Robert Espinoza, Executive Vice President of Policy at PHI: The Direct Care Crisis Hits Home

Every day, nearly five million direct care workers support older adults and people with disabilities across the United States, and the critical need for this workforce is only increasing as the proportion of people over sixty-five continues to grow dramatically. Given an existing shortage of workers and a high turnover rate in the profession due to low pay, lack of training and poor management, the chances of meeting that need are low. Add in the unaffordability of these services and the difficulty many loved ones have navigating the system and it is a deeply troubling picture, according to our WorkforceRx guest Robert Espinoza, executive vice president for policy at PHI. “All of these barriers compound and create a system where it’s going quickly, I think, from crisis to catastrophe,” he tells Futuro Health CEO Van Ton-Quinlivan. But while the problems are many, so are the potential solutions. Espinoza sees particular promise in several state and local initiatives including wage pass-through laws to boost worker pay, stronger training requirements and tapping into the undocumented immigrant population, which he sees as a major part of the answer. Be sure to listen to the end to learn about an innovative training program in San Francisco on which Futuro Health and PHI are collaborating, and Espinoza’s ideas for leveraging the relationship between family caregivers and direct care workers.

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Mark Argosh, Social Venture Partners Connecticut: What Connecticut Does Right on Job Training

Even if all of the unemployed people in Connecticut took one of the 109,000 open positions in the state, there would still be thousands of jobs left unfilled. What that says to Mark Argosh, chair of the Governor’s Workforce Council, is the state needs to get more people off the sidelines. “We have to be able to increase the labor force participation rate in Connecticut, and what that means is especially focus on underserved populations that face significant barriers,” he tells Futuro Health CEO Van Ton-Quinlivan. That recognition has prompted investment in services such as childcare, transportation and supportive housing. But that’s just one element of a multi-pronged approach that includes building partnerships within industry sectors, consolidating training programs in higher ed and providing a central point of contact in state government on workforce issues. The state is also supporting one of the largest government-funded job training programs in the country and it recently won the largest award in the U.S. Department of Commerce’s Good Jobs Challenge. “I think what this represents is an endorsement of the strategies and approach that we’re taking to transform workforce development.” Tune in to this episode of WorkforceRx for a deep dive into best practices in workforce development at the state level, and learn how the non-profit Argosh leads, Social Venture Partners Connecticut, employs a “venture philanthropy” model to close opportunity gaps in the state.

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Jon Marcus, Higher Education Editor for The Hechinger Report: The Trust Factor in Higher Ed

There’s mounting skepticism about the value of higher education among prospective students and their parents, causing alarm among policymakers on the implications of this trend for the quality of the future U.S. workforce and economy. A continuing sharp decline in college enrollments is perhaps the key proof point, but there are many other symptoms and causes which Futuro Health CEO Van Ton-Quinlivan explores on this episode of WorkforceRx with Jon Marcus, higher education editor for The Hechinger Report. “I’d like to think that, now that enrollment drops have caused an existential crisis, we’ll see colleges and universities finally taking steps they should have many years ago to stop hiring, stop building, stop spending, start innovating, and start using technology to work smarter,” says Marcus. There are some innovations he thinks are worth noting, rising in part from a new imperative to collaborate. They include dual admissions programs at 2-year and 4-year institutions and course sharing, which Marcus asserts could be a game changer especially for smaller schools. Don’t miss this deeply-informed scan of how higher ed is responding to a daunting list of challenges including dropout rates, student debt and demographic headwinds, and be sure to stay tuned to learn how a tiny change at one Florida university made a big improvement in retention.

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Dr. Marjorie Hass, President of the Council of Independent Colleges: Innovation Buoys Higher Ed in Challenging Times

As a new school year gets underway at colleges and universities around the country, it’s a good time to take stock of where higher education finds itself after several very challenging years brought on by a massive public health crisis and unprecedented economic turbulence. On this episode of WorkforceRx, Futuro Health CEO Van Ton-Quinlivan turns to veteran higher ed leader Dr. Marjorie Hass, President of the Council of Independent Colleges (CIC), for insight. Hass counts an unusually high number of new presidents this year at CIC member institutions who will find themselves facing greater scrutiny from stakeholders as they navigate complex issues. “You have a lot of different constituencies who are able to be in touch with you and with each other almost 24-7. There is a lot of pressure to make decisions quickly and to make decisions in a transparent way.” Hass says these new leaders would also be wise to embrace continuous innovation in degree offerings, revenue streams and student recruitment, which she believes was a hallmark of colleges and universities who managed best during the pandemic. You won’t want to miss this wide-ranging look at the innovations and trends emerging in this uniquely challenging time for higher ed.

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Jacqueline Burandt, President of Award-Winning Results: Rethinking Employee Development

Obstacles – from language proficiency to digital literacy to family care – make it difficult for adults to get on, and stay on, an education path towards a career they desire. Our guest on this episode of WorkforceRx, Jacque Burandt, spent decades at University Health System in San Antonio, Texas, breaking down those barriers and is here to share her recipe for creating and sustaining successful upskilling and reskilling programs. As she tells Futuro Health CEO Van Ton-Quinlivan, first and foremost is partnering with community organizations. Very few people have the budget to invest in lots of expensive training so employers should seek out groups that can help them out, says Burandt, who is now president of Award-Winning Results, a firm that focuses on transforming organizations through people development and gaining recognition for employees. A key benefit to these collaborations is that the community partner can often help with the “wraparound” services that make it easier for employees to attend classes. Tune in for many more tips and strategies in this wisdom drop from Jacque about getting the buy-in of supervisors, investing in awareness of the offerings, and the importance of celebrating successes so that building your own internal talent pipeline is no longer just a pipe dream.

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Ron Painter, CEO of the National Association of Workforce Boards: Helping American Workers Be Their Best

As the unprecedented misalignment in the U.S. labor market between employers and workers continues, it’s a good time to take a look at the extensive federal infrastructure in place to support people seeking jobs and skills. Millions of Americans access 2,400 American Job Centers located throughout the country and its territories every year, which are powered by a network of 500 Workforce Development Boards. On today’s episode of WorkforceRx, Futuro Health CEO Van Ton-Quinlivan sits down with Ron Painter, CEO of the National Association of Workforce Boards, to explore the vital role they play in advancing economic opportunity. “Workforce Boards bring together the players you need in that region — housing, transportation, economic development, community-based organizations, faith-based organizations — that’s a unique mix wherever you are. There’s a whole lot that makes that equation work.” Check out this informative discussion to learn how communities are leveraging this network to bring about economic opportunity, why local Boards need more flexibility, and to understand why Painter is optimistic about meeting the unprecedented challenges facing employers and workers.

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WorkforceRx Live Book Launch: Free the Data

Van Ton-Quinlivan, CEO of Futuro Health and host of the show, is also author of the best-selling book, WorkforceRx: Agile and Inclusive Strategies for Employers, Educators and Workers in Unsettled Times. In this episode, Van welcomes leading workforce and economic development experts to discuss the strategies and insights from Chapters Nine and Ten that resonated most with them. Check out their lively discussion about freeing and sharing data within an organization to guide improvements; building infrastructure to help gig workers thrive; the role of labor unions in scaling solutions to workforce challenges; adopting a shared ownership model to overcome inequality in income and assets, and much more from this powerful new playbook for the future of work.
Joining Van are: Omid Pourzanjani, Superintendent and President of San Joaquin Delta College; Anthony Dalton, Vice President & Chief Data Scientist at Futuro Health; Kathy Booth, Project Director at WESTED; Ann Volk, Senior Director at Alvarez & Marsal; Sara Skvirsky, Research Director at the Institute for the Future; Dave Regan, President of SEIU-UHW; Howard Brodsky, CEO of CCA Global and Lenny Mendonca, Former Chief Economic and Business Advisor for the State of California.

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Dr. Imelda Dacones, President of Washington Optum Care: The 3 “Rs” of Improving the Patient and Provider Experience in Healthcare

What do all of the changes in healthcare wrought by the pandemic mean for the future healthcare workforce? On today’s episode of WorkforceRx, Futuro Health CEO Van Ton-Quinlivan draws out thoughtful answers from someone with a broad and deep view of the healthcare system. Dr. Imelda Dacones has been confronted with all of these changes — many of which were brewing before the pandemic — over decades as a physician and senior leader at large healthcare organizations in Oregon and Washington. She’s also a nationally recognized leader in healthcare delivery innovation, addressing social determinants of health, and the health impacts of climate change, among other issues. Her prescription for change? Reimagine the healthcare team, reengineer the patient visit, and reinvigorate providers. “We need to reinvent care altogether for the patients we serve but also for ourselves as providers, because there just are not going to be enough nurses, doctors and medical assistants coming into the future.” Don’t miss this comprehensive look at the challenges and opportunities in healthcare from integrating with community organizations to leveraging home care to keeping up with shifting skillsets. Find out, too, about the Quadruple Aim and how the healthcare industry can work to reduce its waste footprint in light of climate change.

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Dr. Adaeze Enekwechi, Operating Partner at Welsh, Carson, Anderson & Stowe: Private Equity and the Healthcare Workforce

“I did not ever think of private equity as a career option for me,” admits Dr. Adaeze Enekwechi, and not only because she saw it as a male-dominated profession. The former head of health at the Office of Management and Budget under President Obama and Ph.D. in health management expected to make a difference through public policy. But as an Operating Partner at Welsh, Carson, Anderson and Stowe, she’s having an impact from a different perch. “We look at assets or companies to build that would make a meaningful contribution in whatever specific healthcare ecosystem we’re interested in investing in,” she tells Futuro Health CEO Van Ton-Quinlivan. “Our philosophy is not to just put money towards something and collect. We’re looking for opportunities to build something meaningful.” One current example is finding solutions to the nursing shortage and the painful budget crunch hospitals are enduring to pay for traveling staff. Investing in contingency staffing companies would earn a return, she says, but does nothing to solve the problem. A more useful target, she says, is leveraging technology to optimize the existing workforce. Adaeze shares examples of other issues she’s looking at through a private equity lens including racial inequities in care, social determinants of health, and what the training needs are as more care is being provided in the home. Check out this thoughtful episode of WorkforceRx in which you’ll also find out why this nationally respected healthcare leader thinks retail giants like Walmart and CVS should be applauded, and which two healthcare issues you should keep a close eye on in the coming months.

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Dr. Jeff Strohl, Georgetown University Center on Education and the Workforce: Is Education Still the Great Equalizer?

“While we believe that education is a great equalizer, in fact, it is not. There are structural inequalities in place that hold back the most talented low-income and minority youth,” says Dr. Jeff Strohl, whose research at the Georgetown University Center on Education and the Workforce focuses on equity and socio-economic differentials in outcomes. And that’s not all he has to share with Futuro Health CEO Van Ton-Quinlivan on the subject of equity in education, training and the labor market as you’ll hear in this revealing episode of WorkforceRx. Improving race and gender inequities, he says, requires more investments in school-based counseling and doing a better job at “expectational formation” in underrepresented communities. “Young people need better examples about what the workplace looks like so people can find an interest in different fields because if you didn’t grow up in a science-based home, why would you be interested in STEM?” Strohl pinpoints other steps to create a stronger, more inclusive workforce including more agility by higher education in meeting employer needs, putting training on a level playing field with education, enhancing work-based learning opportunities, addressing inherent biases in higher education and improving transparency in the short-term credential space. Don’t miss this chance to hear the deeply-informed perspective of a key resource for stakeholders and policymakers alike.

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