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Slide 1 - the California State Rural Health Association

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					Cross-Cutting and Infrastructure
      Recommendations

          Jeff Oxendine
            First Draft
          June 11, 2011
  Cross-Cutting Recommendations (from CHA)

• Preserve and Protect Funding for California’s
  Public Institutions of Higher Education
• Protect Funding for California’s Community
  College Workforce Preparation Programs
• Align Programs With Industry Demand
• Standardize Prerequisite Courses
• Improve Course Articulation Between
  California’s Institutions of Higher Education
• Alleviate Barriers Related to Clinical Training
 Cross-Cutting Recommendations

• Increase knowledge of pre-requisite courses &
  where to obtain them for all pathways
• Improve access to pre-requisite courses. Develop
  more on-line modules that can be scaled and create
  more affordable access.
• Standardize pre-requisites (see CHA)
• Revisit pre-requisites for relevance & necessity
•
  Cross Cutting Recommendations

• Develop a competency based approach to education,
  licensure and continuing education aligned with
  employer needs.
• Establish mechanisms for determining emerging
  competencies as health reform, technology and
  other changes necessitate and for more responsive
  integration into curriculum and training.
• Develop standardize curriculum and materials based
  on competencies
• Increase resources for cost effectively training of
  existing workforce on new competencies
                           DRAFT                      4
 Cross Cutting Recommendations

• Integrate cultural and linguistic competency
  into all training programs
• Establish tighter regulation on debt
• Offer more programs on a self supporting fee-
  based schedule (use CSU as model)
• Improve/increase incentives for students to
  choose primary care careers and service in
  underserved areas (e.g., scholarship & loan
  repayment)
                      DRAFT                       5
  Cross-Cutting Recommendations

• Increase awareness of career options through more
  targeted and effective approaches and channels for
  individuals, parents and advisors at all levels. Utilize
  new media & other tools.
• Increase awareness of programs that offer financial
  support and how to utilize
• Prioritize outreach, training and support for
  incumbent workers
• Increase career assessment, skill building and case
  management support for individuals through out all
  stages of their pathway DRAFT                              6
  Cross-Cutting Recommendations

• Increase funding for internships and clinical training
  in ambulatory settings and underserved areas and
  provide infrastructure to coordinate
• Increase institutional commitment and investment in
  proven programs that increase workforce and
  diversity. Focus on culture change and
  accountability.
• Establish programs with specific primary care and
  diversity focus. Locate some in us communities

                          DRAFT                        7
 Cross-Cutting Recommendations

• Examine and improve reimbursement
• Examine functions, roles and scope of practice
  for the range of different careers within new
  delivery models
• Clarify and improve articulation among
  educational levels and careers
• Need better trained teachers in ROCP’s


                      DRAFT                    8
 Cross Cutting Recommendations

• Adapt WIB and WIA guidelines and processes
  for funding of priority professions and use of
  qualified community training resources.
• Need to address overlap and synergy of roles
  across professions in current & emerging
  models. Utilize to determine future demand,
  competencies, most productive use and scope
  of practice (e.g. promotoras, MA, public
  health, social workers).
                      DRAFT                    9
 Infrastructure Recommendations
• Identify and engage a workforce intermediary or third party
  who can work on making the case for different workforce
  needs
   – This would give space for employers to submit their input
• Increase awareness K-16 around health care careers
   – Less reliance on career counselors (decreasing #s)
   – Brochures with different programs of study, laid out for different
     career paths
   – Unique mediums: YouTube, Facebook
   – Range of audiences: Students, parents, teachers, counselors
   – Innovative approaches: job shadow opportunities for teachers
   – Sharing “startling statistics”
• Priority emphasis on increasing workforce for diverse and
  underserved populations
  Infrastructure Recommendations
• Develop comprehensive strategic plan for health workforce &
  diversity in CA aligned with regional & profession specific
  plans.
• Implement sufficient statewide public and private
  infrastructure to implement and be accountable for statewide
  plan implementation. Have cross profession and specific
  profession infrastructures.
• Establish public and private funding streams to sufficiently
  invest in priority workforce programs and infrastructure
• Establish solid organizing workforce intermediaries in priority
  regions with sufficient funding and capacity

                              DRAFT                            11
 Infrastructure Recommendations

• Develop forecasts of future demand by
  profession (statewide and regionally). Have
  mechanism for reporting and adjustment.
• Support implementation of and reporting to
  OSHPD clearinghouse. Ensure that all priority
  professions are included and that reporting is
  required.
• Develop and maintain regional maps of
  training programs and supply and demand
                       DRAFT                       12
                 Lessons From Virginia:
    Infrastructure & Partnership Recommendations

• Goal 1: To set up the statewide infrastructure required for health
  workforce needs assessment and planning that maintains
  engagement by health professions training programs in decision
  making and program implementation.
• Objective 1: To establish the VHWDA as a sustainable public-
  private partnership.
• Objective 2: To establish the Virginia Health Careers Student
  Registry into a comprehensive registry of all Virginia students with
  an interest in health careers.
• Objective 3: To expand the scope of the annual Choose Virginia
  Conference to include all students and residents with an interest in
  primary care, helping them to “Choose Virginia! A Healthy Place to
  live and work!”
          Lessons From Virginia:
   Infrastructure & Recommendations
• Goal 2: To encourage regional partnerships that address health
  workforce pipeline development needs and promote innovative health
  care workforce career pathway activities.
• Objective 1: To identify High Priority Target Areas (HPTAs) within each
  region of the Commonwealth.
• Objective 2: To identify and convene regional leadership to discuss
  opportunities to better leverage and align existing state, regional and local
  programs and activities to support regional health workforce pipeline
  development initiatives that are designed to have a measurable impact on
  HPTAs.
• Objective 3: To make available funds for regional planning and
  implementation grants to encourage leaders at the regional level to
  develop partnerships to address the workforce issues in HPTAs and that
  result in health workforce development initiatives that improve health
  status and outcomes in those areas.
• Objective 4: To capture, package and disseminate best practices and
  effective regional initiatives throughout Virginia and the nation.

				
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