Central New York Area Health Education Center (CNYAHEC)

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Central New York Area Health Education Center (CNYAHEC) Health Planning Council 10 February 2014 RK Merchant

New York State AHEC System

Registered nurses, home health aides, and personal care aides are among the occupations nationally projected to have the largest job growth between 2010 and 2020, adding more than 2 million jobs and with another 700,000 job openings due to vacancies from attrition. Selected Health Occupations with Greatest Need for New Workers between 2010 and 2020 CHWS 2013

Projected Percent of Jobs by Setting in the U.S. Health Sector, 2020 Sources: U.S. Department of Labor, Bureau of Labor Statistics, National Employment Matrix, employment by industry, occupation, and percent distribution, 2010 and projected 2020.

Upstate AHEC Coalition Programs An integrated and vibrant program line-up, of state and national prominence, designed to improve the healthcare workforce. My Health Career Presentation to schools and colleges by local staff members Career/Job Fairs Career Readiness/ Advisement MedQuest Multi-day (in some cases residential) health career exploration program Healthcare Olympiad Healthcare competition for high school students Rural Healthcare Immersion College students spend a week immersed in a rural healthcare setting Clinical Rotations On-line clinical training placement services and support National Health Service Corps AHEC leaders serve as National Health Service Corps Ambassadors Coldwater Face-to-face consultation, training and support services to individuals and organizations throughout the United States. Outreach Experiential Programs Training Recruitment Continuing Education Facebook Twitter Program designed to be a student s first introduction to health careers Day-camp model Social Media/ E-Newsletter M.A.S.H Camp Job Shadowing One-day job shadow with a healthcare professional Healthcare Internship Participants are introduced to the daily tasks of a healthcare provider or healthcare professional Hosted by a healthcare employer Generally between 30-180 hours Career Clearinghouse On-line clearinghouse for job postings InService Solutions System to manage and track employee s mandatory in-service training EduCareCE Provider of on-site, on-demand and on-line continuing education services.

UPSTATE AHEC COALITION

UPSTATE AHEC COALITION Formal collaboration of two AHECs: Individual Center Board review and vote Region covers over 25,000 square miles Home to over 2 million people Urban, rural and suburban environments

Partners: UPSTATE AHEC COALITION NYS AHEC System Healthcare Association of New York State (HANYS) Community Health Centers of New York State (CHCNYS) Upstate Medical University Legislative Commission on Rural Resources Iroquois Healthcare Alliance (IHA) Council on Graduate Medical Education (COGME)

Goals: UPSTATE AHEC COALITION Enhance programming through coordination of services, promoting best practices and greater distribution campaigns Reduce individual center-related administrative overhead through leveraging of resources

Goals: UPSTATE AHEC COALITION Secure grant-based funding by coordinating and consolidating opportunity efforts Shared advocacy efforts Optimize revenue potential through venture analysis and deployment

Strategy: UPSTATE AHEC COALITION Digitizing AHECs a holistic approach to going digital or going home As mobile technology and data analytics completely reshape the business landscape, building a truly digital business DNA is an imperative for survival in today s competitive app economy. Bryan Kirschner Director of the Apigee Institute

Digitizing industries Digitization is the pervasive adoption of a wide variety of digital, real-time, and networked technologies, products, and services that enable people, companies, governments, and even machines to stay connected and communicate with one another gathering, analyzing and exchanging massive amounts of information on all kinds of activities. Digital forces: booz&co Benefits to going digital greater customer insight and reach higher productivity creation of new business models Consumer Pull Technology Push Increase in Outcomes & Economic Growth Source: http://www.booz.com/global/home/what-we-think/digitization/megatrend

The Trends like it or not, the digital era is here http://www.youtube.com/watch?v=vdvo5flrqmm

Trends. There are more devices connected to the internet than there are people on the planet www.huffingtonpost.com 2012 4.8 billion people have mobile devices (only 4.2 billion have toothbrushes) www.techcrunch.com 2013 There are 256 million mobile devices (smart phones) owned in the United States www.searchenginepost.com 2013 91% of mobile device internet access is for social activities www.searchenginepost.com 2013

Trends Every minute of every day 684,478 pieces of content are shared on Facebook, and 100,000 Tweets are sent www.therealtimereport.com 2012 There are over 140 billion Friend Connections on Facebook www.socialstatistics.com 2012 Each day, Facebook users spend 10.5 billion minutes (about 20,000 years) on social networking www.socialstatistics.com 2012

Trends Social networking sites, such as Facebook, are popular among young pre-professionals, and allow medical students and residents to communicate and share information with peers via personalized online profiles. Journal of General Internal Medicine 2008; 23(7) 954-7 One in four physicians uses social media daily, or multiple times daily, to scan or explore medical information. Journal of Medical Internet Research 2012; 14(5):e117 14 percent of physicians use social media each day to contribute new information. Journal of Medical Internet Research 2012; 14(5):e117

Trends.. To understand how primary care practices function, it is necessary to study not only the individuals within the practice or individual practice components but also the relationships among individuals. Annals of Family Medicine 2005; 3:443-448

The internet trend Almost all of our customers are using the internet 98% Teens 98% 18-29 92% 30-49 56% 50-65 56% 65+ 89% White 85% African 76% Hispanic 86% 86% 80% 76% <$30k $30-49k $50-75k >$75k 86% 86% 80% 267 MILLION Urban Suburban Rural TOTAL AMERICANS THAT USE THE INTERNET Source: http://www.pewinternet.org/static-pages/trend-data-(adults).aspx

The mobile trend And more than half of them have access at any time, in any place Percentage of device ownership in America 60% 34% 61% Laptop or PC Tablet Smartphone Source: http://www.pewinternet.org/static-pages/trend-data-(adults).aspx

The on-line trend They are doing more than just searching for information Browsing the internet Shopping Online Planning a trip Managing Finances Social Networking Searching for Information What are they doing online? Watching an Online Video Planning a Career Looking for Work Source: http://www.pewinternet.org/static-pages/trend-data-(adults).aspx

Shifting Channels According to a Google Study in 2012, smartphone is the most common starting place for online activities Started Here 65% 63% 65% 47% 59% 66% 56% Search for Info Browse the internet Shop Online Plan a trip Manage Finances Social Network Watch an Online Video Continued on to here (PC or Laptop) 60% 58% 61% 45% 56% 58% 48% Or continued Here (Tablet) 4% 5% 4% 3% 8% 8% 8% Source: http://visualwebsiteoptimizer.com/split-testing-blog/preparing-your-ecommerce-store-for-maximum-sales-this-holiday-season/

The social trend If our customers are using it, then so should we On Twitter the 55-64 year age bracket is the fastest growing demographic with 79% growth rate since 2012. The fastest growing demographic on Facebook s and Google+ s networks are the 45 to 54 year age bracket at 46% and 56% respectively. Source: http://www.pewinternet.org/static-pages/trend-data-(adults).aspx

The data trend Data collected will now be used in more practical and profitable ways In 2014 organizations will revisit their information management approach and embrace big data in all its forms. The result: instant, unexpected and unprecedented amounts of insights Companies are collecting detailed information on web browsing preferences along with location of consumers their friends. They are using that information to target marketing effort more effectively and to design better products and services. Source: http://www.infosys.com/trends/pages/big-data-2014.aspx#blog

Where are we? A company s digital presence is now intimately tied to the brand s reputation and success.

Effectiveness Effectiveness Effectiveness Effectiveness Our digital strategies Organizations resort to one, or more, of the following strategies: Initial cost $$$ Redesign cost $$$ Initial cost $$$ Periodic Project Based TIME TIME One and Done Project Based Initial cost $$ Reoccurring monthly or annual cost $$ License Software TIME No Digital TIME

The need for change In today s world, anything that hinders speed and agility contributes to failure.

Think national, act local An integrated digitized healthcare workforce development Platform Information Transactions Services Social Data Given the increasing complexity of education and healthcare flow within and beyond the United States, it is important that transforming AHECs into the New Digital Age includes a strategy of working together to improve how it provides information, transactions and services. By creating one flexible solution for all, versus fifty costly solutions for one, AHECs can provide better services to the community and effectively achieve it mission.

Programs (not products) AHECs need to build underlying infrastructure and then aggregate demand for technology cross AHEC programs and services This will provide greater flexibility in how local AHECs distribute workforce development information and services to the community it serves while being more responsive to future challenge and changes in digital technology.

Programs (not products) Case management Track and guide users from exploration to a career Map out carrier path Set goals and targets Career exploration Explore career information in a multimedia format network with peers and professionals Explore schools Explore jobs Program promotion Pages to promote programs Program registration Allow users to register for camps/experiences Flexible form creation Volunteer/job shadow experiences Public catalog for users to search available placement slots Service promotion Pages to promote services Continuing education Host/sell Online courses Live event registration Software as a Service Online Compliance training Host/sell online courses Software as a service Clinical placement support Public catalog for available placement slots Software as a Service

Application & Experience Mind Map Pipeline Clinical Training Continuing Education Network

Change the culture Development of a digital culture that helps center staff adapt to new ways of providing healthcare workforce in the multiple-channel experience that people want. six Levers to Change a Culture Formal Levers Leadership Policies One hundred percent buy-in from the top of the company is demonstrated in words and deeds. Role Definitions Job descriptions detail what people do, and thus give staffers a clear career path that validates both the analog and digital worlds. People Processes The human resource department understands the need to hire, train, and reward people based on the goal of delivering the multi-channel experience. Informal Levers Key Behaviors Decision makers pick just a few incremental changes in everyday practice to make a difference in introducing digitization. Roles Models Executives identify (or hire) people who epitomize the key behaviors and promote them throughout the company Networks People throughout the company take part in informal; networks, such as clubs and social groups, to spread the word. Source booz&co Building a Digital Culture: How to Meet the Challenge of Multichannel Digitization

Richard K Merchant CNYAHEC 17 Main Street Suite 237 Cortland, New York 13045