Building a Sustainable and Collaborative Program of Workforce Development John Hughes, Executive Director Central NY Area Health Education Center Cortland,

Building a Sustainable and Building a Sustainable and Collaborative Program of Collaborative Program of Workforce DevelopmentWorkforce Development

John Hughes, Executive Director John Hughes, Executive Director

Central NY Area Health Education CenterCentral NY Area Health Education Center

Cortland, NYCortland, NY

Richard Merchant, Executive DirectorRichard Merchant, Executive Director

Northern Area Health Education CenterNorthern Area Health Education Center

Canton, NYCanton, NY

““The Problem” A two act The Problem” A two act disasterdisaster

Scene I: New AHEC Director Scene I: New AHEC Director confronts confronts

“ “The Problem: ; calls for helpThe Problem: ; calls for help

Scene II: Help Arrives, Disaster Scene II: Help Arrives, Disaster FollowsFollows

Scene III: Back to the SiloScene III: Back to the Silo

What Happened?What Happened?

Silos vs. Collaborative ApproachSilos vs. Collaborative Approach

Defining the Problem Defines the Defining the Problem Defines the CollaboratorsCollaborators

The Foundation: Data and ResourcesThe Foundation: Data and Resources

Defining The ProblemDefining The Problem

Healthcare workforce shortages are Healthcare workforce shortages are present in almost every area of New present in almost every area of New York……..York……..

What is the extent of the What is the extent of the problem in our state?problem in our state?

Physician ShortagePhysician Shortage• Deficit of 350 primary care MD/DO by Deficit of 350 primary care MD/DO by

20202020• Majority of NY lacks adequate safety Majority of NY lacks adequate safety

net health center servicesnet health center services• 69% of rural hospital ER’s have to 69% of rural hospital ER’s have to

divert patients for specialty caredivert patients for specialty care• Child and Adult Psychiatrist shortageChild and Adult Psychiatrist shortage

What is the extent of the What is the extent of the problem in our state?problem in our state?

NursingNursing• Shortage in NY projected to grow to Shortage in NY projected to grow to

2X the 2X the largestlargest shortage evershortage ever by 2025 by 2025• Need a 30% increase in nursing Need a 30% increase in nursing

grads to keep up.grads to keep up.• NY: Over 5,000 additional RN job NY: Over 5,000 additional RN job

openings per year 2006-2016openings per year 2006-2016• State Growth in Demand: 14%State Growth in Demand: 14%

What is the extent of the What is the extent of the problem in our state?problem in our state?

Increased Demand for Other Health Increased Demand for Other Health Workers, in NY 2006-2016 Workers, in NY 2006-2016

• Home Health Aides: 31% increaseHome Health Aides: 31% increase• Dental Hygienists: 28% increaseDental Hygienists: 28% increase• Physician Assistants: 27% increasePhysician Assistants: 27% increase• Physical Therapists: 15% increasePhysical Therapists: 15% increase• Lab Techs: 15% increaseLab Techs: 15% increase• Medical Records: 15% increase Medical Records: 15% increase

Defining the ProblemDefining the Problem

…….even in areas of high .even in areas of high unemployment…….unemployment…….

9.4% unemployment non-metro 9.4% unemployment non-metro county statewide average, March county statewide average, March 20112011

Defining the ProblemDefining the Problem

…….where potential students are trying to .where potential students are trying to get into education/training get into education/training programs….programs….

As many as 50% of qualified applicants As many as 50% of qualified applicants are turned away from nursing are turned away from nursing programs due to lack of capacity programs due to lack of capacity ( NLN, 2010)( NLN, 2010)

Defining The ProblemDefining The Problem

…….and where economic developers are .and where economic developers are struggling to boost the economy……struggling to boost the economy……

From 1993-2007 393,000 jobs “left” From 1993-2007 393,000 jobs “left” New York (Empire Center, 2010)New York (Empire Center, 2010)

Defining The ProblemDefining The Problem

…………and healthcare providers have and healthcare providers have many job openings……many job openings……

On any given day there are over On any given day there are over 15,000 hospital-based jobs open in 15,000 hospital-based jobs open in New York State (HANYS, 2010)New York State (HANYS, 2010)

Defining The ProblemDefining The Problem

……..and schools are wondering how to ..and schools are wondering how to provide career guidance with fewer provide career guidance with fewer dollars…dollars…

Does anyone not already know about Does anyone not already know about school program cuts?school program cuts?

Defining the ProblemDefining the Problem

Healthcare workforce shortages are Healthcare workforce shortages are present in almost every part of New York, present in almost every part of New York, even in areas of high unemployment even in areas of high unemployment where students are trying to get into where students are trying to get into training programs and economic training programs and economic developers are struggling to boost the developers are struggling to boost the economy and healthcare providers are economy and healthcare providers are trying to fill jobs and schools are trying to fill jobs and schools are wondering how to provide career wondering how to provide career guidance with fewer dollars.guidance with fewer dollars.

Defining the ProblemDefining the Problem

Healthcare workforce shortages are are present in almost every part of New York, present in almost every part of New York, even in areas of high even in areas of high unemploymentunemployment where students are trying to get into where students are trying to get into trainingtraining programsprograms and and economic economic developersdevelopers are struggling to boost the are struggling to boost the economy and economy and healthcare providershealthcare providers are are trying to fill jobs and trying to fill jobs and schoolsschools are are wondering how to provide career wondering how to provide career guidance with fewer dollars.guidance with fewer dollars.

Defining the Problem Defines Defining the Problem Defines the Collaborators: the Collaborators: AHEC, WIB, AHEC, WIB,

Hospital, IDA, School, Hospital, IDA, School, Community CollegeCommunity College

The Foundation: Helpful The Foundation: Helpful ComponentsComponents

Clear understanding of the problemClear understanding of the problem Shared vision for the futureShared vision for the future Target population(s)Target population(s) Identification of effective programs Identification of effective programs

and servicesand services Common metric and trackingCommon metric and tracking

The Foundation: StrategiesThe Foundation: Strategies

SustainabilitySustainability

Maximize funding opportunitiesMaximize funding opportunities

Promote value for participating Promote value for participating organizationsorganizations

The Foundation: The The Foundation: The Essential ElementEssential Element

Effective, easily accessible forum for Effective, easily accessible forum for information, promotion, information, promotion, communication, connection and communication, connection and engagementengagement

Workforce Data and InformationWorkforce Data and InformationAssessment and RemediationAssessment and Remediation

Program Information and AccessProgram Information and AccessTraining and Education Information and Training and Education Information and

PromotionPromotionEmployment and Employer Information and Employment and Employer Information and

PromotionPromotionDirect Access to Educators, Trainers and Direct Access to Educators, Trainers and

EmployersEmployersTracking of UsersTracking of Users

Engagement of all Users and PartnersEngagement of all Users and Partners

Workforce Data and InformationWorkforce Data and InformationAssessment and RemediationAssessment and Remediation

Program Information and AccessProgram Information and AccessTraining and Education Information and PromotionTraining and Education Information and Promotion

Employment and Employer Information and PromotionEmployment and Employer Information and PromotionDirect Access to Educators, Trainers and EmployersDirect Access to Educators, Trainers and Employers

Tracking of UsersTracking of UsersEngagement of all Users and PartnersEngagement of all Users and Partners

WIBSOneStops

Economic Developme

nt

Employers

Educators

FundersYouth

&Adults

Building a Sustainable and Building a Sustainable and Collaborative Program of Collaborative Program of Workforce DevelopmentWorkforce Development

• What success have you had in your What success have you had in your area or with other sectors using area or with other sectors using collaborative models? collaborative models?

• What are the challenges that you What are the challenges that you have found and how have you dealt have found and how have you dealt with them? with them?

““The Problem” act IIThe Problem” act II

Scene I: The team confronts “The Scene I: The team confronts “The Problem”Problem”

Scene II: Ideas, money, people, Scene II: Ideas, money, people, programs, solutions start to flowprograms, solutions start to flow

Scene III: AHEC BuysScene III: AHEC Buys

Thank You!Thank You!

John Hughes, Central NY AHEC, John Hughes, Central NY AHEC, CortlandCortland

[email protected]

Richard Merchant, Northern AHEC, Richard Merchant, Northern AHEC, Canton Canton

[email protected]@nahecnet.org