HEALTH WORKFORCE INITIATIVE STATEWIDE
ADVISORY COMMITTEE MEETING
Meeting Date:
Meeting Time:
Meeting Location:
TIME
ALLOCATED
9:00 – 9:15 am
May 15, 2015
(8:30 am Continental Breakfast)
Meeting 9:00 am –2:00 pm
Hawthorn Suites
321 Bercut Drive, Capitol Room
Sacramento, CA
AGENDA ITEM
Welcome and Introductions
May 15, 2015
Hawthorn Suites, 321 Bercut Drive, Sacramento
Capitol Room
Agenda
Chair:
Michael Hutchinson
Ed. Co-Chair: Linda L. Zorn
Recorder:
GOAL
Members and Guests
Introduce themselves.
Julie Aguiar
ACTION/DISCUSSION
Michael Hutchinson opened the meeting at 9:07 am with roundtable introduction. Attendance
was as follows:
Michael Hutchinson, California Correctional Health Care Services
Linda Zorn, Health Workforce Initiative
Marshall Alameida, College of Marin
Sue Albert, 3CNAC
Sherie Ambrose, Mercy Medical Center, Mt. Shasta
Stacey Bartlett, Butte College
Allyne Beach, Kaiser Permanente
Barbara Brock, Solano Community College HWI
Susan Craig, Butte College
Donna Davis, Butte College
Lisa Duncan, Family Health Centers of San Diego
Ann Durham, Grossmont College HWI
Claire Enright, Riverside Health Care
Valerie Fisher, College of the Siskiyous HWI
Brenda Fong, CCCCO
Diane Garcia, Ca Society of Radiologic Technologists
Cynthia Harrison, Mission College HWI
Laurie Harrison, Special Populations Advisory Committee
Shari Herzfeld, Rio Hondo College HWI
Sue Hussey, Sacramento City College HWI
Debra Jones, CCCCO
LaVonne LaMoreaux, Ca Health Information Association
Beth Malinowski, Ca Primary Care Association
Cynthia McFarland, CCCCO
Susan McLearan, California Dental Hygienists’ Association
Trudy Old, Butte College HWI
Robin Purdy, CWIB
Marlene Ruiz, Kaiser Permanente
Pam Sanborn, Cabrillo College
Page 1 of 5
HEALTH WORKFORCE INITIATIVE STATEWIDE
ADVISORY COMMITTEE MEETING
TIME
ALLOCATED
9:15 – 10:00 am
AGENDA ITEM
Chancellor’s Office Update
Debra Jones
Dean, Career Education
Practices
and
Brenda Fong, Specialist
Healthcare Workforce Initiative
Nursing and Allied Health
CCCCO
May 15, 2015
Hawthorn Suites, 321 Bercut Drive, Sacramento
Capitol Room
Agenda
GOAL
Chancellor’s Office
Representative shares
pertinent information
on items of interest
from the perspective
of Workforce and
Economic
Development.
ACTION/DISCUSSION
Jonna Schengel, College of the Sequoias, Kaweah Delta Hospital
Avanté Simmons, College of the Desert HWI
Laurie Sienkiewicz, Golden West College HWI
Karen Sirski-Martin, Kaiser Permanente
Debra Jones reported on the May revise: COLA was decreased, while $75 million will be
allocated to increase faculty hiring. Monies to district operating expenses, deferred
maintenance and student outcomes were also noted. $250 million will be allocated to career
pathways, over three years, payable to the California Department of Education (CDE).
The CCCCO Board of Governors (BOG) will be at capacity, with three new members. Staffing
is at its fullest in years, with 16 plus a student. The State will have completed 22 regulations by
this year.
Regarding the Strong Workforce Taskforce, five areas of focus have surfaced from the
regional meetings, each with a white paper and BOG task force meeting to address it.
Foundation projects include CISCO partnerships and adopting Adobe EchoSign for contracts.
Theresa Tena, Vice Chancellor for Institutional Effectiveness is leading efforts to develop the
framework for data and analysis standards to support the Community College Districts
(CCDs). The move from the 4th floor to 6th floor is scheduled for fall.
A dual enrollment bill which will allow high schools to close classes is currently in suspense,
but is expected to progress.
On Monday, the BOG will approve the final 3 baccalaureate pilot programs. Rio Hondo and
Santa Monica have completed CSU negotiations and can move forward. The 3 rd program came
out of the 2nd round of applications. SB1402 funding remains essentially the same, with $22.9
million.
Debra continued that Dan Troy had advised that $48 million would be used to maintain
funding for FY 2015-16. The sunset language was repealed during budget funding, so it is
funded till 2018. Legislatively its good for three years, but each year, the allocation is redetermined.
Alice VanOmmeren has been appointed to Interim Vice Chancellor of Technology, Research
and Information Systems, after Patrick Perry’s departure.
Cathy Martin stated that SB322, the bill that expands the Nurse Practitioner scope of practice
is out of the House and headed to Assembly. AB1093, the bill requiring MRI technologists to
obtain certification is in suspense.
Cynthia McFarland, CCCCO project monitor, was introduced.
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HEALTH WORKFORCE INITIATIVE STATEWIDE
ADVISORY COMMITTEE MEETING
TIME
ALLOCATED
10:00 – 11:00 am
11:00 – 11:15 am
11:15 am – 12:00
pm
AGENDA ITEM
Soft Skills for Nursing and
Allied Health
Butte College Lead Faculty for
Soft Skills Grant
Stacey Bartlett
Communication Studies
Department Faculty/Chair
Academic Senate President, and
Susan Craig, RN, MSN
Nursing Program Director/Chair
Break
BOG Task Force on Workforce,
Job Creation and a Strong
Economy
Cathy Martin
Vice President, Workforce
Policy
California Hospital Association
12:00 – 12:30 pm
Lunch
12:30 – 1:30 pm
Industry Roundtable
May 15, 2015
Hawthorn Suites, 321 Bercut Drive, Sacramento
Capitol Room
Agenda
GOAL
ACTION/DISCUSSION
Provide update on the
HWI grant for
embedding soft skills
into nursing and allied
health curriculum.
Industry input on draft
curriculum modules
and content will.
Susan Craig and Stacey Bartlett were introduced to share about the curriculum development
process for the HWI Allied Health and Nursing Soft Skills project. They will be adapting
existing approved curriculum to create a packaged toolkit, focusing on the critical six soft
skills. The first step will be to create an incumbent worker piece and train the trainer. The next
phase will be the creation of a healthcare communications class, a packaged toolkit for colleges
to insert, with the understanding that nursing courses are already full (of instruction). Finally,
they are working on communication certificates for healthcare providers, to be earned while
they wait for impacted pre-requisites to open.
A power point presentation and group activity were shared with the group.
Health Sector
representative will
provide an overview
of the Task Force
progress and ask for
input on key issues
and draft
recommendations.
Cathy Martin provided a summary of the Regional College Conversations, Strong Workforce
Town Hall Meetings. The first meeting in January focused on orienting the group. The second
meeting, in April focused on outcomes. Finally, Phase 3 involved the task force reviewing the
recommendations. They will meet again on June 10th to go over funding. She provided a
handout of the recommendations. Players are enthusiastic, in spite of concerns also about lack
of regulatory board involvement.
Student Support: It was reported to Cathy that counselors more imbedded in industry have a
much better understanding of a particular career pathway. Value was placed in sector-based
counseling and housing counselors directly in a particular academic department building.
Industry round table
responding to agenda
items and other
industry
needs/concerns
Cathy Martin: The James Irvine Foundation has developed a partnership to produce a roadmap
for educators on work-based learning with an employer toolkit. The goal is to have it by July,
to be shared at the September SWAC meeting.
Beth Malinowski: Federally Qualified Health Clinics (FQHCs) are limited by the fee-forservice model. Senator Hernandez is pushing SB147, which would allow for a three-year pilot
of a new care model.
AB690 proposes to allow marriage and family therapists (Master’s Level) to bill Medi-Cal for
patient visits. Another bill proposes to integrate mental health billing, as a “warm handoff” is
most effective for getting patients on the path to behavioral health. Pilots for roles like CHW
are underway, however financial infrastructure is needed to sustain these roles that are
currently grant-supported.
Lisa Duncan: Provider shortage, happy to be working with Beth on changing the
reimbursement model.
Susan McLearan: Dental graduates are faced with limited employment options. AB84 passed
last year, allowing a dental team to bill a telehealth visit. The Dental hygiene board is doing
Page 3 of 5
HEALTH WORKFORCE INITIATIVE STATEWIDE
ADVISORY COMMITTEE MEETING
TIME
ALLOCATED
AGENDA ITEM
May 15, 2015
Hawthorn Suites, 321 Bercut Drive, Sacramento
Capitol Room
Agenda
GOAL
ACTION/DISCUSSION
train-the-trainer workshops. Increased duties include X-Rays and temporary fillings. AB502 is
the current legislative piece to expand the scope of dental hygiene. Part of the bill includes
billing. As an instructor, she is concerned about placements. One idea is to reach out to
pediatricians for early patient intervention and disease prevention.
Diane Garcia: The imaging community is largely opposed to AB1092 (MRI licensure
requirement) because the original bill favored AMRIRT. Their accreditation standards and
curriculum are not transparent. The preferred certification is ARRT-MR, the national
organization for X-ray techs. The bill has since been watered down to simply requiring MRI
techs to be registered with the state. Also concerning is proposed legislation allowing other
professions to perform fluoroscopy. Most other professions are lacking the educational
component and it is dangerous.
Sherie Ambrose: Clinics are converting to EHR. Care model is moving toward preventive
population health, with the development of Care Coordinators/Referral Coordinator roles. She
is serving as the lead for palliative health.
Allene Beach: Focus is on digital skills and developing jobs for the future. In sites with small
volumes, they can’t justify FTEs in each modality, so they are exploring staffing efficiency
models. These may include personnel who perform both phlebotomy and basic radiology.
They are working with Cathy Martin and the White House. She predicts that the core of
nursing will become care coordination.
Marlene Ruiz: Focus is on language assistance for multicultural populations and placing pre—
licensed nurses in ambulatory care, as students don’t get ambulatory experience in nursing
school. The pilot is starting with six students. Their second pilot involves home care, with a
readmission rate of zero. Lisa Duncan: Her facility recently opened a clinic at City College
(San Diego) City College. The relationship is great, but it’s not busy enough for meaningful
clinicals. They are also customizing their EHR to guide MAs through collecting H&P. They
prefer to hire community college-trained dental assistants, over proprietary school grads, but
they don’t have the numbers in her region. They are looking at scope of practice for MLT in
other states and partnering with Kaiser.
Sue Albert: (3CNAC) is working with ATI on the TEAS test prep to minimize the impact of
recent changes. Working with HWI on bills. AB 1559 (nursing program multicriteria selection
process) was renewed. The bill allowing nursing faculty to teach additional course without
becoming tenured is scheduled to sunset. 1/3 of the program directors in California are
expected to retire. It’s especially difficulty to find potential CNA instructors with LTC
experience. They are looking to recruit a facilitator to help CSU and community college
collaboration after the nursing BRN was shot down at the CC level.
Karen Sirski-Martin: Current initiatives include the National Voice of Nursing and
telemedicine. Kaiser provides staffing to long term care facilities by contractual relationships.
Page 4 of 5
HEALTH WORKFORCE INITIATIVE STATEWIDE
ADVISORY COMMITTEE MEETING
TIME
ALLOCATED
AGENDA ITEM
May 15, 2015
Hawthorn Suites, 321 Bercut Drive, Sacramento
Capitol Room
Agenda
GOAL
ACTION/DISCUSSION
Target areas for transition to palliative care are doing well. They currently struggle with unions
over the issue of multi-skilled workers. They are exploring a need for a patient navigator for
Medi-Cal populations, particularly in the transition of care from hospital to clinic, to
community resources.
Common definitions for the patient navigator role would be helpful. When the labor market
assessment was conducted, it was difficult as the titles varied greatly. AAACN has done some
work for that in the ambulatory setting.
Robin Purdy: CWIBs were tasked by the Governor with creating the workforce plan for the
state. They are trying to develop a unified state plan to incorporate their partners. Their efforts
are focused on plan and policy development. They are developing a field Developing a
regional presence, skill agreement, and other efforts to engage employers. They have $12
million over the next few years to tackle employment challenges in 5 regions, as part of the
“Slingshot” effort. There is another $4 million in grants for innovation. The workforce plan
previously limited committee attendance, but new legislation allows more attendance.
Claire Enright: The federal government has imposed a five star rating system for Long Term
Care facilities. Most facilities have three, but some have 2s and 1s. Star ratings can be
improved by having more RNs, but it’s not reimbursable. For 49 beds: one RN/40 hours/week
meets the standard. She is experiencing a nursing shortage in central and northern California.
The also lacks CNAs and finds that “backyard” training centers are costly and graduates lack
job skills. Her ability to host students has been limited by poor survey results from CDPH
(State licensing), further exacerbating the shortage. She was pleased with soft skills thought
process and thanked the presenters for their work.
LaVonne LaMoreaux: The soft skills presentation was complemented and noted as applicable
to anyone anywhere, such as medical coding. There are currently two bills in Congress related
to IDC10: One ends it, the other guarantees reimbursement and delays implementation. Neither
is expected to pass.
Michael Hutchinson: He was promoted recently to Regional CEO. The MA correctional health
and corrections role has been developed and is being considered at the State HR Board.
Implementing EHR on October 27, starting with 3 pilot locations.
1:30– 2:00 pm
HWI Program Updates
2:00 pm
ADJOURN
Update members on
objectives and
activities for FY 1516.
Mr. Hutchinson adjourned the meeting at 1:57 pm.
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