“Project R.E.A.C.H.” The Johns Hopkins Health System’s incumbent worker career acceleration program by Pamela Paulk Vice President for Human Resources The Johns Hopkins Hospital Johns Hopkins Health System Presentation to the National Association of State Workforce Board Chairs/NGA Washington, DC (February 26, 2006)

Project REACH is sponsored by the: President’s High Growth Job Training Initiative U.S. Department of Labor Business Relations Group and Johns Hopkins Health System Baltimore, Maryland

Project REACH R esources and E ducation for the A dvancement of C areers at H opkins 18 month grant with 12 month extension (June ’04 – Dec ’06) $3m of US DoL funds, $3.3m JHHS match Main focus – to take existing incumbent worker program to scale and create a replicable model

Project REACH’s 5 training types 1.Retention and growth of at-risk workers 2.GED and diploma preparation program 3.Retraining of employees in declining jobs for emerging jobs 4.High-potential worker assessment and skills training program 5.Upgrade training of incumbent workers into critical skills shortage positions

Project REACH’s key features intensive individual assessments 16 hours paid salary release time for participants in training full-time Career Coaches broad executive and supervisory support organizational culture supports learning and promotion from within

Training courses Skills enhancement ) Accelerated GED ) in-house and HCDI Business skills training ) Lab Tech 1 (Pathology) (MCAT) Clinical Associate (Caroline Center) Patient Service Coordinator 2 (MCAT) Radiology Tech (CCBC-Essex) Occupational Therapy Assistant (CCBC- Catonsville) Digital film clerk (in-house) (continued….)

Training courses –Ladders in Nursing Careers (B-CCC, CCBC- Essex, Villa Julie, Harford County CC, Excelsior, Coppin State) –Respiratory Therapist (CCBC-Essex) –Medical Lab Technician (CCBC-Essex) –Medical Technologist (Weber State Utah, Univ. of Maryland at Baltimore) –Medical Coding (web-based, through MC Strategies and Univ. Alabama at Birmingham) –Customized Pharmacy Technician (with B- CCC) –Customized Surgical Technician (with CCBC)

Training courses first “Anesthesiology Technology” course in MD (and only 3 rd in country) started with CCBC, to nationally accredited curriculum estimated drop-out rate so far in all programs: 20/724 = 2.8%

Project achievements (to Dec ’05) incumbent worker participants 2.1,472 assessments administered to 743 individuals employees currently in training, 271 other ready waiting for courses to begin employees have completed training 5.39% of applicants were not previously in healthcare occupations, but 83% will be in healthcare jobs after training

Project achievements (to Dec ’05) 6.49% of participants are aged 40 or older, and one in five is over the age of 50 7.Average time between completing training and getting promoted for sample of graduates so far is 9.7 days, and average wage increase is 7.7%; one-third of promoted graduates receive wage gains of more than 15% 8.Average annual wage gains of $9,800-$11,300 are possible, if participants reach destination

Project REACH “lessons learned” individual assessments are key some training may result in reduced wages initially: puts emphasis on career path workflow implications from “short- staffing” in “giving” Departments challenge of course timing versus hospital’s rotational shift work patterns

Lessons learned (cont’d) Career Coaches deal with supervisors and Department heads almost as much as with trainees need for elementary computer skills need for “college readiness” workshop required more “brush-up” skills than expected – delivered through PLATO

Still to come on Project REACH… more precise analysis of all-around costs evaluation of Career Coach activities/impacts relation of training outcomes to trainee characteristics, assessment scores, providers more healthcare career ladder/lattice mapping development of expansion/dissemination materials and vehicles

Project REACH contact info: Yariela Kerr-Donovan Grant Manager, Project REACH Human Resources Department The Johns Hopkins Hospital 550 N. Broadway, Suite 401 Baltimore, MD Tel: 410/ Fax: 410/ Website: Chris Thompson Institute for Policy Studies Johns Hopkins University Wyman park Bldg, 5 th floor 3400 North Charles Baltimore, MD Tel: 410/ Fax: 410/ Gina King Business Relations Group U.S. Dept. of Labor Employment and Training Administration Frances Perkins Building 200 Constitution Ave. NW, Rm. N4641 Washington DC, (202/ , ( ve/)