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Overview News and Events What is a Sector Strategy Promising Practices Tools and Technical Assistance Research and Resources Current Baystate Health Past Community Work Services Community Voice Mail Boxes Fresh from the Field Utilizing One Stop Career Centers and Community- Based Organizations to Recruit, Assess & Select Training Participants The Springfield-Holyoke Workforce Development Initiative for Healthcare, lead by Baystate Health, is in its final year of a Round Two Workforce Competitiveness Trust Fund project, training both unemployed and incumbent participants for jobs as patient care technicians. The project is supported by a partnership of 2 hospitals, 2 career centers, 3 training providers and several community based organizations. One of the goals of this project is to recruit a diverse group of unemployed individuals from underserved communities to address the need for these additional skilled acute-care workers. During their planning grant, Baystate Health and Mercy, the two employer partners, realized that they could not solely rely on their traditional recruitment strategies in order to achieve this goal. Working with their local One Stop Career Centers (OSCC) and community-based organization(CBO) partners, they developed a comprehensive recruitment strategy that would draw from a diverse, untapped population. While the partnership developed this strategy to find individuals to participate in this program, they also wanted to create an infrastructure that would educate and prepare job seekers for careers in health care and create an ongoing pool of job seekers to meet the hospitals’ workforce needs. Working together, the partners designed outreach activities and tools, identified assessment tools and selection criteria, and created an integrated selection process that utilized the expertise and relationships of all of the project partners. Using this process, both CBOs and OSCCs were actively recruiting participants. CBOs made referrals to the OSCCs, who would then assess and screen applicants based on initial screening criteria developed by the Partnership. OSCCs maintained weekly communication with the Grant Project Coordinator at Baystate Health, as well as with each referring CBO. Keeping the referral source updated on the applicant’s progress throughout the process allowed project staff to offer support where needed. In addition to this strategy resulting in qualified grant participants, it has also led to closer working relationships between the employers, OSCCs and CBOs. OSCC and CBO partners report having a better understanding of health care careers and education requirements to share with their customers. The employer partners report a better understanding of the benefits of working with local workforce development partners in meeting their workforce needs. See the Springfield-Holyoke Workforce Development Initiative for Healthcare WCTF Acute Care CNA Grant Guide to Outreach & Recruitment. For more information on this project contact Amy Rist at [email protected] or 413-794-6093 Page 1 of 1 baystate health

Outreach & Recruitment Guide for One-Stops and Community Orgs

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As Project Director representing a healthcare employer for an innovative regional partnership program, I developed this comprehensive recruitment strategy that helped us draw from a diverse, untapped population when recruiting for our sector program. Leading the development process along with our local One Stop Career Center (OSCC) and community-based organization(CBO) partners, the development of this final strategy helped to create a process not just for this grant program but for all industry job training program recruitment processes going forward.

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Page 1: Outreach & Recruitment Guide for One-Stops and Community Orgs

Overview

News and Events

What is a Sector Strategy

Promising Practices

Tools and Technical Assistance

Research and Resources

Current

Baystate Health

Past

Community Work Services

Community Voice Mail Boxes

Fresh from the Field

Utilizing One Stop Career Centers and Community-Based Organizations to Recruit, Assess & Select Training Participants

The Springfield-Holyoke Workforce Development Initiative for Healthcare, lead by Baystate Health, is in its final year of a Round Two Workforce Competitiveness Trust Fund project, training both unemployed and incumbent participants for jobs as patient care technicians. The project is supported by a partnership of 2 hospitals, 2 career centers, 3 training providers and several community based organizations. One of the goals of this project is to recruit a diverse group of unemployed individuals from underserved communities to address the need for these additional skilled acute-care workers.

During their planning grant, Baystate Health and Mercy, the two employer partners, realized that they could not solely rely on their traditional recruitment strategies in order to achieve this goal. Working with their local One Stop Career Centers (OSCC) and community-based organization(CBO) partners, they developed a comprehensive recruitment strategy that would draw from a diverse, untapped population.

While the partnership developed this strategy to find individuals to participate in this program, they also wanted to create an infrastructure that would educate and prepare job seekers for careers in health care and create an ongoing pool of job seekers to meet the hospitals’ workforce needs.

Working together, the partners designed outreach activities and tools, identified assessment tools and selection criteria, and created an integrated selection process that utilized the expertise and relationships of all of the project partners. Using this process, both CBOs and OSCCs were actively recruiting participants. CBOs made referrals to the OSCCs, who would then assess and screen applicants based on initial screening criteria developed by the Partnership. OSCCs maintained weekly communication with the Grant Project Coordinator at Baystate Health, as well as with each referring CBO. Keeping the referral source updated on the applicant’s progress throughout the process allowed project staff to offer support where needed.

In addition to this strategy resulting in qualified grant participants, it has also led to closer working relationships between the employers, OSCCs and CBOs. OSCC and CBO partners report having a better understanding of health care careers and education requirements to share with their customers. The employer partners report a better understanding of the benefits of working with local workforce development partners in meeting their workforce needs.

See the Springfield-Holyoke Workforce Development Initiative for Healthcare WCTF Acute Care CNA Grant Guide to Outreach & Recruitment.

For more information on this project contact Amy Rist at [email protected] or 413-794-6093

Page 1 of 1baystate health

Page 2: Outreach & Recruitment Guide for One-Stops and Community Orgs

Guide for One-Stop Career Centers Grant Referral & Application Process This guide compiles necessary information to guide you through the external recruitment and outreach process related to the grant. Amy Rist, Project Coordinator, WCTF Grant Baystate Health June 2009

Page 3: Outreach & Recruitment Guide for One-Stops and Community Orgs

Guide for One-Stop Career Centers Page 1

Table of Contents VISION STATEMENT 2

GENERAL OVERVIEW OF RECRUITMENT & OUTREACH 3

TARGET AUDIENCE 3 PRINCIPLES FOR RECRUITMENT & OUTREACH 4 EXAMPLES OF SPECIFIC OUTREACH EFFORTS 5

TOOLS FOR COMMUNITY OUTREACH 6

INFORMATIONAL SESSIONS 6 OTHER MATERIALS 6

REFERRAL & APPLICATION PROCESS 7

GENERAL PROCESS OVERVIEW 7 KEY DATES 8 TRACKING APPLICATIONS 9 COMMUNICATING WITH REFERRAL SOURCE 9 REFERENCE CHECKING 10 THE APPLICANT FILE 11

TOOLS & TEMPLATES 12

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Guide for One-Stop Career Centers Page 2

Vision Statement Springfield-Holyoke Workforce Development Initiative for Healthcare

We envision . . . .

. . . . a collaborative alliance between healthcare industry employers, community organizations and educational organizations that provides Pioneer Valley�’s diverse residents gainful employment in healthcare with abundant opportunities for both current and newly skilled workers to achieve economic self-sufficiency. This strong bond between the healthcare employers, community based organizations, employers and educational organizations strengthens the region�’s vibrant and diverse healthcare workforce and employers fostering a future in which quality and authentic care is delivered to us all.

We will achieve this vision by:

Increasing the pool of knowledgeable, qualified, motivated, diverse and clinically competent job seekers to meet the hospitals�’ workforce needs now and in the future.

Formalizing the region�’s career ladders and lattices available to healthcare workers.

Providing career guidance to healthcare job seekers and current workers to assist them in making educated decisions with their occupational goals.

Preparing job seekers to successfully gain meaningful employment in entry-level positions within the healthcare industry.

Providing additional skills and training opportunities for current healthcare workers in order to help them to overcome their barriers and advance them within the industry via their career ladder/lattice.

Building the cultural competence of all stakeholders in order to create the conditions for success.

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Guide for One-Stop Career Centers Page 3

General Overview of Recruitment & Outreach

TARGET AUDIENCE This high-level description describes the individuals we hope to recruit in an effort to best align with the vision of the grant. It also aligns with the requirements of both the training organization and employers to ensure their progression throughout the program.

Could not access this training without this grant program

Springfield or Holyoke resident

18 years of age or older

High School Diploma or GED

Can read and write English

CORI clear of issues in the immediate past

At least one former employer (supervisor) reference with one additional reference required (employer, teacher, clergy, etc.)

Has a clear understanding and interest in a career in healthcare and the work of a Certified Nursing Assistant (Patient Care Technician)

Can attend all required classes throughout the 2 �– 3 month training program, if selected

Must be able to accept a position provided to them, should they become available, with one of our employer partners*

*Though no guarantee of job placement is made, the employers are committed to providing preference and placement for applicants completing this program should positions become available.

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Guide for One-Stop Career Centers Page 4

PRINCIPLES FOR RECRUITMENT & OUTREACH These principles should be embedded in every aspect of the recruitment and outreach process in an effort to enable equitable access to application for all eligible applicants.

Ensure individuals clearly understand and demonstrate an interest in a career in healthcare, with a basic understanding of the occupation for which they will be trained if selected.

Ensure the individual has a demonstrated motivation and commitment through the referrals or references provided.

Do not restrict application on the basis of existing barriers to training or employment, but understand and prepare the applicant with the resources and tools they need to succeed.

Enable all applicants to access the services of the one-stop career center to ensure that, if not selected for the grant program, they can continue to review other programs or services they may qualify for.

Remind participants that limited spots are available under this grant, however their involvement in this process will enable them to access many other services and programs should they not be selected.

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Guide for One-Stop Career Centers Page 5

EXAMPLES OF SPECIFIC OUTREACH EFFORTS These examples serve to provide a blueprint for those programs to target when identifying applicants for the grant.

Community-Based Organizations or Educational Institutions with existing programs for which their staff have relationships with individuals in our community, and thus can identify individuals who may benefit from this program.

These programs include, but are not limited to:

GED program graduates with some employment experience

Advanced ESL graduates with a GED or High School diploma

Pre-health, transitional college prep, or other post-high school preparatory education students preparing for the next step

Parenting programs requiring a parent to obtain training and education leading to potential employment

One-Stop Career Center Customers that have met with a career counselor and reflect a demonstrated interest in healthcare or have attended an informational session at which they have demonstrated an understanding of the grant program and profession for which they will be trained.

Important Notes:

Individuals currently unemployed should be highly considered and encouraged, at the first opportunity, to apply for approval of �“Section 30�” training if selected. The training programs that are approved under Section 30 for this program are listed as the following in TrainingPro:

o MCDI, Inc. Course #1001251 Nurse Aide

o Holyoke Community College Course #1075812 Workforce Partnership Nursing Assistant Program

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Guide for One-Stop Career Centers Page 6

Tools for Community Outreach

INFORMATIONAL SESSIONS For staff of community organizations or individuals considering applying to the grant. A patient care technician will be on site to describe the work they do and answer questions.

FutureWorks, Springfield MA

June 24, 2009 from 1 �– 2:00 PM Register with Delia Maldonado at 858-2843

CareerPoint, Holyoke MA

June 30, 2009 from 1 �– 2:00 PM Register with Darlene Orciuch at 532-4900

An additional session will be offered at each site near the end of July; we will update you once that is scheduled.

OTHER MATERIALS The following list of documents have been provided in this kit and can be customized in some cases for specific purposes.

Flyer Announcing Program (customizable)

Flyer Announcing Information Session (customizable)

Potential Applicant Information Form

General Overview of the Grant for Community Applicants

General Description of a Patient Care Technician

Community Application & Referral Form

WCTF Grant Project Profile

Coming Soon PowerPoint handout from Information Session

Coming Soon Agenda for Information Session

To request printed, color copies of any of these documents for your needs, please contact Amy Rist, Project Coordinator at 794-6093.

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Guide for One-Stop Career Centers Page 7

Referral & Application Process GENERAL PROCESS OVERVIEW The following provides a general overview of the referral and application process.

Phase Key Tasks Key Partners Involved Referral & Application

Informational Sessions provided at one-stop career centers

Targeted outreach performed at area community organizations

Referral staff meet with individual and review program and requirements

Applications completed and forwarded to the applicable one-stop career center lead contact

Community Organizations and their staff, teachers, etc. One-Stop Career Center staff including career counselors

Testing & References

Applicant information documented on tracking sheet* Meeting scheduled and held with applicant to review

application, obtain references and schedule TABE testing One-Stop intake process completed and applicant

entered into MOSES References contacted and documented Testing completed and scored Scores of testing reviewed with applicant All required documentation (identification, verification

of education, etc.) obtained and placed in file Consistent contact with referral source throughout

process to provide status Applicant file prepared and scheduled for pickup by

Project Coordinator

One-Stop Career Centers

File Review Review applicant file and obtain missing documents if needed

Prepare copies and distribute to employers for review Clarify any questions on information received

Project Coordinator Employers

Interviews Upon approval of applicant file, contact applicant to schedule an interview at the one-stop

Hold interviews o 30 minutes BMC employer o 30 minutes MMC employer

Send interview guides to project coordinator with recommendations

Schedules final interviews per employer recommendation Hold Project Coordinator interviews

One-Stop Career Center Employers Employers Project Coordinator Project Coordinator

Observation Possible observation of a Patient Care Technician to be scheduled by Project Coordinator for final round applicants only (depending on hospital accessibility)

Project Coordinator

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Guide for One-Stop Career Centers Page 8

Phase Key Tasks Key Partners Involved Applicant Selection

Final applicants selected Pending CORI and scheduled for training provider intake

Community Organizations contacted with all applicant results

Applicants not selected contacted and meeting scheduled to review other options

Project Coordinator Project Coordinator One-Stop Career Center

Training Provider Intake

Applicant registers for training and authorizes CORI review

Applicant provides or presents plan to provide physical and immunization documentation to provider per their guidelines

CORI results received and notification given to Project Coordinator of �“clear�” or �“not clear�”

Applicant contacted with final determination

Training Provider

KEY DATES The dates below are in place to guide the process; adjustments may be necessary due to factors outside of our control. FINAL DAY FOR APPLICATIONS RECEIVED AT ONE-STOP July 31, 2009 ALL APPLICANT MATERIALS SENT TO PROJECT COORDINATOR July 31, 2009 PROJECT COORDINATOR & EMPLOYERS REVIEW APPLICATIONS August 3 �– 7, 2009 EMPLOYER & PC INTERVIEWS AT ONE-STOP August 10 �– 21, 2009 ACCEPTANCE PENDING CORI August 24, 2009 TRAINING PROVIDER IN-TAKE, CORI AUTHORIZATION August 25 �– September 4, 2009 CLASS BEGINS AT STCC September 22, 2009 CLASS BEGINS AT HCC October 26, 2009 CLASS BEGINS AT MCDI October 19, 2009

Page 11: Outreach & Recruitment Guide for One-Stops and Community Orgs

Guide for One-Stop Career Centers Page 9

TRACKING APPLICATIONS Our grant outcomes require that we track all actual applications received, regardless of whether they were selected or not. Objectives of the Applicant Tracking Sheet

Ensure our outreach plan is producing an acceptable number of qualified applicants

Understand the reasons why some applicants do not continue through the process

Effectively meet our state grant outcomes requiring identification of actual applications received

Instructions for use:

1. Use the Applicant Tracking Sheet provided with this document to track all application received at your organization.

2. Forward the latest copy to the Project Coordinator at the end of each

week:

Via email: [email protected] (preferred) Via fax: 794-7954 COMMUNICATING WITH REFERRAL SOURCE This process is setup so that applicants come from an existing referral source �– someone that has a relationship with the individual who can provide coaching and support through the application process. Keeping them updated on the applicant�’s progress throughout the process will allow them to offer support where needed. At major milestones throughout the recruitment process, the one-stop career center should keep the referral source updated either via phone or email on their client�’s success. Information such as test results, acceptance/denied acceptance from the grant should first be given directly to the applicant, and then to the referral source so they can provide support if needed.

Page 12: Outreach & Recruitment Guide for One-Stops and Community Orgs

Guide for One-Stop Career Centers Page 10

REFERENCE CHECKING Our goal is to provide an opportunity for job placement at one of the employer partners of this grant. Obtaining references early on in the process better increases the probability of that outcome.

Employers typically require at least one former supervisor (employer) reference upon application for a position, and another reference from someone with knowledge of the individual�’s dependability, transferable skills, etc. At the first meeting with the applicant, have the individual fill out the top section of each reference form. Should they want to provide additional references, they can, but are not required to. Always encourage two employer references, though they can apply with only one. Reference forms are provided at the end of this document.

Page 13: Outreach & Recruitment Guide for One-Stops and Community Orgs

Guide for One-Stop Career Centers Page 11

THE APPLICANT FILE The information included below are critical pieces of information required on every formal applicant prior to transfer of the files to the Project Coordinator.

Originals of the following:

Grant Application & Referral Form

Resume (if provided)

Training Pre-Selection Form

Completed Reference Forms with notes from one-stop caller

Copies of the following:

Verification of Identity/Citizenship

High School Diploma or GED

Other Diplomas/Transcripts etc.

TABE Test Results

SDS Test Results

WorkKeys Test Results (if available)

One-Stop Worksheet for Public Programs

Letters of Reference or additional documentation provided by the applicant

If currently or pending receipt of unemployment benefits, status of Section 30 individual application for training

A blank checklist is provided at the end of this document and can be copied and used for files. Please contact Amy Rist to schedule pickup, as needed, of complete applicant files ready for interview scheduling:

Phone: 413-794-6093 or 413-563-1090 Email: [email protected]

ALL FILES ARE DUE TO THE PROJECT OFFICE BY JULY 31, 2009

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Guide for One-Stop Career Centers Page 12

Tools & Templates

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Guide for One-Stop Career Centers Page 13

APPLICANT FILE CHECKLIST Applicant Name

Place a checkmark next to each document type. * indicates required

*Grant Application & Referral Form

Resume (if not provided, enter N/A)

*Training Pre-Selection Form

*Supervisor/Employer Reference Form(s)

*Personal/Other Reference Form(s)

ORIGINAL DOCUMENTS

Other (please describe)

*Verification of Identity/Citizenship (at least 2 forms of ID)

*High School Diploma or GED

Other Diplomas/Certificates/Transcripts (if none, enter N/A)

*TABE Test Results

SDS Test Results

WorkKeys Test Results (if none, enter N/A)

*One-Stop Worksheet for Public Programs

COPIED DOCUMENTS

Other (please describe)

UNEMPLOYMENT STATUS

Is the applicant currently receiving unemployment benefits? YES NO

If yes, has the applicant applied for Section 30 Training Approval? YES NO

Please add any applicable notes here:

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Guide for One-Stop Career Centers Page 14

Potential Applicant Information Form Today�’s Date

Full Name

Phone #

Email (if avail)

Community Organization

______________________________________

One-Stop Career Center

______________________________________

Educational Institution or Program

______________________________________

How did you hear about the program? Please provide the name of the organization in the space provided, where applicable

Other

______________________________________

Do you plan to apply for this program? YES NO

Thank you for your interest.

Page 17: Outreach & Recruitment Guide for One-Stops and Community Orgs

Begin your career in a high-growth, high-demand industry.

Find out about free training to become a Patient Care Technician (Acute Care CNA) and be prepared for jobs in our local hospitals.

In two—three months you can earn a CNA certificate, CPR certificate, and receive brand new training in critical acute care nursing aide skills.

Information Sessions are coming up soon...call now to find out more!

This initiative is funded through a Workforce Competitiveness Trust Fund grant from the Executive Office of Labor and Workforce Development, administered through Commonwealth Corporation

Page 18: Outreach & Recruitment Guide for One-Stops and Community Orgs

Begin your career in a high-growth, high-demand industry.

Find out about free training to become a Patient Care Technician (Acute Care CNA) and be prepared for jobs in our local hospitals.

In two—three months you can earn a CNA certificate, CPR certificate, and receive brand new training in critical acute care nursing aide skills. Come to an Information Session

to find out more!

This initiative is funded through a Workforce Competitiveness Trust Fund grant from the Executive Office of Labor and Workforce Development, administered through Commonwealth Corporation

Page 19: Outreach & Recruitment Guide for One-Stops and Community Orgs

Acute Care CNA Pilot Program

OVERVIEW FOR COMMUNITY APPLICANTS

What is the Springfield – Holyoke Workforce Development Initiative for Healthcare and the Acute Care CNA Pilot Program?

This initiative, funded through a Workforce Competitiveness Trust Fund grant from the Executive Office of Labor and Workforce Development, administered through Commonwealth Corporation, is a collaborative alliance between healthcare industry employers, community organizations and educational institutions that provide Pioneer Valley’s diverse residents gainful employment in healthcare with abundant opportunities for both current and newly skilled workers to achieve economic self-sufficiency. To accomplish this, a new “Acute Care CNA" Pilot Training Program has been developed which incorporates Certified Nursing Assistant (CNA) training, Soft Skills Training, Acute Care SIM LAB Training, Career Coaching & Case Management. After completion of the training, participants will gain a CNA credential and, even more importantly, be qualified to work as a Patient Care Technician in an acute care hospital environment.

What do accepted grant participants receive?

If accepted into this grant program, participants will receive:

8 - 14 weeks of CNA training including CPR at either Holyoke Community College, Massachusetts Career Development Institute or Springfield Technical Community College.

60 hours of Acute Care CNA training including both classroom, skill demonstration, hospital clinical experiences and patient simulation

Minimal funding of support services while in training, depending on need

Assistance applying for placement into a Patient Care Technician position at the two partner employers upon successful completion of training (starting wage could be between $12 – 13.00 an hour)

To be eligibly to apply for this grant program, you must meet the following criteria:

Must be a resident of Springfield or Holyoke, Massachusetts and a citizen of the United States and be able to provide verification

Must have a High School Diploma or GED and be able to provide original documentation to verify graduation

Must have at least two references that can be verified, with at least one from a former supervisor/employer (two employer references preferred). Second reference can be a former teacher, priest, community leader, etc.

Must not be in the process of, or have previously obtained, a Certified Nurse Assistant training and/or certification

Must be able to read and write English

Must have a clean CORI (Criminal Offender Record Information) and SORI (Sexual Offender Registry Information)

Must pass the minimum entrance testing (either TABE, WorkKeys, etc.)

Must have a physical with a healthcare provider within the last year as well as immunizations such as TB (records will be required by training providers)

Springfield-Holyoke Workforce Development Initiative for

Healthcare

Career Center Partners

Employer Partners

Education Partners

Massachusetts Career Development Institute

Page 20: Outreach & Recruitment Guide for One-Stops and Community Orgs

Acute Care CNA Pilot Program

General Job Description for a Patient Care Technician

GENERAL RESPONSIBILITIES

The Patient Care Technician performs a variety of technical tasks and bedside functions. Responsibilities include direct patient care; hygiene, skin care, mobility and monitoring. The PCT is expected to manage equipment and perform or assist in all procedures on unit. This role is a member of a designated care team functioning under the direction and supervision of a Registered Nurse.

CHARACTERISTICS OF A PATIENT CARE TECHNICIAN

Performs and assists patients with activities of daily living. In doing so, performs bathing, positioning, skin care, ambulating, toileting and assists with transportation.

Performs and records in patients’ charts, basic nursing care procedures such as collecting routine specimens, taking vital signs, intake and outpatient and weight.

Assist with achieving nutritional needs by preparing patient for meals, deliver/remove trays, distribute water and feed patients.

Performs procedures and treatments such as EKGs, preps, application and monitoring of patient’s response to restraints.

Performs and reports any findings on the following duties: straight/Foley Catheters, hang tube feedings, enemas, point of care testing and empty colostomy bags.

Assists in transferring patients, beds and patient care equipment to other rooms adhering to necessary safety precautions.

Completes various errands as requested such as retrieving and delivering supplies, specimens, instruments, test results, etc.

EXAMPLES OF MINIMUM REQUIREMENTS

High School Diploma or GED; CNA Certification; CPR Certification

EXAMPLES OF PHYSICAL REQUIREMENTS AND ABILITIES:

Requires exposure to blood and various body fluids, which require caution and use of established safety guidelines and equipment.

Ability to lift and move heavy objects/patients with or without reasonable accommodations.

EXAMPLE OF A TYPICAL SCHEDULE FOR A PCT

Three (3) 12-hour shifts per week totaling 36 hours per week (full-time). Examples of Shifts include 7 am—7 pm; 7 pm—7 am; some weekends are typically required for most positions.

Information provided is a general overview of the patient care technician job description at acute care facilities and will vary across institutions.; no guarantee of job placement

Springfield-Holyoke Workforce Development Initiative for

Healthcare

Career Center Partners

Employer Partners

Education Partners

Massachusetts Career Development Institute

Page 21: Outreach & Recruitment Guide for One-Stops and Community Orgs

This initiative is funded through a Workforce Competitiveness Trust Fund grant from the Executive Office of Labor and Workforce Development, administered through Commonwealth Corporation

Referral Information: Community Organization Referring You:___________________________________________ Organization Contact Name:__________________________Phone #: ( _____ )_______-_________ Date of this Application: _____/_____/_________ Participant Information: Last Name: ______________________________ First Name:_______________________________ Home Phone #: ( _____ )_______-____________Other (Cell/Mobile): ( _____ )______-_________ Address: __________________________________________________Apt #:_________________ City: ____________________ State: ______ Zip: _______ E-Mail (if applicable):_____________________________________________________________

Have you ever worked for Baystate Medical Center or Mercy Medical Center or one of their affiliated institutions? Yes ___ No___

If yes, what were your dates of employment? __________________________________________

Under what name did you work at the time?____________________________________________

Primary Language: -English -Spanish -Russian -Vietnamese -Other:____________

Please list any other languages you are fluent in: ________________________________________

Have you taken the TABE (Test of Adult Basic Education) and/or WorkKeys in the past?

Yes ____No ____ If yes, where:__________________________Approx. Date____/____/_____

Education/Training Highest or most recent school grade completed:

High school diploma _____ GED _____ Some college _____ Associates degree _____

College (Bachelor’s degree) _____ Masters _____ Doctorate _____Other advanced Degree _____

Have you received any special training, degree, license, or certification? Yes _____ No _____

If yes, List school and Major:___________________________________________________

Date Enrolled __________________ Date graduated__________________

Are you currently enrolled in high school, GED, college, or a training program? Yes ____ No _____

If yes, List school and Major:___________________________________________________

Date Enrolled__________________ Expected Graduation Date __________________

Springfield-Holyoke Workforce Initiative for Health Care

Community Application & Referral Form

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This initiative is funded through a Workforce Competitiveness Trust Fund grant from the Executive Office of Labor and Workforce Development, administered through Commonwealth Corporation

Current/Previous Employment Information: (resume can be attached but is not required) Are you currently employed? Yes __ No __ If yes, please check one: Part time: __ Full time: __ Current or most recent employer: __________________________________________________

City: _____________________________________ State: _______________ Job Title: ___________________________________ Salary: ______________ Start Date: _____________________ End Date: ________________________ Days typically scheduled: _____________________ Shift Start/End: ________________________ Total Hours Worked Per Week: _________________ Reason for Leaving:_______________________________________________________________ Additional Employer Reference (if applicable): ____________________________________________

City: _____________________________________ State: _______________ Job Title: ___________________________________ Salary: ______________ Start Date: _____________________ End Date: ________________________ Days typically scheduled: _____________________ Shift Start/End: ________________________ Total Hours Worked Per Week: _________________ Reason for Leaving:_______________________________________________________________ (resume can be attached but is not required)

Applicant Acknowledgement of Requirements: Please place a check mark next to each area to confirm you understand and can satisfy the following requirements:

Clean CORI & SORI criminal background checks

Can Read/Write English

Citizenship can be verified

Ability to physically perform the role of Patient Care Technician (CNA) (see job description)

I have, or can obtain, a physical within the last year as well as immunizations including TB

Original documentation of education (HS, GED, etc.)

Two references (at least one from former/current supervisor or employer)

Not in the process of, or have previously obtained, training to become a CAN

If selected, can be available for attendance at all required class dates

Springfield-Holyoke Workforce Initiative for Health Care

Community Application & Referral Form

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This initiative is funded through a Workforce Competitiveness Trust Fund grant from the Executive Office of Labor and Workforce Development, administered through Commonwealth Corporation

Application Essays: (please complete and attach additional pages if necessary)

1. Please explain in your own words why you would like to participate in this program and why you would like to become a Patient Care Technician.

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

2. Please indicate your career goals for the next five (5) years.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

3. Please include any additional information that may be helpful to the Grant Selection Committee. You can include extracurricular activities, volunteer activities, special honors or awards etc.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Springfield-Holyoke Workforce Initiative for Health Care

Community Application & Referral Form

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This initiative is funded through a Workforce Competitiveness Trust Fund grant from the Executive Office of Labor and Workforce Development, administered through Commonwealth Corporation

Applicant Certification: Please initial next to each section and sign at end. _________I certify that the information provided in this application and any entry made by me is true to the best of my knowledge and understanding. I understand that making false, misleading or incorrect statements will result in my no longer being considered for this grant opportunity. _________I further acknowledge that this document is not an application for employment and in no way guarantees employment at any grant partner organization. _________In the course of providing the best possible service to the participants in this grant program, the exchange of information between employers, agencies and educational institutions may be necessary. I hereby authorize the release of information, on a need to know basis, which is reasonably necessary to accomplish the goals and objectives of this program. I understand that the information is confidential and will only be shared with the agencies, institutions or parties listed below unless the release or provision of such information is otherwise prohibited by law or regulation. I understand the individuals that receive and use this information will hold it in the strictest confidence and will use it to better serve me. I understand copies of this signed release will serve as valid authorization and the original signed document will be kept in my file with the Project Coordinator of this grant.

Baystate Health, Inc. and all subsidiaries FutureWorks, Inc Sisters of Providence Health System and all subsidiaries CareerPoint Springfield Technical Community College Regional Employment Board of Hampden County, Inc.

Holyoke Community College Partners for a Healthier Community Massachusetts Career Development Institute, Inc. New North Citizen’s Council

Urban League of Springfield

My signature below indicates my acknowledgement of all initialed sections above.

SIGNATURE: ________________________________________ DATE:____________________

Springfield-Holyoke Workforce Initiative for Health Care

Community Application & Referral Form

FOR WCTF GRANT INTERNAL USE ONLY Application Received (Date)_______________

Scheduled Interview Dates/Times: (depending on pro-gress)

CAREER CENTER 1:

List Employer Preference if provided:

TESTING (TABE/SDS/WORKKEYS):

List TABE Scores Here:

CAREER CENTER FOLLOW-UP:

EMPLOYER HR:

PROJECT COORDINATOR:

TRAINING INTAKE AT

OBSERVATION ON EMPLOYER UNIT

Page 25: Outreach & Recruitment Guide for One-Stops and Community Orgs

Springfield-Holyoke Workforce Development Initiative for Health Care

Community Training Pre-Selection Form

CNA Training Program Pre-Selection Form for Please write full Applicant Name above

Please review the program descriptions and date and time commitments. Please then check the box next to the training program you feel may work best for you if selected as a participant of this grant. You will have an opportunity to adjust this selection if necessary should you be selected.

Training Provider Program Description Dates/Times

Holyoke Community

College

303 Homestead Avenue Holyoke, MA 01040

HCC has offered CNA training since 1995, and has graduated hundreds of CNAs who have gone on to work for many Pioneer Valley healthcare organizations. Many graduates have since entered nursing programs (LPN and RN) and are now licensed or registered nurses. Also included in the instruction are non-technical workshops related to participants’ success in the classroom and in their careers, as well as an introduction to computers workshop. The CNA Program Specialist is available for all students in the CNA program to provide advising and case management services, in cooperation with Baystate Health Systems and Mercy Hospital project staff. HCC’s CNA training program is a 210-hour program that consists of classroom instruction and hands-on lab instruction held in the HCC Kittredge Center for Business & Workforce Development at the HCC main campus in Holyoke, and four days of clinical instruction at an area long-term care facility. Students will also receive First Aid/CPR training as well as the National Alzheimer’s Certificate.

October 26 – December 11, 2009 Monday through Friday Course Times: Classroom, 9:00 am - 3:30 pm Clinical days, 8:00 am - 3:30 pm

Massachusetts Career

Development Institute

140 Wilbraham Avenue Springfield, MA 01109

This program is a state approved program that trains men and women interested in becoming a Certified Nursing Assistant. The program includes classroom and lab instruction for a total of 240 hours. Extensive hands-on clinical experience is obtained while working directly with patients under the guidance and supervision of a qualified instructor within local hospitals and nursing homes. Students are prepared to take and successfully pass the state examination leading to certification. They are also prepared for CPR certification for infants, children and adults.

MCDI will also provide employment related seminars: Action for Career Employment, workplace health and safety issues, problem solving, team building, quality assurance, continuous quality improvement, and personal development.

Oct 19 – Dec 11, 2009 Monday through Friday Course Times: Classroom, 8:00 am - 2:30 pm Clinical days, 8:00 am - 2:30 pm

Springfield Technical

Community College

1 Armory Square

Springfield, MA 01105

Part-time Evening program

This training program will provide you with entry-level job skills that will allow you to enter the health care field and prepare for the state board examination to become a Certified Nurse Aide (CNA) and receive your certification in CPR. This course is taught by RNs with almost 30 years of combined experience in teaching and nursing. Major topics include communication skills, personal care basics, infection control, vital signs, record keeping, safety & emergency procedures, CPR and certification exam review.

Sept 22 – Dec 17, 2009

Lecture and Lab: Tuesdays, some Wednesdays, and Thursdays classes 5:00-9:00PM September 22, 24, 29, October 1, 6, 7, 8, 13, 14, 15, 20, 22, 27, 28, 29, November 3, 5, and 10, Site Visit: Thursday, November 12 (4:30-6:30 pm) Clinical: Monday, Tuesday, Wednesday and Thursday November 16, 17, 18, and 19 and Monday and Tuesday, November 23 and 24, 4:30-8:30 pm Exam Review Sessions: Tuesday and Thursday. December 1 and 3, from 5:00-9:00 pm CNA Exam: Week of December 7/Specific date TBA CPR: Tuesday and Thursday, December 15 and 17, from 5:00-9:00 pm

IMPORTANT NOTE: If you are currently on un-employment and would need to continue receiving unemployment while in training if selected for this program, we encourage you to apply NOW for Section 30 individual approval for training. Please speak with your one-stop career center counselor for more information.

Page 26: Outreach & Recruitment Guide for One-Stops and Community Orgs

Community Applicants

Springfield-Holyoke Workforce Development Initiative for Health Care

Supervisor/Employer Reference Form for

Date: _______________ One-Stop Staff: Organization:_____________________________________ Candidate Name: ______________________________________________________________ Maiden Name: ______________________________________________________________ APPLICANT – FILL OUT THIS SECTION ONLY Supervisor’s Name / Title Company Name: Phone#: Address: Position Held By You: Dates of employment: Reason for Leaving: FOR STAFF USE ONLY Did his/her work performance meet your expectations? If not, why? ______________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________

What do you consider to be a strength? ____________________________________________________________ ______________________________________________________________________________________________________________________________________________________________

Is this individual eligible for rehire with your company? Are there any additional comments you would like to make about this candidate?

______________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________

Page 27: Outreach & Recruitment Guide for One-Stops and Community Orgs

OTHER NOTES

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Page 28: Outreach & Recruitment Guide for One-Stops and Community Orgs

Springfield-Holyoke Workforce Development Initiative for Health Care

Personal Reference Form for Community Applicants

Date: _______________ One-Stop Staff: Organization:_____________________________________ Candidate Name: ______________________________________________________________ APPLICANT – FILL OUT THIS SECTION ONLY Reference Name/Title Address: Phone#: Relationship FOR STAFF USE ONLY How Long Have You Known This Person? What do you consider to be a strength? ____________________________________________________________ ______________________________________________________________________________________________________________________________________________________________

Are there any additional comments you would like to make about this candidate?

______________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________

NOTES

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Page 29: Outreach & Recruitment Guide for One-Stops and Community Orgs

Springfield-Holyoke Workforce Development Initiative for Healthcare Project Profile

Lead Organization Baystate Medical Center (BMC), Springfield, Massachusetts

Funding Source Workforce Competitiveness Trust Fund (WCTF) Grant, through Massachusetts Executive Office of Labor & Workforce Development

Administrator Commonwealth Corporation Grant Period July 1, 2008 – June 30, 2010

Total Funding $475,000 Total Match $145,075

Sector Healthcare Targeted Job(s) Patient Care Technician

Project Staff

Project Director Jean Jackson, VP Workforce Planning, Baystate Health (413) 794-7943 [email protected]

Project Coordinator Amy Rist (413) 794-6093 [email protected]

Project Clerk/Data Entry Giselle De Leon (413) 794-7977 [email protected]

Commonwealth Corporation Contact Theresa Rowland, Program Specialist [email protected]

Lead Organization Fiscal Contact Louise Morse, Director of Sponsored Programs, BMC [email protected]

Project Partners

Workforce Board Regional Employment Board of Hampden County, Inc.

Employers Baystate Medical Center Mercy Medical Center

Educational Institutions Holyoke Community College Massachusetts Career Development Institute Springfield Technical Community College

One-Stop Career Centers CareerPoint (Holyoke) FutureWorks (Springfield)

Community-Based Organizations New North Citizen’s Council Partners for a Healthier Community Urban League of Springfield

Project Overview

This grant is designed to address the need for additional skilled acute-care workers and the shortage of long-term career opportunities for people from underserved communities. The grant will finance the recruitment and training of 45 acute-care certified nursing assistants (CNAs) and the training of seven current employees of Baystate Medical Center and three employees of Mercy Medical Center. In recognition of the barrier to advancement for people who cannot afford to give up their current jobs to pursue the education needed for a different career path, both hospitals will continue to pay the salaries of employees in the program while they attend training. The grant also includes allowances for support services such as child care and transportation. This grant also includes a $50,000 allotment to the Regional Employment Board of Hampden County to support the creation of a new regional workforce development partnership for healthcare. This partnership would bring together healthcare industry employers, educational institutions, workforce development, regional philanthropy and community-based organizations to address the common workforce needs of the industry. It would accomplish this through the development of healthcare provider-education partnerships, innovative education, training and community outreach programs, a comprehensive analysis of available funding currently used or that could be leveraged in the future, and the implementation of policy strategy to advocate for more support of healthcare workforce development programs.

Page 30: Outreach & Recruitment Guide for One-Stops and Community Orgs

Springfield-Holyoke Workforce Development Initiative for Healthcare Project Profile Summary Document

Page 2 of 3

Project Goals

Increase the number of entry-level, skilled clinicians through the development of health career pathways that target lower skilled, incumbent workers and low-income residents from our community

Increase the diversity of the local healthcare workforce

Improve access to healthcare career pathways in the acute care setting through the development of new curriculum

Develop a sectoral approach in the creation of new partnerships between hospital employers, training providers, workforce development entities and community-based organizations

Project Deliverables

Acute Care CNA Pilot Number Served

Project Staff hired and trained 2

Acute Care/SIM Lab Curriculum Developed 55

Soft Skills Curriculum Developed 45

Recruit & Train Incumbent Employees 10

Backfill Incumbent Positions 10

Recruit & Train External (pre-employment) participants 45

Regional Partnership Development

Stakeholders identified and invited to participate

Roles, responsibilities and governance structure defined

Shared goals/outcomes defined

Workforce data and “best practice” data collected and available in a centralized location

Plan developed to establish a centralized regional/state healthcare workforce information source

Healthcare workforce development funding priorities set

Training Outcomes

Outcome Measure Pre-Employment (external)

Incumbent Workers

Total Number Participants Recruited Approx. 150 - 300 20

Total Number Participants Enrolled 50 10

Total Number of participants completing training 45 10

Number of participants gaining skill credential 45 10

Total Number of participants with wage gain as a result of training 45 10

Average wage increase anticipated 35% 5% – 15%

Number of job placements/new hires 45 10

Average wage at hire $12.00 - $13.00 $12.00-$16.00

Total number of participants with promotion as a result of training NA 10

Total number of participants retaining employment as a result of training NA 10

Page 31: Outreach & Recruitment Guide for One-Stops and Community Orgs

Springfield-Holyoke Workforce Development Initiative for Healthcare Project Profile Summary Document

Page 3 of 3

Project Timeline

Grant Year 1 Grant Year 2

Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Major Activities 7/1 –

9/30/0810/1 –

12/31/081/1 –

3/31/094/1 –

6/30/097/1 –

9/30/09 10/1 –

12/31/091/1 –

3/31/104/1 –

6/30/10Acute Care CNA Pilot Project

Develop process to recruit incumbents X Develop Acute Care/SIM Curriculum X X X Develop Soft Skills Curriculum X X X Train 10 Incumbent Employees X Backfill entry-level internal jobs X X Develop external recruitment & outreach process X X

Implement external recruitment & outreach process X X X X X X

Train 50 external participants X X X X X Regional Partnership Development

Identify Sector Partners & Convene First Meeting X X

Define Governance Structure X X Document supply & demand workforce data & identify high priority needs X X

Develop common goals & solutions and document promising practices X X X

Obtain signed MOA from partners X Identify regional/state/federal funding priorities X X X X X X X X Advocate for regional healthcare workforce needs X X X X X X X X