Harris County Hospital District CNA Project
Jan 27, 2016
Harris County Hospital DistrictCNA Project
The Harris County Hospital District (HCHD) is the largest Medical Complex in Texas with 3 Hospitals and 13 Medical Centers.
HCHD is internationally recognized as a leader in trauma care. Ben Taub General Hospital was selected to house the United States Military’s Joint Trauma Training Center
BACKGROUND
BACKGROUND cont.
The Joint Trauma Training Center is a cooperative civilian/military effort to provide military medical personnel with the experience needed for forward combat medical operations.
Teams have come from as far away as Ramstein, Germany.
TIMELINE
Early 2002 - Advancing Apprenticeship Initiative
Begin looking at new and emerging industries
Spring 2002 - Region IV assigns a Regional Healthcare Liaison (RHL)
Start with Texas – largest state in region - begin looking at what is going on in the state
TIMELINE cont.
Begin networking with the healthcare industry
June 2002 - 1st meeting with the Texas Institute for Health Policy Research
Bi-Partisan group
Connections with key healthcare related associations in Texas
THA,TNA, AHEC, SHCC & TDH
TIMELINE cont.
This meeting represented the key healthcare providers
Identified key players
July 2002 – Received invitation from AHEC to present to their regional directors…
TIMELINE cont.
Denton, Dallas/Fort Worth, Tyler, Waco, San Antonio, Victoria and Galveston
AHEC tied directly to local educational entities who are tied to a healthcare facility
Regional directors show interest in presentations to their area chapters
TIMELINE cont.
Aug 2002 – RHL and staff conduct 900 mile road show to area AHEC chapters
Tyler, Waco, San Antonio, Victoria
Sept 2002 – East Texas AHEC meets with RHL to discuss partnership promoting apprenticeship
Viewed as viable solution to capacity issue in healthcare industry
TIMELINE cont.
Oct 2002 – New state director on board
Nov 2002 – RHL discusses apprenticeship with LCDR. Donna Jefcoat, USN, Hospital Administrators Program at HCHD
TIMELINE cont.
Jan 2003 – Initial meeting with HCHD – Apprenticeship presentation
Attendees included RHL, SD, HCHD, Houston Community College and San Jacinto College, North
TIMELINE cont.
Mar 2003 – Meeting with Houston Community College Associate Dean and Dean of Health Science to determine interest in pilot
They were both very interested!
TIMELINE cont.
Apr 2003 – Meetings with Dr. Mary Ashley and Dr. Barbara Reece of HCHD
Ashley interested, but Reece only interested in 4 year program
May 2003 – Official announcement of CAEL grants
TIMELINE cont.
Conduct meeting with key players,
HCHD
Gulf Coast WIB – One Stops
HCC & San Jac North
Jun 2003 - CAEL proposes to HCHD to be first CAEL pilot site in the country
TIMELINE cont.
HCHD votes unanimous in favor of moving forward with project
July 2003 – Begin development stage – run into licensing issues with LVN
TIMELINE cont. BAT sponsors a legislative strategy
meeting to discuss how to overcome the licensing issues Key supporters were present as well as
opponents
Barriers and misconceptions were identified and discussed
THA & SHCC came to us wanting to meet one-on-one
Aug 2003 – THA and AHEC asks us to hold off while they work behind the scenes
TIMELINE cont.
Begin development of standards and MOU between CAEL and HCHD
CAEL, San Jacinto College North and Houston Community College begin development of CNA curriculum
TIMELINE cont.
Oct 2003 - Site Coordinator Maria Ester Bazan-Myrick hired by CAEL
Nov 2003 - Appoint CAEL Advisory and CNA Apprenticeship Committees
Jan 2004 – HCHD/CAEL MOU signed
Feb 2004 – CNA Apprenticeship Standards signed
HCHD/CAEL CNA Apprenticeship Model
Will create a new and innovative approach to addressing the HCHD nursing shortage by training CNAs through the registered apprenticeship model consisting of 2000 hours OJL with competency-based didactic training
HCHD/CAEL CNA Apprenticeship Model
Benefits Higher standards set for CNA
State requires only 75 didactic and 24 clinical hours for CNA
HCHD will provide 144 didactic hours and 2000 OJL hours of training
Assured Employment
HCHD/CAEL CNA Apprenticeship Model
Benefits cont.
Apprenticeship Certification/Verified on the job learning
Prepares for the future – CAEL Nursing Career Lattice Program (LVN)
Opened new doors and increased our visibility
HCHD/CAEL CNA Apprenticeship Model
Curriculum CNA Level I
Basic CNA, CPR
Communication, Leadership
CNA Level II
Phlebotomy
EKG
Next Steps
Invited to attend and present apprenticeship at the Statewide Health Workforce Symposium – Presented White paper on Apprenticeship and Healthcare poster - March 2004
Initiating new pilots with AHEC and associated healthcare facilities
Received invitation to present to Annual SHCC Conference in July 2004
On going work continues with licensing issues for LVN