ALLIED HEALTH ADVISORY GROUP Notes from AprilTH, 2016 Meeting: Attended: Aguilar, Carmen Albert, Lorraine Blanks, Carolyn Chernow, Harneen

Caines-Robson, Hansella Chalupka, Stephanie Chalupka, Chuck

Collins, Patti-Ann Connors, Keith Cragin, Linda Crombie, Pat Fuccione, James

Gaillat, Ana Grundel, Sharon Gurgone, Lisa June, Jane Maddigan, Susan

Moran, Colleen Osbahr, Liz Paquette, Rose Philie, Pauline Pruitt, Denise

Riordon, Jeremiah Scott, Christopher Shack, Karen Stiles, Alyce Terrio, Monique

Tilden, Kelly Ubani, Tochi Vercauteren, Geoff Whittaker, Sue

News and Announcements Budget Update (Geoff):  Allied Health not in House Budget but we expect the funds to be in the Senate budget as an amendment. o DHE had asked for $400K and we are hoping that with your advocacy, the result will be the full ask.  Also, in Gov's budget the Rapid Response fund were only at $250K, but in the House it was at $500K. Hoping it stays. o Regarding Rapid Response, we've done a survey of just Allied Health-related programs and we've spent over $700,000 since FY2013.  The TRAIN grant is now in process of reviewing applications, and we received 5 proposals - all had a health care workforce program component. Learning and Sharing: Update on “Allied Health - Direct Care Workforce” grant project - Stephanie Chalupka, Associate Dean-Nursing Department, Worcester State University - Chuck Chalupka, Director of Labor and Employee Relations, UMass Memorial Healthcare    

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See presentation for further details Funded by DHE, $60,000 for 15 mos It's the collaboration of employer, 4 year college, community college and organized labor. UMMS is the largest employer in Central MA. o UMMS partnered with the Share Union, the largest union. o The Share Union is unlike most unions as the contracts are different and more collaborative with management. o Share Union represents the direct care workers at all UMMHC locations. The project is designed to support DCW's and their success. By helping students be college ready and to easily transfer to a 4 year program. The project helps students better understand the on and off ramps, career options, etc. o Activities in this program include: Student support services (advising, career coaching), academic advising and employer support. o The program outlines strategies for success such as: positive learning environment, connections to other students and services, etc. o Course is 4 wks long

o





Recruitment presents some challenges, but not unexpected with this type of offering  Initial interest of 48; ended up with enrollment was about 24 with start of about 20 and an expected completion of about 18.  Most students have never had any college experience o The curriculum is based on a unique WSU program for adult learners. They are on their 5th cohort at WSU and have graduated every student that has been in the program. Question - what about direct links to other health careers like Rad Tech, Surge Tech, LPN, etc? o The program is seeking more links to the CC's, already has some to QCC and MWCC and developing with MBCC and others o WSU understands that not all students will want to pursue a BA/BS right now It's mostly no cost to the student – tuition reimbursement covers most costs o What happens if students don't complete? Answer: The students sign a promissory note to pay back tuition if quit for no cause

Update on “Scaling Efforts to Advance the Direct Care Workforce” grant project - Linda Cragin, Senior Director – Mass AHEC Network; UMass Medical School   

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See presentation for further details PHCAST developed from a federal grant in 2010. We are trying to get rid of PCAST to use ABC's instead. o The PHCAST model provides a foundation for a good career lattice. Comments: o Brockton WIB just finished their DCW training and found a problem with the new students that have language and accent barriers and what do we do to make sure the new DCW's are understood with their patients. o Often it's the family who has a difficulty understanding the DCW. o As an employer, we usually encourage the families to continue working with the DCW as experience shows the barrier usually decreases.  Often it's how we (an employer) promote the fit. Linda - Sometimes we teach in Spanish but then find we a lot of support services to help the DCW with English language skills. o The importance of the outcomes in the presentation is the value of institutionalizing the training. Question from group: How does one begin this training? o We can help the CC's with the implementation of the ABC's. Have to go through the train the trainer class. Was free before, but after grant ended, AHEC now offering it at cost.

UPDATE ON THE WORKFORCE AND POLICY PLAN: - Patricia Yu, Director of Policy and Workforce for Mass Executive Office for Elder – Mass AHEC Network; UMass Medical School - *Patricia was unfortunately too sick to attend so Geoff filled in with a few comments on her behalf     

Patricia is new in her role; about 2 months or so She and Secretary Bonner feel like we need to reframing the conversation about this being a workforce opportunity Long term care and particularly home care will see extreme growth next ten years. We need to support the workforce more strategically How can we approach the issue from a system point-of view and build a true pipeline of qualified workers to enter these roles Patricia is looking forward to being able to address the group at an upcoming AHAG meeting, perhaps this fall

OVERVIEW OF MA HOME CARE AIDE WORKFORCE - Liz Osbahr, Vice President, Professional Profiles, Inc. - Lisa Gurgone, Executive Director, Homecare Aide Council   



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See presentation for further details We have a crisis looming on caring for elders because we won't have the workforce. Pay isn't sufficient to support the workers. It’s hard to compete with retail stores offering more money o Benefits cliff – prevents workers from taking more hours because they will lose their public benefits  However there is a lot of momentum in state government around the "benefit cliff" dilemma. The Home Care Aide Council provides a lot of training for both students and supervisors. o We advocate for higher wages for the workers. We have worked hard to articulate career ladders.  The positions (Homemakers, Personal Care Home-Makers, Home Health Aide, Hospice Aide, Supportive Home Care Aides, Personal Care Attendants) were described. Question from group: When the PCA is hired by the consumer, can they administer medication? o A: Yes. Administration of medication depends on the consumer training them Serving elderly in their homes becomes more difficult when you move out of urban areas. Another challenge is helping understand other cultures. o Where the elderly can't often communicate well because of mental capabilities, the Aide must be able to translate the needs of the client. o We also must always remind aides that people don't want them in their home but they are grateful for the help. o Not wanting someone in their home is not personal - it's universal for all people. The families must also understand that having a home aide doesn't relieve the client's family of all their duties to help their ailing parent/loved one. o Home environments vary so much that aides need to be prepared for all the differences. Aides need to understand how to do all the domestic tasks. Another challenge is the abrupt disruption to an aide’s routine due to loss of clients from death, etc. Question from group: Are there any blaring trends in turnover? o A: The benefits cliff and probably housing access. Also the extreme challenges of working in the home environment. And, of course, the low wages.

SUBCOMMITTEE REPORTS: 

Curriculum Design – Report out by Sharon Grundel, Healthcare Workforce Coordinator, Springfield Technical Community College o We agree we need some uniform curriculum for CNA, etc. We are looking at PCAST as the foundation. o There is a lot of variation in training costs, etc, between HHA/CAN programs o We have not figured out how similar each curriculum should look  We are also trying to figure out balancing employer needs and the career needs/options of the students. The work of the committee is balancing the work of the community colleges and what the market demands. o The PHCAST skills cross-walk provided by Leanne Winchester is an important document to help our discussion. o Geoff - we did a landscape survey and found great variations in cost, length and credits for creditbearing C.N.A./HHA programs (available on request)

o

We are considering hosting a ‘C.N.A./HHA Curriculum Summit’  We think it would be helpful because it's difficult to talk about curriculum when we don't know what each school is doing. The summit would help us understand the difference among the schools.  Comments from group:  Our school is well over the state requirement for hours so we think it would be important for schools to come together and look at the differences to better start to understand best practices.  There are also wide variances in entry requirements. These need to be more clear/transparent. We also need to better define what the end goal is.  The summit would be helpful to understand why we ordered the courses as we did as other non-allied health courses might be addressing the need.



Scope and Role Definition - Report out by Patti-Ann Collins, Director of Nursing, Mass Bay Community College o We are focused on organizing a comparison between RN, LPN and C.N.A. What are the myths and facts of those roles. o Hospitals are looking at being designated ‘magnets,’ or operating in a ‘magnet-esque’ fashion – that is focusing on having a large BSN workforce  They are squeezing out the LPN and splitting responsibilities between RN/BSN and C.N.A. o Different scenarios/questions regarding the roles of RN and LPN were given for response by the meeting attendees  Most didn't know the right scope and role within the examples given. Proves there is a lot of misinformation out there. o We are trying to get into the Magnet document to better understand the roles. As an outcome, we are looking to put out a white paper to help everyone.



Legislative Outreach and Engagement - Report out by James Fuccione; Director of Legislative and Public Affairs; Home Care Alliance of Massachusetts o We were able to put together materials to let legislators know what grants were received by constituents in their region and the focus for our direct care work. o Keeping apprised of the various bills in the legislature that affect the DCW workforce o The committee could use more members.

CLOSING  Next meeting is June 13. The focus will be a one-year review.  We will also consider where we are going as a group and what our priorities should be (Same? Different?). o We'll create a plan for year 2. This meeting will also be an opportunity to offer new directions and work foci.  Please send me topics for future meetings. Want them to be operational but also educational. Send me names of speakers, or if you want to be a speaker.

AHAG Member List: Please review your contact information and send any corrections to [email protected]. Type

Full Name

Job Title

CC/STATE U

Aguilar, Carmen

Dean Center for Workforce and Community Education

CC/STATE U

Atkinson, Maryanne

Dean of Health Professions

CC/STATE U

Brodeur, Lynne

Associate Dean of Health Sciences

CC/STATE U

Burke, Judy

Dean, Corporate and Community Education

CC/STATE U

Caines-Robson, Hansella

CC/STATE U

Collins, Patti-Ann

Director of Nursing

CC/STATE U

Davis, Lynne

Dean of Health Sciences

CC/STATE U

Dent, Patricia

Dean for Health Services

CC/STATE U

Farrell, Mary

Dean, Divisions of Health Professions

CC/STATE U

Gaillat, Ana

Associate Vice President of Academic Affairs

CC/STATE U

Gaskin, Marissa

Program Manager, GPSTEM

CC/STATE U

Gehly, Katherine

Dean of Nursing & Allied Health

CC/STATE U

Grundel, Sharon

Consultant, Training and Workforce Options

CC/STATE U

Hankel, Kathleen

CC/STATE U

Jacobsen, Tammi

Dean of Health and Natural Science Interim Director, Workforce Development and Training

CC/STATE U

Jeremiah Riordon

Interim Director for Community and Workforce Education

CC/STATE U

June, Jane

Dean of Health Care

CC/STATE U

Maddigan, Susan

Academic Dean

Company Bristol Community College North Shore Community College Bristol Community College Middlesex Community College Roxbury Community College Mass Bay Community College Mass Bay Community College Bristol Community College Northern Essex Community College Bristol Community College Roxbury Community College Middlesex Community College SG Consulting/STCC Holyoke Community College Cape Cod Community College Greenfield Community College Quinsigamond Community College Cape Cod Community College

E-mail

Business Phone

[email protected] du

(774) 357-2158

[email protected]

(978) 762-4160

[email protected] du [email protected] du

[email protected] [email protected]; [email protected]

[email protected]

(508) 678-2811 x 2141

[email protected]

(978) 655-5880

[email protected]

[email protected] [email protected] du

(978) 656-3047

sgrundel@trainingandworkf orceoptions.com

[email protected]

(413) 552-2288

[email protected]

(508) 375-5011

[email protected]

(413) 775-1611 (office)

[email protected]

(508) 854-4517

[email protected]

(508) 362-2131 x4347

CC/STATE U

McCorry, Laurie

Dean of Science, Engineering and Health Technology

BHCC

CC/STATE U

McDonald, Angela

Director of Nursing

CC/STATE U

Mendez, Maribel

Director, Corporate & Community Engagement

CC/STATE U

Moriarty, George

Director of Workforce Development Programs

Roxbury Community College Roxbury Community College Northern Essex Community College

Paquette, Rose

Dean of Workforce Development and Community Education

Massasoit Community College

CC/STATE U

Paula Hogard

Director: Continuing Professional Education and Workforce Development

CC/STATE U

Pepin, Angel

CC/STATE U

CC/STATE U

Philie, Pauline

Director, Academy of Health Sciences Program Coordinator, Tri Level CNA/HHA & Diagnostic Technician Certificate Programs

CC/STATE U

Pratt, Sue

Instructor, CNA/HHA/PCA programs

CC/STATE U

Pruitt, Denise

CC/STATE U

Scott, Christopher

Assistant Dean of Health Assistant Dean of School of Health & Patient Simulation and Director of Clinical Education

CC/STATE U

Chalupka, Stephanie

Professor and Associate Dean-Nursing Department

CC/STATE U

Stiles, Alyce

Director of Workforce Development

CC/STATE U

Thompson, Cesarina

Dean, School of Health Sciences

CC/STATE U

Tilden, Kelly

Director of Community Education

CC/STATE U

Ubani, Tochi

Director of Nursing

CC/STATE U

Vincent, Jennifer

Director of Workforce and Sustainable Initiatives

EMPLOYER/ EMP REP

Aiken, Kelly L.

Director of CareerSTAT

Framingham State University Middlesex Community College Cape Cod Community College Greenfield Community College Middlesex Community College

[email protected]

(617) 228-2465

[email protected]

[email protected]

(617) 933-7402

[email protected]

(978) 659-1224

[email protected] .edu

(508) 588-9100 x1307

[email protected]

508-626-4034

[email protected] u

[email protected]

508-362-2131 X 4489

[email protected]

(413) 775-1672

[email protected]. edu

(978) 322-8407

STCC

[email protected]

Worcester State University

[email protected]

(508) 929-8680

[email protected]

(413) 755-1607

Greenfield Community College American International College Massasoit Community College Berkshire Community College Bristol Community College National Fund for Workforce Solutions

[email protected] u [email protected] u

[email protected] jennifer.vincent@bristolcc. edu

Filling in for Carmen

[email protected] m

(510) 917-2286

Blanks, Carolyn

Executive Director

Massachusetts Senior Care Foundation

Brathwaite, Janice

Workforce Program Manager

Mass League of Community Health Centers

[email protected] rg

(617) 988-2217

EMPLOYER/ EMP REP

Buckey, Susan

Director of Training, Quality and Healthcare Initiatives

JVS CareerSolution

[email protected] g

(617) 259-3027

EMPLOYER/ EMP REP

Chernow, Harneen

Director

1199 Training and Upgrading Fund

Harneen.Chernow@1199fu nds.org

EMPLOYER/ EMP REP

DiFiore, Kristine

Vice President of Human Resources

Home Health Foundation

kdifiore@homehealthfound ation.org

978-552-4005

Fuccione, James

Director of Legislative and Public Affairs

Home Care Alliance of Massachusetts

jfuccione@thinkhomecare. org

(617) 482-8830

Assistant Director

Home Care Aide Council of Massachusetts

[email protected]

Home Care Aide Council of Massachusetts

[email protected]

(617) 489-3550

[email protected]

(508) 999-0878

EMPLOYER/ EMP REP EMPLOYER/ EMP REP

EMPLOYER/ EMP REP EMPLOYER/ EMP REP

Gleason, Hayley

EMPLOYER/ EMP REP

Gurgone, Lisa

Executive Director

EMPLOYER/ EMP REP

Larson, Theresa

Regional Director of Home Care

EMPLOYER/ EMP REP

Liz Osbahr

Vice President

EMPLOYER/ EMP REP

McLaughlin, Rosemary

Director of Education & Training

Brandon Woods Home Care Professional Profiles Home Care Berkshire Healthcare Systems, Inc.

EMPLOYER/ EMP REP

Moran, Colleen

Project Manager, Human Resources

EMPLOYER/ EMP REP

Norman "Chuck" Chalupka

EMPLOYER/ EMP REP

[email protected]

losbahr@professionalprofil es.us

[email protected]

(413) 395-7920

Partners Continuing Care

[email protected] G

617-349-5718

Director, Labor and Employee Relations

UMass Memorial Medical Center

norman.chalupka@umassm emorial.org

(774) 443-2706

Pokaski, Joanne

Director of Workforce Development

Beth Israel Deaconess Medical Center

[email protected] u

(617) 632-9395

EMPLOYER/ EMP REP

Terrio, Monique

NURSING ADMINISTRATOR

BWH

[email protected]

(617) 525-9275

EMPLOYER/ EMP REP

Nelson, Rosemary

Director, Professional Practice

Metro West Medical Center

[email protected] om

Bonner, Alice

Secretary

Massachusetts Exec Office of Elder Affairs

[email protected] te.ma.us

STATE AGENCY

Cedrone, David

Deputy Commissioner for Workforce Development

Massachusetts Department of Higher Education

[email protected]

STATE AGENCY

Connors, Keith

Senior Program Manager

Department of Higher Ed

[email protected]

STATE AGENCY

Cragin, Linda

Senior Director

MassAHEC Network

[email protected] u

STATE AGENCY

Crombie, Pat

Director

Massachusetts Action Coalition

[email protected]

STATE AGENCY

617-994-6904

(508) 856-4303

STATE AGENCY

Evans, Brenda

Program Director, AHEC

City of Springfield/AHEC

bevans@springfieldcityhall. com

STATE AGENCY

Huddleston, Gloria

Executive Director

Berkshire AHEC

ghuddleston@berkshireahe c.org

Lecy, Kirby

Rural Health Outreach and Communications Coordinator

Department of Public Health

[email protected]

STATE AGENCY

Malone, Carole L.

Director of Community Programs

MA Executive Office of Elder Affairs

[email protected] s

STATE AGENCY

Marschke, Lisa

PCA Project Director

STATE AGENCY

Sandler, Lisa

MOA Coordinator / Supervisor

STATE AGENCY

Shack, Karen

Senior Workforce Development Consultant

STATE AGENCY

Turner, Hope

Special Assistant to the Secretary

STATE AGENCY

Winchester, Leanne

PHCAST Director

STATE AGENCY

PHCAST Program/UMMS Mass Department of Elementary and Secondary Education Commonwealth Corporation MA Executive Office of Elder Affairs

413-787-6756

(617) 222-7568

[email protected]

[email protected]

(781) 338-3956

[email protected]

(617) 727-8158 x2250

[email protected]

617-222-7429

leanne.winchester@state. ma.us

(617) 573-1823

[email protected]

(617) 222-7453

STATE AGENCY

Yu, Patricia

Director of Policy and Workforce

MA Executive Office of Elder Affairs

WIB/REB

Albert, Lorraine

Director of Regional Training

Brockton Area WIB (BAWIB)

[email protected]

Partnerships for a Skilled Workforce, Inc.

[email protected]

(508) 281-6910

[email protected]

(508) 281-6910

[email protected]

(413) 773-1835 x310

(617) 328-7001

WIB/REB

Beville, Sylvia

Executive Director

WIB/REB

Bryson, Henry

Director, Healthcare Learning Network

WIB/REB

Crosby, Patricia H.

Executive Director

Partnership for a Skilled Workforce Franklin Hampshire Regional Employment Board, Inc.

WIB/REB

Whittaker, Sue

Director of Business Services

South Shore Workforce Investment Board

[email protected]

WIB/REB

McCarthy, Shaun

GLWIB Senior Program Manager

GLWIB

Shaun.McCarthy@cclowell. org

WIB/REB

Sarris, Mary

Executive Director

WIB/REB

Wong, Meelynn

Associate Director

North Shore WIB Metro North Regional Employment Board

[email protected] m

(978) 741-3805

[email protected]

(617) 871-1115