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Jobs To Careers Promoting Work-Based Learning for Quality Care. In the Beginning, there was. ALFTC. Assisted Living Facility Training Consortium. Workforce Development Grant Cedar Sinai Park - Rose Schnitzer Manor Avamere Assisted Living facility – Hillsboro
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Jobs To CareersPromoting Work-Based Learning for Quality Care
Assisted Living Facility Training Consortium Workforce Development Grant • Cedar Sinai Park - Rose Schnitzer Manor • Avamere Assisted Living facility – Hillsboro • Portland Community College (CWT/IHP)
ALFTC Project Goals • Train & Promote employees • Demonstrate how to efficiently develop a skilled workforce through the use of skill standards and targeted training • Create Career Ladder & Lattices
Components of the Project • WorkKeys • Job profiles • Assessments • Curriculum Development • ESL & Adult Learning, OJT, Best Practice • Data Base • Tracks time, instructor, all training • Evaluation
Better Jobs Better Care • 19 partners • Retention of Direct Care Workers (DCW) • RWJF funded • 3 ½ years • 1 of 5 projects
Better Jobs Better Care 8 practice sites 4 nursing homes 1 residential care facility 2 assisted living (one on same campus as one of the nsg homes) 2 home care: 1 Home Health agency 1 Union SEIU - Home Care Workers
Policy Objectives • Increase DCW access to CNA certification and advanced competencies. • Review regulatory activities, provider reimbursement. • Improve leadership skills of nurses. Added two goals during grant: • PCC philosophy statement • DCW core competencies
Practice Objectives person-centered approach part of each objective • DCW relationship with: • Supervisor • Residents • Family • career advancement • diversity
Lessons Learned • Leadership team should: • be multi departmental, all shifts • have authority to effect change (upper level) • Implement some of suggestions that come from DCWs • meet regularly (preferably more than monthly) “When you’ve got a team working together there’s nothing better, and when you don’t there’s nothing worse.”DCW
Lessons Learned - DCW Activities • Flattening the organizational hierarchy---DCWs: • Participate in interviews for DCW positions • Self schedule • Serve in leadership positions • Peer mentoring • Participate actively in care planning • A new CNA, who had worked for about 3 mo. saw an ad in the paper for a job paying $11/hr (somewhat higher than we were paying her). She resigned, worked her 2 wks and left in good standing. One month later she came back and applied for rehire. “This is a better place to work”
Lessons Learned (con’t) • Training • Sufficient dedicated time • As a separate line item on the budget • Beyond clinical topics • Evaluation of efforts(PCC assessment tool, focus groups) • Must be part of the work • User friendly tools make it inviting • Need for ongoing efforts after grant is over • MOVE (Making Oregon Vital for Elders)
Still have challenges • Retention • Turn over Costs • Shortage of DCW now
Funding from: • RWJF • Hitachi Our project one of 19 in country – (there are 2 in Oregon) - Only LTC/CBC project 3 year grant, - 1 ½ years into grant
10+ Partner Coalition • PCC – lead & fiscal agent • (CWT, IHP, Gerontology) • OHCA / Alliance • Employer providers • CSP/RSM • PBCC/OH • Marquis, CCL Taft Home, Farmington Square • SPD & Board of Nursing • Worksystems Inc (WIB for Metro area)
Employer/provider Goals • Train entry level DCW using ALFTC curriculum – work based • Change employer policies & practices to support skill & career development for DCW • Train supervisors in coaching/mentoring for DCW career development
Work - Based Learning • Critical Elements of WBL • Learning – done while on the job & dedicated to the task at hand • Learning is everyone’s job • Question underlying assumptions of practice
System Goals • Create/Implement a credentialing system for DCW • ALFTC curriculum credential • Entry Level and Med Aide level occupational profiles (RA I & RA II) • Voluntary, statewide standard for training
Community College Goals: • Create a joint education/employer system for DCW career development/career management coaching • Credit for prior learning • Create new academic certificates that combine credit courses, CEU and workplace experience. • Support employer culture change through management training
For more information: • Suanne Jackson • JTC program coordinator • PCC, Capital Center – SW Portland • sjackson@pcc.edu • 503-533-2778/cell 503-333-8741