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Wisconsins Statewide Clinical Placement Summit: Meeting the Challenge of Expanding Clinical Nursing...

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Slide 2 Wisconsins Statewide Clinical Placement Summit: Meeting the Challenge of Expanding Clinical Nursing Opportunities Roberta Gassman, Secretary Department of Workforce Development Slide 3 April 11, 20072 Wisconsins Economy Slide 4 April 11, 20073 Wisconsins Economy Fiscal house in order and economy on track Jobs up, unemployment down -Gained 187,400 jobs & 9,000 employers since Jan 03 Natl Honor Roll twice - 1 of 6 states Corp for Enterprise Dev. Exports up 60% since 2003 Slide 5 April 11, 20074 Governors Opportunity Budget for Working Families Fiscally Responsible Invests in Shared Priorities Creates Opportunities Tax Relief for Middle Class Families -Health Insurance, Child Care, Tuition, Social Security Create Jobs Save Taxpayers $1.7B in 4 yrs Helps Communities and Businesses Slide 6 April 11, 20075 Governors Opportunity Budget for Working Families Education Tripling School Breakfast Quality Child Care Funding 2/3 of K-12 Special Ed increase by $54M 4 yr old K & SAGE 3 rd year Math & Science Wisconsin Covenant Tech College/Worker Training increased x 4 Doubling Youth Apprenticeship Slide 7 April 11, 20076 Governors Opportunity Budget for Youth Apprenticeship 30% in Health Care Careers Youth Apprenticeship Funding Doubled Slide 8 April 11, 20077 Governors Opportunity Budget for Higher Education To increase nurse capacity $225 M to UW System Covenant Office Financial aid increased by $44M Limited tuition increase to 4% $21M UW Growth Initiative Funding for emerging and essential occupations: nurses, teachers, scientists, engineers Slide 9 April 11, 20078 Governors Opportunity Budget for Working Families Affordable Health Care Expand BadgerCare Plus -all children -low wage adults, pregnant women Catastrophic coverage Anti-smoking Slide 10 April 11, 20079 DWD Efforts 2 nd Annual WI Health Care Workforce Report This document represents our yearly checkup Defines challenges Provides updates Copies available on-line at: dwd.wisconsin.gov/healthcare Slide 11 April 11, 200710 Health Care Occupations in High Demand Nationally - 30.3% growth and 4.7 million new jobs by 2014, 3 of every 10 jobs will be in health care Wisconsin Specifically for nursing, we will need RNs to fill 1,600 new jobs and 1,010 replacements every year to 2014 Slide 12 April 11, 200711 Top jobs in new job growth Health Diagnosing and Treating Practitioners, Registered Nurses, Health Technologists and Technicians, Nursing/Psychiatric/Home Health Aides, Home Health Aides, Other Healthcare Support Occupations Top jobs in % growth Physician Assistants, Registered Nurses, Respiratory Therapists, Dental Hygienists, Diagnostic Medical Sonographers, Surgical Technologists, Medical Records and Health Information Technicians, Home Health Aides, Dental Assistants, Medical Assistants Top job growth in overall #s Health Diagnosing and Treating Practitioners, Registered Nurses, Health Technologists and Technicians, Nursing/Psychiatric/Home Health Aides, Home Health Aides, Other Healthcare Support Occupations The Top Jobs by 2014 Slide 13 April 11, 200712 Collaboration Health Care stakeholders must work together to avoid potential shortages of nurses and other health care workers Working together, we can make the health care sector more attractive by building career ladders and bridges to family supporting jobs Slide 14 April 11, 200713 Summit Resolution Let us reaffirm our commitment to finding solutions to the challenges facing the health care sector Please join with me in the signing of this Resolution Slide 15 April 11, 200714 DWD Efforts Select Committee on Health Care Workforce Development formed in 2003-key stakeholders: Health Care Organizations & Advocacy Groups- home health, nursing homes, & long-term care Labor Education Other government agencies Slide 16 April 11, 200715 DWD Efforts Workplace Issues - Developing best practices to improve retention rates. Stronger Data for Planning To improve projections of health care occupations in demand. Clinical Site Capacity and potentially developing an on-line product to assist with placement and reservation. Slide 17 April 11, 200716 DWD Efforts Bureau of Labor statistics-6 of top 10 occupations at highest risk for back injuries are in health care Employees from Gunderson Lutheran Hospital, La Crosse, demonstrate a safe lifting device to Secretary Gassman Governor Doyles Safe Lifting Initiative $325,000 WIA funds-18 projects around the state 7,500 nurses & other health care workers recd training in proper lifting Slide 18 April 11, 200717 Working together keeps our Health Care Workforce #1 Slide 19 April 11, 200718 Senator Herb Kohls Health Care Agenda JoAnne Anton State Director Senator Kohls Office Slide 20 April 11, 200719 Overview of Clinical Placement Issue Nancy Sugden, Director Wisconsin Area Health Education Centers Slide 21 April 11, 200720 Health Workforce Concerns Changing healthcare needs of the population Current and projected shortages in the healthcare workforce Chronic maldistribution of the workforce - number of rural and urban underserved areas (HPSAs) Limited access of students from minority and rural backgrounds to health professions careers Slide 22 April 11, 200721 Initial Statewide Efforts April 2000 - Formation of Health Care Workforce Coalition joint project of WHA, AHEC and many other partners April 2002 - WTCS organized conference: Taking Action! Creating Healthcare Workforce Solutions Spring 2003 - Formation of Governors Select Committee for HealthCare Workforce Development Slide 23 April 11, 200722 Initial Statewide Efforts Health Care Workforce Coalition early conversations about actions needed to address anticipated shortages initial focus on health careers recruitment/pipeline, career ladders, apprenticeship programs and longterm care needs quickly found major roadblock - limited capacity of training programs to expand, in part due to need for clinical placements WTCS activities standardization of health professions curricula and pre-requisites across campuses, transferability of courses, development of on-line options, expansion of facilities and use of sophisticated patient simulators Slide 24 April 11, 200723 Academic Program Initiatives support for health careers activities and pipeline programs in underserved areas and populations several grant-funded projects focused on increasing the number of masters-prepared nurses available to teach in the health professions programs, especially nursing NET SWIFT LEAP Other grant-funded initiatives to develop capacity of community-based sites and providers - to provide learning opportunities for health professions students Slide 25 April 11, 200724 Regional Efforts Development of regional collaborations under leadership of several different groups Regional AHECs and academic partners: health careers continued effort to develop new community-based training sites Local Workforce Boards giving increasing attention to health workforce issues Fox Valley Health Care Alliance La Crosse Health Science Consortium Slide 26 April 11, 200725 Current Status Diminishing federal grant resources available to academic programs to address healthcare workforce issues (Title VII Health Professions funding) Increasing appreciation of the challenge posed by current and impending health workforce shortages the need for a collaborative, regionally-focused approach with broad external statewide support to get the job done Must expand capacity for clinical placement Slide 27 April 11, 200726 Clinical Placement What are clinical placements? Coursework involving hands-on, direct care or service experience and evaluation of the students skills, variously referred to as: Clinical Clinical rotation Clerkship Fieldwork experience Community placement Practicum Internship Slide 28 April 11, 200727 Clinical Placement Why are clinical placements so important? Couldnt we fill the need through expanded use of manikins, clinical simulators and standardized patients? Students need experiences outside the formal classroom, in community and patient care settings under the supervision of skilled practitioners, to develop their critical thinking and clinical judgment skills and learn to use those skills in a dynamic work environment. Slide 29 April 11, 200728 Clinical Placement What kind of students? Technical college associate degree and technical training programs Undergraduate health professions degree programs Advanced degree programs What fields? Medicine Dentistry Nursing Physician Assistant Pharmacy Respiratory Therapy Radiologic Technology Nutrition Social Work Physical Therapy Mental Health -and many others- Slide 30 April 11, 200729 Clinical Placement What kind of facilities? direct patient care (inpatient or ambulatory) technical and support services such as: pharmacy radiology dietetics social work long-term care facilities mental health facilities hospice home health other community agencies schools and public health agencies Slide 31 April 11, 200730 Clinical Placement How scheduled? Time blocks of 2 hours to a full day A few days a week, integrated into a general education curriculum and a regular campus course schedule or A full-time block of several weeks when students may be engaged in the field experience full time Slide 32 April 11, 200731 Clinical Placement Who teaches and supervises the students? faculty from the academic program who accompany students to the site or staff at the clinical site in consultation with a faculty clerkship director who makes occasional site visits On-site staff are often called preceptors, mentors or community faculty and may have volunteer appointments with the academic program. Slide 33 April 11, 200732 Clinical Placement What are the expectations of the student? The student may be merely observing, or may be participating directly in patient care or service delivery. The independence expected of the student in carrying out assigne

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