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2014 ANNUAL REPORT COLLEGE OF HEALTH AND HUMAN SERVICES Dr. Helen Reid, Dean College of Health and Human Services 2015

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Page 1: 2014 ANNUAL REPORT COLLEGE OF HEALTH AND HUMAN SERVICES · 2015-10-22 · 2014 ANNUAL REPORT COLLEGE OF HEALTH AND HUMAN SERVICES Dr. Helen Reid, Dean College of Health and Human

2014 ANNUAL REPORT

COLLEGE OF HEALTH AND HUMAN SERVICES

Dr. Helen Reid, Dean

College of Health and Human Services

2015

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Mission

The College of Health and Human Services (CHHS) focuses on improving the health and well-being of people in Missouri, the nation, and the global community through education, research, and service. CHHS values interprofessional approaches, instills the public affairs mission, and encourages students and faculty to develop lifelong learning skills.

Leadership Team

The CHHS Leadership Team works with faculty and staff to provide instruction, mentoring, and support for students. Members of the 2014 Leadership Team included:

• Dr. Colette Witkowski, Head, Biomedical Sciences Department (BMS) • Dr. Letitia White, Head, Communication Sciences and Disorders Department (CSD) • Dr. Sarah McCallister, Head, Kinesiology (KIN) • Dr. David Claborn, Interim Program Director, Master of Public Health Program (MPH) • Dr. Kathryn Hope, Head, Nursing Department (NUR) • Dr. Steve Dodge, Head, Physician Assistant Studies Department (PAS) • Dr. Timothy Daugherty, Head, Psychology Department (PSY) January-June;

Dr. Bob Jones, Interim Head, August - December • Dr. Jeanne Cook, Head, Physical Therapy Department (PT) • Dr. Tona Hetzler, Head, Sports Medicine and Athletic Training Department (SMAT) • Dr. Carol Langer, Director, School of Social Work (SWK) January-June;

Dr. Michele Day, Interim Director, July - December • Dr. Susan Sims-Giddens, Dean’s Fellow for Student Development • Dr. Helen Reid, Dean

CHHS Programs

The College provides career preparation in the expanding health care and human services professions by offering 17 baccalaureate degrees, 12 master’s degrees, four clinical doctorates, and five graduate certificates. Outstanding undergraduate students can select from five accelerated graduate degree options. In Fall 2014, there were 4,223 unduplicated students majoring in programs offered by the College of Health and Human Services, or 4,300 first and second majors.

Doctorates

AuD Audiology

DNAP Nurse Anesthesia Practice (Entry-Level DNAP; DNAP Completion)

DNP Family Nurse Practice (BSN to DNP; MSN to DNP)

DPT Physical Therapy Masters

M.S. Applied Behavior Analysis

M.S. Athletic Training

M.S. Cell & Molecular Biology (accelerated option available)

M.S. CSD Education of the Deaf & Hard of Hearing (accelerated option available)

M.S. CSD Speech-Language Pathology

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M.S. Health Promotion and Wellness Management (accelerated option available)

M.S. Nurse Anesthesia (to be phased out in 2016)

M.S.N. Nurse Educator (accelerated option available)

M.S. Physician Assistant Studies

M.P.H. Public Health (accelerated option available)

M.S. Psychology (emphasis areas of I/O, Experimental and Clinical)

M.S.W. Social Work Certificates

Education of the Deaf and Hard of Hearing Graduate Certificate

Dietetic Internship Graduate Certificate

Forensic Child Psychology Graduate Certificate

Post-Master’s Nurse Educator Graduate Certificate

Sports Management Graduate Certificate Baccalaureate

B.S.A.T. Athletic Training

B.S. Cell & Molecular Biology

B.S. Clinical Laboratory Sciences

B. S. Communication Sciences and Disorders

B.S. Dietetics

B.S. Exercise and Movement Science

B.S. Ed. Physical Education

B.S. Gerontology

B.S. Health Services

B.S.N. Nursing (4 year program)

B.S.N. Nursing (RN to BSN Completion)

B.A. Psychology

B.S. Psychology

B.S. Radiography

B.S. Recreation, Sport, and Park Administration

B.S. Respiratory Therapy

B.S.W. Social Work

Access to Success Program Quality and Student Learning Outcomes

Faculty regularly review student learning outcomes and other quality indicators for programs such as accrediting agency reports, external program reviews, and student awards. This information is used to guide decisions regarding programs and policies.

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Accredited programs CHHS programs are accredited, approved or have been granted applicant status by 14 national disciplinary organizations recognized by the U.S. Department of Education as listed in Table 1. Table 1. CHHS Accredited* or Approved** Programs in 2014

Accrediting Agency Program DEPT Accredited through

ACOTE Master of Occupational Therapy SMAT/OT Applicant

ACEND B.S. Dietetics* BMS 2015

ACEND Dietetic Internship Graduate Certificate* BMS 2016

AGHE Program of Merit B.S. Gerontology** PSY 2017

ARC-PA M.S. Physician Assistant Studies* PAS 2019

CAATE B.S.A.T. Athletic Training * SMAT 2018

CAPTE D.P.T. Physical Therapy * PT 2018

CED M.S. CSD Education of the Deaf & Hard of Hearing** CSD 2015

CEPH M.P.H. Master of Public Health MPH 2019

CCA/ASHA AuD Audiology* CSD 2017

CCA/ASHA M.S. CSD Speech-Language Pathology* CSD 2017

COA M.S. Nurse Anesthesia*; DNAP Nurse Anesthesia* BMS 2016

CCNE; MO Board of Nursing B.S.N. Nursing* NUR 2019

CCNE B.S.N. Nursing Completion* NUR 2019

CCNE M.S.N. FNP* NUR 2019

CCNE M.S.N. Nurse Educator* NUR 2019

CCNE D.N.P. (next site visit in fall 2019)* NUR 2020

CSWE B.S.W. Social Work* SWK 2018

CSWE M.S.W. Social Work * SWK 2018

NCATE/CAEP B.S. Ed. Physical Education (K-12)* KIN 2018

NRPA B.S. Recreation, Sport, and Park Administration* KIN 2015 *Accredited; **Approved

Accreditation updates Biomedical Sciences Department

o Dietetics faculty hosted an ACEND site visit for the B.S. Dietetics on December 7-9, 2014. [Update: The program received the site visit report in January, submitted a response on March 2, 2015, and received notification of continuing accreditation in June 2015.]

o The BMS Department submitted requests to the Council on Accreditation and to the Higher Learning Commission for approval to transition the M.S. in Nurse Anesthesia to a clinical doctorate. Approval for the Doctor of Nurse Anesthesia Practice (DNAP) with Entry level (BS to DNAP) and Completion (MS to DNAP) options was received from HLC on September 22, 2014 with interim monitoring during the HLC site visit in October 5-6, 2015. The program will report on the recruitment and qualifications of new faculty for the Doctor of Nurse Anesthesia Practice program. The program was granted approval by the COA and new clinical sites were approved. The COA recently revised the review date for the DNAP self-study, which is now due in March 2016.

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Communication Sciences and Disorders Department o The CSD EDHH program requested and received a one-year extension from the Council on

Education of the Deaf (CED) for their next self-study. It is due in Fall 2015. Nursing Department

o The Nursing Department hosted a CCNE accreditation site visit for the DNP program September 21-24, 2014. The exit report indicated that all criteria were met. The final report was received December 11, 2014. [Update: In May 2015, the University received notification of accreditation for the Doctor of Nursing Practice (DNP) for 5 years, extending through June 30, 2020.]

Kinesiology Department

o COARPT re-scheduled the RSPA program review and site visit for the 2014-2015 academic year with the self-study due in February 2015 and a site visit in April 2015.

Master of Public Health Program o Based on the MPH program’s annual report, the Council on Education for Public Health (CEPH)

determined that the MPH degree’s graduation rate fell below the 70% threshold defined in the 2011 Accreditation Criteria. The Council expects to see compliance with established thresholds in the next annual report due on December 4, 2015.

Sports Medicine and Athletic Training o The occupational therapy faculty prepared the MOT Candidacy application to be submitted in

early January 2015. [Update: The program was granted Candidacy status in late April 2015.] o The BSAT annual report was accepted without revisions ensuring continued accreditation until

2022-2023 pending continued favorable annual reviews.

Program reviews The Biomedical Sciences Department prepared a self-study and plans to host a site visit during the 2015- 2016 academic year. The review covers the BS Cell and Molecular Biology, BS Clinical Laboratory Sciences, MS Cell and Molecular Biology, and the general education courses. The BS in Health Sciences degree was implemented less than five years ago, and will not be included in this review. The Psychology Department prepared a self-study and plans to host a site visit during the 2015-2016 academic year. The review covers the BS and BA Psychology, MS Psychology (Experimental; Industrial/Organizational; Clinical), and the general education courses. Action plan update The SMAT Department has made progress on the action plan established after the program’s external review in 2010 with continued work on 1) more formalized and consistent general medical rotations for all students; 2) marketing of the program; 3) collaborating with other programs; and 4) increasing research productivity and external grant funding. National and State Licensure/Certification Pass Rates

Biomedical Sciences

o Registration Examination for Dietitians: DPD first time pass rate of 93% and overall pass rate of 100% Dietetic Internship first time pass rate of 100%

o MSNA Certifying Board Exam: 86% on first attempt and 100% pass rate on second attempt

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Communication Sciences and Disorders o All students completing the AUD and SLP programs reported passing the national Praxis exam.

Kinesiology o Physical Education Teacher Education students scored above the national average in all four

subtests of the PRAXIS. During this review period, the MSU first-time pass rate was 83%; only three students had to retake the test, and all students passed the PRAXIS and were certified. The PRAXIS is being replaced by the Missouri Content Assessment Exam, but results for physical education students who have taken that exam are not available.

o All students in the Exercise & Movement Science specialty area have to pass the certification exam in order to graduate and thus are readily employable. The certifying body does not publish pass rates by individual or group.

Nursing o The FNP program reported an excellent outcome with a first-time pass rate of 100% on the ANCC

or AANP FNP exam. o The first-time pass rate on the NCLEX-RN by the BSN graduates was 89.5% although the

Department’s goal is for this to be higher. For entering 2013 BSN and BSNC classes, the program implemented a different standardized testing package with more remediation to improve the pass rate on the 2014 exam and increased the minimum passing exam score for all BSN nursing courses (average of 75% on all exams in each class).

Physical Therapy o Physical Therapy Licensure Examination 2014: 89.70% first time pass rate with an ultimate 2014

pass rate of 100%; the national ultimate pass rate is 97.7%. This is down from a 96.3% first-time pass rate in 2013 and 93.10% in 2012. The program has a 100% ultimate pass rate each year for the past five years.

Physician Assistant Studies o First-time pass rate for 2014 was 90% (26/29), an increase from 88% (22/25) in 2013. One student did not become eligible to take the examination until May 2014 due to a delayed completion of the curriculum. The national pass rate for 2014 was 92%.

Psychology o The Psychology department reported that some alumni of the MS Clinical Track take the LPC

exam 1.5-3 years after graduation. Informal feedback to the track coordinator suggests that all who seek LPC status are passing the exam. The department does not track these results for their graduates.

Sports Medicine and Athletic Training o During the 2013-2014 testing window, 13 students challenged the BOC exam and 12 out of 14

(85.7%) students passed the exam on the first try. The two students that did not pass on the first attempt passed on the second attempt. MSU’s 3 year aggregate average (2012-2014) first-time pass rate was 86%; the national average is 78%. MSU maintains the highest first time pass rate in the state.

Social Work o The Licensed Clinical Social Worker (LCSW) MSU pass rate in 2014 was 22/25 88% (22/25), up

slightly from 86% (N=12/14) in 2013 which was above the national pass rate of 78%. o The SWK Master’s level exam MSU first time pass rate was 100% (25/25), which was also an

increase from 94% (16/17) in 2013; The National pass rate was 82% for 2013. o Few students take the BSW exam and none took it in 2014. The previous year the MSU first time

pass rate was 100% (1/1) and the National pass rate was 78%.

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Local exam The MPH Program uses a core exam as a qualifying examination. A student has two opportunities to pass the core exam, and must pass before registering for the field experience. If the exam is failed twice, the student is dismissed from the program. Three separate exams were given in the spring, summer, and fall to nine students. In the spring four students took the exam and three passed. The student who failed the exam on the first try passed the exam on the second try after remediation in the field of epidemiology. In Fall 2014, three of four students required remediation in at least one subject, though none of them failed the exam outright. The sections requiring remediation were epidemiology, biostatistics, health behavior and public health administration. After remediation, the students were allowed to register for the field experience. In the summer, one person took the exam for the first time and passed. Proficiency Profile Scores The percent of students in CHHS scoring at or above the 50th percentile on the ETS Proficiency Profile during fiscal year 2014 was lower than any recent year (Table 2). Previously, scores for each department were easily accessed through Argos, but do not appear to be available at this time. Therefore, it is difficult to explain the reason for the decline in scores although it appears that scores of several other colleges also declined.

Table 2. Percent of CHHS Students Scoring at or above the 50th

Percentile on the ETS Proficiency Profile.

Fiscal Year 2010

Fiscal Year 2011

Fiscal Year 2012

Fiscal Year 2013

Fiscal Year 2014

Arts & Letters 66.37% 63.17% 66.12% 65.71% 57.99%

Business 54.78% 51.44% 51.15% 55.43% 47.88%

Education 50.35% 49.82% 52.63% 53.74% 50.22%

Health & Human Services 59.26% 56.45% 64.29% 63.41% 52.67%

Humanities & Public Affairs 68.63% 70.25% 62.06% 67.90% 55.24%

Natural & Applied Sciences 65.15% 61.30% 68.03% 72.13% 66.53%

UG College/Provost 66.67% 100.00% 75.00% 85.71% 90.91%

Agriculture, School of 49.52% 48.15% 49.04% 55.66% 34.83%

Specific Subject Tests ACAT: Biology Test (BMS)

Of the 48 CMB students taking the ACAT exit exam in 2014, 41 scored above the 80th percentile, four scored between the 50th to 80th percentiles, and three scored less than the 50th percentile. The average ACAT score was 686.02 for FY14. Although 85% of the students scored at or above the 80th

percentile, which is outstanding, average scores were down slightly from 2013 but above years 2010- 2012.

ACAT: Social Work Test In 2014, 26 social work students took the ACAT test. Four students scored above the 80th percentile, 13 scored between the 50th and 80th percentile and 9 scored less than the 50th percentile. The average score in FY2014 was 525.31 which was lower than FY13, but higher than FY2011 and 2012.

MFAT Scores (PSY) Of the 210 student taking the MFAT in 2014, 53 scored above the 80th percentile, 78 scored between the 50th to 80th percentiles, and 79 scored less than the 50th percentile. The average scores for FY2014

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was 159.56. Although the number of students taking the exam has increased from 144 in 2010 to over 210 in 2014, the variation in average score between 2010 and 2014 is less than one point.

Employment and Admission to Graduate/Professional Schools

o All 2013-2014 Dietetic internship graduates who sought employment in dietetics were employed within 3 months of graduation.

o MSAT - all students (8) from the cohort were employed with 1 month of graduating – 3 accepted full

time position within their first year of the program with the condition that they finish the MSAT

program.

o BSAT graduating seniors – 11 entered a graduate AT or related program, one started a PT graduate program, one is completing pre-requisites for medical school, one took a year off to volunteer, and two are working and exploring options for admissions into a related health program (OT, PT, PA).

Assessment Updates Programs reviewed their assessment processes and learning outcomes, and used this information in revising their programs. Several CHHS faculty participated in the Quality Indicators Project (QIP) Public Affairs Assessment process. The following program changes, or plans for changes, resulted from assessment and accreditation changes:

BMS

BMS 110: In order to provide more options for the students, the lab component was removed from BMS 110 and will be offered exclusively as BMS 111. BMS 111 is currently in the undergraduate catalog and approved as a focus on life sciences lab in the general education curriculum. Students will have the ability to either take BMS 110 lecture alone or in conjunction with the BMS 111 lab. BMS 100: After reviewing the course offerings in the revised general education curriculum it was determined that a reduction from a 4 .0 credit lecture course to a 3.0 credit lecture course would be more consistent with the other lecture-only life science offerings. BMS 101: This course in conjunction with BMS 100 will be replacing the BMS 105 lecture and lab course for non-majors who are interested in a human biology focused life-sciences course. Separation of the lecture from the lab will allow more flexibility to the student and department in the way that lecture and lab courses are offered.

CSD

Performance improved for both public affairs outcomes as well as disciplinary outcomes from 2013 to 2014. The improvements in performance may be a result of more consistent and complete data collection. Student learning outcomes have not been changed so that another year of data can be compared to the two already obtained.

For the undergraduate CSD program, the degree admission stringency was increased slightly by requiring grades of “C” for general education courses as well as major courses, and increasing the admission GPA from 2.75 to 2.9. These changes were made to improve retention rates. Success in general education science courses and college algebra were predictive of success in CSD 360- Hearing Science. Additionally, the GPA increase is needed to ensure that program graduates will be competitive for graduate school. CSD also removed permissions required for registration for several courses to facilitate access and reduce the administrative workload.

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A statistics course from the PT Department was added to the audiology curriculum, which will provide an opportunity for interprofessional interactions as well as strengthening preparation for research. A 3-credit grand rounds class was divided into a 2-credit course for 2nd year student and a 1-credit course for 1st year students. This decision was based on feedback from clinical supervisors who observed that students have difficulty integrating case history with counseling. This change will introduce 1st year students to grand rounds cases earlier in the program and provide more time to develop this competency.

Several changes were made to the EDHH curriculum to maintain compliance with DESE standards. These changes involved some shifts in course content.

Kinesiology

For a second year the assessment results yielded two significant suggestions for the Exercise and Movement Science (EMS) program. Students most value learning through laboratory experiences and working one on one with groups of people from the community and that smaller lecture sections of key core classes are needed to effect and assess higher level learning. In response to the program review and subsequent Action Plan, the department changed the name from Department of Health, Physical Education, and Recreation to the Department of Kinesiology, effective in July 2012. Feedback from current students, prospective students, and parents confirms that this change was a positive move with an increase in number of department informational requests from other programs, universities, etc. since the name change. These are an indication of increased visibility and recognition of the Kinesiology Department.

After review of exit interview results from the Exercise & Movement Science and Health Promotion & Wellness Management it appears that continued delivery of KIN 550, 667, and 755 has been effective. The faculty proposed development of a graduate course for KIN 550 (KIN 650), and this proposal is moving through the curricular process with a goal of offering it in the Fall 2015.

Recreation, Sport, and Park Administration made two curricular changes. A service learning course was added and REC 205 was revised to remove therapeutic components and include a comprehensive set of objectives.

Physical Education and Exercise and Movement Science modified program requirements by requiring majors to earn a C or better in all KIN core courses. Physical Education also increased the GPA for graduation from a 2.5 to a 2.75.

MPH

The MPH program developed and implemented three new graduate certificates to meet the needs of the community.

Nursing In 2014, the BSN Program analyzed the outcomes, identified areas of weakness, and instituted mandatory summer remediation. When interviewing students who failed the NCLEX-RN, all accepted jobs immediately after graduation and did not plan to study for the NCLEX-RN until after they started their jobs. The Program Instituted a new policy that students who did not pass the first two comprehensive exams will receive an incomplete in the NUR 478 Senior Seminar Course until a seated NCLEX Review Course is taken followed by successfully passing the third course with a score at or above the benchmark. This year, only 4 out of 57 did not achieve the benchmark on the first two exams.

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BSN – Changes in policies to reflect changing requirements of the clinical areas. The department designed a General Nursing Honors Program and an Accelerated Honors Program, which was approved by the Honors College and started spring 2015. The number of simulations has increased in the BSN program to increase an emphasis on application of knowledge and skills – including priority setting and delegation – two areas that need improvement on as perceived by faculty. BSNC – The program increased the minimal admission GPA to 3.75 to reflect clinical requirements, and required attendance at program orientation on campus. MSN-FNP Program closed after May 2014 graduation, completing the transition to the DNP. BSN to DNP –FNP – Revised major curricular courses to type of care (acute, chronic, emerging/episodic) from population-based to address improvements in clinical assignments that have family care, as opposed to specialty care. This will apply to courses beginning in Fall 2016. The Program will accept part-time DNP students beginning Fall 2015 to address retention issues due to family/work interruptions.

BSN – BSN course scheduling was revised to distribute workload across the semesters. Provisional admission (Honors College, ROTC, military) was increased to a 3.6 or higher cumulative GPA from 3.5. An additional DNP project introduction course was added to assist students in the development of a change project. Mandatory orientation and Typhon tracking is now required for students in the BSN-C and MSN-Nurse Educator programs.

PSY

A change to PSY 766 was proposed to address potential problems with licensure requirements in other states.

PT Extensive program and curricular modifications have been adopted to address areas of concern related to student performance on the National Physical Therapy Examination.

SMAT SMAT continues to offer open lab two times a week in the evening to provide students extra opportunity to practice clinical skills and review classroom materials. This appears to be very helpful to students’ academic success. The Department will continue to mandate specific MSU and ATC GPA’s for progression within the BSAT and MSAT program. SMAT students are encouraged to become engaged in a variety of activities. Faculty mentor this engagement through their own involvement in activities and by inviting students to get involved with them (e.g. special Olympic coverage, equipment fitting for local youth football teams, etc.).

Social Work Social Work completed curriculum mapping and revision of admissions processes for the BSW and MSW programs. The School also completed curricular revision of the BSW program.

Program Development and Implementation Faculty in developed and implemented academic programs consistent with the mission during 2014.

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o The Psychology Department implemented the Master of Science in Applied Behavior Analysis with the cooperation of the Special Education Department in the College of Education.

o The Doctor of Nurse Anesthesia was implemented by the School of Anesthesia in the Department of Biomedical Sciences.

o The Occupational Therapy faculty developed the curriculum for the Master of Occupational Therapy program.

o The MPH Program implemented three new graduate certificates to meet the needs of the community.

Access, Enrollment, and Retention Alternative Course Delivery CHHS continues to improve student access by offering additional courses via alternative delivery methods (Figure 1). The redesign of PSY 121 to include a blended format resulted in a rapid increase in credit hours from this format beginning in 2012 and continued in CY2014. Blended courses are popular with students and all but one department offered courses in this format in 2014. Expanded use of interactive video for distance education by the School of Social Work more than doubed the credit hours from this format between 2010 and 2014. The number of online courses continues to increase with 10% of CHHS credit hours generated by internet courses. The MPH program is offered via delivery methods that facilitate asscess for working professionals, specifically through a combination of evening/weekend and internet courses. CHHS offered three programs that could be completed entirely online: the BSN-completion degree, the B.S. Health Services-Clinical option, and the Sports Management graduate certificate. CHHS experienced slight declines in credit hours from the following modalities: intersession, dual credit, and traditional courses. The majority of dual credit in CHHS is produced by BMS, and the department has experienced challenges resulting from retirement of high school teachers who are qualified to teach dual credit and replaced by teachers who lack the required qualifications. High school teachers are encouraged to take advantage of the Univerity’s generous policy designed to assist them in acquiring needed graduate coursework. Another challenge is the failure of high schools to align their courses with the Univeristy course syllabus.

Enrollment Undergraduate Students. Official enrollment reports at census indicated that there were 4,223 students in CHHS programs in Fall 2014. When both first and second majors are counted, the total is 4,300 (Figure 2). For most departments there are only three or four students with two majors, but in the Psychology Department, 9% of the students have two majors, primarily gerontology and

Figure 1. CHHS credit hours by instructional format.

Figure 2. CHHS Undergraduate majors Fall 2014.

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psychology. The Gerontology Program Director is working on an agreement with the Sociology Department to promote gerontology as a second major to their students. Graduate students accounted for approximately 16% of the total majors. The increase in CHHS graduate students between Fall 2013 and Fall 2014 was over 12%, whereas the increase at the undergraduate level was only 3%. In CHHS, the BMS Department had the largest increase in student numbers between Fall 2013 and 2014 (Figure 3). BMS, PT, PAS, MPH, and SWK all experienced growth rates of 10% or more while enrollments in Kinesiology and Nursing were essentially flat. A drop in Physical Education majors may be due to the changes at the state level that have resulted in a substantial financial budget associated with extensive state mandated testing for those who want to become teachers. Enrollment growth can be attributed to offering high demand degree programs as well as initiatives and recruitment efforts by the departments. Offering the MSW cohort at West Plains resulted in increased enrollment in Social Work. The DPT program accepted an expanded cohort of 40 students for the second time in Fall 2014, and PAS has improved retention. The College successfully implemented the Health Professions Scholars (HPS) program pathway to recruit high achieving high school students interested in Audiology, Physical Therapy, and Physician Assistant Studies. Occupational Therapy will be included in the future. HPS program participants will have guaranteed interviews for selected graduate programs. Retention Undergraduate first time college retention. CHHS undergraduate retention of first time new to college students was 75.78% (Figure 4). This was a slight decline from 77.54% retention for Fall 2013 but above the 74.00% in 2012. Reaching the retention target of 80% in the MSU 2011-2016 Long-Range Plan is unlikely to occur. Only BMS and CSD met that goal in 2014.

CHHS Undergraduate Retention Initiatives Living Learning Community. CHHS continued the Living-Learning Community (LLC) for students interested in the health professions, a college-wide initiative to increase student success and retention rates. CHHS Faculty Fellows were involved in organizing the LLC experience, delivering programs, study sessions, and informal instructional programs. Data provided by Residence Life indicated that retention of students in the LLC was lower than CHHS’s overall retention rate. We are continuing to study these results to determine the reasons students in the LLC are not as successful as expected. Faculty involved with the LLC have expressed concern that the programming plans and policies of Residence Life emphasizing social activities limit the ability of those working with the CHHS LLC to support strong study skills needed for success in competitive health programs. We are examining the data to determine if ACT scores and high school GPA’s of students in the LLC are comparable to those not living in the LLC.

Figure 3. CHHS majors by department 2010-2014. .

Figure 4. CHHS first time in college retention.

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Department Specific Initiatives. CSD noted that their lowest retention rates are for pre-admits and part-time students. In response, the department created a Facebook page designed for them, hosted a pizza party in the fall semester, and hosted a lunch at the Union Club for freshmen and sophomores. Nursing continued its pre-nursing students activities including picnics, informational workshops, newsletters three times a year, Facebook, twitter, simulation day, and Nurse-for-a-Day. The Department also holds brown bag lunches and individualized tutoring for majors in nursing courses as needed – especially nursing research, pharmacology, and medical-surgical. Enhanced advisement. CHHS has two Pre-Health Advisers who advise those students interested in health careers but have not yet been admitted to a degree programs. Most CHHS faculty members have achieved Master Advisor status, and several staff members who regularly interact with students have completed Basic or Master Advisor training. Supplemental Instruction and Peer Assisted Study Sessions (PASS). During 2014, BMS provided Peer Assisted Study Sessions for BMS 110, BMS 307 and BMS 308. Transfer Student Retention Overall retention of first time transfer students by CHHS programs was 67.19% in Fall 2014 (Figure 5), a decrease from 72.39% in Fall 2013 and even lower than the 69.15% retention in Fall 2012. BMS and PSY had the highest retention with 78.38% and 76.81%, respectively. In contrast, retention in CSD, SWK, and NUR ranged from 52.94% to 56.72%. CHHS Transfer Retention Initiatives The Psychology Department continued their approach of welcoming and advising transfer students in which they purposefully reach out to admitted transfer students, seek immediate connections, and ensure they are able to enroll in at least seven key PSY credits in the first semester to facilitate a smooth transition to MSU. The Nursing Department implemented a required orientation that has improved retention in the BSNC Program. Also, the requirement that students must be fully admitted before taking any classes in the program has helped with retention. Graduate Student Retention Retention of graduate students varied among CHHS Departments (Figure 6) with an overall retention of 90.70% in 2014, which was down slightly from 91.09% in Fall 2013. Some attrition is due to students who leave to enter a professional program. Departments with retention rates less than 80% were MPH, KIN, and NUR.

Figure 5. Retention of CHHS transfer students .

Figure 6. Retention of CHHS graduate students.

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MPH identified two primary reasons for withdrawal: (1) departure to start medical or dental residencies by international students who are graduates of foreign medical or dental schools, and (2) financial or other personal difficulties. Two steps were taken to address the issues: (1) students were told that faculty will not write letters of recommendation for subsequent academic or medical programs until the student is in the field experience and ready to graduate, and (2) a new graduate assistantship was created from program funds to prevent at least one student from leaving the program prior to completion. The Program is also reviewing admissions policies regarding admission of students who are unlikely to finish. The Psychology Department initiated and staffed a Statistics Lab to support both undergraduate and graduate student success in statistics courses. Tracked lab use continues to be high, and results encourage ongoing support for the lab into 2014 and beyond. The Nursing Department will allow students in the BSN to DNP to enroll part-time until they get to the clinical specialization. This was popular in the MSN-FNP, and will allow students to work full-time until they start the FNP specialization courses. Especially in the Post-Masters DNP in which students will stay in same job, the motivation to continue is low if it conflicts with work or family. Mandatory orientation for the MSN will be implemented to provide information and resources to promote student success. Student Credit Hours Total Student Credit Hours. Growth in total CHHS student credit hours (SCH) continued in Fall 2014 (Figure 7). Although there was a slight decline in lower division SCH, growth in upper level and graduate SCH resulted in an overall increase of 3.2%. The decrease in lower division credit hours is due primarily to changes in the general education program that impacted Kinesiology. CSD and SWK also had fewer lower division credit hours than in CY2013. BMS contributed almost half of the increase in upper division credit hours; KIN, PSY, CSD and SWK also experienced increases in upper division credits. All departments contributed to the increase in graduate credit hours except Nursing. CHHS SCH by Department. Three departments, PSY, BMS, and KIN, continued to account for slighly more than two-thirds of the CHHS credit hours (Figure 8). Psychology, the largest department in CHHS in number of first and second majors as well as faculty, produced 30% of the credit hours in the College. The third largest department in terms of majors, BMS, generated 22% of the total credit hours while Kinesiology produced 16% of the total credit hours. Nursing, the fourth largest department with 724 majors, offers only upper division courses and graduate level courses. All departments increased credit hours between 2013 and 2014 except KIN and NUR.

Figure 7. CHHS student credit hours by level CY2010-2014.

Figure 8. CHHS student credit hours by

dept.

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Contribution to General Education Five CHHS departments have courses in the revised general education program:

o BMS 100 Concepts and Issues in the Life Sciences o BMS 101 Concepts & Laboratory in the Life Sciences o BMS 110 Introduction to the Biomedical Sciences o BMS 111 Introductory Laboratory in the Biomedical Sciences o KIN 210 Healthy Lifestyles: Preventive Approaches o KIN 286 Ethics and Diversity in American Sport o NUR 472 Writing II: Nursing Research and Scholarly Writing o PSY 121 Introductory Psychology o SWK 219 Human Diversity

CHHS departments generated approximately 24,000 general education student credit hours in 2014, which accounted for 32% of the total credit hours produced by the College. The Psychology Department taught slightly more than half (55%) of the total general education credits produced by the College, primarily from one course, PSY 121 (Figure 9). Previously the department had a second course, PSY 101, but decided not to propose its inclusion in the new general education requirements. The Biomedical Sciences Department contributed 32% of the general education credit hours from CHHS, primarily from BMS 110 and BMS 100, which is also offered in an online format. With the adoption of the new general education requirements, the percent general education credit hours generated by Kinesiology declined to approximately 10% of the CHHS total. However, the department has two courses in the Public Issues category that are reported to be well received by students. It is anticipated that enrollment in these courses will increase. Nursing continues to provide a Writing II course for nursing majors, and contributes about 2% of the CHHS general education credit hours. Beginning in Fall 2014, Social Work’s diversity course fulfilled a general education requirement. Only one section was offered, which accounted for 1% the total CHHS general education credit hours. It is expected that demand for this course will increase and will require additional faculty resources to support it. GEP 101 and UHC 110. Individual CHHS faculty participate regularly in teaching sections of GEP 101 and UHC 110. There a was specific section of GEP 101 designated from first generation students majoring in programs in CHHS offered in Fall 2014. CHHS Graduates Missouri State University awarded 886 degrees to CHHS students in 2014, which exceeded the 872 graduates in 2013 (Table 3).

Figure 9. Percent CHHS General Education student credit hours by department. by Department

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Table 3. Degrees Awarded to CHHS Students in CY 2014.

CHHS Departments/Degrees

CY2014 CHHS Departments/Degrees CY2014

Cell & Mol Biol-Accelerated-MS 3 Nursing-4-Year Generic-BSN 57

Cell and Molecular Biology-BS 50 Nursing-Completion Program-BSN 14

Cell and Molecular Biology-MS 10 Nursing-MSN 3

Clinical Lab Medical Tech-BS 3 Nursing/Educator-MSN 1

Dietetic Internship-GRCT 6 Nursing/Practitioner-MSN 9

Dietetics-BS 19 Nursing Practice, Doctor Post-DNP 3

Health Services/Clinical-BS 3 TOTAL NUR 87

Health Services/Hlth Serv-BS 6 Physical Therapy Post-Prof Com-DPT 2

Individualized Maj-BMS Dept-BS 2 Physical Therapy-DPT 30

Nurse Anesthesia-MS 14 TOTAL DPT 32

TOTAL BMS 116 TOTAL PAS -MS 29

Audiology-AUD 9 Forensic Child Psychology-GRCT 9

Comm Sci & Dis/Audio-BS 2 Gerontology-BS 12

Comm Sci & Dis/Deaf-BS 6 Psychology-BA 4

Comm Sci & Dis/Deaf-MS 3 Psychology-BS 199

Comm Sci & Dis/Sp-Lang Path-MS 26 Psychology/Clinical-MS 7

Comm Sci & Dis/Spch-BS 39 Psychology/Experimental-MS 6

Educ Deaf & Hard of Hrng-GRCT 3 Psychology/Industrial Org-MS 9

Individualized Maj-CSD Dept-BA 1 TOTAL PSY 275

TOTAL CSD 89 Social Work, Master of-MSW 33

TOTAL Public Health-MPH 6 Social Work-BSW 38

Exercise & Mov/Health-BS 31 TOTAL SWK 71

Exercise & Mov/Prepr-BS 42 Athletic Training-BSAT 16

Health Promo & Wellness Mgt-MS 13 Athletic Training-MS 7

Physical Education-BSED 21 TOTAL SMAT 23

Radiography/Management-BS 5 TOTAL CHHS 886

Radiography/Science-BS 9 Rec, Sport, & Park Admin-BS 39 Respiratory Therapy/Sci-BS 1 Secondary Edu/Physical Ed-MSED 2 TOTAL KIN 169

Most programs achieve or exceed the minimum requirements of the Missouri Department of Higher Education for number of graduates, which is an average of 10 for baccalaureate degrees and 5 for master’s degrees. Although Clinical Laboratory Sciences graduated only 3 students in 2014, no classes are taught specifically for this program. Although the BS in Health Services is a new program, it is off to a good start with nine graduates in 2014. A low number of graduates completed the BS Respiratory Therapy program. The department should explore a pathway with West Plains since they offer the associate degree in that discipline. Gerontology has increased the number of students completing the program with 12 graduating in 2014. Attracting students to the MSN-Nurse Educator remains a challenge because the FNP specialization offers greater career flexibility and financial rewards.

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Productivity Comparisons In 2014, the average section size ranged from a low of 15.81-15.83 for SMAT and MPH to 31.42-31.52 for PSY and PT (Table 4). The increase in section size for Psychology is a result of the PSY 121 course in which instruction is supplemented by Senior Learning Assistants. Increased section sizes in Physical Therapy are due to an increase of the cohort size to 40 students. Laboratory sections are either split or have a co-instructor to comply with accreditation standards for student to faculty ratios. Table 4. CHHS course sections, average section size and SCH by faculty group in CY2014.

Department Faculty Group Sections Avg Sec. SCH % Total Biomedical Sciences Total 150 28.41 10602 100%

T/T Eligible 48 36.17 4627 44%

Other Regular Faculty 40 27.95 2996 28%

Supplemental Faculty 29 26 1721 16%

Graduate Assistants 32 19.75 653 6%

Other 0 0 542 5%

Academic Adm 1 21 63 1%

Communication Total 60 20.5 3945 100%

Sciences T/T Eligible 31 24.45 2460 62%

& Disorders Other Regular Faculty 19 12.05 752 19%

Supplemental Faculty 10 24.3 729 18%

Other 0 0 4 0%

Public Health Total 6 15.83 459 100%

T/T Eligible 3 16 225 49%

Other Regular Faculty 3 15.67 219 48%

Other 0 0 15 3%

Kinesiology Total 156 21.57 7186 100%

T/T Eligible 88 24.43 5251 73%

Other Regular Faculty 28 18.68 1137 16%

Supplemental Faculty 21 17.29 469 7%

Graduate Assistants 18 17.83 321 4%

Other 1 8 8 0%

Nursing Total 42 22.07 3448 100%

T/T Eligible 20 10.1 685 20%

Other Regular Faculty 17 36.12 2319 67%

Supplemental Faculty 5 22.2 444 13%

Physical Therapy Total 29 31.52 3034 100%

T/T Eligible 26 30.46 2709 89%

Other Regular Faculty 1 40 120 4%

Supplemental Faculty 2 41 205 7%

Physician Assistant Total 15 27.47 1614 100%

T/T Eligible 12 26.33 700 43%

Other Regular Faculty 3 32 914 57%

Psychology Total 159 31.42 14357 100%

T/T Eligible 91 28.85 7820 54%

Other Regular Faculty 7 32.14 605 4%

Supplemental Faculty 52 36.23 5575 39%

Graduate Assistants 8 29.5 328 2%

Other 1 26 29 0%

Social Work Total 48 18.98 2843 100%

T/T Eligible 13 19.23 849 30%

Other Regular Faculty 11 20.18 672 24%

Supplemental Faculty 24 18.29 1322 47%

Sports Medicine & Total 16 15.81 680 100%

Athletic Training T/T Eligible 9 15.89 396 58%

Other Regular Faculty 3 20.33 126 19%

Supplemental Faculty 4 12.25 136 20%

Other 0 0 22 3%

CHHS TOTAL 681 25.5 48,168

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Credit Hours by Faculty Classification More than half of the credit hours generated by CHHS during CY2014 were taught by tenured/tenure eligible faculty. Almost one-fifth were taught by other regular faculty, which would include clinical faculty and instructors. Supplemental faculty taught 23% of the credit hours. The percentage of credit hours taught by per course (supplemental) faculty has been identified as a concern. During CY2014, 47% of the credit hours in the School of Social Work were delivered by per course faculty (Table 4). This resulted from a combination of factors including late resignations, difficulty hiring qualified full-time faculty, and distance offerings at West Plains and Joplin. The Department of Psychology consistently utilizes a large number of per course faculty. During 2014, 39% of the credit hours offered by psychology were taught by supplemental faculty. This reflects the use of retired faculty who were teaching two to four course sections each, in addition to a cadre of professionals from the community with specific expertise needed by the department. Another factor is the practice of using most of the department’s graduate assistants as research assistants. The percentage of credit hours (2%) taught by graduate assistants in the Psychology Department is extremely low. Only 4% of the credit hours were taught by Other Regular Faculty, which includes Instructors, Senior Instructors and Clinical Faculty. Currently, the Psychology Department has one Senior Instructor. Solutions to the high use of supplemental faculty include an increased use of Graduate Teaching Assistants and hiring an additional instructor who would have a teaching load of 12 credit hours per semester.

Public Affairs Integration

CHHS integrates Missouri State University’s statewide mission in public affairs of community engagement, cultural competence, and ethical leadership into each degree program. Selected examples from CHHS are included. Cultural Competency A total of 83 CHHS students participated in study away experiences in 2014-2015 with 55 enrolled in short-term faculty led courses and 28 participating in semester experiences. The College provides $5,000 in support of student study away experiences each year. Kinesiology students experience interactions with groups who are diverse in various ways. Respecting multiple perspectives and working through differences are inherent. Within two classes, Motor Learning and Adapted Physical Education, students have the opportunity to work with preschool children of low SES in Head Start programs and with cognitively disabled adults from Arc of the Ozarks. In a service learning class, they have the opportunity to work in a community setting that is ethnically diverse, as they do in internship settings. Reflective journals are required in the internship and student teaching experiences. In addition, the RSPA program had an international internship placement in FY2014.

Figure 10. CHHS CY2014 SCH by Faculty classification.

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Cultural Competence is defined and practiced in the School of Social Work in a required Diversity course (SWK 219 or SWK 730) at the undergraduate and graduate levels. In addition, diversity issues (i.e., health disparities among minorities, culturally appropriate counseling skills, etc.) are stressed in theory, research, and practice courses. In addition to experiences in a range of courses, the Psychology capstone course, PSY 411 (Psychology of Diverse Populations) focuses students on integrating their experiences in the context of cultural competence. Ethical Leadership The MSAT program has leadership as one of the main focuses of the curriculum. This is infused into both didactic and clinical aspects of the program.

At the graduate level, PSY 761(Ethical and Professional Issues) addresses ethics and cultural competence in a manner consistent with each track of the MS program. CSD integrated Public Affairs objectives into the undergraduate assessment plan and distributed content across the curriculum in four courses. At the graduate level, students complete HIPPA and CITI training, which emphasize ethical decision making. Graduate students also engage with the community in onsite clinic where they deliver services. Community Engagement CHHS students from both undergraduate and graduate programs participate in service learning. Typically CHHS students contribute approximately 24,000 hours per year to the community. BMS 300 service learning sections expanded to include BMS/CMB courses BMS 321, 521, and 525, which were implemented with a specific community partner, the Discovery Center. Dietetics has integrated or component service learning associated with five courses. In Fall 2014, recreation students in two Kinesiology courses collaborated with Dr. Woodard and Campus Recreation to organize, promote and supervise a wheelchair basketball tournament to raise money for a Missouri State University student who had been injured in an accident. It was a great success and generated discussion that it might become an annual event.

CSD Graduate students engage with the community in onsite clinic where they deliver services. Service learning is integrated in the CSD curriculum at both the undergraduate and graduate levels. All students in the undergraduate nursing program take at least six credit hours of integrated service learning courses in (BSNC –NUR 442-6); (BSN – NUR 442-6, and NUR 482-6), and all FNP students take one credit hour of service learning with underserved populations. All FNP students completed a rotation at MSU Care, the MFH fundedrogram at The Kitchen Medical Clinic serving the homeless and uninsured. The clinic is being continued as a joint effort with CHHS and Mercy. The FNP students are mentored by the MSU Faculty NPs who provide primary care there. Each PT student participates in pro-bono integrated clinical experiences at Jordan Valley Community Health Center and sixty hours of integrated Service-Learning (4 courses).

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BSW students participate in 40 hours of service learning activities in a community agency through the Office of Citizenship and Service-Learning (CASL). This experience has been vital to community awareness and

participation. CHHS faculty hosts an annual Multidisciplinary Forum for the campus and community. In Fall 2014, the topic was Interprofessionalism in Health Services.

Engaged Inquiry CHHS departments foster engaged inquiry by encouraging and undergraduate and graduate participation in faculty directed research, travel to conferences, and faculty development activities related to scholarship. CHHS Student Research Symposium CHHS sponsors an annual Student Research Symposium each spring where students present their research to their peers, University faculty, and guests from the community (Figure 11). Graduate students are encouraged to participate in the Interdisciplinary Forum organized by the Graduate College. The 17th Annual CHHS Research Symposium held in Spring 2014 featured the following :

77 posters

100 undergraduates

67 graduate students

35 faculty mentors

Graduate Student Theses and Projects According to the results of a search of the Graduate College database, CHHS departments there were 35 graduate theses completed in 2014.

BMS - 9

CSD - AuD 2; SLP 2

KIN - 4

NUR - 4

PSY - 10

SMAT - 4 Other graduate students complete graduate projects to fulfill the research requirement for their degrees. Student Presentations and Publications

Samatha Dixon (CSD) received funding to travel to a national conference to present doctoral research.

Uzma Wilson (CSD) received a travel scholarship to travel to the Missouri Academy of Audiology conference and present her research.

Figure 11. CHHS Student Research Symposium.

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Lindsay Pape and Kailyn Kennedy published a paper with Dr. Kaf in the American Journal of Audiology: Pape, L., Kennedy, K., Kaf, W.A., & Zahirsha, Z. (2014). Immigration Within the United States: Prevalence of Childhood Hearing Loss Revisited. Am J Audiol, 23(2), 238-241.

Undergraduate students Bret Stuckenschneider, Heather Munson, Emily Kroll, Justin Golay and Trenton English participated in research experiences with Dr. Alana Kozlowski. They presented their work at the Missouri Speech Language Hearing Association meeting.

MPH student Lawal Garuba presented at the graduate Interdisciplinary Forum on May 2, 2014: "Edentalism and tobacco use in adults aged 65 years and older in the United States", and received an honorary award for poster presentations.

Travis Fisher (MPH student) and Elizabeth Federman presented at the graduate Interdisciplinary Forum on May 2, 2014: "Perceptions of healthy food availability and relative factors".

Christie Oestrieich (MPH student) and David Claborn presented at the graduate Interdisciplinary Forum on May 2, 2014: "Assessment of Missouri's public health agencies' capacity of respond to vector emergencies".

Felicilda-Reynaldo, R.F.D., & Backes, K. (2014). Botox for overactive bladder: A look at the current state of evidence. MEDSURG Nursing Journal, 23(1), 30-33. (Backes was a BSN Senior.)

McGinn-Perrryman, K. , Berg, S., & Hope, K. (October, 2014). Promoting evidence-based antibiotic prescribing. American Association of Nurse Practitioners National Conference. New Orleans, LA. Accepted for poster presentation June, 2015. (Mc-Ginn-Perryman graduated from DNP in 2014).

Randall-Arell, J. L., & Utley, R. (2014). The adolescent female’s lived-experience of obesity. The Qualitative Report, 19(45), 1-16. Retrieved from http://www.nova.edu/ssss/QR/QR19/randall-arell45.pdf. (Arell was a MSN graduate in 2014).

Darryl Mitchell (BSAT student), worked with Dr. Allan Liggett and Kristin Tivener to develop and submit a case report, which was accepted for publication.

Student research poster co-author/presenter at APTA Combined Sections Meeting, February 2015 o Marcia Himes (Robinson); John Keller (Robinson)

Co-author/poster presentation at APTA NEXT Conference, June 2015 o Emily Helton (Robinson); Holly Irwin (Robinson)

Co-author of an academic journal article accepted for publication o Matthew Reinagel (Hackney); Shannon Scott (Hackney); Mary Newman (Hackney)

Co-author of a published abstract or poster presentation at a national meeting o Meredith Stewart (Hackney); Rachel Wilson (Hackney) o Hannah Schaper (Williamson); Natalie Pederson (Williamson)

BSAT – graduating seniors participated in a group research project (3-4 members per group) and presented at the CHHS Symposium. Additionally, all groups submitted an abstract for presentation of their findings at the NATA national meeting. Each group was accepted and will present in June 2015.

Student Recognition and Awards Students in CHHS programs were recognized for the following in 2014:

Kelly Bextermuller received first place poster presentation at the 2014 Graduate Interdisciplinary forum.

Kaitlyn Kennedy was awarded the American Academy of Audiology Foundation Scholarship ($2500) for her research project conducted at Washington University under a summer research internship program.

Abigail Hockkett completed her UG degree through the honors college with distinction in CSD.

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Alexandra Altenhofen (BSN Student) received a prestigious VALOR internship from the Kansas City Veterans Administration in summer 2014.

Two junior nursing students accepted for the VALOR Internship for summer 2015

Seven MSU PSY students took home awards from the 2014 Great Plains Research Conference.

One PSY student was awarded a Presidential Commendation.

One PSY graduate assistant won the GA excellence in advising award for the University

Kelsey (Stauffer) Barks served as Core Ambassador of the Missouri Physical Therapy Association-Missouri Student Special Interest Group.

Nate Allgaier (BSAT student) was selected and served as the District V Student Leadership Council District Director.

Jon Price (BSAT student) was selected and served as the secretary for the MoATA (Missouri) Student Leadership Council

Faculty Publications The number of CHHS faculty peer reviewed publications that count as Key Performance Indicators (KPI) for reporting purposes decreased between calendar years 2013 and 2014. (Table 5). This report is based on information submitted by the faculty to Digital Measures and includes books, book chapters, and journal articles with publication dates in the selected years that are entered correctly by the faculty. Articles accepted for publication, book reviews, technical reports, and other scholarly reports are not included. CHHS implemented a scholarship incentive program in 2012 in which faculty receive $200 faculty development award for each manuscript submitted for publication in a peer-reviewed journal. During 2014, 18 faculty members from six departments received a total of 38 awards for a total of $7,600. These funds may be used for conference travel for presentations or for other research-related activities. Table 5. CHHS faculty peer-reviewed publication CY2010-CY2014.

KPI* CY2010 CY2011 CY2012 CY2013 CY2014

Book 1 2 5 2 2

Book Chapter 5 10 6 4 5

Journal Article 41 45 40 43 36

Total KPI’s 47 57 51 49 43

*KPI = Key Performance Indicator report to the state for funding. Faculty Presentations CHHS faculty presented poster and oral presentations at numerous national and international conferences as well as local and regional events as recorded in Digital Measures. Dr. Steve Illum and Dr. Tina Liang both participated in educational workshops and conferences at the international level.

External Funding Funding from external grants/contracts awarded to CHHS faculty and staff during FY14 was $1,660,989. (Table 6). This represents a decrease from the previous year but exceeded the funding in FY12.

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Table 6. CHHS Grant and Contract Activity FY12-FY14.

Credit Share* Actual**

Unit # Applying # Awarded Grants/Contracts Award Grants/Contracts Award

CHHS Staff Faculty Staff Faculty Submit Awards $$ Submit Awards $$

2014 2 27 2 16 62 44 $1,626,009 40 35 $1,660,989

2013 4 32 4 19 70 48 $2,027,848 53 37 $2,123,003

2012 3 24 2 11 51 32 $1,119,913 38 25 $1,080,737

* Credit Share ‐ divides the proposals/awards between the PI's, therefore proposals/awards may be reflected in the totals more than once. ** Actual ‐ proposals/awards will only be shown in the originating unit.

CHHS Support for Faculty Research Incentives. The College of Health & Human Services is committed to supporting faculty in the development of funding proposals to include grants and contractual obligations from individuals; government and public agencies; and industrial financial and private organizations. Outside sources of revenue are important in maintaining academic excellence through education, services, student support, facilities, and research. In addition, these sources of revenue allow faculty members to engage in activities of interest while assuring funds associated with research and project development are available. The incentive payment is awarded after the grant proposal has been submitted by the Office of Research Administration. The amount of the incentive payments:

Grant Budget ≤$30,000 ($5,000 minimum) = $200

Grant Budget >$30,000 = $400 During FY14, 39 faculty members in CHHS received 75 awards totaling $28,000 for submission of external grants. These funds may be used for conference travel or for other research-related activities. Equipment Support. The College provided $126,331.50 in matching funds for five major equipment items funded through the Provost’s Office that will be used for both research and teaching. Departments provided an additional $29,331.76 in matching funds for this equipment

Partners for Progress Affiliation Agreements CHHS maintained existing affiliation agreements with health care organizations, schools, and community agencies, and developed additional partnerships (Appendix A).

Partnerships

CHHS continues to work cooperatively with UMKC and other MSU units on the implementation of the PharmD. Ian Alaimo, CHHS ITTS, chaired a search for a Video Communication Administrator-PharmD for UMKC.

The PAS partnership with Crowder College and Freeman Hospital will provide opportunities for students at Crowder interested in the PA program.

SWK worked with Ozarks Medical Center and MSU West Plains to begin offering courses leading to the MSW program.

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The Missouri Mentoring Partnership (MMP) has been helping at- risk youth through adult mentoring for over a dozen years. MSW Graduate Assistants serve as case managers and work directly with clients under the supervision of licensed social workers. The students lead groups, network within the community, and conduct research that will increase the effectiveness of the MMP programs.

The MSAT program has an educational partnership agreement with StrongFirst and Functional Movement System.

KIN was the first university to partner with Clemson and the Play Conference

KIN community programs and/or partnerships include Wonders of Wildlife

BMS and KIN work with the COE on Train – Testing Recreational Activities and Improving Nutrition. Advisory Boards Community leaders serve on the following CHHS and disciplinary advisory boards:

CHHS Advisory Board

Disciplinary Advisory Board o BMS (Dietetics and Nurse Anesthesia) o CSD (inactive in 2014) o KIN (each program has an advisory board) o MPH o Nursing o PT o PA o SWK o SMAT

Valuing and Supporting People

Diversity and Inclusion Student Diversity CHHS experienced increased enrollment of diverse students in 2014. The greatest increases between Fall 2013 and Fall 2014 were those of more than one race, Black/African American, and Hispanic/ Latino students (Figure 12). There were decreases in the number of Native Hawaiian or Other Pacific Islanders. The College continues its efforts to attract and retain diverse students.

Figure 12. Ethnic/racial diversity of CHHS students.

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Diverse Graduates The number of CHHS degrees awarded to racially or ethnically diverse students increased from 98 in CY2013 to 118 in CY2014 (Figure 13). The greatest progress was in the number of non-resident alien, more than one race, and Hispanic or Latino graduates. There was a decline in the number of American Indian or Alaskan Native, Asian, and Black or African American graduates. Faculty and Staff Diversity Departments in the College continue to work on increasing the diversity of faculty with six (BMS, CSD, KIN, NUR, MPH, SWK) CHHS units having one or more full-time diverse faculty members. Nursing has two diverse staff members. CHHS was successful in hiring candidates with diverse backgrounds for the following positions:

CSD (EDHH) Clinical Assistant Professor

MPH Assistant Professor

Occupational Therapy Program Director

Nursing, Administrative Assistants

Physical Therapy, Psychology, Sports Medicine and Athletic Training, and Physician Assistant Studies need to improve the diversity of their faculty. Although Psychology lost a full-time diverse faculty who accepted a much higher paying the previous year, she continues to maintain a connection with MSU by teaching an online course. Faculty Development CHHS faculty participated in the Showcase on Teaching and Learning, the Digital Professor Academy, and other on-campus learning events. In addition, faculty participated in national, local, and regional conferences in their disciplines. Sabbatical Awards

Dr. Brook Whisenhunt was awarded a sabbatical for the 2014-2015 academic year for her proposal, “Development and Efficacy of a Digital Learning Program for Introductory Psychology.”

Dr. Danae Hudson was awarded a sabbatical for Spring 2015 and Fall 2015 for her project, “Development and Efficacy of a Digital Learning Program for Introductory Psychology.”

Fulbright Scholar

Dr. Susan Dollar, SWK, completed a Fulbright Scholarship at Buryat State University in the Federation of Russia during the 2013-14 academic year.

Figure 13. Diverse CHHS graduates CY2011-2014.

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Completion of Advanced Degrees

Tracy Cleveland continues to work on a Doctor of Education from the University of Missouri.

Karen Engler is completed her cooperative doctorate through the University of Missouri-Columbia. Faculty Tenure and/or Promotions, effective Fall 2014

Carmen Boyd, promotion to Assistant Professor, BMS

Joshua Smith, tenure and promotion to Associate Professor, BMS

Sarah Murray, promotion to Senior Instructor, BMS

Karen Engler, promotion to Clinical Professor, CSD

Jill Oswalt, promotion to Clinical Professor, CSD

Susan Berg, tenure and promotion to Associate Professor, NUR

Elizabeth Williamson, tenure and promotion to Associate Professor, PT

Erin Buchanan, tenure and promotion to Associate Professor, PSY

Adena Young-Jones, tenure and promotion to Associate Professor, PSY

Tracie Burt, promotion to Senior Instructor, PSY

David Claborn, tenure and promotion to Associate Professor, MPH

Michele Day, tenure and promotion to Associate Professor, SWK

Responsible Stewardship

CHHS Budget Committee

Each department in CHHS elected a representative to the CHHS Budget Committee. The dean appointed a staff representative and two department heads along with the CHHS Budget Officer. The committee is chaired by the CHHS Dean.

Hillary Roberts, BMS

Jill Oswalt, CSD

Sarah McCallister, KIN

David Claborn, MPH

Faye Felicilda, NUR

Roberto Canales, PAS

Ann Rost, PSY

Scott Wallentine, PT

Gary Ward, SMAT

Malikah Marrus, SWK

Katie Hope, Department Head, NUR

Colette Witkowski, Department Head, BMS

Ian Alaimo, CHHS Staff

Julie Abney, CHHS Budget Officer FY15 Budget Supporting enrollment growth of the College is a challenge. CHHS continues to increase in both number of majors and credit hour production. In order to sustain quality programs in CHHS, it will be essential to have an infusion of funding. Although we have made some progress in increasing salaries, it is becoming

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increasingly difficult to hire faculty. Department head salaries for CHHS programs are lower than those of department heads in many other MSU colleges and considerably less than those in health programs at other universities. During this time of growth, the University experienced several budget cuts and reallocations. For the FY11 budget, CHHS cut $316,532 through the elimination of two open faculty lines, savings realized by replacing professors with assistant professors or instructors, and the transfer of clerical staff positions in CHHS clinics from academic budgets to revenue generating clinic budgets. CHHS reallocated $88,087.00 in FY12 which was matched by the Office of the Provost to provide equity adjustment for faculty. For the FY12 reallocation, CHHS cut recurring salary savings, a faculty line, and part of a staff line. The funds were used to provide 26 equity adjustments for CHHS faculty. The share of the FY13 budget cut allocated to CHHS was $347,263.00. This cut was achieved by reducing funds designated for faculty and staff lines, supplemental faculty funds, per course funds, travel, supplies, services, and other expenses. The total of the cuts and reallocations amounts to $751,882. With the latest allocation for increased enrollment and the $200,000 in 2013 and $240,000 in 2014, CHHS has almost recouped funding lost through the cuts. However, we are serving significantly more students. CHHS increased the differential fee for selected graduate programs from $25 to $30 per credit hour beginning in 2014, and assesses program fees for the Nurse Anesthesia and Physician Assistant Studies Programs. A portion of these fees will be used to support the bonds for the new O’Reilly Clinical Health Sciences Center. The College also contributed $500,000 to the renovation of Pummill Hall via a budget transfer from CHHS carryforward funds. Facilities, Equipment, and Sustainability Teaching, research, and office space

CHHS representatives worked with CANNON DESIGN during the construction phases of a new classroom building for Nursing, Physician Assistant Studies, Nurse Anesthesia, and Occupational Therapy Programs. The building will also house an interdisciplinary clinic where health professions students will provide services under the supervision of licensed supervisors for uninsured adults in the community.

Renovation of the Professional Building to accommodate BMS’s CMB and Dietetics programs, nursing faculty and advisement, a centralized advisement center, and Sports Medicine and Athletics Training will be made in following years. Work on the kitchen area will begin as soon as HRA vacates the space.

CHHS funded renovation of Hill 317 to house the Gerontology Program director and provide space for the Gerontology program.

Pummill Hall will include remodeled space for the Social Work program on the first floor.

Funding to cover the estimated cost of approximately $5 million of updating the HVAC system in McDonald Hall and Arena has not been identified. Design and Construction contracted with an external consultant to prepare a study of the HVAC system, which is the home of the Department of Kinesiology with over 800 majors.

Improvements in teaching and research equipment

The following items were funded by the Provost’s Major Equipment Fund with matching funding from CHHS and the department.

Nurse Anesthesia-Ultrasound for teaching pain blocks: $21,000 (Provost $8,400; CHHS $10,500)

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CMB- Leica SPE DMI4000 system to view prepared specimens with epi-flurescence, brightfield, DIC, and confocal imaging in fixed tissues or live cell cultures: $118,748 (Provost $45,124.20; CHHS $59,374).

Dietetics- Rheometer - $48, 050. (Provost $19,220; CHHS $24,025)

Nurse Anesthesia Pediatric Human Patient Simulator $48,137 ($12,389; CHHS $24,068.50)

Dietetics - Ultrafiltatrtion unit $9,228 (Provost $3,691; CHHS $4,614)

Nursing - Gero Manikin for advanced physical assessment $5,200 (Provost $1,300; CHHS $2,600)

OT- Bioness Integrated Therapy System (BITS) $19,000 (Provost $12,350; CHHS $4,750) Sustainability The Dean’s Office formed a sustainability team and encouraged CHHS departments to form teams. The College has one Leaf Two Team and six Leaf One Teams:

Leaf Two Team o CHHS Dean’s Office, Eco-Ambassador: Lisa Curtright

Leaf One Teams o Biomedical Sciences Green Team, Eco-Ambassador: Janice Felker o Physical Therapy Energizers, Eco-Ambassador: Jeanne Cook o Green PAS, Eco-Ambassador: Steven Dodge o Green Dragons (Psychology Dept), Eco-Ambassador: Bob Jones o SMAT Green Machines, Eco-Ambassador: Caryn Cook o Kinesiology Faculty, Eco-Ambassador: Carri Hummer

CHHS Faculty and Staff during 2014

Dept/Rank BMS CSD KIN MPH NUR PAS PSY PT SWK SMAT OT

Full Professor 3 3 9 1 3 10 1 3

Associate Professor

2 2 6 1 2 2 10 5 2 2.5

Assistant Professor

10 4 4 1 1 1 7 1 1 1 2

Sr Instructor 3 1 1

Instructor 4 5 2 (1Visiting)

Clinical Professor 2

Clinical Assoc Prof

2 1

Clinical Asst Prof 1 4 3 1 1 1

Clinical Instructor 2.25 6 1 1 1

Prof Staff 1.5 1 2 1 (grant)

Admin Asst/Spec 4 5.5 2 .5 4 2 2 3 1 1

Other staff 2

GA 1 15 2 5 6 7

TA 11 7 2 5

RA 8

Clin Per course 9 3 3 4-5

Didactic or lab PC 14 6 14 3 31 5 15

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Priority Areas for Action for 2014-2015

I. Strategic Planning MSU Goal 1.3: Develop a 2016-2021 long-range plan through a collaborative process that seeks broad input from University stakeholders

CHHS faculty, staff, and students will participate in the University's 2016-2021 long-range planning process.

CHHS will revise our college strategic plan to align with the university's long-range plan.

Departments and programs will revise their strategic plans to align with the MSU and CHHS plans. II. Access to Success MSU Goal 2.1: Successfully complete the HLC accreditation process

CHHS Faculty will support HLC accreditation efforts – Site visit October 5-6, 2015 http://www.missouristate.edu/hlc/preparation.htm

CHHS will successfully complete accreditation approval processes for individual programs o ACEND: Dietetic Internship, accreditation o ACOTE: Master of Occupational Therapy, Pre-accreditation o COA: DNAP, accreditation o COAPRT: BS Recreation, Sport, and Park Administration, accreditation o BACB: M.S. Applied Behavior Analysis, Approved University Training, approved course sequences o CED: Education of the Deaf and Hard of Hearing, accreditation

MSU Goal 2.2: Maintain modest growth in enrollment while increasing the diversity of the student body.

Continue recruitment and marketing efforts

Continue to implement the Health Professions Scholars program MSU Goal 2.3: Increase retention and graduate rates

Continue existing CHHS initiatives and implement new retention initiatives o CHHS Living-Learning Community o Peer Assisted Study Sessions (PASS) o CHHS GEP 101 section for 1st generation students o Develop new departmental initiative

MSU Goal 2.4: Increase the number of alternative pathway options for students

Increase the number of courses offered through alternative delivery methods. MSU Goal 2.4. Maintain competitive cost of attendance.

Evaluate program fees for selected high demand programs. MSU Goal 2.6: Develop and implement a comprehensive plan to successfully track the outcomes of graduates as required by the state’s performance funding model.

CHHS programs will share information about student outcomes

Monitor the effectiveness of incentives intended to increase faculty scholarship resulting in publication peer reviewed journals.

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III. Public Affairs Integration MSU Goal 3.4: Continue the Comprehensive Public Affairs Assessment Plan.

CHHS faculty will participate in the Comprehensive Public Affairs Assessment process.

Expand study away opportunities by supporting student scholarships. IV. Engaged Inquiry MSU Goal 4.1: Sustain applications and sponsored research above 300 annually and awards of grants and

sponsored research above $20 million annually

Increase national and international peer reviewed publications (submissions by 20%; publications by 10%)

Increase the # of proposals submitted & the % of faculty submitting proposals

Monitor the effectiveness of CHHS Support: $400 faculty development award for each proposal

submitted for at least $30,000; $200 for proposals $5,000 & $30,000

Increase national and international peer reviewed publications (submissions by 20%; publications by 10%)

Monitor the effectiveness of incentives intended to increase faculty scholarship resulting in publication peer reviewed journals.

Continue to support RStats

Continue to support the annual CHHS Research Symposium

V. Partners for Progress MSU Goal 5.2. Expand the University's health care partnerships by developing a primary care clinic on campus in collaboration with Mercy

CHHS programs will work with Mercy to implement MSU Care on campus o Provide clinical experiences for CHHS students o Provide interprofessional learning experiences for CHHS students o Provide health care for uninsured adults 18 to 64 years of age in the community

CHHS will develop new and maintain existing Affiliations and Partnerships

Explore ways to compensate clinical preceptors

Explore partnerships with minority high schools to recruit diverse students

VI. Valuing and Supporting People MSU Goal 6.1: Continue to improve compensation for faculty and staff

Provide equity adjustments as funds allow

Improve faculty and staff salaries MSU Goal 6.2. Improve diversity of the workforce

Target: 20% of hires diverse

Recruit and hire qualified department heads/program directors, faculty, and staff

Utilize diversity hiring program to recruit diverse faculty and staff

Support faculty and staff development o Nursing faculty obtaining DNP and PhD o Dietetic faculty entry into doctoral program o PAS faculty member’s doctoral work o Transition dietetics instructors to clinical appointments as appropriate

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VII. Responsible Stewardship MSU Goal 7.3 Invest in the preservation, modernization, and replacement of capital assets to support mission critical needs

Facilities o Participate in planning Hill Hall renovation o Plan/bid Professional Building renovation o Support capital request for renovation

Equipment o Identify and obtain essential teaching and research equipment

MSU Goal 7.4 Utilize and operate facilities efficiently

Facilities and Sustainability o Improve the quality of existing space o Support sustainability efforts - CHHS “Green Teams”

Equipment o Identify and obtain essential teaching and research equipment o Develop a plan to fund equipment maintenance

IX. West Plains Integration MSU Goal 9.1. Continue to develop and market pathways for students to transition from West Plains coursework to Springfield coursework.

Continue to promote the MSW program at West Plains.

Continue to develop a pathway for West Plains students to the PA Program

Explore and develop pathways for West Plains to transfer to other CHHS programs

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APPENDIX A Affiliation Agreements

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Affiliation Agreements

BMS Republic R-III Skaggs Community Hospital Assoc General Leonard Wood Army Hospital St. Johns Lebanon St. Johns Rolla Cox Medical Centers Clearwater Valley Hospital St. Mary's Hospital St. Luke's Health System, Ltd Syringa Surgical Center The Surgery Center of Poplar Bluff Sport & Spine Cox Medical Centers Ozarks Area Community Action Corporation Freeman Health System Mercy Hospital - Cassville Mercy Hospital - Aurora Mercy Hospital - Lebanon, MO Healthy Living Alliance Mercy Hospital - Springfield, MO Mercy Hospital - Springfield, MO Skaggs Regional Medical Center, Branson, MO Joplin City Health Department/WIC Skaggs Regional Medical Center, Branson, MO Lakeland Behavioral Health System Springfield Public Schools, Nutrition Services Missouri Veterans Commission Pemiscot Memorial Hospital Salem Memorial Hospital Twin Rivers Regional Hospital Fresenius Medical Care Prime, Inc. Freeman Surgical Center, Freeman Anesthesia Cox Medical Centers Mercy McCune Brooks Carthage St. John's Health Center Hillcrest Medical Center Mercy Surgery Center, Lebanon at Rolls Greene County General Hospital Greene County General Hospital Sullivan County Community Hospital Via Christi School of Anesthesia Mercy Berryville Mercy-Carthage Muskogee Regional Medical Center, LLC d/b/a EASTAR Health System Summit Medical Center Mercy Hospital, Joplin

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Hy-Vee, Overland Park, KS Landmark Hospital Carthage R-9 School District

Excel Sports & Physical Therapy

The Courts E-Zone

Anytime Fitness

Missouri State Physical Therapy Clinic

Missouri State University/COAG

Nelligan Sports Marketing

YMCA - Pat Jones

Downtown YMCA

Cox Fitness Centers

Missouri State Strength & Conditioning

St. John's Hospital

Rivendale

Children's Miracle Network Hospitals

Downtown YMCA

Missouri State Athletics

Skaggs Regional Medical Center

Missouri State Physical Therapy Clinic

Springfield-Greene County Park Board

Champion Athletes of the Ozarks

Chesterfield Family Center

Aurora Country Club

St. John's Hospital Lebanon-Rolla

Osborne Family Chiropractic

Adult Wellness Center - City of Rogers

St. Luke's Rehab Hospital

Mederi Caretenders

ProRehab

Springfield Cardinals LLC

Peak Performance Physical Therapy

Success Naturally, Inc.

Springfield-Greene County Health Dept.

Sunshine Eye Clinic

Putnam Orthopedic Center

Arnold Physical Therapy & SM

Missouri State Physical Therapy Clinic

Springfield Greene County Park

St. John's Physical Therapy - E. Cherokee

Paul Chang B.P.T, P.C. Rehabilitation Svcs.

Ozarks Medical Center

AHEC Program Office SLU Family & Community Medicine

Christian Hospital

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Typaldos Physical Therapy & Rehab. Ctr.

Independence Care Center of Perry County

PCRMC Outpatient Therapy

68's Inside Sports

River City Rascals

Healthy Kids and Teen

Aptitude Physical Therapy, LLC

St. Anthony's Medical Center

St. John’s Physical Therapy – West Kearney

Missouri State Athletics

The Starting Block

MSU Athlete Medical and Rehab Services

Downtown YMCA

Martino Training Systems (at HealthTracks)

CoxHealth - Meyer Center

Missouri State Aquatics

Springfield Cardinals LLC

Boys & Girls Club of Springfield

Sports Medicine - HealthTracks

YMCA - Pat Jones

Scott-Larson Orthotics

Fitness 19

Missouri State University Athletics

Missouri State Athletics Communications

CoxHealth Fitness Centers

Springfield Public Schools

Marine Corps Detachment, Ft. Leonard Wood

Mama Jean's Natural Market

St. John's Hospital

Missouri State Strength & Conditioning

St. John's Fitness Center

A Flip Zone

Athlete's Performance

Crossfit Springfield

Wichita Swim Club

Missouri State Aquatics

Doling Family Center

Missouri State Baseball

Cox Medical Centers Arkansas Trauma Education and Research Foundation Nevada Regional Medical Center Big Time Results, LLC Phelps County Regional Medical Center

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CSD Skaggs Community Health Center Texas, Ear, Nose & Throat Specialists, P.A. The University of Texas M.D. Anderson Cancer Center The University of Texas M.D. Anderson Cancer Center Genesis Health System University of Texas Medical Branch at Galveston Robley Rex VA Medical Center, Louisville, KY St. Anthony's Medical Center Jefferson City Medical Group Hearing and Balance Center Lake Regional Health System Camdenton R-III School District Ergo Solutions, LLC Glendora Unified School District Second Chance Hearing, Inc. Appalachia Intermediate Unit 8 School Board of Sarasota County, Florida Hearing and Audiology Services Otologic Center UPMC Altoona The Washington University, School of Medicine, St. Louis Center for Hearing and Speech School District of Manatee County Florida The University of Chicago Medical Center Mid-South Healthcare Network, James H. Quillen VA Medical Center Woodward Audiology, LLC Memorial Hospital Callaway Community Hospital Saint Luke's Health System Mercy Hospitals East Communities dba Mercy Hospital St. Louis School District of Preferred Hearing Care The Children's Mercy Hospital General Leonard Wood Army Community Hospital Farris Memorial ENT

KIN

Excel Sports & Physical Therapy

The Courts E-Zone

Anytime Fitness

Missouri State Physical Therapy Clinic

Missouri State University/COAG

Nelligan Sports Marketing

YMCA - Pat Jones

Downtown YMCA

Cox Fitness Centers

Missouri State Strength & Conditioning

St. John's Hospital

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CHHS CY2014 Annual Report Page 37

Rivendale

Children's Miracle Network Hospitals

Downtown YMCA

Missouri State Athletics

Skaggs Regional Medical Center

Missouri State Physical Therapy Clinic

Springfield-Greene County Park Board

Champion Athletes of the Ozarks

Chesterfield Family Center

Aurora Country Club

St. John's Hospital Lebanon-Rolla

Osborne Family Chiropractic

Adult Wellness Center - City of Rogers

St. Luke's Rehab Hospital

Mederi Caretenders

ProRehab

Springfield Cardinals LLC

Peak Performance Physical Therapy

Success Naturally, Inc.

Springfield-Greene County Health Dept.

Sunshine Eye Clinic

Putnam Orthopedic Center

Arnold Physical Therapy & SM

Missouri State Physical Therapy Clinic

Springfield Greene County Park

St. John's Physical Therapy - E. Cherokee

Paul Chang B.P.T, P.C. Rehabilitation Svcs.

Ozarks Medical Center AHEC Program Office SLU Family & Community Medicine

Christian Hospital

Typaldos Physical Therapy & Rehab. Ctr.

Independence Care Center of Perry County

PCRMC Outpatient Therapy

68's Inside Sports

River City Rascals

Healthy Kids and Teen

Aptitude Physical Therapy, LLC

St. Anthony's Medical Center

St. John’s Physical Therapy – West Kearney

Missouri State Athletics

The Starting Block

MSU Athlete Medical and Rehab Services

Downtown YMCA

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Martino Training Systems (at HealthTracks)

CoxHealth - Meyer Center

Missouri State Aquatics

Springfield Cardinals LLC

Boys & Girls Club of Springfield

Sports Medicine - HealthTracks

YMCA - Pat Jones

Scott-Larson Orthotics

Fitness 19

Missouri State University Athletics

Missouri State Athletics Communications

CoxHealth Fitness Centers

Springfield Public Schools

Marine Corps Detachment, Ft. Leonard Wood

Mama Jean's Natural Market

St. John's Hospital

Missouri State Strength & Conditioning

St. John's Fitness Center

A Flip Zone

Athlete's Performance

Crossfit Springfield

Wichita Swim Club

Missouri State Aquatics

Doling Family Center

Missouri State Baseball

MPH

Princeton Regional Health Commission Webster County Health Department Tulsa Health Department Polk County Health Center Chicago Urban League Fay W. Boozman College of Public Health Springfield-Greene County Health Department Allegheny County Health Department Cleveland Department of Public Health Dade County Health Department Pennsylvania Department of Health Pinnacle Health Care Systems/Harrisburg Hospital AIDS project of the Ozarks Cleveland Department of Public Health American Red Cross-Greater Ozarks Chapter Catholic Guardian Society and Home Bureau Worcester Public Health Department Jefferson County Health Department

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City of Evanston Health and Human Services City of Worcester, MA DeKalb County Board of Health Jordan Valley Community Health Center Middlesex County Public Health Department Richmond County Board of Health The Kitchen Clinic Champaign-Urbana Public Health District Boulder County Public Health Family Health Centers, Inc Northwest Area Education Agency Freeman Health System Ferrill Duncan Clinic Cox Health Cardiovascular Service Crossfit Springfield Mercy Health Tracks Springfield-Greene County Health Department Cox Family Medicine Residency Stone County Health Department

NUR

Marshfield School District Mercy McCune-Brooks Hospital Mercy Hospital - Springfield

Mercy - Aurora Mercy Hospital - Lebanon Mercy Hospital - Berryville Missouri Ozark Community Health MO Dept. of Health, and Senior Services, Division of Community Health Moore, Dr. William C. Mountain Grove School District MSU Child Development Center MSU Taylor Health and Wellness Center National Alliance of Mental Illness National Health Care

Nixa R-II School District North Arkansas Comm. College North Arkansas Regional Medical Center (incl Home Health Agency)

North Pediatrics Norwood Schools OACAC Head Start

Oncology Hematology Associates

Osceola Rural Health Clinic Oxford Healthcare (9/10/12 no students currently due to staffing issues) Ozarks Community Hospital Ozarks Medical Center (Mountain Grove Medical Complex affiliated with OMC) Ozark Medical Surgical Associates Ltd

Ozark School Dist. R6

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Ozarks Technical College Ozarks Technical College Health and Wellness Center Ozark Tri-County Health Care Parkland Health Center Partners in Health Care Pediatric and Adolescent Medicine Planned Parenthood Polk County Health Center Preferred Hospice of Missouri Pregnancy Care Center Premier Family Care

Pulaski County Health Department Republic School District Regional Family Medicine Riverways Adult Daycare of Ozarks Medical Center Riverways Hospice of Ozarks Medical Center Rogersville Senior Center Sacry Family Medicine Samaritan Outreach Seasons Hospice Select Specialty Hospital Shady Oaks Health Care Center

Sigma House of Springfield Skaggs Regional Medical Center Southern MO Community Health Center South Side Senior Center Springfield-Greene County Health Dept.

Springfield Rehab & Health Care Springfield R-XII Schools St. Anthony's

St. Francis Hospital St. Luke's East St. Luke's Hospital Stone County Health Department

Texas County Health Department Texas County Memorial Hosp. Thayer R-II School District Twin Lakes Hospice Vernon County Health Department

Victory Mission Education Programs Waynesville R-VI School District Webster County Health Unit West Plains R-VII School District West Vue Home, Inc. Westwood Home Care Whetstone Boys Ranch Willard School District Willow Healthcare, Inc. Willow Springs Schools

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Women’s Health Care of Southern Missouri (affiliated with Ozarks Med. Center) Wright County Health Department Dr. Andy Wright, MD

PT

Mercy Health System-NWA West Florida Regional Medical Center, Inc. d/b/a West Florida Hospital Department of Veterans Affairs Willard R-II Schools Mercy Hospital Saint Francis Medical Center Active Lifestyles Physical Therapy Living Community of St. Joseph Norridge Health Care and Rehabilitation Specialized Physical Therapy Independence Rehab Center for Neuro Skills Delta Reginal Medical Center Mercy Hospital - Northwest Arkansas Enloe Medical Center Apex - Monett, MO TheraSpecialists, Inc. Mercy Medical Center, Des Moines Hays Medical Center, Inc. Redbud Physical Therapy Freeman Health System Federal Bureau of Prisons Memorial Health University Medical Center American Academy of Orthopedic Medicine SERC Physical & Hand Therapy Mountain Land Rehabilitation HealthSouth Corporation Arnold Physical Therapy and Sports Medicine Via Christi Hospitals Wichita, Inc. Enloe Medical Center Federal Bureau of Prisons HCR Healthcare, LLC The Phoenix Area Indian Health Service Clemson Sports Plus Pinamonti Physical Therapy and Wellness Lake Sport & Spine Rehab West Florida Regional Medical Center, Inc. d/b/a West Florida Hospital Tuomey Healthcare Tuomey Healthcare System Lone Star Continuing Education

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PAS Freeman Health System Access Family Care Ozarks Community Health Center Lawndale Christian Health Center Bearskin Healthcare Center Johnson County Pediatrics Care Communications, LLC dba Saint Francis Trauma Institute Eastside OB/GYN, Fort Smith, AR Mercy Hospital Fort Smith, Ar Cooper Clinic, PA Mountain Vista Medical Center, LP South Central Surgical Center Fairmont Orthopedics & Sports Medicine Advocate Health and Hospitals Corporation Midwest Regional Allergy, Asthma & Osteoporosis Center, PC Texas EM-I Medical Services, PA and Baylor University Medical Center Reynolds Plastic Surgery, LLC Renaissance Medical Group, LLC M & T Dermatology Mercy Health System, Janesville, Wisconsin Kansas City Physician Partners Community Health Network, Inc. Dr. John H. Lyon/Orthopedic Surgery Specialists, Ltd. Rock Orthopedic and Hand Center Meridian Medical Group, PC Stateline Surgery Center Premier Surgical Institute Curators of the University of Missouri on behalf of University of Missouri Health Care Pediatric Associates of SWMO, LLC Elk River Health Services, Inc. St. Francis House NWA, Inc. dba Community Clinic Ferguson Medical Group Wellness Concepts Clinic, LLS Ferguson Medical Group

PSY

Oklahoma State University

Crittenton Children's Center

Mercy Hospital Springfield

Stone County Health Department

SMAT

Mercy School Sites Mercy Sports Medicine - Health Tracks Ozark Community Hospital Mercy Clinic Sports Medicine Ferrell Duncan Clinic

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Mercy Surgery Center Mercy Clinic Sports Medicine Mercy Clinic Pediatrics - Health Tracks Mercy Clinic Sports Medicine Mercy Clinic Sports Medicine Mercy Clinic Emergency Medicine Springfield Public Schools Health and Wellness Services The Kitchen Inc. Ozark High School StrongFirst, Inc. Functional Movement Systems, Inc. Cross-Fit Springfield Mercy Fitness Center Mercy Orthopedic Hospital Springfield Mercy Clinic Emergency Medicine Mercy Hospital Joplin

SWK

Governor's Council on Disability Mercy Homehealth and Hospice Southwest Missouri Psychiatric Rehabilitation Center Fulton State Hospital Children's Foundation of Mid-America Dept. of Mental Health, Division of Developmental Disability, Springfield Regional Office Good Samaritan Boys Ranch and Footsteps Phelps County Regional Medical Center Springfield Regional Center Vision Rehabilitation Center of the Ozarks Jasper County Children's Division TRIO Parenting Life Skills Center Hospice Compassus 30th Circuit Children's Division Abilities First and the Next Steps Preferred Family Healthcare Missouri Dept. of Corrections-Probation & Parole Parkland Health Center Freeman Health System Southwest Center for Independent Living Skaggs Regional Medical Center 44th Circuit Children's Division St. Louis Crisis Nursery ALS Association-Keith Worthington Chapter College Skyline Center Harry S. Truman Memorial Veterans' Hospital, Columbia, MO Via Christi Hospital Heartland Behavioral Health Joplin R-VIII Schools

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CHHS CY2014 Annual Report Page 44

NSB Dept. Of Health and Social Services - Integrated Behavioral Health Mercy McCune-Brooks Hospital Oxford Healthcare & Hospice The Missouri Dept of Social Services Family Resource Center Greene County Children's Division Willard School District The Neighborhoods at Quail Creek Ozarks Medical Center Branson School District Hospice and Palliative Care Crisis Center of Taney County Hope House Probation & Parole, District 13 Lutheran Family & Children Services Ozark Center Alternative Opportunities Community Partnership of the Ozarks NAMI- Joplin, MO Boys and Girls Town of Missouri Division of Youth Services Access Family Care Clark Community Mental Health Center Preservation Management Mercy Hospital, Joplin The Missouri Department of Social Services, Children's Division Burrell Behavioral Health Missouri Dept. of Social Services, Children's Division - Memo of Understanding

CHHS Lester E. Cox Medical Centers, Cox-Monett Hospital, Inc., The Skaggs Community Hospital Association d/b/a Cox Medical Center Branson

Jordan Valley Community Health Center

OT Mercy Co-Worker Child Development Center

Republic R-III School District

Vision Rehabilitation Center of the Ozarks

Golden Valley Memorial Healthcare

Council of the Churches of the Ozarks, Inc., Daybreak Adult Day Care

Nebraska AgrAbility

Developmental Center of The Ozarks

Ozarks Medical Center

Mercy Therapy Services - Lebanon

Phelps County Regional Medical Center

Citizens Memorial Hospital District