Presented by: Rick Panning, MBA, CLS(NCA) VP, Allina Medical Laboratories

1. Breaking the Bottleneck – The Critical Need for Clinical SitesAllina Hospitals & ClinicsSeptember 30, 2009 Presented by: Rick Panning, MBA, CLS(NCA) VP, Allina Medical Laboratories

5. Allina Laboratories - # of employees • AML (4 metro hospitals): 583 employees • 6 Regional Hospitals: 147 employees • Allina Medical Clinics (46): 250 employees • Aspen Medical Clinics (9): 38 employees • Quello Clinics (5): 13 employees • Total lab employees: 1053

6. Educational Relationships • CLT/MLT • North Hennepin Community College* • Allina employees program director and faculty • St. Paul College* • South Central Technical College* • Argosy University* • Histology Technicians • North Hennepin Community College • Allina employs program director and faculty • Phlebotomy • College of St. Catherine’s • CLS • University of Minnesota* • Winona State University* *DOL grant partners

7. Initiatives to support expanded clinicals • Preceptor training program developed by Pat Ellinger • Offer to Allina Medical Clinic staff in 2008 (n=12) • Expanded to Allina Medical Laboratory hospital laboratory staff (September-October 2009) • Create opportunities for Allina laboratory staff to be adjunct faculty at NHCC and SPC • January: 5 day student orientation session • Added 2 SPC clinical rotation slots in Winter/spring 2009 • Develop a DOL Lab Grant Website to • disseminate MN laboratory career information • centralize general information on DOL Lab Grant progress

8. MLT Students • 19-week experiences including Chem, Heme, Coag, Micro, Blood Bank, UA, Phlebotomy

9. HOSPITALS Abbott Northwestern Unity Mercy United St. Francis Buffalo Cambridge CLINICS Coon Rapids Nicollet Mall Elk River Woodbury Cottage Grove Champlin Northfield West St. Paul Faribault UMS Edina Eagan Forest Lake Woodlake Farmington Shakopee Maple Grove Ramsey CLT/MLT Clinical Rotation SitesSpring 2008-Spring 2010

10. Other MLT sites available/potential • Farmington – after new building • Hastings 1st Street • Mora • Shoreview (future) • St. Michael • Other Regional Hospitals: River Falls, New Ulm and Owatonna (after new hospital opens) • Future: Aspen Medical Clinics and Quello Clinics

11. CLT/MLT student rotationsClinic rotations + BB/Micro at hospital sites • Spring 2008 (12 students): St. Paul College (SPC), South Central Technical College (SCTC) and North Hennepin Community College (NHCC) • Fall 2008 (3): Argosy University • Spring 2009 (10): SPC, SCTC and NHCC • Summer 2009 (4): Argosy University • Spring 2010 (20): SPC, SCTC and NHCC

12. The Facilities-MLT • Starting January 2010 for MLT • Metro Hospitals - 4 (ANW, Unity, Mercy, United) • Regional Hospitals - 3 • (Buffalo, Cambridge, St. Francis in Shakopee) • Allina Medical Clinics - 15 • 1 clinic performs testing similar to a small hospital, including Micro and Coag • 5 additional clinics perform some Chem • All clinics perform Phleb, UA, Heme

13. The Schools - CLS • CLS (soon to be MLS!) students from: • University of MN • 4-week rotation blocks in Chem, Heme, Micro, Transfusion • University of N. Dakota (MLT  CLS only) • Usually 4-8 weeks depending on MLT experience • University of Cincinnati (MLT  CLS on-line) • 10-week semester (lab sections needed) • Allina employees only

14. The Numbers • MLT – Spring Semester, January – mid-May • Starting 2010, 20 students for the 19 weeks • Every student will spend time in a hospital environment and in a clinic environment • The first week for all students is Orientation • Safety and LIS training modules • Expectations, etc. • ANW Hospital tour • FUN stuff, too!

15. The Numbers • MLT • By adding additional clinics as sites, and using every possible 4-week block of time at the sites that perform Micro, capacity for MLT students was increased from a maximum of 16 to 20 full 19-week rotations • A plus for students – exposure to at least one clinic lab and at least one hospital lab

16. The Numbers • CLS – U of M • 26-28 U of M students between mid-May and early December • 4-week rotation in one of the 4 major departments • At Metro hospital sites • Micro at ANW central lab only for CLS level • U of Cincinnati as needed, most have been spring or summer, 1-2 per year • UND as needed, most have been Allina employees

17. Investing actively in education • Provide program director and faculty for the MLT and HT programs at North Hennepin Community College • Partner with NHCC and St. Cloud State University through initial MSJP (MN Job Skills Partnership) grant for MLT to CLS program initiative • D.O.L. grant partnerships • Recent AMS productivity/staffing consulting engagement recognized need to adjust hospital lab staffing benchmarks to enable teaching

18. Department of Labor Grant (#1) • Grant ONE • March 2008 – March 2011 • 3.1 Million Dollars • Partners: • St. Paul College • Argosy University • North Hennepin Community College • South Central Technical Colege • University of Minnesota • Winona State University • Minneapolis Workforce Center • H.E.I.P. • Minnesota Hospital Association • Allina Hospitals & Clinics • Centers of Excellence in Healthcare • Minneapolis Workforce Centers

19. D.O.L. grant #1 • Objective One: Develop the lab workforce - program articulation, e-learning, fast track and expansion. • Objective Two: Clinical Experiences – Increase experiences through automation, standardization and training • Objective Three: Pipeline – Increase entry into the profession among youth, minorities and dislocated workers. • Objective Four: Dissemination – Extend effective practices and deliverables statewide and beyond.

20. High level details of tactics to address the four objectives. • Expand the number and Capacity of Programs for CLS and MLT in the state of Minnesota • Standardize clinical curriculum to bring efficiencies and lower cost for health care organizations that house clinicals. • Develop articulation from MLT programs to CLS programs. • Develop an on-line CLS program to the level of quality of the MN on-site programs. • Expand the pipe-line of students pursuing a CLS or MLT degree

21. D.O.L.grant #2 (proposed) • Application due October 2009 • Partners to date: • H.E.I.P • University of Minnesota • Winona State University • Minneapolis Workforce Center • Minnesota Hospital Association • Allina Hospitals & Clinics • North Hennepin Community College • Argosy University • South Central Technical College • Expand to phlebotomy program provider(s) • Expand to additional providers: • Fairview (confirmed) • TBD: CentraCare, Children’s Hospitals and Clinics, HealthEast

22. D.O.L. grant #2 (proposed) • Objective One: Expand clinical sites through evening clinicals, supported with grant funding for bumped up staffing (goal to support 3 CLT/MLT programs and 3-4 provider organizations.) • Objective Two:Expand clinical laboratory education statewide, including rural areas. Expand University Education programs and Health Care Organizations that can participate in this expansion. • Objective Three:Expanding entry points into the profession by expanding number of NAACLS-accredited Phlebotomy programs and possible development of a Clinical Laboratory Assistant program that can meet employment demand and that will pipe-line into MLT and CLS programs.

23. What makes this possible? • Workforce issues are a top priority of the organization • It’s the people! • Active support from Allina senior leadership • Active leadership from Allina laboratory leadership • Mike Dalager, Director of Lab Operations • Jean Bauer, Director of Allina Medical Clinic laboratories • Hospital Lab Directors, Managers, Supervisors, Leads and staff • Clinic laboratory leads and staff. • Active support Allina Workforce Center: Jane Renken, Director, Mary Jo Huebner and others • Active support from Nancy Denny – Director of NHCC MLT/HT programs and AML Education Coordinator. “She makes this all possible. The detail person.”

24. What makes this possible? • Culture • Understanding that the support of laboratory education is necessary for meeting current and future staffing needs of Allina • Understanding that Allina must play a key role in supporting education initiatives across the state and meeting personnel training needs for the entire state.