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A Rural Health Network’s Strategy to “Create and Sustain the Rural Health Care Workforce”

A Rural Health Network’s Strategy to “Create and Sustain the Rural Health Care Workforce” Tim Size RWHC Executive Director for the HRSA ORHP All-Programs Meeting Washington D.C. August 29th, 2007. RWHC by the Numbers. Founded 1979

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A Rural Health Network’s Strategy to “Create and Sustain the Rural Health Care Workforce”

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  1. A Rural Health Network’s Strategy to “Create and Sustain the Rural Health Care Workforce” Tim Size RWHC Executive Director for the HRSA ORHP All-Programs Meeting Washington D.C. August 29th, 2007

  2. RWHC by the Numbers • Founded 1979 • Non-profit cooperative owned by 32 rural hospitals (net rev ≈$3/4B; ≈2Khospital&LTCbeds) • ≈$5M RWHC budget (75% fees from members, 15% fees from others, 4% dues, 6% grants) • 26 CAHs; 22 freestanding & 10 system owned or affiliated

  3. RWHC Vision & Mission Vision (Future we want): Rural WI communities will be the healthiest in America. Mission (How we do it): RWHC is a strong and innovative cooperative of diversified rural hospitals. .. is the “rural advocate of choice” for its Members …develops & manages a variety of products and services. Specifics re services available at http://www.RWHC.com

  4. Advisory Board memberships (Health Care Advisory Board, Nursing Executive Center, HR Investment Center)* Club Scrub* Healthy WI Leadership Institute* Retire & Departure Plan Surveys Rural Health Careers Web Site* RWHC Distance Learning Opportunities RWHC Education Coordinator RWHC H2H (Hospital to Hospital CEO Visits) RWHC Roundtables RWHC Workforce Development Coordinator WI Academy Rural Medicine* WI Nurse Preceptor Training* WI Nurse Residency Program* WI Office Rural Health Physician Recruitment Service* WI Pharmacy Forum* WI Select Committee on Health Care Workforce Development* WIStateLab.ResponseNetwork* Retention, Recruitment & Continuing Education * Program started or operated by or with a strategic partner.

  5. The greatest delivery of health care challenge in WI is the growing pharmacist shortage. The capacity to educate physicians, registered nurses, and physical therapists must likewise be increased, or future demand will not be met. The availability of rad. techs must be carefully monitored. Maldistribution of all health professionals is ongoing issue. State must be proactive! Wisconsin Hospital Association Makes It Statewide Issue

  6. The committee represents all the major stakeholders, leaders from the health care sector, educational institutions, labor and government. Current goals: sparking development of clinical training sites & learning opportunities for nursing students compilation of best practices to improve retention projection methods to better identify workforce needs and set a course to meet them WISelectCommitteeonHealth CareWorkforceDevelopment

  7. Club Scrub is a hospital-based, interactive, after-school, hands-on program that teams up rural hospitals with local school districts to expose middle school-age students to many different local healthcare careers. Federal Rural Hospital Flexibility grant through State Office R.H. Club Scrub

  8. Healthy Wisconsin Leadership Institute Community/public health related continuing education and training resource supported by UW Medical School and Medical College of Wisconsin with Blue Cross “conversion foundation” dollars. Purpose: To build public and community health skills and leadership capacity throughout Wisconsin. Target Audience: All working to improve the health of the public. Initial Institute program areas include: • Community Teams Program • Health Policy and Forum Education Program • Lifelong Learning and Mentoring Program

  9. Rural Health Careers Interactive Job Site

  10. WARM is dedicated to improving the supply of physicians in rural Wisconsin and the health of rural Wisconsin communities; the size of each medical school class will increase by 25 students. Students will participate in an educational curriculum designed to prepare them for rural practice by providing extensive clinical training in rural Wisconsin during years three and four. Students will learn to address medical issues that are unique to rural areas, and give the students the opportunity to appreciate a rural lifestyle. WARM has the unique distinction of being the only rural focused program in the nation that supports a student’s pursuit of any specialty. A Rural Medical School Within a Medical School

  11. RWHC Roundtables • RWHC facilitates retention by directly addressing the isolation typically associated with rural health with over three dozen professional roundtables, representing a wide range of clinical and non-clinical disciplines. • Most of the about 40 roundtables meet 4-6 times per year, typically for 2-4 hours per meeting. Participants discuss topical issues, exchange ideas and implement special projects. • Several of the professional roundtables also devote meeting time to the development and review of competencies for their positions, which serves both a functional purpose for their respective facilities and satisfies JCAHO requirements. • Many RWHC products and services get their start via roundtables.


  12. RWHC Hospital to Hospital Program (H2H) • Futurist Leland Keyser suggested CEOs should visit other hospitals to gain insights to enhance their organization’s performance. • CEOs nominate own hospital or another. • Selected hospitals plan a four hour program. • CEOs continuously learn from each other through a process of structured site visits.

  13. RWHC Workforce Development Coordinator Responsible for disseminating info about positions via: • listings on Rural Health Careers in Wisconsin & other websites • contacting career associations • direct mailings • networking with technical college and university programs, program directors and career services • displays at career fairs/professional meetings • presentations at state and national conferences Available to provide supplemental assistance for facilities in need of temporary or internal recruitment assistance.

  14. Wisconsin Nurse Residency Program (ROI 350%) • An innovative, structured learning experience for new registered nurses designed to promote effective transition into professional practice. • Professional Development Plan—In order to address the unique needs of new practitioners, WNRP helps the new nurse create an individualized plan to build skills and develop competency. • Facilitated Learning Sessions—Every month, a six-hour learning session is provided that engages participants in an enriching learning process to encourage critical reflection on nursing practice. • Clinical Coaches—When nurses enter the program, they are partnered with an experienced nurse designated as a clinical coach. • E-Learning and Discussion—Curriculum and suplementary materials for themonthly face to face sessions are provided on compact disks and ongoing discussion is available via a “listserve.” Begun with a federally funded statewide collaboration between Marquette University and rural and urban acute care health care partners in Wisconsin; continuing as shared service at RWHC.

  15. Wisconsin Nurse Preceptor Training Opportunities Assist nurses to develop the knowledge and skills needed to be effective practice-based preceptors for undergraduate student nurses. • Marquette University has received a second HRSA “Nurse Education Practice & Retention” grant to further their Nurse Residency Program and to enhance and expand educational support for experienced nurses to function as preceptors and clinical coaches. • The La Crosse Medical Health Science Consortium is extending a “nurse preceptor training” opportunity to all hospitals in western Wisconsin. A HRSA tele-health grant will allow for 60 RN’s to receive online preceptor training through either UW-Madison or Winona State University.

  16. Wisconsin Pharmacy Forum • Collaboration between UW School Pharmacy, Pharmacy Society of Wisconsin & the State of Wisconsin’s Pharmacy Examining Board, RWHC & WHA. • Academic Goal: Will develop student-related goals and strategies to better train and recruit pharmacists for and to rural settings. • Research Goal: Formulate a research proposal to fill in missing data in current research about the current and growing shortage. • Practice Model Goal: We will look at best practices to support the most effective use of pharmacists and their retention.

  17. Get the Data Advocate the Need Identify Partners Collaborate Innovate Invest in People Evaluate Persevere Our Strategy

  18. Questions/Discussion? RWHC Services Available to Non-Members: • RWHC’s free monthly newsletter on rural health (email office@RWHC.comwith “subscribe” on subject line) • JCAHO accredited Quality Indicators Program • CAHPS Hospital Surveys Information on the above services and a copy of this talk is available at: http://www.RWHC.com

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