ASSOCIATION OF TRIBAL HEALTH DIRECTORS February 17, 2009 Kathy Craft Workforce Development Coordinator Alaska Mental Health Trust Department of Health & Social Services University of Alaska Alaska Workforce Development 1

Take Home Message A great deal of work has been done, we have a strong foundation and it will grow stronger if we continue to work together. Contact: Kathy Craft - Pat Carr – Jan Harris – 2

Workforce Development Focus Area and Partnership Alaska Mental Health Trust Department of Health and Social Services University of Alaska Alaska Native Tribal Health Consortium Alaska Providers – Behavioral Health, Substance Abuse, Developmental Disabilities, Brain Injury, Seniors AMHTA Beneficiary Boards – ABADA, AMHB, ACoA, GCDSE Alaska Native Tribal Health Corporations 3

Context Health care is big business; Shortages are widespread and expensive; Partnerships and collaborations exist and can be built upon; 8% of Alaska’s workforce is in healthcare (26,500) Workforce continuum ranges from OJT (on the job training) to Ph.D. 4

Workforce Development Coordinator Shared Institutional Position Primary point of contact; Provide direction and guidance; Ensure successful accomplishment of project and initiative goals; Ensure proper stewardship of public dollars and accountability for investments made; and Assist in charting new health workforce development and career building directions. 5

Recruitment & Retention Loan repayment; Wages and benefits; Alaska Alliance for Direct Care Services; Cash stipends; Psychiatric Residency; Grow Your Own; Area Health Education Centers (AHEC); Vacancy Study; and, Marketing. 6

Newspaper ads statewide Posters Television commercial Hosted Elders & Youth Conference Booth 7

Newspaper ads statewide Posters Hosted Elders & Youth Conference Booth 8

Training & Education Trust Training Cooperative/Learning Management System  Geriatric Training and Brain Injury Training Alaska Rural Behavioral Health Training Academy Children’s Mental Health Training Children’s Behavioral Health Occupational Endorsement Certificate (formerly children’s residential aide program) 9

Training & Education Behavioral Health Career Ladder Rural Human Services certificate - uses cohort model of distance and intensives, tribal employers, elder involvement AAS in Human Services - available on campus, distance delivered or cohort model Bachelor’s programs  Human Services - on campus in several sites, working on distance courses  Social Work on campus or via distance  Psychology on campus Master’s programs  Social Work on campus or via distance  Clinical Psychology or Guidance and Counseling - on campus, working on distance Doctoral program in Psychology – in Fairbanks and Anchorage 10

Training & Education Alaska Ph.D. Clinical Internship Behavioral Health Alliance Peer Support Disability Justice  Serving cognitively impaired offenders  Victimization training and technical assistance BTKH – Bring the Kids Home (System Change)  Cultural attunement training Credential and Quality Standards Alaska Workforce Development Conference  Addressing the home and community based services, health and behavioral health workforce needs of Alaska 11

DHSS Health Planning and Systems Development Section Health Care Workforce Key Responsibilities Contact: Pat Carr, Section Chief (907)

DHSS Workforce Programs National Health Service Corps Community Health Aide Training and Supervision (CHATS) Grant Program Community Health Aide Certification Board J-1 /National Interest Waivers 3RNet – national online recruitment website Recruitment networking - with recruiters and HR 13

DHSS Workforce Training & Technical Assistance Technical Assistance to individual sites Hospital Site-to-Site Mentoring & Student Interns Preceptor & Cultural Awareness Trainings Workforce Development Conferences and Presentations 14

DHSS Workforce Research & Assessment Provider Survey/Vacancy Research Seeking Funding Sources for Workforce Research Research on Effectiveness of Workforce Development Strategies Health Professional Shortage Area (HPSA) designation applications Medically Underserved Area/Populations (MUA/P) designation application 15

DHSS Workforce Reports Alaska Health Care Data Book Physician Supply Task Force Report Status of Recruitment Resources and Strategies HPSD Workforce Reports and Reports from Other Organizations posted online at care/work.htm 16

DHSS Workforce Partners Alaska Dental Action Coalition Alaska Family Medicine Residency Alaska Mental Health Trust Authority Alaska Native Tribal Health Consortium Alaska State Hospital and Nursing Home Assoc. Alaska Primary Care Association Hospitals, health centers, tribal clinics, providers University of Alaska and University of Washington Denali Commission USDHHS – HRSA: Bureau of Health Professions & Office of Rural Health Policy Other stakeholder groups 17

Across the State University of Alaska Health Programs 18

Approach to Health Programs at UA Internal collaboration across campuses statewide  Joint planning and coordination of programs  Centers of Excellence concept to minimize duplication  Grow Our Own place-committed health professionals for Alaska’s legacy jobs Partnerships with Alaska health care organizations in communities throughout the state Wide program dissemination via distance delivery methodologies – 40 UA health programs available in various locations using distance education Special programs to encourage rural and other underrepresented people to enter health careers  Alaska Health Education Centers - AHECs  Della Keats/UDOC  RRANN and Nursing Workforce Diversity Programs Studies to track workforce shortages and costs of recruitment – with special attention to regional shortages and rural costs Development of career ladders and lattices - to allow for stepwise progression to higher level careers 19

Health Program Highlights Recent expansions/additions  Nursing doubled in size to more than 220 admitted to AAS and BS programs per year; AAS distributed to 12 communities  Medicine doubled from  Radiologic technology to 6 sites  Occupational therapy - with Creighton University  Distance MSW expanded  Rural allied health training via distance delivery Coming soon  Physician Assistant – increasing to 24, program all in Alaska  Bachelor’s degree in dietetics and nutrition – via distance  Pharmacy – with Creighton University, distance delivered  Physical Therapy Assistant – with Whatcom Community College (also working on physical therapy) 20

University of Alaska Health Programs More than 80 program areas state wide: allied and behavioral health, emergency services, health management, medical office, nursing, primary care, public health, therapies Over 4000 students at all levels (certificate to doctorate) in more than 250 locations; nearly 1300 completers/year From AY02 to AY08, 68% more health students and 66% more health program completers Using a variety of educational modalities 21

UA Health Program Student Locations 22

Industry Health Partners Industry partners are critical to the university’s health programs; virtually all programs require clinical placements and supervision; partners are included in program advisory councils and planning forums Tribal health organization partners include: Alaska Native Medical Center Bristol Bay Area Native Health Corporation Eastern Aleutian Tribes Association Kodiak Area Native Association Maniilaq Association Norton Sound Health Corporation Southeast Alaska Regional Health Consortium Yukon Kuskokwim Health Corporation And others…. 23

An Example: UAA School of Nursing Distributed Programs in Blue Associate of Applied Science in Nursing Registered Nurse-to-Bachelor’s of Science in Nursing Science Bachelor’s of Science in Nursing Science – in Anchorage; ANMC is important clinical site Masters of Science in Nursing  Education  Health Administration  Advance Nurse Practitioner  Family NP  Psychiatric/Mental Health NP 24

AAS Nursing Program Sites Current: Anchorage Bethel Fairbanks Homer Juneau Kenai Ketchikan Kodiak Kotzebue Mat-Su Sitka Valdez Potential: Barrow Dillingham Nome Petersburg Outreach AAS Graduates ’06-’07 = 39 AAS Graduates in Anchorage = 40 Bachelor’s Graduates in Anchorage = 113 Kenai Home r Mat-Su 25

RRANN and NWD Recruitment and Retention of Alaska Natives into Nursing (RRANN) – 90 graduates since 1999  Representing nearly 40 communities across the state  Provides outreach and advising, tutoring, stipends, community building and support services  In both pre-clinical and clinical years Nursing Workforce Diversity (NWD) – 36 graduates in past two years  Serves clinical majors from underrepresented and academically disadvantaged backgrounds  Services similar to RRANN 26

Distance Courses Developed for Rural Allied Health Training Community Health Aide Program: PreSession I Introduction to Distance Education The Adult Learner Health Care Reimbursement (Billing/Coding): HLTH 100 Medical Terminology HLTH 110 Professional Skills for the Workplace HLTH 132 Administrative Procedures I HLTH 208 Human Diseases HLTH 234 Administrative Procedures II HLTH 235 Medical Coding HLTH 236 Outpatient Health Care Reimbursement HLTH 237 Inpatient Health Care Reimbursement PSY 101 Introduction to Psychology Pharmacy Careers: PHAR 101 Introduction to Pharmacy PHAR 105 Pharmacology for Technicians I PHAR 107 Pharmacy Calculations PHAR 111 Techniques in Pharmacy Practice PHAR 115 Pharmacology for Technicians II PHAR 195 Topics in Pharmacy Medical Laboratory Careers: MEDT 101 Phlebotomy Procedures MEDT 195A Phlebotomy Practicum MEDT 102 Urinalysis for Clinical Assistants MEDT 103 Hematology for Clinical Assistants MEDT 104 Clinical Chemistry for Clinical Assistants MEDT 105 Microbiology for Clinical Assistants MEDT 110 Specimen Processing MEDT 195B Clinical Assistant Practicum Radiology Technology Careers: A101 Radiographic Protection and Biology A102 Radiographic Practicum I A103 Radiographic Practicum II A104 Radiographic Practicum III Dental Assisting Careers: DA 102 Infection Control DA 110 Dental Radiography DA 150 Biomedical and Dental Sciences DA 127 Practice Management DA 101 Essentials of Dentistry DA 160 Materials in Dentistry Community Wellness Advocate Program: HS 130 Public Health and Injury Prevention HS 131 Role of Data in Injury Prevention HS 132 Managing Injury Prevention Programs HS 140 Health Principles HS 141 Organization of Coordinated School Health Programs HS 142 Coordinated School Health Programs HS 145 Child Nutrition Direct Services Careers: HS 103 Personal Care Assistant Training HS 104 PCA to CNA Bridge HS 105 Certified Nurse Aide Training Trainee Success Pilot Projects: HLTH 105 Introduction to Health Careers HLTH 107 Certified Nursing Assistant HLTH 116 Mathematics in Health Care CIOS 150 Computer Business Applications EMS 152 Emergency Trauma Training 27

Rural Allied Health Training Project Proposed to Denali Commission beginning 2003 To address Rural Alaska Allied Health Workforce Needs Improve Access for Rural Students to University’s Allied Health Programs Engage in Close and Ongoing Partnerships with Rural Employers 28

Denali Training Project Areas Medical Office / Health Care Reimbursement (Billing and Coding) Dental Assisting Pharmacy Technology Radiography Careers (Limited Radiography) Medical Laboratory Careers (Phlebotomist, Clinical Assistant, Medical Laboratory Technology) Direct Services Careers (Personal Care Attendant / Certified Nursing Assistant) Community Wellness Advocate (Village Health Education) Community Health Aide / Practitioner Trainee Success Health Sciences (Supervision, Health Education) Bristol Bay Health Programs (Faculty/Coordinator) Physical Therapy Assistant 29

Success RadTech Career ladder educational approach allows students to start taking courses that increase their current skill set as a health care professional. Workers can also work toward more advanced degrees in their chosen field. Distance delivery allows workers to pursue an education regardless of location. Nina Menegak of Bethel 30

AHEC - Another Special Partnership Alaska’s AHEC Centers are located at YKHC, SEARHC, Fairbanks Memorial, and Providence Anchorage; program office is at the Alaska Center for Rural Health  Clinical rotations for health students at many tribal organizations  Kids into health careers programs  Continuing education for health professionals working in rural and underserved areas 31

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