Clinical Workforce Development NCA Informational Webinar
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Learn more about training and technical assistance offered through Community Health Center Inc.'s National Cooperative Agreement (NCA) on Clinical Workforce Development. Hear more about FREE Learning Collaboratives opportunities to enhance or implement a model of Team-Based Care at your Health Center, and how to implement a Post-Graduate Residency program for Nurse Practitioners and Post-Doc Clinical Psychologists.
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Clinical Workforce Development NCA Informational Webinar
- 1. We will begin shortly… Welcome 1
- 2. How to Participate in Today’s Webinar Send in your questions by using the Q&A button!
- 3. Community Health Center, Inc. Foundational Pillars 1. Clinical Excellence- fully Integrated teams, fully integrated EMR, PCMH Level 3 2. Research & Development- CHC’s Weitzman Institute is the home of formal research, quality improvement, and R&D 3. Training the Next Generation: Postgraduate training programs for nurse practitioners and postdoctoral clinical psychologists as well as training for all health professions students CHC Profile: •Founding Year - 1972 •203 delivery sites •145k patients
- 4. The Community Health Center, Inc. and its Weitzman Institute will provide education, information, and training to interested health centers in Transforming Teams and Training the Next Generation • National Webinars on advancing team based care, implementing post- graduate residency programs, and health professions students in FQHCs. • Invited participation in Learning Collaboratives to advance team based care or implement a post-graduate residency program at your health center. CHC’s NCA on Clinical Workforce Development The National Training and Technical Assistance Cooperative Agreements (NCAs) provide free training and technical assistance that is data driven, cutting edge and focused on quality and operational improvement to support health centers and look-alikes.
- 5. Implementing Post-Graduate Residencies: 1. Why Start a Post-Graduate Residency Program? Building a Case for Your Organization 2. The Structure, Design, and Content of the 12- month NP Residency Program 3. The Structure, Design and Content of the 12- month Postdoctoral Clinical Psychology Residency Program 4. What Your Board, Management, and Staff Need to Know about Starting a Post-Grad Residency Program in your FQHC 5. Precepting, Supervision, Leadership and Logistics: What are the Staff Roles in a Post-Grad Residency Program? 6. Measuring the Outcomes: Research and Evaluation 7. Accreditation for Postgraduate Residency Programs 8. Case Presentations: Successful National Residency Programs Health Professions Students in FQHCs: 1. Why Form a Health Professions Training Program at your FQHC? 2. Creating a Process that Works for You: Infrastructure for a Successful Student Training Program 3. How to Make it Work for the Students 4. How to Create Life-Changing Experiences for Students 5. Developing a Student Training Process: On-Boarding and Orientating to Your Health Center Community 6. Team-Based Care 101 for Students 7. Enhancing the Student Experience through Effective Precepting 8. Evaluating the Student Experience Training the Next Generation
- 6. Advancing Team-Based Care: 1. Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice 2. Enhancing the Role of the Medical Assistant 3. The Emerging Role of Nurses in Primary Care 4. Data Driven Dashboards to Support Team-Based Care 5. A Team Approach to Prevention and Chronic Illness Management 6. Complex Care Management in Primary Care 7. Achieving Full Integration of Behavioral Health and Primary Care 8. Dissolving the Walls: Clinic Community ConnectionsTransforming TeamsPlease visit www.CHC1.com/NCA to access NCA webinar recordings, presentations and resources
- 7. National Webinar Series -3204 viewers attended the webinar series -Most attended webinar: Enhancing the Role of the Medical Assistant -(March 3, 2016) 373 attendees - Videos: Viewed a total of 2000+ times - Slides: Viewed a total of 6000+ times - Representation from all 50 states, US Virgin Islands, Puerto Rico and Canada.
- 8. Zoominars are for everyone… Learning Collaboratives are for those committed to action.
- 9. Learning Collaboratives Advancing from generalized knowledge to intensive coaching • What is a Learning Collaborative? • 9- to 12-month programs that are designed for organizations committed to achieving sustainable change within a specific topic area. Through shared learning, teams from a variety of organizations work with each other and faculty to rapidly test and implement changes that lead to lasting improvement. (IHI.org) • Learning Collaboratives are an approach first used by health centers as far back as 1999 when Dr. Wagner and Dr. Stevens organized the health centers through a health disparity collaborative. • There are hundreds of Learning Collaborative initiatives going on across the county- from Medicare/CMMI practice transformation to state innovation models.
- 10. Advancing from generalized knowledge to intensive coaching 10 Post-Graduate Residency Teams 13 Team-Based Care Teams September 2016-June 2017
- 11. The mission of CHAS is to improve the overall health of the communities we serve by expanding access to quality health and wellness services. Mission
- 12. If CHAS patients were a village of 100 people… 93Below 200% Poverty Level 12 Uninsured 8 Homeless 18 Racial or Ethnic Minority 4 Served in a language other than English
- 13. From the Outset: The NP Residency April 2016 CHAS embarked on exploring a residency project understanding the significant impacts a shortage of medical providers is having on CHAS. The main goal was to create a mid-level residency program to bring more new graduates to the area and to CHAS. In the beginning the decision was on whether or not to create a NP or PA program. After early evaluation it became clear that an NP Residency was the best option for CHAS. Initially, the goal was to slot residents in at different clinics and maybe even start with a single resident. June of 2016: CHAS applied for and was accepted into a Nurse Practitioner Residency Learning Collaborative with 15 other FQHC’s from across the country who all were developing NP Residency programs. July 2016: It became clear that CHAS wanted to purse a program with 3 residents, but it was unclear where we could find space for the residents system wide. After additional research and thorough analysis, the leadership team approved the build out of a new clinic for the NP Residency. 13
- 14. The intent of the Nurse Practitioner Residency is a mutually beneficial program to NP Residents and CHAS For CHAS the program is structured to meet several of our priorities Provider Recruiting & Teaching Partnerships Investments in Training Increased Patient Access Improved Clinical Outcomes There is also a broad impact seen in a commitment to excellence and constant learning throughout the organization. Other benefits to CHAS include: Staff Satisfaction Improved Recruitment & Retention We see the main benefits to residents as: Increased Provider Confidence & Competence Move past the “Sink or Swim” Phenomenon that many first year NP’s face going directly into practice Prepares Residents to work with Vulnerable Populations
- 15. Advancing from generalized knowledge to intensive coaching 10 Post-Graduate Residency Teams 13 Team-Based Care Teams September 2016-June 2017
- 16. How Can YOU Participate? Next NCA webinar: September 12th 3:00PM EST Building the Case for Starting a Post-Graduate Residency Program for Family and Psychiatric Nurse Practitioners at Your Health Center Applications for Post-Graduate NP Residency Learning Collaborative: Open on September 1! Applications can be found on www.chc1.com/nca *Post-Doc Clinical Psychologist Residency Program will begin in Spring 2018*
- 17. How Can YOU Participate? Post-Graduate Residency Learning Collaborative Timeline and Overview: • Applications are open from September 1st - October 13th • Applicants must be available for an interview the week of October 16th-20th • Final Decisions: October 23rd • First LC Session: November 8th Expectations: -Each Health Center will identify a team and a “leader” or “coach” -Team Leader/Coach and team members meet weekly -Team Leader/Coach meets bi-weekly with CHC “Mentor” -Teams will join each learning session (9 sessions total) -Team members will utilize the online learning community regularly- sharing best practices, lessons learned, and tools/resources -Health center will implement a residency program within 2 years of LC participation
- 18. -Program Drivers -Mission/Vision -Resource Assessment -Leadership/BOD Support -Marketing -Program Goals and Objectives DECEMBERNOVEMBER -Curriculum Development -Marketing and Recruitment -Interviewing JANUARY -Curriculum Mapping -Applications and Interviews FEBRUARY -Curriculum Mapping -Program Staff Roles and Responsibilities -Communication MARCH -Developing Curriculum Into Schedule -Interview and Selection Process APRILMAYJUNE -Program Policies and Procedures -Evaluation of the Learner -Contracts and Agreements -Licensing and Credentialing -Evaluation of the Program JULY AUGUST -Preparing for Q1 -Evaluation Overview -Precepting, Resident Portfolio and Journals -Graduation, Orientation, Accreditation On-going support, as- needed LAUNCH PROGRAM! SEPTEMBER
- 19. How Can YOU Participate? Team-Based Care Learning Collaborative Timeline and Overview: 2018 • Applications are open from December 11- January 22 • Applicants must be available for an interview the week of January 29th-February 2nd • Final Decisions: February 6th • First LC Session: April 25th • Quality Improvement Training (optional but strongly recommended) • In-Person: March 8-9, 2018 • Online: March 12-April 13th (weekly) • LC ends January 2019
- 20. How Can YOU Participate? Team-Based Care Learning Collaborative Expectations: -Each Health Center will identify a clinical team (provider, MA, RN) and a COACH (we define coach as someone who is not part of the clinical team, and not someone who is a supervisor of anyone on the team, who can lead the team through practice improvement- QI experience is preferred by not required) -Coach and team members meet weekly -Coach meets weekly with CHC “Mentor” -Teams will join each learning session (7 sessions total, about every 6 weeks) -Team members will utilize the online learning community regularly- sharing best practices, lessons learned, and tools/resources -Teams will complete all pre/post assessments required -Senior Leaders will join at least one LC session -Health center will advance their model of TBC by the end of the LC
- 21. We are a community of clinicians, organizers, and leaders. We are strongest when we engage with each other in advancing knowledge and care. Thank You!
Editor's Notes
- https://www.youtube.com/watch?v=SVWI9U1usAo
- Kerry Aldon: Kerry & Margaret should be done by 2:05 ALDON: Should be done by 3:05-3:07
- Kerry
- Kerry – overview of NCA
- Kerry – overview of NCA webinar series
- During this past year, from September 2016-June 2017, we enrolled 10 health centers into a learning collaborative to implement a post-graduate residency program, and 13 teams to implement or advance a model of team-based care at their clinic. One of those teams has joined us today, we are joined today by Marcus Riccelli and Cornell Cook from CHAS health center in Spokane, WA. They participated in the post-graduate residency LC and will be launching a NP program this fall. Marcus and Cornell, thanks for joining us. We invited you to share a little bit about your experience in the LC- why did your health center decide to start a residency program, and how did the learning collaborative help you through the process? Thank you! We are also joined by Pam Oiler from the University of Wyoming Family Medicine Residency Program. Pam and her team participated in last year’s learning collaborative to implement a team-based care model at their clinic. Pam, Thanks for joining us today. Can you talk about why your center joined the learning collaborative and how did this program support the process of improving your model of care?
- Founded in 1994, CHAS has grown steadily from a small Health Care for the Homeless clinic to its current configuration of 12 health center sites serving more than 69,000 patients throughout Eastern Washington and Northern Idaho.
- CHAS’s target population includes low-income individuals who experience barriers to accessing primary care, such as cost, transportation, homelessness, and insurance status. CHAS is the greater-Spokane community’s largest provider of safety-net primary care.
- CHAS Health has been accepted to participate in the Post-Graduate Residency Learning Collaborative, supported by CHC, Inc. and its Weitzman Institute. This Learning Collaborative, part of CHC’s National Cooperative Agreement on Clinical Workforce Development, will help take our center from a planning to an implementation stage in developing a Post-Graduate Residency Program at your health center. Experts will guide us through this process over a 9-month period, beginning in September 2016. 9 month learning collaborative that will aid in taking health centers from planning to implementation stage for NP residency programs. Timeline for implementing our residency program overlaps well with the timing of the Collaborative By participating, we hope to achieve program goals at a higher level than we would implementing the program independently. Networking nationwide with other FQHC’s working to get a program off the ground, gaining technical assistance, training and coaching will help us be successful.
- Thank you! We are also joined by Pam Oiler from the University of Wyoming Family Medicine Residency Program. Pam and her team participated in last year’s learning collaborative to implement a team-based care model at their clinic. Pam, Thanks for joining us today. Can you talk about why your center joined the learning collaborative and how did this program support the process of improving your model of care?
- So we’ve just reviewed much of the work that has already been done, and we’re continuing this over the next 12 months and offering new trainings and TA support to health center across the country in these areas. I’d like to now provide you with information about how your health center can participate in these activities and what you can expect. We’ll start with the post-graduate residency program. On September 12th, we’ll be offering a new webinar on why YOU should start a post-graduate training program for family and psychiatric nurse practitioners are your health center. This webinar will provide a detailed overview of building the case to start a post-graduate residency program, and you’ll hear from other health centers who started their own program. The learning collaborative process will begin in September as well. We will be accepting applications to participate in the learning collaborative beginning Sept 1st. The applications can be downloaded from our website and e-mailed directly to us. If you’re not sure if the learning collaborative is appropriate for your organization, please reach out to use and we’d be happy to have a conversation with you or other senior leaders at your organization, but let me provide a brief over of what you can expect by participating in the LC.