HHR Workforce Development

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HHR Workforce Development

• Health Human Resources

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Agenda
1. Health Reform Commission
2. General Assembly Results
3. Nursing Nursing Support
4. TANF Employment Training
5. Core Group Recommendations
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Health Reform Commission

• Health Reform Commission begins work in October
  2006
• Charged with improving access to competent,
  affordable healthcare for all Virginians.
• Chaired by Secretary of Health and Human
  Resources Marilyn Tavenner
• Diverse membership including state legislators,
  members of the Governors Cabinet, consumer and
  patient advocates, health care leaders, and
  citizens.
• Final report due to Governor Kaine by September
  1, 2007

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Health Reform Commission

• The Commission is divided into four working
  groups
• Access to Care
• Solutions for those without health insurance
• Aging and Long-Term Care Initiatives
• Quality, Transparency, and Prevention
• Quality is focused on Medicaid pay-for-performance
  in nursing homes
• Transparency is focused on cost, quality, and
  information transparency
• Prevention is focused on obesity, smoking, and
  infant mortality
• Expanding the Healthcare Workforce
• Physicians
• Nurses
• Nursing Support

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2007 General Assembly Session Results

• Workforce
• Targeted Nurse Faculty Salary Increase
• Increase of 10 total of 1.7 million
• Nursing Scholarships to Develop Faculty
• 200,000 for scholarship program for RNs who
  pursue advanced degrees to become nursing school
  faculty
• Mental Health Residency Slots
• More than 400,000 to fund residency positions
  in Psychiatry or Psychology at UVA and VCU

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Nursing - RNs
Current Situation
Accomplishments
Recommendations

• 2005 Shortage 7,500 RNs
• 2020 Projected Shortage 22,600 RNs
• No true data center for data collection and
  analysis
• Aging workforce (Avg. age 45)
• Faculty shortage
• Outdated facilities

• Need regional strategies that compliment a
  statewide sector strategy
• Fund pilot programs with One-Stop coordination
• Assign the WIBs to include nursing workforce as a
  focus area
• Use funds from the WIA for nurse entry-level
  worker training programs
• One data center for analytics, reporting, and
  accountability

• Faculty salary increase
• 1.5M in grants for PHD programs
• Loan repayment programs
• Scholarships
• Health Reform Commission is developing tactics to
  address

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Nursing Support Direct Care Workers
Current Situation
Accomplishments
Recommendations

• No exact numbers on shortage but know we have one
• Some facilities see 100 turnover of this staff
• No true data center for data collection and
  analysis
• Underpaid workforce
• Tough jobs they do the heavy lifting in
  healthcare

• Need regional strategies that compliment a
  statewide sector strategy
• Fund pilot programs with One-Stop coordination
• Use funds from the Workforce Investment Act for
  nurse entry-level worker training programs
• Develop career ladders
• Fund pilot programs with One-Stop coordination
• One data center for analytics, reporting, and
  accountability
• Create more technical/high schools programs with
  an emphasis on nursing

• Health Reform Commission is developing tactics to
  address
• CNA program at Woodrow Wilson Rehabilitation
  Clinic (WWRC)
• Medication Aide licensure at DHP

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TANF Employment and Training
Current Situation
Accomplishments
Recommendations

• Short-term intensive training for specific
  sectors, i.e. nursing (CNA)
• Develop career ladders
• Provide employment experience
• Enhance WIA coordination
• Make greater use of the One-Stop system to
  leverage training resources
• Increase funding for pilot programs
• Emphasize use of One-Stop system as part of a
  continuum of services
• Place greater emphasis on GED attainment (not a
  core activity)

• Over 95,000 participants (72) have entered
  employment
• Starting wages 7.44/hour
• Monthly earnings increase by 15 in the 18
  months after case closure
• VA 1 in nation in job entry
• VA 2 in nation in job retention

• VIEW Program
• DRA requires 50 work participation rate
• Increase of 6,100 hours per month
• Must be in allowable activity at least 30
  hours/week 20 hours have to be in a core
  activity
• Failure to meet requirements result in federal
  fiscal penalties
• First year is 16.4M
• Increasing to 42M
• Two year time limit in VA
• Average monthly benefit 265
• Now allow vocational training for lifetime limit
  of 12 months

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Core Group Recommendations

• Develop a shared vision of long-term economic
  well-being that includes making work pay, work
  supports, asset development and advancement.
• We had discussed the need for cross-training to
  receive an understanding of both WIA and TANF
  systems, respective incentives and differences
• Identify strategies to integrate both systems in
  order to leverage existing resources consider a
  joint RFP to pilot these strategies in One-Stop
  Centers.
• Short-term, integrated education and training
  programs into a work-focused strategy-applied
  learning tied directly to work, to include an
  infusion of soft skills development.
• Transitional Jobs Programs-provides customers
  with paid, temporary work experience in a
  supportive environment.
• Using a person centered approach to planning that
  incorporates upfront assessments to determine
  needs, Interagency collaborative case management
  to provide a wide range of workforce and income
  supports, such as, the Earned Income Tax Credit
  and access to other services and systems to
  address needs.
• Electronic connectivity to track hours of
  participation and share customer information.
• Identify strategies for employer engagement
• Redesign of Job Search and Job Readiness
  Activities that encourages clients to seek higher
  quality jobs, find employment in industries with
  historically higher wages, stress importance of
  strategic job change and link the activities to
  needs of the local labor market.
• Support for a position in the One-Stop that
  serves as an advocate and provides support to the
  front-line case managers and helps with
  facilitating collaborative case management.