Elizabeth Landsberg, California Department of Healthcare Access and Information and Jessica Pitt, California Labor and Workforce Development Agency: Collaboration to Grow the Behavioral Health Workforce 

Today we’re going to take a look at how America’s largest state is tackling one of the biggest
challenges in the nation’s healthcare system: increasing the supply of behavioral health
providers. As we’ll hear from our guests on this episode of WorkforceRx, heightened
attention to the issue from California Governor Newsom‘s administration has led to more funding and a greater degree of coordination at the state level. “Our agencies and departments are coming together in ways they have never come together before to really collaborate and figure out how we can align and leverage resources, expertise, and opportunities,” says Jessica Pitt, assistant deputy secretary of Healthcare Workforce at the California Labor and Workforce Development Agency. Elizabeth Landsberg, director of the California Department of Healthcare Access and Information, calls out new data gathering and modeling initiatives that support the department’s goals of increasing the diversity of the health workforce and the number of providers in medically underserved areas. “The data allows us to see the race, ethnicity, and the languages spoken by the workforce. We’re
using that data to prioritize our efforts geographically and by role to address the largest
shortage areas,” she explains. Join Futuro Health CEO Van Ton-Quinlivan for an inside look
at California’s strategies for developing and diversifying its behavioral health workforce that include apprenticeships, increasing clinical placements for trainees, and integrating
behavioral health into primary care practices.

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States Are Laboratories of Workforce Development Innovation: Jennifer Davis, Senior Policy Advisor on Human Services, Wyoming Governor’s Office

There are many stakeholders in the ongoing effort to combat healthcare workforce shortages but one of the most important is state governments because of their critical role in providing healthcare services. Today on WorkforceRx, we’re going to check in with one of the states that is leading national efforts to find solutions by talking with Jennifer Davis, Senior Policy Advisor on Human Services to Wyoming Governor Mark Gordon. Jen has been instrumental in Wyoming’s robust efforts to increase the healthcare workforce, particularly with regard to the providers of mental and behavioral health services. “We did some mapping of the behavioral health professions that we actually have in Wyoming and in some of those, we only have one or two people who are licensed and so it’s really forced us to have a conversation about what do we want to be, what is working toward that end, and what is not?” Strategies to deal with shortages in mental health and other healthcare fields include clearing barriers in licensing, improving credit transfers from the state’s community colleges to its sole university, and creating clear educational pathways in consultation with industry sectors. There is much to learn in this probing conversation with Futuro Health CEO Van Ton-Quinlivan about recruitment and retention strategies for rural areas, efforts to maintain access by upskilling providers, and national initiatives to develop and share best practices.

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John Colborn, Executive Director of Apprenticeships for America: Raising the Visibility of Apprenticeships

“Anyone who feels like they want to go to college should be able to go, but having just one choice for every young person entering the labor market seems like a mistake,” says John Colborn, executive director of Apprenticeships for America. Opening a second pathway of apprenticeship would not only serve those for whom college is not a viable option, Colborn argues, but it would also help employers who need workers with hard skills that are often not acquired through degree programs. Colborn is particularly excited about an emerging third path that blends apprenticeships and degree programs that’s being used to grow the ranks of nurses, engineers and teachers. “What schools are doing is putting paraprofessionals already working in the school into a teaching role and at the same time enabling them to get the four-year credential that’s necessary to become a full -fledged teacher.” While Colborn hopes this “flex” of the apprenticeship model will boost the country’s low utilization of apprenticeships compared to other industrialized nations, significant growth won’t occur until there is much more federal funding, and different models of funding, than currently exist. Join Futuro Health CEO Van Ton-Quinlivan on this episode of WorkforceRx for an exploration of what those models can be, and the role that states and other actors can play to boost the visibility of a proven option for supplying the workforce the US economy needs.

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Stephen Handel, ECMC Foundation: Redesigning Higher Ed for A Changing Student Body

Boosting completion rates at higher education institutions in the US has been a hot topic for years, with particular concern given to the relatively low 43% rate for community colleges. We’re going to take a look at solutions to that problem today with Dr. Steve Handel, director of strategy for Post -Secondary Education Transformation at ECMC Foundation. “Part of the work we would like to do is figure out ways to improve that completion rate, particularly for students who we might not predict initially would have the wherewithal to complete a degree. How do we change the structures that were built for a different set of constituencies in a different age,” Handel tells Futuro Health CEO Van Ton-Quinlivan. Key steps include addressing obstacles for working adults and adult students with children and improving the transfer process between community colleges and a four-year institutions. A bigger lift might be changing financial incentives so that colleges focus more on completion than the number of students admitted. “Colleges and universities, like all organizations, are going to pivot to the ways that sustain their institutions,” he says. Tune in for an informative scan of other ideas including expanded use of online education, integrating work experiences into degree programs, addressing the high cost of education, and doing a better job of communicating just how essential post-secondary learning is to social and economic mobility.

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Jennifer Lundblad, President and CEO of Stratis Health: Co-Designing Healthcare Quality Improvement

Because Medicare is the largest payer for healthcare services in the U.S., there are continuous efforts throughout the country to control costs and improve quality in the program. We’re going to focus on one of those efforts today, and take a look at what’s involved in improving healthcare quality in general, with Jennifer Lundblad, president and CEO of Stratis Health, a Minnesota nonprofit that works with clinicians, organizations, and communities towards that end. “We, and our peers who do this work across the country, are sort of the boots on the ground quality improvers. We’re trusted because we’re local, we’ve had long -standing relationships, and we’re really valued for the change agent expertise we bring.” Creating peer-to-peer learning and action networks and offering various forms of technical assistance serve the goal of building the capacity of organizations to do ongoing quality improvement work on their own. In terms of what would strengthen the field, Lundblad believes greater use of implementation science could help spread best practices, and co-design could make quality programs more relevant and effective. “Co-design brings to the fore the voices and experiences of those who are traditionally not part of a quality improvement process. It’s an emerging approach that will allow us to design things in the right way from the start.” Join Futuro Health CEO Van Ton-Quinlivan for an encouraging exploration of the often invisible but critically important work of quality improvement in healthcare.

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Vinz Koller, Senior Strategist for Capacity Building at Social Policy Research Associates: The Future of Learning is Work

One of the oldest forms of training, apprenticeship, has new relevance in the age of AI according to today’s WorkforceRx guest Vinz Koller, a nationally influential voice on the subject and self-described apprenticeship evangelist. Why? Because the pace of change brought about by AI and other technologies has accelerated to a point where predictions about what specific skills workers in most fields will need even a year from now have questionable value. “The model of apprenticeship is particularly appropriate because in my view, apprenticeship is a look into the future. You are actually in the workplace. You don’t have to predict what things will be like in ten years. The workplace will evolve and you will evolve with it,” Koller tells Futuro Health CEO Van Ton-Quinlivan. In his role as senior strategist for Capacity Building at Social Policy Research Associates, Koller works with local communities, states, and the US government to determine how to make work-based learning more accessible to more people. On the learner/worker side, a welcome step would be enabling apprentices to earn an associate-level degree upon completion of their training. For employers, key needs include regulatory changes to make hosting apprentices easier and help with setting-up and tracking programs. The aim, he says, is to turn more employers into “co-producers of talent” instead of just consumers of it. This expansive conversation also covers the multi-faceted return on investment for employers, the need for high school recruitment programs, and the role apprenticeships could play in reducing student debt.

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Aquilina Versoza, Pilipino Workers Center of Southern California: Could Worker Co-ops Transform the In-Home Care Workforce?

Our exploration of solutions for growing and strengthening the direct care workforce continues on this episode of WorkforceRx with a close look at a potentially transformative employee-owned cooperative model that’s gaining traction in California. In the eyes of our guest, Aquilina Soriano Versoza, the higher pay and better working conditions that co-ops can provide will help grow an urgently needed workforce and address current injustices that prevail in the “wild west” of private home care. “Very typically, Filipino immigrant caregivers are receiving $5 or less per hour with no overtime, no job security, and no benefits. Some are earning just above $2 an hour,” she explains to Futuro Health CEO Van Ton-Quinlivan. As executive director of the Pilipino Workers Center of Southern California, Versoza has helped pioneer a co-op model that, in addition to higher wages, offers on-the-job skills training, education in operating a co-op business, and the opportunity to work in teams. There are several co-ops up and running now, and a franchise approach is being put in place to increase scale. “In five years, we have the vision that every metropolis in California will have a cooperative option, both for workers as well as individuals who want to access long term care through a cooperative.” Spend some time with this thoughtful national leader who sees the crisis in home care as an opportunity to improve the quality of life for both the seniors receiving care and the workers providing it.

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Rick Brooks, Rhode Island’s Director of Healthcare Workforce Transformation: Creativity Born of Crisis

EP77 WorkforceRx Rick Brooks

“Because of the workforce shortages, there is more creativity and more willingness to be innovative, and I think we can make something out of this crisis,” says Rick Brooks, who has his hands full leading Rhode Island’s efforts to strengthen and grow the healthcare workforce. His optimism is based on new levels of engagement by key stakeholders to find solutions and the formation of some unlikely collaborations to bring them to life. “For example, there are partnerships happening between higher education programs that have traditionally viewed each other as competitors to develop agreements that grant credits for non-credit activities,” he tells Futuro Health CEO and WorkforceRx host Van Ton-Quinlivan. He also cites licensure boards being open to rethinking education requirements for nursing faculty and the recredentialing of foreign trained health professionals, and other signs of innovation. In this expansive conversation, Brooks, a veteran labor educator, advocate and leader, shares strategies and insights on a wide array of issues including loan repayment programs, expanding clinical placement opportunities and redesigning career ladders with more, and more achievable, rungs so that people can stay in the healthcare field. It’s an impressive menu of options that might just inspire some creative thinking of your own.

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Dr. Sarita Mohanty, President & CEO of The SCAN Foundation: Collaborative Solutions to Support Aging Well

EP76 WorkforceRx Podcast Dr Sarita Mohanty

The growing crisis in homelessness across the US has understandably garnered a lot of news coverage and attention from policymakers, and today’s WorkforceRx guest wants to make sure one key facet of the problem is not overlooked as solutions are discussed. “There’s a lot of over-representation of older people in the homelessness rates, and older Black Californians — and this is a staggering statistic — are five times more likely to become homeless than their white counterparts,” says Dr. Sarita Mohanty, president and CEO of The SCAN Foundation, whose work is centered in the nexus of age, poverty and equity. As one of the largest foundations in the US focused on improving the quality of health and life for older adults, The SCAN Foundation supports a wide variety of initiatives to address the complex factors preventing many Americans from aging well. On this episode, Dr. Mohanty shares some positive notes with Futuro Health CEO Van Ton-Quinlivan about statewide efforts in California that include expanded Medicaid access, moves to professionalize the home care workforce and the formation of Master Plans of Aging (MPA) at the state and local level. “There are some important areas of need that these MPA stakeholders are identifying and then they’re actually advocating at a policy level to get these addressed.” Stay tuned for many more examples of cross-sector collaborations that are accelerating solutions to this critically important problem affecting Americans of all ages.

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