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Health Workforce
Initiative - New Name and New Logo
Formerly the Regional Health Occupations Resource Center
(RHORC), the California Community College Economic and Workforce
Development program has changed its name to more closely reflect
its mission and objectives in serving both community college allied
health programs and the health care workforce.
The mission of the Health Workforce Initiative is to promote
the advancement of California's health care workforce through
quality education and services.
Five major activities will comprise the work of the Health
Workforce Initiative:
- Facilitate education and industry partnerships related to the
identified allied health shortages.
- Partner with key stakeholders in the California Healthcare
Reform Workforce Workgroup.
- Partner with the Health and Science Pipeline Initiative to
disseminate the high school science and math preparation curriculum
statewide (www.haspi.org).
- Collaborate with the Health Information Technology workforce
training in collaboration with the US Health and Human Services
(HHS) grant Community College Consortia to Educate Health
Information Technology Professionals awarded to Los Rio Community
College District .
- Partner with Regional Community Colleges and other educational
providers and regional advisory groups to facilitate new program
and curriculum development; curriculum revision; faculty
and staff development; and other activities as needed in
response to the identified priority allied health shortage
occupations and Health Care Reform workforce needs.
HWI Center Contacts:
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Regional Programs
& Business Partnerships
Orange County
Two programs that have included successful business
partnerships and have had an impact on the healthcare workforce for
Southern CA are short-term training for incumbent nurses in
specialty areas and preceptor preparation programs. The Health
Workforce Initiative (HWI) at Golden West College (GWC) has
assisted 16 local hospitals in training new registered nurses and
incumbent nurses to work in the specialty areas of critical care
and telemetry. The HWI offers the didactic/classroom portion of the
training, while the participating hospitals pay their employees to
attend and provide a paid clinical internship at their own
facilities. Simulation experiences have been included in the
program over for the last two years. The simulation experiences
provide the opportunity for students to practice the concepts
learned in the didactic portion in a safe and supportive
environment. The HWI program is the only specialty nurse program
which provides this opportunity. The participating hospitals depend
on the HWI Specialty programs and would not be able to hire new
grad nurses into critical care or telemetry without these
preparatory courses. Over the last two years, HWI has prepared 112
critical care and 68 telemetry specialty nurses in the greater
Orange County area.
The HWI also provides the Preceptor Instructor
"train-the-trainer" course which is a two-day highly interactive
workshop to educate faculty, clinical educators and senior
preceptors from nursing and allied health. The participants then go
back to their own schools and facilities and implement programs and
specific strategies which better prepare their own faculty and
staff to provide clinical training for new hires and students.
Preceptors must be well versed in their roles of role model,
educator, facilitator and evaluator. Well-prepared preceptors who
provide the one-on-one initial clinical training are crucial to the
development and success of students and new employees and also
assist in retention and job satisfaction. The HWI-GWC continues to
supply the learning materials to hospitals that implement these
programs. In the past two years, the HWI has prepared 145 educators
or senior preceptors from 28 clinical facilities and 8 colleges in
Orange, Los Angeles, Riverside and San Bernardino counties. The
curriculum which is available on CD has been widely distributed
throughout the state.
North Far North
A three-way collaboration between Enloe Medical Center, the
Health Workforce Initiative, and the Northern Rural Training
Employment Consortium (the local workforce investment board)
created a unique blend of training for the North Far North
region.
Enloe Medical Center defined the need for several areas of
nurse specialty training. Staff from Enloe developed the programs
in collaboration with the Butte College Health Workforce
Initiative.
A Medical-Surgical Nursing Certification Review Course was
offered twice regionally with a total of 138 RN participants from
the North Far North Region. With the NoRTEC grant funds the class
was offered for a nominal fee to the health care providers in the
region. Other RN specialty courses offered through this program
included:
- Strategies for Excellence in Stroke Care Class - 45
participants
- Critical Care - 40 participants
- Basic Arrhythmia - 60 participants
- ACLS Classes - 100 participants
- Computer Skills classes in preparation for EHR implementation -
130 participants
Partnerships like this are critical in advancing the health
care workforce in the state of California.
South Coast
HWI, South Coast, would like to acknowledge and express
appreciation for the following industry partners who provided
support for the Center for Nursing Expansion - Governor's WIA
grant, 2005-2010 (Phase I):
- Arroyo Grande Community Hospital
- French Medical Center
- Marian Medical Center
- Mee Memorial
- Regional Medical Center
- Cities Community Hospital
- El Centro Regional
- Cottage Health Systems
- Regional Medical Center
- Community Hospital
- County Medical Center
- WIB, Santa Barbara County
- Hospital Assn of Southern California (HASC)
The support of these partners made it possible for the
5-college partnership of Allan Hancock College, Cuesta College,
Moorpark College, Santa Barbara City College, and Ventura College,
to not only qualify for and receive this grant in the first place,
but also to successfully meet its goals - the most significant goal
being the enrollment of 196 additional A.D.N. students!
Phase II of the Center for Nursing Expansion - Governor's WIA
grant (2010-2014) is currently in progress and experiencing the
same success through the partnership of the same colleges and the
same industry partners (coordinated and directed by HWI, South
Coast). Together, we make extraordinary things happen!
Bay Area
According to Kaiser Permanente, an estimated 20 percent of the
Northern California KP workforce was not comfortable using
computers. With the shift to more use of computers at work as a
standard in the health care workplace, KP was interested in
offering computer training to its employees.
Working with Kaiser Permanente's Office of Labor Management
Partnership in Oakland, California, the Bay Area Health Workforce
Initiative (HWI) at Mission College in Santa Clara, CA, taught
basic computer skills to KP employees beginning in the fall 2009.
This initial effort was so successful that additional courses in
Word and Excel were scheduled. Approximately 160 South Bay Kaiser
employees enrolled in the program. The classes were voluntary,
usually with 20 students and were held in the evenings or on
Saturdays, either at the KP medical center in Santa Clara or on the
college campus. Students who signed up for the classes came from
many departments across the organization including support
services, nursing, and management. The project was funded by a
grant from the California Community College Chancellor's
Office.
San Diego/Imperial
The San Diego/Imperial Region HWI, formerly RHORC, has a long
and successful history of collaborating with Kaiser Permanente. HWI
is incredibly appreciative of the dedicated support of this
outstanding partner. Some of the highlights of this long-standing
relationship include:
- Mr. Chris Crisafulli initiated the relationship between Kaiser
and RHORC with a grant of office space to house RHORC in the Kaiser
Office Complex in Bonita, CA, along with the Welcome Back Center
[WBC]; the HWI Offices are now located at Grossmont College,
however, the Kaiser office space remains the home of the WBC, which
helps internationally-trained health care professionals become
licensed to work in California through the provision of educational
and case management services
- Marlene Ruiz, RN, BSN, MA, Director of Education and Consulting
Services at Kaiser Permanente in San Diego, has coordinated and
taught a portion of the NCLEX Review Course for Foreign-Trained
Nurses since inception in 2004, and she was a consultant for the
development of the Pre-NCLEX Review Course for Foreign-Trained
Nurses, which she continues to coordinate and teach; many of the
graduates from these courses have gone on to pass the NCLEX, and
are employed in health care facilities throughout San Diego
County
- The San Diego Perioperative Nursing Program was a consortium
training program of RHORC, Kaiser, the VA, Scripps Green, and Sharp
Memorial Hospital, which won a Chancellor's Office Return on
Investment Award in 2000
- HWI/RHORC, Kaiser, and several other industry and community
partners [including but not limited to Scripps, Tri City Medical
Center, Alvarado Hospital, Sharp HealthCare, Palomar Pomerado
Hospital, Rady Children's Hospital, Paradise Valley Hospital, and
the VA] worked together to establish the first MLT program in San
Diego at Southwestern College
- RHORC funded 2 years of the San Diego Nursing Service-Education
Consortium during its development phase until it became
self-supporting; since 1996, the Consortium has provided clinical
placements for all the nursing students in San Diego County;
currently over 4,000 student placements are made per year
- HWI has recently funded the addition of an Allied Health
Clinical Placement component to the Consortium website
- The Health Education Summer Institute [HESI] provide 3 weeks of
clinical exposure to high school students interested in health
careers; this program has now expanded county-wide and is moving
toward state-wide implementation through the Health and Sciences
Pipeline Initiative [HASPI]
- Marlene Ruiz, RN, BSN, MA, Director of Education and Consulting
Services at Kaiser Permanente in San Diego, is on both the local
and statewide Advisory Board of HWI, as well as the Welcome Back
Center, and has been one of our most ardent supporters over the
years
We extend our sincere gratitude to our very valuable community
partner, Kaiser Permanente.
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Greening of
Hospitals
Health care facilities are some of the largest contributors to
pollution in the areas of waste, energy, toxics, and
water. Due to the vast number of facilities and
cumulative impacts their environmental footprint is large.
The audience attending the Greening of Hospitals
Workshop was fascinated to learn about the cost saving
solutions for creating a healthy environment that were presented by
guest speakers Wendi Shafir, U.S. Environmental Protection Agency
Pollution Prevention Coordinator and Jack McGurk, President of
Systems Improvement Initiators, Inc. The workshop was sponsored by
the Health Workforce Initiative and Cottage Health System and held
at Santa Barbara City College.
Sponsoring this workshop generated the opportunity to explore
what local health care facilities were doing to green their
hospitals. All in attendance were quite surprised by the innovative
programs they had instituted and invited them to speak at the
workshop.
Dennis Daniel, Director of Plant Operations for Marian Medical
Center in Santa Maria, CA discussed his idea that the landfill
located near the hospital may be able to generate energy for the
hospital. He not only had the idea but made it a reality. The
methane gas from the landfill is piped a couple of miles to Marian
Hospital's Co-gen plant and converted to electrical energy . Today
this method powers approximately 95% of the hospital's electrical
needs and saves them about $150,000-$200,000 dollars a year in
energy costs.
Jo Vargas from Cottage Health System explained their Healthy
Food Program, where the hospital nutrition program uses fresh
produce from local farmers and also has a farmers market at the
hospital during the week. This program idea was originated by an
employee Ruben Cosio, Director of Hospitality Services.
It makes sense for the people who dedicate their lives
providing health care to patients to want to provide a healthy
environment for their patients, themselves and the community.
The PowerPoint presentations from Wendi Shafir and Jack McGurk
can be found on the HWI website under
Presentations. If you would like more information on setting up a
Greening of Hospitals Workshop, contact Patricia Duffy - Pmduffy@sbcc.edu or (805) 892-3673.
San
Diego County:
Innovative Strategies for New RN Graduates
The success in addressing the nursing shortage in California
over the past 5 years has led to the unintended consequence of new
RN grads facing difficulty securing their first jobs due to the
economic downturn. Across the state, industry and education
partners are looking at best practices to ensure that new grads are
able to secure employment in a timely manner. Following are some
innovative strategies which have proven successful in San Diego
County.
Maryann Cone, MS, RN, NEA-BC, the Chief Operating Officer at
Sharp Grossmont in La Mesa, CA, reports success with two specific
strategies:
- Hiring new RNs into part-time positions, effectively doubling
the number of new hire nursing grads, while providing them with
health benefits.
- New Graduate Residency Program-program focusing on education
and mentorship lasts one year, during which time the residents are
full-time employees; if they have not been hired for a position on
a nursing unit by the end of the year, they become full-time
employees of the hospital float pool.
Ellen McKissick, MS, RN, Academic Liaison at Palomar Pomerado
Health [PPH] in Escondido, CA, shared information about a new
graduate residency program piloted by PPH in partnership with
California State University San Marcos [CSUSM]:
- Non-paid residency program
- Didactic component: QSEN competencies, review of skills, and
new RN role transition
- Clinical component: minimum of one 12-hour shift per week on
Medical-Surgical unit [up to 36 hours based on needs of new grad
and availability of preceptor]
- 15-week, 4-unit certificate course offered through CSUSM's
Extension Program
Darlene A. Stevens, PhD, RN, Chief Nurse Executive & S.
Marlene Ruiz, RN, BSN, MA, Director of Education and Consulting
Services, Kaiser Permanente San Diego [KPSD] report the following
2010 New Graduate Support and 2011 Projections:
- The process for new graduates follows the regional model for
new graduate preparation
- Initial 2 weeks focus on general orientation, followed by 40
hours of didactic, 24 hours of simulation lab, and 248 hours of
clinical with a preceptor
- New graduates work out of the Nursing Administration cost
center on a designated unit and can bid on posted positions after
completing the program
- In Fall of 2010, two groups of ten were initiated
- The goal in 2011 will be to calculate the number of programs
needed based on projected growth and retirement factors; current
estimate is for two programs of ten students each
- In a time of few job opportunities in acute nursing positions,
this model allows gradual addition of new graduates in a staged
learning environment
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Upcoming
Events
On Course Workshops - Professional
Development for Promoting Student Success
- South Workshop - Monday and Tuesday, January 10-11, 2011
9am - 4pm both days
Location: Rio Hondo College, 3600 Workman Mill Road, Whittier,
CA
- North Workshop - Thursday and Friday, January 20-21
9am - 4pm both days
Location: Sutter Center for the Health Professions
2700 Gateway Oaks Drive, Suite 1100, Sacramento, CA
Additional information, workshop flyers and registration form
is available on the HWI website.
15th Annual Health Occupations Educator
Institute, April 18-20, Doubletree Hotel, Ontario,
CA
Course fee - $50 for the entire 2-1/2 days.
The focus will be Creative Teaching Strategies, Technology
in the classroom, and the Student-focused classroom to improve
student success.
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Curriculum
Downloads
A new service has just been added to the HWI website -
curriculum downloads! Check out the website at http://ca-hwi.org/, click on product
ordering.
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