Building Community

Collaborations to Address

Health Workforce

Shortages

Presented byLourdes Paez-Badii, Program Coordinator

Suzanne David, Program Manager

Mireya Velasco, Program Coordinator

Facilitated by

Gail Emrick, Executive Director

Goal:•Improve Health Care Service Delivery Through Increased Community Collaboration

Objectives:• Identify antecedent conditions

to rural health workforce shortages in recruitment, placement and retention phases;

• Explore/discuss practical strategies which are currently being utilized by other AHEC Centers to address health professions workforce development;

• Propose/develop new ways their Centers can build on community collaboration efforts to strengthen their program outcomes.

LOGIC MODEL-NATIONAL

Map 2Health Professionals Placement

HCP are not staying in underserved areas

Too few students choose a career in health care

Few Healthcare providers/grads choose rural employment

Map 1Health Careers Recruitment and Preparation

Map 3Health Professionals Retention

HCP supply, distribution, diversity and quality inadequate to meet the need in America

Root Cause/Logic Model Map: Root Cause/Logic Model Map: Barriers to Evidence-Based Healthcare and HealthBarriers to Evidence-Based Healthcare and Health  

ARIZONA LOGIC MODEL

Not enough healthcare professionals (HCP) and community members access and adopt evidenced-based healthcare and health practices.”

Root Cause/Logic Model Map: Barriers to Evidenced-Based Healthcare and Health Practices

Map 3Health Professionals Placement

HCP supply and quality inadequate to meet the need

HCP not staying in locations where most needed

Not a steady stream of enrollees, especially diverse enrollees, into HCP education/ training.

HCP students lack adequate community-based education experiences, especially with underserved populations

Not enough HCP practice in locations where most needed.

Map 2Health Careers Recruitment and Preparation

Map 4Health Professionals Retention

Healthy behavior not practiced by everyone

Inadequate community support for healthy behavior

Inadequate healthy behavior understanding in individuals and groupsMap 1

Community Health Promotion

RECRUITMENT/HEALTH CAREER CLUBS

Few students choose a career in healthcare

Few role models/mentors/health care heroes

Inadequate academic preparation

Inadequate cultural and Academic transition/survival skills (learning how to ask for help, take tests, use the library, access services, apply, lacking prerequisites)

Information not getting to target groups

Lack of intriguing experiences

Not enough counselors and advisors in schools, too busy, lack knowledge

Not aware of range of health care professions

Limited opportunities to explore health careers

Few high school health/science clubs

Don’t know the resources available/can’t access resources

Coursework in English, math, science is a struggle

Limited job shadowing

Root Cause/Logic Model Map 1: Simplified – 13 boxesHealth Careers Recruitment draft ~ NAO CORE 3-9-2006

RECRUITMENTHEALTH CAREER CLUBS:

School Based: Peer to Peer, Faculty, School Nurse

Community: Parents, Siblings, Health Care Provider

Agencies: Community Health Centers, Hospitals, Social Services, Workforce Development

HEALTH PROFESSIONALS:GRADUATION AND PLACEMENT

Too few Healthcare providers/grads choose rural employment

Not exposed to rural areas during training/lack of time for students in MUAs

High cost of rural rotation to student

Shortage of educational opportunities in MUAs

Personal preference for urban setting

Inadequate information on rural opportunities

Anxiety that inadequately prepared for rural setting

Logistics of placing students

Perception that can earn more $$ in urban, etc

Small rural sites don’t offer enough preceptorships

Small percent of grads from rural/underserved

MUA clinician believes they lack skills to be a preceptor

Students tend to practice where they train

Rural students not as competitive

Limited recruitment to rural jobs

Root Cause/Logic Model Map 2: Simplified – 15 boxesHealth Careers Placement draft ~ NAO CORE 3-9-2006

Recruitment & Retention:Health Professions Students

Community Level PartnersAcademic PartnersHealth ProfessionalsHealth Care Agencies

State AgenciesFederal Agencies

Health Profession Students

Too few Healthcare providers/grads choose rural employment

Not exposed to rural areas during training/lack of time for students in MUAs

High cost of rural rotation to student

Shortage of educational opportunities in MUAs

Personal preference for urban setting

Inadequate information on rural opportunities

Anxiety that inadequately prepared for rural setting

Logistics of placing students

Perception that can earn more $$ in urban, etc

Small rural sites don’t offer enough preceptorships

Small percent of grads from rural/underserved

MUA clinician believes they lack skills to be a preceptor

Students tend to practice where they train

Rural students not as competitive

Limited recruitment to rural jobs

Root Cause/Logic Model Map 2: Simplified – 15 boxesHealth Careers Placement draft ~ NAO CORE 3-9-2006

HEALTH CARE PROVIDER RETENTION

Healthcare Providers are not staying in underserved areas

Lack of HCP cultural sensitivity, knowledge of cultural norms

Not feeling connected/ part of community

Language barriers

Professional Isolation

Broader professional community does not reach out to HCP in rural/underserved

Small facilities lack infrastructure to keep up with new information

No local collegial support/professional enrichment/CE in geographic proximity

Lack of planning for workforce needs

Inadequate opportunities for professional development

Little effort to match HCP with community

Root Cause/Logic Model Map 3: Simplified – 11 boxes

Health Care Provider Retention/CEdraft ~ NAO CORE 3-9-2006

Continuing Education for Healthcare Providers, which can include not only Physicians & Nurses but also EMS Personnel and

Community Health Workers

University of Arizona DepartmentsLarge Hospitals

Local Community Health CenterMedical Helicopter Companies

Community GroupsTelemedicine

On-line Support for workshops out of service area

SEAHEC

Healthcare Providers are not staying in underserved areas

Lack of HCP cultural sensitivity, knowledge of cultural norms

Not feeling connected/ part of community

Language barriers

Professional Isolation

Broader professional community does not reach out to HCP in rural/underserved

Small facilities lack infrastructure to keep up with new information

No local collegial support/professional enrichment/CE in geographic proximity

Lack of planning for workforce needs

Inadequate opportunities for professional development

Little effort to match HCP with community

Root Cause/Logic Model Map 3: Simplified – 11 boxes

Health Care Provider Retention/CEdraft ~ NAO CORE 3-9-2006

DISCUSSION

ANY QUESTIONS?