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NORTHEAST OHIO REGIONAL ALLIED
HEALTH WORKFORCE SUMMIT III
Welcome!
Opening Remarks
August A. Napoli, Jr.Chairman
Northeast Ohio Health Science & Innovation Coalition
andPresident and Chief Operating Officer
Summa Foundation
Allied Health Summit III Sponsored by:
EMH Regional Healthcare SystemLakeland Community CollegeNEO HealthForceNortheast Ohio Health Science & Innovation
CoalitionSumma Foundation
Thank you to These Planning Partners
Akron Regional Hospital AssociationCenter for Health AffairsNEO HealthForceNortheast Ohio Council on Higher EducationNortheast Ohio Health Science & Innovation
CoalitionOhio Hospital AssociationOhio Skills Bank
Opening Remarks
Stacia EdwardsDirector
Workforce Development InitiativesEconomic Advancement Division
Ohio Board of Regents
NEO Allied Health Planning Process
Barb Greeneand
Carla SibleyProcess Co-Facilitators
NEO Allied Health Planning Process
Allied Health Roundtable Dialogues held in July 2008: hosted by NOCHE and NOHSIC
NEO Allied Health Planning Process
Allied Health Summit I: to identify the Allied Health workforce needs of NEO healthcare employers held in September 2009 – hosted by NOHSIC, along with ARHA, CHA, NEO HealthForce, NOCHE and OSB
NEO Allied Health Planning Process
Allied Health Summit II: held in December 2009 to identify the Allied Health workforce needs of multiple stakeholders– hosted by NOHSIC, along with ARHA, CHA, NEO HealthForce, NOCHE, NOHSIC and OSB
NEO Allied Health Planning Process
Allied Health Action Team Planning January – July 2010Diverse Allied Health stakeholders Co-leadersEach team addressed one critical Allied
Health issue, conducted additional research and made recommendations for a regional Allied Health Action Plan
NEO Allied Health Planning Process
Allied Health Action Teams
Access to Allied Health TrainingK-16 Allied Health Career Awareness and
Academic Preparation Incumbent Allied Health Workforce
DevelopmentAllied Health Faculty DevelopmentAlignment of Allied Health Accreditation,
Certification and Licensure Requirements
Access to Allied Health Training
Roy Anderson, Director, Education Partnerships, Allied Health Education, Cleveland Clinic
Patricia M. Gray, Ph.D., Vice President, Health Care Education Initiatives, Cuyahoga Community College
Action Team Members
Dr. Patricia Gray, Co-Chair, Cuyahoga Community College
Roy Anderson, Co-Chair, Cleveland ClinicMichael Glonek, Youngstown State UniversityCara Padin, Southwest General Health CenterMarquita Rockamore, City of ClevelandJohn Thornton, Stark State CollegePam Waite, Center for Health Affairs
Question
What are potential solutions to improving access to Allied Health clinical training sites and how can we improve and support the clinical experience?
Allied Health Disciplines
FactorsPotential growth of programs based
on student demand.Clinical access is challenging.
Allied Health Disciplines(Occupational Outlook Handbook, 2010-11
Edition)
Physician Assistants (39% growth)Respiratory Therapy (21% growth )Laboratory Medicine
MT (12% growth ) MLT (16% growth )
Rehabilitation Sciences OT (26% growth) / OTA (30% growth) DPT (30% growth) / PTA (33% growth) Speech-Language Pathology (19% growth)
Survey(Rating Scale Questions – 10 Point Scale)
Hospital Size Workforce Need - Next 5 years Current Affiliation with Academic Institutions? Identify Annual number of student currently training Current Conditions – Maximum number? Ideal Conditions – Maximum number? Does your institution provide incentives to staff? Rate potential barriers to training students Support evening, nights, weekend training? Could department support evening, nights, weekend
training? Suggest ways barriers could be removed Rate reasons for training students Suggestions to improve and support student training?
Results
Workforce Need
Ideal Access BarriersEvening, Nights &
Weekends?
Reasons for Training
Physician Assistant(n=7)
Affiliation(n=5)
7.00 97 232(139%)(n=4)
Staff (4.5)Productivity (4.17)
Yes Potential Employee Shortens Orientatio
n Employ the Best
Results
Workforce Need
Ideal Access
BarriersEvening, Nights & Weekends
Reasons for Training
Respiratory Therapy(n=23)
Affiliation(n=18)
5.26 297369(24%)(n=17)
Staff (6.78)
Productivity (5.56)
Yes Potential EmployeesEmploy the
Best Shortens
OrientationStaff
Competence Engages Staff
Results
Workforce Need
Ideal Access
BarriersEvening, Nights & Weekends
Reasons for Training
LaboratoryMT(n=17)Affiliation(n=15)
MLT(n=17)Affiliation(n=15)
8.07
7.00
34 64(88%)(n=8)
43 69(60%)(n=13)
Staff (7.58)Space (6.33)
Productivity (6.25)
Staff (7.53)
Productivity (6.40)Space (6.33)
Yes
Yes
Potential Employees Employ the
Best Engages Staff
Potential Employees Employ the
BestShortens
OrientationEngages Staff
Results
Workforce Need
Ideal Access
BarriersEvening, Nights & Weekends
Reasons for Training
RehabOT(n=22)Affiliation(n=14)
OTA(n=27)Affiliation(n=15)
6.73
4.58
70 99(41%)(n=12)
38 61(61%)(n=14)
Staff (7.73)Space (5.67)Others (<5.00)
Staff (7.29)Others (<5.00)
Yes
Yes
Potential EmployeesRetention Employ the
Best Professional Responsibilit
y
Employ the Best Potential
EmployeesRetention
Results
Workforce Need
Ideal Access
BarriersEvening, Nights & Weekends
Reasons for Training
RehabPT (DPT)(n=18)Affiliation(n=13)
PTA(n=18)Affiliation(n=13)
7.06
6.56
133 175(32%)(n=13)
45 76(69%)(n=13)
Staff (5.57)Others (<5.00)
Staff (5.27)Others (<5.00)
Yes
Yes
Potential Employees
Professional Responsibilit
y Shortens Orientation
Potential Employees
Engages StaffProfessional Responsibilit
yRetention
Results
Workforce Need
Ideal Access
BarriersEvening, Nights & Weekends
Reasons for Training
RehabSpeech(n=18)
Affiliation(n=6)
5.27 16 17(6%)(n=6)
Staff (7.50)Others(<3.00)
Yes(Evenings Only)
Potential Employees
Professional Responsibilit
y Shortens
Orientation
Recommendations
Appeal to physician organizations (PA)Remove or modify clinical productivity
measures for staff who teach students (RT)Regional assessment of program start dates
(RT)Evening, night and weekend experiences
(RT, others)Appeal to regional hospitals not affiliated
with academic institutions (MLT/MT)Investigate availability of $$$ from
Workforce Development to support clinical preceptors (MLT/MT)
Consider 2 students to 1 preceptor model (rehab sciences)
Recommendations
Explore expanded use of simulationCreate regional alliance for
coordination of clinical placement of allied health students
Promote preceptor (train-the-trainer) programs
Pilot use of StudentMax for allied health student placement (NEONI)
Use of incentive programs for staff engaged in teaching
Progress
Evening, night and weekend clinical experiences
Workforce investment $$$ to support clinical preceptor
Promote preceptor (train-the-trainer) programs
Tri-C (DOL Grant) – Online Instructor Training Course
Scheduled Completion Date: November 2010 Incentive programs for staff engaged in
teachingIncrease use of simulation – EHR systems,
human patient simulators for all age groups, standardized patients
K-16 Allied Health Career Awareness
and Academic Preparation
Linn Gahr, Region 8 Co-Administrator, Ohio Skills Bank/Lakeland Community College
Beth Vidmar, Director, Human Resource and Workforce Development, Summa Health System
Melissa Carr, Tri-County Computer Services Association
Bill Novak, Cuyahoga Valley Career Center
Barbara Flinn, Cleveland Clinic
Ann Marie Ondo, Akron Children’s Hospital
Linn Gahr, Region 8, Ohio Skills Bank
Gina Pastella, formerly w/NEO HealthForce
David Kleinschmidt, Ashland County West Holmes Career Center
Kathy Radigan, Willoughby Eastlake Schools
Don Landek, University Hospitals Belinda Richardson, Tri-C
Danita Logan, OneStop Ohio Carla Sibley, Akron Public Schools
Ronna McNair, Tri-C
Patricia Smith, Trumbull County OneStop
Barbara Mikuszewski, Tri-C
Cheryl VanHorn, Metro Health Medical Center
Kimberly Moss, Summa Health System
Beth Vidmar, Summa Health System
Molly Neider, Tri-C
K-16 Allied Health Career Awareness
and Academic Preparation Team
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
CHARGE: Identify and recommend two to three Workforce
Solutions Purpose of increasing the available talent supply in
Allied Health in Northeast Ohio
MEMBERS: 20 individuals representing Northeast Ohio’s:
employers workforce agencies Non-profits educators
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
MEETINGS: Five meetings conducted between March 8th and July 15th 2010 Two conducted in person Three conducted by phone
APPROACH: Through consensus members decided to:
Identify and prioritized issues relevant to this area Research and identify best practices in Northeast Ohio and
Nationally Survey K – 12 educators to ascertain their interest in
promoting Career Awareness to their student population Determine which types of programs and methods of delivery
would be most valuable Conclude by coming to consensus on recommendations
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
ISSUES: Identification of priorities Academic preparedness in math and
science Engagement of parents in career
awareness Adequate resources; time, availability of
counselors, teachers Availability of programs at non-traditional
times outside of classroom Engage speakers of other languages
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
BEST PRACTICES: Members divided up into 3 groups
to conduct preliminary research and identify best
practices in Northeast Ohio and nationally. The
groups were divided as follows by grade level: K – 8 9 – 12 Post secondary
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
Results of Best Practices work: Database developed identifying practices:
Summer camps including field trips and hands on experiences Classroom instruction delivered by healthcare professionals Course content aligned with math/science curriculum Volunteer experiences Programs delivered at the site of post secondary schools Employment opportunities connected to program delivery Introduction to Healthcare careers with academic support
workshops Teacher Awareness workshops PowerPoint presentations Career Fairs hosted by educators and with healthcare
professional guests
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
Resources Template
Name of Program
Links/ Website
Focus Descrip - tion
Program Site
Scholar- ship
Cost Length Program/ Type of Camp
Grade/ Gender
Criteria to Enter
# Accepted
Health Careers & Nursing Summer Explora-tion
www.healthy-careers.org
HealthCareer options, educa- tional Prep
Career Assess, Field trips, facility tours, Hands On, View proced-ures
Tri-C MetroCampus
N/A Free 2 weekSummerDay Camp2 Sessions
Session110th and 11th GradeSession 27th, 8th and 9th grade
“B” average, Counselor recom-mend, parent consent, online app, Greater Cleveland
40 each session
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
SURVEY: Assessment needed to identify the level of
interest and value of best practices Survey developed and sent to 54 K – 12
school representatives in NEO Received a 48% response rate (26
responses) including: Superintendants, Curriculum Directors, Career Development Specialists, Professional Development Specialists, K – 12 Counselors and Principals among others
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
SURVEY: Highlights:
Almost unanimous school district support encouraging K – 12 Allied Health Career Awareness
Focus should be on middle school students ½ of respondents have participated in career
awareness 2/3 were willing to participate in Allied Health
Career Awareness training Preferred: field trips, shadowing, curriculum
alignment, on site speaker/presentations and web based
¾ believe a database would be helpful Most familiar with WVIZ & www.healthy-career.org
Allied Health Action TeamCareer Awareness & Academic Prep K – 16
FINAL RECOMMENDATIONS: Note: Action Team members felt we were just
scratching the surface – much more needs to be done! Engaging K – 12 educators More comprehensive identification of best practices Further evaluation of the impact of best practices on
guiding students, parents and educators House and maintain updated and comprehensive
database with the www.healthy-careers.org site Market database with stakeholders Conduct focus groups with K – 12 representatives for
further research into effective methodologies and rank/prioritize
Incumbent Workforce Development
Advancement of Incumbent Workers Into High Demand
Allied Health Occupations
Tracy Carter, MHSA, Director of Government Affairs and Health Policy, Summa Foundation
Lisa Goetsch, M.Ed., Director, Workforce Development, Kent State University; Region 12 Ohio Skills Bank Coordinator
Action Planning Team
Richard Biering Akron Children’s Hospital Sandra Bizzell Cuyahoga County Workforce Dev. Christine Bok Mahoning Columbiana Training Association Marsha Bucciarelli IT Certification Institute Jeanine Carroll Cleveland State University Tracy Carter Summa Foundation Diane Euchenhoffer Greater Akron Chamber of Commerce Elizabeth Gildone Cleveland Clinic Foundation Lisa Goetsch Kent State University, Reg 12 Ohio Skills Bank Bill Hanigan Medina County Office of Workforce Dev. Mya Hasson Eastern Gateway Community College David Kleinschmidt Ashland County-West Holmes Career Center Chelsea Mills Towards Employment Kim Moss Summa Health System Robert Paponetti The Literacy Cooperative Debbie Perkul University Hospitals Cathy Rowan Akron Children’s Hospital Beth Vidmar Summa Health System
Greatest Opportunities
Improving basic literacy and soft skills
Improving awareness of career paths and available resources
Providing supervisor training to support employee advancement process
Improving Select Skills and Improving Awareness of Career Paths and Resources
Offer literacy and soft skills training at employer sites
Identify and implement methods of tracking students’ progress
Support employees through advancement process
Support diverse populations
Improving Select Skills and Improving Awareness of Career Paths and Resources
Provide online access to career assessment and awareness tools
Provide career counseling for employees
Develop and display career ladders
Improve awareness of career pathways among employee and supervisor groups
Evaluate success of actions/activities
Providing Supervisor Training to Support Employee Advancement
Secure organizational support for training and plans
Develop training outline and curriculum
Confirm methods of delivery
Implement and evaluate supervisor training
Other Thoughts
Convene regional leadership to review and recommend best practice models and tools to support employee advancement process
Career Assessment Tools Supervisor Training on Effective Employee
Advancement Approaches
Allied Health Faculty Development
Deidre Windom, Director, Human Resources, Humility of Mary health Partners
Frank P. Ward, Ph.D., Dean, Allied Health and Nursing, Lorain County Community College
Action Team Members
Stacy Buser, University of AkronBarb Demyan, Southwest General Health
CenterCarol Drennan, Kent State University-
AshtabulaBarbara Leisinger, Summa Health SystemBarbara Pisanelli, Summa Health SystemMonika Mokos, Southwest General Health
Center
THE ALLIED HEALTH FACULTY DEVELOPMENT TEAM
INITIATED TWO SURVEYS. BOTH SURVEYS WERE
ADMINISTERED TO CLINICAL INSTRUCTORS AND HUMAN
RESOURCE PROFESSIONAL AT INSTITUTIONS IN NORTHEAST
OHIO
Key Question Addressed: What can universities, trainers and employers do
to remove barriers and increase the regional pool of Allied Health faculty?
Key Findings: Clinical Staff Survey
Perceived obstacles for clinical staff to serve as clinical instructors in their disciplines or professional areas: High workload, employer expectations for productivity, lack of rewards/incentives.
Perceived degree of employer support for professional development of clinical staff for clinical instructions: Very strong
Types of instructor development activities respondents have participated in over past two years: Workshops/seminars, formal training, online courses, conferences to name a few.
Key Finding: Health System Human Resource Professional Survey
Allied Health programs utilizing clinical faculty: Medical Lab Techs, Radiology Techs, Physical and Occupational Therapy Asst., Medical Assistants and Pharmacy Tech.
Items that qualify for tuition reimbursement at respondents institutions: college course work leading to a degree or certificate.
Items qualifying for reimbursement through individual department education budgets at respondents’ institutions: workshops, seminars and continuing educations programs.
Perceived degree of support for professional development of Allied Health clinical instructors at respondents’ institutions.
Action Team Recommendations
Encourage employers to provide access to website for clinical training and instructions.
Promote regional online learning opportunities through centralized and individual institutions’ websites.
Initiate regional collaborative programs that develop and employ clinical faculty.
Encourage employers and supervisors to provide flexible workloads and schedules to support clinical instruction.
Encourage employers and supervisors to recognize and provide creative incentives and awards (e.g. CEUs) for clinical instructions whether in-house (at health system) or through educational institutions.
Identify and disseminate best practices for promoting and expanding clinical instruction.
Alignment of Allied Health Accreditation, Certification and Licensure Requirements
Deborah L. Hardy, Dean, Science and Health Technologies, Lakeland Community College
Angela Key, PHR, CCP, Director, Human Resources, EMH Regional Healthcare System
Alignment of Allied Health Accreditation,
Certification and Licensure Requirements
Action Team Leaders: Angela Key, EMH Regional Healthcare System Deborah L. Hardy, Lakeland Community College
Action Team Members: Stacey Ashford, Remington College
Maria DeLost, Youngstown State UniversityDonna Moore-Ramsey, Cuyahoga Community
College
KEY QUESTION AND PRIORITIES Action Team Question:What needs to be done to align licensure, accreditation and certification standards with Allied Health training and employer needs? Action Team Research Topics:Priority 1: Differentiate between certification and licensure for each high demand allied health occupation.Priority 2: Identify commonalities in accreditation processes between professions.
RESEARCH TOOLS
Summit I survey with high demand occupation dataHigh demand chart focused on high demand
occupations of Physician Assistant, Respiratory Therapist, Medical Lab Technologist/Medical Technologist, Physical Therapist/Physical Therapy Assistant
Asset Maps from Ohio Skills Bank Regions 8, 9, 12 Research resource:
http://arha.org/Career/2010ARHA%20HealthCareerGuide.pdf
Research resource: http://www.ama-assn.org/ama/pub/education-careers/careers-health-care/directory.shtml
KEY FINDINGS
After review of the high demand areas of PA, PTA/PT, MLT/MT, and Respiratory, the Action Team recognized that Respiratory and MLT/MT permit limited employment options with anticipation of licensure/certification.
Employers hire graduates on limited status and provide parameters for licensure/certification.
Concerns were identified with the transition from PTA to PT—it is not a smooth transition.
Several advisory boards exist across the region and the same stakeholders participate.
ACTION TEAM RECOMMENDATIONS
Collapse action team into another committee to ensure some periodic monitoring of accreditation, licensure, and certification.
Provide venue to share committee findings with the large healthcare community through a website that is maintained and centralized for all to refer as needed.
NORTHEAST OHIO REGIONAL ALLIED
HEALTH WORKFORCE SUMMIT III
BREAK TIME!
Advancing the NEO Allied Health Workforce Action Plan
Updates on Activities and Outcomes in OSB Regions 8, 9, & 12
Linn Gahr, Region 8 Co-Administrator
REGION 8: Cuyahoga, Geauga, Lake, Lorain
Electronic Health Records CurriculumLakeland CC: HRSA Grant - Train the
Trainer; MEDS program, Pharmacy TechTri-C: Faculty Development Course Online Grant Applications: DOL, TANF, OBR, CAELNEONI Nursing Forecasting ModelSTNA + Home Healthcare Provider
Curriculum
REGION 9: Medina, Portage, Stark, Summit, Wayne
Creation of Introduction to Health Careers course offered through ABLE. Successful completers received 1 transcripted credit.
Development of a contextualized healthcare curriculum that combined developmental courses with STNA training. To date three cohort groups have matriculated through the program.
New certificate and degree offerings in the Dental and Dietary/Nutrition career pathways.
Recently instituted Paramedic – RN program.Ongoing exploration of certificate programming
and articulation opportunities.
REGION 12: Ashtabula, Mahoning, Trumbull
KSU@T: Associate Degree Allied Health Management - online
KSU@A: OTA, PTA and Respiratory TherapyCareer Centers/ABLE: Medical Readiness: nearly
400 served to dateNEOHealthForce/1 Stops: Quarterly Healthcare
Career WorkshopsMCTA (One Stop): Career Pathways GrantBusiness Resource Network – success, expansionEGCC: Federal Grant for healthcare pathways
(new)
ALLIED HEALTHCARE SUMMIT III
THANKS TO ALL OUR PARTNERS!
Linn Gahr, C0-AdministratorRegion 8, Ohio Skills [email protected]; 440-525-7587
Advancing the NEO Allied Health Workforce Action Plan
Other Updates on Actions Relative to NEO Allied Health
Workforce Development?
Regional Allied Health Workforce Development Recommendations
1. Create a regional alliance to coordinate the clinical placement of A.H. students
2. Expand the # of A.H. clinical faculty3. Increase access to clinical training opportunities4. Build capacity of employers to provide A.H. career
awareness and workforce development opportunities.
5. Educate and encourage employers to invest in career awareness and workforce development.
6. Establish a regional A.H. website to support training, recruitment, employment, career pathways and more
For a Copy of the Northeast Ohio Allied Health Workforce Action Plan Report
and Appendices, Please Visit
Akron Regional Hospital Association:www.arha.org
University System of Ohio/Ohio Skills Bankhttp://uso.edu/opportunities/ohioskillsbank/index.php
Center for Health Affairs: www.chanet.org/home/CHA/NEONI/
Open Mic – Your Thoughts, Please!
Are there other actions being
taken that support the implementation of our action plan?
Open Mic – Your Thoughts, Please!
What is being done or what can
be done within our own institutions?
Open Mic – Your Thoughts, Please!
What must be done through regional collaborations to advance our plan?
Open Mic – Your Thoughts, Please!
What benchmarks do you suggest we use to measure our
progress over time?
Regional A.H. Workforce Recommendations
1. Create a regional alliance to coordinate the clinical placement of A. H. students.
2. Expand # of A.H. clinical faculty.3. Increase access to clinical training
opportunities.4. Build employers’ capacity to provide A.H.
workforce development opportunities.5. Secure employer investments/incentives in
A.H. career awareness and development.6. Establish a regional A.H. website for
recruitment, career awareness, employment, development
Next Steps and Concluding Remarks
Deidre Windom, Chair, NEO HealthForce
and Human Resources Director, Humility of
Mary Health Partners
Thank you to our Sponsors!
EMH Regional Healthcare SystemLakeland Community CollegeNEO HealthForceNortheast Ohio Health Science & Innovation
CoalitionSumma Foundation
Thank you to These Planning Partners
Akron Regional Hospital AssociationCenter for Health AffairsNEO HealthForceNortheast Ohio Council on Higher EducationNortheast Ohio Health Science & Innovation
CoalitionOhio Hospital AssociationOhio Skills Bank