program review procedure

CCC Academic Program Review

Calhoun Community College A.A.S. (Career/Technical)

Academic Program Review The academic program review process at Calhoun Community College has been developed to support on-going institutional effectiveness processes and is a vital part of institutional planning. The program review is a comprehensive, systematic method of self-evaluation and review conducted every three years within all instructional programs. Academic Deans and Department Chairs should conduct appropriate research to supply information required in the narrative portion of the program review. Discrete data will be provided by the Office of Planning, Research and Grants 30 days prior to the due date. Program reviews should be submitted to the Office of the Vice President of Instruction and Student Success and to the Office of Planning, Research and Grants by December 1 of each academic year. The Office of Planning, Research and Grants is responsible for maintaining current program review information on the College’s website. Program review information should be used internally to evaluate the effectiveness of each program. Contents of the program review should be shared with appropriate Advisory Boards, Excellence Teams, and others to enhance effective planning. Specifically, program outcome data should be used to evaluate the effectiveness of the program. The attached template should be used in providing all program review information. Please prepare a separate template for each program and/or degree type.

Emergency Medical Services


Period of Review: Fall 2015 through Summer 2018 Full Official Name of Instructional Program:

Emergency Medical Services Completed by:

Kenneth Kirkland Submission Date of Program Review:

November 28, 2018 Name of Program Director, Chairperson or Coordinator:

Kenneth Kirkland

Credentials of Program Director, Chairperson or Coordinator:

Purpose or Mission Statement for the

Instructional Program:

In keeping with the mission of Calhoun Community College, the mission of the EMS program is to graduate knowledgeable, skilled, competent, professional and service-oriented EMTs and Paramedics to provide quality pre-hospital care that meets the needs of employers and the general public.

Explain how the Instructional Program Supports the Institution’s Mission and Goals:

• EMS curricula supports the development of the knowledge, skills and abilities necessary for entry-level employment in emergency medical care, thereby fostering student success.

• Qualified and experienced faculty continually review and revise teaching/learning and evaluation methods to support student achievement.

• Ongoing approval by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP) assures the curriculum is evidenced-based and consistent with contemporary practice.

• EMS program collaboration with north Alabama providers of emergency care supports program decision-making and graduate employment.

• The community is served by an employed and educated workforce which provides vital services to persons suffering from illness and injury.

• National Registry of Emergency Medical Technicians – Paramedic • Alabama State Board of Health – Paramedic License • Associate of Applied Science Degree Paramedic • Masters of Science Degree Nursing • Alabama Board of Nursing – Registered Nurse License


College Mission Statement

Calhoun Community College provides opportunities in education by offering quality, innovative instruction through a collaborative learning environment while promoting cultural enrichment and community development.

Vision Statement Success for every student, the community, and the College.


Curriculum Design Compliance with Alabama Department of Postsecondary Education requirements: State Board Policy 712.01: Policy states that an Associate Degree program should be comprised of 60-64 semester credit hours; an Associate of Applied Science Degree program should be comprised of 60-76 semester credit hours; a long certificate program should be comprised of 30-60 semester credit hours; a short term certificate program should be comprised of 9-29 semester credit hours. *Source: Calhoun Community College Catalogs

2015-16 CIP Code Program Name Program Code

Award Type

(AAS, Cert) Number of

Hours

51.0904 Emergency Medical Services EMT Certificate STC.EMT.EMTB STC 10

51.0904 Emergency Medical Services Advanced EMT Certificate STC.EMT.EMSA STC 10

51.0904 Emergency Medical Services Paramedic AAS.EMS AAS 74

51.0904 Emergency Medical Services Paramedic CT.EMS Long

Certificate 64


Award Type


Hours


Certificate 56

51.0904 Emergency Medical Services Paramedic AAS.EMS AAS Option 1 = 66

Option 2 = 61


Award Type


Hours

51.0904 Emergency Medical Services EMT Certificate STC.EMT.EMTB STC 10


Certificate 56

51.0904 Emergency Medical Services Paramedic AAS.EMS AAS Option 1 = 66

Option 2 = 61


Enrollment and Graduates (Completed by IR Office) Include total enrollment for courses with prefixes specific to the program. *Unduplicated within year. *Includes withdrawals Number Enrolled

Distance Learning 2015-16 2016-17 2017-18 Totals EMS 103 9 9 EMS 106 283 308 343 934

Distance Learning Total 283 308 352 943

Dual Enrollment 2015-16 2016-17 2017-18 Totals EMS 100 48 58 35 141 EMS 118 48 59 35 142 EMS 119 39 45 18 102

Dual Enrollment Total 135 162 88 385

Traditional 2015-16 2016-17 2017-18 Totals EMS 100 193 176 190 559 EMS 106 71 55 126 EMS 107 84 69 62 215 EMS 118 126 125 118 369 EMS 119 132 125 135 392 EMS 155 47 47 EMS 156 47 6 53 EMS 240 25 37 32 94 EMS 241 18 37 37 92 EMS 242 17 35 34 86 EMS 243 18 18 EMS 244 7 42 40 89 EMS 245 20 34 21 75 EMS 246 20 34 21 75 EMS 247 19 34 21 74 EMS 248 20 34 21 75 EMS 253 18 35 17 70 EMS 254 18 35 17 70 EMS 255 18 35 17 70 EMS 256 18 35 17 70 EMS 257 37 35 72 EMS 266 5 2 7 EMS 267 5 2 7 EMS 269 5 2 7 EMS 273 8 8

Traditional Total 951 1014 855 2820

Grand Total 1369 1484 1295 4148 Number of Awards (Some students may have received more than one award) Award Program Code 2015-16 2016-17 2017-18 Total Notes


AAS AAS.EMS 15 15 21 51 STC STC.EMT.EMSA 34 1 34 STC STC.EMT.EMTB 45 52 83 247

STC STC.EMT.EMTB 34 1 32 Dual

Enrollment Students

CERT CT.EMT 1 1 CERT CT.EMS 20 17 37


Occupational Demand Classify the Need as Local, Regional, or

National Source of Data Predicted Workforce

Need Regional Alabama Department of

Labor 70 positions annually

State EMSI Q4 2018 Data Set 317 openings annually by 2025

National U.S. Bureau of labor Statistics

An additional 37,400 positions will be created

between 2016-2026 *Based on Bureau of Labor Statistics [www.bls.gov], Occupational Outlook Handbook [www.bls.gov/oco/home], and Economic Modeling Systems projections. Internal surveys of local industry may also be used to supplement state and national data. Compliance with Alabama Department of Postsecondary Education requirements: State Board Policy 711.01: Policy states that colleges shall establish a program advisory committee for each AAS program. Membership of the committee will include representatives from Business and Industry, Economic Development Authorities, and Chambers of Commerce. Each member should be able to provide expertise to the program and employment assistance to the graduates. Members must be approved by the President and the College shall report membership to the Chancellor annually.

Name of Advisory Committee

Member

Member’s

Organization/Company

Member’s Primary Area of Expertise

David Bailey Madison Fire & Rescue Fire Chief Jonathan Bartlett Samaritan EMS Operations Manager

Angela Bates Huntsville Hospital Heart Failure Clinic Micah Bullard North Alabama Works! Executive Director

Dea Calce Huntsville Emergency Medical Services, Inc. (HEMSI)

Chief Operations Officer, Alumnus

Lino Campos Huntsville Hospital Clinical Education Specialist Cynthia Cooper Madison Hospital ED Director

James Curtis Cullman EMS Director Ryan Gentry Madison Fire & Rescue Captain - EMS Coordinator

Anthony Grande Decatur Fire & Rescue Fire Chief Bill Holtzclaw Alabama State Senator District 2 Legislative Representation Jon Howell HEMSI Chief Executive Officer

Suzanne Johnson Athens Limestone Hospital ED Manager Charlie Jones Lifeguard EMS Development Manager Jade LeCroix Huntsville Hospital for Women

and Children Director - OB Emergencies

Stephanie McCulloch North Alabama Works! Assistant Director Braxton Mosley Samaritan EMS Operations Manager

Jason Parks Pastor, Refuge Church Public Member Kevin Paschal Huntsville Hospital Clinical Education Specialist Chris Phillips Decatur Fire & Rescue EMS Coordinator Martha Potts Decatur Morgan Hospital EMS Liaison

Greg Randolph Lawrence County EMS Director Dion Schultz Alabama EMS Region One Regional Director

Amanda Snowden HEMSI HR Director


Dr. Ricaurte Solis Huntsville Hospital System CCC EMS Program

ED Physician Medical Director

Dr. Sherrie Squyres HEMSI Medical Director Tyler Stinson Lifeguard EMS Director

Mike West Athens Limestone Hospital Limestone County

EMS Director Coroner

Stephen Wilson AL Dept. of Public Health Office of EMS SGT. Monica Wingate Alabama National Guard Recruiting Office

Dustin Woods Athens EMS Alumnus Alicia Wright Huntsville Hospital Pediatric ED Carrie Wynn Decatur Morgan Hospital ED Director

Beverly Edwards Alabama Dept. of Public Health – EMS Office

Alabama Office of EMS

Date of Last Advisory Board Meeting Number of Attendees

April 19, 2018 12 + CCC faculty & 2 current students

Please attach minutes from the last Advisory Board meeting. See pages 17 – 20.


Program/Student/Faculty Accreditations/Licensure Passage Rates Program Accreditations

Degree Level

Current Accrediting Agency

Last Date of Accreditation

Reaffirmation Date

Paramedic: (either a long certificate

or an associate of applied science

degree)

Commission on Accreditation of Allied

Health Education Programs (CAAHEP) upon the

recommendation of the Committee on Accreditation of Educational Programs for

the Emergency Medical Services Professions

(CoAEMSP)

Initial accreditation

2002, last

reaffirmation July 13, 2017

Next CoAEMSP program

evaluation 2022

Paramedic Alabama Department of Public Health - Office of

Emergency Medical Services

On-going -

Projected or “in progress” Program Accreditations:

Degree Level

Accrediting Agency

Projected Accreditation

Date N/A

If this program has possible accrediting agencies and is not currently accredited, please state the plans to pursue accreditation or justify why accreditation is not desired:

Justification for Not Seeking Accreditation N/A

Student Accreditations

Name of Licensure or

Certification Credential

# of students

who attempted

% of students who passed

licensure/certification National Registry of Emergency Medical Technicians (NREMT)

NREMT - Paramedic 13 2015-100% NREMT - Paramedic 15 2016-80% NREMT - Paramedic 34 2017-88% NREMT – Advanced EMT 34 2015-76% NREMT – Advanced EMT 25 2016-89% NREMT – Advanced EMT N/A 2017 NREMT – EMT (Basic) 101 2015-75% NREMT – EMT (Basic) 102 2016-90% NREMT – EMT (Basic) 98 2017-90%


If there is a licensure/certification available and students are not seeking this credential, provide justification (cost, not required for employment, etc.): Justification for Not Seeking Licensure

N/A

Faculty Accreditations Name of Licensure or Certification

Credential # of Faculty with

Certification/Licensure National Registry of Emergency Medical

Technicians - Paramedic 4 FT + 4 PT

100% If there is a licensure/certification available and faculty are not seeking this credential, provide justification (cost, time, not required for employment, etc.):

Justification for Not Seeking Credential N/A


Personnel (Faculty and Staff) Is the number of personnel adequate to support your program area?

☒ YES ☒ NO

If “NO”, explain below.

Do personnel possess all specialized skills or credentials required to support the program area

☒ YES ☐ NO


Is there proper documentation (transcripts, etc.) on file to show?

☒ YES ☐ NO


If “YES”, explain below.

Educational transcripts of faculty on file with Human Resources; current CVs, licensure and certification status of EMS instructors maintained by the program.

Are faculty and staff evaluated on an annual basis by the appropriate Dean or supervisor?

☒ YES ☐ NO Does the evidence exist to show that faculty members teaching in this program have involved themselves in in-service training and other professional development?

☒YES ☐ NO If “NO,” please explain:

Are there unmet needs for professional development among personnel in this instructional program?

☐ YES ☒ NO


If “YES”, explain below.


Facilities, Equipment, and Budget Briefly describe the facilities occupied by your instructional program. (i.e. classrooms, offices, labs, etc.) The EMS program shares the 64,000 square foot Health Sciences Building (HSB) on the Decatur campus with 4 other programs. The building contains state-of-the-art health education facilities including an ambulance bay, emergency department, decontamination room, and a full range of high-fidelity patient simulation equipment. The program has a fully equipped and operational emergency transport vehicle for student learning. The design and capacity of the dedicated EMS classrooms and laboratories are optimal for didactic instruction, skills practice, and student evaluation. The quantity and variety of equipment allow each student the opportunity to develop proficiency in performing procedures under faculty supervision. The labs contain all materials and apparatus necessary to prepare students for clinical practice. Full-time faculty are assigned private offices in the HSB near secretarial support staff, copier and fax machines, and conference rooms which can be reserved for meetings. EMT-Basic classes are also offered on the Huntsville campus where the program has a designated classroom and equipped learning laboratory. Dual enrollment high school students may take EMT-B classes. Currently offered at the Limestone County Technical Center and Brewer High School in Morgan county, the program is assigned classroom and lab space at both facilities. The program’s mobile unit / ambulance is used to transport equipment and serve as an additional teaching lab.

Are the facilities adequate to support the mission of your program for day and evening classes, if applicable?

☒ YES ☐ NO

Briefly describe current equipment used by your program and indicate whether it is adequate or inadequate.

LABORATORY EQUIPMENT AND SUPPLIES ARE ADEQUATE • Cardiac monitors / defibrillators / pacing devices incl. AEDs • CPR and intubation mannequins - infant, pediatric, and adult • IV and IO training mannequins • Emergency (mock) medications and administration supplies • Critical transport vehicles with customary equipment incl. stretchers and

extrication tools • Immobilization devices • Dressings, bandages, and devices for hemorrhage control • Apparatus for airway maintenance, ventilation, and oxygen delivery


• Patient assessment instruments incl. pulse oximeters, glucometers, sphygmomanometers, thermometers

• Infection control supplies Are additional facilities or equipment required to support the program?

☐ YES ☒ NO Is so, please list and explain.

Does the institution operate and maintain physical facilities that are adequate to serve the needs of this educational program?

☒ YES ☐ NO Does the institution take reasonable steps to provide a healthy, safe, and secure environment for this educational program?

☒ YES ☐ NO Are the physical facilities (classrooms, laboratories, etc.) accessible to students with disabilities? If no, please identify below what is needed to make your area accessible.

☒ YES ☐ NO ☐ N/A

Is the instructional equipment used in this program similar to that used in the workplace or at a higher level of instruction?

☒ YES ☐ NO ☐ N/A Is the budget information available to program heads?

☒ YES ☐ NO

Is adequate financial support available to meet the needs of this program? ☒ YES ☐ NO

If “NO”, please explain.

Findings, Conclusions and Recommendations Identify Strengths of the Program:


Strengths of the Program

1. Paramedic program goals are being met. The admissions criteria and process identifies students who are capable of success. Paramedic student completion with a certificate or an associate of applied science degree is 73% averaged over the past three years. The current three-year national registry exam pass rate for CCC graduates is 89% as compared to the national average of 86%. 100% of CCC paramedic graduates have found employment in EMS. Graduate and employer satisfaction has been high. The program is fulfilling its mission.

2. The EMS program has been an integral part of CCC for over 30 years. In response to community input, the paramedic program was created in 1999 and granted initial accreditation in 2002. The program budget is stable and provides salaries that attract and retain educationally and experientially qualified faculty. The budget, with allocations from grant funds, allows for the maintenance of well-equipped laboratories, current student teaching materials and faculty participation in national EMS educators professional development events.

3. The EMS Advisory Committee is comprised of loyal, involved members who are committed to program success. Twice annual meetings are well attended. Committee members help the program meet its goals by offering comment on resources, the curriculum, proposed program changes, trends in local employment and expectations of an entry-level paramedic. The north Alabama EMS community supports the program through an ample supply and variety of student clinical and field experiences supervised by qualified, experienced, and attentive clinical instructors and preceptors.

Identify Weaknesses of the Program and Plans to Improve:

Weaknesses of Program

Identified Weakness Plans to Improve 1. Attrition rate of paramedic

students in past 3 years is 27%

1. Resume offering the Advanced EMT certificate and require completion for admission to Paramedic Program beginning SU2020. EMT Basic students entering Paramedic appear under-prepared for academic rigors and clinical expectations of Paramedic curriculum.

2. Reorder paramedic curriculum plan to require students to complete general education coursework prior to final semester in program. General education classes support learning objectives of Paramedic program and early completion allows students to focus on extensive clinical hours and


licensure preparation in concluding semester.

3. Encourage paramedic applicants to complete general education coursework prior to beginning program through revised application ranking system.

Provide an overview of significant results, honors, awards, and milestones achieved, as well as enhancements made to this program over the past three years.

1. Satisfaction with laboratory instruction and, in particular, the amount of time available for skills practice was low when students were surveyed in 2015-16. The program director requested and was granted another full-time faculty position. The addition of an EMS Laboratory Coordinator has extended laboratory hours, contributed to the development of patient scenarios for student learning and evaluation, aids in the maintenance of the student Paramedic Psychomotor Competency Portfolio as well as lab equipment and supplies. The Coordinator also oversees the Standardized Patient Program.

2. Long-time EMS program Medical Director, Dr. Eric Greenfield, relocated to Guam in the fall of 2015. Dr. Ricaurte Solis, an emergency medicine physician who began his EMS career as a Paramedic in 1992, assumed program leadership in March 2016. Dr. Solis, who relates exceptionally well to students, brings a wealth of emergency medical experience and is dedicated to program success.

3. In 2017 EMS developed the Standardized Patient (SP) program at CCC. The SP is a healthy person trained to portray the personal history, physical symptoms, emotional characteristics and everyday concerns of an actual patient. The purpose of the program is to offer students the opportunity to evaluate and interact with patients in a controlled environment that provides constructive feedback. The student focus is not clinical task performance but on active listening, communications, and behavioral skills as perceived by the patient. SP scenarios may include difficult encounters such as end-of-life issues, substance abuse, self-harm, and the non-English speaking patient.


HEALTH DIVISION

EMS ADVISORY COMMITTEE April 19, 2018

MEETING MINUTES In attendance:Dr. James Klauber, President Dr. Alan Stephenson, Vice President Bret McGill, Dean of Health Sciences Risa Grimme, Allied Health Department Chair Kenneth Kirkland, EMS Program Director Dr. Ric Solis, Medical Director Tyler Mosley, EMS Lead Faculty Brittany Prater, EMS Faculty Dustin Wood, EMS Student Julia Agnew, Calhoun Career Services Ashley Robison, Calhoun Recruiting

Tammy Bryant, Athens-Limestone Hospital Suzanne Johnson, Athens-Limestone Hospital Michael West, Athens EMS Anthony Grande, Decatur Fire and Rescue Michael Hall, Arab Fire Department Beverly Edwards, Alabama Department of

Public Health – Office of EMS James Curtis, Cullman EMS Tyler Stinson, Lifeguard EMS Charlie Jones, Lifeguard EMS Dion Schultz, AERO/HEMSI

John Howell, HEMSII. Call to Order: Kenneth Kirkland welcomed participants at 12:05 PM and thanked all for

their valuable participation on the EMS Advisory Committee. The program is wishes to confirm contact information for Committee members so a Demographics Form was circulated.

Minutes of the previous meeting were distributed for review. There were no corrections made to the November 2, 2017 minutes.

II. Administrative Update:

• College-wide changes: o New CCC Vice-President for Academic Affairs is Dr. Alan Stephenson

• Health Division changes: o New Allied Health Department Chair: Risa Grimme o Huntsville Hospital and the nursing program entering into partnership to create a

Simulation Lab on the Huntsville Campus to enable nursing to be offered at that location beginning Fall 2018.

o The Alabama Commission on Higher Education (ACHE) granted approval for CCC to develop Dental Hygiene Program, tentative start date is Fall 2019.

o In response to employer need, the Surgical Technology program is expanding to twice a year admission

• Program changes: o Brett Kinzer is now a full-time EMS instructor

• Program highlights: o The Ambulance is wrapped and being used.

Cernadas Scholarship for Paramedic Program has been established. The Cernadas family has generously endowed CCC with a scholarship for a deserving paramedic student in

financial need to help him/her complete their career goal


Page 2/4 EMS Program Advisory Committee Meeting Minutes 04/19/2018

o Paramedic Students of the year:

• Ruth Hui • Dustin Wood

o CCC EMS students will be participating in Skills USA for the first time April 23-25, 2018 in Birmingham, AL. Faculty will be taking 10 dual enrollment students to competition.

III. Budget/Perkins Report • This year Perkins funds were used for:

o Purchase of a Stryker Stair Chair o Faculty attendance at the Association of Standardized Patient Educator (ASPE)

Conference in Missouri o Purchase of a Blood Pressure Trainer and a Lung Sounds Trainer for Huntsville EMT lab o Addition of a Q-Router for Laerdal CPR Manikins

• For 2018-2019 the committee recommends the following items be requested from Perkins funds: o Levitan Airway Systems w/ 5-7 manikins for intubation practice as CoAEMSP now

requires 5 documented intubations in-field or with cadaver per paramedic student o Power-LOAD Stretcher o SAE Compliant brackets for the ambulance o CPAP Equipment o Faculty attendance at the Emergency Cardiovascular Care Update (ECCU) Conference

IV. Outcomes Report Program # Tested # Passed CCC Pass Rate National Pass Rate EMS Fall 2017 44 37 84% 76%

V. Summer/Fall 2018 Class Schedule

• Summer 2018 o Incoming Paramedic Class (20 students selected)

Scheduled to graduate Spring 2019 o EMT - 3 offerings

Decatur Campus (Day class) Decatur Fire and Rescue (Evening class) Huntsville campus (Evening class)

• Fall 2018 o Paramedic class began (20 students to be selected)

Scheduled to graduate Summer 2019 o EMT - 2 traditional offerings (Decatur & Huntsville campuses) o Three regional Dual Enrollment classes to begin (scheduled w/ the high school calendar

– August, 2017 to May, 2018) 1 on Huntsville Campus 1 at the Limestone Tech Center 1 in Morgan County



VI. Program Goals Review and Planning • Advanced EMT

o Committee members participated in a lengthy discussion regarding reinstatement of the AEMT Program. It was unanimous to table the program for now in lieu of the need for more Paramedic graduates. There is little employment need in the area for AEMTs at this time.

VII. Medical Director Update: A chart showing the time dedicated to the program by the EMS

Medical Director was distributed. Dr. Solis has been working closely with students this year and his input has been invaluable. Mr. Kirkland expressed appreciation of faculty and students for Dr. Solis’ experience and contributions to the Paramedic program and its students.

Dr. Solis stated his goal was to maintain a balance between helping students to acquire the basic knowledge and skills of profession while keeping abreast of changes. Reporting and documentation skills for new graduates is under review with possible changes.

VIII. CAPCE/Instruction Report:

• CAPCE o Mr. Kirkland reported the accreditation fee for CAPCE has increased again. Employers

on the Advisory Committee noted most were applying for state approval more often than CAPCE approval for continuing education. Mr. Kirkland will look at the value of keeping this accreditation in the future.

• Instruction Report o Mr. Mosley reported on the 2 cohorts of Paramedic students currently on time for

graduation in 2018 • Standardized Patient Program

o The program is continuing to expand scenarios to complicated situations. o Suggestions are welcome for more standardized patient participants as well as

scenarios. Some suggestions from the committee: Non-English speaking patients End of Life situations: Living Will vs DNR vs distraught family members Refusing care Gunshot / physical assault forensics Juvenile self-harm Homeless patient

o Please contact Willow Chavez



• Clinical Report o The Advisory Committee endorsed the revised list of Paramedic Terminal Competencies

(see attached) for the next cohort of students. o Thanks were given for all the community provides for the students. All clinical

experiences progressing nicely at this time.

IX. Announcements, Discussion, Questions • May 8, 2018 is the date for the National Registry Exam. Anyone interested in serving as a

grader for the stations, please contact Mr. Kirkland or Mr. Mosley as soon as possible. • The online Paramedic Program application is being updated and will open for Fall Semester

applicants on May 1, 2018 and the deadline will be July 1, 2018.

X. Adjournment: All discussion and business at an end, the meeting was adjourned by Kenneth Kirkland at 1:05 PM.

Respectfully submitted, Misty Greene Recording Secretary

program review procedure

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