1. Building a Sustainable and Collaborative Program of Workforce Development John Hughes, Executive Director Central NY Area Health Education Center Cortland, NY Richard Merchant, Executive Director Northern Area Health Education Center Canton, NY

2. The Problem A two act disasterThe Problem A two act disaster Scene I: New AHEC Director confronts The Problem: ; calls for help The Problem: ; calls for help Scene II: Help Arrives, Disaster Follows Scene III: Back to the Silo

3. What Happened? Silos vs. Collaborative Approach Silos vs. Collaborative Approach Defining the Problem Defines the Collaborators Defining the Problem Defines the Collaborators The Foundation: Data and Resources The Foundation: Data and Resources

4. Defining The Problem Healthcare workforce shortages are present in almost every area of New York……..

5. What is the extent of the problem in our state? Physician Shortage Deficit of 350 primary care MD/DO by 2020 Deficit of 350 primary care MD/DO by 2020 Majority of NY lacks adequate safety net health center services Majority of NY lacks adequate safety net health center services 69% of rural hospital ERs have to divert patients for specialty care 69% of rural hospital ERs have to divert patients for specialty care Child and Adult Psychiatrist shortage Child and Adult Psychiatrist shortage

6. What is the extent of the problem in our state? Nursing Shortage in NY projected to grow to 2X the largest shortage ever by 2025 Shortage in NY projected to grow to 2X the largest shortage ever by 2025 Need a 30% increase in nursing grads to keep up. Need a 30% increase in nursing grads to keep up. NY: Over 5,000 additional RN job openings per year 2006-2016 NY: Over 5,000 additional RN job openings per year 2006-2016 State Growth in Demand: 14% State Growth in Demand: 14%

7. What is the extent of the problem in our state? Increased Demand for Other Health Workers, in NY 2006-2016 Home Health Aides: 31% increase Home Health Aides: 31% increase Dental Hygienists: 28% increase Dental Hygienists: 28% increase Physician Assistants: 27% increase Physician Assistants: 27% increase Physical Therapists: 15% increase Physical Therapists: 15% increase Lab Techs: 15% increase Lab Techs: 15% increase Medical Records: 15% increase Medical Records: 15% increase

8. Defining the Problem ….even in areas of high unemployment……. 9.4% unemployment non-metro county statewide average, March 2011 9.4% unemployment non-metro county statewide average, March 2011

9. Defining the Problem ….where potential students are trying to get into education/training programs…. As many as 50% of qualified applicants are turned away from nursing programs due to lack of capacity ( NLN, 2010)

10. Defining The Problem ….and where economic developers are struggling to boost the economy…… From 1993-2007 393,000 jobs left New York (Empire Center, 2010)

11. Defining The Problem ……and healthcare providers have many job openings…… On any given day there are over 15,000 hospital-based jobs open in New York State (HANYS, 2010)

12. Defining The Problem …..and schools are wondering how to provide career guidance with fewer dollars… Does anyone not already know about school program cuts?

13. Defining the Problem Healthcare workforce shortages are present in almost every part of New York, even in areas of high unemployment where students are trying to get into training programs and economic developers are struggling to boost the economy and healthcare providers are trying to fill jobs and schools are wondering how to provide career guidance with fewer dollars.

14. Defining the Problem are present in almost every part of New York, even in areas of high unemployment where students are trying to get into training programs and economic developers are struggling to boost the economy and healthcare providers are trying to fill jobs and schools are wondering how to provide career guidance with fewer dollars. Healthcare workforce shortages are present in almost every part of New York, even in areas of high unemployment where students are trying to get into training programs and economic developers are struggling to boost the economy and healthcare providers are trying to fill jobs and schools are wondering how to provide career guidance with fewer dollars.

15. Defining the Problem Defines the Collaborators: AHEC, WIB, Hospital, IDA, School, Community College

16. The Foundation: Helpful Components Clear understanding of the problem Clear understanding of the problem Shared vision for the future Shared vision for the future Target population(s) Target population(s) Identification of effective programs and services Identification of effective programs and services Common metric and tracking Common metric and tracking

17. The Foundation: Strategies Sustainability Sustainability Maximize funding opportunities Maximize funding opportunities Promote value for participating organizations Promote value for participating organizations

18. The Foundation: The Essential Element Effective, easily accessible forum for information, promotion, communication, connection and engagement Effective, easily accessible forum for information, promotion, communication, connection and engagement

19. Workforce Data and Information Assessment and Remediation Program Information and Access Training and Education Information and Promotion Employment and Employer Information and Promotion Direct Access to Educators, Trainers and Employers Tracking of Users Engagement of all Users and Partners

20. Workforce Data and Information Assessment and Remediation Program Information and Access Training and Education Information and Promotion Employment and Employer Information and Promotion Direct Access to Educators, Trainers and Employers Tracking of Users Engagement of all Users and Partners WIBS OneStops Economic Development Employers Educators Funders Youth & Adults

21. Building a Sustainable and Collaborative Program of Workforce Development What success have you had in your area or with other sectors using collaborative models? What success have you had in your area or with other sectors using collaborative models? What are the challenges that you have found and how have you dealt with them? What are the challenges that you have found and how have you dealt with them?

22. The Problem act II Scene I: The team confronts The Problem Scene II: Ideas, money, people, programs, solutions start to flow Scene III: AHEC Buys

23. Thank You! John Hughes, Central NY AHEC, Cortland jhughes@cnyahec.org Richard Merchant, Northern AHEC, Canton rkm@nahecnet.org