Respiratory Care Succession Planning in West Virginia: Challenges & Solutions

1. Succession Planning;Leadership & Mentoring-Transition TrainingWest Virginia Society For Respiratory Care Robert M. Ortiz MBA, RRT-NPS, RPFT, FABC Administrative Director, Respiratory Care/Pulmonary Svs. West Virginia University Hospitals, Inc. Delegate, West Virginia Society For Respiratory Care

2. Challenges About 64 hospitals

3. 8 A total of 1004 Respiratory Therapists live within WV 15 50 18 11 49 2 4 37 23 19 16 0 6 4 10 0 36 59 0 1 0 1 4 3 2 0 7 17 1 5 3 9 13 1 36 0 56 4 177 16 4 10 13 15 50 14 Approximately 300 + Respiratory Therapists travel from Maryland, Ohio, Pennsylvania, Kentucky and Virginia. 31 11 68 9 3 4 41 5

4. Challenges Chester in the North to War in the South is 6 hr 17min. 346.79 miles per MapQuest Kenova in the East to Harpers Ferry in the West is 6 hr 5 min. and 375.73 miles per MapQuest Flatwoods in Braxton County is the geographic center of WV

5. State Conferences • Conferences seem to only pull population local to the region of the state. Numbers were declining; had to cancel one winter meeting. • Getting leaders to network is difficult. • Getting leaders to engage in the WVSRC is difficult if you can’t get them to understand what you’re really about.

6. Enter Jean Fisher RRT & Mike • As a society we tend to “saw-tooth” and in the dips it is getting harder and harder to recover. • Success will only come if we expand our level of influence. • Old-timers, my mentors, are migrating out of state or into the next chapter of their professional career.

7. Free Meeting Room-Contract for Winter Meeting • The West Virginia Hospital Association staff is a blend of diverse individuals each with specific talents and unique backgrounds. As a group the staff works together toward a common goal: to promote a strong healthcare system in West Virginia that supports and improves the health of those served by our hospitals, as well as the economic condition of the state.

8. Beyond WVSRC Promotion • Lure them in and then capture. • Networking • Strategic use of a captive audience

9. Initial Agenda & Topics • Disaster preparedness in the state in regards to pandemic flu, natural disaster or terrorism. (Eagle Vent) • What have respective hospitals done to prepare? • What options are available for marked increase in ventilators and have any begun to stock pile ventilators or supplies?  • Demographic information from where employees are coming • Are we attracting students? • Are practitioners coming from across the borders? • Staffing Ratios • What criteria is involved? • WV influences • (lung & heart disease) Blackwater Falls

10. Aug. 27, 2007 • What are respective hospital vacancy rates and how are they managing day to day operations • What issues exist with recruitment & retention? • What are the turnover rates and utilization of any type of contract labor as a result? • What is the prevalent credential of staff? • Do hospitals have any incentive for advanced practitioner RRT level credential?  • What incentives are hospitals using to attract new employees or graduates?  Bluestone Lake

11. Target - Directors of Respiratory Care • Proposed rule change of student employment • Hospital comments about the rule and how the new available resource be utilized, if at all • Joint Commission • What experiences have been occurring

12. List server • From: Andrews, Mary Alice [mailto:maryalice.andrews@STJ.NET] Sent: Thursday, December 20, 2007 1:19 PMTo: RESPIRATORYCARE@LISTSERV.WVHA.ORGSubject: Re: ABG analysis St. Joseph's are moving forward into becoming critical access.  so we might be confronted with some of these issues. currently cardio dept [RRT, CRT] draw and run ABG. the machine is in cardio. maintained by cardio. i hope that process remains.. for the same reasons listed below.  especially to meet CAP guidelines..which we are governed by. even if they would farm out draws to nurses and lab to run, we still need a cardio dept to do other respiratory and cardiology testing, so it would serve no purpose to take those procedures away for other staff to do. • Mary Alice Andrews RN • nurse manager-cardiopulmonary dept • St Joseph's Hospital, Buckhannon WV • RESPIRATORYCARE@LISTSERV.WVHA.ORGSubject: ABG analysis • My CEO, DON, and Lab manager have recently visited several Critical Access Hospitals. At some of the facilities Nursing also draws the ABGs , and Lab does the analyzing of the sample. Presently at our Hospital, all ABGs are drawn by a RRT or CRTT. We maintain the analyzer in RT, and our practitioners maintain it. Our CLIA inspections have gone well since 1996. I am very fearful about adding other personnel to the mix.  I realize this is an age old issue, and I have fought it on a yearly basis since 1996. Any advice or direction?????????? • As always, thanks for your help.

13. June 25, 2008 • Medication Administration Charting • How are others dealing with MAC? • Proposed rule change of student employment • Hospital comments about the rule and how the new available resource be utilized, if at all • Joint Commission/CAP Surveys • What experiences have been occurring?

14. Enter Supervisors & Clinical Specialists/Preceptors • Expansion of core group of participants.

15. November 12, 2008 • WVSRC Nominations/Election plan • Ballot discussion • Succession planning • Board Retreat • WVSRC Winter Meeting Agenda • Draft shared • Entertainment German Valley

16. Alliances with WVLA & Asthma Coalition • WVSRC Fall Meeting Location/Date • RC Day at the Capitol • WVBORC • Report from Tracy Matthews • Joint Commission • Current trends seen during survey or mock surveys Harmon

17. Leadership Retreat -----Original Message-----From: Kauffman, Garry W [mailto:GWKauffm@LancasterGeneral.org] Sent: Friday, March 06, 2009 3:17 PMTo: Marybeth Emmerth; Jean FisherCc: Terri Fritz; Ortiz, Mike; Vest, Rodney; cltitus@rghwv.org; Ringler, Brian; Singleton, Wendy; argunnoe@netscape.com; stephanie.stanley@camc.orgSubject: RE: Leadership retreat for WVSRC Jean and colleagues, • Thanks for working on the dates for this. What I would suggest for a strategic planning session that results in the creation of an business/operational plan would be to select a small group (board members) for this work. The development of core values, strategic vision, operating principles, tactics, and action plans would be the work of the small group. The output of this work would be an operating plan that would include the strategic vision, mission, tactics, and action plans that would serve as tool to guide your organization. To both inform as well as engage your membership (and, ideally non-members to demonstrate the value of your organization), you would utilize this tool as part of your planning, communication, and feedback instrument. Philippi Bridge

18. What I would like to suggest is to divide this strategic visioning and operational plan development into two sessions: 3-4 hours of brainstorming and interactive dialogue to create the mission statement, core values, and key focus areas. I typically do this during a late afternoon/early evening and then utilize this session to do some qualitative and informal dialogue over dinner (or, a few brewskis depending upon the group). Then, the following morning would be devoted to creating the draft tactics and action plans to achieve the goals of the organization by breaking the group into 2-5 teams with 3+ persons in each break-out team. I have been utilizing this technique for some years and have found that breaking it up into 2 sessions, divided by dinner/sleep, makes for a better outcome. Having said that, I can do what works best for your group. • I'll stop typing so as to not put anyone to sleep on a Friday afternoon, but please feel free to contact me to discuss how we might best accomplish your needs. Regards, Garry Kauffman

19. May 21, 2009 • AARC/WVSRC • WV AARC membership 387 • 29% of all WV therapists are members • AARC membership nationally 48,898 • Target 2009 50,000 • Average of RCP 44 • Bylaws revision • Fall Meeting September 10-11 • Board Retreat Hawks Nest

20. Enter Educators • Our denominator continues to increase. Twin Falls

21. WVBORC • Polysomnography • Scope of practice issues • Staffing Issues • Graduates • Policies and Procedures • Requests of sharing • Current Practice • Changes to discuss • benchmarking

22. From: Keely, Cynthia A [mailto:Cynthia.A.Keely@WV.GOV] Sent: Tuesday, October 06, 2009 8:36 AM To: RESPIRATORYCARE@LISTSERV.WVHA.ORG Subject: EPA's Next RCC Web Academy on Thursday October 15, 2009 @ 1:00 - 2:30 (Eastern Time)-Chemicals in Schools: Real Problems, Real Solutions October 15, 2009 Importance: High Subject: EPA's Next RCC Web Academy on Thursday October 15, 2009 @ 1:00 - 2:30 (Eastern Time)-Chemicals in Schools: Real Problems, Real Solutions October 15, 2009 FYI-- You are cordially invited to EPA's Next RCC Web Academy on Thursday October 15, 2009 @ 1:00 - 2:30 (Eastern Time) To register, visit: http://www.epa.gov/epawaste/rcc/web-academy/index.htm Chemicals in Schools: Real Problems, Real Solutions October 15, 2009 Description: When it comes to students' health, our kids deserve the best protection possible. These days, elementary and secondary schools have many important safety issues to deal with, not the least of which is to ensure that students are protected from dangerous chemicals where they learn.

23. Transition • WVSRC Minutes October, 2009.doc Sandstone Falls

24. Still Working At It… • However: • Increased Participation • Full Elections Ballot • Direction/Focus • Were having fun • Conference Attendance increasing • WVSRC Chapters rejuvenated • Students licensed and successful

25. Wheeling Jesuit University QUESTIONS?