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W-4 Workforce Update
October 10,2007
Sandra Fitzler 202-898-6307 sfitzler@ahca.org
Francesca Fierro O’Reilly202-898-2852foreilly@ahca.org
State Workforce Partnerships
Workforce Investment System Why Partner State Workforce Partnerships Outcomes
State Workforce PartnershipsLessons Learned
Make sure LTC employees are on the State Target Occupations List
WIB partnerships & education are needed before asking for assistance
Need to ask about state unexpended workforce dollars
RN education system a roadblock
Nurse Workforce Efforts
DOE – Nurse education & patient safety study
Hartford Center of Geriatric Nursing Excellence – Nursing Home Collaborative
AHCA Nurse Workforce Efforts
Facility-based and paid Geriatric Nurse Practitioners
Retired LTC nurse – clinical instructor
Proposal - Using Retired LTC Nurses as Clinical Instructors
Rationale
State Demonstration
Barriers
Next Steps
AHCA Workforce Efforts
Employee Satisfaction Surveys
Consistent Staffing Assignments
Vacancy & Turnover Survey
MyInnerview Employee Surveys
2006 Key Findings
Recommendations
Next Steps
2007 Nursing Vacancy & Turnover Survey
OSHA
Site-Specific Targeting (SST) – 07 Days Away, Restricted & Transfer (DART) Focus – Ergonomics, blood & infections,
material exposures, Tb, & slips/trips/falls Health Care Compliance Assistance
Module
DOL Wage & Hour Compliance
Past ALF Compliance Levels
1998 57%
2001 60%
2005 72%
Past NF Compliance Levels 1997 70% 2000 40%
2004 55%
Wage & Hour Compliance
DOL’s LTC Guidance Youth Employment Fact Sheet #52 Hours Worked Fact Sheet #53 Overtime Pay Fact Sheet #54 www.dol.gov/dol/esa/public/healthcare/index.html
LTC Compliance Manual
New SEIU Health Care Union
Expected to be a 1 million member union Combines the 38 local unions currently
representing healthcare workers Govern by council – presidents of 38 locals Main focus – add 80,000 to 100,000 new
members in the next year PAC raised $40 million to influence a national
healthcare program
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