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Developing and Implementing a Successful Workforce Development Plan Ron Bialek, President, Public Health Foundation John Moran – Senior Quality Advisor, Public Health Foundation American Public Health Association 140 th Annual Meeting and Exposition October 29, 2012

Developing and Implementing a Successful Workforce Development Plan Ron Bialek, President, Public Health Foundation John Moran – Senior Quality Advisor,

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Developing and Implementing a Successful Workforce Development Plan

Ron Bialek, President, Public Health Foundation

John Moran – Senior Quality Advisor, Public Health Foundation

American Public Health Association 140th Annual Meeting and Exposition

October 29, 2012

Session Overview

The importance of having a successful Workforce Development Plan

Relevant Public Health Accreditation Board standards and measures

Meeting and exceeding PHAB standards

Introduce and discuss Workforce Development Plan worksheet – using a T-shaped matrix

Exercise

Next steps and resources

Why Have a Workforce Development Plan?

A high performing public health organization requires a high performing workforce

Adequate numbers

Training and systems

Skills and competence

Retention

Public Health Accreditation Board standards

Serving the public well – improving community health

What makes for a SUCCESSFUL Workforce Development Plan?

A Successful Workforce Development Plan

Assess current state

Identify gaps and needs

Prioritize

Determine desired future state

Select strategies for workforce development

Identify challenges and resistance

Determine feasibility of strategies

Develop sound implementation processes

Determine costs

Assure quality and process improvement throughout implementation

Last Year’s APHA Annual Meeting

Assess current state

Identify gaps and needs

Prioritize

Determine desired future state

Select strategies for workforce development

Identify challenges and resistance

Determine feasibility of strategies

Develop sound implementation processes

Determine costs

Assure quality and process improvement throughout implementation

Last Year’s APHA Annual Meeting

Assess current state

Identify gaps and needs

Prioritize

White Paper: How to Focus Your Training and Professional Development Efforts to Improve the Skills of Your Public Health Organization

• http://www.phf.org/resourcestools/Pages/Core_Competencies_Prioritization_White_Paper.aspx

Several Relevant PHAB Standards and Measures

Relationships with academe for training, expertise, and research (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L and 10.2.2 A)

Assess and develop workforce competencies (8.2.1 A)

Address competency gaps (8.2.1.A)

Leadership and management development activities (8.2.2 A)

State health department assistance to tribal and local health departments (8.2.3 S)

Use IT to support mission and workforce (11.1.6 A)

Job descriptions (11.1.5 A)

Recruitment and retention issues/needs (11.1.5 A)

Some Other PHAB Standards to Consider

1.2.2 A – training of surveillance site members on reporting requirements

2.3.3 A – schedule of training for surge capacity

5.3.2 A – strategic plan – address staff competency strengths and weaknesses

5.3.3 A – assess progress annually towards implementing strategic plan

5.4.1 A – drills and exercises

6.2.1 A – training in laws to support public health interventions

9.1.1 A – training in performance management

9.1.5 A – staff development in performance management

9.2.1 A – quality improvement training as part of QI plan

11.1.2 A – training on confidentiality policies

11.1.3 A – social, cultural and/or linguistic factors training

Meeting and Exceeding PHAB Standards

Assess current state

Identify gaps and needs

Prioritize

Determine desired future state

Select strategies for workforce development

Identify challenges and resistance

Determine feasibility of strategies

Develop sound implementation processes

Determine costs

Assure quality and process improvement throughout implementation

Workforce Development Plan Worksheet

 Total

 Other

 Legal

 Org/policymaker by-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

4.Tasks

5.Timeline

6. Respon-sibility

7. Mindoc required

8.Other PHABstandardsimpacted

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

               

                  Assess HD workforce competencies & gaps (8.2.1 A) 

               

                  Address competency gaps (8.2.1 A)  

               

                  Leadership and management development activities (8.2.2 A)

               

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

               

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

               

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

               

                  Recruitment & retention issues/ needs (11.1.5 A) 

               

                  Develop costing & training model for WFD 

               

                  Assure quality & process improvement 

               

Total                  

Challenges and Resistance (Score? Why? How to Overcome?)

Implementation Processes

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

T - Shaped Matrix Diagrams

A method to show relationships between items

Shows the relationship between two, three or four groups of information/issues/tasks

Displays information about the relationship between items

Helps prioritize tasks or issues to facilitate decision making

Identifies the connecting points between items

Matrix Diagrams

Gives information about the relationship between variables such as:

their strength

the roles played by various individuals

measurements

Matrix Diagrams

L - shapedT - shapedX – shapedY – shapedC – shapedRoof – shapedWhich one utilized depends on how many groups must be compared

Types of Matrix Diagrams

Two L-shaped diagrams connected together showing the relationships of two different factors to a common third one

3 groups – A, B, C can compareA to B and A to CBut not B to C

T-shaped Matrix

T-shaped matrixRelates three groups of items B to A to C but not B to C

Impl

emen

tatio

nP

roce

sses

A

C1

B2

B1

B3

C2

C3

PHABMeasures

Cha

lleng

es a

nd R

esis

tanc

e

A1 A2 A3 A4

Moran, J.W., Duffy, G.L. (2012). Public Health Quality Improvement Encyclopedia. Washington DC: The Public  Health Foundation

Moran, J.W., Duffy, G.L. (2012). Public Health Quality Improvement Encyclopedia. Washington DC: The Public  Health Foundation

T-shaped matrixImplementation

Processes

AC1 B2

B1

B3

C2

C3

PH

AB

Measures

Challenges and Resistance

A1

A2

A3

A4

Compare two or more groups of ideas/issues/tasks/etc.

Determine relationships among elements

Help prioritize tasks or issues

Identify the connecting points between large groups of ideas/etc.

Uses for Matrix Diagrams

Workforce Development Plan Worksheet

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

4.Tasks

5.Timeline

6. Respon-sibility

7. Mindoc required

8.Other PHABstandardsimpacted

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

               

                  Assess HD workforce competencies & gaps (8.2.1 A) 

               

                  Address competency gaps (8.2.1 A)  

               

                  Leadership and management development activities (8.2.2 A)

               

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

               

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

               

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

               

                  Recruitment & retention issues/ needs (11.1.5 A) 

               

                  Develop costing & training model for WFD 

               

                  Assure quality & process improvement 

               

Total                  

Implementation Processes

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Challenges and Resistance (Score? Why? How to Overcome?)

Workforce Development Plan Worksheet

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

4.Tasks

5.Timeline

6. Respon-sibility

7. Mindoc required

8.Other PHABstandardsimpacted

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

               

                  Assess HD workforce competencies & gaps (8.2.1 A) 

               

                  Address competency gaps (8.2.1 A)  

               

                  Leadership and management development activities (8.2.2 A)

               

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

               

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

               

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

               

                  Recruitment & retention issues/ needs (11.1.5 A) 

               

                  Develop costing & training model for WFD 

               

                  Assure quality & process improvement 

               

Total                  

Implementation Processes

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Step 1Challenges and Resistance (Score? Why? How to Overcome?)

PHAB Measures/ Activities 1.Purpose

2.What to do

3. How to do it (resources)

Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

     

Assess HD workforce competencies & gaps (8.2.1 A) 

     

Address competency gaps (8.2.1 A)  

     

Leadership and management development activities (8.2.2 A)

     

SHD assistance to Tribal & Local HDs (8.2.3 S) 

     

Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

     

Integrate Core Competencies into job descriptions (11.1.5 A) 

     

Recruitment & retention issues/ needs (11.1.5 A) 

     

Develop costing & training model for WFD 

     

Assure quality & process improvement 

     

Implementation Processes

Step 1

Workforce Development Plan Worksheet

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

4.Tasks

5.Timeline

6. Respon-sibility

7. Mindoc required

8.Other PHABstandardsimpacted

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

               

                  Assess HD workforce competencies & gaps (8.2.1 A) 

               

                  Address competency gaps (8.2.1 A)  

               

                  Leadership and management development activities (8.2.2 A)

               

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

               

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

               

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

               

                  Recruitment & retention issues/ needs (11.1.5 A) 

               

                  Develop costing & training model for WFD 

               

                  Assure quality & process improvement 

               

Total                  

Implementation Processes

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Step 2Challenges and Resistance (Score? Why? How to Overcome?)

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

                  Assess HD workforce competencies & gaps (8.2.1 A) 

                  Address competency gaps (8.2.1 A)  

                  Leadership and management development activities (8.2.2 A)

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

                  Recruitment & retention issues/ needs (11.1.5 A) 

                  Develop costing & training model for WFD 

                  Assure quality & process improvement 

Total                  

Challenges and Resistance Step 2

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Note why and how to overcome?

Workforce Development Plan Worksheet

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

4.Tasks

5.Timeline

6. Respon-sibility

7. Mindoc required

8.Other PHABstandardsimpacted

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

               

                  Assess HD workforce competencies & gaps (8.2.1 A) 

               

                  Address competency gaps (8.2.1 A)  

               

                  Leadership and management development activities (8.2.2 A)

               

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

               

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

               

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

               

                  Recruitment & retention issues/ needs (11.1.5 A) 

               

                  Develop costing & training model for WFD 

               

                  Assure quality & process improvement 

               

Total                  

Challenges and Resistance (Score? Why? How to Overcome?)

Implementation Processes

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Step 3 - PAUSE

Workforce Development Plan Worksheet

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

4.Tasks

5.Timeline

6. Respon-sibility

7. Mindoc required

8.Other PHABstandardsimpacted

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

               

                  Assess HD workforce competencies & gaps (8.2.1 A) 

               

                  Address competency gaps (8.2.1 A)  

               

                  Leadership and management development activities (8.2.2 A)

               

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

               

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

               

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

               

                  Recruitment & retention issues/ needs (11.1.5 A) 

               

                  Develop costing & training model for WFD 

               

                  Assure quality & process improvement 

               

Total                  

Challenges and Resistance (Score? Why? How to Overcome?) Implementation Processes

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Step 4

Examples

Assess health department workforce competencies and gaps

Establish relationships with academia and others

Workforce Development Plan Worksheet

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (quantity? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

4.Tasks

5.Timeline

6. Respon-sibility

7. Mindoc required

8.Other PHABstandardsimpacted

                  Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L & 10.2.2 A)

               

                  Assess HD workforce competencies & gaps (8.2.1 A) 

               

                  Address competency gaps (8.2.1 A)  

               

                  Leadership and management development activities (8.2.2 A)

               

                  SHD assistance to Tribal & Local HDs (8.2.3 S) 

               

                  Use IT to support HD mission & workforce (11.1.6 A). May support other training-related documentation needs.

               

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

               

                  Recruitment & retention issues/ needs (11.1.5 A) 

               

                  Develop costing & training model for WFD 

               

                  Assure quality & process improvement 

               

Total                  

Challenges and Resistance (Score? Why? How to overcome? Implementation Processes

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

PHAB Measures/ Activities

1.Purpose

2.What to do

3. How to do it (resources)

Establish relationships with academia (8.1.1 S and 10.1.2 T/S) and others (8.1.1 T/L and 10.2.2 A) 

• Train staff in priority competency areas

• Assist with research and evaluation

• Build staff research skills and competence

• Mentor students for future recruitment

 

 

Develop academic health department working with X university

 

Become a member of the Academic Health Department Learning Community•Access tools•Seek advice•Identify a mentor

Step 1Example

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (quantity? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

1.Purpose

2.What to

do

3. How to

do it (resources)

                  Integrate Core Competencies into job descriptions (11.1.5 A) 

     

                  Recruitment & retention issues/ needs (11.1.5 A) 

     

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Challenges and Resistance (Score? Whys? How to Overcome?) Implementation Processes

Exercise

Group Reports

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

                 

Integrate Core Competencies into job descriptions (11.1.5 A) 

                 

Recruitment & retention issues/ needs (11.1.5 A) 

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Challenges and Resistance

ExerciseNALBOH

1 5 5 5 5

1 5 5 1010

 Total

 Other

 Legal

 Org/policymaker buy-in to accred

 External resources

 Capacity (Skills? FTEs?)

 Change

Budget

 Unions

PHAB Measures/ Activities

                 

Integrate Core Competencies into job descriptions (11.1.5 A) 

                 

Recruitment & retention issues/ needs (11.1.5 A) 

Scoring Challenges and Resistance: 0 – doesn’t relate; 1 – minimal; 5 – moderate; 10 – major

Challenges and Resistance

ExerciseNACCHO

1 5 1 5 10 10 5

1 1 5 5 105 10

Next Steps

Try with your public health organization

Try using with other PHAB standards and measures, and related activities

Provide us with your feedback and suggestions for improvement

Send your comments and suggestions to Ron Bialek – [email protected]

Workforce Development Resources from the Public Health FoundationCouncil on Linkages Between Academia and Public Health PracticeCore Competencies for Public Health Professionals (Core Competencies)

Tools to assist practitioners use the Core Competencies Examples of Core Competencies use

Academic Health Department Learning Community Sharing ways to develop, maintain, and enhance relationships between public health practice

and academic organizations Most meetings require no travel Free to join – 130 members to date

Improving and measuring the impact of training Guide being developed to help trainers and sponsors of training improve and measure the

impact of training Strategies address ways to assess training needs, motivate learners and trainers, effectively

design and deliver training, and evaluate the impact of training Draft document posted online

http://www.phf.org/programs/council/

TRAIN – the nation’s premier learning management system for public healthOver 550,000 registered learnersOver 26,000 training programsOver 4,000 providers of trainingA FREE resource for public health professionals

https://www.train.org/

Learning Resource Center – where public health, healthcare, and allied health professionals find high quality training materials at an affordable priceComprehensive selection of public health quality improvement publicationsMany consumer-oriented health education publicationsSearch for publications by CDC’s Winnable Battles and many other public health topics

http://bookstore.phf.org/