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