Affordable care Act: State Health Care Workforce Development Planning

1. Affordable care Act: State Health Care Workforce Development Planning Colorado Department of Public Health and Environment, Primary Care Office Program Update

2. Summary • Review from last Collaborative Meeting • General update on process • Update on D+E: Education Practices • Update on A: Labor Trends • Immediate next steps • Brief Discussion/ Q&A

3. Review: Collaborative January Meeting • Workforce planning project overview • Role of the collaborative • Planning objectives • Proposed timeline • Workgroups and meeting schedule

4. Update • Educational Practices (Objectives D+E) drafted, in edit • Labor Trends (Objective A) in process • Conducted 40+ key informant interviews • Held 9 workgroup meetings total • Met with the other 25 states participating in workforce planning at a HRSA Technical Support Meeting in Washington, DC

5. Educational Practices: Objectives D+E • Objective D: Describe the academic and health care industry skill standards for high school graduation, for entry into postsecondary education, and for various credentials and licensure. • Objective E: Describe state secondary and postsecondary education and training policies, models, or practices for the health care sector, including career information and guidance counseling. • Workgroup meetings held on 1/24, 2/4 and 2/14 • Multidisciplinary participation • 15 key informant interviews specific to educational practices

6. On The Ground • Colorado already has existing capacity and infrastructure to effect meaningful change to its health education and career pipeline. • In 2008 there were 39 programs supporting 84 separate initiatives (CHI, 2008). • Programs touched on necessary aspects of the pipeline including exploration and exposure health careers, loan repayment, scholarships, workforce diversity, leadership and career advancement.

7. Challenges • Difficult to ascertain exact number of organizations supporting the pipeline at any given time • Difficult to measure the degree of impact on the primary care workforce for pipeline programs that are short-lived • Lack of sustainability for health education and career pipeline initiatives is a major barrier to building momentum in workforce development

8. Pipeline Visualization

9. Emerging Themes • Workforce diversity programs • Academic advising at secondary and post-secondary education levels • Lack of collaboration across organizations and programs supporting the pipeline • Multiple web-based applications and portals for entry into the pipeline • Lack of evaluation among existing workforce initiatives

10. Towards Implementation:Coordination &Collaboration • Utilizing existing organizational capacity and expertise to monitor, track, and empower existing and future health education and career pipeline initiatives • Collaboration guided by an interagency advisory committee • Address known gaps and challenges, including academic advising and workforce diversity • Prioritize evaluation among pipeline programs, in order to eventually ascertain total impact on CO’s primary care workforce • Student/participant tracking

11. Towards Implementation:Streamlined Portal System • Coordination of a one-stop “portal” for point source access, link and referralto existing web-based applications and resources (including but not limited to): • All secondary and post secondary health professions training programs, admissions, programs and descriptions • Existing applications including college planning, IACP, adult learning • Current pipeline inventory, program description and participation information • Existing career guides and career engagement resources • Social networking • Student tracking throughout the pipeline

12. More to Come • Additional Educational Practices components will be added as part of Objective F-state and federal policies. • Educational components also overlap with recruitment and retention. • Based on comment and feedback written content specific to Educational Practices will be continually revised.

13. Labor Trends: Objective A • Objective A: Analyze state labor market information in order to create health care career pathways for students and adults including dislocated workers. • Workgroup meeting on 02/25 • Multidisciplinary participation • Stakeholder interviews completed

14. In Process • Inability to discern causality between pipeline programs and reported labor market information • Evaluation? • Data? • Sustainable funding? • Need for more complete data on primary care professions • DORA bill failure • Minimum data set collection options without legislation

15. Next steps on A… • Waiting on some data • Continuing stakeholder interviews • Drafting

16. Immediate next steps • Posting D+E for public review • Posting A for public review • Continuing subgroup meetings • Continuing stakeholder interviews • Preparing C for completion on/around 04/08

17. Brief Discussion/Q&A

18. Contact Information Katie Koivisto, MSW CDPHE PCO katie.koivisto@state.co.us desk: 303.691.4907 fax: 303.782.5576 Rich Marquez, MPH CDPHE PCO richard.marquez@state.co.us desk: 303.691.4916 fax: 303.782.5576