Dealing with the Nursing Shortage - c.ymcdn.com a strategic plan to meet ... experiences for basic nursing education programs ... or entry-level master’s degree) and post-licensure

TOCICO 2009 Conference

Dealing with the Dealing with the Nursing Shortage:

An overview of how the Rio Grande Valley successfully employed the concepts of TOC to increase the throughput of locally trained

nurses and allied health professionalsnurses and allied health professionals

Presented By: Dominique Halaby D P A UTSAPresented By: Dominique Halaby D P A UTSA

1 2009 TOCICO. All rights reserved.

Presented By: Dominique Halaby, D.P.A., UTSAPresented By: Dominique Halaby, D.P.A., UTSADate:Date: June 6June 6--9, 20099, 2009

RIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCERIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCEU.S. DEPARTMENT OF LABOR HIGH GROWTH JOB INITIATIVE U.S. DEPARTMENT OF LABOR HIGH GROWTH JOB INITIATIVE

TOCICO 2009 Conference

BACKGROUNDTh Ri G d V ll Alli d

Alliance Members

The Rio Grande Valley Allied Health Training Alliance was organized to 1) identify two training needs in Allied Health in the Rio Grande Valley and 2)the Rio Grande Valley and 2) develop a strategic plan to meet employers workforce needs.

V ll I t f ith

Dolly VinsantDolly Vinsant

Memorial HospitalMemorial Hospital

The goal of the Alliance is simply to enable area hospitals to meet their need for nurses and allied

Valley InterfaithMember Southwest IAF Network

health practitioners with local residents.

2 2009 TOCICO. All rights reserved.

RIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCERIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCEU.S. DEPARTMENT OF LABOR HIGH GROWTH JOB INITIATIVE U.S. DEPARTMENT OF LABOR HIGH GROWTH JOB INITIATIVE

TOCICO 2009 Conference

Alliance was established to: Seek collaborative solutions to the regions nursing and allied health labor g g

shortages based on sound workforce development principles and uphold professional standards in education and on-the-job quality service delivery.

Develop a regional funding strategy to address the nursing and allied health labor shortage

Provide the organizational structure and regional voice necessary to address the potential political obstacles in addressing the issues surrounding the nursing and allied health labor shortages.

Lead a campaign in community awareness on the allied health labor shortage Develop a forum for nursing and allied health students and healthcare

professionals to address the challenges and opportunities in their professional development and ensure student recruitment and retention in the area.

Study the allied health shortage through research, focus groups and interviews to identify potential barriers and possible solutions.

Collaboratively implement the strategies agreed upon by members to address the shortage.

3 2009 TOCICO. All rights reserved.

RIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCERIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCETIMELINETIMELINE

TOCICO 2009 Conference

U.S. Senator John Cornyn and Congressmen Ruben Hinojosa and Solomon Ortiz on hand to announce DOL AHTA receives

$

Group of Valley business leaders t l t G d

City of McAllen grants $350,000 over two years to VIDA to

TWC grants $350,607 to AHTA

$4 million grant $313,000 grant from WorkFORCE Solutions

travel to Germany and Ireland to research apprenticeship concept

years to VIDA to develop plan to address allied health shortage

2001 2002 2003 2004 2005

Houston Endowment

Hospital CEOs, Workforce board directors and college

2001 2002 2003 2004 2005

AHTA winner of TWC 2004 Transitional

Rio Grande Valley Allied Health Training

DOL H1 B t

grants $200,000 to VIDA to address allied health shortage

directors and college deans meet to discuss the regions strategy for Growing Our Own

AHTA begins looking into the development

4 2009 TOCICO. All rights reserved.

Workforce Awardg

Alliance officially formed

DOL H1-B grant approved. VIDA and UTB/TSC begin work on allied health feasibility

into the development of career pathways and adoption of K through Life education/ training continuum

RIO GRANDE VALLEYRIO GRANDE VALLEY

TOCICO 2009 Conference

The Rio Grande Valley comprises the four southernmost counties in Texas bordering the Republic of Mexico.

According to latest Census figures, the Rio Grande Valley's population is estimated at one million residents.

As a result of its proximity to Mexico, the area is comprised of nearly 85 percent HispanicsHispanics.

The population is also very young. The median age of the Rio Grande Valley is 29

RGV TOP FASTEST GROWING OCCUPATIONS

Licensed Vocational NursingRegistered Nursing Radiologic Technician

Surgical TechnicianPharmacy TechnicianMedical Lab Technician

The per capita income among the lowest in

SSonographerMRT TechnicianCT TechnicianNuclear Technician

Respiratory TherapistEmergency Medical Technicians

BioMedical Equipment Technician

U.S. Hidalgo County $9,899

Starr County $7,069U.S. Census

5 2009 TOCICO. All rights reserved.

RIO GRANDE VALLEYRIO GRANDE VALLEY

TOCICO 2009 Conference

Unemployment figures for November 2004 Unemployment figures for November 2004 indicate that 10.7 percent of the McAllen area working-age population and 9 percent of g g p p pthose in Brownsville were without jobs, ranking the unemployment figures of Valley

iti th hi h t i th t tcities the highest in the state.

6 2009 TOCICO. All rights reserved.

RIO GRANDE VALLEY HOSPITALSRIO GRANDE VALLEY HOSPITALS

TOCICO 2009 Conference

Hospitals find themselves recruiting from outside the state and p gas far away as Canada and the Philippines for qualified nurses and allied health practitioners

Texas Nursing Foundation, if states were ranked by the number g , yof Registered Nurses per 100,000 population, Texas would rank among the bottom 10 percent or 45 out of 50. What is perhaps more striking is that the need for nurses along the border with Mexico is greater than the rest of the stateMexico is greater than the rest of the state.

7 2009 TOCICO. All rights reserved.

RIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCERIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCE

TOCICO 2009 Conference

The issue of a shortage of trained nurses has gotten th tt ti f th CEO' b thi hthe attention of the area CEO's because this has caused us to close beds in our hospitals. Closing beds means a reduction in income.

The CEO's have also found it to be in their best interest to work together to attempt to help resolve this problem because united we have a larger voicethis problem because united we have a larger voice and can influence change.

8 2009 TOCICO. All rights reserved.

THE ROLE OF THE CHIEF EXECUTIVE OFFICERSTHE ROLE OF THE CHIEF EXECUTIVE OFFICERS

TOCICO 2009 Conference

The CEO's must communicate with the schools and th l i l t t h d t "thi kthe legislators to encourage change and to "think outside the box".

There is no competition between CEO's regarding There is no competition between CEO s regarding this issue, we know that individually we will not start a leap frog effort in increasing salary rates to move nurses between the hospitals because no one winsnurses between the hospitals because no one wins that war. We all loose by starting that process.

9 2009 TOCICO. All rights reserved.

RIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCERIO GRANDE VALLEY ALLIED HEALTH TRAINING ALLIANCECAREER EDUCATION SUPPORT MODELCAREER EDUCATION SUPPORT MODEL

TOCICO 2009 Conference

RGV ALLIANCE TARGET OCCUPATIONS (Feasibility Study Results)

Traditional Health Occupations Career Programs

Career Education Support Ladder Model Programs

Licensed Vocational Nursing

Registered Nursing

CERT Vocational Nursing

AAS -LVN-RN Transition AAS-Associate Degree Nursing (ADN)BS-Bachelor in Nursing (BSN)

Nursing Specialty CertificationCritical Core/Intensive CarePerioperative NursingEmergency NursingObstetrical Nursing (Labor/Delivery)Neonatal Intensive Care

Radiologic TechnicianCT TECHNICIANMRI TECHNICIAN

AAS-Radiologic Technology Imaging Services:Computerized TomographyMagnetic Resonance ImagingMammography

SONOGRAPHER AAS SONOGRAPHY

NUCLEAR TECHNICIAN AAS NUCLEAR MEDICINE TEHNOLOGY *

SURGICAL TECHNICIAN CERT/AAS SURGICAL TECHNOLOGY First Assistant (OR)

PHARMACY TECHNICIAN CERT/AAS PHARMACY TECHNOLOGY

MEDICAL LAB TECHNICIAN AAS MEDICAL LAB TECHNOLOGYBS CLINICAL LAB SCIENCE

RESPIRATORY THERAPIST AAS RESPIRATORY THERAPY

EMERGENCY MEDICAL TECHNICIANS CERT/AAS EMERGENCY MEDICAL TECHNICIAN (BASIC INTERMEDIATE PARAMEDICS)

Advanced certification in trauma (ACLS, PALS, ATLS)EMS Instructor Certification

10 2009 TOCICO. All rights reserved.

BIO MEDICAL EQUIPMENT TECHNICIAN BS/MS BIOMEDICAL TEHNOLOGY

NURSING AND ALLIED HEALTH SUPPLY CHAINNURSING AND ALLIED HEALTH SUPPLY CHAIN

TOCICO 2009 Conference

Recruitment Coursework StateExam SpecialtyTraining

Graduation

Screening ClinicalRotation

JobPlacement

ForeignRecruitment

ScreeningPerformed by collegeApplicationHigh School

CourseworkProvided by collegeTraditional track (Biology, Math,

Clinical RotationPerformed by college in conjunction with hospital

State Exam Administered by state boardReview courses for licensure

Job PlacementPerformed by hospitalBonuses

Recruitment Performed by collegeMay require that students attend

Specialty TrainingPerformed by hospitalThree to nine months of g