postgraduate residency webinar #1 01.27.16

WelcomeImplementing Post-Graduate Nurse Practitioner and Clinical Psychology

Residencies: Why Start a Postgraduate Residency Program?

Building the Case for Your Organization

January 27, 2015

The Community Health Center, Inc. and its Weitzman Institute will provide education, information, and training

to interested health centers in: Transforming Teams• National Webinars on the team based care model• Invited participation in Learning Collaboratives to launch team

based care at your health center

Training the Next Generation• Two National Webinar series on developing Nurse Practitioner

and Clinical Psychology residency programs and successfully hosting health professions students within health centers

• Invited participation in Learning Collaboratives to implement these programs at your health center

Email your contact information to nca@chc1.com and visit www.chc1.com/NCA.

Community Health Center, Inc.

Foundational Pillars1. Clinical Excellence- Fully Integrated teams,

Fully integrated EMR, PCMH Level 3

2. Research & Development- The Weitzman Institute is the home of formal research, quality improvement, and R&D 3. Training the Next Generation: Post Graduate Training Programs for nurse practitioners, postdoctoral clinical psychologists, and students of the health professions

CHC Profile:•Founding Year - 1972•200+ delivery sites•130k patients

Why Start a Postgraduate Residency Program?

Building the Case for Your Organization Today’s Objectives:1. Participants will identify the drivers of implementing postgraduate

nurse practitioner and clinical psychology residencies at their health centers.

2. Participants will describe the process of implementing postgraduate residency programs at their organizations.

3. Participants will recognize the costs and benefits of implementing postgraduate residency programs at their organizations.

Why Start a Postgraduate Residency Program?

Building the Case for Your Organization

CHC’s Drivers for Starting an NP Residency Program in 2007:

• Solve a problem

• Develop a model that is replicable and sustainable

• Advance the field of postgraduate NP training

Solve a Problem:

• Address the shortage of primary care providers, particularly for

vulnerable populations

• Give new NPs the opportunity for postgraduate residency training leading to confidence and mastery in the FQHC setting

• Reduce attrition due to burnout and distress during the initial postgraduate year

• Give new NPs the confidence to practice in any FQHC – rural or urban, large or small

• Provide the depth, breadth, volume, and intensity of clinical training to a model of care consistent with PCMH, IOM/FON, and FQHC principles and services

• Prepare the next generation of leadership for FQHCs

Develop a Model That Is Replicable and Sustainable

Advance the Field of Postgraduate NP Training

The Road to Developing an NP Residency Program• Answer the question: What are your drivers for starting a

postgraduate program?

• Learn the essential elements of a postgraduate program

• Assess your own resources (physical, human, financial)

• Secure board, leadership, and clinical buy-in

• Develop financial and strategic plan including potential partners

Cost and Benefits

• Costs include (direct) and (indirect)

• Benefits- Return-on-Investment (tangible and intangible)

• Organizations are choosing to make an investment in these programs because of the potential ROI and the business imperative of an expert primary care workforce

FNP Residency since 2011• New FNPs used to stay for a

year then leave for a more supportive environment.

• Leadership is VERY happy with the Residency.

• Improved patient access.• Graduated 18. Hired 6.• Preceptor satisfaction has

helped with retention of senior providers.

• 4. Up next? Accreditation! (and funding, I hope)

CHC’s Postdoctoral Clinical Psychology Residency

Program

• If we want a team-based model of fully integrated primary care and behavioral health, we have to train the members of the team to that model.

• Licensed clinical psychologists are an invaluable member of the healthcare team and they must acquire supervised postgraduate hours for licensure in most states.

• Today, only a handful of 152 postdoctoral residency programs are based in FQHCs.

Drivers: Why Start a Postdoctoral Psychology Residency Program?

For the common

good

For the good of the

resident

For the good of your agency

For The Common Good

Address the shortage of behavioral health providers, particularly those trained to an integrated model of primary

care and behavioral health

For The Good of Your Health Centers• Influx of new energy and enthusiasm with the most

recent evidence based knowledge • Increased staff satisfaction

o Professional development:– Learning to supervise– Increasing skill of clinical teaching

o Recognition of skillo Passing on knowledgeo Improved retention

• Increased access for clients• Increased income• Opportunity to build a strong talent pool from

which to hire

• Prepares residents to work with vulnerable populations in an FQHC setting

• Build confidence within a clinical setting to become an independent clinician with enhanced treatment abilities and leadership skills

• Learn by doing and introject a picture of the role of a psychologist that informs professional self image at the start of a career

For the Good of the Resident

The Road to Developing a Postdoctoral Psychology Program • Answer the question: What are your drivers for starting a postgraduate program?

• Learn the essential elements of a postgraduate program

• Assess your own resources (physical, human, financial)

• Secure board, leadership, and clinical buy-in

• Develop financial and strategic plan including potential partners

Cost and Benefits

• Direct and indirect costs

• Return-On-Investment: Immediate

• Benefits beyond financial return

Salud Family Health Centers Psychology Postdoctoral Fellowship (APPIC Member)

Jonathan Muther, PhD, Director of Behavioral Health & Psychology Training

2010-'11 2011-'12 2012-'13 2013-'14 2014-'15 2015-'16 2016 --->02468

1

75 4 4 3 3

# of Postdoctoral Fellows

WorkforceFundingRecruitmentRigorous Training GroundRange of Services

Grant SupportExpanded Ψ Testing Postdoc Project

APPIC MemberExtern Expansion

Enhanced DidacticsSpanish Group Sup

Billing

Program Eval.Policy/ Healthcare Landscape

Prep for ACC 2.0

Current Positions 8 8 4

Health Psych IPC Other

Acknowledgements: Andrea Auxier, PhD, Katrin Seifert, PsyD, Yaira Oquendo-Figueroa, PhD

Sustainabilty

Questions and Answers

SpeakersFrom Community Health Center, Inc.Mark Masselli, Founder and CEO Margaret Flinter, APRN, PhD, Senior Vice President & Clinical DirectorDaren Anderson, MD, Director of the Weitzman Institute & VP/Chief Quality Officer Kerry Bamrick, MBA, Senior Program Manager Charise Corsino, MA, Program Manager Timothy Kearney, PhD, Chief Behavioral Health Officer David Guggenheim, PsyD, Chief Mental Health Officer (Callen-Lorde CHC)

From Salud Family Health CentersJonathan Muther, PhD, Director of Behavioral Health & Psychology Training

From Santa Rosa Community Health Centers Rebecca Norwick FNP, DNP(c), NP Residency Training Director

Sign up for our next webinar:

February 10th, 3-4 p.m. ESTFrom Recruitment to Graduation: The Structure,

Design, andContent of the 12-month Nurse Practitioner

Residency Program

https://chc1.zoom.us/webinar/register/88230824f96343e74ac87b605f06faf5