hrh planning & management in the caribbean region
DESCRIPTION
HRH Planning & Management in the Caribbean Region. Outline of Presentation. Goal of HRH Planning Scope and Components of the HRH Planning Process Highlights of the Caribbean Comparison Report Approach to HRH Capacity Development HRH Roadmap: Priorities for Action. Goal of HRH Planning. - PowerPoint PPT PresentationTRANSCRIPT
HRH Planning & Management in the Caribbean Region
Outline of Presentation
•Goal of HRH Planning•Scope and Components of the HRH Planning Process•Highlights of the Caribbean Comparison Report•Approach to HRH Capacity Development •HRH Roadmap: Priorities for Action
Goal of HRH Planning
“To achieve and maintain an optimal and stable supply and distribution of appropriately trained, deployed, supported and motivated health workforce, with the capacity to respond to current and future population health care needs in a way that maximizes efficiency and effectiveness while being affordable and sustainable…”
The History of HRH Planning
HRH Planning Context
Sustainable Health System Reform
Health Delivery
CHANGE MANAGEMENT
Sustainable Health Workforce
\ Policy / EducationFinance / PartnershipL Leadership
HRH
Planning
Development
Management
Workforce Development
Affordable Healthcare
Health System Outcomes
Health Expenditure & Outcomes
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(3) (1) (2)
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(4) (2) (4) (2) (2) (2) (3) (1) (3) (5)
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Ranking
Equity in Healthcare Delivery
Equity for Healthcare Workers
Health System Cost Drivers
Technology Management
Application of Technology
Telemedicine
Primary Health Care Teams
HRH Task Shifting
Competency-Based Deployment
HRH Forecasting
HRH Forecasting
Recruitment & Retention
HRH Management & Development
Governance in Healthcare
Knowledge Translation & Exchange
Non-Communicable Diseases
NCD’s
Injuries
CD’s
Non-Communicable Diseases Lifestyle Risk Factors Policy Response
- Primary Health Care
- Public Health
- Health Promotion/Disease Prevention
- Health Education
- Community Health Support
WHAT ARE THE IMPLICATIONS FOR HUMAN RESOURCES FOR HEALTH PLANNING ?
Health Outcomes
HRH Reform ISSUES:
SupplyDemandProductionTrainingRecruitmentRetentionDistributionAccessDeploymentHealth/SafetyProductivityMigrationManagementPaymentSustainability
Review of HRH in the Caribbean
Historical Trends
-Only Dominica, Trinidad & Tobago and St. Lucia up in MD supply in last decade-Others record a decline in physician numbers, the greatest in Jamaica-Jamaica and Guyana greatest decline in RN numbers-Jamaica and Grenada the highest health worker emigration-Regional out-migration of 81% RNs and 53% MDs-78% employed in the public sector-Specialists 17% of Dominica’s MD stock; 85% in Anguilla-Trinidad & Tobago recruiting 450 RNs and 119 Medical Specialists-Guyana 300 vacancies, 25% to 50% vacancy rates -Possible surplus of health workers in Guyana in less than five years
Review of HRH in the Caribbean
Regional Goals-8 of 11 countries achieve the minimum target of 25 per 10,000 population-Jamaica and Belize 25% of goal; Montserrat & Barbados 3.3 times minimum target-Only Belize and Grenada were 40 percent of MDs PHC physicians-5 of 9 countries achieved 90% of required PHC competencies & team coverage-One RN for every MD achieved by all countries; Montserrat & Barbados 8.3 to 1-All countries had an HRH Unit, but the majority were one-person operations-80% of population growth occurring in urban areas-Four countries reached target regarding staff inter-cultural competencies-Jamaica, Dominica & St. Lucia reported upgrading staff skills and competencies-Only four countries recruited PHC workers locally-Only Barbados & Jamaica had adopted recruitment codes of practice -No countries had achieved self-sufficiency in HRH
Review of HRH in the Caribbean
Regional Goals-29% of health workers were in precarious, unprotected positions-Six countries had worker health and safety practices in place-Four countries had managers with appropriate competencies-All countries had labor dispute mechanisms; 67% essential services legislation-Six countries provided some inter-disciplinary training, the highest in Jamaica (73%)-Only Jamaica & Barbados recruited students from under-serviced areas-Only Barbados, Jamaica & Guyana have nursing attrition rates less than 20%-Six countries have reached the target regarding health program accreditation
Conclusions-About HALF the Regional Goals are well underway-Continuing support needed for data development, HRH planning capacity, ongoing skills development and workforce management and retention.
HRH Action Framework
HRH CAPACITY DEVELOPMENT & SUSTAINABILITY
CORE FUNCTIONS MoH LINKAGES ENABLERS
Data DevelopmentTrend MonitoringResearch & AnalysisSupply & DistributionNeeds IdentificationCost-Benefit/ImpactStrategic PlanningForecastingEvaluation
LeadershipManagementEducation/TrainingCurriculum CommunicationsKTELeg/RegulationPrograms/PoliciesStds/GuidelinesPartnershipsFinance/Incentives
FACILITATION PARTICIPATION COORDINATION COLLABORATION
GOAL : Optimal, Productive, Accessible, Responsive, Motivated & Stable Workforce
PLANNING DEVELOPMENT IMPLEMENTATION EVALUATION MODIFICATION
Primary Health CarePublic HealthHealth PromotionRHA’sFinanceHealth InstitutionsMental HealthHealth & SafetyHealth InformationCNO / MOHResearch & Planning
Health Workforce Productivity
CapacityDevelopment
WorkforceOptimization
Workplace Support
Outcomes
Education & Training
Workforce Culture, Communications & Expectations
Supply & Mix
Models of Care
Matching Competencies to Requirements
Provider Roles & Deployment
Mix, Numbers &Distribution
Occupational Health & Safety
Personnel ManagementPractices
Innovation &Support
Stability of Workforce
Efficiency in health services delivery
Effectiveness of Patient Care, Health Outcomes & Population Health
Roadmap: Priorities for ActionGovernance
• HRH Database Development• HRH Policy Inventory• HRH Policy Brief Development• (Online) Observatory Development• Processes to Update & Disseminate Information• Hiring Guidelines stipulating Public Health
competencies• MoH to draft new supporting HRH policies
HRH Roadmap: Priorities for ActionEducation & Training
• Build capacity & competencies to meet challenges of NCD’s• Caribbean Learning Network courses in planning, evaluation
and management• CLN courses in online in-service training to work in inter-
professional teams• Enroll HR Managers in online HRH Management courses• Health staff will upgrade competencies as required• CLN will begin process of course accreditation • Ongoing commitment to staff training & capacity building• Improved working conditions through better staff preparation