Normalization of the Hartford Partnership Program for Aging Education model Emma Barker, MSW, MFA Program Officer, New York Academy Medicine, Social Work Leadership Institute April 28, 2011

The Social Work Leadership Institute’s Goals from the beginning The Social Work Leadership Institute is a national initiative working to ensure that America’s older adults receive the care they need to live life to the fullest – and that their caregivers also get the support they deserve. To achieve this goal, we’re working to increase the number of social workers who specialize in aging through research, policy and public education to create a rich network of care for every older adult.

The Aging Imperative US faces critical shortage of all health care providers working with aging persons, including social workers By 2020, The National Institute of Aging estimates the nation will require 70,000 “aging savvy” professional social workers This represents more than a 40% increase over the current social work labor force. Today, fewer than 3% of social work students specialize in aging.  Lack of retention: low pay + low visibility = poor image  Misimpressions of scope of aging and career functions  Perceptions of social workers specializing in aging can be ambivalent or negative What we know about the current care

Hartford Partnership Program for Aging Education (HPPAE)  Funded by the John A. Hartford Foundation  A university-community partnership based on a collaborative educational model  Recruits MSW students to specialize in aging  Plays leadership role in national efforts to advance aging education in social work  Employs competency-based training  Offers a unique rotational approach to field education

HPPAE Six Essential Components 1.University-community partnership 2.Competency-based education 3.Field rotations 4.Expanded role of the field instructor 5.Student recruitment 6.Leadership

HPPAE Today

Working Toward a Goal to Train Over 2,500 Social Workers by 2011

Knowledge and Skill Outcome

HPPAE Outcomes  The HPPAE is in 38 states with a total of 99 programs graduating over 2,669 students in 2011  80% of students plan to work in field of aging after graduation  Student satisfaction high for achieving learning goals and with rotational model for internships  HPPAE implementation sites, and cycles 1 and 2 schools have achieved a 95% sustainability rate for their programs (43 out of 46 sites)  Schools have been able to redirect resources to keep programs in place

Why Implement the HPPAE?  The rapid aging of the population  The need for more specialists in aging  The aging of the current workforce  The need for more effective models of care  The shift to competency based education = EPAS requirement  The opportunity to strengthen ties with the community  The opportunity to recruit students – the jobs will be in aging  The need for competent community leadership  The feasibility to generate/redirect resources

HPPAE “Normalization”  SWLI, in consultation with the National Advisory Panel has embarked on a grassroots effort to expand the program to other schools of social work, facilitating an exchange of knowledge and resources among schools

HPPAE National Advisory Panel  Paula Allen-Meares, University of Illinois at Chicago and IOM – Co-Chair  Katharine Briar-Lawson, University at Albany, SUNY – Co-Chair  Marla Berg-Wegener, St. Louis University  JoAnn Damron-Rodriguez, UCLA School of Public Affairs  Ronnie Glassman, Yeshiva University  Robyn Golden, Rush University Medical Center  Roberta Greene, University of Texas, Austin  Lenard Kaye, University of Maine  Betty Malks, Community Representative  Nora O’Brien, Hartford Foundation  Mike Patchner, Indiana University  Susan Reinhard, Public Policy Institute, AARP  Ginger Robbins, University of Houston  Stacey Sanders, HPPAE alumni, WOW  Karen Teigiser, University of Chicago

 Develop collaborative strategies for expanding HPPAE to other sites  Develop network of partners to assist schools in implementing and sustaining HPPAE  Support dissemination of knowledge and share expertise in implementing and sustaining HPPAE  Participate in SWLI Leadership initiatives SWLI’s National Advisory Panel mission

Normalization and the Breakthrough Series Collaborative Model (BSC)  BSC is a collaborative model that serves as the theoretical framework to establish the process of Normalization  The BSC Model:  Creates a structure in which universities and community partners can learn from each other and from recognized experts.  Provides an environment for learning, action, and evaluation that engages organizations in making real, system-level changes that lead to dramatic improvements.  Designed to close the gap between what we know and what we do

What is the Breakthrough Series?  Developed by the Institute for Healthcare Improvement (IHI)  The BTS is an improvement method that relies on spread and adaptation of existing knowledge to multiple settings to accomplish a common aim

The framework: IHI Breakthrough Series Select Topic (develop mission) Planning Group Develop Framework & Changes Participants ( teams) Prework LS 1 P S AD P S AD LS 3 LS 2 Supports / list serveVisits PhoneAssessments Monthly Team Reports Congress, Guides, Publications etc. AD P S Expert Meeting Holding the Gains and Spread Source: Institute for Healthcare Improvement

Set-up Success- ful Sites Social System Better Ideas Communication Strategies Knowledge Management Measurement and Feedback Leadership Spread occurs when successful change and innovation is moved from the pilot population to the rest of organization / system. Source: Institute for Healthcare Improvement

A Collaborative Framework  National Advisory Panel  Identify regional hub network  Develop leadership at the local levels  Initiate collaboration with local schools  Creates a structure in which schools can easily learn from each other and from recognized experts  Provides a network that supports positive change  Close the gap in knowledge

Normalization Regions

HPPAE Normalization  Region 5, February 2009  15 schools, 12 adopting/ interested  18 students projected to graduate per year  Texas, Oklahoma, Arkansas, Louisiana, and Mississippi  Region 10, December 2010  18 schools, 15 adopting/ interested  30 students projected to graduate per year  Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont  Total schools to date = 99

HPPAE Normalization  Region 3, January 2011  14 schools, 9 interested  18 students projected to graduate per year  Illinois, Iowa, Minnesota and Wisconsin  Region 6, February 2011  24 schools, 19 interested  38 students projected to graduate per year  Indiana, Michigan, North Carolina, Ohio, Washington D.C., West Virginia, Maryland, and Virginia

Support and Technical Training  Business case  Communications  Outreach/information sharing  Mentors  Technical Assistance  On-site  Materials (HPPAE Manual)  Via Web and

Resources for HPPAE students and alumni  Join a national network for HPPAE students and alumni at the HPPAE Google Page  HPPAE Happenings newsletter  Generativity, e-journal  Committee on Leadership In Aging (CLIA)

The Hartford Partnership Program for Aging Education Training the next generation of leaders in older adult care