Publish the annual Pathways Into Health education brochure, with targeted brochures on specific professions workforce, publish Pathways to specific professions Create a Montana Healthcare Workforce Data Collaborative that provides a forum for public and private sector analysis of the multi-faceted data around the workforce Track analysis of workforce data related issues The Montana Healthcare Workforce Advisory continues to serve as a data collaborative, and provides a forum for public and private sector workforce data analysis. Do no harm – improve understanding and support for the existing programs that are educating Montana’s physicians, nurses, and allied health professionals MT Healthcare Workforce Advisory Committee members, GME Council members, and numerous other healthcare stakeholders have made with policy makers and others to improve their level of understanding and support for healthcare education programs—evidenced by increased legislative funding for WWAMI expansion and increased funding for GME. We continue our education efforts in anticipation of the 2015 legislative session. Inventory funding from HRSA, DOLETA, and other federal and state programs that are currently used to support health professions education and healthcare workforce training in Montana Develop document addressing funding opportunities from federal and state programs Document has not been developed at this time. Target grantwriting and funding strategies to clearly identified shortages and underserved areas: Rural and frontier communities Primary Care Providers – Physicians, APRNs, PAs Critical Access Hospitals and Rural Health Clinics Community Health Centers Health Information Technology workforce Track number of grants and funding awarded to support specific workforce professional shortages and underserved areas Grantwriting opportunites have been pursued in the following areas: Primary Care workforce development (through the Network Grant), Oral Health workforce development, Academic Progression in Nursing , Rural HIT, Strategic Prevention Enhancement Planning (Behavioral/Mental Health), Innovation grants for frontier medicine, Outreach Grant—Behavioral Health
efforts and strategies EDUCATE and TRAIN Growing our own – supporting our own residents to become the health professionals and employees Montana needs. Measures and Outcomes Accomplishments A. Admission policies that target Montana students, particularly from rural and underserved communities (WWAMI, WWAMI TRUST, similar programs) Track numbers of students from rural and underserved communities admitted to healthcare career education programs B. Scholarships, tuition policies and loan forgiveness programs to support Montana students in the health professions needed in Montana WWAMI WICHE and slots in other programs not available in Montana Montana Rural Physician Incentive Program (MRPIP loan forgiveness) National Health Service Corps programs (existing) Pilot project to target NHSC programs to highest demand communities – Montana Health Service Corps Nursing Education Incentives – Scholarships, Bridge Programs, partnerships with Tribal Colleges Create an allied health loan forgiveness program similar to MRPIP Track where financial incentive programs are being utilized, develop allied health incentive programs C. Local financial incentives targeted to link health professions students to practice in the community upon graduation Local healthcare facilities, local businesses and governments Preparing our next generation, particularly from rural Montana and Measures and Outcomes Accomplishments
Link local healthcare organizations to HOSA programs in the community Increase post-secondary understanding of HOSA through legislative appropriation in 2013. Previous funding was $4,500, current funding is $58,930. HOSA state advisor is housed with the MT Hospital Association (MHA). D. Provide credentials to high school students from health career programs and HOSA that relate to admissions into post-secondary education Track student admission and acceptance of credentials from health career programs Credentials are available for well-prepared high school students as Certified Nursing Assistants, Pharmacy Technicians and Emergency Medical Technicians. In particular, CNA credentials are a prerequisite for admission to nursing school at many programs in Montana. E. Target outreach for health career programs and HOSA to Class C and Tribal High Schools Teacher recruitment and training Specific curriculum materials suited to small schools Distance education delivery for small cohorts of students Travel and other financial support to allow students to participate in HOSA events Track numbers of students admitted from Class C and Tribal high schools into health career programs F. Provide academic and career exploration enrichment programs to students from rural and underserved populations through AHEC, health providers, HOSA and OPI REACH (Research and Explore Awesome Careers in Healthcare) Camps – local short term camps that link students and local providers to explore careers Great Hospital Adventure – puppet shows for grade school students to explore health careers In a Box – anatomy curricula prepackaged to circulate among rural/underserved schools Hands on Health – at UM Spectrum Science Museum and traveling to Track number of students (from rural and areas) participating in programs For 2012-2013 academic year: REACH: 694 students Great Hospital Adventure: 2906 students In-a-Box: 1574 students Hands-on-Health: MedStart Camps: 141 students Pathways brochure distribution: 10,000 copies (distributed to every high school guidance counselor) Oral Health Careers Pathways distribution: served
B. Support rotations of WWAMI medical students through Rural Underserved Opportunities Program (RUOP) 1st year summer experiences 3rd and 4th year clinical education Targeted Rural Underserved Track (MT WWAMI TRUST) experiences and education throughout medical school Track number of WWAMI medical students who rotate in rural and underserved areas of MT For 2012-2013 academic year: RUOP: 30 students 3rd and 4th year rotations: 130 students completed over 230 required and elective clerkships TRUST: 5 incoming participants per year. In 2013 incoming class—7 TRUST, and 10 TRUST participants for 2014 year. Increase in TRUST students due to legislative funding increase in 2013 legislative session. C. Support experiences of medical school students with ties or strong interest in Montana through AHEC placements Medical students placed in Montana settings MT AHEC regional offices support placement of medical students (MD and DO) throughout the state. D. Support rotations of high demand professions (dental, pharmacy, physical therapy, clinical psychology, speech pathology, etc.) in rural and underserved areas Healthcare professionals placed in rural and underserved rotations MT AHEC regional offices support placement of healthcare clinical professionals throughout the state to complete rural and underserved rotations. E. Support opportunities for nursing students in rural settings (e.g. Rural Nurse Residency program, clinical rotations, distance education, cohort programs) New graduate nurses will be placed in rural residency programs to enhance retention APIN Grant? Future of Nursing report? Heidi Blossom at MHA—Rural Residency? F. Provide onsite training for place bound residents via cohorts or distance education : Degree programs Graduate education Incumbent workers Certificate programs Track number of cohort and distance education programs provided for place bound residents 5) Expanding Graduate Medical Education (residency programs) through partnerships among hospitals, MUS, WWAMI and other medical schools and communities Measures and Outcomes Accomplishments
“Come Back to Montana” campaign Visits to residency programs in nearby states Outreach to WICHE students return to Montana for employment Provide extensive opportunities for health professions students to experience rural and underserved settings throughout their education TRUST Model Clinical rotations Mentorships Rural/underserved experiences MT AHECs, local healthcare institutions, CHCs, DPPHS Primary Care Office MT AHEC regional offices support placement of healthcare clinical professionals throughout the state to complete rural and underserved rotations. Provide financial incentives for practice in rural and underserved areas MRPIP Loan Repayment Program for primary care physicians in rural and underserved communities (administered by OCHE) National Health Service Programs promoted by Montana Recruitment/Retention Committee, and well understood by the communities that can use them Seek an NHSC Pilot project that will target NHSC scholarship or loan programs to primary care providers at the beginning of their education, with a requirement to stay in Montana Develop MRPIP style loan repayment fund for nursing and allied health practitioners who serve in rural and underserved communities Provide guidance to communities in structuring effective financial incentive programs to attract and needed health professionals Track number of new hires applying for and receiving financial incentives Montana has over 280 approved National Health Service Corps (NHSC) sites across the state, all of which are eligible for up to $170,000 in Loan Repayment funds. NHSC has recently approved CAHs as placement sites, offering more opportunities for loan repayment. RETAIN 1) Reduce professional isolation by providing opportunities for professional development and continuing education Measures and Outcomes Accomplishments Participate in the Montana Healthcare Continuing Education Advisory Council Provide a coordinated approach Publication of monthly CE and training MHA hosts a calendar of CE events/webinars across the state.
Publish monthly calendar and newsletter of CE and Training Opportunities Identify gaps in offerings Work with partners to develop required and/or lacking CE and training via appropriate delivery (distance, onsite, regional, statewide) opportunities, publication of newsletter documenting CE offerings, track number of training programs with partners through MT Healthcare Continuing Education Advisory Council Identify opportunities for rural practitioners to engage with peers for skill development and quality improvement Performance Improvement Collaborative of MHREF Support for speakers and offerings at statewide meetings and conferences Training for rural practitioners to serve as clinical faculty and preceptors Track number of opportunities for skill development, quality and faculty and preceptor training Provide opportunities for rural practitioners to participate in research efforts PIN HSM Clinical trials Partnerships with MUS LEAN process improvement projects Track number of research opportunities available for rural practitioners and participation in research Lean process improvement partnership (MSU Engineering and MHREF) has offered summer intern opportunities to 2 students rotating through 6 rural hospitals in 2012 and 2013. 2) Develop Career Ladder and Skill Development Programs that allow rural healthcare workers to obtain degrees and certificates or to advance in their career Measures and Outcomes Accomplishments A. Establish state and regional partnerships among workforce development programs, employers, and education to identify career training opportunities Track number of available career training opportunities B. Deliver training programs that meet identified employment needs with opportunities for increased wages to rural Track number of training programs available via onsite,
providers via onsite, distance education or cohort programs distance or cohort methods C. Identify DOLI and other funding sources that can be targeted to needed incumbent worker programs in healthcare settings Track available funding for training D. Implement HIT training programs with the educational collaborative and local healthcare facilities Track availability of HIT training programs The MT AHEC has applied for a Rural HIT Network Grant to be awarded prior to September 2013. If awarded, grant will offer training to incumbent hospital HIT employees. E. Develop career ladder models that can be delivered by educational programs and have employment potential, and provide training on implementation of those models Track availability of, and in, training programs based on career ladder models F. Deliver an entry level curriculum to potential new employees that will train them in skills needed to succeed in work in healthcare settings (for high school grads, displaced workers, others new to healthcare) Confidentiality and legal requirements of healthcare settings Communications and teamwork Safety and standard precautions Behaviors for success in healthcare settings Ethics in healthcare Interacting with patients Track employer satisfaction with new employees for basic skills 3) Strengthen leadership and quality in healthcare settings Measures and Outcomes Accomplishments Support continuing education and professional development programs for administrators and clinical leaders, through membership and professional organizations, and partnerships with postsecondary programs. Track number of available education/ development opportunities, track participation in programs The Leadership Education and Performance Program (LEAP) is a forum for mid-level and senior managers to further develop their leadership and management skills. Providers Advancing Transitions in Healthcare (PATH) is delivered in a combination in-person and distance based format that focuses on focuses on developing leadership and