Harris County Hospital DistrictCNA Project

The Harris County Hospital District (HCHD) is the largest Medical Complex in Texas with 3 Hospitals and 13 Medical Centers.

HCHD is internationally recognized as a leader in trauma care. Ben Taub General Hospital was selected to house the United States Military’s Joint Trauma Training Center

BACKGROUND

BACKGROUND cont.

The Joint Trauma Training Center is a cooperative civilian/military effort to provide military medical personnel with the experience needed for forward combat medical operations.

Teams have come from as far away as Ramstein, Germany.

TIMELINE

Early 2002 - Advancing Apprenticeship Initiative

Begin looking at new and emerging industries

Spring 2002 - Region IV assigns a Regional Healthcare Liaison (RHL)

Start with Texas – largest state in region - begin looking at what is going on in the state

TIMELINE cont.

Begin networking with the healthcare industry

June 2002 - 1st meeting with the Texas Institute for Health Policy Research

Bi-Partisan group

Connections with key healthcare related associations in Texas

THA,TNA, AHEC, SHCC & TDH

TIMELINE cont.

This meeting represented the key healthcare providers

Identified key players

July 2002 – Received invitation from AHEC to present to their regional directors…

TIMELINE cont.

Denton, Dallas/Fort Worth, Tyler, Waco, San Antonio, Victoria and Galveston

AHEC tied directly to local educational entities who are tied to a healthcare facility

Regional directors show interest in presentations to their area chapters

TIMELINE cont.

Aug 2002 – RHL and staff conduct 900 mile road show to area AHEC chapters

Tyler, Waco, San Antonio, Victoria

Sept 2002 – East Texas AHEC meets with RHL to discuss partnership promoting apprenticeship

Viewed as viable solution to capacity issue in healthcare industry

TIMELINE cont.

Oct 2002 – New state director on board

Nov 2002 – RHL discusses apprenticeship with LCDR. Donna Jefcoat, USN, Hospital Administrators Program at HCHD

TIMELINE cont.

Jan 2003 – Initial meeting with HCHD – Apprenticeship presentation

Attendees included RHL, SD, HCHD, Houston Community College and San Jacinto College, North

TIMELINE cont.

Mar 2003 – Meeting with Houston Community College Associate Dean and Dean of Health Science to determine interest in pilot

They were both very interested!

TIMELINE cont.

Apr 2003 – Meetings with Dr. Mary Ashley and Dr. Barbara Reece of HCHD

Ashley interested, but Reece only interested in 4 year program

May 2003 – Official announcement of CAEL grants

TIMELINE cont.

Conduct meeting with key players,

HCHD

Gulf Coast WIB – One Stops

HCC & San Jac North

Jun 2003 - CAEL proposes to HCHD to be first CAEL pilot site in the country

TIMELINE cont.

HCHD votes unanimous in favor of moving forward with project

July 2003 – Begin development stage – run into licensing issues with LVN

TIMELINE cont. BAT sponsors a legislative strategy

meeting to discuss how to overcome the licensing issues Key supporters were present as well as

opponents

Barriers and misconceptions were identified and discussed

THA & SHCC came to us wanting to meet one-on-one

Aug 2003 – THA and AHEC asks us to hold off while they work behind the scenes

TIMELINE cont.

Begin development of standards and MOU between CAEL and HCHD

CAEL, San Jacinto College North and Houston Community College begin development of CNA curriculum

TIMELINE cont.

Oct 2003 - Site Coordinator Maria Ester Bazan-Myrick hired by CAEL

Nov 2003 - Appoint CAEL Advisory and CNA Apprenticeship Committees

Jan 2004 – HCHD/CAEL MOU signed

Feb 2004 – CNA Apprenticeship Standards signed

HCHD/CAEL CNA Apprenticeship Model

Will create a new and innovative approach to addressing the HCHD nursing shortage by training CNAs through the registered apprenticeship model consisting of 2000 hours OJL with competency-based didactic training

HCHD/CAEL CNA Apprenticeship Model

Benefits Higher standards set for CNA

State requires only 75 didactic and 24 clinical hours for CNA

HCHD will provide 144 didactic hours and 2000 OJL hours of training

Assured Employment

HCHD/CAEL CNA Apprenticeship Model

Benefits cont.

Apprenticeship Certification/Verified on the job learning

Prepares for the future – CAEL Nursing Career Lattice Program (LVN)

Opened new doors and increased our visibility

HCHD/CAEL CNA Apprenticeship Model

Curriculum CNA Level I

Basic CNA, CPR

Communication, Leadership

CNA Level II

Phlebotomy

EKG

Next Steps

Invited to attend and present apprenticeship at the Statewide Health Workforce Symposium – Presented White paper on Apprenticeship and Healthcare poster - March 2004

Initiating new pilots with AHEC and associated healthcare facilities

Received invitation to present to Annual SHCC Conference in July 2004

On going work continues with licensing issues for LVN