Leadership for addressing the Healthcare Workforce Shortage.. NoVaHealthFORCE
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1 Leadership for addressing the Healthcare Workforce Shortage.. NoVaHealthFORCE
2 Inform You About: Northern Virginia Community College NoVaHealthFORCE PricewaterhouseCoopers Study NoVaHealthFORCE Strategies Accomplishments and Outcomes Lessons Learned Summary
3 NOVA: Northern Virginia Community College
4 Northern Virginia Community College Over 60,000 students enrolled annually in credit courses
5 Northern Virginia Community College Second largest community college in the United States. One of the most diverse colleges in the U.S. Students representing over 150 nationalities
6 Registered Nursing Respiratory Therapy Radiographic Technology Dental Hygiene NOVA: The Region s Leading Provider of Trained Healthcare Workers Health Information Management Physical Therapist Assistant Medical Laboratory Technology Emergency Medical Technician
7 Law Enforcement Fire Administration Environmental Safety Cyber Security NOVA Provides Front-Line Training to First Responders Power Grid Security Emergency Response Management Food Safety HazMat
8 Six campus locations, including two new centers in Arlington and Reston.
9 Homeland Security: Approximately 80% of. Firefighters Law Enforcement Officers Emergency Medical Technicians are credentialed at Community Colleges.
10 Healthcare: The US healthcare workforce is educated in community colleges: 50% of the new nurses The majority of Allied Health workers
11 The Healthcare Workforce Shortage:
12 Key Drivers Increased demand for services due to the aging population Concurrent aging of the health care workforce and resultant retirements Shortage of nursing and allied health profession faculty, schools, and clinical experience sites and the inability to find replacements Concurrent aging of clinical faculty and the resultant retirements Difficulties with having market competitive salaries for clinical faculty Nature of the profession Low unemployment rates and high cost of living Inpatient Days by Age Cohort Inpatient Days - Concentrated in the Over 65 population cohort per National Data ,455 All Ages Under 65 Over 65 Inpatient days per 1,000 population, 2000
13 NoVaHealthFORCE
14 What is NoVaHealthFORCE: A coalition of private sector, business, government, community, healthcare, and educational leaders Mission: establish a long-term, business-driven, sustainable strategy to address the Northern Virginia healthcare worker shortage
15 NoVaHealthFORCE Aligned: Healthcare Institutions Educational Institutions Economic Development Authorities Social Service Organizations Local Government School Districts Philanthropic Organizations The Business Community
16 What Did NoVaHealthFORCE Do? Commissioned PricewaterhouseCoopers Study of the healthcare workforce requirements of Northern Virginia Developed Comprehensive: Strategies Action Plan
17 PricewaterhouseCoopers Study of the Northern Virginia Healthcare Workforce Shortage
18 Occupation Title Current Employment Current Shortage Current Demand Projected Health Care Workforce Needs by 2010 Projected Health Care Workforce Needs by 2020 Percent Shortage in Workforce by 2020 Registered nurses (including CRNAs, nurse practitioners, and nurse midwives) 9,082 1,038 10,120 12,056 15, % Nursing aides, orderlies, certified nurse assistants, attendants 3, ,568 4,251 5, % Medical records and health info technicians 1, ,509 1,872 2, % Dental assistants 1, ,130 1,402 1, % Medical and nurse managers 1, ,130 1,345 1, % Home health aides 1, ,120 1,334 1, % Dental hygienists , % Emergency medical technician/ paramedics ,052 1, % Radiologic technologists and technicians , % Licensed practical nurses 1, ,501 1,669 1, % Physical therapists , % Physical therapist assistants % Occupational therapists % Respiratory therapists % CT scanning technologists % Medical and clinical lab technologists % MRI technologists % Speech language pathologists % Pharmacy technicians % Pharmacists % Surgical technologists % Medical and clinical lab technicians % Phlebotomists % Surgical technicians % Grand Total 23,534 2,763 26,297 31,325 40, % Projected Health Care Workforce Vacancies from Current Employment Estimates 7,791 16,595
19 In Northern Virginia Without Intervention by 2020: There will be 16,595 Allied Health and Nursing workforce vacancies The Nursing and Allied Health workforce vacancy rate is anticipated to grow to over: 41 percent
20 Today in Northern Virginia: RNs dominate the current and projected shortage, with more than 1,000 current vacancies There is also today severe shortages in: Medical Records/Health Information Technicians Diagnostic Imaging
21 NoVaHealthFORCE Strategies
22 NoVaHealthFORCE Action Plan: Action plan developed by eight working groups Working groups consisted of stakeholders from: education, healthcare industry, local, state and federal government, social service agencies, and economic development authorities
23 NoVaHealthFORCE Strategies: Goal 1: Increase capacity within the healthcare education and training system Goal 2: Develop and sustain an ongoing supply of persons interested in entering health care career fields Goal 3: Nurture Innovation
24 Capacity: Address the lack of nursing and allied health faculty Address the need for additional clinical training sites and clinical faculty
25 Capacity (cont.): Address the projected increasing population in the western and southern portions of Northern Virginia Ensure optimal resource utilization to increase capacity and output of Northern Virginia educational healthcare institutions
26 Pipeline: Increase awareness of the healthcare career fields Improve healthcare career preparedness in the school systems Provide upward mobility opportunities Facilitate foreign trained healthcare personnel to enter the workforce
27 Innovation: Enhance the adoption of Information Technology in Northern Virginia Harness the potential of the healthcare consumer Create innovative approaches in healthcare human resource management
28 Innovation (cont.): Nurture the career fields of tomorrow Develop a forum to share best practices Designate an organization to coordinate the implementation of these actions
29 Accomplishments and Outcomes
30 NoVaHealthFORCE Leadership in Capacity has resulted in: First CEO Roundtable of all the regions healthcare CEOs and College and University Presidents (3x) First regional meetings of College and University Dean s of Nursing First Summit of regional Healthcare Nursing Executives and College and University Nursing Deans to address the shortage of clinical training shortages General Assembly Nursing Grant: $1.5 million DOL Diagnostic Imaging Grant: $1.2 million
31 NoVaHealthFORCE Leadership in Capacity has resulted in (cont.): Growth of Northern Virginia: Nursing Programs Allied Health Programs NOVA and GMU are collaborating on the development of a fast track RN to BSN program (ACELA) Collaboration with the GWBOT
32 General Assembly Nursing Grant: The Virginia General Assembly awarded $1.5 million for FY 07 and FY 08 to: Maximize the number of new RN s Increase the supply of nursing faculty (Master s Prepared)
33 General Assembly Nursing Grant (cont.): The funds were divided among the five colleges/universities in the northern Virginia region: George Mason University Marymount University NOVA Old Dominion University Shenandoah University
34 General Assembly Nursing Grant (cont.): The matching funds are contributed by the regional healthcare providers: Inova Health System Virginia Hospital Center Hospital Corporation of America Prince William Health System Potomac Hospital Kaiser Mid-Atlantic
35 General Assembly Nursing Grant (cont.): Northern Virginia Community College will increase and retain the number of nursing students to work toward achieving the goal of 255 Associate Degree nursing graduates by 2009 George Mason University will expand MSN program to an additional master s prepared nurses by 2009
36 General Assembly Nursing Grant (cont.): Old Dominion University will expand its on-line RN to BSN program to potentially graduate 25 BSN s annually Shenandoah University will expand its second degree program at its Leesburg Campus to enroll 40 students beginning Fall 2007 Marymount University will hire one term faculty member for two years adding at least 10 additional second degree students
37 Projected Admissions to ADN & BSN Programs: Marymount University (second degree) 83~ NVCC Old Dominion University (on-line) Shenandoah University (Leesburg Campus) (2 nd degree Total
38 Projected Newly Licensed Nurse Graduates: Marymount University (second degree) NVCC Old Dominion University (on-line) * Shenandoah University (Leesburg Campus) (2 nd degree) Total
39 Nursing Faculty MSN Admissions: George Mason University MSN 101 * Number of MSN candidates enrolled in Nurse Educator curriculum 11 24** 35* * 35** 35** *combines fall and spring admissions **new students
40 Projected Nursing Faculty MSN Graduates: George Mason University MSN Number of MSN candidates graduating in Nurse Educator curriculum
41 NOVA Nursing Growth: NOVA Nursing Program Enrollment (1yr + 2yr): Fall 2004 = 283 Students Fall 2005 = 292 Students Fall 2006 = 318 Students Fall 2007 = 478 Students Spring 2008 = 508 Students
42 DOL Diagnostic Imaging Grant: NOVA with the support of NoVaHealthFORCE actions: Awarded: $1.2 million Industry Focus: Healthcare Project Title: Diagnostic Imaging Education and Training
43 DOL Diagnostic Imaging Grant (cont.): Partnership Institutions: Northern Virginia Community College NoVaHealthFORCE Northern Virginia Workforce Investment Board (WIB) Alexandria/Arlington WIB INOVA Health System Virginia Hospital Center Potomac Hospital Prince William Health System Fairfax County Public School System
44 DOL Diagnostic Imaging Grant (cont.): Expansion of NOVA s existing Rad Tech AAS degree program from: 48 to 60 graduates annually Development of curriculum, training and licensing of: 20 Radiation Therapy Certificate students 30 Sonography AAS students Development of a Diagnostic Imaging Bridge Program for high school students
45 DOL Diagnostic Imaging Grant (cont.): Radiologic Technologists (RT) AAS Enrollment (1yr + 2yr): Fall 2004 = 76 Fall 2005 = 80 Fall 2006 = 85 Fall 2007 = 95 New Radiation (Oncology) Therapy Certificate: Fall 2007 admissions = 12 New Sonography AAS: Fall 2008 admissions = 15
46 Building Dental Hygiene Capacity: Northern Virginia Dental Society Grant : $50,000 each year for: 2004, 2005, 2006 Funds used to: Hire adjunct faculty Expendable supplies
47 NOVA Dental Hygiene Enrollment (1yr + 2yr): Fall NOVA GCC Total
48 Allied Health (NVCC) Admissions since inception of NoVaHealthFORCE: Program Dental Hygiene Emergency Medical Services EMT-B* Health Information Technology Medical Lab Technology Physical Therapist Assistant Radiation Technologist Respiratory Therapy Total % increase 2007 over 2005
49 Allied Health Graduates since the inception of NoVaHealthFORCE: Program Dental Hygiene Emergency Medical Services EMT-B* Health Information Technology Medical Lab Technology Physical Therapist Assistant Radiation Technologist Respiratory Therapy Total % increase 2007 over 2005
50 NoVaHealthFORCE Leadership in" Pipeline has resulted in: NoVaHealthFORCE Web page MetLife Grant for a Bridge Program Initiatives with Fairfax and Arlington school districts to prepare high school students to take their nursing program prerequisites during their senior year Numerous meeting with the region s School District leaders
51
52 NoVaHealthFORCE Leadership in Innovation has resulted in: Collaboration with the Commonwealth s Secretary of Technology Development of The DeVry University s RHIT to RHIA Bachelor Degree Program Collaboration with GMU for the development of academic pathways in HIM and development of a EHR program Collaboration with the Northern Virginia Technology Council for the formation of a Health Technology Committee Collaboration with a healthcare informatics solutions company to develop the new career field of Clinical Trials Specialist
53 NoVaHealthFORCE Leadership in "Innovation has resulted in (cont.): NOVA Bersoff Endowed Chair in HIM/IT NOVA has hired a 12 month teaching Asst Dean position NOVA has hired a new 9 month HIM Faculty member
54 NoVaHealthFORCE Leadership in "Innovation has resulted in (cont.): Invited as examples of innovation and Best Practices to give healthcare workforce presentations at: The national ACHE Congress, Chicago, IL (2006) The national AHIMA Convention in San Diego, CA (2006) The IFHRO Congress in Seoul, Korea (2007) PwC publication: What works* Healing the healthcare staffing shortage
55 NoVaHealthFORCE Leadership in Innovation has resulted in (cont.): Collaborating with Representative Moran and the ASD(HA) to: Train Wounded Warriors/Veterans in HIM Train military spouses in HIM
56 Training of Wounded Warriors: Congressman Moran s: Northern Virginia Community College (NVCC) Disabled Military Retrain, Retention and Transition Program HIM (clinical coding, RHIT, RHIA) Physical Therapist Assistant Training Venues: MHS/VA MTF Distance NOVA Hybrid
57 Training of Military Spouses: Partnership: DoD VA DoL Provide training in HIM while in a GS status: Clinicals in DoD and VA facilities Career ladder One year certificate HIM Program leading to RHIA: Already have a bachelor s degree Online Master s following certificate
58 HIM Warrant Officers: HIM career field as technical or more technical than some fields that now have WOs Incentive for entering 68G MOS (PAD) Opportunity for Disabled Warriors who want to remain on Active Duty Provide technical expertise in deployable medical units and in MTFs Career ladder: Clinical coding RHIT RHIA
59 Lessons Learned
60 Accelerated Op Tempo : The requirements to meet the needs of students and industry are accelerating: The Traditional Student has become the minority Older students Most students have to work while enrolled Increasing immigrant population
61 Accelerated Op Tempo (cont.): Need to improve career ladders to support students and industry Increasing need for continuing education for incumbent workers Increasing need for blending of academic pathways from Certificate (credit/wdce) to Associate to Bachelors to Masters level
62 Exploit Force Multipliers and Unity of Effort : Stove piping must be eliminated to: Maximum utilization of scarce resources Eliminate the duplication of efforts
63 Exploit Force Multipliers and Unity of Effort (cont.): Community Colleges are in position to align: High Schools (Prerequisites) Community Colleges Universities Industry Economic Development Authorities/ WIBs
64 Reassess Traditional Resource Allocation Models: Academic Institutions could not have realized the growth required to support its region s students and industry without the additional funding from the: General Assembly Nursing Grant DOL Diagnostic Imaging Grant Healthcare Institution contributions in support of these grants Northern Virginia Dental Society Kaiser Mid-Atlantic granted $150,000 to NOVA to develop an online nursing program
65 Reassess Traditional Resource Allocation Models (cont.): Current resource allocation models will not allow Academic Institutions to sustain its present growth: Low faculty ratio to low student ratio Nursing and Allied Health Faculty Salaries Cost of Technology/New Equipment
66 Summary
67 NoVaHealthFORCE has developed a regional model for addressing the healthcare workforce shortage: This model can be utilized for workforce development in other industries/regions The key is the synergy created by the alignment of all stakeholders brought together by NoVaHealthFORCE
68 The Boots on the Ground in Healthcare Workforce Development is:
69 NoVaHealthFORCE
70 Questions?
71 For More Information Contact Brian P. Foley, M.Ed., MHA, CPHQ, FACHE Interim Provost Medical Education Campus 6699 Springfield Center Drive Springfield, VA Phone: (703) Fax: (703) Campus Website:
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