WCC Employment Training Center CNA to LPN to RN Pathway

Transcription

1 WCC Employment Training Center CNA to LPN to RN Pathway College - Community - Workforce Development Partnerships to Reduce Health Disparities Jamie Kamailani Boyd, Ph.D., FNP-BC Supported by: Kamehameha Schools Office of Hawaiian Affairs Queens Medical Center Kapi`olani Community College

2 Background: Disparities in Health / Education / Income / Workforce Hawai i State data, 2005 Health: < 55 % of Native Hawaiians meet physical activity recommendations. 75 % of Native Hawaiians are overweight and obese. Native Hawaiians 60 % more likely to die from chronic dz. than other ethnic groups in HI. Education: ~ 40% of Native Hawaiians experience high school stop-out. Only 10% Native Hawaiians enroll in college. Evidence of education disparities show that only 10% of Native Hawaiians in college earn 4 year degrees. Income: Native Hawaiians hold lower paying jobs than other ethnicities in the State. Majority of incarcerated inmates in HI are Native Hawaiian. Native Hawaiians make up the greatest segment of homeless in Hawai`i.

3 Background: Disparities in Health / Education / Income / Workforce Hawai i State data, 2005 Healthcare Workforce: 1. Native Hawaiians make up 29% of Hawaii s population. 2.Native Hawaiian nurses make up less than 3.5% of the RN workforce. 3. Native Hawaiian physicians make up 4% of the MD workforce.

4 Of 10 top industries with the largest wage and salary employment growth, Nursing holds 3 spots: Industry Employment Change (In thousands) Year and Growth Number Percent Home health care 958 1, services Services for the elderly 585 1, and persons with disabilities Nursing care facilities 1,614 2, Resource: US DOL (Last Modified Date: December 11, 2009)

5 Public Health and Aging: Trends in Aging in United States U.S. Trends in Aging 20 yr. increase in lifespan WWII % increase in population older than 65 yrs. In 2025, 48 states will have > 15% population older than 65 yrs. Increase chronic diseases Increase disability Diminish quality of life Increase health care costs Epidemiologic Transition Source: CDC. Public Health and Aging: Trends in Aging --- United States and Worldwide. February 14, 2003 / 52(06);

6 College Community Workforce Partnerships to Improve Socioeconomic and Health Outcomes Rationale: 1. Education and income security are directly related to lower chronic disease risks. 2. Impoverished students are more likely to enroll in junior colleges. Junior colleges offer few health/fitness resources. Junior colleges experience higher stop-out rates than 4 year colleges. 3. Motivation for change is a key component of adopting disease prevention behaviors. Enrolling in college is a significant sign of motivation. 4. Educating minorities in health careers imparts health knowledge, improves income security, and reduces workforce disparities. Potential Increase in Income with Advanced Training Nurse Aide Licensed Practical Nurse Registered Nurse Hourly Annually Hourly Annually Hourly Annually $12.00 $24, $22.50 $45, $35.00 $70,000.00

7 `A`ohe hana nui ke alu `ia: No task is too great when done together

8 > Employment : < Poverty Cultural : Earn your way Investment: $24,500 Registered Nurse 1. Work 8 hrs/month 2. Volunteer to Pathway 1 hr/wk 3. Volunteer to 1 Community event per semester Pre Nursing 1. Work 16 hrs/month 2. Volunteer to Pathway 2 hr/wk 3. Volunteer to 4 hr to Community event / semester Certified Nurse Aide 1. Enroll in CNA 2. Pass State Exam 3. Enroll in Nursing Courses 4. Participate in job placement $13,000 ($9,500 Tuition) Up to $10,000 ($8,000 Tuition) Up to $1,500 ($1,200 Tuition)

9

10 `Ike Ola: Health Career Training & Service

11 `Ike Ola: Become health providers and teachers

12 Mālama Ola: Secure Support Kamehameha Schools Office of Hawaiian Affairs Queen s Medical Center Perkins Total Grant Funds Funders Awarded $587, $200, $25, $10, $822,000.00

13 Mālama Ola: Secure Support Scholarship # Applied Awarded Denied Not Eligible Amount Alice Oda Tamura Nursing Scholarship 1 Charles Hemenway 1 1 unknown Employment Education Assistance 1 1 Alu Like/Hana Lima $7, Hawaii Community Foundation Scholarships 1 1 Jane H. Sato Katayama Nursing Scholarships 1 1 Kamehameha Schools KCC Native Hawaiian Scholarship $5, Native Hawaiian Tuition Waiver 1 1 $1, Liko A e 1 1 Pell Grant $20, UH Achievement Grant 1 1 Windward Opportunity Grant 2 2 $3, Members Employed 24 $37,100.00

14 Hui Pu: Blend Knowledge

15 Ka`i: Leadership, Self-Governance Criteria CNA, pass nurse aide certification, work or volunteer, enroll in credit courses Earn your way Work/volunteer 16 hrs/month Student service of 8 hrs/month at WCC teach lower levels Student service of 4 hrs/semester with community partners Work with one of 11 Pathway committees (Website, Fundraising, Volunteering, etc.) Mandatory enrollment in pre-nursing training

16 `Ohana: Family College Community Workforce

17 Ho`iho`i: Reciprocate See one, do one, teach one

18 Kuleana: Perpetuate, Sustain, Serve He makana aloha mai ka pu`uwai: A gift that is given from the heart.

19 Kuleana: Serve, Perpetuate, Sustain Program Effectiveness ( ) Outcome Number Percent No. of enrolled students scheduled to complete 135 No. of scheduled completers completing the CNA program % No. of scheduled completers who successfully transitioned % No. of completers transitioned to Pathway Out of Poverty 32 30% No. advancing to RN training 16 50%

20 Goals for the Future 1. Maintain support of the student governed pathway 2. Widen the bottleneck of the Pathway Work on Native based nursing model Broaden UH support of Pathway 3. Increase evidence-based interventions 4. Increase opportunities for students to earn access to the Pathway out of Poverty through and academic training. 5. Track first hands-on RNs Fall 2010 graduates to study long-term health / economic improvements. À pua: Finished