1. Building Community Collaborations to Address Health Workforce Shortages Presented by Lourdes Paez-Badii, Program Coordinator Suzanne David, Program Manager Mireya Velasco, Program Coordinator Facilitated by Gail Emrick, Executive Director

2. Goal: Improve Health Care Service Delivery Through Increased Community Collaboration

3. Objectives: Identify antecedent conditions to rural health workforce shortages in recruitment, placement and retention phases; Explore/discuss practical strategies which are currently being utilized by other AHEC Centers to address health professions workforce development; Propose/develop new ways their Centers can build on community collaboration efforts to strengthen their program outcomes.

4. LOGIC MODEL-NATIONAL

5. Map 2 Health Professionals Placement HCP are not staying in underserved areas Too few students choose a career in health care Few Healthcare providers/grads choose rural employment Map 1 Health Careers Recruitment and Preparation Map 3 Health Professionals Retention HCP supply, distribution, diversity and quality inadequate to meet the need in America Root Cause/Logic Model Map: Barriers to Evidence-Based Healthcare and Health Root Cause/Logic Model Map: Barriers to Evidence-Based Healthcare and Health

6. ARIZONA LOGIC MODEL

7. Not enough healthcare professionals (HCP) and community members access and adopt evidenced-based healthcare and health practices.” Root Cause/Logic Model Map: Barriers to Evidenced-Based Healthcare and Health Practices Map 3 Health Professionals Placement HCP supply and quality inadequate to meet the need HCP not staying in locations where most needed Not a steady stream of enrollees, especially diverse enrollees, into HCP education/ training. HCP students lack adequate community-based education experiences, especially with underserved populations Not enough HCP practice in locations where most needed. Map 2 Health Careers Recruitment and Preparation Map 4 Health Professionals Retention Healthy behavior not practiced by everyone Inadequate community support for healthy behavior Inadequate healthy behavior understanding in individuals and groups Map 1 Community Health Promotion

8. RECRUITMENT/HEALTH CAREER CLUBS

9. Few students choose a career in healthcare Few role models/mentors/health care heroes Inadequate academic preparation Inadequate cultural and Academic transition/survival skills (learning how to ask for help, take tests, use the library, access services, apply, lacking prerequisites) Information not getting to target groups Lack of intriguing experiences Not enough counselors and advisors in schools, too busy, lack knowledge Not aware of range of health care professions Limited opportunities to explore health careers Few high school health/science clubs Don’t know the resources available/can’t access resources Coursework in English, math, science is a struggle Limited job shadowing Root Cause/Logic Model Map 1: Simplified – 13 boxes Health Careers Recruitment draft ~ NAO CORE 3-9-2006

10. RECRUITMENT HEALTH CAREER CLUBS :  School Based: Peer to Peer, Faculty, School Nurse  Community: Parents, Siblings, Health Care Provider  Agencies: Community Health Centers, Hospitals, Social Services, Workforce Development

11. HEALTH PROFESSIONALS: GRADUATION AND PLACEMENT

12. Too few Healthcare providers/grads choose rural employment Not exposed to rural areas during training/lack of time for students in MUAs High cost of rural rotation to student Shortage of educational opportunities in MUAs Personal preference for urban setting Inadequate information on rural opportunities Anxiety that inadequately prepared for rural setting Logistics of placing students Perception that can earn more $$ in urban, etc Small rural sites don’t offer enough preceptorships Small percent of grads from rural/underserved MUA clinician believes they lack skills to be a preceptor Students tend to practice where they train Rural students not as competitive Limited recruitment to rural jobs Root Cause/Logic Model Map 2: Simplified – 15 boxes Health Careers Placement draft ~ NAO CORE 3-9-2006

13. Recruitment & Retention: Health Professions Students  Community Level Partners  Academic Partners  Health Professionals  Health Care Agencies  State Agencies  Federal Agencies  Health Profession Students

14. Too few Healthcare providers/grads choose rural employment Not exposed to rural areas during training/lack of time for students in MUAs High cost of rural rotation to student Shortage of educational opportunities in MUAs Personal preference for urban setting Inadequate information on rural opportunities Anxiety that inadequately prepared for rural setting Logistics of placing students Perception that can earn more $$ in urban, etc Small rural sites don’t offer enough preceptorships Small percent of grads from rural/underserved MUA clinician believes they lack skills to be a preceptor Students tend to practice where they train Rural students not as competitive Limited recruitment to rural jobs Root Cause/Logic Model Map 2: Simplified – 15 boxes Health Careers Placement draft ~ NAO CORE 3-9-2006

15. HEALTH CARE PROVIDER RETENTION

16. Healthcare Providers are not staying in underserved areas Lack of HCP cultural sensitivity, knowledge of cultural norms Not feeling connected/ part of community Language barriers Professional Isolation Broader professional community does not reach out to HCP in rural/underserved Small facilities lack infrastructure to keep up with new information No local collegial support/professional enrichment/CE in geographic proximity Lack of planning for workforce needs Inadequate opportunities for professional development Little effort to match HCP with community Root Cause/Logic Model Map 3: Simplified – 11 boxes Health Care Provider Retention/CE draft ~ NAO CORE 3-9-2006

17. Continuing Education for Healthcare Providers, which can include not only Physicians & Nurses but also EMS Personnel and Community Health Workers University of Arizona Departments Large Hospitals Local Community Health Center Medical Helicopter Companies Community Groups Telemedicine On-line Support for workshops out of service area SEAHEC

18. Healthcare Providers are not staying in underserved areas Lack of HCP cultural sensitivity, knowledge of cultural norms Not feeling connected/ part of community Language barriers Professional Isolation Broader professional community does not reach out to HCP in rural/underserved Small facilities lack infrastructure to keep up with new information No local collegial support/professional enrichment/CE in geographic proximity Lack of planning for workforce needs Inadequate opportunities for professional development Little effort to match HCP with community Root Cause/Logic Model Map 3: Simplified – 11 boxes Health Care Provider Retention/CE draft ~ NAO CORE 3-9-2006

19. DISCUSSION

20. ANY QUESTIONS?