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
WAGE INCREASES:
Registered Apprentices receive incremental wage increases based on skills attainment and job proficiency
MENTORING Apprentices
work and learn under qualified personnel
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RELATED INSTRUCTION
Apprentices receive technical training through a variety of methods
Subject content and time requirements depend on occupation
Responsibilities ensure increased job competency over time
ON-THE-JOB LEARNING:
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
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Registered Apprenticeship
SponsorsLabor/Management
Workforce System/Education/Government/Community Organizations
other partners6
Apprentices/
Job Seekers
Incumbent
Workers
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
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“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
with Specialties
Community Health Worker
EMT and Paramedic
Dental Assistant Home Care/Health Aide Medical Assistant
Medical Transcriptionist Medical Coder
Pharmacy Tech
Surgical Technologist
Laboratory Technician
Health Unit Coordinator
Direct Support Professional
MRI Tech Mammography Tech
Licensed Practical Nurse (military)
Medical Secretary
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 modelColleges with health informatics departments can make good partners
Blue Cross/Blue Shield—South Carolina
Partnership with Midlands Technical College and Alpha Training Services
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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
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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