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Preparing for the Next Generation

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Title: Preparing for the Next Generation


1
Preparing for the Next Generation
California State Rural Health Association's 7th
Annual Rural Health Conference December 5, 2007
Lupe Alonzo-Diaz, Executive Director
Latino Coalition for a Healthy California
2
LCHC Priority Areas
1
Access to Healthcare
Issue Latinos are the majority of Californias
uninsured. Focus Strategies that work to
increase access to high quality, culturally and
linguistically appropriate care in a timely manner
2
Health Disparities
Issue Less than 5 of all actively practicing
physicians in California are Latino.

Focus Work to develop a diverse,
culturally and linguistically competent health
care work force
3
Community Health
Issue Nearly one in five Latino adults over the
age of 50 report that they are diabetic, twice
the rate of Whites Focus Need to build
healthy communities through collaborative,
multi-sect approaches to prevent disease
3
Opportunities on Horizon
2007 Year of Health Care Reform Leadership Admi
nistration Legislature Public Support
? ? ?
4
Shortages in Health Profession
? ? ? ? ? ?
Nurses need 47,600 by 2010 Physicians
estimated to need between 5-17,000 by 2015
Pharmacists CA ranks 43rd in number of
pharmacist per capita (22,460 pharmacist for 34
million CAs or 66100,000) Dentistry no
numeric shortage although distribution is an
issue (Over 4 million CAs live in areas
w/shortage of dental providers) Public Health
need for clinicians, microbiologists, program
administrators and dieticians Allied Health 7
of top 25 need in allied health (home health
aides, dental hygienists, dental assistants,
physician assistants, medical assistants,
occupational therapists, and physical therapists).
University of California Office of Health
Affairs, Advisory Council on future Growth in the
Health Professions 2007
5
Demographics
1 in 8 Americans lives in CA CA has more
residents 65 than any other state
A 73 expected increase in
this population between 2000 - 2020 1 in 4 CAs
born outside the US vs. 1 in 10 national avg
Californians are more diverse
By
2040, half of the states pop. will be Latino
? ? ? ?
6
Diversity in the Health Professions
Source 2005 American Community Survey, Public
Use Microdata Sample for California UCSF Center
for Health Profession 2006 BRN Survey of
Registered Nurses
Aggregated data can be misleading
7
Allied Health
Facts
Estimated 200 different allied health
professions, 60 of the health care
workforce Estimated 11 million workers Diversity
varies across profession Entry level, lower paid
health care jobs more diverse
?
?
? ?
Projected Shortages
Source U.S. Census 2000, UCSF Center for Health
Professions
8
Need for Diversity in the Health Profession
Combining supply with demand
Economic and Workforce Need
Aging population will place new demands on
long-term care
? ?
Workforce is over 60 of the cost of care
? ? ?
Top 30 fastest growing jobs through 2010 in the
U.S. expected to be in allied health jobs
Opportunity to match (and educate) next
generation of Latinos with demand
Continued projections on healthcare workforce
shortages
Source UCSF Center for Health Professions
Impacting increasing cost in healthcare
Patients perceived treatment (concordance) may
positively impact and reduce ongoing healthcare
disparities in treatment outcomes
? ?
Goal to curb or decrease skyrocketing healthcare
cost Decreased cost(s) could enable more to be
covered
Source Commonwealth Fund, Disparities in
Patient Experiences
9
Barriers
Workers
URM Students
Health Profession School
High School
K-12
College
Health professionals
Inadequate educational programs
Drop Out
No Applications
Rejection
Financial difficulty
Academic Difficulty
Source Developing the CA Health Care Workforce
of Tomorrow, CA Wellness Found.
10
Healthcare Workforce Policy
AB 269 (Eng) requires R/E and language
proficiency data collection of dentists SIGNED
AB 365 (Portantino) requires CPEC to convene Task
Force to determine states workforce needs
VETOED AB 428 (Carter) requires schools to
provide annual notice on admissions reqs to CA
universities SIGNED AB 1540 (Bass) establishes
Cash for College Pgms to support workshops for
low-income and first generation SIGNED AB 1559
(Berryhill) requires CCC to change program
selection for nursing programs to
merit-based SIGNED SB 1 (Cedillo) California
Dream Act OPPOSED SB 139 (Scott) develops a
health care workforce data clearinghouse SIGNE
D SB 615 (Oropeza) develops a loan-repayment
program for pharmacy technicians VETOED
?
?
?
?
?
?
?

?
11
Healthcare Workforce Diversity Advisory Council
(HWDAC)
Governor convened HWDAC to be administered by the
Office of Statewide Health Planning and
Development and chaired by LCHC to address
Californias health professions shortages,
especially among underrepresented populations in
the health professions Public Input 3 Regional
Hearings Report Policy Recommendations
(Outcomes) Briefing for state government
leadership and policymakers
? ? ? ?
12
Recommendations
Short-Term Higher Education
?
Provide funding to increase the matriculation of
underrepresented students in undergrad and grad
health professions programs through student
support services mentoring/counseling, post
baccalaureate/re-applicant programs and
financial aid, including scholarships and tuition
reimbursement fund and support Health Career
Opportunity Programs, Centers of Excellence and
Area Health Education Centers provide financial
incentives to schools that recruit and retain
faculty and administrative leadership reflective
of the states demographics require annual
reports to the State Legislature and relevant
legislative committees from HPEIs on specific
accomplishments to date and formal plans to
increase diversity and create a diverse learning
environment in the coming years
?
?
?
13
Recommendations
Short-Term Workforce
?
increase loan repayment availability and provide
increased funding support for existing loan
repayment programs provide funding to increase
resident and clinical placement in rural and
urban/inner city areas with disproportionate
unmet needs.
?
14
Recommendations
Short-Term Overarching
?
Require comprehensive data collection (location,
R/E, language, practice information, hours in
practice and public program participation) of
providers and allied health with OSHPD or another
appropriate agency acting as the repository
Conduct a gap analysis to assess the impact and
review the current capacity and effectiveness of
existing programs relative to needs at the
regional and/or state level Institutionalize the
Healthcare Workforce Diversity Advisory Council
Establish a comprehensive, multi-year strategy
and implementation plan to advance health
workforce and diversity in California.
?
?
?
15
For More Information
See
Latino Coalition for a Healthy California 1225
Eighth Street, Suite 550 Sacramento, CA 95814 Ph
916.448.3234 Fax 916.448.3248
Yourself
Here.
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