Jobs To CareersJobs To Careers

Promoting Work-Based Promoting Work-Based Learning for Learning for

Quality CareQuality Care

In the Beginning, there wasIn the Beginning, there was

ALFTCALFTC

Assisted Living Facility Training Assisted Living Facility Training ConsortiumConsortium

Workforce Development GrantWorkforce Development Grant

Cedar Sinai Park - Rose Schnitzer ManorCedar Sinai Park - Rose Schnitzer Manor Avamere Assisted Living facility – Avamere Assisted Living facility –

HillsboroHillsboro Portland Community College (CWT/IHP)Portland Community College (CWT/IHP)

ALFTC Project GoalsALFTC Project Goals

Train & Promote employeesTrain & Promote employees Demonstrate how to efficiently develop a Demonstrate how to efficiently develop a

skilled workforce through the use of skill skilled workforce through the use of skill standards and targeted trainingstandards and targeted training

Create Career Ladder & LatticesCreate Career Ladder & Lattices

Components of the ProjectComponents of the Project

WorkKeysWorkKeys Job profilesJob profiles AssessmentsAssessments

Curriculum DevelopmentCurriculum Development ESL & Adult Learning, OJT, Best PracticeESL & Adult Learning, OJT, Best Practice

Data BaseData Base Tracks time, instructor, all trainingTracks time, instructor, all training

EvaluationEvaluation

Better Jobs Better CareBetter Jobs Better Care

19 partners19 partners Retention of Retention of

Direct Care Direct Care

Workers Workers

(DCW)(DCW)

RWJF fundedRWJF funded 3 ½ years3 ½ years 1 of 5 projects1 of 5 projects

Better Jobs Better CareBetter Jobs Better Care

8 practice sites8 practice sites

4 nursing homes4 nursing homes

1 residential care facility1 residential care facility

2 assisted living (2 assisted living (one on same campus as one one on same campus as one of the nsg homes) of the nsg homes)

2 home care: 1 Home Health agency2 home care: 1 Home Health agency 1 Union SEIU - Home Care Workers1 Union SEIU - Home Care Workers

Policy ObjectivesPolicy Objectives Increase DCW access to CNA Increase DCW access to CNA certification and advanced competencies.certification and advanced competencies.

Review regulatory activities, Review regulatory activities, provider reimbursement.provider reimbursement.

Improve leadership skills of Improve leadership skills of nurses.nurses.

Added two goals during grant:Added two goals during grant: PCC philosophy statementPCC philosophy statement

DCW core competenciesDCW core competencies

Practice ObjectivesPractice Objectives

person-centered approach part of each objectiveperson-centered approach part of each objective

DCW relationship with:DCW relationship with: SupervisorSupervisor ResidentsResidents FamilyFamily

career advancementcareer advancement

diversitydiversity

Lessons LearnedLessons Learned

Leadership team should: Leadership team should: be multi departmental, all shiftsbe multi departmental, all shifts have authority to effect change (upper level)have authority to effect change (upper level) Implement some of suggestions that come Implement some of suggestions that come

from DCWsfrom DCWs meet regularly (preferably more than monthly)meet regularly (preferably more than monthly)

““When you’ve got a team working together there’s When you’ve got a team working together there’s nothing better, and when you don’t there’s nothing better, and when you don’t there’s nothing worse.”nothing worse.” DCWDCW

Lessons Learned - DCW Activities Lessons Learned - DCW Activities

Flattening the organizational hierarchy---DCWs: Flattening the organizational hierarchy---DCWs: Participate in interviews for DCW positionsParticipate in interviews for DCW positions Self scheduleSelf schedule Serve in leadership positionsServe in leadership positions Peer mentoringPeer mentoring Participate actively in care planningParticipate actively in care planning

A new CNA, who had worked for about 3 mo. saw an ad A new CNA, who had worked for about 3 mo. saw an ad in the paper for a job paying $11/hr (somewhat higher in the paper for a job paying $11/hr (somewhat higher than we were paying her). She resigned, worked her 2 than we were paying her). She resigned, worked her 2 wks and left in good standing. One month later she wks and left in good standing. One month later she came back and applied for rehire. “This is a better place came back and applied for rehire. “This is a better place to work” to work”

Lessons Learned (con’t)Lessons Learned (con’t) TrainingTraining

Sufficient dedicated timeSufficient dedicated time As a separate line item on the budgetAs a separate line item on the budget Beyond clinical topicsBeyond clinical topics

Evaluation of effortsEvaluation of efforts (PCC assessment tool, focus (PCC assessment tool, focus groups)groups) Must be part of the workMust be part of the work User friendly tools make it invitingUser friendly tools make it inviting

Need for ongoing efforts after grant is overNeed for ongoing efforts after grant is over MOVE (Making Oregon Vital for Elders)MOVE (Making Oregon Vital for Elders)

Still have challengesStill have challenges

RetentionRetention

Turn over CostsTurn over Costs

Shortage of DCW nowShortage of DCW now

Jobs To CareersJobs To Careers

Funding from:Funding from:

RWJFRWJF HitachiHitachi

Our project one of 19 in country – (there are Our project one of 19 in country – (there are 2 in Oregon) - Only LTC/CBC project2 in Oregon) - Only LTC/CBC project

3 year grant, - 1 ½ years into grant3 year grant, - 1 ½ years into grant

10+ Partner Coalition10+ Partner Coalition

PCC – lead & fiscal agent PCC – lead & fiscal agent (CWT, IHP, Gerontology)(CWT, IHP, Gerontology)

OHCA / AllianceOHCA / Alliance Employer providersEmployer providers

CSP/RSMCSP/RSM PBCC/OHPBCC/OH Marquis, CCL Taft Home, Farmington SquareMarquis, CCL Taft Home, Farmington Square

SPD & Board of Nursing SPD & Board of Nursing Worksystems Inc (WIB for Metro area)Worksystems Inc (WIB for Metro area)

Employer/provider GoalsEmployer/provider Goals

Train entry level DCW using ALFTC Train entry level DCW using ALFTC curriculum – work basedcurriculum – work based

Change employer policies & practices to Change employer policies & practices to support skill & career development for support skill & career development for DCWDCW

Train supervisors in coaching/mentoring Train supervisors in coaching/mentoring for DCW career developmentfor DCW career development

Work - Based LearningWork - Based Learning

Critical Elements of WBLCritical Elements of WBL

Learning – done while on the job & dedicated Learning – done while on the job & dedicated to the task at handto the task at hand

Learning is everyone’s jobLearning is everyone’s job Question underlying assumptions of practiceQuestion underlying assumptions of practice

System GoalsSystem Goals

Create/Implement a credentialing system Create/Implement a credentialing system for DCWfor DCW ALFTC curriculum credentialALFTC curriculum credential

Entry Level and Med Aide level Entry Level and Med Aide level occupational profiles (RA I & RA II)occupational profiles (RA I & RA II)

Voluntary, statewide standard for trainingVoluntary, statewide standard for training

Community College Goals:Community College Goals:

Create a joint education/employer system Create a joint education/employer system for DCW career development/career for DCW career development/career management coachingmanagement coaching Credit for prior learningCredit for prior learning

Create new academic certificates that Create new academic certificates that combine credit courses, CEU and combine credit courses, CEU and workplace experience.workplace experience.

Support employer culture change through Support employer culture change through management trainingmanagement training

Be a drop of water & Be a drop of water & Watch that ripple spread! Watch that ripple spread!

For more information:For more information:

Suanne JacksonSuanne Jackson JTC program coordinatorJTC program coordinator PCC, Capital Center – SW PortlandPCC, Capital Center – SW Portland

sjackson@pcc.edu 503-533-2778/cell 503-333-8741503-533-2778/cell 503-333-8741