Breaking the Bottleneck The Critical Need for Clinical Sites Allina Hospitals

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Breaking the Bottleneck The Critical Need for
Clinical SitesAllina Hospitals Clinics
September 30, 2009

• Presented by
• Rick Panning, MBA, CLS(NCA)
• VP, Allina Medical Laboratories

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Allina Laboratories - of employees

• AML (4 metro hospitals) 583 employees
• 6 Regional Hospitals 147 employees
• Allina Medical Clinics (46) 250 employees
• Aspen Medical Clinics (9) 38 employees
• Quello Clinics (5) 13 employees
• Total lab employees 1053

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Educational Relationships

• CLT/MLT
• North Hennepin Community College
• Allina employees program director and faculty
• St. Paul College
• South Central Technical College
• Argosy University
• Histology Technicians
• North Hennepin Community College
• Allina employs program director and faculty
• Phlebotomy
• College of St. Catherines
• CLS
• University of Minnesota
• Winona State University
• DOL grant partners

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Initiatives to support expanded clinicals

• Preceptor training program developed by Pat
  Ellinger
• Offer to Allina Medical Clinic staff in 2008
  (n12)
• Expanded to Allina Medical Laboratory hospital
  laboratory staff (September-October 2009)
• Create opportunities for Allina laboratory staff
  to be adjunct faculty at NHCC and SPC
• January 5 day student orientation session
• Added 2 SPC clinical rotation slots in
  Winter/spring 2009
• Develop a DOL Lab Grant Website to
• disseminate MN laboratory career information
• centralize general information on DOL Lab Grant
  progress

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MLT Students

• 19-week experiences including Chem, Heme, Coag,
  Micro, Blood Bank, UA, Phlebotomy

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CLT/MLT Clinical Rotation SitesSpring
2008-Spring 2010

• CLINICS
• Coon Rapids
• Nicollet Mall
• Elk River
• Woodbury
• Cottage Grove
• Champlin
• Northfield
• West St. Paul
• Faribault
• UMS
• Edina
• Eagan
• Forest Lake
• Woodlake
• Farmington
• Shakopee
• Maple Grove
• Ramsey

• HOSPITALS
• Abbott Northwestern
• Unity
• Mercy
• United
• St. Francis
• Buffalo
• Cambridge

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Other MLT sites available/potential

• Farmington after new building
• Hastings 1st Street
• Mora
• Shoreview (future)
• St. Michael
• Other Regional Hospitals River Falls, New Ulm
  and Owatonna (after new hospital opens)
• Future Aspen Medical Clinics and Quello Clinics

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CLT/MLT student rotationsClinic rotations
BB/Micro at hospital sites

• Spring 2008 (12 students) St. Paul College
  (SPC), South Central Technical College (SCTC) and
  North Hennepin Community College (NHCC)
• Fall 2008 (3) Argosy University
• Spring 2009 (10) SPC, SCTC and NHCC
• Summer 2009 (4) Argosy University
• Spring 2010 (20) SPC, SCTC and NHCC

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The Facilities-MLT

• Starting January 2010 for MLT
• Metro Hospitals - 4 (ANW, Unity, Mercy, United)
• Regional Hospitals - 3
• (Buffalo, Cambridge, St. Francis in Shakopee)
• Allina Medical Clinics - 15
• 1 clinic performs testing similar to a small
  hospital, including Micro and Coag
• 5 additional clinics perform some Chem
• All clinics perform Phleb, UA, Heme

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The Schools - CLS

• CLS (soon to be MLS!) students from
• University of MN
• 4-week rotation blocks in Chem, Heme, Micro,
  Transfusion
• University of N. Dakota (MLT ? CLS only)
• Usually 4-8 weeks depending on MLT experience
• University of Cincinnati (MLT ? CLS on-line)
• 10-week semester (lab sections needed)
• Allina employees only

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The Numbers

• MLT Spring Semester, January mid-May
• Starting 2010, 20 students for the 19 weeks
• Every student will spend time in a hospital
  environment and in a clinic environment
• The first week for all students is Orientation
• Safety and LIS training modules
• Expectations, etc.
• ANW Hospital tour
• FUN stuff, too!

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The Numbers

• MLT
• By adding additional clinics as sites, and using
  every possible 4-week block of time at the sites
  that perform Micro, capacity for MLT students was
  increased from a maximum of 16 to 20 full 19-week
  rotations
• A plus for students exposure to at least one
  clinic lab and at least one hospital lab

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The Numbers

• CLS U of M
• 26-28 U of M students between mid-May and early
  December
• 4-week rotation in one of the 4 major departments
• At Metro hospital sites
• Micro at ANW central lab only for CLS level
• U of Cincinnati as needed, most have been spring
  or summer, 1-2 per year
• UND as needed, most have been Allina employees

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Investing actively in education

• Provide program director and faculty for the MLT
  and HT programs at North Hennepin Community
  College
• Partner with NHCC and St. Cloud State University
  through initial MSJP (MN Job Skills Partnership)
  grant for MLT to CLS program initiative
• D.O.L. grant partnerships
• Recent AMS productivity/staffing consulting
  engagement recognized need to adjust hospital lab
  staffing benchmarks to enable teaching

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Department of Labor Grant (1)

• Grant ONE
• March 2008 March 2011
• 3.1 Million Dollars
• Partners
• St. Paul College
• Argosy University
• North Hennepin Community College
• South Central Technical Colege
• University of Minnesota
• Winona State University
• Minneapolis Workforce Center
• H.E.I.P.
• Minnesota Hospital Association
• Allina Hospitals Clinics
• Centers of Excellence in Healthcare
• Minneapolis Workforce Centers

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D.O.L. grant 1

• Objective One Develop the lab workforce -
  program articulation, e-learning, fast track and
  expansion.
• Objective Two Clinical Experiences Increase
  experiences through automation, standardization
  and training
• Objective Three Pipeline Increase entry into
  the profession among youth, minorities and
  dislocated workers.
• Objective Four Dissemination Extend effective
  practices and deliverables statewide and beyond.

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High level details of tactics to address the four
objectives.

• Expand the number and Capacity of Programs for
  CLS and MLT in the state of Minnesota
• Standardize clinical curriculum to bring
  efficiencies and lower cost for health care
  organizations that house clinicals.
• Develop articulation from MLT programs to CLS
  programs.
• Develop an on-line CLS program to the level of
  quality of the MN on-site programs.
• Expand the pipe-line of students pursuing a CLS
  or MLT degree

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D.O.L.grant 2 (proposed)

• Application due October 2009
• Partners to date
• H.E.I.P
• University of Minnesota
• Winona State University
• Minneapolis Workforce Center
• Minnesota Hospital Association
• Allina Hospitals Clinics
• North Hennepin Community College
• Argosy University
• South Central Technical College
• Expand to phlebotomy program provider(s)
• Expand to additional providers
• Fairview (confirmed)
• TBD CentraCare, Childrens Hospitals and
  Clinics, HealthEast

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D.O.L. grant 2 (proposed)

• Objective One Expand clinical sites through
  evening clinicals, supported with grant funding
  for bumped up staffing (goal to support 3 CLT/MLT
  programs and 3-4 provider organizations.)
• Objective Two Expand clinical laboratory
  education statewide, including rural areas.
  Expand University Education programs and Health
  Care Organizations that can participate in this
  expansion.
• Objective Three Expanding entry points into the
  profession by expanding number of
  NAACLS-accredited Phlebotomy programs and
  possible development of a Clinical Laboratory
  Assistant program that can meet employment demand
  and that will pipe-line into MLT and CLS programs.

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What makes this possible?

• Workforce issues are a top priority of the
  organization
• Its the people!
• Active support from Allina senior leadership
• Active leadership from Allina laboratory
  leadership
• Mike Dalager, Director of Lab Operations
• Jean Bauer, Director of Allina Medical Clinic
  laboratories
• Hospital Lab Directors, Managers, Supervisors,
  Leads and staff
• Clinic laboratory leads and staff.
• Active support Allina Workforce Center Jane
  Renken, Director, Mary Jo Huebner and others
• Active support from Nancy Denny Director of
  NHCC MLT/HT programs and AML Education
  Coordinator. She makes this all possible. The
  detail person.

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What makes this possible?

• Culture
• Understanding that the support of laboratory
  education is necessary for meeting current and
  future staffing needs of Allina
• Understanding that Allina must play a key role in
  supporting education initiatives across the state
  and meeting personnel training needs for the
  entire state.