Tanya Harris, Aspen Institute Health Innovators Fellowship: Fostering Collaboration to Improve Healthcare

EP66 WorkforceRx Podcast Tanya Harris

“Healthcare is just so large and complex and expensive. We’ve got to find better ways to reach across political divides, ideological disagreements and narrow, sector-based perspectives,” says Tanya Harris, who runs the Health Innovators Fellowship at the Aspen Institute which is designed to do just that. The program provides a diverse group of mid-career professionals with the opportunity to do the kind of connecting and thinking that’s not possible in the rush of daily life. “They’re away from family, they’re away from work and they’re in this big space so they can think differently. People take bigger bets in their own professional journey than they might have otherwise,” she explains to Futuro Heath CEO Van Ton-Quinlivan. Examples include fellows coming together to tackle subjects as wide-ranging as adolescent mental health, supply chain innovation and health equity. One current fellow is a fire chief trying to meet the challenge of overwhelmed hospital emergency rooms. “It’s a really impressive group of folks that have been in, and continue to be in, this fellowship, and the possibilities are really endless.” This engaging conversation is a great opportunity to learn about efforts to foster greater coordination in the U.S. healthcare system and the importance of aligning incentives to achieve better outcomes.

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Brent Orrell, Senior Fellow at The American Enterprise Institute: The Rare Gem in Workforce Development

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“The evidence is very sparse when it comes to effective practice in the workforce development field,” says Brent Orrell of The American Enterprise Institute. This concerning conclusion comes from the Workforce Futures Initiative, a collaborative project between AEI, the Brookings Institution and the Harvard Kennedy School Malcolm Wiener Center for Social Policy. But it’s not all bad news. The strong exception is sector-based training. “That is one of the rare gems where we can say with relative certainty that if workforce development practitioners do this approach in the right way, they can get good results.” As Orrell explains to Futuro Health CEO Van Ton-Quinlivan, the strength of this model derives from integrating technical skills training with instruction in so-called “soft skills” which are essential to being able to succeed in the workplace. The result is dramatic and continued increases in wages that lead to family-sustaining incomes. Orrell also credits these programs with doing a better job at keeping trainees engaged through to completion than is typically the case at community colleges which, he says, badly need a boost in the number of educational and career advising staff. Be sure to check out this thoughtful discussion on what works in workforce development, the extra responsibility Americans have to put their skills to work at the highest level, and why we shouldn’t be afraid of generative AI.

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Sandra Hernandez, CEO of California Health Care Foundation: Improving Access to Care Through Smart Workforce Strategies

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What’s the value of having health insurance if you can’t access care? That’s an increasingly pertinent question for states which have successfully expanded insurance eligibility in recent years but are struggling to meet the increasing demand for healthcare. Our guest today on WorkforceRx, Dr. Sandra Hernandez, is a key player in developing solutions to this problem in her role as president and CEO of the California Health Care Foundation. One approach is to use the current workforce strategically. “We’re very focused on looking at the primary care model and the composition of the primary care team so we can use every drop of workforce that we have to its fullest capabilities.” In part, that means reserving physician time for complex cases while expanding the scope for practice for nurses and mid-level providers. Another strategy is beefing up the ranks of community health workers drawn from underserved communities. As Hernandez tells Futuro Health CEO Van Ton-Quinlivan, they have proven to be valuable public health advocates due to the trusting relationships they can build. “They can share information that is scientifically-based, and at the same time they are able to encourage people to get enrolled in the programs that they’re eligible for and get them into earlier care.” Don’t miss this veteran perspective on vexing issues facing many areas of the US — including how to care for growing numbers of immigrants and the unsheltered — and stay tuned for a dose of optimism rooted in lessons learned from the pandemic.

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