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Building Community Collaborations to Address Health Workforce Shortages

Building Community Collaborations to Address Health Workforce Shortages. Presented by Lourdes Paez-Badii, Program Coordinator Suzanne David, Program Manager

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Building Community Collaborations to Address Health Workforce Shortages

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  1. Building Community Collaborations to Address Health Workforce Shortages Presented by Lourdes Paez-Badii, Program Coordinator Suzanne David, Program Manager Mireya Velasco, Program Coordinator Facilitated by Gail Emrick, Executive Director

  2. Goal: • Improve Health Care Service Delivery Through Increased Community Collaboration

  3. Objectives: • Identify antecedent conditions to rural health workforce shortages in recruitment, placement and retention phases; • Explore/discuss practical strategies which are currently being utilized by other AHEC Centers to address health professions workforce development; • Propose/develop new ways their Centers can build on community collaboration efforts to strengthen their program outcomes.

  4. Logic Model-National

  5. Root Cause/Logic Model Map: Barriers to Evidence-Based Healthcare and Health Map 1 Health Careers Recruitment and Preparation HCP supply, distribution, diversity and quality inadequate to meet the need in America Too few students choose a career in health care Map 2 Health Professionals Placement Few Healthcare providers/grads choose rural employment Map 3 Health Professionals Retention HCP are not staying in underserved areas

  6. Arizona Logic Model

  7. Inadequate healthy behavior understanding in individuals and groups Map 1 Community Health Promotion Healthy behavior not practiced by everyone Inadequate community support for healthy behavior Not a steady stream of enrollees, especially diverse enrollees, into HCP education/ training. Map 2 Health Careers Recruitment and Preparation HCP students lack adequate community-based education experiences, especially with underserved populations HCP supply and quality inadequate to meet the need Not enough HCP practice in locations where most needed. Map 4 Health Professionals Retention HCP not staying in locations where most needed Root Cause/Logic Model Map: Barriers to Evidenced-Based Healthcare and Health Practices Not enough healthcare professionals (HCP) and community members access and adopt evidenced-based healthcare and health practices.” Map 3 Health Professionals Placement

  8. Recruitment/Health Career Clubs

  9. Root Cause/Logic Model Map 1: Simplified – 13 boxesHealth Careers Recruitment draft ~ NAO CORE 3-9-2006 Few role models/mentors/health care heroes Limited job shadowing Limited opportunities to explore health careers Not enough counselors and advisors in schools, too busy, lack knowledge Not aware of range of health care professions Few high school health/science clubs Few students choose a career in healthcare Lack of intriguing experiences Information not getting to target groups Inadequate academic preparation Coursework in English, math, science is a struggle Inadequate cultural and Academic transition/survival skills (learning how to ask for help, take tests, use the library, access services, apply, lacking prerequisites) Don’t know the resources available/can’t access resources

  10. RECRUITMENT HEALTH CAREER CLUBS: • School Based: Peer to Peer, Faculty, School Nurse • Community: Parents, Siblings, Health Care Provider • Agencies: Community Health Centers, Hospitals, • Social Services, Workforce Development

  11. Health Professionals:Graduation and Placement

  12. Root Cause/Logic Model Map 2: Simplified – 15 boxesHealth Careers Placement draft ~ NAO CORE 3-9-2006 Logistics of placing students Limited recruitment to rural jobs High cost of rural rotation to student Inadequate information on rural opportunities Shortage of educational opportunities in MUAs Small rural sites don’t offer enough preceptorships Students tend to practice where they train Not exposed to rural areas during training/lack of time for students in MUAs Too few Healthcare providers/grads choose rural employment MUA clinician believes they lack skills to be a preceptor Anxiety that inadequately prepared for rural setting Rural students not as competitive Small percent of grads from rural/underserved Perception that can earn more $$ in urban, etc Personal preference for urban setting

  13. Recruitment & Retention:Health Professions Students Community Level Partners Academic Partners Health Professionals Health Care Agencies State Agencies Federal Agencies Health Profession Students

  14. Root Cause/Logic Model Map 2: Simplified – 15 boxesHealth Careers Placement draft ~ NAO CORE 3-9-2006 Logistics of placing students Limited recruitment to rural jobs High cost of rural rotation to student Inadequate information on rural opportunities Shortage of educational opportunities in MUAs Small rural sites don’t offer enough preceptorships Students tend to practice where they train Not exposed to rural areas during training/lack of time for students in MUAs Too few Healthcare providers/grads choose rural employment MUA clinician believes they lack skills to be a preceptor Anxiety that inadequately prepared for rural setting Rural students not as competitive Small percent of grads from rural/underserved Perception that can earn more $$ in urban, etc Personal preference for urban setting

  15. Health Care Provider Retention

  16. Root Cause/Logic Model Map 3: Simplified – 11 boxesHealth Care Provider Retention/CEdraft ~ NAO CORE 3-9-2006 Lack of HCP cultural sensitivity, knowledge of cultural norms Language barriers Lack of planning for workforce needs Not feeling connected/ part of community Little effort to match HCP with community Healthcare Providers are not staying in underserved areas Inadequate opportunities for professional development Broader professional community does not reach out to HCP in rural/underserved Professional Isolation No local collegial support/professional enrichment/CE in geographic proximity Small facilities lack infrastructure to keep up with new information

  17. Continuing Education for Healthcare Providers, which can include not only Physicians & Nurses but also EMS Personnel and Community Health Workers University of Arizona Departments Large Hospitals Local Community Health Center Medical Helicopter Companies Community Groups Telemedicine On-line Support for workshops out of service area SEAHEC

  18. Root Cause/Logic Model Map 3: Simplified – 11 boxesHealth Care Provider Retention/CEdraft ~ NAO CORE 3-9-2006 Lack of HCP cultural sensitivity, knowledge of cultural norms Language barriers Lack of planning for workforce needs Not feeling connected/ part of community Little effort to match HCP with community Healthcare Providers are not staying in underserved areas Inadequate opportunities for professional development Broader professional community does not reach out to HCP in rural/underserved Professional Isolation No local collegial support/professional enrichment/CE in geographic proximity Small facilities lack infrastructure to keep up with new information

  19. Discussion

  20. Any Questions?

  21. Southeast Arizona Area Health Education Center 1171 W. Target Range Rd Nogales, AZ 85621 520-287-4722 www.seahec.org

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