National Council on Workforce Education October 25, 2017 Activating Partnerships Between Community Health Centers and Colleges for the Regional Health Workforce Benefit Dan Ferguson, WA State Allied Health Center of Excellence, Naveen Kanithi, Northwest Regional Primary Care Association Jennifer Johnston, Highline College

Introductions Name Where from – location, organization, role Scale of Employer Engagement 1-7 Allied Health training program

Key Points Shared Responsibility/Shared Impact Community Health Center and Community College Partnerships Examples of Partnerships Resources for Connecting with Community Health Clinics

Engagement Policy Resources Collective Impact Strategies Jobs for the Future’s “A Resource Guide to Engaging Employers” WIOA – Federal Legislation Key Strategic Priority 2: Business Engagement Health Policy Reform

History of Collective Impact “Large scale social change requires broad, cross-sector coordination, yet the social sector remains focused on the isolated intervention of individual organizations” - Collective Impact by John Kania & Mark Kramer

What is Collective Impact? Video from: FSG Collective Impact http://www.fsg.org/ideas-in-action/collective-impact

Ladder of Employer Engagement New Relationship Working Relationship Strategic Partnership Level I Level II Level III Level IV Level V Key Employer Role Advising Capacity-building Co-designing Convening Leading Stage of Relationship Initial contact / new relationship Establishing trust and credibility Working relationship Trusted provider and collaborator Full strategic partner Activity Examples Discuss hiring needs, skills, competences, advise on curriculum, contract training, hire graduates. Job site tours; speakers; mock interviews, internships, needs assessment, loan/donate equipment, recruiting Curriculum/pat hway development, adjunct faculty and preceptors College- employer, sectorial, partnerships Multi- employer/ multi-college partnerships Ladder of Employer Engagement

Defining Employer Engagement According to Jobs for the Future’s “A Resource Guide to Engaging Employers” there are specific qualities of successful engagement. These include: Continuous Strategic Mutually valuable Wide-ranging Comprehensive Intensive Empowering Institutionally Varied

Community Colleges and Workforce Development Key Points Community Colleges and Workforce Development

Community Health Centers

Northwest Regional Primary Care Association Mission Northwest Regional Primary Care Association is a member organization that strengthens community and migrant health centers in the Northwest by leveraging regional power and resources on their behalf. Vision With the support of NWRPCA, our community health centers will be exemplary professional homes for their staffs and serve their communities well.

Region X 102 Health Center Grantees Alaska = 29 Idaho = 14 Oregon = 31 Washington = 28 Approx. 600 sites Serves over 1.6M people

Community-Oriented Primary Care Civil Rights Political/Economic Empowerment Educational Opportunity Social Change

US Department of Health & Human Services

2015 Health Centers Nationwide 1,375 Grantees Employing 188,851 FTEs 24.3 Million Patients Medical services: 20.6 million (84.9%) Dental services: 5.1 million (21.4%) Mental health care: 1.5 million (6.1%) Vision services: 500,000 (2.1%) Enabling services: 2.4 million (9.8%) AM Updated 10/06/14

RVIII/RX Health Centers In 2016: Region VIII: 65 Grantees (68% rural) Employing 8,321 FTEs 979,601 pts (56% female): Medical: 868,293 (89%) Dental: 214,049 (22%) Mental health: 85,584 (9%) Vision: 7,063 (0.7%) Enabling: 121,554 (12%) Region X: 100 Grantees (65% rural) Employing 17,645 FTEs 1,703,473 pts (55% female): Medical: 1,346,470 (79%) Dental: 554,104 (33%) Mental health: 141,238 (8%) Vision: 24,429 (1%) Enabling: 99,841 (6%) AM Updated RVIII Information 10/05/17 SETH – Please Check RX Figures HRSA 2016 Uniform Data System (UDS)

Health Centers Nationwide In 2016: Patient Demographics 23.6% 39.8% 23.4% 92.0% RVIII/RX Health Centers in 2015: best served in language other than English (LOTE) racial minority* uninsured at/below 200% poverty level* Region VIII Region X LOTE Patients 23.4% 28% Racial/Ethnic Minority* 26.9% 42% Uninsured 27.7% 20% <= 200% Poverty Level* 90.7% 91% AM Updated Nat’l and RVIII Information 10/09/17 SETH – Please Check RX Figures Uninsured % from 2013 (illustrates the very beginning impact of some states having Medicaid expansion, outreach and enrollment efforts) : National – 34.9% Region VIII – 40.6% Region X – 36.6% Utah Navajo Health System, Utah *Percentages are of known, not of total HRSA 2016 Uniform Data System (UDS)

Health Center Program Fundamentals Located in or serve a high need community Governed by a community board Provide comprehensive primary health care Provide services available to all Meet other performance and accountability requirements

Impact Benefits to Community Benefits to Health Center Health Home A Voice Broader Coverage Less Costly Care Benefits to Health Center $$$$ Malpractice Coverage (FTCA) PPS for Medicaid and Medicare Drug Discounts – 340B Loan Guarantees NHSC National Network Columbia Valley Community Health (WA) Health Fair

https://findahealthcenter.hrsa.gov/index.html

Northwest Regional Primary Care Association (NWRPCA) A.T. Still University – NWRPCA Campus, Class of 2017

http://www.nwrpca.org/?page=workforce http://www.nwrpca.org/?page=workforce

nkanithi@nwrpca.org

Community Health Centers and Community College Partnerships Key Points Community Health Centers and Community College Partnerships

5. Prior Learning Assessment / Competency Based Education Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce 5. Prior Learning Assessment / Competency Based Education

Prior Learning Assessment / Competency Based Education Competency Based Education means learning is structured so that participants can accelerate through material they already know, by demonstrating their already acquired knowledge of the subject matter.

Prior Learning Assessment / Competency Based Education For workers who were trained on the job, or workers who need certification or credentialing to meet requirements.

Prior Learning Assessment / Competency Based Education Examples Washington’s Medical Assistant-Certified Program Programs for medic-trained service members (Nursing Assistant, LPN, Medical Assistant) RN acceleration programs BAS programs offering PLA

Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce 4. Contract Trainings

Contract Training Often offered through Continuing, Corporate and Community Education departments Schools can create or provide existing trainings for a set fee per cohort Pro: no chance of the class being cancelled due to low enrollment Con: if you don’t have enough participants, the cost per may be high

Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce 3. Grant Funded Projects

Grant Funded Projects Grant applications are strengthened by demonstration of community partnerships. External funding encourages and allows for innovations.

Allied Health Apprenticeships Alaska DOL Grants Coding and Billing Medical Assistant Administrative Assistant Community Health Worker Washington HPOG Dental Assistant Montana Medical Assistant Community Health Worker Idaho Oregon

Area Health Education Centers AHECS make valuable partners with similar goals and objectives.

Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce 2. Advisory Boards

Advisory Boards Colleges: Revise and develop programs and training based on employer needs. Educate employees particularly suited to employer needs. Send student interns and volunteers for “extended interviews.” Advisory Boards: Provide feedback and guidance on workforce needs and trends. Provide opportunities for cooperative work experience for students.

Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce 1. Externships

Externships Partnering with CHC’s can open doors to new externships, coops, placements

Follow up Work What are some of your best existing partnerships? What works well? What may be the blind spots? Next steps

Questions and Discussion

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