State Health Workforce Innovations for System Transformation

1. Health Workforce Innovations to Support Delivery System Transformation • Health Workforce Innovations: View from the States • September 13th, 2016 • Frederick Isasi, JD, MPH • Director, Health Division • National Governors Association • Center for Best Practices

2. Purpose of this Session • Provide a Brief Overview of NGA’s Work with Governors and their Leaders • Governors’ Approaches to Health Workforce Development • Current State Challenges • Underlying Goals of State Health Workforce Strategy • Illustrative Example: Framework for Assessing Workforce Strategy

3. About the National Governors Association • Nation’s oldest organization serving the needs of governors and their staff (founded in 1908) • Bipartisan Leadership: Chair Gov. McAuliffe (D-VA) and Vice-Chair Gov. Sandoval (R-NV) • NGA Office of Federal Relations (OFR): serves as the collective voice of the nation’s governors in Washington, DC • NGA Center for Best Practices: a hybrid think thank/consultancy that works to surface evidence-based practices, works directly with governors on specific policy projects, and provides support to OFR. The NGA Center divisions are: • Health • Education • Energy, Environment, and Transportation • Human Services and Workforce • Homeland Security and Public Safety

4. About the NGA’s Health Work • NGA Center Health Division: • Work focuses on governors most pressing and important health care issues • Typically, project-based through competitive RFA process to you and your governors • Our work is provided a service, free of charge –projects funded through cooperative agreements with federal government, grants, and donations.

5. Continuum of Health Division Activities Health Division Activities Target Audience Most Focused • Governor Healthcare Leadership Retreats • In-State Policy Retreats • State-specific Technical Assistance • Policy Academies • Convenings of States • Collaboration with NGA’s Office of Federal Relations • Medicaid Transformation Toolkit, Opioid Roadmap • Other Publications Most Broad

6. NGA’s Current Focus Areas in Health Six Core Focus Areas Support and Build on Each Other

7. Meet Needs of Transformed Health Care System Governors’ Approaches to Health Workforce Development Many Sectors of Government Affect Health Workforce Development

8. Current State Challenges: Siloed Workforce Efforts Recruitment and Retention Workforce Redesign/ Delivery System Regulation Integration of Population Health

9. Underlying Challenges of State Health Workforce Strategy • Workforce maldistribution / shortages • Lack of policy and data coordination • No “ownership” of statewide workforce planning efforts • Siloes in heath professions • Limited funding for workforce planning efforts • Limited access to reliable data • Limited cultural competency and diversity within the workforce • Uncertainty around moving to new models of care and workforce implications • Undefined roles of new and emerging health professionals • Regulatory/statutory barriers to allowing professionals to practice at the top of their license

10. Underlying Goals of State Health Workforce Strategy Improve access to care Ensure high quality care Improve efficiencies within the health system Increase economic development Workforce Strategy

11. Underlying Goals of State Health Workforce Strategy • Improve access to care • Address maldistribution/ shortages: • Type of service(s) • Geographic areas • Provider participation in public programs Ensure high quality care Improve efficiencies within the health system Increase economic development Workforce Strategy

12. Underlying Goals of State Health Workforce Strategy Improve access to care • Ensure high quality care • Set a unified standard of quality that carries across: • Professions • Settings • Patient populations, including the underserved Improve efficiencies within the health system Increase economic development Workforce Strategy

13. Underlying Goals of State Health Workforce Strategy Improve access to care Ensure high quality care • Improve efficiencies within the health system • Drive towards higher quality and lower cost care. Approaches may include: • Team-based models • Integration of services • Care in non-clinical settings Increase economic development Workforce Strategy

14. Underlying Goals of State Health Workforce Strategy Improve access to care Ensure high quality care Improve efficiencies within the health system • Increase economic development • New roles for health professions creating economic opportunities for state residents • Career ladders • New career paths Workforce Strategy

15. Illustrative Example: Framework for Assessing Workforce Strategy