Preliminary Findings from the Tribal HPOG Evaluation

Transcription

1 Preliminary Findings from the Tribal HPOG Evaluation Michael Meit, MA, MPH NORC at the University of Chicago The Evaluation of the Tribal HPOG Program is supported by the Office of Planning, Research and Evaluation (OPRE), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS) (Contract #:HHSP W). The contents of this presentation do not necessarily represent the official views or policies of OPRE, ACF, or HHS. 1

2 Tribal HPOG Overview

3 Tribal HPOG Grantees Key A A: Cook Inlet Tribal Council, Inc, Anchorage, AK B: Blackfeet Community College, Browning, MT B C D E C: Turtle Mountain Community College, Belcourt, ND D: Cankdeska Cikana Community College, Fort Totten, ND E: College of Menominee Nation, Keshena, WI 3

4 HPOG Training as a Community Asset The HPOG program is a catalyst for Tribal workforce development In-demand healthcare occupations require industry-recognized certificates and training TANF recipients and other low-income individuals among hardest hit in recession lacking education and technical skill Culturally competent healthcare workforce can improve Tribal self-sufficiency Tribal healthcare professionals understand cultural concepts of health, wellness and community values Wide variability of cultural competence and high turnover among non-native healthcare providers 4

5 HPOG Evaluation Approach

6 Overall Evaluation Approach Design focuses on: Grantees efforts to establish program structures Processes that lead to improved outcomes for target population & community Demonstrated outcomes in terms of educational attainment, employment and self-sufficiency Approach: Emphasis on cultural responsiveness & consensus Benefit: Identify promising practices and inform knowledge base of culturally- and evidence-informed models implemented in Tribal communities Qualitative & Quantitative data collection 6

7 Tribal HPOG Participant Characteristics

8 Tribal HPOG Data Data is from HPOG Performance Reporting System (PRS) and is entered by grantees Data is subject to change because grantees continue to enter new data and have the ability to revise or update past data that were incorrect, missing, or had not yet been entered Data includes all enrolled Tribal HPOG participants between 9/30/2010 and 09/29/2014** 8

9 Tribal HPOG Participant Characteristics at Intake 1,993 Tribal HPOG participants through Year 4 87 percent of Tribal HPOG participants are female 53 percent have a household income less than $20,000/year at intake 16 percent receiving TANF at intake 65 percent have one or more dependent children 9

10 Tribal HPOG Participant Characteristics at Intake, Compared to all Grantees Education 29 percent with GED or less (19 percent) 35 percent with High School Diploma only (38 percent) 45 percent with at least some College or Technical School (43 percent) Employment 35 percent employed in any sector (37 percent) 15 percent employed in healthcare (16 percent) 10

11 Key Program Activities

12 Supportive Services Pre-Enrollment/Intake Assessment Services Case Management 88% 88% Counseling Services 83% Training and Work Related Resources 89% Social Supports 62% Family Supports 28% Cultural Programming Services 50% Housing Support Services 20% Other Support Resources 12% 0% 20% 40% 60% 80% 100% Percent of Tribal HPOG Participants who Received Support Service 12

13 Enrollment in Employment Development Activities Employment assistance 51% Soft skills/life skills training 35% Job readiness workshop 9% Work experience 1% On-the-job training 2% Job shadowing 3% Other 11% 0% 10% 20% 30% 40% 50% 60% Percent of Tribal HPOG Participants Ever Enrolled in Employment Development Activity 13

14 Initial Outcomes

15 Initial Findings Outcomes Students are making progress towards their educational goals. Students have had sufficient time to move up the nursing ladder and complete higher level nursing programs. Students are acquiring the necessary skills to gain employment in health professions. All sites have made progress towards employment goals and are implementing processes to assist students in finding employment. Program stakeholders are highly satisfied with HPOG. Students and program staff have all expressed a high level of satisfaction with the program structure and outcomes. 15

16 Tribal HPOG Enrollment and Completion Number of Participants Year 1 Year 2 Year 3 Year 4 Enrollment Period Enrollment Completed one or more healthcare training Exited without completing 16

17 Completion by Training Program Nursing Assistant, Aide, Orderly, Attendant 65% Medical Records & Health Information 5% Licensed Practical & Vocational Nurses 12% Medical Assistant Home Health Aide 0% 1% Registered Nurses 6% Phlebotomist Pharmacy Technician Diagnostic Related Technician Misc. Healthcare Support Occupation Emergency Medical Technicians & 1% 0% 0% 3% 2% Misc. Community & Social Service Specialist 8% All Other Occupations 3% 0% 10% 20% 30% 40% 50% 60% 70% Percent of Participants Completing Training 17

18 Initial Findings Outcomes Students are more self-sufficient. Students report that they have a reduced need for external support as a result of increased employment opportunity. Students are becoming role models for their families and communities. Students report that community members take pride in seeing them working in tribal facilities and that their children benefit from seeing their parent's educational and employment achievements. Employers benefit from hiring HPOG graduates. Employers report that students are filling highly needed health positions within their facilities, and that they benefit from having culturally competent staff. 18

19 Initial Findings Outcomes I m first one in my family to go to college. My brother is going to college now and my cousins and everyone is going college now. I m a role model to a lot of people. HPOG Program Participant I [have] a 15 year old and it pushes him to go to this college. Even his career and what he wanted to do. He thought about going to a big college. He wants to go into the medical field. HPOG Program Participant We re committed to hiring all the CNAs that come out of the program. Not just short term. We have tendency to have high turnover.we want to grow them and have them aspire them to grow to bigger and better things. Local Employer 19

20 Employment Outcomes Of the 933 Tribal HPOG participants who were unemployed at intake: 40% (372 participants) became employed in healthcare 9% (81 participants) became employed in a nonhealthcare job Of the 400 Tribal HPOG participants who were employed in a non-healthcare job at intake, 25% (99 participants) became employed in healthcare 20

21 Questions?

22 Michael Meit, MA, MPH NORC at the University of Chicago 4350 East West Hwy, Suite 800 Bethesda, MD Thank You!