AHOSST disseminationwaudio

AHOSSTAHOSST

A Plan for Statewide Delivery of A Plan for Statewide Delivery of Health Occupations EducationHealth Occupations Education

Ann’s StoryAnn’s Story

150 miles150 miles

300 miles



The Access ProblemThe Access Problem

• The greatest demand for health care workers is in rural areas

• Moving students to urban areas where programs exist encourages people to leave their communities

• Access to technology in rural areas may not support distributed learning approaches

• Access to student services on-line is limited

The Capacity ProblemThe Capacity Problem

• Community Colleges are not training enough health care workers to meet the current and future need

• Existing Healthcare occupations programs are fully enrolled

• Adding new programs is a lengthy, expensive, and local process

Projected Growth Healthcare OccupationsProjected Growth Healthcare Occupations2004 2014 % New Replace Total

Oregon Statewide 104,021 129,779 24.8% 25,758 21,683 47,441

Workforce Regions

Region 8: Jackson/Josephine 7,992 10,563 32.2% 2,571 1,748 4,319

Region 10: Crook/Deschutes/Jefferson 4,458 5,886 32.0% 1,428 972 2,400

Region 1: Clatsop/Columbia/Tillamook 1,638 2,151 31.3% 513 343 856

Region 4: Benton/Lincoln/Linn 5,836 7,454 27.7% 1,618 1,203 2,821

Region 5: Lane 10,286 13,116 27.5% 2,830 2,153 4,983

Region 9: Gilliam/Hood River/ Sherman/Wheeler 1,632 2,070 26.8% 438 339 777

Region 3: Marion/Polk/Yamhill 11,453 14,326 25.1% 2,873 2,375 5,248

Region 15: Clackamas 8,804 11,000 24.9% 2,196 1,815 4,011

Region 11: Klamath/Lake 1,592 1,950 22.5% 358 325 683

Region 2: Multnomah/Washington 40,594 49,504 21.9% 8,910 8,507 17,417

Region 13: Baker/Union/Wallowa 1,210 1,475 21.9% 265 239 504

Region 12: Morrow/Umatilla 1,768 2,127 20.3% 359 354 713

Region 14: Grant/Harney/Malheur 1,307 1,567 19.9% 260 264 524

Region 6: Douglas 2,966 3,547 19.6% 581 601 1,182

Region 7: Coos/Curry 2,339 2,785 19.1% 446 476 922

Source: Employment Projections by Occupation 2004-2014, Oregon Employment Department

PCC 20

Clatsop 3

TBCC 1

OCCC 1

Clackamas 6

Chemeketa 7

LBCC 7

LCC 9

UCC 5SOCC 3

RCC 6

COCC 8

CGCC 4MHCC 10BMCC 4

TVCC 5

KCC 4

Distribution of Allied Health Distribution of Allied Health Programs at Oregon Community Programs at Oregon Community

CollegesColleges

Some DataSome Data

• Approximately 8,000 new healthcare jobs are expected in the next 10 years in rural areas.

• Community colleges train over 50% of the state’s nurses and approximately 75% of the state’s allied healthcare workforce.

• Seventeen healthcare occupations have been identified with certain or likely shortages of trained workers 2005-2014

Some DataSome Data

Nursing and residential care facilities and ambulatory health services are among the projected fastest-growing industries in Oregon, between 2004 and 2014 at 27.7% and 27.3 % respectively.

The census bureau projects that between 2000 and 2025 the state will move from 26th to 4th in national ranking for the percentage of its population 65 or older.

The Distance Learning SolutionThe Distance Learning Solution

AHOSST: Sharing programs and services through a well planned, coordinated, and state supported effort using distance learning is the best way to create a scalable, sustainable, and student centered health occupations education system in Oregon.

The Distance Learning SolutionThe Distance Learning Solution

• Add capacity to existing programs

• Create Host/Provider partnerships between colleges

• Provide a rich array of on-line and local student support services

• Provide clinical experience in local communities

Distance Learning SolutionDistance Learning SolutionProvider College Clinical partner

Host College

Provider CollegeProvider College

• Degree/certificate• Program advising• On-line student

services• On-line didactic

instruction• Accreditation• Project leadership

and coordination

Host CollegeHost College

• Local marketing• Prerequisites• General education• Student Services• Access to technology• Lab instruction

Health Care ProviderHealth Care Provider

• Recruitment• Local facility• Clinical instruction• Practicum• Patient care• Evaluation • Post graduation

employment

What is being done ?What is being done ?

• Ad hoc projects

• Department of Labor Grants (DOLETA)

• Community College Health Action Plan (CCHAP)

• Oregon Consortium for Nursing Education (OCNE)

• Oregon Healthcare Workforce Institute

• Simulation Alliance (SIM)

What Resources Do we Have?What Resources Do we Have?

• 16 of the 17 community colleges now offer distance learning

• DOLETA Grants and other projects are providing experience in sharing health occupations education

• State investment in some centralized resources to facilitate sharing

No statewide approach to….Technical and delivery infrastructure

Planning and implementation infrastructure

Institutional agreements

Programming- capacity valve

Student support systems

What is not being done?What is not being done?

What is Missing?What is Missing?

• Statewide strategy

• Compatible infrastructure

• Common standards

• Operational support

• Secure, ongoing funding

RecommendationRecommendation

1. Coordination: Create centralized leadership to provide state-wide coordination of healthcare occupations education via distributed learning


2. Technology: Fund technology infrastructure development, develop and promote technology standards for access, connectivity and use, and provide faculty support, to enable Oregonians to participate in distributed, technology-assisted healthcare occupations education no matter where they reside.


3. Agreements: Develop and adopt agreements outlining modes of delivery, curriculum, student services, cost sharing, and other institutional responsibilities that support and promote statewide distribution of health occupations education.


4. Student Services: Develop and deliver student services that meet the unique needs of healthcare occupations students participating in distance-delivered instructional models. Expand services statewide to provide resources for “utilities” to assist student services infrastructure development, such as the Online Advisor and the Oregon Financial Aid Exchange (OFAX).

AHOSST Next StepsAHOSST Next Steps

• Presentation of AHOSST recommendations at all community college constituent groups

• Discussion of AHOSST recommendations and funding implications at CCWD and OCCA

• Discussion with other statewide groups:– Governors Healthcare Workforce Initiative– SIM Board– AHECs

AHOSST Next StepsAHOSST Next Steps

• Development of funding prospectus for Grants

And Then What….And Then What….

• Someone needs to own this in Oregon

• This champion needs to be empowered

• Empowerment includes stable funding