1. National Council on Workforce Education
October 25, 2017
Activating Partnerships Between Community Health Centers and Colleges for the Regional Health Workforce Benefit
Dan Ferguson, WA State Allied Health Center of Excellence, Naveen Kanithi, Northwest Regional Primary Care Association Jennifer Johnston, Highline College

2. Introductions Name Where from – location, organization, role
Scale of Employer Engagement 1-7
Allied Health training program

3. Key Points Shared Responsibility/Shared Impact
Community Health Center and Community College Partnerships
Examples of Partnerships
Resources for Connecting with Community Health Clinics

4. Engagement Policy Resources
Collective Impact Strategies
Jobs for the Future’s “A Resource Guide to Engaging Employers”
WIOA – Federal Legislation
Key Strategic Priority 2: Business Engagement
Health Policy Reform

5. History of Collective Impact
“Large scale social change requires broad, cross-sector coordination, yet the social sector remains focused on the isolated intervention of individual organizations”
- Collective Impact by John Kania & Mark Kramer

6. What is Collective Impact?
Video from: FSG Collective Impact

7. Ladder of Employer Engagement
New Relationship
Working Relationship
Strategic Partnership
Level I
Level II
Level III
Level IV
Level V
Key Employer Role
Advising
Capacity-building
Co-designing
Convening
Leading
Stage of Relationship
Initial contact / new relationship
Establishing trust and credibility
Working
relationship
Trusted provider and collaborator
Full strategic partner
Activity Examples
Discuss hiring needs, skills, competences, advise on curriculum, contract training, hire graduates.
Job site tours; speakers; mock interviews, internships, needs assessment, loan/donate equipment, recruiting
Curriculum/pat hway
development, adjunct faculty and preceptors
College- employer, sectorial, partnerships
Multi- employer/ multi-college partnerships
Ladder of Employer Engagement

8. Defining Employer Engagement
According to Jobs for the Future’s “A Resource Guide to Engaging Employers” there are specific qualities of successful engagement.
These include:
Continuous
Strategic
Mutually valuable
Wide-ranging
Comprehensive
Intensive
Empowering
Institutionally Varied

9. Community Colleges and Workforce Development
Key Points
Community Colleges and Workforce Development

10. Community Health Centers

11. Northwest Regional Primary Care Association
Mission
Northwest Regional Primary Care Association is a
member organization that strengthens community and
migrant health centers in the Northwest by leveraging
regional power and resources on their behalf.
Vision
With the support of NWRPCA, our community health centers will be exemplary professional homes for their staffs and serve their communities well.

12. Region X 102 Health Center Grantees Alaska = 29 Idaho = 14 Oregon = 31
Washington = 28
Approx. 600 sites
Serves over 1.6M people

13. Community-Oriented Primary Care
Civil Rights
Political/Economic
Empowerment
Educational Opportunity
Social Change

14. US Department of Health & Human Services

18. 2015 Health Centers Nationwide
1,375 Grantees
Employing 188,851 FTEs
24.3 Million Patients
Medical services: 20.6 million (84.9%)
Dental services: 5.1 million (21.4%)
Mental health care: 1.5 million (6.1%)
Vision services: 500,000 (2.1%)
Enabling services: 2.4 million (9.8%)
AM Updated 10/06/14

19. RVIII/RX Health Centers In 2016:
Region VIII:
65 Grantees (68% rural)
Employing 8,321 FTEs
979,601 pts (56% female):
Medical: ,293 (89%)
Dental: ,049 (22%)
Mental health: ,584 (9%)
Vision: ,063 (0.7%)
Enabling: ,554 (12%)
Region X:
100 Grantees (65% rural)
Employing 17,645 FTEs
1,703,473 pts (55% female):
Medical: ,346,470 (79%)
Dental: ,104 (33%)
Mental health: ,238 (8%)
Vision: ,429 (1%)
Enabling: ,841 (6%)
AM Updated RVIII Information 10/05/17
SETH – Please Check RX Figures
HRSA 2016 Uniform Data System (UDS)

20. Health Centers Nationwide In 2016: Patient Demographics
23.6%
39.8%
23.4%
92.0%
RVIII/RX Health Centers in 2015:
best served in language other than English (LOTE)
racial minority*
uninsured
at/below 200% poverty level*
Region VIII
Region X
LOTE Patients
23.4%
28%
Racial/Ethnic Minority*
26.9%
42%
Uninsured
27.7%
20%
<= 200% Poverty Level*
90.7%
91%
AM Updated Nat’l and RVIII Information 10/09/17
SETH – Please Check RX Figures
Uninsured % from 2013 (illustrates the very beginning impact of some states having Medicaid expansion, outreach and enrollment efforts) :
National – 34.9%
Region VIII – 40.6%
Region X – 36.6%
Utah Navajo Health System, Utah
*Percentages are of known, not of total
HRSA 2016 Uniform Data System (UDS)

21. Health Center Program Fundamentals
Located in or serve a high need community
Governed by a community board
Provide comprehensive primary health care
Provide services available to all
Meet other performance and accountability requirements

22. Impact Benefits to Community Benefits to Health Center Health Home
A Voice
Broader Coverage
Less Costly Care
Benefits to Health Center
$$$$
Malpractice Coverage (FTCA)
PPS for Medicaid and Medicare
Drug Discounts – 340B
Loan Guarantees
NHSC
National Network
Columbia Valley Community Health (WA) Health Fair

24. Northwest Regional Primary Care Association (NWRPCA)
A.T. Still University – NWRPCA Campus, Class of 2017

27. Community Health Centers and Community College Partnerships
Key Points
Community Health Centers and Community College Partnerships

28. 5. Prior Learning Assessment / Competency Based Education
Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce
5. Prior Learning Assessment / Competency Based Education

29. Prior Learning Assessment / Competency Based Education
Competency Based Education means learning is structured so that participants can accelerate through material they already know, by demonstrating their already acquired knowledge of the subject matter.

30. Prior Learning Assessment / Competency Based Education
For workers who were trained on the job, or workers who need certification or credentialing to meet requirements.

31. Prior Learning Assessment / Competency Based Education
Examples
Washington’s Medical Assistant-Certified Program
Programs for medic-trained service members (Nursing Assistant, LPN, Medical Assistant)
RN acceleration programs
BAS programs offering PLA

32. Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce
4. Contract Trainings

33. Contract Training
Often offered through Continuing, Corporate and Community Education departments
Schools can create or provide existing trainings for a set fee per cohort
Pro: no chance of the class being cancelled due to low enrollment
Con: if you don’t have enough participants, the cost per may be high

34. Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce
3. Grant Funded Projects

35. Grant Funded Projects
Grant applications are strengthened by demonstration of community partnerships.
External funding encourages and allows for innovations.

36. Allied Health Apprenticeships
Alaska DOL Grants
Coding and Billing
Medical Assistant
Administrative Assistant
Community Health Worker
Washington HPOG
Dental Assistant
Montana
Medical Assistant
Community Health Worker
Idaho
Oregon

37. Area Health Education Centers
AHECS make valuable partners with similar goals and objectives.

38. Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce
2. Advisory Boards

39. Advisory Boards
Colleges: Revise and develop programs and training based on employer needs. Educate employees particularly suited to employer needs. Send student interns and volunteers for “extended interviews.”
Advisory Boards: Provide feedback and guidance on workforce needs and trends. Provide opportunities for cooperative work experience for students.

40. Top Five Ways Community Colleges Partner with Primary Care to Develop a Highly Skilled Workforce
1. Externships

41. Externships
Partnering with CHC’s can open doors to new externships, coops, placements

42. Follow up Work What are some of your best existing partnerships?
What works well?
What may be the blind spots?
Next steps

43. Questions and Discussion

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