Alleviating Health Care Worker Shortages

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• Alleviating Health Care Worker Shortages
• A Collaborative Model
• Sheryl McLain, MS
• Executive Director

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Oklahoma Health Care Workforce Center

• A public/private partnership created through
  legislation
• SB 1394 Passed in May 2006 Effective Nov. 1
  Co-authors Sen. Susan Paddack Rep. Doug
  Cox
• A private, non-profit organization dedicated to
  alleviating Oklahomas health care worker
  shortage

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With Whom Does OHCWC Collaborate?
19 Member Board

• Oklahoma State Regents for Higher Education
• Department of Career Tech
• Department of Education
• OU Health Sciences Center
• OSU Center for Health Sciences
• Governors Council for Workforce Economic
  Development
• Oklahoma State Senate (2)
• Oklahoma House of Representatives (2)

• Office of State Finance
• Secretary of Health
• Commissioner of Health
• Oklahoma Hospital Association
• Oklahoma Nurses Association
• Nursing Home Association
• State Medical Association
• State Osteopathic Association
• Lay Member Representing the General Public

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Other Collaborative Partners

• Oklahoma Area Health Education Centers (AHECs)
• Workforce Investment Boards
• Physician Manpower Training Commission
• LPN, ADN BSN Council Chairpersons
• Oklahoma Organization of Nurse Executives
• Institute for Oklahoma Nursing Education
• Oklahoma Hospital HR Association

• OK Department of Commerce
• U.S. Department of Labor
• Ok Employment Securities Commission
• OK Board of Nursing
• K-12 Teachers/Counselors
• School Nurses
• Allied Health Nursing Faculty from Career
  Techs, 2 4-year colleges/universities
• Oklahoma Healthcare Educators Association

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Funding In-Kind Support

• Oklahoma Hospital Association
• Oklahoma Hospitals
• Tulsa Hospital Council
• Oklahoma Department of Commerce
• OSRHE
• ODCTE
• Oklahoma State Department of Health
• Continue Pursuing Support from Other Stakeholders
  

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Priorities/Goals

• Education Training
• Retention
• Recruitment
• Core Services
• Public Awareness
• Funding
• Data Collection/Analysis

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1 Goal Increase Educational Capacity!

• 2008 Legislative Session
• SB 1687 was melded into SB 1769
• Passed Signed by the Governor. Not Funded!
• 2009 Legislative Session
• SB 310 Introduced
• Passed both House Senate signed by Governor
  Henry on May 11. Not Funded!
• Legislative Champions
• Sen. Susan Paddack (D-Ada) Rep. Doug Cox
  (R-Grove)

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Funding Needed For

• Scholarships for faculty development
• Incentive matching funds for educational capacity
  expansion online, distance ed, simulation, etc.
• Scholarships for high demand professions
• Funding request 18 million phased in over 3
  years

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Federal Stimulus Package

• Prioritize Funds for Education Health Care
  Workforce Development
• Letter to Sec. of Commerce Tourism Feb. 19
• Letter to the Governor State Leaders
  w/ formal proposal March 16
• Meeting with Sec. of Commerce
  Tourism March 23
• Ongoing discussions continue with industry
  state leaders
• 5 million proposal submitted to DOL
• www.ohcwc.com

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Hospitals Gave 30 Million to Education 2005-2007

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Survey Respondents

• 158 surveys sent to Oklahoma hospitals
• 72 hospitals responded
• 73 of all licensed hospital beds

Hospitals Gave 30 Million to Education, 2005-2007
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Total amount hospitals spent supporting health
care education from 2005-2007.
Hospitals Gave 30 Million to Education, 2005-2007
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Total amount hospitals spent supporting health
care education from 2005-2007.
Hospitals Gave 30 Million to Education, 2005-2007
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Total amount hospitals spent supporting health
care education from 2005-2007, by OHA region.
OKC Metro 14 Facilities 14,179,375
Tulsa Metro 6 Facilities 7,064,249
Northeast Region 11 Facilities 1,185,284
Northwest Region 9 Facilities 625,876
Southwest Region 11 Facilities 5,626,202
Southeast Region 14 Facilities 1,438,815
Hospitals Gave 30 Million to Education, 2005-2007
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Hospital VacanciesOSRHE/CT SurveyNursing
Allied Health Pipeline (all Post-Secondary)OBN
Trends2003-2007
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Hospital Staff Vacancies - 2008
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Qualified Applicants Admitted






100
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Nursing Allied Health Pipeline
(all Post-Secondary)
2008 Health Care Survey, 135 programs
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Nursing Allied Health Pipeline
(all Post-Secondary)
Of qualified applicants, 63 are admitted into
programs
2008 Health Care Survey, 135 programs
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Current Situation Pharmacist Graduates
Source Oklahoma State Regents Unitized Data
System (UDS), 2008
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Current Situation Respiratory Care Therapy
Graduates
Source Oklahoma State Regents Unitized Data
System (UDS), 2008
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Current Situation Physical Therapist
Occupational Therapist Graduates
Source Oklahoma State Regents Unitized Data
System (UDS), 2008
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Current Situation Medical Laboratory Technician
Medical Technology Graduates
Source Oklahoma State Regents Unitized Data
System (UDS), 2008
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Current Situation Emergency Medical Technician
(EMT) Graduates
Source Oklahoma State Regents Unitized Data
System (UDS), 2008
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Registered Nursing Pipeline
Public and Private Colleges Universities
85 of BSN qualified applicants admitted into
programs
71 of qualified ADN applicants admitted into
programs
2008 Health Care Survey, 135 programs
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2003-2007 Trends (Oklahoma Board of Nursing 2007
Annual Report)
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2003-2007 Trends (Oklahoma Board of Nursing 2007
Annual Report)



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Number of Applicants
Statewide
Source Oklahoma Board of Nursing, 2005-2008
Annual Reports
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Total Enrollment
Statewide
Source Oklahoma Board of Nursing, 2005-2008
Annual Reports
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Total Graduated
Statewide
Source Oklahoma Board of Nursing, 2005-2008
Annual Reports
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Nursing Graduates by Type 2000 - 2008
Source Oklahoma State Regents Unitized Data
System (UDS), 2008
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Higher Ed Survey Findings

• Students
• There is a large number of qualified applicants
  being turned away from Nursing Allied Health
  programs
• Oklahoma needs to admit more applicants into its
  programs
• In general, Graduation and Licensure pass rates
  are great for students admitted into Nursing
  Allied Health programs
• 89 of health profession graduates stay and work
  in Oklahoma (Employment Outcomes Report, 2008)

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Higher Ed Survey Findings

• Faculty
• There is a shortage in nursing and allied health
  faculty (84)
• The shortage is largest in RN faculty (60)
• Another 52 RN faculty plan to retire in the next
  5 years
• All nursing and allied health faculty with plans
  to retire within 5 years 117
• Nursing faculty often leave for higher paying
  jobs in hospitals

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• Resource Issues
• Adequate clinical space not available in all
  parts of the state
• Additional funds for hiring nursing and allied
  health faculty needed
• Faculty salaries need to be raised to compete
  with the local health care industry rates to
  maintain faculty

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• What Can You Do?
• Urge your legislator to support the appropriation
  of more dollars to Oklahoma State Regents for
  Higher Education for capacity expansion
• Ensure nursing and allied health faculty salaries
  are competitive with local health care industry
  rates in order to recruit and retain faculty
• Consider shared resources with other programs
  (e.g., faculty, facilities, simulators)

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• What Can You Do?
• Encourage course and admission alignment between
  programs
• Encourage and support the use of technology
  (e.g., simulation, online and distance education
  courses) to increase capacity use scarce
  faculty resources more efficiently
• Encourage and support existing partnerships with
  local hospital partners let them know the
  impact and ROI of their contributions

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Simulation Conference Photos

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Simulation Conference Photos

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Centers 2009 Action Plan

• Education Training
• Part III Simulation Workshop
• June 3, 2009 _at_ INTEGRIS Baptist Medical Center,
  Oklahoma City
• Focus Using Simulation in Health Care Settings
  for Multi-Disciplinary Training (Nursing,
  Respiratory, Medical, Disaster Preparedness,
  Orientation Process, etc.)

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2009 Simulation Conference Photos

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2009 Simulation Conference Photos

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2010 Simulation Conference

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BRAC Grant Extension

• Earmarks 258K for simulation equipment and
  training
• 20 counties in southern/southwestern Oklahoma
• Military, Health Care Providers, EMS Education

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Centers 2009 Action Plan

• Retention
• Share BEST PRACTICES for mentoring, coaching,
  leadership management, orientation programs
• Optimize Web-based distance learning
  opportunities (www.ohcwc.com)
• (Subcommittees on mentoring, coaching
  orientation/transition into practice)

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Bonus RWJ/NW Health Foundation Grant
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Bonus RWJ/NW Health Foundation Grant

• Retention
• RWJ/NW Health 250K
• Oklahoma Funders 125K
• - 5 Rural Hospitals (Ada, Talihina, Tahlequah,
  Atoka, Stilwell)
• - Cherokee Nation
• - OK Department of Commerce
• - 480,000 leveraged by Oklahoma Partners (Career
  Tech, OSRHE, OneNet, OHA, Hospitals)

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Bonus RWJ/NW Health Foundation Grant

• Retention
• Provides Leadership Development Management
  Training for 56 rural nurses via online and
  distance education
• Scholarships 8 educators masters in nursing
  education via OU online program
• Grant extension for 1 additional year through
  Aug. 2010
• Additional e-learning modules to include
  Mentoring, Coaching, Preceptoring
  Orientation/Transition into Practice

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Bonus RWJ/NW Health Foundation Grant
PIN Annual Conference
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Bonus RWJ/NW Health Foundation Grant
PIN Grant Series and Scholarship Recipients
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Bonus RWJ/NW Health Foundation Grant
PIN Grant Series Tahlequah
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Bonus RWJ/NW Health Foundation Grant
PIN Grant Series Talihina
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Bonus RWJ/NW Health Foundation Grant
PIN Grant Series Ada
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Centers 2009 Action Plan

• Recruitment
• Increase the promotion distribution of
  materials used to market health careers to K-12
  students, teachers, counselors, parents and others

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Centers 2009 Action Plan

• Recruitment
• Middle School Conference February
• Counselors Only Conference March
• Alternative Education Conference June
• Superintendents Leadership Conference July
• Encyclo-media September
• Hospital Association Statewide Conference
  November
• Safe Healthy Schools Conference November

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Centers 2009 Action Plan
OHA Convention 2008
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Centers 2009 Action Plan
Alternative Education Conference
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Recruitment/Public Awareness
Preparing for Presentation at Alternative
Education Conference
Insert Pictures here of media events, etc.
Capitol presentation, speaking in front of
various groups, etc.
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www.ohcwc.com
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www.okhealthcareers.com
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www.okhealthcareers.com
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New Health Careers Logo
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Recruitment Bonus New Program Pilot
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HealthExplore

• Middle School/After School or Summer Program
• Launch Spring 2009 Hospitals Middle Schools
• Interactive, fun science education health
  career exploration
• Hands-on science demos
• Health care professionals
• What they do, where they
• work equipment they use
• Engages students
• Fall 2009 Pilots
• Duncan
• Lawton

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HealthExplore Topics

• Mission Nutrition
• Body Basics
• Build Your Bones
• Tobacco Cessation
• DNA
• UV Exposure
• Contact us for a student or partner flyer
  outlining this exciting program!

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A Final Thought
Never doubt that a small group of committed
people can CHANGE THE WORLD. Indeed, it is the
only thing that ever has. - Margaret Mead
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Thank You

• Sheryl McLain, MS
• Executive Director
• 655 Research Parkway, Suite 325
• Oklahoma City, OK 73104
• [phone]
• sheryl_at_ohcwc.com
• www.ohcwc.com