Meeting Workforce Needs Through Collaboration

Meeting Workforce Needs

Through Collaboration

Sally Williams

Workforce Center Director

Dallas-Fort Worth Hospital Council Foundation

Learning Objectives

•Examine how DFWHC Foundation implemented

regional healthcare workforce activities including regional workforce planning, nursing resource

center, practice/education partnerships and other strategic workforce initiatives.

•Understand how to build a regional healthcare

workforce collaboration.

•How to engage partners and build support for

Dallas – Fort Worth

Hospital Council

Metropolitan Hospital Associations

•

Hospital Membership Focused

•

Regional and Metropolitan Focus

•

21 associations across United States

•

DFWHC is the only one in Texas

•

Some Other Associations – Southern

Florida, Chicago, Kansas City,

Cincinnati, Cleveland, Western

Dallas-Fort Worth Hospital

Council

Mission

To enhance hospital value by continually

promoting patient safety and cost effective,

quality healthcare in our region.

Vision

To be recognized as principal healthcare resource

for advocacy, communications and education

Dallas-Fort Worth Hospital Council

Support member hospitals in their ongoing efforts and add value by:

•Creating innovative solutions through collaboration,

education, and coordination of efforts.

•Serving as advocate for day-to-day issues that affect

hospitals, while balancing the demands of the region with state and national issues.

•Providing the most accurate, timely and comprehensive

information to our members and other constituents.

•Improving the workforce joint initiatives within our

Dallas-Fort Worth Hospital Council

•

40+ years of collaboration in North Texas Region

•

Over 70 member hospitals and hospital systems

and over 70 associate members

•

GroupOne HR Solutions

•

DFWHC Foundation

•

Activities: Annual Awards Luncheon,

Educational Events, Quarterly Newsletter,

Networking Opportunities, Advocacy

GroupOne HR Solutions

•

Background Screening

•

Employment Verifications

•

Student Screening

•

Human Resources Surveys

•

Federal Compliance Check

Dallas – Fort Worth

Hospital Council

Dallas-Fort Worth Hospital

Council Foundation

•

501c3 Tax Exempt Organization

•

Established in 1968

•

15 member Board of Trustees representing

hospital/health systems, university,

business, physician and community

DFWHC Foundation

Mission

To serve as catalyst for continual improvement in community health and healthcare delivery through education, research,

communication, collaboration and coordination. Vision

Act as a trusted community resource to expand knowledge and develop new insight for the continuous improvement

of health and healthcare. Our Values

Integrity Service Collaboration Learning Inspiration Excellence

DFWHC Foundation

Our Values

Integrity

Service

Collaboration

Learning Inspiration

Excellence

Information and Quality Services

Collaborative

OVERVIEW

•Data collection/analysis, quality measurement,

practice improvement

•Cleanse, submit & mine inpatient and outpatient data •Submission Agent for Texas Healthcare Information

Collections Center for Health Statistics

•Analytical tools for hospitals to review internally and

compare against other facilities

Information and Quality Services

Collaborative

•73 hospitals participating – 17 counties •Inpatient Claims Information

•Outpatient Claims Information •AHRQ Quality Indicators

•Information Quality Service Center – Market Analysis,

Patient Quality and Safety, Coordination of Care,

Preventable Hospital admissions, Best practice analysis, Apprising healthcare providers, Access to care issues

•Regional Enterprise Master Patient (REMPI) •Research Opportunities

Information and Quality Services

Collaborative

ED Frequent Flyers – Using REMPI we can see individuals that “Overuse” the ED & provide data to help create strategies to reduce “Overuse”

Community Health Collaborative

•

Empowers healthcare organizations through

use of data to create health programs that

benefit community and provides information

and assistance that helps create positive action

plans to improve population health.

•

Activities:

•

Community Health Needs Assessments

•

Community Health Website

•

Medicaid Waiver Regional Health Planning

Community Health Collaborative

HEALTHY

NORTH

TEXAS

WEBSITE

Research Collaborative

•

Works with stakeholders and

researchers towards improving

community health through research

and knowledge disseminations.

•

Studies:

•

Readmissions in North Texas 2011

•

Diabetes in Dallas County

Patient Safety & Quality Committee

•

Collaborative group of quality, infection prevention, case

mgmt and process improvement staff.

•

Activities:

•

Educate Before You Medicate

•

Survey on armband standardization,

•

Employee Health Influenza Survey

•

Annual Patient Safety Summit

•

Educational Events

•

Hospital Engagement Network – Federal contract from

Texas Quality Initiative

Mission of the TQI:

• Improve the quality and safety of care for cardiovascular

(CV) surgery patients.

• Create the capability to merge robust and risk-adjusted

clinical data with comprehensive administrative data.

• Leverage this capability to provide long-term comparative,

cost effectiveness, and quality outcomes research.

• Allows leaders to share detailed clinical information within a

certified Society for Thoracic Surgery registry with one another in an un-blinded manner (as to hospital and physician), utilizing unique business intelligence tools.

North Texas Regional

Extension Center

•

Established in 2010 through grant funding

from Dept of Health and Human Services Office

of National Coordinator of Health Information

Technology (ONC).

•

Provides assistance to primary care providers

in overcoming the major barriers of

“Meaningful Use” of Electronic Health Records.

•

Assisted more than 1,500 providers to

Workforce

Development

Workforce Development Center

Strategic Focuses

•

“Hot Jobs” in Healthcare

•

Healthcare Human Resources

•

Development/Education of Healthcare

Workers

•

Information/Data Management/

North Texas Regional

Workforce Planning

North Texas Regional Workforce

Planning Collaborative

•

Inform educational partners of strategic healthcare

jobs in demand to plan and prepare programs needed

to insure graduates get jobs and hospitals have needed

workforce.

•

Regional internet based tool to forecast and

strategically plan for future workforce needs in

hospitals. Designed for hospital planning at multiple

levels.

•

Unique approach with regional roll up and benchmark

data. Develop a regional strategic workforce plan.

•

Right people in the right job with the right skills at the

right time for the right costs.

North Texas Regional Workforce

Planning Collaborative

Key Components:

•Web-based Software Tool

•Regional Workforce Data

•Regional Workforce Tactics

Collaborative Partners:

•Regional Coordinator: DFWHC Foundation Workforce Center

•Technology/Vendor Partner: OrcaEyes

•Participating Hospitals:

Baylor Health Care System HCA North Texas Division Texas Health Resources Parkland Health System UT Southwestern Hospitals

North Texas Regional Workforce

Planning Collaborative

Technology/Vendor Partner

SonarVision Enterprise

Modules designed to optimize Human Capital Insights. Comprehensive workforce planning and analytics system that enables supply and demand forecasting, modeling, simulation, correlation, scenario and action planning, financial analysis and diagnostics, as well as user-defined dashboards and comprehensive reporting.

SonarVision Insights

Provides detailed look at the characteristics and demographics on the supply side of the talent equation, providing accurate and timely data on more than 800 occupations in 500 North American

locations.

North Texas Regional Workforce

Planning Collaborative

North Texas Regional Workforce

Planning Collaborative

Project Activities:

•Regional Benchmark Portal and Dashboard.

•Over 70 jobs with 25+ nursing positions benchmarked on regional basis.

•Hospital Partners using the tool – ongoing.

•Targeted Workforce Tactics for two jobs – Physical Therapists(PT) and OR Nurse.

•Workforce reports.

•Regular meetings with partners – weekly & monthly.

•Continue to engage additional partners – hospitals, schools & other stakeholders.

North Texas Regional Workforce

Planning Collaborative

REGIONAL

DASHBOARD

North Texas Regional Workforce

Planning Collaborative

REGIONAL

DASHBOARD

North Texas Regional Workforce

Planning Collaborative

Workforce Reports Developed/Being Developed:

•Nursing Education Programs (Statewide for Texas from Texas Center for Nursing Workforce Studies)

•Allied Health Professions Education Programs (North Texas Region)

•Nursing Education Programs (North Texas Region)

•Hospital Nurse Staffing Survey (Texas Statewide from Texas Center for Nursing Workforce Studies) – DEVELOPING REGIONAL VERISION

•Nursing Workforce (North Texas Region)

•Healthcare Workforce Job Focus – Physical Therapist (North Texas Region)

•Regional Strategic Workforce Report (North Texas Region)

North Texas

North Texas Nursing Consortium

•

Regional consortium that brings together more than 40

hospitals and 17 schools of nursing.

•

Participants are typically nurse educators and

administrators from hospitals and nursing school deans

and directors.

•

Meet 3 to 4 times a year to discuss common challenges

and opportunities.

•

Have been meeting for over 8 years.

•

Used grant funding offered from the Texas Regional

Action Coalition Team for Future of Nursing to start North

Texas Nursing Resource Center.

North Texas Nursing Resource Center

North Texas Nursing Resource Center (NTNRC) Components:

•Partnership with North Texas Nursing Schools and Hospitals – 17 schools of nursing & 35 hospitals participating

•Centralized Clinical Placement System (CCPS) - Online clinical placement scheduling system for schools and clinical agencies to manage data and placement matching – no intermediary required.

•Centralized Faculty Resource Center (CFRC) - Online resource for schools to post jobs and view candidate profiles created by users as well other nursing education resources.

•Educational Events – Summer Institute & Preceptor Academy

•Texas Nursing Resource Center Website- Access to statewide nursing resource center in partnership with Gulf Coast Region.

•North Texas Nursing Resource Center Executive Steering Committee & Users Group

North Texas Nursing Resource Center

• Nursing Program Clinical Placements for the North Texas region.

• 2011 over 3800 cohorts/13,000 students placed.

• 2012 over 3,100 cohorts/9,700 students placed.

• Annual North Texas Nursing Consortium Summer Institute - Educational event for nurse educators in the hospital and university/college settings.

• Annual North Texas Preceptor Academy – 2 day training for registered nurses interested in precepting or currently precepting.

• Regional Standards for Drug Screening, Background Checks & Immunizations

updated for schools and hospitals.

• Standard Hospital Student Orientation.

• Continue to engage additional partners and further development of resources supporting NTNRC.

North Texas Nursing Resource Center

SUMMER INSTITUTE

• Over 125 nurse educators from

hospitals and colleges/universities at the 2013 event.

• Theme was the Impact of Limited English Proficiency in Students and Staff – both in hospital setting and education setting.

• Included speakers, panel sessions and grant writing seminar. Dr.

Carolina Huerta from the University of Texas-Pan American was keynote speaker and Mina Kini from Texas Health Resources was endnote speaker.

North Texas Nursing Resource Center

• Over 100 attendees at the 2013 event.

• Topics included: Responsibilities of the

Preceptor, Adult Learning Styles and Cultural Awareness.

• Dr. Diana Swihart, Founder/CEO of American Academy for Preceptor Advancement joined via conference call to update on national issues.

• Additional speakers from VA North Texas Health Care System, Methodist Health

System, THR, UTA, TWU, North Hills Hospital, Texas Health Presbyterian Hospital Dallas, Medical Center of Lewisville and UT

Southwestern Medical Center.

• Preceptor of the Year Award planned for 2014.

North Texas Nursing Resource Center

• Summarizes standard orientation information for all hospitals for nursing programs.

• Developed to cut down on amount of time nursing students/faculty spend in

orientation for clinical rotations.

• Originally developed for Nursing Programs. Now being used by nursing and allied health

North Texas Nursing Resource Center

Regional Standards for Drug Screening, Background Checks & Immunizations

• Gives schools standards that are acceptable at the hospitals in the North Texas region for clinical rotations.

• Convene regional hospital partners to come up with

standards. Combine what all hospitals require – most are similar.

• Use expertise of GroupOne to advise on latest requirements for background checks and drug screening.

• Review periodically for updates.

North Texas Nursing Resource Center

Hospital Based Distance Learning Nursing Education Partnership Program

• Originally started by one North Texas hospital system and one ADN program. And then shared concept with multiple schools and

hospitals.

• Brings the nursing education program to qualified hospital employees.

• Employee/Students attend class, clinicals and labs at their hospitals.

• Increased capacity of nursing schools.

• Career ladder for hospital employees.

• DFWHC secured grant funding to start/continue programs in North Texas region.

Other

Collaborative

Activities

Annual Employee of Year

Recognition Event

•Annual Recognition event for non-management hospital employees •Award categories include

– 4 categories based on hospital bed size. 2 recipients are

selected from each category. One award given to hospital system employee.

– Additional awards include Community Service Award, Physician

Award, Rex McRae Scholarship for a Nursing School Student and Volunteer of the Year.

•Event committee with hospital and school representatives assist with

planning of event.

•2013 Event had over 550 attendees with 117 nominees from 50+

Annual

Employee of Year

Recognition Event

Hurricane Katrina Collaborative

•

Created outreach campaign to

people displaced by Hurricane

Katrina.

•

Collaboration of North Texas

hospitals. Hospital systems and

individual hospitals participated.

20-30 hospitals.

•

Shared job opportunities in the

North Texas region through

media – print ad and radio ads.

Workforce Center

Committees

•Workforce Center Advisory Board – provides leadership and

guidance for the Workforce Center.

•Healthcare Human Resources Executive Committee – forum for

regional workforce issues and activities.

•Compensation Committee – best practice sharing, advisory

committee for human resources surveys.

•Allied Health Professions Workforce Committee – focus on

specific allied health professions and workforce needs in the region.

•Regional Workforce Planning Collaborative Committee – focus

on collaborative development with partners/stakeholders for regional workforce planning.

Workforce Center

Committees

•NTNRC Executive Steering Committee – provides leadership

and guidance for North Texas Nursing Resource Center

– North Texas Nursing School Consortium – partnership of

nursing schools and hospitals.

•Texas Team Action Coalition–Statewide initiative to advance

IOM Future of Nursing report recommendations.

•El Centro Hospital Based Nursing Education Partnership

Advisory Committee

•DFW Great 100 Nurses – nurse recognition event with local TNA

& TONE districts

•DFW Healthcare Human Resources Association (DFWHHRA) –

Workforce Center

Committees

•Texas Center for Nursing Workforce Studies Advisory

Committee – Serve as public member on the advisory committee. (May 2010 - continuing)

•Texas HIT Workforce Development Executive Committee –

Served as member for the NTREC. (2011-2013)

•Texas Board of Nursing – Growth of Texas Nursing Education

Programs Task Force – Served as member of task force. (2012)

•Texas Health Resources Academic Advisory Group – Serve as

member of this advisory group. (July 2012)

•El Centro Health Professions Pathway Grant Advisory

Committee – Serve as member of this advisory group for grant funding they have received. (June 2013)

Workforce Center Grants

•Texas Workforce Commission Grant with Team Texas & Perot Foundation Funding (2009 to 2012) - $360,000 for start up of North Texas Nursing

Resource Center.

•Wagner-Peyser Grant from Texas Governor for Hospital Based Distance Learning Program (2 funding rounds–2005 to 2010) – Total $1 million grant to assist hospitals using hospital based distance learning program.

•WorkForce Solutions Greater Dallas Grant for Veterans Program (2009-2010) - $190,725 grant for Texas Veterans Connecting with Healthcare Careers Project.

•WorkForce Solutions Greater Dallas Grant for Hospital Based Distance Learning Program (2005) - $178,000 grant to train students in hospital based distance learning program.

•Dept of Labor Grant for H1B DFW Healthcare Project (2002 to 2005) - $3 million grant to train 500 individuals in healthcare careers.

GroupOne HR Solutions

Human Resources Surveys

•

Salary Survey

•

Pay Practices Survey

•

Benefits Practices Survey

•

Vacancy & Turnover Survey

BUILDING A

REGIONAL HEALTHCARE

Engage

Partners &

Build

Support

Determine Collaborative Leadership

•

Organization/Group/People

•

Facilitator

•

Leaders

•

Neutral

•

Trusted

•

Capability

•

Resources

Engage

Partners &

Build

Support

Identify Key Stakeholders in Region

•

Get to know each other

•

Engage them in activities,

committees, etc.

•

Who is important to include for

strong collaboration?

•

Healthcare, Community, Educators,

Engage

Partners &

Build

Support

Build Relationships

•

Individuals

•

Organizations /Groups

•

Understand your community

•

Key Stakeholders

•

What are the needs

Identify

Regional Challenges,

Opportunities and Issues

•

What is better addressed

together

rather than

separately

?

•

Community issues

•

Similar challenges/opportunities

Convene

Partners

•

Determine structure best for

collaboration.

•

Ground rules for Collaboration.

•

Where to meet – neutral space or

partners share?

•

How often to meet?

•

Best way to bring people together –

Identify

Collaborative Opportunities

•

Spend time sharing what are common

concerns and opportunities.

•

What is needed to address

opportunities?

•

What resources are needed?

•

What are expected outcomes?

•

Prioritize – easy vs. difficult.

•

Develop a Plan

Maintaining

Collaborative

•

Continue to build relationships and engage

partners

•

Communications - Share Information

•

Develop a plan for region

Consider:

•

Short term vs. long term

•

Low cost vs. high cost

•

Easy vs. difficult

•

Outcomes

Challenges

with Collaboration

•

Trust

•

Involving the right people/groups

•

How much can you share

•

Competition

•

Funding

•

Agreement

•

Priorities

Strengths

with Collaboration

•

Shared information

•

Shared resources

•

Better communication

•

Better prepared workforce

•

Pipeline for healthcare workforce

•

Combined resources to more

effectively meet needs for healthcare

in the region

DFWHC Foundation

“Secret Sauce”

•Collaborate with Research, Measurement, Programs,

Surveys, Education

•Building relationships

•Minimize asking for things •Good leadership

•Organization history and reputation

•Activities done individually & collectively

•Rivals come together and share ideas and projects

DFWHC Foundation

“Secret Sauce”

External Factors that are Key to Success: •Healthcare reform

•IT infrastructure

•Transparency policy for initiatives •Regional healthcare hub

•Regional culture of collaboration and innovation Internal Factors that are Key to Success:

•Values – integrity, service collaboration, learning inspiration, excellence

•Nonprofit/Service oriented

•Value/Cost Effective & Quality of Services •Neutral, Non-political, Trust

•Convener/Facilitator Roles •Data Strength

What are the Collaboration

Possibilities for Your Region?

that could be addressed better working together as a region?

•Are there common missions, visions, business

strategies, etc?

•Who are potential community partners for

collaboration?

•How can the partners work together and why would

they collaborate?

What will you do when you

return to your organization?

•

What community partners will you reach

out to?

•

What activities can you collaborate on?

•

What difference will that make for your

Sally Williams

Workforce Center Director

Dallas-Fort Worth Hospital Council Foundation

469-648-5030

[email protected]

DFWHC FOUNDATION WEB SITE: www.dfwhcfoundation.org