Supporting Health Centers through Workforce Development Feygele - - PowerPoint PPT Presentation

Supporting Health Centers through Workforce Development Feygele Jacobs

Executive V.P./ COO RCHN Community Health Foundation

March 2012

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• F. Jacobs | RCHN Community Health Foundation | March 2012

RCHN CHF

• Evolved from reorganization of multi-tiered

NYC-based delivery network

• multi-site CHC, managed care plan, and MSO
• Sale of the health plan (2005) provided the
• pportunity to develop the Foundation and make

a substantial commitment to the broader CHC community

• RCHN CHF is the only Foundation in the country

devoted exclusively to FQHCs, and has a national scope

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Foundation Mission and Goals

• Natural progression of the Ryan Community

Health Network, building on unique strengths

• Mission: To support and benefit the work of

community health centers nationally

• Goals: To help CHCs address primary challenges

and drive positive, sustainable change for the CHC market

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Foundation Strategies

• Not-for-profit operating Foundation
• Entrepreneurial approach beyond traditional grant

making

• Supports CHCs through:
• Strategic investment
• Research and education
• Coalition building
• Complements and supports work of NACHC,

CHV and other foundations through collaboration and partnership

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Why Workforce?

• Staffing issues an ongoing consideration for

healthcare providers

• Demographic shifts
• Limited labor pools relative to demand
• Uneven educational opportunities
• Vocational and other training needs

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Why Now ?

• Affordable Care Act
• Central aim: Expansion of overage

− Medicaid expansion guarantees coverage for adults up to 133% of poverty − establishment of health insurance Exchanges

• Incentives to increase clinician supply and support primary

care

• CHC Expansion
• $11 billion in health center funding

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Why Now ?

• Caring for patients is growing more

challenging

• more patients, and more with increasingly

complex health problems

• new technologies
• complexities of major expansion of and changes

in insurance coverage

Increased demand and complexity

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Why Now ?

• For coverage to translate into access, there

needs to be capacity

• Convergence of need and opportunity
• Recognize role of CHCs as essential to the

fabric of local economy

• CHCs generated economic benefit of $20 bil

including jobs, spending on goods and services 2009, with more than $53 bil projected by 2015

• Opportunities to further stimulate local

economies and accelerate recovery and growth

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Why Focus on Entry Level ?

• Workforce dialog typically focused on

providers

• Over 131,000 FTEs work in CHCs today

−50,700 providers and enabling staff −80,900 other staff

• Need adequate base of skilled staff to support

providers

• Team emphasis of patient-centered medical

homes

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Project Objectives

• Support CHCs in transformation efforts
• Validate and verify assumptions and needs with

CHCs

• Optimize ability of CHCs to serve as high

quality and high-performing medical homes

• Embed talent and capability in CHCs to

make them providers of choice

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• F. Jacobs | RCHN Community Health Foundation | March 2012

RFP Responses

• Over 11o complete applications
• Funding requests totaling $225,000,000
• Evaluation criteria included
• alignment with objectives
• community need
• documented capability to implement and sustain

the project

• potential impact.

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• F. Jacobs | RCHN Community Health Foundation | March 2012

RFP Responses

• Common themes
• Unique elements
• Evidence of compelling demand
• Highlight workforce challenge and need

for additional support

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Aaron E. Henry Community Health Services Center, Clarksdale MS

• AEHCHSC (1979) serves five rural counties in

northwest MS with 3 freestanding clinics, 2 school-based sites and mobile medical unit

• Project includes 11 counties and CHC partners
• Recruitment:
• educational mentoring for middle school and high school students

about health care careers

• Internships and training for students in community and four-year

colleges

• Retention:
• specialized computer- and video-training modules and training

during work hours to enhance skills and increase job satisfaction.

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Charles B. Wang Community Health Center, New York City

• Based the NYC metropolitan area, CB Wang (1971)

provides 200,000 visits to over 39,400 patients at 4 sites.

• Retention:
• On-line training to improve retention of receptionists, medical

assistants, case managers, and community health workers

• Emphasis on customer service, interacting with the center’s patients,

using medical terminology, and utilizing electronic health record and management systems

• Training is bi-lingual to best address needs of staff and patients
• Additional emphasis on mid-level manager training to facilitate

better mentoring and support of entry-level employees.

• Community partnerships

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Penobscot Community Health Care Bangor, Maine

• PCHC (1997) serves 60,000 patients at 15
• locations. Project 350,000 patient visits
• Retention:
• Skills enhancement for frontline health center staff - patient service

representatives

• Recruitment:
• Encompass diverse experiences and backgrounds, maximize job

prospects for people who may not previously have considered applying for health care positions

• Partnership with the Maine Community College

System and the state’s other community health centers

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Seattle Indian Health Board Seattle, Washington

• Urban center (1970) addressing needs of American

Indian and Alaska Native patients in greater Seattle/King County. Offers primary care, chemical dependency services, traditional Indian Medicine.

• Recruitment:
• recruit interns and future employees through local colleges and

vocational training programs, with a focus on outreach to American Indian and Alaska Native students.

• Retention:

Skills enhancement and career pathways for current staff

• improving computer skills, and electronic health records, using

medical terminology, and providing culturally sensitive customer service.

• develop computer-training modules existing relationships with

community colleges

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Wai’anae Coast Comprehensive Health Center, Wai’anae, Hawaii

• WCCHC (1972) in Leeward Coast region serves

approximately 29,000 patients, primarily Native Hawaiian, Asian and other Pacific Islanders. Largest and oldest CHC in Hawaii.

• Longstanding emphasis on career development with in-house learning

center

• Significant local employer
• Retention:
• Cross training so staff can work both within and across multiple

departments

• Recruitment:
• create internships for community college students
• increase opportunities, through existing educational programs and

expanded outreach efforts, for U.S. veterans to obtain the skills they need to become successful health center employees.

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Project status

• Started January 2012
• Funded for one year
• Present milestones, interim reports at mid- year
• RCHN CHF assessing future funding opportunities

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• F. Jacobs | RCHN Community Health Foundation | March 2012

More Strategy

• Embed
• Strongest possible talent and leadership
• Transform
• Existing settings and programs
• Leverage
• Availability of dollars and programs
• Facilitate effectiveness and replicability
• Support
• capability of CHCs as economic engines

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• F. Jacobs | RCHN Community Health Foundation | March 2012

Let’s Stay in Touch!

Feygele Jacobs Executive V.P./COO RCHN Community Health Foundation fjacobs@rchnfoundation.org 212.246.1122 ext 712