Rural Health Workforce: The Work Healthy Hospitals Initiative Sydney - - PowerPoint PPT Presentation
Strengthening Oklahomas Rural Health Workforce: The Work Healthy Hospitals Initiative Sydney Tomlinson Health Improvement Initiative Specialist Oklahoma Hospital Association Serving as a united voice for Oklahomans in the promotion of rural
Sydney Tomlinson Health Improvement Initiative Specialist Oklahoma Hospital Association
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
48 43 42 44 41 42 41 44
47 48 43 45
5 10 15 20 25 30 35 40 45 50
Physical Inactivity Obesity Diabetes Frequent Mental Distress
2016 2017 2018
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Source: United Health Foundation (2019). America’s health rankings: 2018 annual report. Retrieved from https://www.americashealthrankings.org/explore/annual/measure/Overall/state/OK
36% 36% 20% 12%
34% 37% 18% 14% 35% 36% 17% 14% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Physical Inactivity Obesity Diabetes Frequent Mental Distress Rural Suburban Urban
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Source: United Health Foundation (2019). America’s health rankings: 2018 annual report. Retrieved from https://www.americashealthrankings.org/explore/annual/measure/Overall/state/OK
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Began in 2013 as Oklahoma Hospital Association (OHA)
Board initiative
Impacting 26,000+ employees Funded by
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
participating hospitals
are rural hospitals
are from rural hospitals
Vision
Core values
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Establish baseline Receive immediate feedback Develop a plan Implement improvements
Taking a comprehensive approach
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Individualized consultation Annual Summit Quarterly webinars Community Forum Call
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
OHA Convention Press release OHA Hotline Spotlight Series Tailored annual snapshots
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Increased access Improved morale Increased engagement Improved health Decreased absenteeism
Recognition as a wellbeing leader in your community Resources to help share and educate Participation in a state-wide movement
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Excellence Hospitals: Indicates excellence hospitals
Sydney Tomlinson
stomlinson@okoha.com 405-427-9537
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Nicole Neilson, MS, RD/LD OSU AHEC Program Director Sharon Smith SW Regional OSU AHEC
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
The Area Health Education Centers (AHEC) Program
enhances access to high quality, culturally competent health care through academic‐community partnerships.
Goal: to build education and training networks
within communities, academic institutions, and community‐based organizations.
These networks support HRSA/BHW’s strategic
priorities to:
professionals;
underserved areas and populations.
Train students from minority and disadvantaged
backgrounds to:
based clinical practice settings;
to improve health care quality; and
programs for health professionals, particularly in rural and underserved areas.
Designed for health professions students interested
in supplementing their education by gaining additional knowledge and experience in rural and/or underserved urban settings.
Longitudinal program with interdisciplinary
curricula to implement a defined set of clinical, didactic, and community-based activities.
All experiential or clinical training will be conducted
in rural and/or underserved urban settings.
Six CORE Topic Areas: 1) Inter-professional Education 2) Behavioral Health Integration 3) Social Determinants of Health 4) Cultural Competency 5) Practice Transformation 6) Current & Emerging Health Issues
Pipeline
CME
Nicole Neilson, MS, RD/LD AHEC Program Director OSU Center for Rural Health 900 N. Portland Ave Health Technologies Building, Office 203M Oklahoma City, OK 73107 Office: 405-945-8605 Cell: 580-656-4518
Danielle M. Dewey Program Manager Comanche County Memorial Hospital Office: 580-699-7353 Cell: 580-585-0775 danielle.dewey@ccmhhealth.com
Becky Zook Center Director Rural Health Projects, Inc./ Northwest AHEC 2929 E. Randolph, Room 130 Enid, OK 73701 Office: 580-213-3170 bkzook@nwosu.edu
Michele Horn, RN, CEN Center Manager Northeast Area Health Education Center (NE-AHEC) Northeastern Health System 1400 E Downing Tahlequah, OK 74464 Office: 918-229-1476 Alt: 918-458-2463
NWOSU Nursing Program Great Salt Plains Health Center Integris Bass Baptist Hospital St Mary’s Regional Medical Center Enid Community Clinic Northwest Oklahoma Osteopathic Foundation Comanche County Health Department Western Ok State College Great Plains Technology Center
Interdisciplinary team based training and
participation in enhanced training experiences related to health care delivery impacting underserved communities
AHEC Scholars curriculum can be completed at no
cost and complements existing coursework. Current clinical coursework may qualify for AHEC Scholars credit
Resume review & job interview preparation Receive an official AHEC Scholars certificate and
letter of completion and Institute for Healthcare Improvement certificate in Quality and Safety
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Marjorie Erdmann, Ipe Paramel
May 29th 2019
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
transportation solution
clinic in providing rides and explore a sustainable model.
the patients as well as to the clinic.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Patients without Transportation are Decreasing Rural Health Capacity n=34
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Patient Health Detriment Clinic Capacity and Financial Detriment
Need for care goes unattended. No show/Cancellation is in schedule. In OK, lack of transportation assistance at time of urgent need which contributes to non emergent ER utilization) Appropriate primary care/medical home care billing lost to ER. SoonerRide (Medicaid) restraints:
three-day constraint for service,
request,
registered address.
Patients without rides are blind to the clinic until no show, cancellation, late arrival, walk-ins.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
– County seat – Closest Urban Area (Tulsa) 50 miles
– Concern about patient ER Usage – Sick care more needed by pediatric patients: new problems higher percentage than adults (CDC) – High No-Shows (average 120 in a month) – High number of Medicaid patients – Young Parents: More likely without vehicles
OSU Care Management Clinic (OSU HAN)
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Who Needs Transport?
– 80% of no-show patients address within 10 miles of trial clinic. – Parents with multiple children seeking urgent care. – Parents who may or may not be at their SoonerCare address.
How Can the Clinic Retain Control of Transport Coordination?
– Transportation need assessed at time of call requesting an appointment. – Transportation need assessed at time of reminder of appointment calls. – Schedulers immediately able to schedule transportation for patient online.
How to Collect measures of use, cost, and satisfaction?
– Dedicated car and driver over 2 test phases totaling 8 weeks. – Yellow Checker Cab: for platform with robust transportation metrics. – Clinic Administrator: for type of visit, transported patient diagnosis, billed and collected claims amounts. – Patient Survey for satisfaction and feedback. – OSU HAN case manager: for clinic patient ER utilization for days of transportation trial.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Free ride program days where at least one patient transported. 78% Average number of patients on those days that needed a ride 2 Most Patients transported in one day 4 Average mileage transported to the clinic 3.18 Total miles transported, both phases (31 more miles in fall vs spring) 213.38
Transportation need is less visible on a daily basis “drip, drip, drip” but adds up significantly and is decreasing both capacity and revenue in rural clinics.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Transported patients in 31 days. 44 Categorized “sick” by office visit type (sick, well, new, ADHD, Lab) 71% Medicaid primary payer 96% Paid Claim with Medicaid 100% Round trip transportation 91% Different diagnoses 84 ER visits of transported patients during entire duration of program: SUNDAY visit to ER 1 No-showed a free ride Ambulatory, no disability transportation requests 100%
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Families transported 25 Had missed appointment previously due to no ride. 100% Had no alternative ride by appointment (2 of 44 did.) 96% Of transported patients reported missing appointments in the past due to no ride 100% Morning Transportation Need 66%
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Intermittent Need: “Never, Occasionally, Rarely” 55% Regular Need: “Frequently and Always” 45% Single Utilization Patients (21 of 25) 84% Multiple Utilization Patients (4 of 25) 16%
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Total Collected for 44 transported patients $4,255.75 Average collected per transported patient $96.72 Dollars collected/transportation day (31 days) $137.28
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Dedicated Car: Total Cost for 31 days $4,960 YCC per day rate $160.00 44 patient transported calculates a per patient cost $112.00 Pay Per Ride: Total Cost of YCC Fare All Rides: 213.38 miles $651.38 Average Cost per Patient by Yellow Checker Cab Rate/Round Trip: 6.36 miles round trip *Verified comparable to other On-Demand rates $19.44*
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
2 Patients/Day (study result) 3 Patients/Day (study result)
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
2 Patients/Day (study result) 3 Patients/Day (study result)
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Patients Appreciated On Time Service:
“Driver was on time so appointment was on time.” “He was on time, even early.” “The ride was on time.” “They were on time and needed to not call days in advance.” “My kids and I were transported to appointment on time.” “It was prompt.” “I was able to make my child’s appointment.” ”On time, great service!”
Patients Appreciated Convenience of Service
“It was convenient. It wasn’t a headache trying to find a ride.” “Didn’t have to walk on my foot that had surgery.” “Gives me the ability to seek medical attention for my kids.” ”Didn’t have to cancel appointment, easy to use.” “This needs to be an everyday thing.”
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
where pediatric patients were unable to access primary care due to no transportation - 52,386
sick pediatric patients were unable to attend - 36,909
misses their primary care visit due to lack of transportation.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
CHSI is interested in further solving the No-Show and Transportation gap need throughout Oklahoma. If you are interested please contact us: marjorie.erdmann@okstate.edu ipe@okstate.edu
Kerstin M. Reinschmidt, PhD, MPH − OUHSC Terence D. Gipson, MPH − OUHSC Angel E. Giron Lopez, BS − OUHSC Marisa New, MPH, OTR − OSDH
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Objective 1: Describe outcomes and lessons learned from
developing a diabetes training for CHWs in Oklahoma
Objective 2: Explain how the CHW diabetes training project
aligns with statewide and national efforts related to the CHW workforce
Objective 3: Assess in which ways conference participants
can apply the CHW diabetes training to the rural health delivery system in Oklahoma
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Frontline public health worker Trusted member of the community served Intermediary between health/social services and
the community
Helps provide culturally appropriate services Builds individual and community capacity Performs a broad range of activities
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Public Health Interventions
Deliver community-based public health programs in
underserved communities
Promote positive lifestyle behavior changes
Disease Prevention and Management
Improve chronic disease management (BP and HbA1c) Enhance disease prevention and screening
Cost Savings
Facilitate insurance enrollment Reduce unnecessary health service utilization
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Aim 1: Identify current
roles, training, and expressed needs of CHWs in Oklahoma
Aim 2: Develop a CHW
diabetes training
Aim 3: Test the CHW
diabetes training
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
CHWs are team members in clinical
and community contexts
CHW trainings include
Basic CHW training
In-house Online CHW certification College degree
Evidence-based diabetes education Various other training venues and
topics
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Roles
Connect to health and social services Screen for and address social determinants of health Provide care management Motivate engagement with medical team and health Provide diabetes education Engage in community outreach Conduct home visits
Beyond Roles: Qualities
Establish trust relationships with the
patients/clients and the community
Have compassion, heart, and passion Are available
Benefits to clients, team,
and organization
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Curriculum Outline
Introduction The CHW Workforce Basic Knowledge of
Diabetes
CHW Roles in Addressing
Diabetes (C3)
CHW Self-care Appendices
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Develop a best-practices
diabetes training based on
Knowledge gained about
CHW roles, trainings, needs
Current national CHW role
recommendations (C3)
Evidence-based self-
management programs
May 31, 2019 Conduct training to
test for effectiveness in increasing CHW capacity
Training evaluation
Mixed methods pre-
and post-tests
Document verbal
feedback
Results will serve to
revise the training
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Challenges
Encountered
Recruiting 10
Number of CHWs CHW concentration in
urban areas (?)
Interests and Needs
Standardized CHW training CHW certification Add health focus Have diverse CHW models Educate about and
advocate for CHW workforce
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
https://www.c3project.org/
and Rosenthal EL, Redondo F , Hirsch G. 2018. Together Leaning Toward the Sky. The Community Health Worker Core Consensus (C3) Project - A Report of the 3 Project: Phase 1 and 2. A National Project to Inform Community Health Worker Practice and Policy. Texas Tech University Health Sciences Center El Paso, Texas.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Social Service Systems
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Connected to the community
Mature
Friendly/outgoing/sociable
Patient
Open-minded/non-judgmental
Motivated and capable of self-directed work
Caring/compassionate/empathetic
Committed/dedicated/desire to help the community
Respectful
Honest
Open/eager to grow/change/learn
Dependable/responsible/reliable
Persistent
Creative/resourceful
Flexible/adaptable
Oklahoma State Department of Health
2017 White Paper on CHWs in OK CHW Taskforce (Health Workforce Subcommittee
Development for partnership) Adapted APHA definition Advocated for voluntary certification
Hudson College of Public Health
Oklahoma Public Health Training Center Grants submitted in 2018 & 2019
OCCHD Wellness Now Coalition
2019 CHW Work Group
Oklahoma Public Health
Association
2019 CHW Section
Other CHW projects in Oklahoma
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Build and support a strong CHW workforce
Adopt C3 recommendations Seek & support standardized CHW training Advocate for CHW certification Build programs with sustainable funding
Explore various CHW models
CHWs work in clinical AND community-based organizations Train CHWs to address various diseases as locally needed
Tie in with NEW state and national organizations
Oklahoma Public Health Association’s CHW Section National Association of Community Health Workers Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Nothing about CHWs without CHWs!
Acknowledgements
Presbyterian Health Foundation for
financial support
CHW Taskforce of the Health
Workforce Subcommittee of the Governor’s Council for Workforce and Economic Development for partnership
Organizations and employees for
their time and insights
Contact Information:
Kerstin-Reinschmidt@ouhsc.edu MarisaN@health.ok.gov
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Lucy Muller, MSHR McAlester Regional Health Center HR Generalist
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Chronic diseases such as obesity, diabetes and heart disease are highly
prevalent health issues in America associated with a number of unhealthy behaviors including bad diet, not exercising and use of tobacco products (Ryan et al., 2019).
Employee health issues have a high value for organizations (Jimènez, Winkler
& Dunkl, 2017).
Basic goal of an employee wellness program is to skills, knowledge and
motivation for employees to maintain a healthy lifestyle (Hicks & Schmidt, 2016).
The over-arching goal is for employees to take their skills, knowledge and
motivation out to the community (Hicks & Schmidt, 2016).
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
95% of employees and covered spouses participation rate.
Business standard is 67%.
88% of participating individuals scored in the normal range for Glucose.
Business standard is 88%
Over the last three years:
Improved BMI of participating individuals by 1.73% Improved blood pressures of participating individuals by 25% Improved total cholesterol of participating individuals by 14% High risk individuals decrease in our self-funded medical plan from 17 to 9
individuals
A reduction of paid claims of $1.2 million. Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Biometric Screenings
Tobacco Screening
An online health assessment
Activities to promote healthy lifestyle
Examples:
Incentives for primary care visits Incentives for preventative screenings such as mammogram, colonoscopy, etc Healthy coaching
Rewards
Disincentives
Communication, Communication, Communication
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
An effective employee wellness program is only
effective if you have participation from your CEO down.
CEOs and other executives should be first in line
to participate in the required events.
No employee should be exempt from 100% not
participating including executives and physicians.
Your biggest employee wellness marketers are
your HR representatives and your middle managers.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Waist Circumference Blood Pressure Total Cholesterol Triglycerides Glucose Also taken but not measured for the program:
BMI Body Fat LDL HDL
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Negative cotinine swab Enrollment in cessation program
Not required to complete program 1-800-QUITNOW through TSET Online options Program through physician Prescription for cessation products;
however, not OTC
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Create a baseline for employees
Biometric Screenings Health Assessment Tobacco
Educate employees Take a hands on approach to questions and training Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Biometric Screenings Tobacco Screening Health Assessment Implement rewards and disincentives Offer challenging and fun activities to help boost moral Continue communication and education Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Review aggregate employee information to identify trends Add programs/activities to target those trends Continue the annual biometric screening, tobacco screening and health
assessment
Continue implementing the rewards and disincentive programs Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Examples:
PTO
HSA Contributions
Gift Cards
Taxable bonuses
Discounts on health premiums
MRHC:
Requirements:
Biometric Screening, Online Health
Assessment and 550 Points
Negative Tobacco Screening or
Enrollment in cessation program
PTO
550 Points – Discounted Premiums 650 Points – 4 Hours 750 Points – 8 Hours 850 Points – 16 Hours 950 Points – 24 Hours 1100 Points – 32 Hours
HSA
550 Points – Discounted Premiums 650 Points -- $50 750 Points -- $75 850 Points -- $100 950 Points -- $200 1100 Points -- $300
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Examples:
Increased health premiums
Lower PTO Rates
No paid sick time
MRHC
Requirements:
Biometric Screening, Online Health
Assessment and 550 Points
Negative Tobacco Screening or
Enrollment in cessation program
$25 additional health premium for employee not completing the Biometric, Online Health Assessment and 550 Points
$25 additional health premium for not meeting tobacco requirement
$25 additional health premium for spouse not completing the Biometric, Online Health Assessment and 550 Points
$25 additional health premium for spouse not meeting tobacco requirement
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Biggest Loser
Do not use biggest loser to address
weight issues within your population.
Use biggest loser as a tool of
motivation.
Score all aspect of a weight loss
challenge including pounds lost, inches off waist and hips lost and percentage lost.
Use biggest loser as an 8 week
timeframe to market your employee wellness programs and promote healthy lifestyle choices!
Steps Challenge
Most employees are already
working to get 10K steps in due to the nature of their job.
Another tool to use for motivation. Use the steps challenge as another
way to market your employee wellness programs and promote healthy lifestyle choices!
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
One week of the year truly devoted to employee wellness. Examples of great ideas:
Physician led discussions on hot health topics HR led discussions on HR issues such as the importance of vacation, the Employee
Assistance Program and other health benefit information
Dietician led cooking demonstrations Fitness trainer led exercise demonstrations LPC led sessions on mental health issues Financial professional led sessions on financial wellness
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Communication is key.
You have to know who your targets are in the employee wellness program and make sure you are hitting them.
Emails
Letters
Face to face meetings
Consistency is also key.
Make sure that biometric screenings and due dates are consistent from year to year.
Due dates are the same each year.
Try to not spread out too much
Having a specific person or group is much more effective than a round robin approach
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Start looking at your data and look to your next direction. Information share with other communities. Invite local community and business leaders to your
Team up with marketing to market how your organization can
help communities build their own employee wellness program
Examples:
Send residents out to businesses to do wellness checks for employees Send your therapy team out to teach how to properly lift Send your cardiologist out to business to discuss heart heathy initiatives
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Healthcare employees are the biggest marketers of his or her
healthcare organization.
Healthcare employees take their knowledge and skills home to
their families, friends, neighbors and even their patients.
A successful employee wellness program not only sparks
conversations and motivations regarding healthy lifestyle behaviors in the workforce, but also I the community.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Employee Wellness Programs are valuable to organizations because it shows
employees that their health is valued while introducing cost savings to the health plan.
Employee Wellness Programs need a structure that is well-defined and well-
communicated.
Employee Wellness Programs need to be in an environment that boosts morale
by providing education and fun to the activities process.
Employee Wellness Programs should be consistent with rewards and
disincentives.
Employee Wellness Programs can be visible to the community and knowledge
gained and services provided by the organization promoted.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
Hicks, L., & Schmidt, D. (2016). The healthy diploma and healthy titans: Two
innnovative campus programs for progressive student, profession and community outcomes. Kinesiology Review. (5)269.
Jimènez, P
., & Winkler, B., & Dunkl, A. (2017). Creating a healthy working environmnet with leadership: The concept of health-promoting leadership. The International Journal of Human Resource Management. (28)17.
Ryan, M., McGovern, L., McCabe, K., Myers, K., Nobrega, S., Wenjun, L, Wen-
Chieh, L. & Punnett, L. (2019). “Working on Wellness:” protocol for a worksite health promotion capacity building program for employers. BMC Public Health. (19)111.
Serving as a united voice for Oklahomans in the promotion of rural health issues through advocacy, education, and leadership.
2019 Oklahoma Rural Health Conference
Going Country: How to Highlight the Advantages of Practicing Medicine in Rural Oklahoma
RURAL RECRUITMENT PLAYBOOK FOR OKLAHOMA
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Senior Vice President Jackson Physician Search daltman@jacksonphysiciansearch.com
JACKSON PHYSICIAN SEARCH
Partnering with hospitals and healthcare facilities across the country in permanent physician placement for over 40 years.
LEARNING OBJECTIVES
1. How to effectively articulate the advantages– and transparently address the challenges – that are part of practicing in your rural community with physician candidates. 2. Identify best practices for recruitment into rural communities that can be adapted and implemented to address their unique challenges. 3. SWOT analysis of individual organization and community as it pertains to physician recruitment.
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RURAL RECRUITMENT PLAYBOOK OUTLINE
State of the industry and trends in rural physician recruitment Emerging strategies for recruitment into rural communities. How to use your culture to drive engagement and recruitment success. Measuring success and driving benchmarks.
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Projected physician shortfall between 40,800 and 104,900 by 2030. Demographic trends continue to be the primary drivers of increasing demand from 2015 to 2030. Physician’s retirement decisions are projected to have the greatest impact on supply. If underserved populations had standard care utilization patterns, demand for physicians would rise substantially.
Source: “The Complexities of Physician Supply and Demand 2017 Update.” IHS Markit for Association of American Medical Colleges. February 2017
STATE OF THE INDUSTRY
Medical School Graduates Outnumber Residency Slots Visa Processing Backlog and Foreign Travel Restrictions Limits on Treatment Activity by Advanced Practice Providers
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ACUTE SHORTAGE OUTSIDE OF MAJOR CITIES Less than 8%
About 20%
access to primary care or specialist services
Source: Trend Watch, American Hospital Association; Doximity
COMMUNITY IMPACT
Each physician supports 14 jobs and $2.2 million in economic input for a community.
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Adding (1) Physician to a community of 10,000 people is associated with a 5.3% reduction in average mortality.
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CRITICAL TO REACH PASSIVE CANDIDATES
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FIND PASSIVE CANDIDATES ONLINE
Digital Recruitment is a Trend that is Here to Stay
social media
Source: CDW Healthcare 2015 Healthcare Social Media Report – http://www.cdwcommunit.com/resources/infographic/social-media/
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FIND PASSIVE CANDIDATES ONLINE
Digital Recruitment is a Trend that is Here to Stay
Source: MMS Job Opportunity Preferences
job opportunities via email.
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EMERGING STRATEGIES FOR RURAL OKLAHOMA RECRUITMENT
Use Digital and Social Media to be Fast AND Strategic
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Assign Topics & Ensure Consistent Message Utilize Your Best Facility and Community Advocates Share Your Facility Vision and Community Impact Match Your Community and Culture to the Physician’s Values Explore the Candidate's Priorities and Motivations Involve the Spouse and Family Tailor the Interview Team to the Candidate Personalize and Strategize Every Interview
The Interview: Selling the Vision for Practicing in Rural Oklahoma
CULTURE AND ENGAGEMENT
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CULTURE AND ENGAGEMENT
Source: “The Engagement Gap,” Jackson Healthcare, 2016
The Two Elements that have the Strongest Connection to Satisfaction:
The Two Elements that have the Strongest Connection to Satisfaction
Trust in the Healthcare Organizations Leadership Team Quality of Communication Across the Healthcare Organization
More Important than Money
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Top four considerations physicians evaluate when seeking to join a rural practice in Oklahoma:
Comp Quality of Life Quality of Practice Location
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MEASURING SUCCESS AND DEFINING BENCHMARKS
End Result
Placements per Year
Efficiency
Interviews-to-Hire | Time-to-Fill | Etc.
Process
Recruitment Spend-per-Hire | Retention | Etc.
ADDITIONAL RESOURCES
Physician Salary Calculator White Paper: Physician Workforce Through 2030 Guide to Developing a Strategic Physician Recruitment Plan Infographic Guides: Physician Trends, Engagement and Networking Case Studies
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