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New England Rural Health RoundtableNew England Rural Health Roundtable
Regional Healthcare Workforce
Collaboration MeetingJuly 22nd
Portsmouth, NH
Presenters:Marion Pawlek, RHRT Executive
DirectorCraig Stevens, Project Staff
Goals for this SessionGoals for this Session
• Review Vision and Mission for project
• Orient to process for identifying priority topic areas
• Review thematic topic areas• Develop and prioritize goal
statements• Set direction for afternoon
strategic planning
Regional Workforce Collaboration
Regional Workforce Collaboration
State Office of Rural Health
National Organization of State Offices of Rural Health
Project MissionProject Mission
Identify strategies which improve the healthcare workforce development, recruitment and retention capacity of New England stakeholders through regional projects, partnerships and collaborations.
Priority Setting ProcessPriority Setting Process
ResearchResearch
InterviewsInterviews
SurveySurveyAdvisoryGroup
AdvisoryGroup
DraftPriority
Activities
DraftPriority
Activities
Advisory Group Membership
Advisory Group Membership
Denis BartonBarbara Berger Susan CarllLiz CoteCharles DwyerCarla Lundquist Tammy MackenzieCathleen Mcelligott
Other ParticipantsOther Participants
• Academic Institutions• Area Health Education
Center Program• Community Health
Centers• Dental Society• Department of Labor• Emergency Medical
Services• Home Health• Hospital Association• Local Public Health
Offices• Medical Society
• Nurse Practitioner Association
• Nursing Homes• Physician Assistant
Association• Primary Care
Associations• Primary Care Offices• Rural Health Offices• State Oral Health,
Mental Health• Workforce Development
Organization
• Approximately 60 individuals provided input either through a survey or interview. These individuals
represented:
• Approximately 60 individuals provided input either through a survey or interview. These individuals
represented:
ResearchResearch
• Review of existing healthcare workforce planning materials from New England states as well as comparable states (OR, MI, etc)
• Define the potential parameters of priority activities
SurveysSurveys
• From research, develop and disseminate surveys to capture information on state activities as well as perceived priorities.
• Develop state healthcare workforce development, recruitment and retention profiles.
InterviewsInterviews
• Discuss survey results with regional stakeholders.
• Discuss opportunities for state healthcare workforce activities.
• Identify priorities for regional collaboration.
Priority Setting ProcessPriority Setting Process
ResearchResearch
InterviewsInterviews
SurveySurveyAdvisoryGroup
AdvisoryGroup
Advisory GroupAdvisory Group
• Approved data collection instruments.
• Identified key state stakeholders for survey and interviews.
• Review preliminary findings.• Shape strategic planning for
July 22nd meeting.• Recruit meeting
participants.
Priority Setting ProcessPriority Setting Process
ResearchResearch
InterviewsInterviews
SurveySurveyAdvisoryGroup
AdvisoryGroup
DraftPriority
Activities
DraftPriority
Activities
Nursing, 17%
Physicians, 19%
Oral Health, 17%
Allied Health, 3%
EMS, 2%
Pharmacist, 6%
Mental Health, 11%
Laboratory, 2%
Respiratory, 2%
Imaging, 11%
Physical Therapists, 3%
Direct Care Workers, 3%
PA/NP, 5%
Speech Pathologists, 1%
Hospital, 21%
Nursing Home, 21%
Home Health, 18%
Pharmacy, 2%
EMS, 4%
Outpatient, 16%
Dental, 4%
Mental Health, 5%
Community Health Center, 4%
Corrections, 2%
Public Health, 2% Personally Directed , 2%
Findings: State Similarities and Differences
Findings: State Similarities and Differences
• Pipeline k-12– Many similar activites –
enrichment, camps, awareness, shadowing
– AHECs major partner in healthcare workforce development in k-12
– Varying levels of capacity across states
Findings: State Similarities and Differences
Findings: State Similarities and Differences
• Pipeline: Higher Ed and Training– Capacity – faculty, schools
• New England Dental Schools• Nursing faculty
– Distance education for nursing students– Electronic registries to manage inter and
intrastate clinical placements– Specialized rural health scholars programs– Assisting front line, low wage staff with GED,
literacy and moving up the career ladder– New England Clinicians Forum to identify
excellence among existing clinical providers in region working within public health setting
– Health careers investigation course
Findings: State Similarities and Differences
Findings: State Similarities and Differences
• Recruitment– Recruitment centers– Scholarships and loan
forgiveness– Tapping foreign trained
professionals living in US – combining with literacy programs
– Tapping older workers/second career workers
– Marketing to minority or underrepresented populations
Findings: State Similarities and Differences
Findings: State Similarities and Differences
• Retention– Magnet hospitals– Management training– Culture change– Loan repayment– Retraining older workers
Findings: State Similarities and Differences
Findings: State Similarities and Differences
• Other– Appropriations language for loan
repayment/forgiveness– Unfunded legislation (MA)– Forming new professional associations– Tax incentives/tax credits– Regional Nursing Compact– Varying levels of industry vs govt driven
resources and programs– Linking healthcare workforce
development and economic development– Varying levels of data and reports– Model legislation for telehealth payment– Change in scope of practice PA and NP,
independent practice of Dental Hygienists
Thematic ActivitiesThematic Activities
• Review survey results• Review interview
responses• Identify thematic areas• Clarify, adjust with
Advisory Cmte• Integrate into strategic
planning process
PipelinePipeline• Improve guidance counselors understanding
of highschool classes and the necessary preparation for health careers
• Develop post high school, preparatory classes
• Develop post career ladders (entry level CNA)
• Develop regional dental school or develop/improve reciprocal agreements
• Expand rural residency programs, across state placements
• Increase faculty capacity• Promote collaboration among hospitals and
universities to develop joint appointment of staff/faculty
• Regional marketing for students to enter health careers
Recruitment and Retention
Recruitment and Retention
• Improve cross state licensing and credentialing• Promote culture change to improve workplace
environment• Improve reimbursement• Develop shared training opportunities• Engage in group purchasing with headhunter
firms• Develop regional marketing for health
professionals to come to New England• Explore job redesign to keep older staff
(nursing)• Engage hospitals to support recruitment for
rural practices• Promote successful models such as recruitable
communities• Maintaining Federal designations for J-1,NHSC
etc
CoordinationCoordination• Assist with state coordination of
workforce activities• Assist with regional coordination of
workforce activities– governors, New England Board of Higher Education, regional medical society meetings, AHECs, PCOs etc
• Develop regional website, locus of information regarding New England development, recruitment and retention activities including best practices.
• US Dept of Labor WIRED initiatives want to fund multistate activities, develop cross state proposals
DataData
• Development of regional reports (comparison of workforce data, resources across regions)
• Development of communication tools regarding healthcare workforce, promoting models like Rural Health Works to help states communicate issue and related data
• Understand demand and production
Scope of PracticeScope of Practice
• Hold forums regarding the design of health care professions and service delivery to recommend changes in scopes of practice
• Models for use of PAs and NPs
Strategic Planning Phase I: Identifying Priority Goals
Strategic Planning Phase I: Identifying Priority Goals
•Self select groups•Within each group:
– Environmental scan/SWOT analysis– Develop goal statement(s)
•A facilitator is assigned to each group who will also be responsible for scribing•Report out to full group – defend your topic area•Full group votes to identify priority areas for the afternoon
Strategic Planning Phase II: Developing Strategic Action
Plans
Strategic Planning Phase II: Developing Strategic Action
Plans• During lunch report what groups
remain• Convene with facilitator, each
will receive guidance in terms of how to develop action plans – 90 minutes to develop
• After session, report to larger group
• Discussion• Prioritize goals• Review next steps