1. W-4 Workforce Update October 10,2007 Sandra Fitzler 202-898-6307 sfitzler@ahca.org Francesca Fierro O’Reilly 202-898-2852 foreilly@ahca.org

2. State Workforce Partnerships Workforce Investment System Why Partner State Workforce Partnerships Outcomes

3. State Workforce Partnerships Lessons Learned Make sure LTC employees are on the State Target Occupations List WIB partnerships & education are needed before asking for assistance Need to ask about state unexpended workforce dollars RN education system a roadblock

4. Nurse Workforce Efforts DOE – Nurse education & patient safety study Hartford Center of Geriatric Nursing Excellence – Nursing Home Collaborative

5. AHCA Nurse Workforce Efforts Facility-based and paid Geriatric Nurse Practitioners Retired LTC nurse – clinical instructor

6. Proposal - Using Retired LTC Nurses as Clinical Instructors Rationale State Demonstration Barriers Next Steps

7. AHCA Workforce Efforts Employee Satisfaction Surveys Consistent Staffing Assignments Vacancy & Turnover Survey

8. MyInnerview Employee Surveys 2006 Key Findings Recommendations Next Steps

9. CONSISTENT CAREGIVER ASSIGNMENT PROCESS REVIEW TOOL Answer the following questions using facility scheduling records, time cards, staff survey results and QA data. *indicates items from paper NHIFT tool

10. 2007 Nursing Vacancy & Turnover Survey

11. OSHA Site-Specific Targeting (SST) – 07 Days Away, Restricted & Transfer (DART) Focus – Ergonomics, blood & infections, material exposures, Tb, & slips/trips/falls Health Care Compliance Assistance Module

12. DOL Wage & Hour Compliance Past ALF Compliance Levels 199857% 200160% 200572% Past NF Compliance Levels 199770% 200040% 200455%

13. Wage & Hour Compliance DOL’s LTC Guidance Youth EmploymentFact Sheet #52 Hours WorkedFact Sheet #53 Overtime PayFact Sheet #54 www.dol.gov/dol/esa/public/healthcare/index.html LTC Compliance Manual

14. New SEIU Health Care Union Expected to be a 1 million member union Combines the 38 local unions currently representing healthcare workers Govern by council – presidents of 38 locals Main focus – add 80,000 to 100,000 new members in the next year PAC raised $40 million to influence a national healthcare program