Apprenticeship (RA): A Workforce Strategy for Health Care For the - - PowerPoint PPT Presentation

Introduction to Registered Apprenticeship (RA): A Workforce Strategy for Health Care

For the Healthcare Career Advancement Program (H-CAP) Feb 14, 2011

 President Obama, State of the Union message, “Registered

Apprenticeship as means to attain a post-secondary certificate”

 US DOL Secretary Solis vision, “Good Jobs for Everyone”

Registered Apprenticeship and Workforce One-Stop integration

 Inclusion in the Affordable Care Act

• RA sponsors are eligible for grants
• RA sponsors are eligible to sit on the National Commission

 Healthcare  Energy  Transportation  Information Technology  Public Sector  Education  Manufactoring  Construction

INCREMENTAL WAGE INCREASES:

 Registered

Apprentices receive incremental wage increases based on skills attainment and job proficiency MENTORING

 Apprentices

work and learn under qualified personnel

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RELATED INSTRUCTION

 Apprentices

receive technical training through a variety of methods

 Subject content

and time requirements depend on

• ccupation

 Responsibilities

ensure increased job competency

• ver time

ON-THE-JOB LEARNING:

 At least 2,000 hours of supervised and structured on-the-

job learning in an occupation

 Minimum of 144 hours of related instruction in technical

subjects related to the occupation, may be college credit

 Registered with US Dept of Labor Office of Apprenticeship

• r state registering agency

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Registered Apprenticeship Sponsors

Labor/Management

Workforce System/Education/ Government/Comm unity Organizations

• ther partners6

Apprentices/ Job Seekers Incumbent Workers

 Need to strengthen entry- and mid-level

Workforce skills

 Insuffient training for most entry-level

professions and no career pathway

 Individuals are not recognized as professionals  Consistency and culture of workplace  High turnover; burnout  Diversity or lack of in higher skilled

• ccupations

Offers advancement into nursing, pharmacy, dental, Health IT

and other growing occupations

Creates a pipeline of skilled

workers

Increases retention Decreases recruitment costs Improves employee skills,

confidence and quality of patient care

Increases diversity

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 “Grow Your Own Workforce”  Highly skilled employees  Recruitment Strategy  Consistent and Systematic Training  Relevant classroom instruction linked to actual work

experience

 Recognition for long-term employees  Employees increasingly capable of advancement  Creation of career pathways for more employees

Registered Apprenticeship Benefits: Job Seekers, Incumbent Workers and Apprentices

• “Earn While You Learn”
• Wages increase as skills increase
• Hands-on career training
• Education while working
• Career with multiple pathways
• National Certification

 Certified Nursing Assistant

with Specialties

 Community Health Worker  EMT and Paramedic  Dental Assistant  Home Care/Health Aide  Medical Assistant  Medical Transcriptionist  Medical Coder  Pharmacy Tech  Surgical Technologist  Laboratory Technician  Health Unit Coordinator  Direct Support Professional  MRI Tech  Mammography Tech  Licensed Practical Nurse

(military)

 Medical Secretary  More to come depending on

need

 CVS Pharmacy

• Pharmacy Tech Career Ladder
• Competency-based model 3 tiers

 Evangelical Lutheran Good Samaritan Society

• CNA competency-based model-4 tiers: Level 1, Advanced, and

at least 2 specialties

• Integrated into career lattice
• On-the-job skills developed through a mentoring structure

 East Texas AHEC/Texas Workforce Commission

• Community Health Worker—just beginning
• OA and AHEC are promoting the program to hospitals and

clinics

• AHEC will provide the instruction
• Texas Workforce Commission supports

 Health Unit Coordinator, Multicare Health System,

Tacoma, WA

• Partnership Labor, Management, Education, Government
• Based on Job Description, College Curriculum, National

Standards for HUC, Apprenticeship requirements

• Need for consistency in skill levels of college educated workers
• Offered twice year, incumbent workers/volunteers, free

tuition and books

• 15 programs completed, 109 apprentices
• ROI by Multicare shows value, developing additional
• ccupations

 Sunbridge Skilled Nursing Facilities-Restorative Aide

Apprenticeship with pre-requisites for LPN

 Dispensing Opticians-Apprenticeship completers pass

State licensing tests at higher rate than all others

 Dental Assistant- multiple locations  Multi-care Health System - CT and MRI Technicians  Alaska- Surgical Technician

 HOME CARE AIDE APPRENTICESHIP

• Basic Home Care Aide Training 75 Hours-Certificate from WA

State Department of Health, Certified Home Care Aide

• Advanced Home Care Aide Training 70 Hours-Certificate from

U.S. Department of Labor Office of Apprenticeship upon completion of all classroom training and on-the-job learning

• Peer Mentorship
• Career pathway to other medical, social service or special

education careers.

• Pilot begins 2011 approx 330 apprentices around the state
• Workforce training and quality of care increase together

 Joint evaluation  Currently 40 employers in 20 states with RA programs

covering 4 occupations (CNA, DSS, HSS, HHA)

 Examine recruitment & retention, wage gains and possibly

• ther quality of care issues

 Phase 1: Feasibility Study—this year  Phase 2: Evaluation Design to be determined by Feasibility

Study

• In Health Information Technology, RA can be an effective training

model

• Colleges with health informatics departments can make good

partners

• Blue Cross/Blue Shield—South Carolina
• Partnership with Midlands Technical College and Alpha

Training Services

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 Health Unit Coordinator  Medical Coder  Medical Transcriptionist  Information Assurance Specialist  Information Management  IT Project Manager  IT Generalist  Programmer Analyst  Web Systems Support Programmer  Network Support Technician

 Contact your State Director and/or Apprenticeship

Training Representative

 You can locate the appropriate contact for your state

here:

http://21stcenturyapprenticeship.workforce3one.org/page/contacts

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 Serve as a partner agency  Provide technical assistance to develop the program  Help your organization identify occupations with

training needs that could be apprenticeable

 Work with you to determine the on-the-job learning

work processes, related classroom instruction needed

 Register programs  Provide technical assistance on training protocols and

implementation practices and other issues

Anne Wetmore, MPA Washington and Oregon State Director U.S. Dept of Labor, Office of Apprenticeship 1111 3rd Ave, Suite 850 Seattle, WA 98101 (206)553-0076 Wetmore.anne@dol.gov