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BRITTANY BROWN
SARAH CURRIER
Manager of Recruitment, Renown Health
Director, Workforce Development, Dartmouth-Hitchcock, New Hampshire State Workforce Innovation Board
LARISSA ESTES
ERIC SELEZNOW
Manager, Community Partnerships, Department of Community Health and Engagement, UCSF Benioff Children’s Hospital Oakland
Senior Advisor, JFF
VOICES OF INDUSTRYPANEL
Moderator
NATIONAL REGISTERED APPRENTICESHIP EXAMPLEDartmouth-Hitchcock in New Hampshire
Sarah Currier
Director, Workforce Development, Dartmouth-Hitchcock
New Hampshire State Workforce Innovation Board
Ready-to-Work and Apprenticeship Programs at Dartmouth-Hitchcock
About Us• Dartmouth-Hitchcock has more than 12,000
full- and part-time employees at locations in New Hampshire and Vermont
• Dartmouth-Hitchcock is the largest private employer in the state of New Hampshire. • 1,395 physicians, residents and fellows,
and associate providers,• 1,925 direct-care nurses • 1,437 allied health professionals
• More than 500 volunteers provided 60,000 hours of service in 2014 – at an added value $1,371,600
• Train nearly 400 residents and fellows annually
Local and Regional Conditions• Aging Population:
• Vermont (41.2) and New Hampshire (40.4) have the 1st
and 4th oldest populations in the country• In 1990, NH had 5.4 people in the prime working
age population for every person age 65 and over. By 2030, that figure will drop to 1.8
• De-Younging and Youth Migration:• Despite all our region has to offer….in-migration
has slowed• Vermont and New Hampshire population growth
approximately 1.0%, compared to 4+% nationally
• Talent War:• 2017 Unemployment rate in NH & VT is trending
between 2-3% - every business is competing for good employees
NH Health Sector is Treading Water
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Replacement
Growth
RNs
LNAs
LPNsMAs
We are back-filling more than we are recruiting to meet the growing needs for healthcare
The D-H WRI has trained: ü 157 Medical Assistantsü 45 Pharmacy Techniciansü 93 Licensed Nurse
Assistantsü 28 Surgical Technologistsü 30 Patient Service
Representativesü 13 Medical Codersü 3 Phlebotomistsü 11 Ophthalmology Techs
The D-H Workforce Readiness Institute was created as a mechanism to ‘grow our own’ talent by educating and engaging apprentices in a variety of entry-level roles.
D-H Workforce Readiness Institute
MA Program OverviewThe Medical Assistant Apprenticeship program an innovative approach we are using to recruit, develop and retain great employees at Dartmouth-Hitchcock
• Intensive 11 week training program followed by a 2000 hour, competency-based registered apprenticeship
• Curriculum developed around CMA standards but also teaches students the “D-H way” of doing things so that they can be effective on day one
• Students sit for the Certified Clinical Medical Assistant (CCMA) exam at the conclusion of the program
Program Impacts & Lessons Learned• More than $1.8M in grant funding used to-date to upskill NH and VT
residents
• Programs have significant economic impact and align with population health mission
• Department of Commerce Study highlights the positive ROI of ready to work programs for D-H
• Programs shed light on areas ripe for process improvement and managerial weaknesses
• Programs build a sense of accomplishment and desire to grow
• Provides experienced staff with mentorship and growth opportunity
• Programs build a sense of organizational commitment/communitythat can flourish when cultivated within the ongoing work environment
• Involuntary turnover centers around behavioral challenges not technical skill
Who is Renown Health?
Strengthen Organizational Capability Recruitment Top Talent/Enrich Our Staff
Why an Apprenticeship?
Strengthen Organizational Capability Recruitment Top Talent/Enrich Our Staff
Strengthen Organizational Capability Recruitment Top Talent/Enrich Our Staff
How we got started?
Success Stories• “I promised myself I would rediscover myself and take some classes; I wanted a career change at
the age of 54. It was like an answer to my prayers when I got into the program – a full time job and a new career path with Renown in an all-in-one package. The apprenticeship helped us realize our dreams and bridge that gap between where we were before and where we wanted to be in the future. Some of us wanted to be unit clerks, LPNs, RNs or physicians someday. There are many great possibilities that are open to us after our life as CNA apprentices.” – Carmela Palijo
Strengthen Organizational Capability Recruitment Top Talent/Enrich Our Staff
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CHAMPS ProgramCommunity Health & Adolescent Mentoring Program for Success
Building the California Healthcare WorkforceVoices of IndustryOctober 30, 2018
Presented By: Larissa J. Estes, DrPHManager of Community PartnershipsDepartment of Community Health and Engagement
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CHAMPS at UCSF Benioff Children’s Hospital Oakland
Inspiring Youth for Careers in Health & Medicinev A Children’s Hospital community
benefit program
v Under the Department of Community Health & Engagement
v Founded in 2000
L to R: Leonel Mendoza, 2005 Linh Dao, 2003, Stacy Dao, 2005
L to R: Co-Founder Dr. Barbara Staggers, MD, MPH & Edwin Guajardo, 2017
Over 15 years of experience, preparing students to participate in clinical internships, and providing comprehensive youth development that connects career goals with college readiness and personal (social-emotional) development.
CHAMPS program annually serves 75-100 highschool students.
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v Formal Application Processv Hospital Trainingv Internships (1:1 Supervisor:Intern)
v Workshop Seminarsv (College Prep, Career Panels, etc)
v Capstone Projects
H.S. Timeline & Learning Opportunities
Student Recruit Grade 10, FallRecruitment SelectionBegin Wellness& PsychosocialSupport
Program EntryGrade 10, SpringHealth Careers Prep Curriculum PsychosocialSelf-AwarenessCareer Exposure & ExplorationCollege Prep
Internship EntryGrade 11, Fall & SpringClinical Internships Psychosocial
Life SkillsCareer Exposure & ExplorationCollege PrepGraduation ReadinessSAT prepSoft Skills Development for Health Professionals
Exit & Next StepsGrade 12, Fall & SpringClinical InternshipsPsychosocialLife SkillsSenior Projects SupportMeeting Graduation RequirementsCollege ApplicationsCareer PlanningNext Steps Financial Aid & Literacy Support
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Our Clinical & Community SupportIn-Kind Support from Children'sv Administrative Support & Internshipsv Over 100+ Staff & Residents every year
Collaborative Partner Agencies include:v Alameda Health Systems, Highland Hospitalv Alameda County Public Health Dept.v Samuel Merritt Universityv Alameda County Health Pathways Partnershipv Mentoring in Medicine & Science (MIMS)v CSU East Bay, School of Nursing
Sacari Brown, 2011
Luis Zarate, 2017
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Program Successes CHAMPS PercentagesClass of 2018
Retention Rates (Approx. 30 students per cohort)
97%
High School Graduation Rate 100%
Enroll into College (2yr or 4 yr) 100%
Acceptance into 4-yr College 93.9%
Sonoma StateSFSU
CSU East BayHumboldt
Sacramento StateSan Diego State
SJSU
UCB UCD
UCLAUCSCUCSBUCSDUCRUCI
UCM
Positive Outcomes
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CHORI Summer Student Research Program
v Founded in 1981v High school and college students interested in biomedical or clinical research
careersv Over 1,000 alumni with an average of 50 students/yearv 9-week program with placement in research setting under supervision of
scientific mentor• Weekly seminars and meetings• Presentation of research findings at one-day annual symposium
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Pediatric Residency Programv Residency Recruitment
• Last year started a Diversity Scholars program, awarded $2000 stipend to highly sought after medical students to offset rotation expenses.
• Coalition for Diversity and Advocacy-resident group that provides support to residents of color, helps in recruiting efforts and mentors youth in community.
v PRIME-US (Program in Medical Education for the Underserved)• 5 year joint program, UC Berkeley and UCSF School of Medicine• Equip medical students with desire to pursue careers working with the
underserved the skills to do so.• We host 1st and 2nd year students for educations seminars, site for 3rd year
required pediatric rotation.• Since affiliation in 2014, 4 out of 8 residents from UCSF SOM (50%)
were a part of this program
44
Pediatric Residency Program, cont…
v Training Location: Children’s Hospital Oakland • in Federally designated Health Professions Shortage Area and Medically
Underserved Area.• Over 74% of all patients on MediCal-among highest in all CA Hospitals
v Training Location: Our Federally Qualified Health Center• Our primary care and adolescent department are FQHC sites.• All residents have their continuity clinic at this site.• All residents spend 4-8 weeks on Community, Advocacy and Primary
Care (CAP) rotation based in our FQHC, in addition to continuity clinic time.
• CAP partners with over 50 community agencies and entities to educate and prepare residents to pursue careers working with the underserved.
• Cultural Humility Training• Trauma-Informed Training
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Other Apprenticeship Programs
v Medical Social Services• MSW Internships• Post-Grad Fellowships
v Nursing Training• Clinical placement• Preceptorships with APRNs, Administrative, ED, Ambulatory, Juvenile Justice• Interdisciplinary Simulation Education
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Thank You & Any Questions?
CHAMPS 2017-2018:Class of 2018, 2019, & 2020
At CHAMPS, students envision their futures as healthprofessionals, identify career pathways and master the
life skills needed to realize their goals.