down minimally from 2020, the 2021 average is approximately 86% higher from its 2017 average The region with the highest augmentation in 2021 is North Central, but the Western region had the highest percent increase from 2017 to 2021 In 2021, the top 5 institutions with the highest Augmentation per staff

taff on board. Figure 14 shows a similar trend as Figure 7 broken out by region. All regions have increased their augmentation usage since 2017 with North Central, South East, and Western regions experiencing the highest increase. Similarly, all regions have seen an increase in overtime usage with South Centr