1. League for Innovations Conference 2010
Presentation
to the
League for Innovations Conference 2010
Baltimore, Maryland
March 30, 2010

2. Introductions Presenters Patricia M. Gray, MSN, Ph.D.
Vice President of Healthcare Education Initiatives
Cuyahoga Community College, Cleveland, Ohio
Barbara Mikuszewski, M.S., R.D., L.D.
Associate Dean of Health Careers and Natural Science

3. Part One Introduction to Cuyahoga Community College (“Tri-C”)
Economic Overview of Northeast Ohio
Response to U.S. Department of Labor RFP
Community Health, Wellness and Preventative
Care Centers

4. Cuyahoga Community College
Tri-C - First and largest community college in Ohio.
Serves more than 55,000 credit and non-credit students each year.
Awards the 10th largest number of Health Professions and Related Science Associate Degrees in the nation.

5. Cuyahoga Community College
6,000+ students prepare for and enroll in the College’s nursing and health careers programs each year (including pre-requisites)
Three campus college district
Cuyahoga County as primary service area
Serves Cleveland and surrounding communities
Metropolitan Campus (Downtown Cleveland)
Western Campus (Parma, suburb of Cleveland)
Eastern Campus (Highland Hills, suburb of Cleveland)
New facility, Westlake (opening January 2011)

6. Tri-C Serving Northeast Ohio
Lake County
Eastern Campus
Future Westshore Center
Metro
Campus
Future Eastern Campus Expansion
District
UTC
Geauga County
Corporate
College East
Corporate College West
Lorain County
Western Campus
Summit County
Future Brunswick Center
Medina County

7. Northeast Ohio Economic Overview
$27,007 median household income for City of Cleveland.
29.7 percent of population below the poverty level.
Current economic recession has had a devastating impact on the City of Cleveland and its workforce.
Additional data from the American Community Survey available from the U.S. Census Bureau is summarized in Figure 1.

8. Northeast Ohio Economic Overview
From July 2008 to July 2009, Cleveland’s unemployment rate increased from 8.8 percent to 11.4 percent.
21,000+ Clevelanders currently unemployed.
Major layoffs in almost every industry sector except healthcare.
Additional data from the American Community Survey available from the U.S. Census Bureau is summarized in Figure 1.

9. Northeast Ohio Economic Overview
In Cuyahoga County, 141,000+ adults
ages (17.6%) without health insurance in 2009.
In three urban counties (Cuyahoga, Lorain and Summit)
estimated 238,000 persons ages had no
healthcare insurance when surveyed in 2008.
Source: Center for Community Solutions - Profile of the Uninsured in Cuyahoga, Lorain, and Summit Counties; Results from the 2008 Ohio Family Health Survey, March 17, 2009.

10. Northeast Ohio Economic Overview10

11. U.S. Department of Labor RFP
Responded to the RFP by U.S. Department of Labor for Community Based Job Training Grant – /2007
Employer Related Need
Survey of hospitals and long term care facilities in NEO indicated areas of greatest need, current and next 5 years, not including nursing

12. U.S. Department of Labor RFP
Source: Ohio Department of Job and family Services, Bureau of Labor Market Information.
Data prepared in cooperation with the Bureau of Labor Statistics, U.S. Department of Labor.

13. U.S. Department of Labor RFP
Program Partners collaborated with…
Region’s major healthcare institutions
The Northeast Ohio Health, Science and Innovation Coalition (NOHSIC)7
Confirm Ohio Department of Job and Family Services projections
Identify shortages to be addressed through capacity-building initiatives

14. U.S. Department of Labor RFP
Significant shortages identified in five job categories for which the College has the ability to increase training capacity with the assistance of Department of Labor and other leveraged funding.
These are:
Health Information Technician
Physician Assistant
Medical Assistant
Occupational Therapy Assistant
Physical Therapist Assistant

15. U.S. Department of Labor RFP
Proposal included
Address employer needs for more graduates
Increase number of students in all 5 programs by 10 students each year

16. U.S. Department of Labor RFP
Tri-C was unable to meet increased number of students need with current college configurations.
Need for…
New and expanded laboratory facilities
More clinical sites for student experiences
Additional faculty

17. Community Health, Wellness and Preventative Care Centers
The Community Health, Wellness and Preventative Care Centers (“PCCs”) address the program’s need for new and expanded laboratory facilities.
Space renovated at Metro and Eastern campuses to accommodate new laboratory facility for five programs.
Construction funded by Tri-C
Equipment funded from DOL grant

18. Community Health, Wellness and Preventative Care Centers
PCC’s address program needs for increased clinical sites.
University Hospitals of Cleveland committed to provide clinical sites for increased number of students.
New laboratory facilities also used as Health, Wellness and Preventative Care Centers for community members who are uninsured or underinsured – only community college facility of this kind in the nation.

19. Community Health, Wellness and Preventative Care Centers
Need for additional faculty being addressed through development of online training program for health careers faculty.

20. Community Health, Wellness and Preventative Care Centers
Awarded three year grant from DOL
Funding began April 1, 2008
$2.8 million

21. Part Two – Implementation of the DOL Proposal
Barbara Mikuszewski, M.S., R.D., L.D.
Associate Dean of Health Careers and Natural Science
Cuyahoga Community College, Cleveland, Ohio

22. Implementation of the DOL Proposal
Decision on Location of PCCs:
Accessible to community within the College campus
Parking
“Front door” appeal

23. Tri-C Serving Northeast Ohio
Lake County
Eastern Campus
Future Westshore Center
Metro
Campus
Future Eastern Campus Expansion
District
UTC
Geauga County
Corporate
College East
Corporate College West
Lorain County
Western Campus
Summit County
Future Brunswick Center
Medina County

24. Implementation of the DOL Proposal
Key Questions:
What do we want to accomplish?
What can we accomplish considering the skill level
of our students?
What types of services can our students provide?

25. Implementation of the DOL Proposal
Goals:
To provide noninsured and underinsured adults with healthcare services that will enhance your health, maintain your wellness and offer education in preventive care.
To create an educational climate which supports the development of future healthcare professionals.

26. Implementation of the DOL Proposal
Planning the Facilities:
Anticipated number of clients
Number of students available
Space allocation/equipment needs
Wish list always greater
than the funds available

27. Implementation of the DOL Proposal
Preplanning: Protocols/processes/forms:
Flow charts
Forms

28. Implementation of the DOL Proposal
Marketing:
Branding

29. Implementation of the DOL Proposal
Naming the facility -
Community Health, Wellness and Preventive Care Center
PTAT/OTAT/MA/PA/HIM
Dental Hygiene Clinic
Optical Dispensary
Massotherapy 29

30. Implementation of the DOL Proposal
Start up considerations:
Hiring a part time director
Hours of operation: student availability, availability of professionals
Lab skills – paid professionals
Challenge: no clients

31. Implementation of the DOL Proposal
Strategies:
Collaboration with CSU – PTAT and OTAT
Standardized patient
Availability of a podiatrist
Partnership with
The Free Clinic

32. Implementation of the DOL Proposal
Partnership with the
Health/Wellness program

33. Implementation of the DOL Proposal
Education workshops 33

34. Implementation of the DOL Proposal
Statistics: Patient numbers
Patient feedback

35. Implementation of the DOL Proposal
Statistics: Patient numbers
Student and patient testimonials
“A wonderful and unique experience that Tri-C provides; free service to community people in need and students test skills and are challenged to grow. The faculty are so nice.”
– Mary LaGuardia, PTAT student
“A great opportunity to work with OT students and have a hands-on experience with patients. This provides a chance to practice what you learn, before our clinical experience.”
– Abence Holben, PTAT student

36. Implementation of the DOL Proposal
Statistics: Patient numbers
Student and patient testimonials
“The PCC provides healthcare access to individuals who otherwise would be unable to afford care. The students receive exposure that is invaluable to their education and future as healthcare professionals.” – Heather Foos, Director of PCC
“This was life changing. Everyone (was) professional and knew my name.” – Patient, with no insurance 36

37. Implementation of the DOL Proposal
Statistics: Patient numbers
Workshop

38. Implementation of the DOL Proposal
Ongoing challenges:
Lack of a physician
Student schedules
Marketing
Operating at two sites – different demographics
Funding for sustainability

39. We welcome your questions, comments and observations.
Thank you!
Tri-C Mission
To provide high quality, accessible, and affordable educational opportunities and services -
Including university transfer, technical and lifelong programs – that promote and improve
individual development and improve the overall quality of life in a multicultural community.