From Concept to Reality

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• From Concept to Reality
• Sheryl McLain, MS
• Executive Director

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What Is It?

• Public-Private Partnership
• Purpose Coordinate, Facilitate, Communicate
  Statewide Efforts to Meet Supply and Demand Needs
  for Oklahomas Health Care Workforce
• (SB 1394 Passed in May 2006
• Effective November 2006)
• It connects the dots between various health care
  workforce activities initiatives.

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How Is It Funded?

• 0 Appropriations
• SB 1394
• Co-Authors Sen. Susan Paddack Rep. Doug Cox
• State Agencies, Programs, Task Forces, Boards
  and Commissions with resources earmarked or
  dedicated to health care workforce efforts shall
  coordinate with the Center to streamline
  resources, with the goal of eliminating
  duplication of effort.
• COLLABORATION! Win-Win

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Rome Wasnt Built In A DayPartnerships Began 6
Years Ago

• 2001
• OHA Workforce Task Force Convenes
• Workforce shortage Hospital CEOs 1 concern
• Task Force organizes into 3 working groups
  education, recruitment, retention Steering
  Committee coordinating overall efforts
• Launch of www.okhealthcareers.com
• 2002
• Nursing Workforce Task Force Created HB 2162
• OHA Education Training Group surveys 13 health
  care programs in CTs, 2-4 year
  colleges/universities

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Partnerships Began 6 Years Ago

• 2002-2003
• Marketing materials developed for K-12 adults
• 2003
• Launched www.okhealthjobs.com
• Retention Working Group publishes Best Practices
  Tool Kit
• Education Training Group submits
  recommendations to Steering Committee (The need
  for more data to make the case is noted)
• Steering committee prepares concept paper for
  Health Care Workforce Center
• WF Center concept paper shared with the Governor

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Partnerships Began 6 Years Ago

• 2004
• WF Center Creation was a Recommendation in the
  Final Nursing Task Force Report
• GCWED Created 2 reps from Health Care
• 2005
• SB 1010 Legislation Introduced
• Fails to be heard in House, despite no opposition
  in Senate
• Executive Order Task Force established
• Health Care Chosen as GCWED pilot for Industry
  Analysis

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Partnerships Began 6 Years Ago

• 2006
• Health Care Report Published with a
  recommendation (3.c.1) supporting WF Centers
  role in coordination of ongoing healthcare
  workforce data collection analysis
• SB 1394 Passes!
• Became effective Nov. 1, 2006
• 1st Board Meeting Dec. 19, 2006

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WF Center Governing BoardFirst Meeting - Dec.
20061st Steps

• Determine Staff
• Approve Location 655 Research Parkway, Suite 440
• Organize as 501c (charitable contributions/grant
  s)
• Establish Bylaws
• Appoint Executive Committee
• Strategic Plan Board Retreat in March
• Project Year One Operations Budget
• Secure Additional Organizational Commitments
• In-Kind, Resource Monetary
• Explore Ongoing Funding to Support Center
  Operations Strategic Initiatives

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Half of the jobs with the most openings are in
healthcare fields
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Shortage Projections
Occupation Projected Shortage in 2012 Percentage of Projected Total Employment in 2012
Registered Nurses 3,135 12
Medical and Lab Technicians and Technologists 606 15
Occupational Therapists 171 16
Physical Therapists 432 20
Surgical Technicians 303 21
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RN needs by Location
Percent of state-wide vacancies
LU
OPSU
NOC
33
4
OUHSC
TCC
12
UCO
OSU-OKC
CSC
RCC
RN N 1,129
RSC
35
7
OCCC
9
OU _at_ CU
WOSC
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Shortage Projections

• Faculty
• There is a shortage in nursing and allied health
  faculty. (156)
• The shortage is largest in RN faculty. (17)
  Another 37 RN faculty plan to retire in the next
  5 years.
• Nursing faculty often leave for higher paying
  jobs in hospitals.
• Average age of full-time nursing faculty is 50

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How Is It Funded?

• 0 Appropriations
• SB 1394
• Co-Authors Sen. Susan Paddack Rep. Doug Cox
• State Agencies, Programs, Task Forces, Boards
  and Commissions with resources earmarked or
  dedicated to health care workforce efforts shall
  coordinate with the Center to streamline
  resources, with the goal of eliminating
  duplication of effort.
• COLLABORATION! Win-Win

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Funding to Date

• OHA (60 of Year One operations)
• Oklahoma Department of Commerce
• Oklahoma Department of Career Technology
  Education
• Oklahoma State Department of Health
• Oklahoma State Regents for Higher Ed
• OU Medical Center (Space _at_ Research Park)

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19-Member Governing Board

• Oklahoma State Regents for Higher Education
• Department of Career Tech
• Department of Education
• OU Health Sciences Center
• OSU Center for Health Sciences
• Governors Council for Workforce Economic
  Development
• Oklahoma State Senate (2)
• Oklahoma House of Representatives (2)

• Office of State Finance
• Secretary of Health
• Commissioner of Health
• Oklahoma Hospital Association
• Oklahoma Nurses Association
• Nursing Home Association
• State Medical Association
• State Osteopathic Association
• Lay Member Representing the General Public

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Other Critical Partners

• Oklahoma Area Health Education Centers (AHECs)
• Workforce Investment Boards
• Physician Manpower Training Commission
• LPN, ADN BSN Council Chairpersons
• Oklahoma Organization of Nurse Executives
• Oklahoma Hospital HR Association

• OK Department of Commerce
• U.S. Department of Labor
• OESC
• OK Board of Nursing
• K-12 teachers/counselors
• School Nurses
• Allied Health Nursing Faculty from Career
  Techs, 2 4-year colleges/universities
• Oklahoma Healthcare Educators Association

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Nursing and Allied Health Pipeline (all
Postsecondary)
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Nursing and Allied Health Pipeline (all
Postsecondary)
Of qualified applicants, only 57 are admitted
into programs.

• Faculty
• There is a shortage in nursing and allied health
  faculty (156)
• The shortage is largest in RN faculty. (17)
  Another 37 RN faculty plan to retire in the next
  5 years.
• Nursing faculty often leave for higher paying
  jobs in Hospitals.

(2004 Data)
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OSRHE Response

• Annual earmark approved in 2006 4,562,646

• Results annually
• 300 more RNs
• 130 Allied Health
• personnel
• 20 additional MSNs

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Goals

• Data
• To coordinate the collection and analysis of
  health care workforce data used to support policy
  development recommendations and strategic
  decision-making.
• To measure and evaluate efforts over time.

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Goals

• Education Training
• To ensure Oklahomas education and training
  systems have resources and support necessary to
  produce required numbers of health care workers
  for short and long term.

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Goals

• Recruitment/Marketing
• To increase the level of awareness among
  Oklahomans of career opportunities available in
  health care.

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Goals

• Retention
• To improve job satisfaction and retention rates
  of Oklahoma health care employees.

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Goals

• Funding
• To explore and pursue funding opportunities in
  support of the Oklahoma Health Care Workforce
  Center.

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Centers Focus/Action PlanMarch-December 2007

• Education Training
• 1 GOAL Increase Educational Capacity!
• Support prioritization of funds resources to
  expand capacity in nursing allied health
  education
• Meetings/Presentations
• Chancellor Johnson
• OSRHE Board of Regents
• College Presidents Council

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Centers Focus/Action PlanMarch-December 2007

• Education Training
• Maximizing Clinical Opportunities for Students
• Explore Use of Clinical Simulation
• Explore Online Clinical Placement System
• Explore Best Practices for Capacity Expansion

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Centers Focus/Action PlanMarch-December 2007
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Explore Clinical Simulation
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Centers Focus/Action PlanMarch-December 2007

• Education Training
• Explore Development Funding of Online Clinical
  Placement Reservation System
• Education Training Sub-Committee
• Co-Chairs Chris Weigel, Mercy Health Center
• Linda Fly, Oklahoma Christian

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Explore Best PracticesCapacity Expansion
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Explore Best PracticesCapacity Expansion
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Explore Best PracticesCapacity Expansion
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Centers Focus/Action PlanMarch-December 2007

• Education Training
• Identify alternative educational delivery methods
  to use faculty resources efficiently (Simulation,
  Distance Ed. Online) Education Training
  Subcommittees
• Eliminate educational redundancies and ensure
  coordination of the articulation process
  (Subcommittee-Online Core Curriculum)

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Centers Focus/Action PlanMarch-December 2007

• Education Training
• Develop legislative ask for 2008 focused on
  further expanding capacity in nursing allied
  health education (Governors Budget)
• Scholarships for faculty development
• Incentive matching funds for educational capacity
  expansion Online, distance ed, simulation, etc.
• Scholarships for high demand professions
• Legislative Committee, Chair Sen. Paddack
• OSRHE, CT, OHA, OSF, ODOC, ONA, Legislators

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Legislative Ask 2008

• 18 Million Phased in over
• 3 years annualized

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Centers Focus/Action PlanMarch-December 2007

• Recruitment
• Increase the promotion and distribution of
  materials used to market health careers to K-12
  students, teachers, counselors, parents and
  others
• Meetings
• Counselors Only March 1
• Simulation Conference May 22
• Alternative Education Conference June
• Superintendents Leadership Conference July
• Encyclo-media August

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Centers Focus/Action PlanMarch-December 2007
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Resources
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Centers Focus/Action Plan March-December 2007

• Retention
• Improve job satisfaction and retention rates of
  Oklahoma health care employees
• Share best practices which promote employee
  satisfaction, foster positive working
  environments, reduce vacancy and turnover rates
  and retain mature workers

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Centers Focus/Action Plan March-December 2007

• Retention
• Retention Best Practices Workshop
• Oct. 30, 2007 OSU-OKC
• Retaining Mature Workers
• Corporate Culture Valuing Straight Talk and
  Rewarding Integrity
• Best Places to Work
• Transition into Practice
• What Students Want from Employers

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Centers Focus/Action PlanMarch-December 2007
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Centers Focus/Action Plan March-December 2007

• Retention
• (RWJ/NW Health Foundation Grant)
• Provide Leadership Development Management
  Training for Incumbent Nurses via online and
  distance education
• Scholarship 10 Nurse Educators to MSNs via online
  education

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Centers Focus/Action Plan March-December 2007

• Retention
• RWJ/NW Health 250K
• Oklahoma Funders 125K
• 3 Rural Hospitals (Ada, Talihina, Tahlequah)
• 3 WIBs (Southern, Eastern, SE)
• 480,000 leveraged by Oklahoma Partners (Career
  Tech, OSRHE, OneNet, OHA, Hospitals)

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Centers Focus/Action Plan March-December 2007

• Retention
• (RWJ/NW Health Foundation
• PIN Grantee Meeting, Oct. 3-5, 2007)

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Key Accomplishments

• GCWED Industry Report Summary
• 4.5 Million Annual Earmark from OSRHE
• CT Summit on Workforce Shortages
• Ongoing committees transitioned into OHCWC
  committees
• Operational In-Kind Resources for Year 1
  Some Pledged for 2008
• RWJ/NW Health Foundation Grant
• Regional Planning

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Looking Ahead to 2008

• Board Retreat Jan. 24
• Continue Ongoing Work Measure ROI
• Fund Capacity Expansion at State Regional
  Levels Legislative Ask, College
  Presidents/Industry Leaders
• PIN Grant Implementation
• Seek Funding for the Center
• Assist in Regional Planning (NE Region Next)
• Continue Coordinating w/GCWED to further
  accelerate health care initiatives
• Data Identify What is Needed, Why, Who will
  Collect, How to Fund, ROI

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Centers Focus/Action Plan

• Funding
• Seek diverse funding streams and resources to
  support Center initiatives and operations

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Centers Focus/Action Plan

• Funding Committee Goal
• Develop a plan to secure operational funding for
  3 years programmatic funding
• Operations - Approach the industry
• Hospitals
• Nursing Homes
• Public Health (OSDH, City/County Health)
• Primary Care/Community Health Centers
• Hospice
• Home Health
• Tribal Resources/IHS
• Ambulatory Care
• Physician Groups

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Centers Focus/Action Plan

• Funding Operations Step one
• Approach hospital groups, seeking
• support for Voluntary Contributions
• Presentations
• OHA Board Oct. 17-19
• GOCHC Oct. 17
• Tulsa Hospital Council Oct. 26

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Centers Focus/Action Plan

• OUTCOME
• OHA Salary Benefits for 3 years
• Executive Director
• Registered Nurse
• Voluntary Contributions to Support Center
  Operations Approved by
• OHA Board Members
• Tulsa Hospital Council
• Greater OKC Hospital Council

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Centers Focus/Action Plan

• Next Steps
• Seek Support from Other Health Industry Sectors
• Nursing Homes
• Home Health
• Public Health
• Ambulatory/Outpatient Care
• Hospice
• Tribal/IHS

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Centers Focus/Action Plan

• Programmatic needs
• Approach the Philanthropic community others
• Assistance from CFO/
• Frank Merrick/Foundation Management

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Other Funding Source Options

• Monetary Contributions
• Contractual Arrangements
• In-kind Services
• Federal State-Appropriated Dollars
• Private and Public Foundation Grants
• Fee-for-Service Products

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The thing always happens that you really
believe in and the belief in a thing makes it
happen.Frank Lloyd WrightHappy are those who
dream dreams and are ready to pay the price to
make them come true.Leon J. Suenes
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Questions/Comments
Contact Information
Sheryl R. McLain, MS Executive Director Oklahoma
Health Care Workforce Center 655 Research
Parkway, Suite 440 Oklahoma City,
OK  405.319.8690 sheryl_at_ohcwc.com www.okhealthcar
eworkforce.com www.okhealthcareers.com
www.okhealthjobs.com