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USING OUR VOICE TO BUILD BETTER SYSTEMS MANAGEMENT AND LABOR CONVENING ON BUILDING A SKILLED WORKFORCE FOR QUALITY HEALTHCARE THURSDAY, JULY 9 - FRIDAY, JULY 10, 2015 HILTON CRYSTAL CITY ARLINGTON, VA

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Page 1: EXECUTIVE SUMMARY EXECUTIVE SUMMARY USING OUR VOICE …

EXECUTIVE SUMMARY 1EXECUTIVE SUMMARY 1

USING OUR VOICE TO BUILD BETTER SYSTEMS

MANAGEMENT AND LABOR CONVENING ON BUILDING A SKILLED WORKFORCE FOR QUALITY HEALTHCARE

THURSDAY, JULY 9 - FRIDAY, JULY 10, 2015

HILTON CRYSTAL CITY

ARLINGTON, VA

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W e l c o m e

Greetings and Welcome to Washington, DC!

As the Labor and Employer Chairs of the Healthcare Career Advancement Program (H-CAP), we welcome you to our second convening on “Using Our Voice to Build Better Systems: Management and Labor Convening on Building a Skilled Workforce for Quality Healthcare,” made possible with generous support from The Joyce Foundation.

During this moment of change in our industry, we are faced with challenging, yet exciting, times. Rapid technological advancement, delivery system reform, and the shift towards population health management, continue to impact the skills and competencies required of the healthcare workforce. These changes require a collaborative response – labor, management, and joint training funds – joining forces to ensure quality care, quality training, and quality jobs. We seek to build stronger public-private partnerships that support career pathways, skill and competency development, along with providing the industry with the committed, qualified, and engaged workforce needed for the healthcare industry of today and tomorrow.

During the next two days we will hear from innovative labor/management workforce partnerships on what they are doing to support a skilled, competent and engaged workforce. We will also hear from government, foundations, researchers, and other stakeholders who are deeply committed to building a healthier America, a well functioning delivery system, and the workforce needed.

Our objectives are ambitious and include building the best possible healthcare workforce programs and system, supported by a policy and research agenda for quality jobs and quality care. We look forward to sharing ideas and learning from each other.

Sincerely,

Diane SosnePresidentSEIU Healthcare 1199NWLabor Chair, H-CAP

Thomas HelfrichSenior Vice President and CounselLeague of Voluntary Hospitals and Homes of New YorkEmployer Chair, H-CAP

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8:00-9:00am Breakfast

9:00-9:30amCommonwealth Hall

Welcome and IntroductIon

9:30-10:30am Plenary conference kIckoff: HealtHcare Workforce cHallenges, PartnersHIP strengtHs

10:45am-12:00Pm WorksHoP sessIon I Shenandoah Labor Management Training Funds for the Healthcare Industry

Monroe The National Center for Healthcare Apprenticeship

Luray Integrating Care/Transitions of Care

Blue Ridge The Nursing Shortage this Time

12:15-1:45PmCommonwealth Hall

luncH WItH sPeakers

2:00-3:15Pm WorksHoP sessIon 2Monroe Emerging Roles, Emerging Jobs in Care Coordination

Shenandoah The Interaction between Job Quality, Worker Training, and Healthy Communities

Luray Research on Healthcare Workforce

Blue Ridge Sub-Acute Institutions Providing Long Term and Rehabilitative Care

3:30-4:45PmCrystal Ballroom

PartnersHIP InnovatIons lIgHtnIng round

4:45-5:00Pm rePorts and PreParatIon for frIday

8:00-9:00am Breakfast

9:00-9:30amCommonwealth Hall

oPenIng remarks

9:30-10:30am Plenary Panel: toWard effectIve IntegratIon of federal Workforce PolIcy and Industry PartnersHIPs In HealtHcare

10:45-11:45am laBor and management HealtHcare Workforce PrIorItIes roundtaBle dIscussIons

Commonwealth Hall Integrated Care for Population Health

Shenandoah Apprenticeship, Career Pathways, Post-Secondary Education, and Beyond

Luray Working Better Together – Public Private Partnerships

Blue Ridge Taking Labor/Management Partnerships to Scale

12:00-1:00PmCommonwealth Hall

luncH WItH sPeaker

a g e n d a at a g l a n c e

Thursday, July 9

Friday, July 10

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Thursday, July 9 8:00-9:00am Breakfast

9:00-9:30amCommonwealth Hall

Welcome and IntroductIonThomas Helfrich, Senior Vice President and Counsel, League of Voluntary Hospitals and Homes of New York, Employer Chair, H-CAPDiane Sosne, RN, MN, President, SEIU Healthcare 1199NW, Labor Chair, H-CAPLaura Dresser, Associate Director, COWSLaura Chenven, Director, H-CAP

9:30-10:30am Plenary conference kIckoff: HealtHcare Workforce cHallenges, PartnersHIP strengtHsPortia Wu, Assistant Secretary, Employment and Training Administration, U.S. Department of LaborMary Kay Henry, International President, Service Employees International UnionLynn Richmond, NP, MS, League of Voluntary Hospitals and Homes of New York, Senior Vice President and Chief of Staff, Montefiore Medical Center

10:45am-12:00Pm

ShenandoahWorksHoP sessIon I LABOR/MANAGEMENT TRAINING FUNDS FOR THE HEALTHCARE INDUSTRY: WHAT THEY ARE, HOW THEY WORK, AND THEIR INNOVATIONS Labor/Management Funds, with negotiated resources and engaged industry leadership, bring healthcare workforce development to scale through multi-employer and regional partnerships. These programs are successful in building career pathways for the low-wage and diverse frontline healthcare workforce. They are at the forefront of national practice in successful delivery of workforce education and training. This session will delve into the structures and strategies of labor/management training partnerships and systems change work that could support expansion and replication. Harneen Chernow, Director, 1199SEIU Training and Upgrading Fund – Massachusetts, Ellen Scully-Russ, EdD, Assistant Professor, Human and Organizational Learning, The George Washington University, Tracy Woodman, Executive Director, SEIU Healthcare 1199NW Multi-Employer Training and Education Fund, Moderator: Matthew Muench, Program Officer, Education + Employment, The Joyce Foundation

Monroe THE NATIONAL CENTER FOR HEALTHCARE APPRENTICESHIP: BUILDING THE CASE FOR A COMPETENCY-BASED MODELThe National Center, a collaboration between SEIU, AFSCME, and major employers, supports healthcare employer and worker training needs. With competency-based models of apprenticeship now developed or in development for Advanced Home Care Aide, Community Health Worker, and Medical Coding, this session will focus on these occupations and identify lessons and the potential for career pathways across all sectors of healthcare in our changing healthcare system.Kimberly Austin-Oser, Deputy Director, Healthcare Workforce Development, SEIU Healthcare, Cheryl Feldman, Executive Director, District 1199C Training & Upgrading Fund, Laura Ginsburg, Office of Apprenticeship, U.S. Department of Labor, Sandi Vito, Director, 1199SEIU/League Training and Upgrading Fund & Greater New York Education Fund, Cheryl Whitfield, Vice President, Human Resources, Inglis, and Worker Representative, Moderator: Laura Chenven, Director, H-CAP

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Luray INTEGRATING CARE/TRANSITIONS OF CARE: THE EMERGING ROLE OF HOME AND COMMUNITY BASED WORKERS AND THEIR VALUE TO THE TRIPLE AIM Across the country, the healthcare industry is developing systems for the integration of care between healthcare facilities and community based services. This approach requires new teams and revised roles for home and community based workers. Advocates for these workers along with unions and employers are considering new roles for these workers that support care integration and quality outcomes. In this session, we will learn more about the vision of stakeholders for these emerging roles, and discuss and refine thinking about needed competencies.Thomas Earle, Chief Executive Officer, Liberty Resources, Mark Heaney, President and Chief Executive Officer, Addus Homecare, and Faith Wiggins, Director, 1199SEIU Bill Michelson Homecare Education Fund, Moderator: Helen Schaub, New York State Director of Policy and Legislation, 1199SEIU United Healthcare Workers East

Blue Ridge THE NURSING SHORTAGE THIS TIME: WHAT’S GOING ON IN SUPPLY AND DEMAND AND WHAT IT MEANS FOR NURSING EDUCATIONResearchers are noting the end of a nursing shortage in some major markets. Nursing schools have to make decisions regarding allocation of resources in order to meet industry demand for BSN completions for experienced nurses and MSN degrees, while continuing to provide a pathway that supports diversity within the nursing profession. In this session, leaders from academia, nursing, education, and labor/management partnerships will consider these issues. Erica Richman, PhD, MSW, Research Analyst, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill and Roxanne Fulcher, Director, Health Professions Policy, American Association of Community Colleges, Moderator: Denise Cherenfant, RN, Associate Director for Nurse Programs, 1199SEIU Training and Employment Funds

12:15-1:45Pm Commonwealth Hall

luncH WItH sPeakersWith introduction by Deborah King, Executive Director, 1199SEIU Training and Employment Funds and H-CAP

2:00-3:15Pm

MonroeWorksHoP sessIon 2EMERGING ROLES, EMERGING JOBS IN CARE COORDINATION: MEDICAL ASSISTANTS, PHYSICIANS, AND NURSESChanges in healthcare delivery are giving rise to diverse models for integrating and coordinating care. Medical Assisting (MA) is one of the fastest growing healthcare careers and increasingly an integral component of a systemic move towards population health particularly in physician based clinics. Nurse led teams are also emerging as critical in the field of care coordination. Panelists will discuss the jobs, functions, models, and roles that are emerging across systems and regions.Anne Meara, RN, MBA, Director, Care Management Services, Montefiore Medical Center, Rebecca Miller, Director of Workforce Development, SEIU United Healthcare Workers West, Labor Vice Chair, H-CAP, and Tom Strong, Senior Program Officer, The Hitachi Foundation, Moderator: L. Toni Lewis, MD, Chair, SEIU Healthcare

Shenandoah THE INTERACTION BETWEEN JOB QUALITY, WORKER TRAINING, AND HEALTHY COMMUNITIES, OR HOW QUALITY JOBS CONTRIBUTE TO THE TRIPLE AIMHealthcare reform requires an engaged workforce with critical thinking skills and the ability to adapt to change. In this session we will dig into experience, data, and policy on these critical connections. Speakers will consider how to define job quality that supports worker engagement and leads to a healthier community.Allyne Beach, Senior Workforce Consultant, Kaiser Permanente, Jeffrey Levi, PhD, Professor of Health Policy, The George Washington University, Executive Director, Trust for America’s Health, and Estela Vazquez, Executive Vice President, 1199SEIU United Healthcare Workers East, Moderator: Vickie Choitz, Associate Director, Economic Opportunities Program, Aspen Institute

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Luray RESEARCH ON HEALTHCARE WORKFORCE: OPPORTUNITIES FOR EXCHANGE WITH INDUSTRY PARTNERSHIPSResearchers are looking at the implications of healthcare reform on the jobs, skills, and competencies needed to provide population health and quality care. Their work is increasingly important to inform industry partnerships in workforce planning and training. This session will examine opportunities for collaboration that support workforce planning, effective training, and documenting the value of labor/management workforce programs. Jean Moore, DrPH, RN, Director, Center for Health Workforce Studies, School of Public Health, SUNY Albany, Patricia Pittman, PhD, Associate Professor, Department of Health Policy, Director, Health Workforce Research Center, The George Washington University, and George Zangaro, PhD, RN, Director, National Center for Health Workforce Analysis, Health Resources and Services Administration, U.S. Department of Health and Human Services, Moderator: Daniel Bustillo, Researcher and Policy Analyst, H-CAP

Blue Ridge SUB-ACUTE INSTITUTIONS PROVIDING LONG TERM AND REHABILITATIVE CARE: HOW THESE INSTITUTIONS ARE CHANGING AND THE MEANING FOR JOBS, SKILLS, AND TRAININGA trend towards moving patients out of hospitals and into sub-acute and community based care is creating change for Nursing Homes. This requires new thinking about the jobs and staffing patterns needed to provide these services. A discussion by industry leaders of the challenges presented by this trend will help us define the research, resource, and policy needs to support institutions and provide opportunities for their workforce to gain skills and advance their careers. Todd Hobler, Vice President, 1199SEIU United Healthcare Workers East – Upstate NY, Scott Norton, Vice President of Labor Relations, Golden Living, Kimberly Townsend, President and Chief Executive Officer, Loretto, and Lisa Williams, Executive Director, SEIU Healthcare PA Training and Education Fund, Moderator: Danielle Copeland, Director, H-CAP Education Association

3:30-4:45Pm

Crystal Ballroom

PartnersHIP InnovatIons lIgHtnIng round: a crasH course In success at funds across tHe country

SEIU UHW-West & Joint Employer Education Fund, California1199NE Training and Upgrading Fund, Connecticut1199SEIU Training and Upgrading Fund, Massachusetts1199SEIU Bill Michelson Home Care Education Fund, New York1199SEIU Training and Upgrading Fund, New YorkSEIU Healthcare PA Training and Education Fund, Pennsylvania1199SEIU Training and Upgrading Fund, Upstate New YorkSEIU Healthcare 1199NW Multi-Employer Training and Education Fund, Washington State

4:45-5:00Pm rePorts and PreParatIon for frIday

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Friday, July 10

d e ta I l e d a g e n d a

8:00-9:00am Breakfast

9:00-9:30amCommonwealth Hall

oPenIng remarks and orIentatIon to tHe dayLaura Chenven, Director, H-CAP Laura Dresser, Associate Director, COWS

9:30-10:30am Plenary Panel: toWard effectIve IntegratIon of federal Workforce PolIcy and Industry PartnersHIPs In HealtHcare Three Federal Departments are essential to healthcare workforce development: Labor, Education, and Health and Human Services. Each is undertaking initiatives that create opportunities for healthcare workers and employers and increasingly, are breaking down traditional silos to better align federal initiatives. These efforts are essential to creating a system where upskilling aligns with workforce goals, where training for new entrants leads to career pathways, and where workers reap a portion of the value they create. The plenary panel will discuss initiatives and alignment that support a stronger healthcare workforce development system.Eric Seleznow, Deputy Assistant Secretary, Employment and Training Administration, DOLMichelle Washko, PhD, Deputy Director, National Center for Health Workforce Analysis, HRSA, HHSDanielle Goonan, Special Assistant, Office of Career, Technical, and Adult Education, DoEDStanley Koustaal, PhD, Program Manager, Health Profession Opportunity Grants Program, Administration for Children and Families, HHSModerator: Andy Van Kleunen, Executive Director, National Skills Coalition

10:45-11:45am

Commonwealth Hall

laBor and management HealtHcare Workforce PrIorItIes roundtaBle dIscussIons

INTEGRATED CARE FOR POPULATION HEALTHIncreasing healthcare industry focus on population health is reshaping skills and competencies needed by the workforce. This session will focus on the opportunities and needs generated by this transformation.

Shenandoah APPRENTICESHIP, CAREER PATHWAYS, POST-SECONDARY EDUCATION, AND BEYOND: TRANSFORMING EDUCATIONLike healthcare, the education sector is undergoing transformation in everything from delivery methods to coordination between disparate systems. This group will discuss how to leverage education system change for the healthcare industry’s emerging workforce requirements.

Luray WORKING BETTER TOGETHER – PUBLIC/PRIVATE PARTNERSHIPS TO BUILD QUALITY CARE AND APPROPRIATELY TRAINED WORKERSAt federal, state, and local levels, public initiatives are seeking to securing strong connections to employers. Participants in this group will consider ways to make sure that L/M partnerships in healthcare are responding and connecting to these public initiatives and resources.

Blue Ridge TAKING LABOR/MANAGEMENT PARTNERSHIPS TO SCALE TO SERVE THE NEEDS OF WORKERS AND EMPLOYERSL/M Partnerships in healthcare work on win/win solutions – providing employers with the skilled workers needed for quality care and workers with the means to satisfy their career aspirations and acquire quality jobs. This group will consider the key research and policy questions that could help take this work to greater scale and impact.

12:00-1:00PmCommonwealth Hall

luncH WItH sPeaker

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aBout H-caP and tHe H-caP educatIon assocIatIonH-CAP is a national organization of SEIU unions and healthcare employers who are partnering on workforce education and training. Its related organization, the H-CAP Education Association, comprises 15 labor/management and labor-based training organizations (that include over 900 employers and more than 500,000 employees). Both organizations are strongly committed to providing workplace skills and career pathways and bringing greater diversity into the healthcare professions. H-CAP works with its partners to disseminate best practices, develop solutions to emerging issues, and create a more cohesive approach to policy issues. The organizations also provides curriculum development, program development, research, and evaluation services to collaborating partners.

aBout coWsBased at the University of Wisconsin-Madison, COWS is a national think-and-do tank that promotes “high road” solutions to social problems. These treat shared growth and opportunity, environmental sustainability, and resilient democratic institutions as necessary and achievable complements in human development. COWS is nonpartisan but values-based. We seek a world of equal opportunity and security for all.

t H a n k y o u

CALIFORNIA Kaiser Permanente, Laura Long, Zeth Ajemian – AlternateSEIU United Healthcare Workers West, Rebecca Miller, Chokri Bensaid – Alternate SEIU UHW-West & Joint Employer Education Fund, Rebecca Hanson, Lucy Runkel – Alternate Los Angeles Department of Health Services, Vivian C. BranchickSEIU Local 721, Patricia CastilloWorker Education and Resource Center, Diane FactorFLORIDA University of Miami Hospital, Lori Lupe, David Zambrana – Alternate1199SEIU United Healthcare Workers East, Dequasia CanalesNEW YORK League of Voluntary Hospitals and Homes of NY, Thomas A. Helfrich and Rita Mercieca, Madelyn Pearson and Lynn Richmond – Alternates 1199SEIU United Healthcare Workers East, Norma Amsterdam, Patricia Greenberg – Alternate, Estela Vazquez1199SEIU Training & Employment Funds, Deborah King, Sandi Vito – AlternateMINNESOTA Healthpartners, Michael J. Deluca, Lynelle M. Wood – Alternate

SEIU Healthcare MN, Brenda HilbrichPENNSYLVANIA Allegheny General Hospital, Marge Dicuccio, Angela Costa – AlternateSEIU Healthcare PA, Zach Zobrist, Cathy Stoddart – Alternate UPSTATE NY Crouse Hospital, John Bergemann, Betty O’Connor – AlternateKaleida Health, Nadine F. Streleski-Flowers, Cherie Hepp – AlternateStrong Memorial Hospital/University of Rochester, Jeffrey Stevens, Stanley Byrd – Alternate 1199SEIU United Healthcare Workers East, Bruce Popper, Rosemary Speranza – Alternate WASHINGTON Swedish Medical Center, Jennifer A. Graves, Kathryn Ogden – AlternateSEIU Healthcare 1199NW, Diane SosneValley Medical Center, UW Medicine/University of Washington, Megan V. Stevens, Paula Minton-Foltz – Alternate SEIU Healthcare 1199NW Multi-Employer Training and Education Fund, Tracy WoodmanSEIU (National), Maria Castaneda

BOARD Steve Bender, 1199NE Training and Upgrading Fund Diane Factor, Worker Education and Resource CenterCharissa Raynor, SEIU Healthcare NW Training Partnership Elizabeth Toups, SEIU UHW-West & Joint Employer

Education FundSandi Vito, 1199SEIU League Training and Upgrading Fund

AFFILIATES1199SEIU Training and Upgrading Fund – MA1199SEIU Training and Upgrading Fund – MD/DC 1199SEIU Training and Upgrading Fund – Upstate NY1199SEIU Bill Michelson Home Care Education FundCalifornia Long-Term Care Education CenterSEIU Healthcare 1199NW Multi-Employer Training and

Education FundHelen Miller Member Education and Training CenterSEIU Healthcare PA Training and Education Fund

H-CAP and COWS gratefully acknowledge the support of The Joyce Foundation. Their investment in our joint project – focused on stronger policy and practice for career pathways in healthcare – has made this conference possible.

This conference would also not be possible without the support of the H-CAP board, the H-CAP Education Association, and all those who have offered their time as volunteers and speakers. We offer a sincere thanks to all.

H-caP Board

H-caP educatIon assocIatIon