1. Of Pathways and Pipelines: Health Careers and Young Workers Recovering America’s Youth SUMMIT Dallas November, 2009 Erik Payne Butler Human Investment Institute LLC/ TATC Consulting

2. Universal Themes in Workforce Development Supply and Demand Dynamics -- employers need workers -- people need skills -- communities/labor markets need the match to work Equity, access and cost – skills, competencies and systems Mutual dissatisfaction, no matter the economy The BIG Questions about 25 year-olds

3. The three big questions for 25 year-olds CAN YOU READ? DID YOU GRADUATE? HAVE YOU WORKED?

4. The three big (Workforce) questions for firms and sectors? Can you grow (modernize) with existing skill profiles? Do you have a pipeline of skilled workers? How and when will your skill needs change over time?

5. The Case of healthcare: labor demand in health and allied occupations More than 11 million employed; (e.g.,TX: 780000; MS: 105,000; CO:160,000; Calif: 1,030,000 Growing “much faster than average” (O’Net) in 36 of 52 categories, “slower than average” in only 1. Significant areas of unserved need -- 35 million physical -- 57 million mental health -- 31 million dental Health care coverage will expand the industry, creating new jobs

6. The Case of Healthcare: trends Growing demand for entry level and technically- trained workers Poorly-defined pipeline/ well-defined entry criteria (often regulated) Varied employment at low skill levels, for certain classes of institution Technology invading most classifications (and creating new ones) Larger employers well-located and generally progressive

7. Skills gap analysis ׀ Recruit youth and jobs ׀ Assessment and Planning ׀ Case mgr and plan Unemployed Under Employed HS Student Voc-tech Student Enrolled in college Pathways to Health Careers Supply- demand thinking Basic skills – Literacy, CNA Technical skills (e.g., LPN, surg./ med, radiology) Soft skills/ employability Practicum (WE, Internships, etc.) Mentoring, case mgt., Coaching DELIVERY PARTNERS Community college Vocational School Private Provider Hospital HR dept. Youth Center CBO Assessment and Certification ׀ Guided job/training search ׀ Placement in job or training ׀ 30/60/90 Day follow-up ׀ Retention support Hospital Clinic Assisted living Tech/ bus. Services Comm college, et. al.