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2.  CLTCEC is dedicated to providing educational opportunities as tools of empowerment for long-term care workers to build better lives, provide quality care and meet and invest in the critical needs of the long-term care workforce. 2

3.  SEIU United Long Term Care Workers (ULTCW), the 2 nd largest SEIU local in the nation, represents 180,000 IHSS & nursing home workers in California  CLTCEC, a 501(c)3 non-profit supported through funding from ULTCW, provides educational opportunities to long-term care workers  CLTCEC is the largest trainer of IHSS workers, serving 5,000 workers per year 3

4. 4 Community Colleges Training and Trust Fund CMMI Grant

5.  LACC (Los Angeles Community College)  Over 2500 students served annually ESL VESL IHSSS Computer skills  Growth strategy to serve all CA 5

6.  Nursing Home members of ULTCW bargain money to be put into a fund  These dollars are used for training for these members  18 contributing employers  Two (2) staff  13 classes in 2014  Computer skills  ESL and GED prep  C.N.A. cohort 6

7. In 2012, CLTCEC received $11.8 million HCIA award for our project titled: Care Team Integration of the Home-Based Workforce Better Care  Improve Health  Lower Cost Grant Period: JULY 1, 2012 – JUNE 30, 2015 7

8.  CLTCEC, Lead Agency Overall project administration/management Carrying out trainings  Partner Agencies:  SEIU United Long Term Care Workers (ULTCW)  Contra Costa County Department of Aging and Health Services  Contra Costa Health Plan  UCSF Center for Health Professions  Shirley Ware Education Center  SynerMed  IEHP (Inland Empire Health Plan) 8

9. Train 6,000 IHSS Consumer-Provider Pairs over 3-Year Period Integrate provider into consumers’ integrated care team Better care Reduce ER visits by 23% Reduce LOS in nursing homes by 10% Improve health Achieve $25 million in savings $10.2m Medicaid; $14.7m Medicare Lower costs 9

10.  TRAINING In-Home Supportive Services provider (personal home care aides or PHCAs) with a curriculum that enhances the training given to them by the consumers and to serve as health monitors, coaches, navigators and care aides.  INTEGRATING PHCAs into the healthcare system as a member of the consumer’s integrated care team.  IT IS THE CONSUMER’S CHOICE Participation and engagement in the intervention strategy is the consumer’s choice. 10

11.  Soft skills  Coach  Navigator  Communicator  Dress and Undress  Hard skills  CPR and First Aid  Hand Washing  Body Mechanics  Care of Teeth  Communication  Monitor  Care Aide  + 5 more that are still in development 11

12.  130,000 workers  Languages served EnglishSpanishArmenian Chinese (Cantonese and Mandarin) Korean 50ish years old Predominantly women 6 th grade literacy level Lives in poverty 12

13.  A survey of our classes:  Less than 50% have either regular online, smart phone or computer access  Less than 50% feel relatively confident with their skill to use or access technology  The most popular class in both the Training and Trust Fund and our Community College partnerships:  Computer Skills 13

14.  Educational Access on Scale  423,000 workers in CA  Shortage on the horizon  Continue to professionalize IHSS workforce  Gap on computer skills and access  Prepare C.N.A.s for EMRs  Computer skills 14

15.  Continue CMMI training and get to scale in CA  Attach computer labs and specific computer skill training to CMMI classes  Expand access to Community College offerings  Computer skills  Adoption of CMMI curriculum  Smart Phone Pilot project  Addresses access, skillset, and integration 15

16. Corinne Eldridge Executive Director corinne@cltcec.org 213.210.6389 16