Preparing Our Future Healthcare Workforce I am the Health Science Education specialist for the Montana Office of Public Instruction. One of the highlights of our health science programs is the number of partnerships we have developed between our high schools, colleges and healthcare partners that are pooling resources and talent to secure the future of our healthcare workforce.

We have an average of 42,000 high school students in 168 high schools, but only 27 schools currently have a health science program. 46 schools have more than 200 students, 35 schools have 100-200, and 87 schools have less than 100 students grades 9 through 12. Besides Agriculture, healthcare is the next largest industry in the state.

This map shows the hospitals in the state This map shows the hospitals in the state. Health Science programs within a hospital are the newest area of growth. Polson high school and St. Joseph’s Medical Center started the trend; now St. Luke’s, Deer Lodge Medical Center and Northern Montana Hospital . Big Sandy and Central MT Medical Center will be offering industry-recognized certifications for high school students in Nursing Assisting and EMT. 48 Critical Access and 13 larger hospitals in Montana, covering 177,000 square miles

Connecting Colleges & High Schools Through Credit This year the Office of Public Instruction and Office of the Commissioner of Higher Education rolled out a new career pathway model called MT Career Pathways. These are statewide pathways meant to help high staff as well as high school students to navigate possible courses that will help the student explore career options.

Colleges Offering Health Care Options MT Career Pathways were intended to be statewide pathways as opposed to our previous model of linking one high school to one college.

About 78% of MT students have access to Concurrent Enrollment in their high school. Dual enrollment options have certainly increased, except for our most rural locations. These school size rankings refer to the MT High School Athletic Association, where the number of students determine the “class” they are assigned. (Discuss- Issues in rural schools for dual enrollment and potential for HS programs)

Recap of School-Based Options We discussed: Current high school programs Hospital-based high school programs Dual credit options College partnerships in health professions What other partnerships are strengthening our Pipeline?

Relationships MT Healthcare Workforce Advisory Committee (began 2010) http://healthinfo.montana.edu/workforce-development/mt-workforce-advisory-committee.html Area Health Education Centers (AHEC) TAACCCT IV- Healthcare Montana Healthcare facilities MT Dept. of Labor MT DPHHS Our Healthcare workforce advisory committee began in 2010 and has written two healthcare strategic plans for the state, published in 2011 and 2016. The MT DOLI and DPHHS also are part of this committee as well as Secondary education and the healthcare pipeline have been included in this planning. I moved my office from Helena in 2007 to the state AHEC offices in Bozeman for daily collaborative work. TAACCCT-IV funding was an incredible opportunity to move forward on the strategic planning we were already doing.

MT Office of Rural Health & AHECs Research & Explore Awesome Careers in Healthcare! Freshmen/Sophomores Local Facility Day Long Camp Healthcare Stations Scrub Tops and Swag Free to Attend Med Start Camp Juniors/Seniors College/Healthcare Week Long Camp Healthcare Tours Healthcare Activities Job Shadowing Fun Adventures Cost Associated Discuss AHEC contributions- local networking and advisories; collaborative work on summer camps. This past summer students received one elective college credit for attending the Med Start camp.

2017 Med Start Camp Applicants must be from rural locations, first generation college-going, and/or low-income. We also partner with GearUp that funds 25 students from GearUp schools.

HealthCARE MT (TAACCCT IV) 4 MAIN GOALS: Employer engagement Curriculum Students Apprenticeships

HealthCARE MT Employers Rapid response surveys/Employer training Students Career Coaches Curriculum CNA Success Skills Videos/CNA Specialty Certs LEAD-Fostering Workplace Success Allied Health Core Curriculum Nursing Curriculum Redesign Employers were asked to join regional trainings and focus groups. Curriculum was aligned with employer needs. Old curriculum model was causing a bottleneck at the freshman level and made it very difficult to change allied health professional focus. Adult students needed more understanding of what they were signing up for, so the health coaches were integral in getting folks into the right program. Some programs fit better into an apprenticeship model, so once again, employers were queried about their needs and how this might work. This work started with the CN A specialty certifications. Employers also expressed a concern over workplace skills, so that was addressed under this grant. The nursing curriculum was revised to separate LPN and RN-ASN programs and shorten the time to graduation. The piece that was most exciting for secondary health science was the design and adoption of the Allied Health Core Curriculum. curriculum alignment with employer needs. Old curriculum model was causing a bottleneck at the freshman level and made it very difficult to change allied health professional focus. Adult student needed more understanding of what they were signing up for, so the health coaches were integral in getting folks into the right program. Some programs fit better into an apprenticeship model, so once again, employers were queried about their needs and how this might work.

New Healthcare Registered Apprenticeship Programs Total CNA BASIC ADVANCED CNA DEMENTIA CNA RESTORATIVE CT TECH SURG TECH MEDICAL SCRIBE MEDICATION AIDE II ADMINISTRATOR (ASSISTED LIVING) ADMINISTRATOR (LONG TERM CARE) PHARMACY TECH PRE-CODER MEDICAL CLAIMS PRACTICAL NURSE PARAMEDIC 107 40 1 8 28 5 11 3 2 This slide shows the rapid expansion of the registered apprenticeship programs across the state

Registered Apprenticeship in Healthcare

Apprenticeship Tax Credit Incentives to businesses for starting a new apprenticeship program or expanding current base $750 credit per new apprentice and $1,500 credit for each new apprentice who is a veteran Our state offers a tax incentive for businesses to buy-in to the apprenticeship model further adding to braided funding streams.

Kalispell Regional Healthcare (KRH) Educational Days krh.org About|Student Affiliations or https://www.krh.org/krhc/about/student-affiliations Department was created as an easy way to track Community Benefit dollars for non-profit Kalispell Regional Healthcare (KRH) Educational Days Kalispell Regional Healthcare (KRH) Observer Program (Exceptions for people trying to get into a program who need a specific amount of hours) Summer Intern Program/Neurology Internship Our medical community has also adopted not only a culture of caring, but a culture of education. Non-profit hospitals must track community benefit dollars, and this is one example of how a hospital put this money into promoting WBL.

Student Internship Program Polson High School students interested in becoming an intern complete an extensive application process. Once accepted into the program, students spend 2 class periods (1.5 hours) at the hospital every day throughout the entire school year in 12 departments. Program has expanded to five hospitals with great success! This is another non-profit hospital in an even smaller community. They partnered with their local high school and offered their facility as a learning lab if the high school would supply a teacher to oversee and teach some of the curriculum. We now have three more hospitals that will start internship programs this fall at Deer Lodge Medical Center, St. Luke’s in Ronan, and Northern MT Healthcare in Havre.

Leveraging Dollars- Mobile SIM Labs By purchasing various mobile labs, MT can bring industry-standard equipment and professionals into local communities. Private foundation funding, TAACCT grants, and local support Montana has two mobile emergency room-EMT labs. Our strategic planning brought to light the gaps in EMT care, the aging volunteer population and the need for ongoing training. An Advisory board was convened just for the Sim Labs to determine and prioritize their use throughout the state. This is the newest project in healthcare as the trucks arrived this summer, so they haven’t been on the road all that long! Once again, this was only possible by braiding funding streams. For sustainability, some of the sites the trucks will visit will be responsible for mileage, housing the driver/trainer, and wages of the SIM lab staff. Some communities may not be required to pay anything if they are high need communities.

Emergency Services/Fire Science A new Class 4 Endorsement has been proposed to the Board of Public Education for EMT trainers. This will allow students to receive CTE credit for EMT training, and possible dual credit at select colleges. Programs exist at Lincoln County HS in Eureka, Great Falls Public Schools in conjunction with GFC, and Billings Career Center in conjunction with City College. Next fall we will be piloting this in Lewistown and Miles City.

Growing the Healthcare Pipeline What ideas do you have for marketing or public relations? What are the drawbacks to high school students in the hospital setting? Will the 5 Healthcare Essentials modules be available to high schools for free? Other thoughts… Thank you!