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Strengthening the Public Health System W orkforce Development Grantmakers In Health Issue Dialogue Edward L. Baker, MD, MPH December 4, 2008. Workforce Development. Needs Challenges Opportunities. Critical Needs. ASTHO: 29% retirement eligible in 2008
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Strengthening the Public Health System Workforce Development Grantmakers In Health Issue Dialogue Edward L. Baker, MD, MPH December 4, 2008
Workforce Development • Needs • Challenges • Opportunities
Critical Needs • ASTHO: 29% retirement eligible in 2008 • 50% in leadership positions are eligible • North Carolina • Similar to nation especially in leadership roles
North Carolina Workforce Needs • Practitioner training needs • Management and supervision (82%) • Customer service (79%) • Performance improvement (66%) • Critical thinking and managing change (55%) • Cultural competency (53%) • Source: NC Public Health Academy project
Changing Organizational Context • Need for increased efficiency and accountability • Need to manage through a falling market
Opportunities • Invest in workforce development: a gift that keeps on giving • Focus: upper management and leadership positions • Key challenges • Internal management • External partnership development
Internal Management Challenges • People • Information and information systems • Finance • Organizational performance improvement
External Management Challenges • Coalition building • Advocacy
Specific Development Needs • Knowledge and skills • Network of supportive colleagues
Addressing Urgent Needs: What Can Foundations Do? • Invest in the development of individual leaders and managers • Invest in systems and programs that have demonstrated ability to provide high quality development experiences
Addressing Urgent Needs: What Can Foundations Do? • Be selective • Be strategic • Develop long-term relationships
Specific Examples: Management Academy for Public Health • Original creation of the Management Academy for Public Health • Recent discussion around innovation and program expansion
Creation of Management Academy for Public Health • A partnership of four funders and the CDC foundation • Managed by the University of North Carolina School of Public Health and School of Business • Successful pilot project in for states • Extraordinary return on investment
Creation of Management Academy for Public Health: Critical Success factors • Research on what was needed • Relationship building among funders • Relationship building with program leadership • Embedded evaluation
New Partnership • Expansion of management Academy beyond pilot projects • Developing strategic partnership with regional public health leadership institute • Incorporating quality improvement content into curriculum
Opportunities for Foundations • Build upon established programs with a proven track record • Identify areas of opportunity in greatest need to enhance local and state public health practice • Develop long-term relationships between funders and program leadership
Strengthening the Public Health System Workforce Development Grantmakers In Health Issue Dialogue Edward L. Baker, MD, MPH December 4, 2008