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W-4 Workforce Update October 10,2007. Sandra Fitzler 202-898-6307 sfitzler@ahca.org Francesca Fierro O’Reilly 202-898-2852 foreilly@ahca.org. State Workforce Partnerships. Workforce Investment System Why Partner State Workforce Partnerships Outcomes.
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W-4 Workforce Update October 10,2007 Sandra Fitzler 202-898-6307 sfitzler@ahca.org Francesca Fierro O’Reilly 202-898-2852 foreilly@ahca.org
State Workforce Partnerships • Workforce Investment System • Why Partner • State Workforce Partnerships • Outcomes
State Workforce PartnershipsLessons Learned • Make sure LTC employees are on the State Target Occupations List • WIB partnerships & education are needed before asking for assistance • Need to ask about state unexpended workforce dollars • RN education system a roadblock
Nurse Workforce Efforts • DOE – Nurse education & patient safety study • Hartford Center of Geriatric Nursing Excellence – Nursing Home Collaborative
AHCA Nurse Workforce Efforts • Facility-based and paid Geriatric Nurse Practitioners • Retired LTC nurse – clinical instructor
Proposal - Using Retired LTC Nurses as Clinical Instructors • Rationale • State Demonstration • Barriers • Next Steps
AHCA Workforce Efforts • Employee Satisfaction Surveys • Consistent Staffing Assignments • Vacancy & Turnover Survey
MyInnerview Employee Surveys • 2006 Key Findings • Recommendations • Next Steps
CONSISTENT CAREGIVER ASSIGNMENT PROCESS REVIEW TOOL Answer the following questions using facility scheduling records, time cards, staff survey results and QA data. *indicates items from paper NHIFT tool
OSHA • Site-Specific Targeting (SST) – 07 • Days Away, Restricted & Transfer (DART) • Focus – Ergonomics, blood & infections, material exposures, Tb, & slips/trips/falls • Health Care Compliance Assistance Module
DOL Wage & Hour Compliance Past ALF Compliance Levels 1998 57% 2001 60% 2005 72% Past NF Compliance Levels 1997 70% 2000 40% 2004 55%
Wage & Hour Compliance DOL’s LTC Guidance • Youth Employment Fact Sheet #52 • Hours Worked Fact Sheet #53 • Overtime Pay Fact Sheet #54 • www.dol.gov/dol/esa/public/healthcare/index.html • LTC Compliance Manual
New SEIU Health Care Union • Expected to be a 1 million member union • Combines the 38 local unions currently representing healthcare workers • Govern by council – presidents of 38 locals • Main focus – add 80,000 to 100,000 new members in the next year • PAC raised $40 million to influence a national healthcare program