W orkforce I nnovation – A Community Response
-
Upload
naida-charles -
Category
Documents
-
view
26 -
download
0
description
Transcript of W orkforce I nnovation – A Community Response
FAHA 42nd Annual Convention & Exposition July 28, 2005
1
WWorkforceorkforce IInnovationnnovation – –
A Community A Community ResponseResponse
Presented by:Presented by:
Alan D. Sadowsky, PhDAlan D. Sadowsky, PhDInstitute for Geriatric Research & Training. Morse Geriatric Institute for Geriatric Research & Training. Morse Geriatric
CenterCenterExecutive Director, Lola & Saul Kramer Senior Services AgencyExecutive Director, Lola & Saul Kramer Senior Services Agency
on the on the Marilyn and Stanley M. Katz Seniors CampusMarilyn and Stanley M. Katz Seniors Campus
FAHA 42nd Annual Convention & Exposition
2
•Academy of Practical Nursing for Health Occupations
•U.S. Department of Labor•Workforce Alliance, Inc.•Quantum Foundation•Palm Healthcare Foundation•HCA-Columbia and Palms West Hosp.
AcknowledgmentsAcknowledgments
FAHA 42nd Annual Convention & Exposition
3
•HB 1971 (1999-2000) Pilot Project•Mission –research, training and best practices•Support from Deans of all 5 medical schools•Geri-U-online University (GERIU.org)•Surveys and education for the public and dec-makers •Deliverables
Florida’s Teaching Nursing HomeFlorida’s Teaching Nursing Home
FAHA 42nd Annual Convention & Exposition
4
Morse Geriatric Center - History
•280 Bed SNF•Kramer Senior Services Agency•Institute for Geriatric Research & Training 2000: Clinical Dementia Workforce recruitment and retention Nutrition Family expectations Best Practices
• AL/IL added December 2004 (142 beds)
FAHA 42nd Annual Convention & Exposition
5
Background
•Workforce – Who will care for us?•Local, regional, national, int’l issue•Attract workers to field (make viable)•Retain and advance workers•Reduce expensive turnover•Statistics quality of care issues
FAHA 42nd Annual Convention & Exposition
6
P.R.O.M.I.S.E.
•Community demonstration•US Department of Labor•At-risk in targeted areas•Ages 14-24 •Average age = 18
FAHA 42nd Annual Convention & Exposition
7
Selected Characteristics of Population
50% from Belle Glade, Pahokee, South Bay93% female33% live on their own47% are parents (average age 16.7) > 87% are African American> 42% self report history of criminal offense> 33% have immediate family who is an offender> 24% have limited English> 36% report domestic violence> 27% report being victims of sexual offense
FAHA 42nd Annual Convention & Exposition
8
Program Goal
•Find employment for at-risk population•Unintended reality – jobs in health care•Barriers to employment:Child careFinancial aidHousingJob readiness
FAHA 42nd Annual Convention & Exposition
9
Community Partners (selected list)-
•Literacy Coalition •Hispanic Human Resources•Youth Services Council•United Way•Workforce Alliance, Inc.•Boys and Girls Club•Haitian Community Council
FAHA 42nd Annual Convention & Exposition
10
Outcome Measures (selected list)
•Returning to or staying in school….. 75%•Complete skills training …………... 75%•Improve Math and English skills ….
75%•No new criminal justice involvement.
75%
FAHA 42nd Annual Convention & Exposition
11
Program Results N = 103
•96% completed occupational training•80% obtained a job•Math scores increased 1.76 grades from pre to post
test•Reading scores increased 1.4 grades from pre to
post test Recall:
• No previous work history (82%)• History of family violence•24% with limited English•46% were parents (avg. age – 16.7yrs)
FAHA 42nd Annual Convention & Exposition
12
P.R.O.M.I.S.E. Extension
•Disconnect between finding employment – maintaining employment
•Grant ext. (1of 2 sites) based on perf.•New model – Bonus for 6 months
consecutive employment (n=75)•Descriptions/definitions •Eliminate “no call – no show”•100% of those eligible for bonus signed up•All 75 achieve bonus
FAHA 42nd Annual Convention & Exposition
13
Linking People with Careers (LPC)
•Quantum – healthcare conversion trust•Link employment needs of providers with at-
risk population•Expand lessons from P.R.O.M.I.S.E.•Goal 35 enrollees – in 2-year period•Subsequent extension adds 30 enrollees (N=65)•Project coordinator- characteristics
FAHA 42nd Annual Convention & Exposition
14
Program Results
•166 people screened•62 people recruited•55 of 62 (89%) secured employment•39 (63%) still employed•26% found work but unable to maintain•11% “missing”•Contingency fund - a critical component
FAHA 42nd Annual Convention & Exposition
15
•(C.A.R.C.)- Relationship to LPC, PROMISE•Coalition partners in place•Key principles: invest in employees long term commitment
Career Advancement Retention Challenge
FAHA 42nd Annual Convention & Exposition
16
C.A.R.C. Description
•2 years for LPN•Employers to pay tuition, books, uniforms•Potential 100% increase in salary•TANF eligible – local Workforce
involvement •Motivated employers (win-win)
FAHA 42nd Annual Convention & Exposition
17
•Morse Geriatric Center•HCA- JFK and Palms West•Columbia Hospital•Academy of Practical Nursing for Health
Occupations (APNHO)•Literacy Coalition
Partners
FAHA 42nd Annual Convention & Exposition
18
Eligibility Challenges
•Financial•Reading/Math 11th grade level•Difficulty in filling slots•Enormous interest
FAHA 42nd Annual Convention & Exposition
19
•Mentoring•Literacy – expanded to sites•Welfare transition program-workforce•Goals – Outcomes•Work commitment – Morse Geriatric
Center•Experience from other grants – PHF
involvement
Program Components
FAHA 42nd Annual Convention & Exposition
20
Program Outcomes
•38 trainees•26 mentors•Progress in LPN program•CNA certification 27•Satisfaction – employee – employer
FAHA 42nd Annual Convention & Exposition
21
•“…instructors are interested in me…”•“…best part is this will help me be what
I’ve always dreamed of…”•Tutoring was available at different hours•“Thank you – you’ve given me the
confidence to better myself…”
Key Comments
FAHA 42nd Annual Convention & Exposition
22
Program Update
•LPC awarded one final year•Retention bonus now included•Produce training manual•Adopt policies of hiring at-risk when
possible•CARC receives extension (less enrollees)•PROMISE proposed to US Dept. of Labor
to further analyze bonus
FAHA 42nd Annual Convention & Exposition
23
•Substantial obstacles•Contingency $’s are critical•Diversity training essential•Program staff – enrollee bonds – very
strong•Interest is high
Lessons Learned-CARC
FAHA 42nd Annual Convention & Exposition
24
•Mentorship forced•Sense of entitlement can be negative•Commitment with flexibility – keys to
success•Need to broaden the base•CARC – ideal for LTC’s•Tough decisions – some will fail
Lessons Learned……..Part II
FAHA 42nd Annual Convention & Exposition
25
•Facilities must know staff turnover rates•Accept need for long term strategy•Understand the difficult challenge•Look for workers in new places•Be available during crisis•Discipline “silk glove/iron fist”
Policy Implications
FAHA 42nd Annual Convention & Exposition
26
•Advancement motivation-strong•Reduce facility risk – pay on the back end•Establish community linkages-employers,
educators, potential funding sources•Teachers, become more than teachers•Determine time parameters•Invest in human capital- this will take time
Steps to Success