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Arizona Action Coalition Workforce Grant | 1

Arizona Action Coalition Nursing Workforce

Partner/Stakeholder Kick-Off

Wednesday, March 2, 2016Arizona Chamber of Commerce

2 | Partner/Stakeholder Kick-Off Informational Packet

Table of ContentsAs mentioned in Robin Schaeffer and Tanie Sherman’s email letter, we have included several pieces of information that we would like you review prior to our partner/stakeholder kick-off meeting scheduled for Wednesday, March 02, 2016 at the Arizona Chamber of Commerce from 10:00am to 12:00pm

This information will give you a brief overview of our workforce development initiative that we have in place.

Included in this .pdf document are:

Future of Nursing; Campaign for Action Brochure –

This will give the reader a brief overview of the Future of Nursing/Campaign for Action and their involvement with the Robert Wood Johnson Foundation and AARP to reach out to the state Action Coalitions. The brochure contains information regarding the project which led the Arizona Action Coalition to receive our State Implementation grant.

Arizona Action Coalition Workforce Committee Summary –

This information gives you the background on the Arizona Action Coalition Work Force Committee, what we do, our goal, our strategy and a 2015 update. Additionally, we address “Why is Healthcare Workforce Supply and Demand Data important.

Arizona Action Coalition Workforce Grant –

This information gives you the overall purpose of our Arizona Action Coalition, our vision and our targeted audience of partners and stakeholders. We also discuss the Healthcare Workforce Issue in Arizona, The challenges presented and the workforce grant from the Robert Wood John Foundation and AARP.


Institute of Medicine, Leading Change, Advancing Health Recommendations –

We have included the findings and recommendations of the 2010 Institute of Medicine’s report for advising the nation and improving health. This a brief overview of the IOM’s 8 recommendations that led to each state choosing one or two recommendations to focus on. Our Arizona State Action Coalition chose recommendation number 8, to build an infrastructure for collection and analysis of interprofessional healthcare workforce data.

State Implementation Grants Awarded – US Map –

This map of the United States shows which states have received State Implementation Grants from the RWJ Foundation and AARP to address building the infrastructure to launch a Workforce Monitoring System and a Workforce Center. Initially, 19 states were awarded RWJF/AAPR Implementation Grants in 2013. In 2014 an additional 9 states were awarded grants. In 2015, the Arizona Action Coalition, through our Healthcare Workforce Committee was awarded the State Implementation Grant 3.

Arizona Action Coalition - Key Partners and Stakeholders –

List of our partners that have expressed interest in working as key stakeholders in our collaborative effort

Meeting Invitee List –

This is a list of partners and stakeholders that we are inviting to our March 2, 2016 meeting to discuss forming a collaborative effort in healthcare workforce development.

Arizona Action Coalition, Robert Wood Johnson Foundation and AARP Work Plan

This document is a copy of our entire Arizona State Implementation Work Plan for the duration of our grant cycle. Our work plan includes our project Goals, Objectives, Action Steps, Target Dates for completion and our 18 and 24 month deliverables. We will be discussing project goals one, two and three at our March 02, 2016 meeting. Project goals four, five and six will be discussed at a future meeting date to be determined.


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ARIZONA ACTION COALITION WORKFORCE COMMITTEE Established, March 2012

WHAT WE DO: The Workforce Committee of the Arizona Action Coalition (AZAC) is charged with implementing Recommendation 8 of the Institute of Medicine’s 2010 Future of Nursing Report. Recommendation 8 asks for improvement in research, collection and analysis of data on healthcare workforce requirements.

* OUR GOAL: The Workforce Committee’s goal is to design a sustainable infrastructure to collect, analyze and maintain inter-professional healthcare workforce supply and demand data. Arizona currently collects information about the supply of healthcare workers through a variety of avenues, including professional licensing boards and surveys. The complexities of healthcare workforce community demographics and demand in Arizona are not well developed to date.

OUR STRATEGY: The Committee’s strategy is to identify and convene a coordinated, statewide collaborative of committed healthcare stakeholders to address this issue. WHY IS HEALTHCARE WORKFORCE SUPPLY AND DEMAND DATA IMPORTANT? The face of healthcare is changing. Arizona’s healthcare leaders and policymakers must be able to respond to a diverse demographic, an aging population, and current and expected economic conditions that affect the utilization, acuity, and location of services. The industry must also be able to timely adapt to opportunities for professional education and training resulting from emerging technology. We need to develop reliable information about the characteristics of Arizona healthcare workforce, as well as high quality information about parameters of institutional and community demand for that workforce.

The availability of valid, reliable, readily available, and consistent workforce supply and demand data assists healthcare executives, business leaders, educators, researchers, and policymakers in identifying staffing needs and community resource availability, policy planning, and development of education and training opportunities to meet the future anticipated demand for all types of healthcare workers for a given region or community. *2015 UPDATE: High quality workforce supply and demand data results in better planning for Arizona’s future healthcare system needs. In February2015, AZAC received a 2-year grant from Robert Wood Johnson Foundation to build the infrastructure for a healthcare workforce monitoring system.


Arizona Action Coalition Workforce GrantFebruary 1, 2015 – January 31, 2017

Overall Purpose: To assure there are sufficient healthcare providers to keep Arizonans healthy.

Vision: To build health professions data system to collect and disseminate timely and reliable data for workforce planning and decision making.

Target: The data would be accessible to many groups including but not limited to: employers, educational institutions, business community, researchers, funders, state-based organizations, professional associations and policy makers.

The Healthcare Workforce Issue: The demand for healthcare in Arizona is fueled by population growth, an aging population, transient or retirement residents, and the prevalence of chronic illnesses such as diabetes and obesity. Healthcare delivery is focused on new models of care that combine cost savings, integrated healthcare, wellness, and primary care. These changes will require building the capacity of health care workers, professionals, educators, and community infrastructure. Arizona must be able to timely adapt to demands for professional education and training, and inform these healthcare planning needs with a sustainable model and process for managing healthcare workforce information.

The Workforce Challenge: High quality healthcare workforce supply and demand data is needed to plan for Arizona’s future healthcare system needs. Arizona lacks a sustainable infrastructure and central repository for healthcare workforce data that can be used by a broad group of Arizona stakeholders for healthcare delivery system decision-making and statewide planning efforts. Currently, healthcare workforce supply data in Arizona is available from professional licensing organizations, and is collected from multiple sources by multiple organizations and groups. The system of capturing and using available workforce data is inefficient, fragmented, and untimely, and thus, not reliable for planning or anticipating supply or need for various types of healthcare professionals.

The Workforce Grant: The Arizona Action Coalition (AZAC). AZAC has been awarded a 2-year Robert Wood Johnson Foundation State Implementation Plan Grant (RWJF SIP Grant) to facilitate the development of an inter-professional statewide healthcare workforce collaborative and steering committee that will guide the development of a sustainable model for healthcare workforce data collection, dissemination and management for Arizona. This workgroup will review and analyze existing structures, systems, processes, and professional and regulatory requirements, and make recommendations for adoption and implementation of a continuous and sustainable model for a central workforce data repository for Arizona. Robust inter-professional collaboration and attention to development of a diverse healthcare workforce are integral components of Arizona’s plan.

Community Partners: Matching Funds and in-kind donations were necessary to qualify for the RWJF SIP grant. A large thank-you goes out to all of our state-wide supporters listed below.

Arizona Nurses Association Arizona Hospital and Healthcare Association Arizona State Board of Nursing Arizona Association for Home Care Maricopa County : Workforce Development Division

City of Phoenix: Community & Economic Development

Arizona Commerce Authority St. Luke's Health Initiatives Arizona Nurses Foundation Arizona Organization of Nurse Executives Greater Valley Area Health Education Center Northern Arizona Area Health Education Center Eastern Arizona Area Health Education Center Southeast Arizona Area Health Education Center ASU College of Nursing & Health Innovation Regional Center for Border Health Northern Arizona University School of Nursing Scottsdale Healthcare Bilingual Nursing Fellowship Program Partnership with South Mountain Community College and Phoenix College Center for Nursing Excellence

National Association of Hispanic Nurses, Phoenix Chapter

Arizona College Personal Contributors: Pauline Komnenich, Pamela Randolph


Advising the nation / Improving health

For more information visit www.iom.edu/nursing

REPORT BRIEF OCTOBER 2010

The Future of Nursing Leading Change, Advancing Health

With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health. In 2008, The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) launched a two-year initiative to respond to the need to assess and transform the nursing profession. The IOM appointed the Com-mittee on the RWJF Initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blueprint for the future of nursing. Nurses practice in many settings, including hospitals, schools, homes, retail health clinics, long-term care facilities, battlefields, and community and public health centers. They have varying levels of education and competen-cies—from licensed practical nurses, who greatly contribute to direct patient care in nursing homes, to nurse scientists, who research and evaluate more effective ways of caring for patients and promoting health. The committee considered nurses across roles, settings, and education levels in its effort to envision the future of the profession. Through its deliberations, the committee developed four key messages that structure the recommendations presented in this report:

A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health.


needed to deliver safe, quality care. While nurse residency programs sometimes are supported in hospitals and large health systems, they focus primarily on acute care. However, residency programs need to be developed and evaluated in community settings.

2) Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.

To ensure the delivery of safe, patient-centered care across settings, the nursing education system must be improved. Patient needs have become more complicated, and nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and col-laboration, as well as competency in specific con-tent areas including community and public health and geriatrics. Nurses also are being called upon to fill expanding roles and to master technological tools and information management systems while collaborating and coordinating care across teams of health professionals. Nurses must achieve higher levels of educa-tion and training to respond to these increasing demands. Education should include opportuni-ties for seamless transition into higher degree programs—from licensed practical nurse (LPN)/licensed vocational nurse (LVN) diplomas; to the associate’s (ADN) and bachelor’s (BSN) degrees; to master’s, PhD, and doctor of nursing practice (DNP) degrees. Nurses also should be educated with physicians and other health professionals both as students and throughout their careers in lifelong learning opportunities. And to improve the quality of patient care, a greater emphasis must be placed on making the nursing workforce more diverse, particularly in the areas of gender and race/ethnicity.

1) Nurses should practice to the full extent of their education and training.

While most nurses are registered nurses (RNs), more than a quarter million nurses are advanced practice registered nurses (APRNs), who have master’s or doctoral degrees and pass national certification exams. Nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives all are licensed as APRNs. Because licensing and practice rules vary across states, the regulations regarding scope-of-practice—which defines the activities that a quali-fied nurse may perform—have varying effects on different types of nurses in different parts of the country. For example, while some states have regulations that allow nurse practitioners to see patients and prescribe medications without a physician’s supervision, a majority of states do not. Consequently, the tasks nurse practitioners are allowed to perform are determined not by their education and training but by the unique state laws under which they work. The report offers recommendations for a variety of stakeholders—from state legislators to the Centers for Medicare & Medicaid Ser-vices to the Congress—to ensure that nurses can practice to the full extent of their education and training. The federal government is particularly well suited to promote reform of states’ scope-of-practice laws by sharing and providing incen-tives for the adoption of best practices. One sub- recommendation is directed to the Federal Trade Commission, which has long targeted anti- competitive conduct in the health care market, including restrictions on the business practices of health care providers, as well as policies that could act as a barrier to entry for new competitors in the market. High turnover rates among new nurses underscore the importance of transition-to- practice residency programs, which help man-age the transition from nursing school to practice and help new graduates further develop the skills

10 | Partner/Stakeholder Kick-Off Informational Packet3

3) Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.

Efforts to cultivate and promote leaders within the nursing profession—from the front lines of care to the boardroom—will prepare nurses with the skills needed to help improve health care and advance their profession. As leaders, nurses must act as full partners in redesign efforts, be account-able for their own contributions to delivering high-quality care, and work collaboratively with leaders from other health professions. Being a full partner involves taking responsi-bility for identifying problems and areas of system waste, devising and implementing improvement plans, tracking improvement over time, and mak-ing necessary adjustments to realize established goals. In the health policy arena, nurses should participate in, and sometimes lead, decision mak-ing and be engaged in health care reform-related implementation efforts. Nurses also should serve actively on advisory boards on which policy deci-sions are made to advance health systems and improve patient care. In order to ensure that nurses are ready to assume leadership roles, nursing education pro-grams need to embed leadership-related compe-tencies throughout. In addition, leadership devel-opment and mentoring programs need to be made

To ensure the delivery of safe, patient-centered care across settings, the nursing education system must be improved. Patient needs have become more complicated, and nurses need to attain requisite competencies to deliver high-quality care.

available for nurses at all levels, and a culture that promotes and values leadership needs to be fos-tered. All nurses must take responsibility for their personal and professional growth by developing leadership competencies and exercising these competencies across all care settings.

4) Effective workforce planning and policy making require better data collection and an improved information infrastructure.

Planning for fundamental, wide-ranging changes in the education and deployment of the nursing workforce will require comprehensive data on the numbers and types of health professionals— including nurses—currently available and re- quired to meet future needs. Once an improved infrastructure for collecting and analyzing work-force data is in place, systematic assessment and projection of workforce requirements by role, skill mix, region, and demographics will be needed to inform changes in nursing practice and education. The 2010 Affordable Care Act mandates the creation of both a National Health Care Work-force Commission to help gauge the demand for health care workers and a National Center for Workforce Analysis to support workforce data collection and analysis. These programs should place a priority on systematic monitoring of the supply of health care workers across professions, review of the data and methods needed to develop


The Institute of Medicine serves as adviser to the nation to improve health. Established in 1970 under the charter of the National Academy of Sciences,

the Institute of Medicine provides independent, objective, evidence-based advice to policy makers, health professionals, the private sector, and the public.

Copyright 2010 by the National Academy of Sciences. All rights reserved.

500 Fifth Street, NW Washington, DC 20001

TEL 202.334.2352 FAX 202.334.1412

www.iom.edu

Advising the nation / Improving health

Donna E. Shalala (Chair) President, University of Miami, Coral Gables, FL

Linda Burnes Bolton (Vice Chair) Vice President and Chief Nursing Officer, Cedars-Sinai Health System and Research Institute, Los Angeles, CA

Michael R. Bleich Dean and Dr. Carol A. Linde-man Distinguished Profes-sor, Vice Provost for Inter-professional Education and Development Oregon Health and Science University School of Nursing, Portland

Troyen A. Brennan Executive Vice President, Chief Medical Officer, CVS Caremark, Woonsocket, RI

Robert E. Campbell Vice Chairman (retired), John-son & Johnson, New Brunswick, NJ

Leah Devlin Professor of the Practice, University of North Caro-lina School of Public Health, Raleigh

Catherine Dower Associate Director of Research, Center for the Health Profes-sions, University of California, San Francisco

Rosa Gonzalez-Guarda Assistant Professor, School of Nursing and Health Studies, University of Miami, Coral Gables, FL

David C. Goodman Professor of Pediatric and of Community and Family Medicine, Children’s Hospital at Dartmouth, The Dartmouth Institute for Policy and Clinical Practice, Hanover, NH

Jennie Chin Hansen Chief Executive Officer, American Geriatrics Society, New York

C. Martin Harris Chief Information Officer, Cleveland Clinic, Cleveland, OH

Anjli Aurora Hinman Alumni Chair, Health Students Taking Action Together, Duluth, GA

William D. Novelli Distinguished Professor, McDonough School of Busi-ness, Georgetown University, Washington, DC

Liana Orsolini-Hain Nursing Instructor, City College of San Francisco, CA

Yolanda Partida Director, National Center, Hablamos Juntos, Assistant Adjunct Professor, University of California, San Francisco, Fresno, Center for Medical Education and Research

Robert D. Reischauer President, The Urban Institute, Washington, DC

John W. Rowe Professor, Mailman School of Public Health, Department of Health Policy and Management, Columbia University, New York

Bruce C. Vladeck Senior Advisor, Nexera Consulting, New York

Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine

accurate predictions of workforce needs, and coor-dination of the collection of data on the health care workforce at the state and regional levels. All data collected must be timely and publicly accessible.

Conclusion

The United States has the opportunity to trans-form its health care system, and nurses can and should play a fundamental role in this transforma-tion. However, the power to improve the current regulatory, business, and organizational condi-tions does not rest solely with nurses; government, businesses, health care organizations, professional associations, and the insurance industry all must play a role. The recommendations presented in this report are directed to individual policy makers; national, state, and local government leaders; payers; and health care researchers, executives, and profes-sionals—including nurses and others—as well as to larger groups such as licensing bodies, educational institutions, philanthropic organizations, and con-sumer advocacy organizations. Working together, these many diverse parties can help ensure that the health care system provides seamless, afford-able, quality care that is accessible to all and leads to improved health. f

Susan Hassmiller Study Director

Adrienne Stith Butler Senior Program Officer

Andrea M. Schultz Associate Program Officer

Katharine Bothner Research Associate

Thelma L. Cox Administrative Assistant

Tonia E. Dickerson Senior Program Assistant

Gina Ivey Communications Director

Lori Melichar Research Director

Julie Fairman Nurse Scholar-in-Residence

Judith A. Salerno Executive Officer, IOM

Study Staff

Study Sponsor

The Robert Wood Johnson Foundation

Christine Gorman Technical Writer

Rona Briere Consultant Editor

Consultants


Key Stakeholders and Partners

The Arizona Action Coalition has been working to develop key relationships and expand the stakeholder group that will develop a sustainable infrastructure for Arizona’s healthcare workforce data. Key stakeholders at this writing who are interested in participation in a workforce collaborative include, but are not limited to:

Arizona Nurses AssociationArizona Hospital and Healthcare AssociationArizona Association for Home Care Maricopa Community College Workforce DevelopmentArizona Health Education Centers (5 regions)Maricopa Workforce Investment BoardPhoenix Workforce ConnectionSt. Luke’s Health Initiative Phoenix Health Care Sector Partnership City of Phoenix, Community and Economic Development; Arizona Commerce AuthorityArizona State University College of Nursing and Health InnovationUniversity of Arizona Rural Health OfficeBlue Cross Blue Shield of Arizona;Scottsdale HealthcareAdelante Healthcare; Cigna Healthcare; United Blood Services;Banner HealthDignity HealthTranslational Genomics (T-Gen) Arizona Department of Health ServicesArizona Health Care Cost Containment System AdministrationArizona Healthcare Licensing Boards of Medicine, Nursing, Pharmacy, PhysicalTherapy, and Home Care Cecil G Sheps Center for Health Services Research, University of North Carolina, Health Workforce Technical Assistance Center (HWTAC) State University of New York, Albany, School of Public Health, Health Workforce Technical Assistance Center (HWTAC)


Name: Company: Position:

Patti Taylor GVAHEC Director Barb Fanning Arizona Hospital & Healthcare

Association Director of Government Affairs

Bill Johnson Arizona State University Director of the Center for Health Information & Research

Bill Ridenour Regent Board of Regents - Arizona Public Universities Charles (Chuck) Brown

Physical Therapy Board Executive Director

Claudia Whitehead

Greater Phoenix Chamber of Commerce

Senior Economic Development Manager

Colby Bower ADHS Assistant Director of Licensing Craig Phelps A.T. Still University President Cynthia Spell Tweh

City of Phoenix Deputy Director at City of Phoenix/Workforce Development

Debbie Johnston

Arizona Hospital & Healthcare Association

Sr. Vice President

Debbie Johnston

AzHHA Senior Vice President, Policy Development

Dr. Dan Derksen

University of Arizona, Tucson Director of the Arizona Center for Rural Health

How Eng University of Arizona School of Public Health/ Healthcare Workforce James Montoya

City of Phoenix Workforce Project Manager

Jennifer Carusetta

Health System Alliance of Arizona (HSAA)

Director (Newly Formed - Represents Banner, Dignity, HonorHealth & Tenet)

Jennifer Midgett

HonorHealth Workforce Development Manager

Joe Taber University of Arizona - School of Public Health

Assistant Professor - Community, Environment & Policy Department

Kathleen H. Goeppinger

Midwestern University PhD, President & CEO

Katie Fischer Arizona Chamber of Commerce Director of Legal and Federal Affairs Kelsey Jahntz Arizona Commerce Authority Workforce Arizona Council Manager Kim VanPelt SLHI Director of State Health Policy and Advocacy Lourdes Paez Arizona Alliance of Non-Profits Workforce Development Coordinator Lynnette Gaxiola

MCCC Center for Workforce Development


Mark Dobbins Arizona Workforce Connection Chair, Arizona Commerce Authority Designee Maureen Sterbach

Dignity Health Vice President of Human Resources

Melanie Brewer

HonorHealth Director of Nursing Research

Melanie Logue Grand Canyon University Dean of Nursing School, PhD, DNP, APRN, CFNP, FAANP

Michele Eckert Maricopa Corporate College (MCCC)

Workforce Development Manager

Pam Fuller Chamberlain College President, College of Nursing Pam Lindley City of Phoenix Economic Development Program Manager Pam Randolph Arizona State Board of Nursing RN, MS, Associate Director Patricia Tarango

ADHS Chief, Bureau of Health Systems Development (BSHD)

Patricia Wallace

Maricopa County Director Workforce Development

Patricia Wallace

Maricopa County Human Services Department

Assistant Director - Workforce Development Division

Paul Shannon ADOA - Workforce Innovation & Opportunity Act

Assistant Director, Budget and Resource Planning

Randy Kimmens

MCCC Associate Vice-Chancellor of Workforce Development

Rosalyn Boxer Arizona Commerce Authority Vice President, Workforce Services Sally Reel Area Health Education Centers President & CEO Sandy Severson

AzHHA Vice President, Care Improvement

Seth Dyson MCCC Director of Community Partnerships/Workforce Development

Tera McCollum-Plese

Arizona Alliance of Community Health Centers

Chief External Affairs Officer

Teresa Connolly

Arizona Organization of Nurse Executives (AzONE)

President

Tom Callahan Arizona Governor's Office Specialist - Boards and Commissions Trevor Stokes Arizona Commerce Authority Workforce Development (Sheila Shedd's

previous position)


Upda

ted

12/1

7/14

Ariz

ona

SIP

Wor

kpla

n: R

evis

ed 1

2/17

/14

Proj

ect T

itle:

The

Fut

ure

of N

ursi

ng: A

rizon

a Im

plem

enta

tion

Prog

ram

Pr

ojec

t Dire

ctor

: R

obin

Sch

aeffe

r Ar

ea o

f Foc

us:

Wor

kfor

ce a

nd D

iver

sity

Pr

ojec

t Goa

l #1:

Inte

rpro

fess

iona

l and

Div

erse

Hea

lthca

re W

orkf

orce

Col

labo

rativ

e

Obj

ectiv

es

Ac

tion

Step

s Ta

rget

D

ate

R

espo

nsib

le

Pers

on

D

eliv

erab

les

18-M

onth

24

-Mon

th

Con

vene

a

colla

bora

tive

grou

p of

Ar

izon

a st

akeh

olde

rs

to g

uide

dev

elop

men

t of

an

infra

stru

ctur

e fo

r a

wor

kfor

ce

mon

itorin

g sy

stem

(W

MS)

for h

ealth

care

w

orkf

orce

pla

nnin

g

C

reat

e a

dive

rse

list o

f sta

keho

lder

s to

in

clud

e he

alth

care

pro

fess

ions

gro

ups

and

stat

e w

orkf

orce

-rela

ted

entit

ies

O

btai

n co

mm

itmen

t of s

take

hold

ers

C

onve

ne p

lann

ing

sess

ion(

s)

Id

entif

y go

als

Id

entif

y cu

rrent

wor

kfor

ce m

onito

ring

syst

ems

(WM

S) fr

om o

ther

sta

tes

3 m

onth

s

Wor

kfor

ce

Dat

a C

omm

ittee

co-

lead

s SI

P G

rant

Pr

ogra

m

Coo

rdin

ator

(P

C)

D

ocum

ent o

f m

eetin

gs a

nd

plan

ning

pr

oces

s

Id

entif

y gr

oup

outc

omes

, ne

xt s

teps

NA

Proj

ect G

oal #

2: W

orkf

orce

mon

itorin

g sy

stem

Dev

elop

men

t

Obj

ectiv

es

Ac

tion

Step

s Ta

rget

D

ate

Res

pons

ible

Pe

rson

D

eliv

erab

les

18-M

onth

24

-Mon

th

Dev

elop

a W

MS

for a

n Ar

izon

a H

ealth

care

W

orkf

orce

Cen

ter t

o ca

ptur

e su

pply

and

D

eter

min

e cr

iteria

for e

valu

atio

n of

sta

te

wor

kfor

ce m

onito

ring

syst

ems

incl

udin

g fin

anci

al a

nd p

erso

nnel

requ

irem

ents

for

sust

aina

bilit

y.

5 m

onth

s W

orkf

orce

D

ata

Com

mitt

ee

co-le

ads

Stat

e W

orkf

orce

M

onito

ring

NA


Upda

ted

12/1

7/14

O

bjec

tives

Ac

tion

Step

s Ta

rget

D

ate

Res

pons

ible

Pe

rson

D

eliv

erab

les

18-M

onth

24

-Mon

th

dem

and

data

for

heal

thca

re w

orkf

orce

pl

anni

ng.

(Foc

us w

ill in

clud

e nu

rsin

g de

mog

raph

ic p

rofil

e da

ta to

be

able

to

mea

sure

pro

gres

s to

war

ds p

rom

otin

g a

dive

rse

wor

kfor

ce th

at

refle

cts

Ariz

ona)

.

Su

b-co

mm

ittee

to c

reat

e a

sum

mar

y of

ot

her s

tate

hea

lthca

re w

orkf

orce

dat

a m

onito

ring

syst

ems

incl

udin

g m

etho

ds o

f fin

anci

al, p

erso

nnel

and

type

s of

ad

min

istra

tion

over

sigh

t of t

he c

ente

rs.

Su

b-co

mm

ittee

to s

umm

ariz

e cu

rrent

Ar

izon

a w

orkf

orce

dat

abas

es, t

heir

data

po

ints

and

sou

rces

8 m

onth

s

Syst

em

Sum

mar

y

Ariz

ona

Wor

kfor

ce

wor

k to

dat

e

Ariz

ona

W

orkf

orce

M

onito

ring

Syst

em

Sh

are

findi

ngs

with

Inte

rpro

fess

iona

l H

ealth

care

Wor

kfor

ce C

olla

bora

tive

(Ret

reat

-see

Pro

ject

Goa

l #3)

10 m

onth

s

C

hoos

e W

MS

for A

rizon

a.

Es

tabl

ish

goal

s fo

r ope

ratio

naliz

ing

WM

S in

clud

ing

sust

aina

bilit

y st

rate

gies

.

Esta

blis

h sh

ort,

med

ium

, and

long

-term

st

rate

gies

and

nex

t ste

ps fo

r WM

S.

10 m

onth

s

Proj

ect G

oal #

3: O

pera

tiona

lize

Ariz

ona

Hea

lthca

re W

orkf

orce

Cen

ter

O

bjec

tives

Ac

tion

Step

s Ta

rget

D

ate

R

espo

nsib

le

Pers

on

D

eliv

erab

les

18-M

onth

24

-Mon

th

Esta

blis

h a

heal

thca

re

wor

kfor

ce c

ente

r for

Ar

izon

a Id

entif

y pl

an fo

r su

stai

nabi

lity

C

onve

ne 1

-day

retre

at fo

r In

terp

rofe

ssio

nal a

nd D

iver

se

Hea

lthca

re W

orkf

orce

Col

labo

rativ

e.

D

evel

op C

ente

r mis

sion

, goa

ls, a

nd

purp

ose

10 m

onth

s

14

mon

ths

PC a

nd

colla

bora

tive

wor

kgro

ups

Doc

umen

ts o

f:

Polic

y an

d Pr

oced

ures

Mis

sion

/ G

oals

and

Pu

rpos

e

NA

D

evel

op jo

b de

scrip

tions

(lis

t ski

ll se

ts

need

ed a

nd ti

min

g fo

r goa

l atta

inm

ent)


Upda

ted

12/1

7/14

Proj

ect G

oal #

4: D

ata

man

agem

ent/a

cces

s st

anda

rds

O

bjec

tives

Ac

tion

Step

s Ta

rget

D

ate

R

espo

nsib

le

Pers

on

D

eliv

erab

les

18-M

onth

24

-Mon

th

Esta

blis

h st

anda

rds

for

data

man

agem

ent a

nd

acce

ss

Iden

tify

data

poi

nts

to c

olle

ct fo

r in

terp

rofe

ssio

nal a

nd d

iver

se h

ealth

care

w

orke

rs.

16 m

onth

s PC

Polic

ies

and

proc

edur

e fo

r da

ta

man

agem

ent

and

data

use

ag

reem

ents

NA

Dev

elop

a d

ata

dict

iona

ry.

Iden

tify

way

s to

col

lect

dat

a in

clud

ing

sour

ces

Dev

elop

pol

icy

and

proc

edur

e fo

r dat

a m

aint

enan

ce, p

rote

ctio

n an

d us

e. (

prot

ect

conf

iden

tialit

y, re

liabi

lity,

val

idity

and

ob

ject

ivity

) C

reat

e da

ta u

se a

gree

men

ts to

add

ress

ho

w d

ata

will

be u

sed,

dat

a se

curit

y an

d co

nfid

entia

lity

polic

ies,

and

adh

eren

ce to

pr

ivac

y ac

ts.

and

stra

tegi

es fo

r obt

aini

ng s

taff

(aca

dem

ic p

artn

ersh

ips,

con

tract

s,

stud

ents

/inte

rns)

Jo

b D

escr

iptio

ns

Ev

alua

tion

Pl

an

Su

stai

nabi

lity

Pla

n

C

larif

y st

ruct

ure

for o

ngoi

ng

rela

tions

hips

bet

wee

n di

vers

e St

akeh

olde

rs a

nd W

orkf

orce

Cen

ter f

or

long

term

dec

isio

n m

akin

g an

d su

stai

nabi

lity

of C

ente

r

Iden

tify

com

pute

r pro

gram

s ca

pabl

e of

ho

usin

g w

orkf

orce

dat

a.

Se

cure

fund

ing

sour

ces

for s

usta

inab

ility

of C

ente

r, in

clud

ing

partn

ers

outs

ide

of

heal

th c

are

that

ser

ve u

nder

repr

esen

ted

grou

ps.


Upda

ted

12/1

7/14

Proj

ect G

oal #

5: B

eta

Test

of t

he W

MS

O

bjec

tives

Ac

tion

Step

s Ta

rget

D

ate

Res

pons

ible

Pe

rson

Del

iver

able

s 18

-Mon

th

24-M

onth

In

itiat

e pl

anni

ng fo

r te

stin

g of

pro

cess

and

in

frast

ruct

ure

thro

ugh

a pi

lot s

urve

y of

di

vers

e pr

imar

y ca

re

prov

ider

s.

Det

erm

ine

rese

arch

que

stio

ns fo

r sur

vey

12 m

onth

s

PC o

r Ex

ecut

ive

Dire

ctor

of

the

Cen

ter

Dat

a C

olle

ctio

n fo

r Pr

imar

y C

are

Prov

ider

s in

clud

ing

MD

s,

DO

s, N

Ps,

PAs

Com

plet

e da

ta

anal

ysis

Dis

sem

inat

e Fi

ndin

gs

Cho

ose

a ve

ndor

for s

urve

y if

appl

icab

le

14 m

onth

s C

reat

e ta

rget

dis

tribu

tion

list f

or s

urve

y

14 m

onth

s D

istri

bute

sur

vey

16 m

onth

s

Anal

yze

data

20

mon

ths

Rep

ort f

indi

ngs

to s

take

hold

ers

24 m

onth

s


Upda

ted

12/1

7/14

Proj

ect G

oal #

6: D

iver

sity

of R

N W

orkf

orce

Obj

ectiv

es

Ac

tion

Step

s Ta

rget

D

ate

Res

pons

ible

Pe

rson

Del

iver

able

s 18

-Mon

th

24-M

onth

Pr

epar

e a

dive

rse

RN

w

orkf

orce

by

prov

idin

g m

ento

rshi

p op

portu

nitie

s fo

r nu

rsin

g st

uden

ts fr

om

dive

rse

back

grou

nds

to e

ngag

e in

pre

cept

ed

clin

ical

exp

erie

nces

w

ith u

nder

serv

ed

popu

latio

ns a

nd

com

mun

ities

.

Iden

tify

dive

rse

RN

pre

cept

ors

who

wor

k w

ith u

nder

serv

ed p

opul

atio

ns fr

om th

e Ph

oeni

x an

d Yu

ma

Cha

pter

s of

the

Nat

iona

l As

soci

atio

n of

His

pani

c N

urse

s (N

AHN

) and

ot

her d

iver

se n

ursi

ng o

rgan

izat

ions

.

Dev

elop

pre

cept

or a

nd s

tude

nt

obje

ctiv

es fo

r the

exp

erie

nce;

focu

sing

on

men

tors

hip

to a

dvan

ce th

e he

alth

of

Ariz

ona

unde

rser

ved

popu

latio

ns.

D

evel

op p

rece

ptor

/stu

dent

crit

eria

, suc

h as

: bilin

gual

, bic

ultu

ral b

ackg

roun

d w

ith

an in

tere

st o

n pr

ovid

ing

care

for d

iver

se

Ariz

ona

com

mun

ities

.

Con

nect

with

div

erse

nur

sing

gro

ups

to

recr

uit a

min

imum

of 2

0 qu

alifi

ed

prec

epto

rs; u

sing

this

opp

ortu

nity

as

a pl

atfo

rm to

pra

ctic

e le

ader

ship

ski

lls a

s m

ento

rs a

nd e

duca

tors

6 m

onth

s Ad

riana

Pe

rez

1. A

min

imum

of

20

stud

ent/R

N

dyad

s w

ill en

gage

in a

pr

ojec

t with

un

ders

erve

d po

pula

tions

. 2.

Eva

luat

ions

of

pre

cept

or

train

ing

and

the

prec

epte

d ex

perie

nce

by

facu

lty,

stud

ents

and

pr

ecep

tors

will

be p

ositi

ve.

3. E

ach

dyad

w

ill lis

t at l

east

on

e po

sitiv

e pa

tient

ou

tcom

e re

sulti

ng fr

om

the

expe

rienc

e,

with

a s

peci

fic

focu

s on

di

vers

e/

unde

rser

ved

popu

latio

n.

1. A

min

imum

of

40

stud

ent/R

N

dyad

s w

ill en

gage

in a

pr

ojec

t with

un

ders

erve

d po

pula

tions

. 2.

Eva

luat

ions

of

pre

cept

or

train

ing

and

the

prec

epte

d ex

perie

nce

by

facu

lty,

stud

ents

and

pr

ecep

tors

will

be p

ositi

ve.

3. E

ach

dyad

w

ill lis

t at l

east

on

e po

sitiv

e pa

tient

ou

tcom

e re

sulti

ng fr

om

the

expe

rienc

e,

with

a s

peci

fic

focu

s on

di

vers

e/

unde

rser

ved

popu

latio

n

Trai

n a

min

imum

of 2

0 pr

ecep

tors

Dev

elop

or i

dent

ify a

n ex

istin

g tra

inin

g pr

ogra

m fo

r pre

cept

ors

in p

artn

ersh

ip

with

eth

nic

min

ority

nur

sing

or

gani

zatio

ns o

f Ariz

ona

H

old

train

ing

sess

ions

eith

er in

per

son

or u

sing

dis

tanc

e ed

ucat

ion

Eval

uate

trai

ning

6 m

onth

s Ad

riana

Pe

rez

Enga

ge in

tere

sted

nur

sing

pro

gram

s an

d st

uden

ts

D

evel

op c

riter

ia a

nd m

inim

um

expe

ctat

ions

of s

tude

nt p

erfo

rman

ce

6 m

onth

s Ad

riana

Pe

rez,

N

ursi

ng

Prog

ram

D

irect

or


Upda

ted

12/1

7/14

O

bjec

tives

Ac

tion

Step

s Ta

rget

D

ate

Res

pons

ible

Pe

rson

Del

iver

able

s 18

-Mon

th

24-M

onth

Mee

t with

nur

sing

pro

gram

dire

ctor

s to

en

sure

obj

ectiv

es o

f exp

erie

nce

mee

t le

arni

ng o

bjec

tives

of p

rogr

am

En

sure

clin

ical

con

tract

s ar

e in

pla

ce

4. S

ix m

onth

s po

st

expe

rienc

e,

stud

ents

and

pr

ecep

tors

will

desc

ribe

the

impa

ct o

f the

ex

perie

nce

on

thei

r pra

ctic

e.

5. A

t lea

st o

ne

nurs

ing

prog

ram

will

sust

ain

the

expe

rienc

e be

yond

the

perio

d of

the

gran

t.

Pair

stud

ents

with

pre

cept

ors

in d

yads

Dya

ds d

evel

op m

utua

l goa

ls/ti

me

com

mitm

ents

/doc

umen

tatio

n fo

r the

ex

perie

nce

and

mee

t with

facu

lty

D

yads

com

plet

e ag

reed

upo

n ho

urs

and

mee

t obj

ectiv

es

St

uden

t, pr

ecep

tor a

nd fa

culty

eva

luat

e ex

perie

nce

To

the

exte

nt p

ossi

ble,

pat

ient

s ev

alua

te

thei

r exp

erie

nces

with

the

stud

ent.

12 m

onth

s Ad

riana

Pe

rez,

N

ursi

ng

Facu

lty

Ba

sed

on e

valu

ativ

e da

ta, M

odify

ex

perie

nces

and

incr

ease

par

ticip

atio

n fo

r se

cond

yea

r.

12 m

onth

s Ad

riana

Pe

rez,

Fo

llow

-up

with

stu

dent

s an

d pr

ecep

tors

6

mon

ths

post

par

ticip

atio

n to

det

erm

ine

long

-te

rm im

pact

of t

he p

roje

ct.

Use

bas

elin

e as

sess

men

t fro

m th

e St

ate

Boar

d of

Nur

sing

201

3 An

nual

Rep

ort t

o ev

alua

te in

crea

ses

in s

tude

nt/fa

culty

eth

nic

min

ority

and

gen

der d

iver

sity

.

18 m

onth

s,

24 m

onth

s an

d 30

m

onth

s

Prog

ram

C

oord

inat

or

or A

Z Ac

tion

Coa

litio

n af

ter 2

4 m

onth

s

Dis

sem

inat

ion

of fi

ndin

gs a

nd

best

pra

ctic

es

thro

ugh

peer

-re

view

ed

foru

ms

and

publ

icat

ions

.

Dis

sem

inat

ion

of fi

ndin

gs a

nd

best

pra

ctic

es

thro

ugh

peer

-re

view

ed

foru

ms

and

publ

icat

ions

, de

pend

ing

on

addi

tiona

l (lo

ng-te

rm)

findi

ngs.


Upda

ted

12/1

7/14

O

bjec

tives

Ac

tion

Step

s Ta

rget

D

ate

Res

pons

ible

Pe

rson

Del

iver

able

s 18

-Mon

th

24-M

onth

Bu

ild u

pon

exis

ting

NAH

N L

eade

rshi

p Tr

aini

ng fo

r nur

ses

and

stud

ents

, tea

chin

g Ar

izon

a m

ultic

ultu

ral

com

mun

ities

the

fund

amen

tals

of t

he

Affo

rdab

le C

are

Act.

Trai

n-th

e-tra

iner

wor

ksho

p ha

s be

en

deve

lope

d an

d is

cur

rent

ly b

eing

im

plem

ente

d by

NAH

N P

hoen

ix a

nd Y

uma,

th

roug

h a

fede

ral g

rant

. O

ur g

oal i

s to

ex

tend

the

train

ing

to o

ther

div

erse

nur

sing

gr

oups

, inc

ludi

ng th

e Bl

ack

Nur

ses

Asso

ciat

ion,

Phi

lippi

ne N

urse

s As

soci

atio

n,

Nat

ive

Amer

ican

Nur

ses

Asso

ciat

ion,

and

St

uden

t Nur

ses

Asso

ciat

ion.

Sche

dule

wor

ksho

ps fo

r div

erse

m

embe

rs o

f nur

sing

ass

ocia

tions

in

Ariz

ona

that

can

pro

vide

the

educ

atio

n,

train

ing

and

men

tors

hip

of th

is p

rogr

am

to th

eir r

espe

ctiv

e or

gani

zatio

ns.

A re

ason

able

goa

l is

to re

crui

t at l

east

10

mem

bers

of d

iver

se n

ursi

ng

orga

niza

tions

, inc

ludi

ng s

tude

nts,

for

parti

cipa

tion.

Will

incl

ude

educ

atio

n an

d tra

inin

g m

ater

ial t

hat i

s re

flect

ive

of a

ll un

derre

pres

ente

d co

mm

uniti

es, u

sing

cu

ltura

lly a

ppro

pria

te m

essa

ging

.

Prom

ote

stat

e w

ide

partn

ersh

ips

with

or

gani

zatio

ns th

at c

an s

erve

as

educ

atio

n si

tes

for t

ownh

all s

essi

ons,

em

phas

izin

g pr

even

tion

and

wel

lnes

s th

roug

h th

e AC

A.

Pr

ovid

e on

goin

g su

ppor

t and

men

tors

hip

to d

iver

se n

urse

s en

gage

d in

thes

e ef

forts

thro

ugh

virtu

al a

nd fa

ce-to

-face

m

eetin

g pl

atfo

rms.

12 m

onth

s 24

mon

ths

Ad

riana

Pe

rez

in

partn

ersh

ip

with

oth

er

NAH

N

lead

ers.

Trai

n-th

e-Tr

aine

r mod

ule

that

can

be

embe

dded

in

unde

rgra

duat

e nu

rsin

g pr

ogra

ms

to

prep

are

our

futu

re

wor

kfor

ce o

n he

alth

car

e re

form

.

Rep

ort n

ursi

ng

lead

ersh

ip

expe

rienc

e qu

estio

nnai

re

resu

lts b

oth

pre

and

post

pa

rtici

patio

n in

tra

inin

g.

Rep

ort

indi

vidu

al a

nd

fam

ily

expe

rienc

es

serv

ed b

y th

is

prog

ram

.

Publ

ish

and

pres

ent b

est

prac

tices

in

peer

-revi

ewed

jo

urna

ls a

nd

foru

ms,

in

clud

ing

diss

emin

atio

n of

resu

lts

amon

g ot

her

actio

n co

aliti

ons.


Upda

ted

12/1

7/14

O

bjec

tives

Ac

tion

Step

s Ta

rget

D

ate

Res

pons

ible

Pe

rson

Del

iver

able

s 18

-Mon

th

24-M

onth

Trac

k an

d re

port

the

nurs

ing

expe

rienc

e w

ith p

roje

ct, i

nclu

ding

the

long

-term

re

crui

tmen

t and

rete

ntio

n of

thos

e pa

rtici

patin

g.

Ev

alua

te n

ursi

ng le

ader

ship

de

velo

pmen

t usi

ng e

stab

lishe

d qu

estio

nnai

re (c

urre

ntly

use

d in

NAH

N

ACA

gran

t).

To

the

exte

nt p

ossi

ble

eval

uate

m

ulitc

ultu

ral i

ndiv

idua

ls a

nd fa

milie

s se

rved

by

this

com

mun

ity e

duca

tion

prog

ram

, tra

ckin

g ov

eral

l goa

l of

prom

otin

g th

e he

alth

and

wel

lnes

s of

di

vers

e Ar

izon

a co

mm

uniti

es.


The Arizona Action Coalition is a Branch of the Arizona Nurses Foundation

Administrative Support for the Arizona Action Coalition is provided by the Arizona Nurses Association

1850 East Southern Avenue, Suite 1Tempe, AZ 85282www.aznurse.org

[email protected]

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