  

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Learning  Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  Summary  

Action  Planned/  Taken  

  6. Strategic  Orientation   Level  3:  Aligns  organization  to  address  long-­‐term  health  care  environment  

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  not  met  

�    

Added  note:    We  were  aware  of  this  deficiency.  A  new  strategy  course  is  in  development  and  will  debut  in  January  2013.    

  7. Collaboration   Level  3:    Solicits  input,  values  others’  expertise  

 Bar  Chart  Scale:      1  =  student  pre  program  assessment  on  NCHL  competencies  

2=  student  post  program  assessment  

3  =  mentors  assessment  post  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

     

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

 �          �          �  

1.9  2.7   2.9  

0  

1  

2  

3  

4  

1   2   3  

Strategic  Orientation  

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  7. Collaboration   Level  3:    Solicits  input,  values  others’  expertise  

 Bar  Chart  Scale:      1  =  student  pre  program  assessment  on  NCHL  competencies  

2=  student  post  program  assessment  

3  =  mentors  assessment  post  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

       

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

 �          �          �  

Learning  Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  Summary  

Action  Planned/  Taken  

  8. Communication  Skills  

Level  3:    Makes  persuasive  oral  presentations  

 Bar  Chart  Scale:      1  =  student  pre  program  assessment  on  NCHL  competencies  

2=  student  post  program  assessment  

3  =  mentors  assessment  post  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

 �          �          �  

2.6  3.5   3.3  

0  

1  

2  

3  

4  

1   2   3  

Communication  

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  9. Accountability   Level  3:  Demands  high  performance  from  self  and  others  

 Bar  Chart  Scale:      1  =  student  pre  program  assessment  on  NCHL  competencies  

2=  student  post  program  assessment  

3  =  mentors  assessment  post  program  (capstone  and  internship  preceptors  plus  academic  advisor)  

 

MHA  Faculty/  Course  faculty  supporting  competency  

 Goal  Met  

 �          �          �  

Program    Objective  

Measure  Tool  Direct/Indirect  

 Benchmark  

 Actual  Data  &  Date  Collected  

Who  uses  the    data?  

Narrative  Summary  

Action  Planned/  Taken  

4.  MHA  graduates  will  be  satisfied  with  their  academic  investment  at  DMU/MHA.    

2011  Graduate  Survey  (ID)  

80  %  Agree  or  “Yes”   Results  of  the  2011  Graduate  Survey:    Survey  distributed  to  70  graduates;  54  responded.    Response  rate  =  77%.  

Response  rate  Increased  from  38%  the  previous  year.  

MHA  Faculty    Goal  Met  

Continue  with  survey  dissemination  process.  Strive  to  increase  participation  rates  each  year.    

  o Did  the  program  help  you  further  develop  competency  in  Health  Care  Administration?  

  This  year  (2011/12):  100%  

Last  year  (2010/11  data):  

100%  (10)  Yes  

 

MHA  Faculty      2011/12  Goal  Met    2010/11  Goal  Met  

Program  faculty  formally  introduce/address  the  competency  model  within  the  3  new  Exec.  Residencies  (specifically      

  o Did  the  courses  offered  in  the  program  adequately  

  This  year  (2011/12  data):  

87%  Yes  

Last  year  (2010/11  data):  

93%  (13)  Yes  

MHA  Faculty    2011/12  Goal  Met  

Professional  Development  Seminar  I,  2,  and  

2.8  3.9   3.9  

0  1  2  3  4  5  

1   2   3  

Accountability  

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  o Did  the  courses  offered  in  the  program  adequately  prepare  you  for  your  desired  career?  

  This  year  (2011/12  data):  

87%  Yes  13%  No  

Last  year  (2010/11  data):  

93%  (13)  Yes  10%  (1)  No  

MHA  Faculty    2011/12  Goal  Met    2010/11  Goal  Met  

Professional  Development  Seminar  I,  2,  and  3);  are  in  the  process  of  redesigning  the  Learning  Portfolio  assignment  using  

  o Did  your  experience  in  the  MHA  program  help  achieve  your  goal?  

  This  year  (2011/12  data):    

91%  Yes  9%  No  

Last  year  (2010/11  data):  

100%  (14)  Yes  

MHA  Faculty      2011/12  Goal  Met    2010/11  Goal  Met  

a  new  ePortfolio  tool  and  are  purposely  tying  the  competencies  to  the  curriculum  and  assessments;      

  o Did  the  program  help  you  develop  a  career  plan  or  provide  career  direction?  

  This  year  (2011/12  data):  

81%  Yes            19%  No  

Last  year  (2010/11  data):  

80%  (8)  Yes  20%  (2)  No  

MHA  Faculty      2011/12  Goal  Met    2010/11  Goal  Met  

And,  added  a  career  dinner/panel  discussion  and  exercise  to  Exec  Residencies.    

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Discussion Program Objectives As the table above suggests, the MHA program faculty have met the first objective by successfully admitting individuals that fit our target of early to mid-careerist student profile. Though this objective is not a direct measure of student learning, the program’s admission rubric and new decision support spreadsheet have greatly aided the faculty in making tough admission decisions and assisted the program in achieving the program objective of admitting targeted early-to mid-careerists. Additionally, program faculty are reporting that the quality of students is improving. Second, student completion rates for the Administrative Internship and Capstone courses exceed the goal of 90% demonstrating that the work (i.e. limiting course to a single term, streamlining processes on AdvisorConnection, etc.) put into improving these core courses has resulted in the achievement of a second program objective measured by completion rates. In fact, historical data suggests that changes to the Capstone course (i.e. limiting enrollment to a single term, reducing section sizes, adding due dates throughout the term, changing course from pass/fail to a letter grade, etc.) has greatly improved the success rate of our students over the last four academic years and has stabilized above the target (table follows): Table. Capstone course completion rates 08/09—11/12

Status 2008/09 2009/10 2010/11 2011/12 Total registrations 53 50 48 62 Pass 41 (77%) 36 (72%) 47 (98%) 59 (95%) Not pass 12 14 1 2 fail, 1

withdrawal The Administrative Internship was phased out at the end of the Spring 2012 term out so no additional changes will be made. The Capstone course, however, continues to be offered to support students admitted prior to 2012. This course will eventually be replaced with the new Field Based Learning course and increase from a two to a three credit experience. Changes made to improve student learning in the Capstone course will be incorporated into Field Based Learning. The final program objective of overall graduate satisfaction with their academic investment was measured using the MHA Graduate Survey of the graduating class of 2011 (54/70 = 77% response rate). The change made to the administration of the survey (throughout

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the year versus all at once in the spring) resulted in a dramatic improvement in the response rate (2010/11 results: 15/38=39% response rate). Survey results suggest that the strengths of program include:

o Student development on the NCHL competencies o Student preparation for their desired career o Student achievement of personal goals o Student development a career plan or career direction

Graduates completing the 2012 MHA Graduate Survey were overall satisfied with their investment in the program. Though the program did achieve its benchmark of 80% satisfaction, we believe there is room for improvement in the area of connecting student achievement to competency development and developing a career plan or goal. In response, we have developed several curricular interventions to improve this outcome. For example, there will be an increase in face-to-face time between students and advisors during the three required, on-campus, Executive Residencies for students entering the program Fall 2012 and beyond. Some of this time will be used to formally introduce the program’s competency model to students and connect the model to the curriculum (and assessments) and to the Learning Portfolio assignment. In addition, career planning activities will also be introduced in the residencies. The first residency was offered September 2012. In addition to career planning activities within the residency course Professional Development Seminar I (MHA 801), a career planning dinner was incorporated to allow students an opportunity to hear about career development and advancement from administrators working in the field. Preliminary feedback was very positive, and full results will be reported next year. Student Learning For the second year, electronic data was collected throughout the academic year from the pre/post competency surveys providing an opportunity to analyze learning outcomes. Dr. Ann York analyzed the data using Microsoft Excel and produced the bar charts in the summary table above. The first bar labeled “1” represents the mean score of student’s pre-program self assessment on NCHL competencies; the second bar labeled “2” represents the mean score of the student’s post-program assessment; and, the third bar labeled “3” represents the mean score of the mentors assessment post-program (capstone and internship preceptors plus academic advisor)  The MHA curriculum met the goal of level 3 (mid-careerists) with all 9 key competencies with the exception of the following: Strategic Orientation (Mean=2.9).

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This demonstrates improvement over the 2010/2011 AY report. Last year, we were below target on both Financial Skills and Strategic Orientation. As a result of redesign and increased rigor in Finance I and II courses under the direction of Dr. Richard Belloff, the goal has been met this year. Similar improvement in the Strategic Orientation scores are expected in the next few years as a new course entitled, Strategy Formulation & Implementation (MHA 742) will be launched and incorporated into the required experience into the second on-campus executive residency. Dr. Richard Belloff will lead the course designed specifically to grow student’s Strategic Orientation competence. In addition, the theme of Strategic Orientation will be reinforced within other courses across the new curriculum. Student Learning Assessment Process The 2011/12 Student Learning and Assessment Report for the MHA program provided a second look at direct measures of student learning related to the 9 Key Competencies identified by program faculty. Additional indirect measures of learning were also reviewed. Data were successfully collected from multiple sources and maintained throughout the year allowing for analysis and reported outcomes, and allowed a comparison to the inaugural year of data collection. This comparison revealed a gain or maintenance in meeting benchmarks, with no loss of progress on key indicators. The student Learning Portfolio and Feedback Server were identified as areas in need of improvement. Collecting learning outcomes data with these sources can be cumbersome and inconsistent. Therefore, beginning in Fall 2012, students entering the program will be required to purchase the e-portfolio tool Live Text™. Current students have the option to purchase it, but are not required. The transition to this tool will take time, but ultimately, the data will be more consistent regarding learning outcome data, artifacts, and surveys.

Recommendations Program Objectives/Student Learning In a review of the results provided above and comments provided on the survey, recommendations to improve program objectives include:

• Continue to formally integrate the NCHL competencies and the desired achievement levels within courses and residencies.

Communicate to students how the curriculum is developed to support their achievement. Include opportunities at multiple points throughout the student’s tenure with the program for a review of their achievement and a plan to reach the desired

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achievement levels (using the newly designed Learning ePortfolio). Time will be allocated for this within each of the three Professional Development Seminars (part of the Executive Residencies) the students are required to attend.

• Executive Residencies will provide an opportunity for students to articulate their career goals, learn how to effectively “manage” a career, and develop a plan to achieve those career goals.

Finally, the program will introduce the new course on Strategic Orientation in Spring 2013 to improve student learning outcomes. Student Learning Assessment Process The MHA program will continue to evaluate the process and tools to assist us in identifying, collecting, maintaining and reporting measures of learning. Students will be informed of the effort, rationale given for why we are using certain tools and surveys, and invited to provide feedback on how we can make the process more meaningful and seamless to the learner. Outcomes data will be shared with students as well as other program stakeholders in a transparent manner, and improvements integrated in the curriculum and program delivery.

Status of Curriculum Mapping At the request of the DMU Provost, a summary of the Program’s curriculum mapping progress is provided below:

• In April 2010, MHA faculty participated in a competency-based mapping project with the NCHL. All online and classroom-based required course learning objectives were mapped using a series of measures (see below). The results of this mapping exercise were used to redesign the MHA curriculum.

o NCHL competencies, plus achievement level o Bloom’s Taxonomy Domain (Cognitive or Affective) o Bloom’s Taxonomy level (Knowledge, Comprehension, Analysis, Syntheses, Application) o Learning methods used o Assessment methods used

• The new curriculum was mapped to the NCHL competencies (with achievement level) again in the Spring of 2012 in preparation for the Program’s CAHME Candidacy Application. The program used a template provided by CAHME. A copy of “Figure 3: Competency Coverage Across the Curriculum” is provided in the appendix.

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Once the new curriculum rollout is completed (Fall of 2014), the Program faculty intend to work with NCHL again to remap the curriculum using their mapping product.

Summary The MHA program faculty formally discussed the outcomes of this report, along with the process used to develop, at its annual curriculum retreat in November 2012. A summary of this report will be posted on the DMU webpage and Pulse for program stakeholder’s once reviewed by the dean, SLAC, and DMU provost.