ASSOCIATION OF TRIBAL HEALTH DIRECTORSFebruary 17, 2009
Kathy CraftWorkforce Development Coordinator
Alaska Mental Health TrustDepartment of Health & Social Services
University of Alaska
Alaska Workforce Development
1
Take Home Message
A great deal of work has been done, we have a strong foundation and it will
grow stronger if we continue to work together.Contact:
Kathy Craft - [email protected] Carr – [email protected]
Jan Harris – [email protected]
2
Workforce Development Focus Area and Partnership
Alaska Mental Health TrustDepartment of Health and Social ServicesUniversity of AlaskaAlaska Native Tribal Health ConsortiumAlaska Providers – Behavioral Health,
Substance Abuse, Developmental Disabilities, Brain Injury, Seniors
AMHTA Beneficiary Boards – ABADA, AMHB, ACoA, GCDSE
Alaska Native Tribal Health Corporations
3
Context
Health care is big business;Shortages are widespread and expensive;Partnerships and collaborations exist and can
be built upon;8% of Alaska’s workforce is in healthcare
(26,500)Workforce continuum ranges from OJT (on
the job training) to Ph.D.
4
Workforce Development Coordinator
Shared Institutional Position
• Primary point of contact;• Provide direction and guidance;• Ensure successful accomplishment of project
and initiative goals;• Ensure proper stewardship of public dollars
and accountability for investments made; and• Assist in charting new health workforce
development and career building directions.
5
Recruitment & Retention
Loan repayment;Wages and benefits;Alaska Alliance for Direct Care Services; Cash stipends;Psychiatric Residency;Grow Your Own;Area Health Education Centers (AHEC);Vacancy Study; and,Marketing.
6
Newspaper ads statewide
Posters
Television commercial
Hosted Elders & Youth Conference Booth
7
Newspaper ads statewide
Posters
Hosted Elders & Youth Conference Booth
8
Training & Education
Trust Training Cooperative/Learning Management System Geriatric Training and Brain Injury Training
Alaska Rural Behavioral Health Training Academy
Children’s Mental Health TrainingChildren’s Behavioral Health Occupational
Endorsement Certificate (formerly children’s residential aide program)
9
Training & EducationBehavioral Health Career Ladder
Rural Human Services certificate - uses cohort model of distance and intensives, tribal employers, elder involvement
AAS in Human Services - available on campus, distance delivered or cohort model
Bachelor’s programs Human Services - on campus in several sites, working on
distance courses Social Work on campus or via distance Psychology on campus
Master’s programs Social Work on campus or via distance Clinical Psychology or Guidance and Counseling - on
campus, working on distanceDoctoral program in Psychology – in Fairbanks and
Anchorage
10
Training & Education
Alaska Ph.D. Clinical InternshipBehavioral Health AlliancePeer SupportDisability Justice
Serving cognitively impaired offenders Victimization training and technical assistance
BTKH – Bring the Kids Home (System Change) Cultural attunement training
Credential and Quality StandardsAlaska Workforce Development Conference
Addressing the home and community based services, health and behavioral health workforce needs of Alaska
11
DHSS Health Planning and Systems Development Section
Health Care Workforce Key Responsibilities
http://www.hss.state.ak.us/dph/healthplanning
Contact: Pat Carr, Section Chief [email protected] (907) 465-8618
12
DHSS Workforce Programs
National Health Service Corps Community Health Aide Training and
Supervision (CHATS) Grant ProgramCommunity Health Aide Certification BoardJ-1 /National Interest Waivers3RNet – national online recruitment website
www.3rnet.orgRecruitment networking - with recruiters
and HR
13
DHSS Workforce Training & Technical Assistance
Technical Assistance to individual sites
Hospital Site-to-Site Mentoring & Student Interns
Preceptor & Cultural Awareness Trainings
Workforce Development Conferences and Presentations
14
DHSS Workforce Research & Assessment
Provider Survey/Vacancy ResearchSeeking Funding Sources for Workforce
ResearchResearch on Effectiveness of Workforce
Development StrategiesHealth Professional Shortage Area (HPSA)
designation applicationsMedically Underserved Area/Populations
(MUA/P) designation application
15
DHSS Workforce Reports
Alaska Health Care Data Book
Physician Supply Task Force Report
Status of Recruitment Resources and Strategies
HPSD Workforce Reports and Reports from Other Organizations posted online at http://www.hss.state.ak.us/primary care/work.htm
16
DHSS Workforce Partners
Alaska Dental Action Coalition Alaska Family Medicine Residency Alaska Mental Health Trust Authority Alaska Native Tribal Health Consortium Alaska State Hospital and Nursing Home Assoc. Alaska Primary Care Association Hospitals, health centers, tribal clinics, providers University of Alaska and University of Washington Denali Commission USDHHS – HRSA: Bureau of Health Professions & Office of
Rural Health Policy Other stakeholder groups
17
Across the State
University of Alaska Health Programs
18
Approach to Health Programs at UA
Internal collaboration across campuses statewide Joint planning and coordination of programs Centers of Excellence concept to minimize duplication Grow Our Own place-committed health professionals for Alaska’s
legacy jobs Partnerships with Alaska health care organizations in
communities throughout the state Wide program dissemination via distance delivery methodologies –
40 UA health programs available in various locations using distance education
Special programs to encourage rural and other underrepresented people to enter health careers Alaska Health Education Centers - AHECs Della Keats/UDOC RRANN and Nursing Workforce Diversity Programs
Studies to track workforce shortages and costs of recruitment – with special attention to regional shortages and rural costs
Development of career ladders and lattices - to allow for stepwise progression to higher level careers
19
Health Program Highlights
Recent expansions/additions Nursing doubled in size to more than 220 admitted to AAS
and BS programs per year; AAS distributed to 12 communities
Medicine doubled from 10-20 Radiologic technology to 6 sites Occupational therapy - with Creighton University Distance MSW expanded Rural allied health training via distance delivery
Coming soon Physician Assistant – increasing to 24, program all in Alaska Bachelor’s degree in dietetics and nutrition – via distance Pharmacy – with Creighton University, distance delivered Physical Therapy Assistant – with Whatcom Community
College (also working on physical therapy)
20
University of Alaska Health Programs
More than 80 program areas state wide: allied and behavioral health, emergency services, health management, medical office, nursing, primary care, public health, therapies
Over 4000 students at all levels (certificate to doctorate) in more than 250 locations; nearly 1300 completers/year
From AY02 to AY08, 68% more health students
and 66% more health program completersUsing a variety of educational modalities
21
UA Health Program Student Locations
22
Industry Health Partners
• Industry partners are critical to the university’s health programs; virtually all programs require clinical placements and supervision; partners are included in program advisory councils and planning forums
• Tribal health organization partners include:• Alaska Native Medical Center• Bristol Bay Area Native Health Corporation• Eastern Aleutian Tribes Association• Kodiak Area Native Association• Maniilaq Association• Norton Sound Health Corporation• Southeast Alaska Regional Health Consortium• Yukon Kuskokwim Health Corporation• And others….
23
An Example: UAA School of Nursing Distributed Programs in Blue
Associate of Applied Science in NursingRegistered Nurse-to-Bachelor’s of Science
in Nursing Science Bachelor’s of Science in Nursing Science –
in Anchorage; ANMC is important clinical siteMasters of Science in Nursing
Education Health Administration Advance Nurse Practitioner
Family NP Psychiatric/Mental Health NP
24
AAS Nursing Program Sites
Current:AnchorageBethelFairbanksHomerJuneauKenaiKetchikanKodiakKotzebueMat-SuSitkaValdez
Potential:BarrowDillinghamNomePetersburg
Outreach AAS Graduates ’06-’07 = 39AAS Graduates in Anchorage = 40Bachelor’s Graduates in Anchorage = 113
Kenai
Homer
Mat-Su
25
RRANN and NWD
Recruitment and Retention of Alaska Natives into Nursing (RRANN) – 90 graduates since 1999 Representing nearly 40 communities across the
state Provides outreach and advising, tutoring,
stipends, community building and support services In both pre-clinical and clinical years
Nursing Workforce Diversity (NWD) – 36 graduates in past two years Serves clinical majors from underrepresented and
academically disadvantaged backgrounds Services similar to RRANN
26
Distance Courses Developed for Rural Allied Health Training
Community Health Aide Program:PreSession IIntroduction to Distance EducationThe Adult Learner
Health Care Reimbursement (Billing/Coding):HLTH 100 Medical TerminologyHLTH 110 Professional Skills for the WorkplaceHLTH 132 Administrative Procedures IHLTH 208 Human Diseases HLTH 234 Administrative Procedures IIHLTH 235 Medical CodingHLTH 236 Outpatient Health Care ReimbursementHLTH 237 Inpatient Health Care ReimbursementPSY 101 Introduction to Psychology
Pharmacy Careers:PHAR 101 Introduction to PharmacyPHAR 105 Pharmacology for Technicians IPHAR 107 Pharmacy CalculationsPHAR 111 Techniques in Pharmacy PracticePHAR 115 Pharmacology for Technicians IIPHAR 195 Topics in Pharmacy
Medical Laboratory Careers:MEDT 101 Phlebotomy ProceduresMEDT 195A Phlebotomy PracticumMEDT 102 Urinalysis for Clinical AssistantsMEDT 103 Hematology for Clinical AssistantsMEDT 104 Clinical Chemistry for Clinical AssistantsMEDT 105 Microbiology for Clinical AssistantsMEDT 110 Specimen ProcessingMEDT 195B Clinical Assistant Practicum
Radiology Technology Careers:A101 Radiographic Protection and BiologyA102 Radiographic Practicum IA103 Radiographic Practicum IIA104 Radiographic Practicum III
Dental Assisting Careers:DA 102 Infection ControlDA 110 Dental RadiographyDA 150 Biomedical and Dental SciencesDA 127 Practice ManagementDA 101 Essentials of DentistryDA 160 Materials in Dentistry
Community Wellness Advocate Program:HS 130 Public Health and Injury PreventionHS 131 Role of Data in Injury PreventionHS 132 Managing Injury Prevention ProgramsHS 140 Health PrinciplesHS 141 Organization of Coordinated School Health ProgramsHS 142 Coordinated School Health ProgramsHS 145 Child Nutrition
Direct Services Careers:HS 103 Personal Care Assistant TrainingHS 104 PCA to CNA BridgeHS 105 Certified Nurse Aide Training
Trainee Success Pilot Projects:HLTH 105 Introduction to Health CareersHLTH 107 Certified Nursing Assistant
HLTH 116 Mathematics in Health CareCIOS 150 Computer Business ApplicationsEMS 152 Emergency Trauma Training
27
Rural Allied Health Training Project
• Proposed to Denali Commission beginning 2003
• To address Rural Alaska Allied Health Workforce Needs
• Improve Access for Rural Students to University’s Allied Health Programs
• Engage in Close and Ongoing Partnerships with Rural Employers
28
Denali Training Project Areas
• Medical Office / Health Care Reimbursement (Billing
and Coding) • Dental Assisting • Pharmacy Technology• Radiography Careers (Limited Radiography)
• Medical Laboratory Careers (Phlebotomist, Clinical Assistant, Medical Laboratory Technology)
• Direct Services Careers (Personal Care Attendant / Certified Nursing Assistant)
• Community Wellness Advocate (Village Health Education)
• Community Health Aide / Practitioner • Trainee Success• Health Sciences (Supervision, Health Education)
• Bristol Bay Health Programs (Faculty/Coordinator)
• Physical Therapy Assistant
29
Success
RadTech
Career ladder educational approach allows students to start taking courses that increase their current skill set as a health care professional. Workers can also work toward more advanced degrees in their chosen field.
Distance delivery allows workers to pursue an education regardless of location.
Nina Menegak of Bethel
30
AHEC - Another Special Partnership
Alaska’s AHEC Centers are located at YKHC, SEARHC, Fairbanks Memorial, and Providence Anchorage; program office is at the Alaska Center for Rural Health Clinical rotations for health students at many tribal
organizations Kids into health careers programs Continuing education for health professionals working
in rural and underserved areas
31
32