Natalie Foster, President and Co-founder of Economic Security Project: Making the Case for a New Economic Paradigm

“I really think that everything from this last election to Brexit to the unrest around the country and the world shows that the old economic paradigm of trickle-down economics has left families broke and in debt and in need of a new paradigm,” says Natalie Foster, president of the Economic Security Project. The answer, as she lays out in her new book The Guarantee: Inside the Fight for America’s Next Economy, is to provide individuals and families with the same sense of security that American businesses enjoy through a web of laws and institutions that provide the stability they need to be innovative and thrive.
As Foster tells Futuro Health CEO Van Ton-Quinlivan, she sees the new paradigm — which would create an economic floor of guaranteed income, housing, healthcare, childcare and education — as an evolution of American capitalism. “It’s an evolution that’s needed if we are truly to tap into the genius that exists all over this country but is unevenly tapped now because opportunity in America is uneven.” Foster says pilot programs in various cities and states have proven the wisdom of the approach, and she’s expects those local innovations to continue during what will likely be a period of national inaction given the outcome of the November elections. Don’t miss this provocative conversation that includes discussion of extending income guarantees to those pursuing jobs in specific sectors with severe workforce shortages, and what federal policy during the pandemic taught us about the power of economic security.

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Shalin Jyotishi, Founder and Managing Director of New America’s Future of Work and Innovation Economy Initiative: New Opportunities in the Innovation Economy

One of one of the most significant attempts to spur economic growth and U.S. global competitiveness since the space race was made a few years ago through the CHIPS and Science Act, but many people in workforce development, economic development and higher education aren’t aware of the new opportunities flowing from it. Our guest on this episode of WorkforceRx, Shalin Jyotishi, launched the Future of Work and Innovation Economy Initiative at New America to help create that awareness and help localities prepare to take advantage of those opportunities. “We’re focused on building the capacity of higher education and workforce institutions to be better positioned to respond to economic development and industrial policy investments coming into their communities, especially around the innovation economy and emerging technologies,” he tells Futuro Health CEO Van Ton-Quinlivan. One key example is that the CHIPS Act expanded the mission of the National Science Foundation to include supporting the translation of research into technologies, companies and, ultimately, jobs with an eye on regional equity. “The objective here is to make sure that the entire country is able to come along for the ride and not just the traditional tech hotspots like Silicon Valley and Boston,” Jyotishi explains. Tune in to find out which states are early winners in this expansion of opportunity and what else has been set in motion in the attempt to align federal investment with tech innovation to renew the American middle class.

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Joe E. Ross, President of Reach University: Turning Jobs Into Degrees

For those who can’t afford to leave their job to earn a degree, there’s a relatively new ‘learn and earn’ model that essentially turns a job into a degree program. It’s called the apprenticeship degree, and we’re going to learn all about it on today’s episode of WorkforceRx from Joe Ross, president of Reach University, which is dedicated to growing this approach. As Ross tells Futuro Health CEO Van Ton-Quinlivan, Reach’s first area of focus is K-12 schools where it can offer classroom aides, cafeteria workers and other staff without bachelor’s degrees a pathway to the teaching profession. A typical student might do online seminars twice per week in addition to working fulltime. Not only will this help with the teacher shortage, Ross says, it also increases diversity. “Paraeducators are much more likely to look like the students they serve in a given community than the teachers.” Find out how the programs are funded, how liberal arts courses can be integrated into the workplace experience and what models Reach is developing for the behavioral health sector as this innovation becomes more popular.

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Dr. Alan Glaseroff, Co-Director of Stanford University’s High Value Healthcare Incubator: Solutions For the Shortage of Primary Care Physicians

“The job is broken. Primary care is about relationships and building trust with patients, and knowing who they are as people. You can’t do that in a fifteen minute visit,” says Dr. Alan Glaseroff, a longtime family physician and health care delivery innovator affiliated with Stanford University. Add to that the need to do hours of administrative work on weeknights and weekends, and Glaseroff can understand why it’s hard to get medical students to choose primary care as a specialty. As he tells Futuro Health CEO Van Ton-Quinlivan, the answer starts with changing the model of care to restore the appeal of primary care as a career. On this episode of WorkforceRx, Glaseroff shares several innovations he helped develop at Stanford that revolved around empowering medical assistants to do more. “Our medical assistants had their own panels of patients. They stayed in touch with the patients between visits and they helped motivate them in activities that would make them more healthy.” Other structural changes allowed physicians to only intervene with patients when most needed, and ensured that everyone’s work was done by 5pm. The result was improved patient satisfaction, job satisfaction and quality of care. Tune in to learn about other innovations in the delivery system and payment system that might help address the chronic shortage of primary care physicians that is hampering efforts to improve health and healthcare.

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Dr. Stacey Ocander, Nebraska Hospital Association: Helping Young People Choose Healthcare Careers

Studies show that when it comes to getting people interested in any career, early exposure can make a significant impact on their ultimate choice. That helps explain why a program in Nebraska that’s aimed at cultivating interest in healthcare jobs begins in the third grade. As we learn in this episode of WorkforceRx, the Health Careers Pipeline Initiative is just one of several workforce development strategies being pursued by the Nebraska Hospital Association under the guidance of Dr. Stacey Ocander, the association’s senior director of workforce and education initiatives. “You really have to start the excitement young. You have to be the people who establish the strongest relationship before something that may be negative in their life gets a hold of them,” says Ocander, a self-described creative disruptor. The program starts with exposing youngsters to thirty-two healthcare occupations and gradually winnows that number down to one or two as students discover their interests through summer camps and internships in middle school and high school. Ocander sees this sustained contact as critical. “My goal is by the time they’re a senior, our hospitals are engaged to help them pay for that first two years of college to get them to that first license.” Join Futuro Health CEO Van Ton-Quinlivan for an encouraging exploration of innovative partnerships between hospitals and educators and the benefits of doing ‘business as unusual.’

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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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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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Paula Nickelson, Director of the Missouri Department of Health and Senior Services: The Long and Short Game of Addressing Workforce Shortages

EP75 WorkforceRx Podcast Paula Nickelson

State departments of health play a huge role in America’s healthcare system, with responsibility for public health, licensure, public policy, and much more, so the workforce challenges they face have broad implications. “It will probably be twenty years before we really begin to bend the curve because many of the workforce shortages we encounter require very long-term strategies to change,” says Paula Nickelson, Director of the Missouri Department of Health and Senior Services. Expanding slots for physician residencies and training opportunities for Certified Nursing Assistants are just two of the steps being pursued. Student loan reform, synching up higher ed with the needs of employers and better data management are also on her list but, as she tells Futuro Health CEO Van Ton-Quinlivan, Nickelson thinks these types of changes will not improve healthcare as much as a major shift toward prevention would. “We will never change our health indicators in a positive way, nor will we get out of the escalating spiral of acute care costs and long-term care costs, until we invest in public health and prevention.” This episode of WorkforceRx promises an insightful state-level perspective on workforce and health system challenges confronting the entire nation.

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Michael Horn, Co-Founder of the Clayton Christensen Institute: Bringing Disruptive Innovations to Education

EP74 WorkforceRx Podcast Michael Horn

“If I looked at higher education writ large, as we’ve traditionally defined it, I’d say that the patient is sick right now,” says Michael Horn, a prominent national voice on reimagining education at both the K-12 and post-secondary levels. Horn sees a misalignment between education consumers who are seeking greater value, and education suppliers — especially brick-and-mortar institutions — who have not found a way to manage high cost structures and offer more flexible, lower cost, online options. And, as he explains to Futuro Health CEO Van Ton-Quinlivan, online offerings won’t be a solution either unless they are carefully designed around student outcomes, how to teach the material effectively and how to measure if students are actually learning it. “Technology can be a really useful enabler of assessment, of feedback and of delivering customized curriculum, but it’s not about the use of technology for its own sake.” Among Horn’s other prescriptions are getting schools to focus more on improving learning models, and moving to a competency-based approach. Don’t miss this opportunity to hear one of the foremost thinkers on education reform address a wide array of issues from organizational model change, to addressing learning loss and social-emotional deficits, to new learning options in higher education. Be sure to stay tuned for a sneak peek at Horn’s new book due out next year which focuses on how to develop a deeper sense of what you’re looking for when changing jobs or careers.

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Dr. Sriram Shamasunder, Co-Founder of HEAL: The Power of Perspective in Caring for the Underserved

EP73 WorkforceRx Podcast Sriram Shamasunder

Doctors who realize that creating a local jobs program can be as important to helping their patients as writing a prescription have the kind of broad perspective that today’s WorkforceRx guest wants all health providers to adopt. “I think that context is oftentimes lost on providers in medical school or nursing school where they’re not connecting the patient to the entire context of their lives,” says Dr. Sriram Shamasunder, the co-founder of the Health Equity Action and Leadership initiative at UC San Francisco. The idea for HEAL grew out of global public health work Shamasunder had done himself in which he felt like he didn’t understand all of the factors impacting his patients’ health status — what he calls the structural determinants of care. “That requires mentorship. It requires the correct curriculum…kind of reorienting what medical education is,” he tells Futuro Health CEO Van Ton-Quinlivan. Each class of HEAL Fellows includes a mix of doctors from the US, Navajo Nation and the Global South. “It’s this really incredible learning community where for two years, they’re doing clinical work and project work to become better advocates and better leaders.” Tune in for a thoughtful look at using medicine as a way to establish trust in resource-denied communities and how HEAL is a potential solution to address vacancies in Native communities.

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