Healthcare Workforce Steering Committee Date: January 8, 2019 • 8:30 to 10:30 a.m.
Location: Providence Support Services Building – Workforce Education & Development
753 Spring Street (see Google Map)• Medford (please park behind the building)
A. Welcome & Introductions (15‐20m)
Check‐in on New Year’s Your Resolutions: Health / well‐being related resolution you’ve made for yourself? Work‐related resolutions or goals?
Brent Kell / Paul Macuga
B. Updates & Coordination on Our Action Plan Work
Caregivers School of Learning (10‐15m) Marla Ipsen, Jim Fong
Employability Skills (15m) Can employers integrate this into their screening/recruitment process?
Jill teVelde & Dana Shumate
Providence Healthcare Training Program (If needed) Dana & Autumn Boekenoogen
High School Healthcare Certification Programs (If needed) Hal Jones
Legislative / Policy Alignment ‐ Nursing Educator Incentive (If needed) Jim & Linda Wagner
Other Action Plan or Partner Updates (If needed)
C. 2019 ‐ The Year Ahead / Re‐Framing Our Priorities & Goals (45‐60m)
Dialogue & Discussion
Focused on Top In‐Demand Occupations & Career Paths
Building New Stepping Stones
Overarching Strategy: Skill‐up, Backfill & Foundational Skills
Helping employers enhance their competencies in pragmatically helping employees become more personally & professional effective
Action Plan implications / Adjustments
How Will We Measure the Success of Our Collective Efforts?
Affirming / Adjusting Our Sights
As long as we’re at it: How about a Name Change?
Your Thoughts, Ideas, Sensibilities, Etc.
Brent, Paul, Jim, Jill & All
D. Summarize Agreements, Assignments & Next Steps
Next meeting date & agenda items
Brent, Paul & Jim
= Documents attached in packet or will be handed out at the meeting
Healthcare Workforce Steering Committee Notes
Date: November 13, 2018 8:30 to 10:30 a.m.
Location: RCC/SOU Higher Education Center – Room 221 101 S. Bartlett St. Medford
Attendance: Brent Kell, Stephen Johnson Valley Immediate Care
Joan Eberling Pacific Health Care Training
Marla Ipsen Woollard/Ipsen Management
Autumn Boekenoogen Providence Medford Medical Center
Leo Hirner, Lisa Parks, Julie Toledo, Sam Battrick Rogue Community College
Stacey Derrig Southern Oregon University
Dan Peterson Oregon Tech
Hal Jones Medford School District
Dana Shumate, Heather Stafford, Jill teVelde,
Tami Allison, Jim Fong Rogue Workforce Partnership
Welcome & Introductions The group did introductions. Action Plan Action Plan 2.0 Review The group reviewed the revised draft action plan and indicated that they feel that it accurately reflects the work being done. Next Steps:
Jim will make some minor additions to the action plan, and finalize the document Career Pathways / Work-Based Learning Work Group Caregivers School of Learning Update and Coordination Jim reported that a grant from the Workforce Talent Development Board in the amount of $72,000 was secured to kick‐start a new training program that will result initially in 15‐25 participants completing paid internships. Participants will learn about Caregiving and other career occupations in Long‐Term Care (LTC), and also learn about other high‐demand, higher‐wage career pathway opportunities in the healthcare field. The focus is to reach 15‐25 emerging workers (focusing on high school students – juniors and seniors). Conversations are taking place with Julie Rossi about ABS students as well. The idea is to lead and attract people with the heart/compassion for caregiving. Jim indicated that we are getting ready to roll out Traitify and want to incorporate RCC’s Holland Code as
well so people can learn about themselves and their passion. RCC stated that they are finding that if people are motivated by passion and patient connection, they have a much better success rate. Joan and Marla are currently working on the curriculum and hope to start the training the end of January. Heather and Jim met with Laurel Briggs about collateral outreach material that could be presented to students prior to the holiday break. Next Steps:
Dana and Marla will meet outside of this group to strategize getting the information into the high schools.
Jim talked about the recent conversations with Brenda Johnson at LaClinica, who has purchased the WINGS program that could possibly provide a down payment on basic employability skills (hoping to build this into the grant) for these students as well. RCC indicated that they have developed a workshop to help with employability skills and it has been life changing work. Lisa talked about the people who are on assistance and will lose benefits when they get a job. Jim indicated that unfortunately this will not be able to be addressed with this grant; however, we will put this as a placeholder for the legislative and policy goal. The decision has not yet been made regarding how many schools to target. Marla indicated she feels it is important to spend some of the grant monies on transportation and childcare as statistics show these are the two biggest barriers to employment. Guest speakers (from this group) are also wanted to come in and talk to the students about healthcare career pathways. The objective is to show the pathway and some of the avenues that can be taken. The location of the training is still being discussed. Marla has reached out to the Medford Senior Center as a possibility. The students will also rotate around to some of the clinical sites breaking up into three different groups so as to not have too many students in one group. Hal suggested doing the training at the high schools. Dana added that we want to make sure it is accessible to all schools. The class will be paid time and there will be pre and post testing to finish with a completion certificate. The issue will be about the wage of getting hired into a caregiving position. Marla is trying to get buy‐in from the assisted living as well as RCF’s that if a person is hired who went through this training, they will start them no lower than $13 per hour. The question was posed as to whether it was the intention to move out toward the Klamath Basin. Jim indicated that it could be scaled up at a later date; however, it is not part of this grant. Dan Pederson, representing Oregon Tech indicated that caregivers are just as badly needed in the Klamath Basin and would be great to eventually have this program moving to different areas.
Employability Skills The employability skills rubric was talked about at the last meeting but a copy of the rubric itself was not handed out. Dana presented the rubric to the group and indicated that various schools in the area are incorporating this into their teaching. The rubric will also be very prominent at Careers in Gear, and employers are incorporating it when speaking at schools or doing industry tours. The rubric will be incorporated into the next Tech Tour as well as RCC is embedding it into the breadth of the CTE programs. The goal is to develop and take it to the schools to have more intention around embedding it into their teaching. The biggest challenge is to show up on time and attend. Joan will use this rubric, as well as incorporating some consequences, at her training facility. Manufacturers have agreed that they need to be asking for this when hiring and creating a “pull.” Providence Healthcare Training Program Dana updated the group indicating that people are on board and that Providence wants to do one school in Medford. It has been decided to start at South Medford High School as their healthcare program is farther along. Hall shared highlights from his healthcare careers action plan:
Spring of 2021 will have first cohort of Medford seniors on site at one of Providence systems locations doing internships and clinicals
Healthcare Careers I – can emerge as juniors with up to 18 credits articulated to high education credit
Just under 600 Medford students have identified heath care as a preferred pathway. North Medford High school has been teaching some health care courses with about 60 students
and will be launching into Healthcare Careers I at the sophomore level. Trying to attract historically underrepresented populations into the pathway. Senior level in 2021 will have Health Careers 2 and will then be entering clinical rounds. Hal generating a job description for the district for a registered nurse. Students could pick a path in their second year of the class Tracks will be created during their senior year Working with RCC for Medical Assistant class during the school day.
Next Steps:
Hal will send out the action plan and timeline to the group. Nurse Educator Incentive Jim was able to meet with Peter Buckley and Linda Wagner, and also have a conversation with Todd Woollard, Marla’s business partner at Woollard‐Ipsen, and on the Board of Directors for the OHCA (Oregon Healthcare Association). Todd indicated that OHCA may want to take up this topic. The southcoast workforce board is also doing work around this and may want to join forces. Jim reported that the other related piece to the nurse educator shortage is the “tsunami” that is coming in regards
to the Medicare and Medicaid reimbursement rate. Brent suggested that possibly businesses can step up to support the nurse educator incentive. Medical Assistants Coordination Jim handed out the first page of the master information table with the new OED projections 2017‐2027. Jim reminded everyone that OED projections are just forecasted numbers of replacement openings and new openings – “we don’t know what the real demand for MA’s are,” stated Jim; “however, we do know that the demand is still strong.” RCC reported the following training capacity:
Enrolls 30 students twice a year Graduation rate is over 95% and placement rate is over 90%
Pacific Health Care Training reported:
Enrollment target between 40 and 60 Joan indicated that Abdill is enrolling about 100 per year and stated that they are the only ones who can take CNA II and turn into MA. Pacific Health Care training did two large surveys (1700 emails) and asked 5 key questions about Medical Assistants and found that the hours are playing a significant part in why people are switching to MA careers. Even though the MA’s are making less than CNA II at the hospitals, they are choosing MA due to the hours. Joan also indicated that she is seeing a real need for phlebotomists in outpatient clinics. Seeing a l of returning veterans (corpsman) who are drawing blood. Joan thinks that a lot of phlebotomists are pursuing other careers. Joan added that phlebotomy is a very narrow filed where other fields; such as MA, can do a lot of other tasks as well. Phlebotomists can; however, move into the lab and is a good option for people who don’t have the customer care skills but have the health interest. Jim indicated that we have no one around the table from dental facilities and there is a huge demand for dental assistants. The issue is the same, enough training capacity but a challenge to recruit the people into the training. It is known that there is not an easy next step (stepping stone) for dental assistants. Marla suggested structuring the master information table differently so that the focus can be on the specific occupations we are focused on – streamline the data and focus in on the top priorities. Brent suggested that feedback is solicited from the temp agencies who deal with placing people in healthcare positions. The group agreed that unless we hear otherwise from employers, we are good with Medical Assistants as we are building capacity in schools, etc.
Next Steps:
The Healthcare Workforce Steering Committee will meet every two months on the second Tuesday
The next meeting will be January 8, 2019
Tami will secure a location and send out an invite
A meeting will be scheduled to discuss the website
The action plan will be updated and finalized
Invite master schedule administrators from North and South High Schools (Jaime Hartt, Jessica Hamlin)
Forward Hal’s action plan document to the group
Send out skills pyramid and stepping stones diagrams
Send out Traitify and Holland Code information
Follow up with Julie and Lisa on employability skills workshop
Follow up with BEP on healthcare coordination The next meeting is scheduled for January 8, 2019 from 8:30‐10:30 a.m. Location to be determined.
Caring, compassionate caregivers are needed to see to the day-to-day needs of our region’s rapidly growing elderly population.
The Rogue Health Workforce Partnership has created this paid hands-on training / work experience for high school students interested in the Healthcare field of Caregiving. This course is an introduction and pathway into the field of Healthcare. The course will give you an understanding of, and the skills required to, become a caregiver for the aged or disabled in a variety of healthcare settings.
HERE’S THE SCOOP:• Minimum age 16+• No previous experience is required• Introduction to the Healthcare field/
Caregiving taught by veteran RogueValley Healthcare providers
• 7 week Caregiver training program,every Tuesday and Thursday, 3-6PM atthe MSDEC, January 22 – March 12, 2019
• Students earn $11.25 an hour, aCaregiver Certificate and post-trainingopportunities for part or fulltimeemployment at above average wage($13-$14.00/hr.)
• Limited enrollment – students must apply
HOW TO APPLY:To apply, visit the URL below:
roguecareers.org/caregivers
WHERE IS THE CLASS?Medford School District Education Center Room 295815 S. Oakdale Ave.Medford, Oregon 97501
Some training sessions will also be held at on-site at a location.
QUESTIONS? CONTACT US AT:(541) [email protected]
HEROES NEEDED
CAREGIVERS SCHOOL OF LEARNING
Source: USDOL Career One Stop
https://www.careeronestop.org/Competen
cyModel/competency-models/electronic-
health-records.aspx
Healthcare Skills Pyramid
Ca
ree
r P
ath
s –
Life
Lo
ng
Le
arn
ing
Ready for Work, Ready for College
Entry Level Industry Certifications
Occupation-Specific Certifications
High Quality Middle Class Jobs
Social & Emotional Well-Being | Mindfulness | Intentionality | Grit | Presence
1
CTE & Sector Strategies
1
Rogue Workforce Healthcare Partnership Action Plan
Mission Partnering together and leveraging resources, we build better career pathways so that individuals can skill-up and enter into the occupations in high demand by healthcare employers
Strategic Drivers & Initiatives / Projects
Career Exploration & Promotion - inform / engage emerging & transitioning workers on careers in healthcare
Career Highlight Events Action Team: Dana Shumate©, Jessica Wynant, Brent Kell (?)
Objectives:
• Create Career Highlight events for high school student & transitioning workers to help them explore the world of healthcare careers
Success Metrics:
• # students / career explorers participating
Career Pathways Promotion, Outreach & Engagement Action Team: Brent Kell©, Jessica Wynant, Laurel Briggs, Jim Fong, Heather Stafford, Tami Allison©
Objectives:
• Create & implement comprehensive outreach/communications plan to promote, inform & engage emerging & transitioning workers into healthcare pathway career path entry points
• Develop awareness of job opportunities in healthcare industry through creating forums to engage students and catalyze interest for all community members to consider a career in healthcare or cross-training possibilities for individuals who are currently working.
• Website work: engaging employers/interactive, goggle analytics on website hits, etc.
Success Metrics:
• Plan in place
• # engage & getting into training
Build Training Capacity - create & fill new training opportunities & career pathway “Stepping Stone” entry points to meet unmet high-demand needs
Caregiver School of Learning Action Team: Marla Ipsen©, Joan Eberling, Jonna Robinson
Objectives:
• Create hands-on Caregiver training – a new entry point into healthcare career pathway
• Develop concept framework for school of learning (continue to hone the proposal)
• Fill high-demand Caregiver positions
• Partner with long-term care facilities & hook them up to this more robust workforce pipeline connection
Success Metrics:
• # & quality of Caregiver Training completers
• # Trainees employed as Caregivers
Providence Healthcare Training Action Team: Jessica Wynant., Stacey. Autumn, Dana Shumate©
Objectives:
• Replicate this Portland-based training program for high school students in our region
Success Metrics:
• # & quality of Training completers
• # Trainees employed in healthcare
High School Healthcare Certification Programs Action Team: Hal Jones ©, Brenda Dufour, Andy Kovach, Terri Smith, Brent Kell, Mona McArdle,
Jessica Wynant, Marla Ipsen, Dana Shumate
Objectives:
• Develop high school healthcare certification programs in the following order: Medical Assistant, Certified Nursing Assistant, Emergency Medical Technician (Aug 2017)
• In concert with RCC, engage eligible high school juniors and seniors in approved healthcare certification internships with local healthcare providers. (Feb 2018)
Success Metrics:
• Programs in place
• # of students enrolled, completing & certified
• # students employed in healthcare
• Career advancement
• Retention in healthcare
Foundational Skills Action Team: Brenda Johnson, Tiffany Grimes, Sherri Stratton, Jim Fong©
Objectives:
• Innovate new ways to nurture, cultivate & develop Personal Effectiveness Skills (PES) &
Success Metrics:
• Innovations in place
• # engage in PES experiential learning
2
Rogue Workforce Healthcare Partnership Action Plan
Essential Employability Skills – e.g., Wings Weekend Trainings; Coaching Support; Imbed Personal Effectiveness / EQ sessions into occupational skills training
• Pre/Post Surveys & On-going Essential Employability Skills Assessment
• Longitudinal data analysis using predictive analytic tools & customer typologies
Address High-Demand for Dental Assistants & Nurses????
Certified Nurse Assistant Training Action Team: Joan Eberling
Objectives:
• Create adequate CNA I & II training capacity to meet critical industry demand
Success Metrics:
• CNA training capacity in place since 2013?
• __# graduated/ employed
• __# retention in HC jobs + Wage / Advancement
Skill-up - promote & retain current workers with proven motivation, aptitude & skills
Promote “Steps to Success” Skill-Up / Backfill Model to Employers???? Action Team: ???
Objectives:
• Target RWP’s federal & state training funds into Steps to Success model
• TBD
Success Metrics:
• TBD
Legislative and/or Policy Alignment
Nurse Educator Incentive Action Team: Linda Wagner, Peter Buckley, Todd Woollard, Jim Fong©
Objectives:
• Address crisis of inadequate supply of Nursing Instructors & severe financial disincentive for practicing nurses to take these teaching position
• Advocate to Governor, legislature & other policymakers to provide financial incentive for nurses to become instructors
Success Metrics:
• Incentive legislation approved & funding allocated
? Nurse Educator MOU Action Team: Asante/Providence/OHSU Paul Macuga, Marla Calloway, Joann Noone
Objectives:
• Address crisis of inadequate supply of nursing instructors & sever financial disincentive for practicing nurses to take these teaching position
• Reboot nursing instructor partnership & Memorandum of Understanding between education & industry partners to join forces to address this talent shortage.
Success Metrics:
• Teaching partnership & MOU rebooted
Caregiver Earned Income Tax Credit Action Team: Jim Fong
Objectives:
• Address emerging crisis of inadequate supply of Caregiver & significant financial disincentive for workers to take these teaching position (especially in high Medicaid patient long-term care facilities)
• Advocate to Governor, legislature & other policymakers to provide EITC wage subsidy for these critical jobs
Success Metrics:
• Incentive legislation approved & funding allocated
Medical Assistant Training - PHT Application Approval Action Team: Joan Eberling, Jim Fong
Objectives:
• Advocate to Higher Education Coordinating Committee to approve PHT’s application to
provide this training to train current CNA’s to become MA’s
Success Metrics:
• Application approved
= In Process = On Deck = Done © = Action Team Convener