California Health Professions Consortium/California Health Workforce Alliance. September 4, 2014

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California Health Professions Consortium/California Health Workforce Alliance September 4, 2014

OSHPD s Healthcare Workforce Development Programs Pathways Health Careers Training Program increases awareness of health careers via Newsletter highlighting career pathways, educational opportunities, scholarship and loan repayments, and job placement resources Mini-Grants provides grants to organizations supporting underrepresented and economically disadvantaged students pursuit of careers in health care California Financial State Loan Incentives Repayment Program Deploys primary care providers to health professional shortage areas Health Professions Education Foundation provides scholarships and loan repayments to students and providers in exchange for a service obligation Workforce Education and Training Program remedies the shortage of mental health practitioners in the public mental health system Health Workforce Pilot Project (HWPP) allows organizations to test, demonstrate and evaluate new or expanded roles for health professionals or new health delivery alternatives Shortage Designation Program designates shortage areas to enable communities to be eligible for federal and state funding Purpose Focusing on increasing diversity of health professionals Prioritizing Underserved Communities Serve as California s Primary Care Office supporting the state s healthcare workforce through pipeline development, training and placement, financial incentives, systems redesign, as well as research and policy.

OSHPD Healthcare Workforce Priorities 2013-2015 Pathways Augment funding for Mini-Grants to increase exposure to healthcare careers Rollout Healthcare Workforce Academy to support pathway programs Develop pathway programs to increase supply and diversity of health professionals Explore partnerships to support "frontline" and allied health workers Training & Placement Institutionalize CalSEARCH to provide clinical rotations in underserved areas Explore role in mental health peer support Fund innovative health training programs via Song Brown Explore funding of primary care and other training programs via Song Brown Explore development of innovative training/retraining programs for incumbents Financial Incentives Implement $52 million grant to support health professionals and training programs Increase funding for existing programs Develop financial incentive programs for: Entry-level Masters in Nursing Nurse Educators PharmD Expand eligibility of State Loan Repayment Program (SLRP) to pharmacists Explore other state's best practices for SLRP Implement CalREACH, OSHPD s e-app for financial incentive programs Systems Redesign Explore development of projects that support new healthcare delivery models Increase utilization of Healthcare Workforce Pilot Program to test, demostrate and evaluate expanded skill set and test new health delivery models Oversee community paramedicine pilot project Continue to proactively designate health professional shortage areas Explore e-application for WET and shortage designations Explore regional partnerships across primary care and mental health Research & Policy Create five-year mental health workforce education and training plan Enhance Clearinghouse, adding supply, demand and education data for all healthcare professions Lead efforts to standardize healthcare workforce data Explore development of database with community identified and best practices in healthcare workforce development Track and analyze legislation impacting health workforce Develop policy recommendations on health workforce issues Identify, promote, and facilitate attainment of additional federal resources and funding opportunities for students, practitioners, and organizations

Recent Expansions to Song-Brown The California Endowment Grant ($21 million in FY 2013-14 through FY 2015-16) Invested $7.0 million in FY 2013-14 for Family Medicine Residency and FNP/PA Training Programs (Slots and Special Programs funding) Fiscal Year (FY) 2014-15 Expands eligibility to teaching health centers Provides one-time $4 million augmentation to support new primary care physician residency slots $2.84 million per year for three years to fund other primary care residency programs Pediatrics $710,000 13 residents OB/GYN $710,000 13 residents Internal Medicine $1,420,000 27 residents 4

California Endowment Grant: Song-Brown Outcomes, Year One $12,131,443 Amount Requested $7 M Awarded 56 FM 416 FNP/PA SLOTS $52 million/3 years to boost the number and capacity of primary care health professionals committed to practice in MUAs $31 million for Health Professions Education Foundation Scholarships and loan repayments $21 million for Song-Brown Program Grants to educational institutions 342 FM 663 FNP/PA SPECIAL PROGRAMS 5

California Endowment Grant: HPEF Outcomes, Year One

Song Brown Song-Brown, Year Two Preview $6.3 Million 51 FM 940 FNP/PA SLOTS 252 FM 470 FNP/PA SPECIAL PROGRAMS CalSEARCH $450,000 110 CHW/Ps trained MiniGrants $100,000 1,300 students exposed to careers in health CDPH PH Fellowship Program $150,000 2 preventive medicine physicians providing leadership at PH agencies 7

HWPP: Community Paramedicine Health Workforce Pilot Project (HWPP) allows organizations to test, demonstrate and evaluate new or expanded roles for health professionals or new health delivery alternatives Applicant: California Emergency Medical Services Authority Emergency Medical Technician Paramedics (EMT-P) trained to provide services in emergency settings or during inter-facility transfers: Limited to emergency care in the pre-hospital environment Requires patients be transported to general acute hospital with basic emergency department Requires transport to closest and most appropriate facility Applying to test an expanded role and practice: Alternate Destinations Post-Discharge Hospital Follow-Up Direct Observed Treatment Hospice Tuberculosis 911 Frequent Callers OSHPD will oversee review and approval of application

CalSIM Develop recommendations to expand utilization of Community Health Workers/Promotores (CHW/P) within California State Innovation Model (CalSIM) Health Homes for Complex Patients Palliative Care Accountable Communities Maternity Care Key questions to address roles and responsibilities skills and core competencies education and training financing and reimbursement Lay a foundation for further development of policy recommendations to expand CHW/P supply Next Steps CalSIM grant application $99.7 million $1.5 million in mini-grants to health providers to supports their readiness $ grants for technical assistance

Sign Up for Emails Sign up for OSHPD s healthcare workforce listservs: http://oshpd.ca.gov/signup.html (general) OSHPD.MHSAWET@oshpd.ca.gov (mental health) HCRWorkforce@oshpd.ca.gov (healthcare reform)

Contact Info Lupe Alonzo-Diaz Deputy Director Mini grant Final 2.mp4 Healthcare Workforce Development Division Office of Statewide Health Planning and Development 400 R Street, Suite 330 Sacramento, CA 95811 (916) 326-3766 (tel) Lupe.Alonzo-Diaz@oshpd.ca.gov www.oshpd.ca.gov