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*Denotes Action Needed CHA WORKFORCE COMMITTEE MEETING Thursday, February 12, 2015 10:00 a.m. - 2:30 p.m. In Person CHA Board Room 1215 K Street, #800 Sacramento, CA 95814 (Directions and parking attached) Call-In Information Chorus Call: (800) 882-3610 Pass Code: 6506506# A GENDA ITEM TIME SUBJECT REPORTING PAGE I. 10:00-10:05 Welcome and Introductions A. New Vice Chair B. Welcome to new members: Susan Gray of Palomar Health and Wanda Cole-Frieman of Dignity Health Laura Long 3 II. 10:05-10:15 *Minutes From Previous Meeting A. Approval of CHA Workforce Committee Minutes from December 4, 2014 Laura Long 9 III. 10:15-10:45 Landscape Update A. Member Updates B. 1115 Waiver – DHCS Workforce Workgroup C. Succession Planning Laura Long Cathy Martin Moses Aguirre 13 IV. 10:45-11:00 21 st Century Skills for Health Professionals A. Chancellor’s Office Grant to the Health Workforce Initiative Cathy Martin 17 1

CHA WORKFORCE COMMITTEE MEETING...2015/02/12  · *Denotes Action Needed CHA WORKFORCE COMMITTEE MEETING Thursday, February 12, 2015 10:00 a.m. - 2:30 p.m. In Person CHA Board Room

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Page 1: CHA WORKFORCE COMMITTEE MEETING...2015/02/12  · *Denotes Action Needed CHA WORKFORCE COMMITTEE MEETING Thursday, February 12, 2015 10:00 a.m. - 2:30 p.m. In Person CHA Board Room

*Denotes Action Needed

CHA WORKFORCE COMMITTEE MEETING

Thursday, February 12, 2015

10:00 a.m. - 2:30 p.m.

In Person CHA Board Room

1215 K Street, #800 Sacramento, CA 95814

(Directions and parking attached)

Call-In Information Chorus Call: (800) 882-3610

Pass Code: 6506506#

AGENDA ITEM TIME SUBJECT REPORTING PAGE

I. 10:00-10:05 Welcome and Introductions A. New Vice Chair

B. Welcome to new members: Susan Gray of Palomar Health and Wanda Cole-Frieman of Dignity Health

Laura Long

3

II. 10:05-10:15 *Minutes From Previous Meeting A. Approval of CHA Workforce Committee

Minutes from December 4, 2014

Laura Long 9

III. 10:15-10:45 Landscape Update A. Member Updates

B. 1115 Waiver – DHCS Workforce Workgroup

C. Succession Planning

Laura Long

Cathy Martin

Moses Aguirre

13

IV. 10:45-11:00 21st Century Skills for Health Professionals A. Chancellor’s Office Grant to the Health

Workforce Initiative

Cathy Martin 17

1

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CHA Workforce Committee Meeting Thursday, February 12, 2014

V. 11:00-12:00 Presentation: Rosetta Stone A. Rossetta Stone representatives will join us to

demonstrate a new tool they have developed for the health care industry.

Owen Black Brewer, Director of Healthcare Initiatives

Lee Ann Stone, Custom Solutions Manager

Suzette Patterson, Account Executive

Laura Long

18

VI. 12:00-1:00 Community of Practice Working Lunch A. Developing consistent messaging about

workforce planning and development

Laura Long 19

VII. 1:00-1:30 *Board of Governor’s Taskforce on Workforce, Job Creation and a Strong Economy A. Overview B. Survey Responses: Preliminary

Recommendations C. Next steps

Cathy Martin

20

VIII. 1:30-1:45 Data Discussion A. Quarterly Survey

B. HSI Workforce Study

Teri Hollingsworth

Cathy Martin

22

IX. 1:45-2:00 Future Collaboration with the CHA Human Resource Committee

Gail Blanchard-Saiger

23

X. 2:00-2:15 Legislative Update A. Governor’s Budget and Workforce

B. Workforce and education related bills

C. Legislative briefing

Cathy Martin 24

XI. 2:15-2:30 Other Business A. Next Meeting: Via Conference Call,

April 9, 10 am – 11 am

Laura Long 28

XII. 2:30 Adjourn Laura Long

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: Welcome and Introductions CHA Workforce Committee Roster I. ACTION REQUESTED

Review contact information and titles contained in the roster on the following pages. II. SUMMARY AND BACKGROUND

Attached please find the most recent CHA Workforce Committee Roster. Please review your contact information for accuracy. Forward all corrections to Michele Coughlin at [email protected].

III. CHANGES IN LEADERSHIP / WELCOME TO NEW MEMBERS We are pleased to announce that Janice Buehler of Cedars-Sinai has agreed to step in as vice chair of the committee for the remainder of Michael Peterson’s term. Janice has been a committed and supportive member of the committee since its inception and CHA is grateful that she is willing to serve as vice chair. In addition, we are pleased to announce the addition of two new members to the committee. Both Wanda and Susan come to the committee with tremendous experience and varied expertise that will certainly be valuable in our work. WANDA COLE-FRIEMAN VP, Talent Acquisition Dignity Health Office: 415-438-5635 [email protected]

SUSAN GRAY Director, Workforce Management Palomar Medical Center Office: 760-740-6308 [email protected]

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Updated: February 6, 2015

CHA Workforce Committee ROSTER

CHAIR

LAURA LONG Director National Workforce Planning and Development/Strategic Workforce Initiatives Kaiser Permanente 1800 Harrison Street, 15th Floor Oakland, CA 94612 Office: 510-625-6655 [email protected] VICE CHAIR

JANICE BUEHLER Director Recruitment & Workforce Planning Cedars-Sinai Health System 8700 Beverly Blvd., SSB-110 Los Angeles, CA 90048 Office: 310-423-5521 Fax: 310-423-0375 [email protected] IMMEDIATE PAST CHAIR

ANETTE SMITH-DOHRING Workforce Development Manager Sutter Health Sacramento Sierra Region 2700 Gateway Oaks Drive, Suite 1100 Sacramento, CA 95833 Office: 916-924-7644 Fax: 916-924-7650 [email protected] MEMBERS

GLENDA ADACHI Talent Planning & Performance Management Compensation Sutter Health 2700 Gateway Oaks Drive, Suite 2600 Sacramento, CA 95833 Office: 916-924-7717 [email protected]

MOSES AGUIRRE Workforce Development Consultant Cottage Health System P.O. Box 689 Santa Barbara, CA 93102 Office: 805-879-8928 Fax: 805-879-8737 [email protected] CORINNE BOULANGER Talent Planning Consultant Sutter Health 2700 Gateway Oaks Drive, Suite 2600 Sacramento, CA 95833 Office: 916-924-7717 [email protected] WANDA COLE-FRIEMAN Vice President, Talent Acquisition Dignity Health 185 Berry Street, Suite 300 San Francisco, CA 94107 Office: 415-438-5635 Fax: 415-591-7109 [email protected] MARY CONTRERAS, RN Chief Nursing Officer Community Medical Centers 789 N. Medical Center Drive, East Clovis, CA 93611 Office: 559-324-4782 Fax: 559-324-3719 [email protected] SHARI DE ANDA Senior Talent Acquisition Consultant Sutter Health 2700 Gateway Oaks Drive, Suite 2500 Sacramento, CA 95833 Office: 916-747-3513 Fax: 916-614-1402 [email protected]

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CHA Workforce Committee Roster

Updated: February 6, 2015

RITA ESSAIAN Director, HR/Human Capital Huntington Hospital 100 West California Blvd. Pasadena, CA 91105-3097l Office: 626-397-5096 Fax: 626-397-2195 [email protected] SUSAN GRAY Director, Workforce Management Palomar Medical Center 2185 West Citracado Parkway Escondido, CA 92029 Office: 760-740-6308 Fax: 760-480-6386 [email protected] MYRA GREGORIAN Vice President Human Resources Long Beach Memorial Miller Children’s Hospital Long Beach 2801 Atlantic Avenue Long Beach, CA 90807 Office: 562-933-1250 Fax: 562-933-1266 [email protected] ROBERT HAMILTON Manager, Workforce Planning and Talent Acquisition Huntington Hospital 100 W. California Boulevard Pasadena, California 91109-7013 Office: 626-397-5443 Fax: 626-397-2195 [email protected] JENNIFER HERMANN Director, Human Resources UCSF Medical Center 3360 Geary Blvd., Suite 301 San Francisco, CA 94118-3324 Office: 415-353-4685 Fax: 415-353-4690 [email protected]

TERRY JAQUA, MBA-HRM, PHR Director of Human Resources Desert Valley Hospital, Desert Valley Medical Group, San Dimas Community Hospital 16850 Bear Valley Road Victorville, CA 92395 Office: 760-241-8000 ext. 5157 Fax: 760-245-0156 [email protected] SHAWN KANG Director, Human Resources Long Beach Memorial Miller Children’s Hospital 2801 Atlantic Avenue Long Beach, CA 90801 Office: 562-933-1294 [email protected] HEATHER KENWARD Workforce Development John Muir Health 2540 East Street Concord, CA 94520 Office: 925-674-2348 Fax: 925-674-2439 [email protected] LISA KLEIN Talent Manager UC San Diego Health System 1450 Frazee Road San Diego, CA, 92108 Office: 619-543-8246 Cell: 858-449-3700 [email protected] SARA LAUTENBACH Diversity & Talent Acquisition Director Sutter Health 2700 Gateway Oaks Drive, Suite 2600 Sacramento, CA 95833 Office: 916-215-3429 [email protected]

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CHA Workforce Committee Roster

Updated: February 6, 2015

STEPHANIE E. LEACH National Nursing Policy Consultant National Patient Care Services Kaiser Permanente 1800 Harrison Street, 17th Floor Oakland, CA 94612 Office: 510-625-5422 Fax: 510-625-2374 [email protected] ANN MILLER Director, Talent Management and Workforce Planning Department of Human Resources City of Hope 1500 East Duarte Road Duarte, CA 91010-3000 Office: 626-256-4673 ext. 62186 Fax: 626-301-8448 [email protected] MICHELLE MIRANDA Senior Talent Acquisition Consultant Sutter Health Sacramento Sierra Region 2700 Gateway Oaks Drive, Suite 2500 Sacramento, CA 95833 Office: 916-614-1473 [email protected] MONICA MORRIS Workforce Planning Consultant National Workforce Planning & Development Kaiser Permanente 1800 Harrison Street, 15th Floor Oakland, CA 94612 Office: 510-625-5886 [email protected] SCOTT MUMBERT Manager, Recruitment Cottage Health System P.O. Box 689 Santa Barbara, CA 93102 Office: 805-879-8787 Fax: 805-879-8737 [email protected]

ANDREA PERRY (Alternate for Janice Buehler) Workforce Planning Specialist Cedars-Sinai Health System 8700 Beverly Blvd., PACT 700 Los Angeles, CA 90048 Office: 310-423-5533 Fax: 310-423-0370 [email protected] JENNIFER RANGEL Executive Recruiter UC Davis 2730 Stockton Blvd. Sacramento, CA 95817 Office: 916-734-8011 Fax: 916-734-2483 [email protected] BOB REDLO Vice President Doctors Medical Center 2000 Vale Road San Pablo, CA 94806 Office: 510-970-5254 Fax: 510-970-5741 [email protected] PATRICE RYAN Vice President Human Resources Cottage Health System P.O. Box 689 Santa Barbara, CA 93102 Office: 805-569-7843 Fax: 805-569-8217 [email protected] GREGORY SMORZEWSKI Human Resources Director Community Hospital of the Monterey Peninsula 23625 Holman Highway Monterey, CA 93940 Office: 831-622-2801 [email protected]

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CHA Workforce Committee Roster

Updated: February 6, 2015

RACHELLE WENGER, MPA Director, Public Policy & Community Advocacy Dignity Health 251 S. Lake Avenue, Suite 800 Pasadena, CA 91101 Office: 626-744-2209 Fax: 626-395-0499 [email protected] DENNIS YEE, CHCR Recruitment Consultant Children's Hospital Central California 9300 Valley Children's Place Madera, CA 93636 Office: 559-353-7058 Fax: 559-353-7070 [email protected] REGIONAL ASSOCIATION REPRESENTATIVES: TERI HOLLINGSWORTH Vice President Human Resources Hospital Association of Southern California 515 S. Figueroa Street, Suite 1300 Los Angeles, CA 90071 Office: 213-538-0763 [email protected] REBECCA ROZEN Regional Vice President Hospital Council, East Bay Section 3840 Buskirk Avenue, Suite 205 Pleasant Hill, CA 94523 Office: 925-746-1550 Fax: 925-746-2401 [email protected] JUDITH YATES Senior Vice President/COO Hospital Association of San Diego & Imperial Counties 5575 Ruffin Road, Suite 225 San Diego, CA 92123 Office: 858-614-1557 Fax: 858-614-0201 [email protected]

CHA STAFF: GAIL BLANCHARD-SAIGER Vice President, Labor & Employment California Hospital Association 1215 K Street, Suite 800 Sacramento, CA 95814 Office: 916-552-7620 Fax: 916-554-2220 [email protected] CATHY MARTIN Vice President, Workforce Policy California Hospital Association 1215 K Street, Suite 800 Sacramento, CA 95814 Office: 916-552-7511 Fax: 916-554-2210 [email protected] MICHELE COUGHLIN Administrative Assistant California Hospital Association 1215 K Street, Suite 800 Sacramento, CA 95814 Office: 916-552-7672 Fax: 916-554-2292 [email protected]

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy

SUBJECT: Draft December 4, 2014 Meeting Minutes

I. ACTION REQUESTED

Review and approve the minutes of the December 4, 2014 meeting of the CHA Workforce Committee via conference call.

8

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CHA WORKFORCE COMMITTEE MEETING

DRAFT MEETING MINUTES

Thursday, December 4, 2014 10:00 a.m. - 12:00 p.m.

Via Conference Call

Call-In Information

Chorus Call: (800) 882-3610 Pass Code: 6506506#

Members Participating: Moses Aguirre, Mary Contreras, Susan Gray, Heather Kenward,

Laura Long, Ann Miller, Michelle Miranda, Monica Morris, Andrea Perry, Jennifer Rangel, Anette Smith-Dohring, Gregory Smorzewski

CHA Staff Participating: BJ Bartleson, Michele Coughlin, Cathy Martin Regional Staff Participating: Rebecca Rozen, Judith Yates

I. Welcome and Introductions

Laura Long welcomed members and the call began at 10:02 a.m. Laura Long announced to the committee that Michael Peterson had resigned from Sharp Healthcare and had departed from his position as Vice Chair of the committee. It was then announced that Janice Bueler had accepted the Vice Chair position. Following the discussion of committee changes, Laura welcomed the newest members of the committee, Susan Gray of Palomar Health, and Wanda Cole-Frieman of Dignity Health.

II. Minutes from the Previous Meeting

It was moved, seconded, and the minutes from the September 18, 2014 meeting were approved.

III. Landscape Update

Laura Long prompted committee members to share any emerging issues or topics: Mary Contreras reported that the Fresno State College of Health and Human Services had implemented an honors program to address problems and identify possible learning opportunities. The year-long program is in its first semester and is comprised of 20 students from various disciplines (nursing, social work, PT, etc.). Cathy Martin suggested that it may be of value to explore the possibility of developing a similar program at community colleges.

9

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DRAFT Meeting Minutes, CHA Workforce Committee Thursday, December 4, 2014

Anette Smith-Dohring shared her progress on the apprenticeship program which is expected to launch next near. Anette informed the committee of the employer benefits of this “earn & learn” model and described how the OJT funding can cover up to 50% of the employee salary which helps employers offset the cost of lost productivity due to time in training. She further explained that the additional benefit of the program is increased employee loyalty. Laura Long updated the group on Kaiser’s partnership with Rosetta Stone. The committee learned that the Rosetta Stone product (which was developed to help native Spanish speakers master medical terminology in Spanish) was ready for demonstration. Laura polled the committee to determine interest in having the demo available at the February Workforce Committee meeting. Several committee members agreed that the demo would be beneficial at the next meeting, but also expressed interest in having the demo available as a recording or webinar so that their internal interpretation services staff could view it as well. Cathy Martin discussed the Medi-Cal 1115 Waiver and updated the committee on CHA’s internal involvement in the process. Cathy informed the group of the state’s interest in focusing on a medical malpractice subsidy which would provide an incentive to bring practices to underserved areas. Cathy shared that CHA would prefer that the focus be placed on graduate medical education subsidies and suggested that this proposal would likely be communicated to the state in the form of a letter from C. Duane Dauner directly to Diana Dooley. BJ Bartleson provided an update on the Community Paramedicine Pilot, which she introduced to the committee in her September 18 presentation. BJ announced the pilot had been approved. BJ informed the committee that she would participate as a member of the OSHPD Advisory Group to ensure that they had sufficient information to measure and evaluate the outcome of the pilot. While the pilot is 2-years long, BJ explained that they would likely assess outcomes after one year. BJ assured the group that she would provide ongoing updates on the pilot to the committee.

IV. Committee Evolution: Keeping Pace with Transformation

Laura Long led a discussion about the importance of strategic planning for workforce development. She referenced the Kaiser Maturity Model, which focuses on having the correct infrastructure, the appropriate skill-set and the right employee in place on day-one. Cathy Martin then led a discussion to determine methods of enhancing the work of the committee to elevate workforce development discussions, both internally and externally. Rebecca Rozen shared that recent regional meetings with CEOs yielded much interest in the areas of workforce planning and development. She also shared that several economic impact reports had been completed in various areas within Northern California. Rebecca also mentioned that there were upcoming regional meetings where there would be opportunities for workforce messaging and information could be shared with these CEOs.

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DRAFT Meeting Minutes, CHA Workforce Committee Thursday, December 4, 2014

Cathy Martin proposed a new committee meeting structure for 2015 whereby the committee would meet three times annually in person, with a one-hour conference call in between. The proposed meeting schedule was presented to the group as follows:

• In-person meeting: Thursday, February 12 (10 am – 2:30 pm) • Via Conference Call: Thursday, April 9, 2015 (10 am – 11am) • In-person meeting: Thursday, May 21, 2015 (10 am – 2:30 pm) • Via conference call: Thursday, July 16, 2015 (10 am – 11am) • In-person meeting: Thursday, September 10, 2015 (10 am – 2:30 pm) • Via conference call: Thursday, December 10, 2015 (10 am – 12pm)

Several participants spoke in favor of this change (none opposed) and indicated agreement that the new structure would allow for increased momentum for the work of the committee in 2015.

V. 2015 Priorities Laura Long and Cathy Martin facilitated a discussion about the committee’s priorities for 2015. Several areas were identified:

1. Increase awareness of health workforce issues through external advocacy efforts: Build awareness at the policy and public level with a primary focus on allied health workforce, nursing workforce and graduate medical education.

2. Improve the effectiveness of internal messaging: Develop a statewide strategy for communicating to health care executives and hospital administrators about the critical role that health workforce planning and development plays as part of a successful business model.

3. Skill Alignment: Work to ensure that California health workforce strategies are aligned with the needs of hospitals. Employer input and engagement is critical to ensuring that skill gaps are not overlooked for specific allied health professionals, including 21st Century, or “soft”, skills.

4. Data Collection: Improve data collection efforts that validate findings on health workforce shortages.

Mary Contreras brought up the importance communicating the value of the work being done. Moses Aguirre agreed and added that this messaging would clarify what is being done, who is doing the work and how it is being done. Anette Smith-Dohring added that communications should include a differentiation between workforce planning (how to get there) and workforce development (implementation of strategies).

Action: It was also suggested that one-page leave behind be developed that includes clear, concise messaging and the use of info-graphics in order to deliver message without requiring the audience to read an extensive amount of text.

VI. James Irvine Foundation Grant Cathy Martin gave a brief overview of the scope and objectives of the James Irvine planning grant for the benefit of the new committee members. Cathy informed the group that the project was at a stage where recommendations were being developed; she stated that this was a critical stage for inclusion of employer input. Cathy stated that while there was current representation from several hospitals, additional representation from this sector was vital. Cathy invited any hospitals with availability and interest in participating to contact her.

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DRAFT Meeting Minutes, CHA Workforce Committee Thursday, December 4, 2014

VII. Other Business

Laura Long suggested that the committee conduct pre-work prior to the February meeting and suggested the development of a short questionnaire to collect the information ahead of time. Cathy Martin reminded the committee about the upcoming HASC Quarterly survey that would be distributed in January.

VIII. Adjourn The meeting adjourned at 11:57 am.

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: Medi-Cal 1115 Waiver I. ACTION REQUESTED

None. II. SUMMARY AND BACKGROUND

Attached please find the letter submitted to the Director of the Department of Managed Health Care making recommendations for $100 million of waiver funding to be used for graduate and undergraduate medical education support in California.

13

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February 2, 2015

Jennifer Kent

Director, California Department of Health Care Services

P.O. Box 997413

Sacramento, CA 95889

Via email to [email protected]

Subject: California’s Proposed 1115 Waiver Renewal – Workforce Recommendations

Dear Director Kent:

On behalf of our more than 400 member hospitals and health systems, the California Hospital

Association (CHA) extends our appreciation for the opportunity to provide you with our

comments on the health workforce component of the state’s 1115 waiver renewal proposal. CHA

applauds the state for including workforce as one of the waiver’s six focus areas. As you know,

ensuring that California has an adequate supply of primary care health professionals is critical to

ensuring access to health care services for the state’s Medi-Cal members and is key to achieving

the goals of the Affordable Care Act.

The 1115 Waiver Workforce Workgroup examined many options during its work in recent

months. A great deal of information and research was shared with the group as it considered

recommendations. In this letter, CHA provides comments in support of specific

recommendations discussed by the workgroup. We believe these options will have great impact

by enhancing efficiencies in workforce and health care delivery, while also expanding access to

primary care.

Residency Training Slots

CHA supports the use of Medi-Cal 1115 waiver funds to sustain and expand residency training

slots in California. These funds should be used to increase the support for cutting-edge and

innovative programs that have a track record of producing graduates who are racially/ethnically

diverse and who are committed to practicing in underserved communities and populations. This

funding would be additional to any existing funding that teaching hospitals receive from the

Centers for Medicare & Medicaid Services.

The rationale for this recommendation is drawn from data that indicate the number of

Californians over the age of 65 is projected to grow substantially between now and 2020. The

aging of California’s patient population will put a strain on the health care delivery system with

an increased need for services, especially services to the aging and chronically ill. While these

demographic shifts are taking place in the general population, the physician workforce is also

aging, with 33 percent of California’s physician population now over the age of 60.

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Director Jennifer Kent

February 2, 2015

Page 2

The positive news, however, is that California ranks first in the nation in the percentage of

trained residents who remain in the state to practice (69.5 percent). Therefore, residency training

is a good investment with a high likelihood of increasing the overall number of physicians in

California.

Expansion of Effective Programs

CHA strongly supports the use of waiver funding to sustain innovative and effective programs in

undergraduate medical education. California currently has several unique and valuable programs

that provide training for future physicians to practice in underserved areas of the state.

Unfortunately, these programs suffer from limited enrollment due to funding limitations.

For example, the University of California’s (UC) Programs in Medical Education (PRIME) is an

innovative training program focused on meeting the needs of California’s populations in rural

communities and in underserved urban areas. PRIME builds on research showing that students

who enter medical school with an interest in caring for underserved communities as part of their

future career are more likely than other students to practice in such communities. CHA

recommends that waiver funding support capacity expansions for programs like UC-PRIME, and

others, that have shown to be effective in training physicians committed to providing care to the

underserved.

CHA recommends that the Department of Health Care Services (DHCS) closely examine how

waiver funding and health workforce training has been successful in other states and consider

inclusion of similar models in the state’s application. For example, the state of Oregon has

requested up to $178 million for health workforce training programs that are operated by public

colleges and universities. These types of models should be evaluated and replicated in California.

CHA would like to emphasize that the waiver should provide funding to programs (current

programs or those in development) that prepare physicians and other health professionals to

practice in new delivery models, utilizing new technologies, practicing inter-professional team-

based care and effectively employing new care management skills that result in higher quality,

safety and cost-effective care delivery.

Incentive Funding

An effective way to encourage the expansion of our future physician workforce is through loan

repayment incentives. For many aspiring physicians, the cost of medical education significantly

influences their choice of practice. With a loan repayment incentive, these future physicians

would receive the loan repayment benefit if they chose to practice primary care and serve Medi-

Cal patients. This type of motivation can be very effective, particularly for those who are already

drawn to care for the populations served by the waiver.

Most members of the workgroup agreed, and some reports indicate, that loan repayment is more

effective than scholarship as an incentive. While scholarships are an important tool, studies

suggest that physicians who participate in loan repayment programs are more likely to complete

obligated services than physicians who receive scholarships.

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Director Jennifer Kent

February 2, 2015

Page 3

Similar models have been successful in other states. In Illinois, for example, the state’s waiver

application included $10 million per year for loan repayment to health professionals who commit

to serving Medicaid enrollees in underserved areas. The application called for the establishment

of a "bonus payment pool" to provide funds to critical access hospitals (CAH) and other safety-

net hospitals to create loan repayment programs. CAHs are significantly challenged in terms of

securing an adequate workforce of physicians and other primary care professionals. Utilizing

funding from the waiver to create loan repayment incentives for physicians to practice in CAHs

would be tremendously impactful by ensuring access to health care services for California’s most

remote patient populations.

CHA recommends that the state direct $100 million of waiver funding toward implementation of

this comprehensive set of recommendations. CHA would like to thank you for the opportunity to

provide comments on the state’s proposed 1115 waiver. Please feel free to reach out to CHA if

you have any questions or would like clarification on any of the recommendations contained in

this letter.

Sincerely,

Anne McLeod

Senior Vice President, Health Policy & Innovation

cc: Diana Dooley, Secretary, California Health and Human Services Agency

Mari Cantwell, Chief Deputy Director, Health Care Programs, Department of Health

Care Services

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: California Community Colleges Chancellor’s Office Health Workforce Initiative – 21st Century Skills Grant Opportunity I. ACTION REQUESTED

None. II. SUMMARY AND BACKGROUND

The California Health Workforce Initiative (HWI), a division of the California Community College Chancellor’s Office of Workforce and Economic Development, recently responded to a request for applications for funding from the Chancellor’s Office to support the integration of soft skills into career technical education. Linda Zorn, state HWI director, submitted an application to support the creation of such curriculum for the health professions. The outcome of the application is currently pending, but by the date of this meeting, there should be an answer regarding the proposal. If approved, hospitals are encouraged to be part of the curriculum development process, as well as to provide various other supports throughout the process, in order to ensure that the curriculum developed is responsive to health employer needs.

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: Presentation: Rosetta Stone I. ACTION REQUESTED

None. II. SUMMARY AND BACKGROUND

Representatives from Rosetta Stone will be demonstrating a recently developed product intended to help native Spanish speakers learn medical terminology in their native language. Members of the committee are encouraged to share the link below with others in their organization with an interest in this topic. If you do share the link, please let your colleagues know that we will be discussing this item from 11 am – 12 noon. The audio for the session is the same as the meeting, with the extra element of the Webex link for viewing the demonstration. Audio: Dial: 800-882-3610 Password: 6506506# Topic: Rosetta Stone - Spanish for Healthcare Host: Owen Brewer Date: Thursday, February 12, 2015 Time: 11:00 am, Pacific Standard Time Session number: 635 030 391 Session password: rosetta1 To View the Demo: 1. Go to https://rosettastone.webex.com/rosettastone/k2/j.php?MTID=ta1678db0e23737d9017bd7cd299c69f4. 2. Enter your name and email address (or registration ID). 3. Enter the session password: rosetta1 4. Click "Join Now". 5. Follow the instructions that appear on your screen.

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: Community of Practice Working Lunch I. ACTION REQUESTED

Review and discuss questionaire results regarding “What does workforce planning and development mean to you and your organization?”

II. SUMMARY AND BACKGROUND

During the December 4, 2014 call, members communicated that the field of workforce planning and development can be very inconsistent and mean different things to different organizations. The committee as a whole agreed that there would be value in developing a consistent message to state-wide health care executives and hospital administrators on the critical function that health workforce planning and development plays in a successful business strategy. The same messages can also be valuable in educating external audiences, such as policy makers. During this segment of the agenda, members will review the results from a questionnaire designed to identify gaps or varying definitions in an attempt to gain an improved understanding of the field of health workforce planning and development. Time permitting; the committee will begin to develop some consistent language and messages for internal audiences. If you did not fill out the questionnaire ahead of time, this link will take you to the questionnaire: https://www.surveymonkey.com/s/WorkforceDevSurvey

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: California Community College Chancellor’s Office Board of Governor’s

Taskforce on Workforce, Job Creation and a Strong Economy I. ACTION REQUESTED

Complete short questionnaire regarding preliminary recommendations to the Board of Governor’s Taskforce on Workforce

RSVP for Strong Workforce Town Hall Meetings (See meeting dates below) II. SUMMARY AND BACKGROUND

On November 17, 2014, the Board of Governors (BOG) of the California Community College Chancellor’s Office commissioned the Taskforce on Workforce, Job Creation and a Strong Economy. The charge of the task force is to develop recommendations that will increase individual and regional economic competitiveness by providing California’s workforce with relevant skills and quality credentials that match employer needs and fuel a strong economy. The task force is comprised of individuals from across the community college system, the business community, labor, public agencies involved in workforce training, K-12 education policy, community based organizations, and other groups. CHA is a member BOG Taskforce. The task force is to consider strategies and recommend policies and practices that would:

Better prepare students for high-value jobs that currently exist in the state, Position California’s regions to attract high-value jobs in key industry sectors

from other states and around the globe, Create more jobs through workforce training that enables small business

development, and, Finance these initiatives by braiding existing state and federal resources.

The first meeting of the BOG Taskforce took place on January 22. The taskforce has received some preliminary recommendations through faculty and internal stakeholder discussions. Taskforce members were asked to take these back to our constituencies for consideration. Please take a moment to respond to the brief questionnaire asking you to rate these preliminary recommendations based on degree of potential impact and difficulty of implementation. The results will be shared in aggregate with the BOG Taskforce in April. Please provide feedback on the preliminary recommendations related to improving career technical education at the community colleges system using this link: https://www.surveymonkey.com/s/DNBRTK5

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BOG Taskforce Update CHA Workforce Committee Meeting, Thursday, February 12, 2015

Phase two of this work will require other external feedback from stakeholders, including employers. The Chancellor’s Office will gather this feedback through a series of town hall meetings. It is critical that industry be engaged in the process. Please see below for the town hall meeting dates and times. If possible, you are encouraged to attend one of the town hall meetings.

Phase Two: Strong Workforce Town Hall Meetings

During February-March 2015, five town halls across the state will convene leaders from business, economic development, K-12 education policy, labor, elected officials, and other community organizations to vet and build on ideas and practices that bring stronger alignment between community colleges and key industry sectors. The town halls will include interactive discussions focused on how the community college system can act as a catalyst for growth in California’s regional economies.

View invitation » Date / Time / RSVP

Host / Contact Comments

Location

3/18/15 10:00 - 12:00

RSVP »

San Diego Workforce Partnership and San Diego Regional Economic Development Corporation

California Business Roundtable

Illumina 5200 Illumina

Way San Diego, CA

3/4/15 9:00 - 11:00

RSVP »

Los Angeles Chamber of Commerce and the Los Angeles County Economic Development Corporation

California Business Roundtable View invitation »

Los Angeles Area

Chamber of Commerce

Bank of America, Room

ABC 350 South Bixel

Street Los Angeles, CA

2/10/15 2:00 - 4:00

RSVP »

San Joaquin Valley Partnership California Business Roundtable

View invitation » Download agenda »

Central Valley Betts Company

2843 South Maple Ave Fresno, CA

3/16/15 9:00 - 11:00

RSVP »

Valley Vision, NextEd, Sacramento Employment and Training Agency (SETA), Los Rios Community College

and California Business Roundtable

Downey Brand U.S. Bank Bldg 621 Capitol Mall Sacramento, CA

3/10/15 9:30 - 11:30

RSVP »

Silicon Valley Leadership Group California Business Roundtable

Microsoft Silicon Valley

1065 La Avenida, Building 1

Mountain View, CA

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February 12, 2015 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: Integrated Data Collection Tool Update HSI Study I. ACTION REQUESTED

None. Discussion Item.

II. SUMMARY AND BACKGROUND

Teri Hollingsworth of the Hospital Association of Southern California will be will be updating the committee on the integrated survey tool and first quarter 2015 progress to date. Cathy Martin will update the committee on a forthcoming study on health workforce through a partnership with the SEIU Education Fund, Kaiser, the California Workforce Investment Board, the Health Workforce Initiative, and HSI Consultants.

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February 12, 2015 TO: CHA Workforce Committee FROM: Gail Blanchard-Saiger, Vice President, Labor and Employment SUBJECT: Human Resource Committee Collaboration I. ACTION REQUESTED

None. Discussion Item.

II. SUMMARY AND BACKGROUND

Recognizing that there are some common interests among this committee and the more recently established Human Resource (HR) Committee, Gail Blanchard-Saiger would like to discuss the possibility of meeting collaborations with the HR committee in the future.

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September 18, 2014 TO: CHA Workforce Committee FROM: Cathy Martin, Vice President, Workforce Policy SUBJECT: Legislative Update – Workforce and Education Bills Budget Update – Workforce called out in Governor’s Budget I. ACTION REQUESTED

None. Discussion Item.

II. SUMMARY AND BACKGROUND The 2015-2016 Legislative Session is underway in Sacramento. Several workforce and education bills have been introduced. Lawmakers had until January 30th to get draft language to legislative counsel and have until February 27th to officially introduce their bills. Many bills, therefore, are still in “spot” form, lacking many crucial details. This year, there is heightened attention on the issue of career technical education (CTE). One reason for this is because the statute that created the Regional Occupational Centers and Programs (ROCP), which house many of the CTE programs sunsets. As you know, many health career pathway programs, such as EMT, medical assistant, CAN and phlebotomy are administered through the ROCP. There is a bill to extend the sunset date to 2018. However, many stakeholders believe that even if this bill is passed, it will not be effective due to the implementation of the Local Control Funding Formula, where the districts have local control over the funding of such programs, and are therefore not bound by categorical funding requirements that specific funding purposes, such as for the ROCPs. CHA will continue to watch this and all other CTE bills closely, as many of them are closely linked to health professions training. In addition, there are several proposals to address funding shortfalls for undergraduate medical education, such as the in the case of the Program in Medical Education (PRIME) within the University of California system. CHA supports the PRIME programs. However, given the dollar amount specified in these bills, they are likely to get caught up in appropriations as they make their way to through the process. Several similar attempts last session died in the appropriations committee. CHA has had early conversations with both Senator Roth, as well as the California Medical Association (CMA), regarding graduate medical education (GME). Senator Roth is interested in ways to secure state funding for primary care residencies, as is CMA. CMA’s strategy will likely be a budget play, whereas Senator Roth has introduced a spot bill. CHA will continue conversations with both Senator Roth and CMA and keep the committee apprised. A full list of workforce and education bills being tracked can be found on the pages following the budget update.

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Legislative Update – Page 2 CHA Workforce Committee, February 12, 2015

In the Governor’s Budget, he dedicated an unprecedented amount of attention to workforce and education. Below is a summary of the Governor’s 2015-16 Budget Proposal specific to workforce development and educational investments.

• Adult education: $500 million to the California Community Colleges (CCC) Chancellor’s Office (CCCCO) for restoration of dedicated funding for adult education to be distributed in each region by an allocation board established by that region’s adult education consortium (composed of at least one CCC and one K-12 district, often with other partners). The CCCCO and California Department of Education (CDE) will jointly approve allocation of funds. In 2015-16, to ease the transition, funds will be provided directly to adult school districts in the amount of the K-12 districts’ maintenance of effort for adult education.

• K-12 CTE: $250 million to CDE in each of the next three years to support a transitional CTE Incentive Grant Program in place of the Career Pathways Trust (CPT). Unlike the CPT, those receiving funding will be required to provide a one-to-one match.

• CCCs: $200 million to improve student success programs. This includes $100

million for orientation, assessment, counseling and $100 million to close achievement gaps as identified in student equity plans. $48 million for the Career Technical Education Pathways Program at the CCCCO.

• Apprenticeship: $29.1 million new monies for apprenticeship programs, $14.1

million for existing programs and $15 million to create innovative demonstration projects that focus on new and emerging industries.

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Revised: February 6, 2015

Legislative Update: Workforce Bills – 2015

AB 174 (Gray)

University of California: medical education- (SJ Valley PRIME Program/UC Merced) : This bill would express findings and declarations of the Legislature relating to the role of the University of California with respect to access to health care in the San Joaquin Valley. The bill would appropriate $1,855,000 from the General Fund to the regents each fiscal year, commencing with the 2015–17 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley Program in Medical Education, as specified. The bill would appropriate $1,000,000 from the General Fund to the Regents of the University of California during the 2015–17 fiscal year for allocation to the University of California to support a 2-year planning effort geared toward the establishment of a separate traditional medical school at the University of California, Merced, as specified. CHA Position: Follow Hot

02/02/15: • Referred to Committee

on Higher Ed

SB 22 (Roth)

Medical Residency Program Expansion (SPOT BILL): The Song-Brown Family Physician Training Act, declares the intent of the Legislature to increase the number of students and residents receiving quality education and training in the specialty of family practice and as primary care physician’s assistants and primary care nurse practitioners. Existing law establishes, for this purpose, a state medical contract program with accredited medical schools, programs that train primary care physician’s assistants, programs that train primary care nurse practitioners, registered nurses, hospitals, and other health care delivery systems. Existing law establishes the California Healthcare Workforce Policy Commission and requires the commission, among other things, to identify specific areas of the state where unmet priority needs for primary care family physicians and registered nurses exist, establish standards for family practice training programs, family practice residency programs, primary care physician assistants programs, and programs that train primary care nurse practitioners, and review and make recommendations to the Director of the Office of Statewide Health Planning and Development concerning the funding of those programs that are submitted to the Healthcare Workforce Development Division for participation in the state medical contract program. The bill would create the Graduate Medical Education Trust Fund in the State Treasury, to consist of funds from public-private partnerships created to fund grants to graduate medical residency training programs and any interest that accrues on those moneys, and would require that moneys in the fund be used, upon appropriation by the Legislature, for those purposes, as specified. The bill would require the Office of Statewide Health Planning and Development, in consultation with the California Healthcare Workforce Policy Commission, to develop criteria, upon receipt of private donations of sufficient moneys to develop the criteria, for distribution of available funds. CHA Position: Follow Hot

01/15/15: • Referred to Committee

on Health

SB 66 (Leyva)

Career Technical Education Pathways Program: Existing law, until June 30, 2015, establishes the Career Technical Education Pathways Program, which requires the Chancellor of the California Community Colleges and the Superintendent of Public Instruction to assist economic and workforce regional development centers and consortia, community colleges, middle schools, high schools, and regional occupational centers and programs to improve linkages and career technical education pathways between high schools and community colleges, as specified. This bill would extend the operation of the program until July 1, 2018. CHA Position: Follow Hot

01/15/15: • Referred to Committee

on Education

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Revised: February 6, 2015

SB 131 (Cannella)

University of California: medical education: (SJ Valley Prime)Existing provisions of the California Constitution establish the University of California as a public trust under the administration of the Regents of the University of California. The University of California system includes 10 campuses, which are located in Berkeley, Davis, Irvine, Los Angeles, Merced, Riverside, San Diego, San Francisco, Santa Barbara, and Santa Cruz. This bill would express findings and declarations of the Legislature relating to the role of the University of California with respect to access to health care in the San Joaquin Valley. The bill would appropriate $1,855,000 from the General Fund to the regents each fiscal year, commencing with the 2016–17 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley Program in Medical Education, as specified. CHA Position: Follow Hot

01/22/15: • Introduced

SB 148 (McGuire)

Career technical education: Career and Job Skills Education Act: The bill would establish the Career and Job Skills Education Fund in the State Treasury, and would also require the Superintendent to, among other things, administer the fund and distribute awards through an annual application process to the governing boards of school districts that meet certain requirements. The bill would further require the Superintendent and the State Board of Education to incorporate appropriate metrics into state-adopted accountability measures to determine career readiness of California’s high school pupils. The bill would appropriate $600,000,000 from the General Fund to the Superintendent, for deposit in the Career and Job Skills Education Fund, for purposes of the Career and Job Skills Education Act, and would express the intent of the Legislature that additional funds be appropriated from the General Fund, as necessary, for those purposes in the 2017–18 and 2018–19 fiscal years. This bill is in response to the Regional Health Occupation Centers and other ROPs sun setting in 2015. California Department of Education is in support.

01/29/15: • Introduced

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CHA Workforce Committee

2015 Meeting Dates

_____________________________________________________________________________________

IN PERSON MEETING THURSDAY, FEBRUARY 12, 2015

10 AM – 2:30 PM California Hospital Association Board Room

1215 K Street, Suite 800 Sacramento, CA 95814

VIA CONFERENCE CALL

THURSDAY, APRIL 9, 2015 10 am – 11 am

1-800-882-3610 6506506#

IN PERSON MEETING

THURSDAY, MAY 21, 2015 10 AM – 2:30 PM

California Hospital Association Board Room 1215 K Street, Suite 800 Sacramento, CA 95814

VIA CONFERENCE CALL

THURSDAY, JULY 16, 2014 10 am – 11 am

1-800-882-3610 6506506#

IN PERSON MEETING

THURSDAY, SEPTEMBER 10, 2015 10 AM – 2:30 PM

California Hospital Association Board Room 1215 K Street, Suite 800 Sacramento, CA 95814

VIA CONFERENCE CALL

THURSDAY, DECEMBER 10, 2015 10 am – 12 pm 1-800-882-3610

6506506#

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