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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 INDUSTRY PANEL Moderator

VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

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Page 1: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

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

Page 2: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

NATIONAL REGISTERED APPRENTICESHIP EXAMPLEDartmouth-Hitchcock in New Hampshire

Sarah Currier

Director, Workforce Development, Dartmouth-Hitchcock

New Hampshire State Workforce Innovation Board

Page 3: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

Ready-to-Work and Apprenticeship Programs at Dartmouth-Hitchcock

Page 4: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

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

Page 5: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

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

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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

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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

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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

Page 9: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

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

Page 10: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

Who is Renown Health?

Strengthen Organizational Capability Recruitment Top Talent/Enrich Our Staff

Page 11: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

Why an Apprenticeship?

Strengthen Organizational Capability Recruitment Top Talent/Enrich Our Staff

Page 12: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

Strengthen Organizational Capability Recruitment Top Talent/Enrich Our Staff

How we got started?

Page 13: VOICES OF INDUSTRY - Jobs for the Future · Program Impacts & Lessons Learned • More than $1.8M in grant funding used to-date to upskill NH and VT residents • Programs have significant

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

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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.