Introduction to Registered Apprenticeship (RA): A Workforce Strategy for Health Care For the Healthcare Career Advancement Program (H-CAP) Feb 14, 2011
President Obama, State of the Union message, “Registered Apprenticeship as means to attain a post- secondary certificate” US DOL Secretary Solis vision, “Good Jobs for Everyone” Registered Apprenticeship and Workforce One-Stop integration Inclusion in the Affordable Care Act ◦ RA sponsors are eligible for grants ◦ RA sponsors are eligible to sit on the National Commission
Healthcare Energy Transportation Information Technology Public Sector Education Manufactoring Construction
INCREMENTAL ON-THE-JOB RELATED WAGE INCREASES: LEARNING: INSTRUCTION MENTORING Apprentices Subject content Apprentices Registered work and learn and time receive Apprentices under qualified requirements technical receive personnel depend on training incremental occupation through a wage increases Responsibilities variety of based on skills ensure increased methods attainment and job competency job proficiency over time 4
At least 2,000 hours of supervised and structured on-the- job learning in an occupation Minimum of 144 hours of related instruction in technical subjects related to the occupation, may be college credit Registered with US Dept of Labor Office of Apprenticeship or state registering agency 5
Registered Apprenticeship Sponsors Labor/Management Workforce Apprentices/ System/Education/ Job Seekers Government/Comm Incumbent unity Organizations Workers other partners 6
Need to strengthen entry- and mid-level Workforce skills Insuffient training for most entry-level professions and no career pathway Individuals are not recognized as professionals Consistency and culture of workplace High turnover; burnout Diversity or lack of in higher skilled occupations
Offers advancement into nursing, pharmacy, dental, Health IT and other growing occupations Creates a pipeline of skilled workers Increases retention Decreases recruitment costs Improves employee skills, confidence and quality of patient care Increases diversity 8
“Grow Your Own Workforce” Highly skilled employees Recruitment Strategy Consistent and Systematic Training Relevant classroom instruction linked to actual work experience Recognition for long-term employees Employees increasingly capable of advancement Creation of career pathways for more employees
Registered Apprenticeship Benefits: Job Seekers, Incumbent Workers and Apprentices “Earn While You Learn” Wages increase as skills increase Hands-on career training Education while working Career with multiple pathways National Certification
Certified Nursing Assistant Surgical Technologist with Specialties Laboratory Technician Community Health Worker Health Unit Coordinator EMT and Paramedic Direct Support Professional Dental Assistant MRI Tech Home Care/Health Aide Mammography Tech Medical Assistant Licensed Practical Nurse Medical Transcriptionist (military) Medical Coder Medical Secretary Pharmacy Tech More to come depending on need
CVS Pharmacy ◦ Pharmacy Tech Career Ladder ◦ Competency-based model 3 tiers Evangelical Lutheran Good Samaritan Society ◦ CNA competency-based model-4 tiers: Level 1, Advanced, and at least 2 specialties ◦ Integrated into career lattice ◦ On-the-job skills developed through a mentoring structure East Texas AHEC/Texas Workforce Commission ◦ Community Health Worker — just beginning ◦ OA and AHEC are promoting the program to hospitals and clinics ◦ AHEC will provide the instruction ◦ Texas Workforce Commission supports
Health Unit Coordinator, Multicare Health System, Tacoma, WA ◦ Partnership Labor, Management, Education, Government ◦ Based on Job Description, College Curriculum, National Standards for HUC, Apprenticeship requirements ◦ Need for consistency in skill levels of college educated workers ◦ Offered twice year, incumbent workers/volunteers, free tuition and books ◦ 15 programs completed, 109 apprentices ◦ ROI by Multicare shows value, developing additional occupations
Sunbridge Skilled Nursing Facilities-Restorative Aide Apprenticeship with pre-requisites for LPN Dispensing Opticians-Apprenticeship completers pass State licensing tests at higher rate than all others Dental Assistant- multiple locations Multi-care Health System - CT and MRI Technicians Alaska- Surgical Technician
HOME CARE AIDE APPRENTICESHIP ◦ Basic Home Care Aide Training 75 Hours-Certificate from WA State Department of Health, Certified Home Care Aide ◦ Advanced Home Care Aide Training 70 Hours-Certificate from U.S. Department of Labor Office of Apprenticeship upon completion of all classroom training and on-the-job learning ◦ Peer Mentorship ◦ Career pathway to other medical, social service or special education careers. ◦ Pilot begins 2011 approx 330 apprentices around the state ◦ Workforce training and quality of care increase together
Joint evaluation Currently 40 employers in 20 states with RA programs covering 4 occupations (CNA, DSS, HSS, HHA) Examine recruitment & retention, wage gains and possibly other quality of care issues Phase 1: Feasibility Study — this year Phase 2: Evaluation Design to be determined by Feasibility Study
In Health Information Technology, RA can be an effective training model Colleges with health informatics departments can make good partners Blue Cross/Blue Shield — South Carolina Partnership with Midlands Technical College and Alpha Training Services 17
Health Unit Coordinator Medical Coder Medical Transcriptionist Information Assurance Specialist Information Management IT Project Manager IT Generalist Programmer Analyst Web Systems Support Programmer Network Support Technician
Contact your State Director and/or Apprenticeship Training Representative You can locate the appropriate contact for your state here: http://21stcenturyapprenticeship.workforce3one.org/page/contacts 19
Serve as a partner agency Provide technical assistance to develop the program Help your organization identify occupations with training needs that could be apprenticeable Work with you to determine the on-the-job learning work processes, related classroom instruction needed Register programs Provide technical assistance on training protocols and implementation practices and other issues
Anne Wetmore, MPA Washington and Oregon State Director U.S. Dept of Labor, Office of Apprenticeship 1111 3rd Ave, Suite 850 Seattle, WA 98101 (206)553-0076 Wetmore.anne@dol.gov
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