League for Innovations Conference 2010 Presentation to the League for Innovations Conference 2010 Baltimore, Maryland March 30, 2010

Introductions Presenters Patricia M. Gray, MSN, Ph.D. Vice President of Healthcare Education Initiatives Cuyahoga Community College, Cleveland, Ohio Barbara Mikuszewski, M.S., R.D., L.D. Associate Dean of Health Careers and Natural Science

Part One Introduction to Cuyahoga Community College (“Tri-C”) Economic Overview of Northeast Ohio Response to U.S. Department of Labor RFP Community Health, Wellness and Preventative Care Centers

Cuyahoga Community College Tri-C - First and largest community college in Ohio. Serves more than 55,000 credit and non-credit students each year. Awards the 10th largest number of Health Professions and Related Science Associate Degrees in the nation.

Cuyahoga Community College 6,000+ students prepare for and enroll in the College’s nursing and health careers programs each year (including pre-requisites) Three campus college district Cuyahoga County as primary service area Serves Cleveland and surrounding communities Metropolitan Campus (Downtown Cleveland) Western Campus (Parma, suburb of Cleveland) Eastern Campus (Highland Hills, suburb of Cleveland) New facility, Westlake (opening January 2011)

Tri-C Serving Northeast Ohio Lake County Eastern Campus Future Westshore Center Metro Campus Future Eastern Campus Expansion District UTC Geauga County Corporate College East Corporate College West Lorain County Western Campus Summit County Future Brunswick Center Medina County

Northeast Ohio Economic Overview $27,007 median household income for City of Cleveland. 29.7 percent of population below the poverty level. Current economic recession has had a devastating impact on the City of Cleveland and its workforce. Additional data from the 2005-2007 American Community Survey available from the U.S. Census Bureau is summarized in Figure 1.

Northeast Ohio Economic Overview From July 2008 to July 2009, Cleveland’s unemployment rate increased from 8.8 percent to 11.4 percent. 21,000+ Clevelanders currently unemployed. Major layoffs in almost every industry sector except healthcare. Additional data from the 2005-2007 American Community Survey available from the U.S. Census Bureau is summarized in Figure 1.

Northeast Ohio Economic Overview In Cuyahoga County, 141,000+ adults ages 18-64 (17.6%) without health insurance in 2009. In three urban counties (Cuyahoga, Lorain and Summit) estimated 238,000 persons ages 18-64 had no healthcare insurance when surveyed in 2008. Source: Center for Community Solutions - Profile of the Uninsured in Cuyahoga, Lorain, and Summit Counties; Results from the 2008 Ohio Family Health Survey, March 17, 2009.

Northeast Ohio Economic Overview 10

U.S. Department of Labor RFP Responded to the RFP by U.S. Department of Labor for Community Based Job Training Grant – 10/2007 Employer Related Need Survey of hospitals and long term care facilities in NEO indicated areas of greatest need, current and next 5 years, not including nursing

U.S. Department of Labor RFP Source: Ohio Department of Job and family Services, Bureau of Labor Market Information. Data prepared in cooperation with the Bureau of Labor Statistics, U.S. Department of Labor.

U.S. Department of Labor RFP Program Partners collaborated with… Region’s major healthcare institutions The Northeast Ohio Health, Science and Innovation Coalition (NOHSIC)7 Confirm Ohio Department of Job and Family Services projections Identify shortages to be addressed through capacity-building initiatives

U.S. Department of Labor RFP Significant shortages identified in five job categories for which the College has the ability to increase training capacity with the assistance of Department of Labor and other leveraged funding. These are: Health Information Technician Physician Assistant Medical Assistant Occupational Therapy Assistant Physical Therapist Assistant

U.S. Department of Labor RFP Proposal included Address employer needs for more graduates Increase number of students in all 5 programs by 10 students each year

U.S. Department of Labor RFP Tri-C was unable to meet increased number of students need with current college configurations. Need for… New and expanded laboratory facilities More clinical sites for student experiences Additional faculty

Community Health, Wellness and Preventative Care Centers The Community Health, Wellness and Preventative Care Centers (“PCCs”) address the program’s need for new and expanded laboratory facilities. Space renovated at Metro and Eastern campuses to accommodate new laboratory facility for five programs. Construction funded by Tri-C Equipment funded from DOL grant

Community Health, Wellness and Preventative Care Centers PCC’s address program needs for increased clinical sites. University Hospitals of Cleveland committed to provide clinical sites for increased number of students. New laboratory facilities also used as Health, Wellness and Preventative Care Centers for community members who are uninsured or underinsured – only community college facility of this kind in the nation.

Community Health, Wellness and Preventative Care Centers Need for additional faculty being addressed through development of online training program for health careers faculty.

Community Health, Wellness and Preventative Care Centers Awarded three year grant from DOL Funding began April 1, 2008 $2.8 million

Part Two – Implementation of the DOL Proposal Barbara Mikuszewski, M.S., R.D., L.D. Associate Dean of Health Careers and Natural Science Cuyahoga Community College, Cleveland, Ohio

Implementation of the DOL Proposal Decision on Location of PCCs: Accessible to community within the College campus Parking “Front door” appeal

Tri-C Serving Northeast Ohio Lake County Eastern Campus Future Westshore Center Metro Campus Future Eastern Campus Expansion District UTC Geauga County Corporate College East Corporate College West Lorain County Western Campus Summit County Future Brunswick Center Medina County

Implementation of the DOL Proposal Key Questions: What do we want to accomplish? What can we accomplish considering the skill level of our students? What types of services can our students provide?

Implementation of the DOL Proposal Goals: To provide noninsured and underinsured adults with healthcare services that will enhance your health, maintain your wellness and offer education in preventive care. To create an educational climate which supports the development of future healthcare professionals.

Implementation of the DOL Proposal Planning the Facilities: Anticipated number of clients Number of students available Space allocation/equipment needs Wish list always greater than the funds available

Implementation of the DOL Proposal Preplanning: Protocols/processes/forms: Flow charts Forms

Implementation of the DOL Proposal Marketing: Branding

Implementation of the DOL Proposal Naming the facility - Community Health, Wellness and Preventive Care Center PTAT/OTAT/MA/PA/HIM Dental Hygiene Clinic Optical Dispensary Massotherapy 29

Implementation of the DOL Proposal Start up considerations: Hiring a part time director Hours of operation: student availability, availability of professionals Lab skills – paid professionals Challenge: no clients

Implementation of the DOL Proposal Strategies: Collaboration with CSU – PTAT and OTAT Standardized patient Availability of a podiatrist Partnership with The Free Clinic

Implementation of the DOL Proposal Partnership with the Health/Wellness program

Implementation of the DOL Proposal Education workshops 33

Implementation of the DOL Proposal Statistics: Patient numbers Patient feedback

Implementation of the DOL Proposal Statistics: Patient numbers Student and patient testimonials “A wonderful and unique experience that Tri-C provides; free service to community people in need and students test skills and are challenged to grow. The faculty are so nice.” – Mary LaGuardia, PTAT student “A great opportunity to work with OT students and have a hands-on experience with patients. This provides a chance to practice what you learn, before our clinical experience.” – Abence Holben, PTAT student

Implementation of the DOL Proposal Statistics: Patient numbers Student and patient testimonials “The PCC provides healthcare access to individuals who otherwise would be unable to afford care. The students receive exposure that is invaluable to their education and future as healthcare professionals.” – Heather Foos, Director of PCC “This was life changing. Everyone (was) professional and knew my name.” – Patient, with no insurance 36

Implementation of the DOL Proposal Statistics: Patient numbers Workshop

Implementation of the DOL Proposal Ongoing challenges: Lack of a physician Student schedules Marketing Operating at two sites – different demographics Funding for sustainability

We welcome your questions, comments and observations. Thank you! Tri-C Mission To provide high quality, accessible, and affordable educational opportunities and services - Including university transfer, technical and lifelong programs – that promote and improve individual development and improve the overall quality of life in a multicultural community.