Allied Health Advisory Group - Massachusetts Department of ... Health Advisory... · 2016 Meeting schedule January 8th, 2016 9:30 – 11:30am April 18th, 2016 9:30 – 11:30am June

Allied Health Advisory Group

October 2nd, 2015 9:30-11:30am UMass Medical School, Shrewsbury Campus Facilitator: Geoff Vercauteren Director of Healthcare Workforce Development

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Welcome

Please say your Name

Title

Organization

Introductions

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2016 Meeting schedule January 8th, 2016 9:30 – 11:30am

April 18th, 2016 9:30 – 11:30am

June 24th, 2016 9:30 – 11:30am

September 26th, 2016 9:30 – 11:30am

All meetings will be held at Shrewsbury campus

News and Announcements

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Recently and soon-to-be released funding from DHE Direct Care RFP

▪ Awards announced October 21st, 2015

TRAIN Grant ▪ $1m over 12 months

▪ Focus – long-term unemployed

▪ Sector-based; includes healthcare

Rapid Response Grants ▪ $500,000 over FY 16

▪ Community Colleges eligible

News and Announcements

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Nursing and Allied Health Initiative

http://www.mass.edu/nahi/home.asp

About

Allied Health Partners

Projects

AHAG Meetings

Documents

Minutes, etc.

Grants

AH RFP

Awardees

Resources

AH Resources

Workforce Plans

AH Workforce Plan

New Allied Health Website

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New Allied Health Website

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Review of the Nursing and Allied Health Summit – 9/25/15, Devens Conference Center Patricia Crombie, Director, Mass Action Coalition (MAAC)

Takeaways from the day

How do we bridge the allied health work we are doing with the nursing work being done?

Learning and Sharing

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MA Action Coalition (MAAC) is co-led by the MA Department of Higher Education (DHE) & Organization of Nurse Leaders (ONL) of MA, RI & NH

Event was sponsored by the MAAC and partly supported by the RWJF Academic Progression in Nursing Grant (APIN)

Over a 150 leaders from nursing education and practice, healthcare and professional organizations

Goals

Disseminate MAAC & APIN outcomes and plans for future directions

Inform, engage and involve the healthcare community in the campaign

Illicit feedback and identify challenges and opportunities

MA Healthcare Workforce Summit

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Keynote Address: John Lumpkin, MD,MPH- Senior VP, RWJF

“Nursing as Integral Part of Building a Culture of Health”

Culture of Health

Being healthy and staying healthy is an esteemed social value

Health of the population guides public and private decision making

Geography and demographics do not serve as barriers to good health

Everyone works collectively to foster healthy communities and lifestyles

Economy is less burdened by excessive health care spending

Everyone is supported to make proactive choices that improve health

Education: It Matters More to Health than Ever Before

MA Healthcare Workforce Summit

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Create pathways to increase the number of nurses with a BSN or higher degree and to increase diversity in the nursing workforce

Promote the integration of the MA Nurse of the Future Nursing Core Competencies© - RN & LPN

Increase the faculty pool available to educate nurses from BSN through doctoral degrees

Remove scope of practice barriers for Advanced Practice RNs and strengthen interprofessional collaboration within the healthcare community

Priority Areas

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Create pathways to increase the number of nurses with a BSN or higher degree and to increase diversity in the nursing workforce

Promote the integration of the MA Nurse of the Future Nursing Core Competencies© - RN & LPN

Increase the faculty pool available to educate nurses from BSN through doctoral degrees

Remove scope of practice barriers for Advanced Practice RNs and strengthen interprofessional collaboration within the healthcare community

Priority Areas

Overlap with Allied Health DCW goals for creating pathways into higher education.

ONL Spring Quarterly Meeting

Sheraton Norwood MA

March 7, 2014

On our way to 66% BSN by 2020

56%

59%

66%

50%

55%

60%

65%

70%

2012 2014 2016 2018 2020

Source: Massachusetts BORN Licensure Surveys 2012 and 2014.

ONL Spring Quarterly Meeting

Sheraton Norwood MA

March 7, 2014

Early signs of progress on diversity

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227

138

109

0

50

100

150

200

250

300

2010 2011 2012 2013 2014 2015 2016 Target

Men African American Latino Asian

Increasing Numbers of BSN Graduates from Massachusetts Programs

Source: IPEDS. Completions Survey by Race.

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Presentation:

“The Changing Role of the Direct Care Worker as Part of the In-Patient Care Team at a Large

Academic Medical Center”

Monique Terrio, RN, MBA, NE-BC; Nurse Administrator &

Director of PCA Float Pool; Brigham and Women’s Hospital

Learning and Sharing

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16,000+ employees

793 beds

45,000+ admissions in 2014

600+ Patient Care Attendants (CNA’s)

About BWH

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In-patient areas: Intensive Care Units

Medical/Surgical Units (step-down units)

Ambulatory: Emergency Department

Perioperative Areas

Dialysis and Infusion Center

Interventional Cardiac Testing

Where are Certified Nursing Assistants Working at BWH?

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Assistive role: Help the Nurse with bathing a patient, repositioning

Re-stocking: Bedside supply carts, emergency and transport monitoring

Transport of patients: To and from testing areas

Set-up of sterile fields: Central intravenous lines, open-chest kit, burn dressings

Maintaining testing documentation (Dialysis Unit)

Specialized skills including: Phlebotomy, discontinuation of IV/Arterial lines, responding to medical codes in public areas (part of emergency response teams in ED/ICU)

CNA Responsibilities in the ICU

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Activities of daily living “ADL’s”

Vital Signs (including manual and automatic blood pressure)

Oximetry readings and Electrocardiograms (EKGs)

Measuring and recording fluid intake/output

POCT (point of care testing)

Changing bed linen and incontinence care

Disinfection of multi-patient use equipment

Documentation of care

Constant observation of patients at risk for safety

CNA Responsibilities in Med/Surg Units

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LONG-TERM CARE

Slower pace Less high-tech devices in use Patients more stable Able to establish caring

relationships with patients over time

More predictable routines May have less dependency on

computerization More physically challenging Fewer work flows

ACUTE CARE

Fast (stressful ) pace High-tech; new technologies Fewer but sicker patients Patients rotate out quickly Always prepared for the

unpredictable Constant readjusting of priorities;

less routine work Work flows and work environment

mostly computerized Magnitude of hospital size is

overwhelming

Patient Care Environment Comparison

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Direct observation for patients at risk - often are the “first eyes” to alert the nurse of patient problems

Their voice is just as important as any other member

Care based on patient care plans

Communicate their portion of the care plan with patients

Culturally competent customer service

Basic emergency response and support during acute events

The CNA Role on a Care Team

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Expectation of CNAs to participate in morning “rounds” and to contribute to the discussion at the bedside

Adoption of Electronic Health Record is changing the work flow—CNAs must now document all care in the EHR

New roles to play

EXAMPLE: New wireless surveillance system to monitor the safety of patients at risk for falls and falls with injury. Requires excellent communication, computer, and critical thinking skills; a strong clinical skills base; and astute observational skills

Care Redesign has Changed the CNA Role

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Communication Able to discuss concerns verbally to a multi-cultural

audience – both patient and provider

Confidence to express opinion

Writing/presentation/speaking skills

Interpersonal

Cultural competency

Customer-focused (patient and family)

Understand unspoken communication (facial expressions, gestures, body language)

Critical Skills

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Computer competency Able to share/read information via email

Complete computerized trainings

Able to enter/extract data from EHR

Able to use equipment that is computer based

Clinical skills Proficient in normal clinical skills

Participation in preventative care

Curiosity - must have a desire to advance learning and skills, open to new frontiers

Participation in unit-based research

Critical Skills

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Questions?

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• Offer or increase the length of clinical experiences

• Offer one day direct care previews

• Develop recruitment screening tools

Create Career Preview Opportunities

• Build direct care worker pathways

• Create recognized transferrable training

• Develop a direct care job website

• Invest in an information campaign for students (including financial aid awareness)

• Offer partial scholarships for students

Increase Career Awareness

• Staff a cross-secretariat task force to identify barriers

• Launch an advocacy campaign to improve reimbursement and wages

• Create an innovation fund to support new, untested, promising ideas

Change Policy

• Convene an education, employer and policy collaborative

• Articulate the business case for investing in the DCW

• Create regional data sets through the WIBs

• Launch a campaign to educate people on the value of the DCW in the healthcare system

Build the Business Case for Investing in the Direct Care Workforce

• Align core competencies across jobs and build consensus for support

• Pilot core competencies curriculum and offer statewide core competency courses

• Inform DCW curriculum with the employer needs

• Incorporate life/soft skills into direct care curriculum

• Align job descriptions and standards of practice

Invest in the Development of Core Competencies

• Develop and pilot a case manager model

• Offer post placement coaching

• Offer supervisor/staff management training

Provide Employer Support

AHAG Areas of Focus as of Oct. 2015

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Change Policy

















RFP Goal Areas

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Change Policy

















RFP Goal Areas AHAG

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Discussion: What does the group see as other priorities?

What else should the AHAG focus on?

Our Future Work

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Discussion: What should the next round of funding be for?

▪ If a small amount of funds were left over for FY16?

▪ What should we be planning to do for FY 17 funding?

What is the advocacy role of AHAG?

Our Future Work

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Identify more employers to join

Identify legislative staff to join Who will help out?

Please connect with Geoff on both

Other “to do’s”

To Do:

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Thank you sincerely for your time and dedication!!!