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W orkforce I nnovation – A Community Response

W orkforce I nnovation – A Community Response. Presented by: Alan D. Sadowsky, PhD Institute for Geriatric Research & Training. Morse Geriatric Center Executive Director, Lola & Saul Kramer Senior Services Agency on the Marilyn and Stanley M. Katz Seniors Campus. Acknowledgments.

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W orkforce I nnovation – A Community Response

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  1. WorkforceInnovation –A Community Response Presented by: Alan D. Sadowsky, PhD Institute for Geriatric Research & Training. Morse Geriatric Center Executive Director, Lola & Saul Kramer Senior Services Agency on the Marilyn and Stanley M. Katz Seniors Campus FAHA 42nd Annual Convention & Exposition July 28, 2005

  2. Acknowledgments • Academy of Practical Nursing for Health Occupations • U.S. Department of Labor • Workforce Alliance, Inc. • Quantum Foundation • Palm Healthcare Foundation • HCA-Columbia and Palms West Hosp. FAHA 42nd Annual Convention & Exposition

  3. Florida’s Teaching Nursing Home • HB 1971 (1999-2000) Pilot Project • Mission –research, training and best practices • Support from Deans of all 5 medical schools • Geri-U-online University (GERIU.org) • Surveys and education for the public and dec-makers • Deliverables FAHA 42nd Annual Convention & Exposition

  4. Morse Geriatric Center - History • 280 Bed SNF • Kramer Senior Services Agency • Institute for Geriatric Research & Training 2000: • Clinical Dementia • Workforce recruitment and retention • Nutrition • Family expectations • Best Practices • AL/IL added December 2004 (142 beds) FAHA 42nd Annual Convention & Exposition

  5. Background • Workforce – Who will care for us? • Local, regional, national, int’l issue • Attract workers to field (make viable) • Retain and advance workers • Reduce expensive turnover • Statistics quality of care issues FAHA 42nd Annual Convention & Exposition

  6. P.R.O.M.I.S.E. • Community demonstration • US Department of Labor • At-risk in targeted areas • Ages 14-24 • Average age = 18 FAHA 42nd Annual Convention & Exposition

  7. Selected Characteristics of Population • 50% from Belle Glade, Pahokee, South Bay • 93% female • 33% live on their own • 47% are parents (average age 16.7) > 87% are African American > 42% self report history of criminal offense > 33% have immediate family who is an offender > 24% have limited English > 36% report domestic violence > 27% report being victims of sexual offense FAHA 42nd Annual Convention & Exposition

  8. Program Goal • Find employment for at-risk population • Unintended reality – jobs in health care • Barriers to employment: • Child care • Financial aid • Housing • Job readiness FAHA 42nd Annual Convention & Exposition

  9. Community Partners (selected list)- • Literacy Coalition • Hispanic Human Resources • Youth Services Council • United Way • Workforce Alliance, Inc. • Boys and Girls Club • Haitian Community Council FAHA 42nd Annual Convention & Exposition

  10. Outcome Measures (selected list) • Returning to or staying in school….. 75% • Complete skills training …………... 75% • Improve Math and English skills …. 75% • No new criminal justice involvement. 75% FAHA 42nd Annual Convention & Exposition

  11. Program Results N = 103 • 96% completed occupational training • 80% obtained a job • Math scores increased 1.76 grades from pre to post test • Reading scores increased 1.4 grades from pre to post test • Recall: • No previous work history (82%) • History of family violence • 24% with limited English • 46% were parents (avg. age – 16.7yrs) FAHA 42nd Annual Convention & Exposition

  12. P.R.O.M.I.S.E. Extension • Disconnect between finding employment – maintaining employment • Grant ext. (1of 2 sites) based on perf. • New model – Bonus for 6 months consecutive employment (n=75) • Descriptions/definitions • Eliminate “no call – no show” • 100% of those eligible for bonus signed up • All 75 achieve bonus FAHA 42nd Annual Convention & Exposition

  13. Linking People with Careers(LPC) • Quantum – healthcare conversion trust • Link employment needs of providers with at- risk population • Expand lessons from P.R.O.M.I.S.E. • Goal 35 enrollees – in 2-year period • Subsequent extension adds 30 enrollees (N=65) • Project coordinator- characteristics FAHA 42nd Annual Convention & Exposition

  14. Program Results • 166 people screened • 62 people recruited • 55 of 62 (89%) secured employment • 39 (63%) still employed • 26% found work but unable to maintain • 11% “missing” • Contingency fund - a critical component FAHA 42nd Annual Convention & Exposition

  15. Career Advancement Retention Challenge • (C.A.R.C.)- Relationship to LPC, PROMISE • Coalition partners in place • Key principles: invest in employees • long term commitment FAHA 42nd Annual Convention & Exposition

  16. C.A.R.C. Description • 2 years for LPN • Employers to pay tuition, books, uniforms • Potential 100% increase in salary • TANF eligible – local Workforce involvement • Motivated employers (win-win) FAHA 42nd Annual Convention & Exposition

  17. Partners • Morse Geriatric Center • HCA- JFK and Palms West • Columbia Hospital • Academy of Practical Nursing for Health Occupations (APNHO) • Literacy Coalition FAHA 42nd Annual Convention & Exposition

  18. Eligibility Challenges • Financial • Reading/Math 11th grade level • Difficulty in filling slots • Enormous interest FAHA 42nd Annual Convention & Exposition

  19. Program Components • Mentoring • Literacy – expanded to sites • Welfare transition program-workforce • Goals – Outcomes • Work commitment – Morse Geriatric Center • Experience from other grants – PHF involvement FAHA 42nd Annual Convention & Exposition

  20. Program Outcomes • 38 trainees • 26 mentors • Progress in LPN program • CNA certification 27 • Satisfaction – employee – employer FAHA 42nd Annual Convention & Exposition

  21. Key Comments • “…instructors are interested in me…” • “…best part is this will help me be what I’ve always dreamed of…” • Tutoring was available at different hours • “Thank you – you’ve given me the confidence to better myself…” FAHA 42nd Annual Convention & Exposition

  22. Program Update • LPC awarded one final year • Retention bonus now included • Produce training manual • Adopt policies of hiring at-risk when possible • CARC receives extension (less enrollees) • PROMISE proposed to US Dept. of Labor to further analyze bonus FAHA 42nd Annual Convention & Exposition

  23. Lessons Learned-CARC • Substantial obstacles • Contingency $’s are critical • Diversity training essential • Program staff – enrollee bonds – very strong • Interest is high FAHA 42nd Annual Convention & Exposition

  24. Lessons Learned……..Part II • Mentorship forced • Sense of entitlement can be negative • Commitment with flexibility – keys to success • Need to broaden the base • CARC – ideal for LTC’s • Tough decisions – some will fail FAHA 42nd Annual Convention & Exposition

  25. Policy Implications • Facilities must know staff turnover rates • Accept need for long term strategy • Understand the difficult challenge • Look for workers in new places • Be available during crisis • Discipline “silk glove/iron fist” FAHA 42nd Annual Convention & Exposition

  26. Steps to Success • Advancement motivation-strong • Reduce facility risk – pay on the back end • Establish community linkages-employers, educators, potential funding sources • Teachers, become more than teachers • Determine time parameters • Invest in human capital- this will take time FAHA 42nd Annual Convention & Exposition

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