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Annual meeting metrolouisville workforce consortium January 9, 2004 Galt House East Mike Rust, PRESIDENT KENTUCKY HOSPITAL ASSOCIATION JIM WESP, CHAIRMAN METROLOUISVILLE WORKFORCE CONSORTIUM JOE REAGAN CHIEF OPERATING OFFICER GREATER LOUISVILLE, INC. “HEALTH CARE INITIATIVES IN THE LOUISVILLE AREA” Consortium 2003 Board of Directors Jim Wesp - Chair • Joanne Berryman, Jewish Hospital Healthcare Services • Ed Farmer, Jewish Hospital Healthcare Services • David Gray, Hardin Memorial Hospital • John Hollinsworth, Ten Broeck Hospital • Doug Howell, Norton Healthcare • Robert Lovell, Caritas Medical Center • Dennis Johnson, Baptist Hospital Northeast, Chair-Elect • John Harryman, Norton Suburban Hospital, Secretary/Treasurer • Sue Stout Tamme, Baptist Hospital East • Eileen Pickett, Greater Louisville Inc. Ex-Officio Member • Jim Taylor, U of L Hospital “kEy bOARd ACTIVITIES” Approved name change MISSION STATEMENT The mission of the Consortium for Health Care Professions is to bring together hospital leaders in the greater Louisville area to identify recruitment, training, and retention strategies for their prospective and current employees in the areas of nursing and health science professionals. The Consortium will partner with educational systems. The Consortium will establish any/all required financial obligations for Consortium membership. Upon request from Nursing homes, granted them associate member status to the Consortium Approved the hiring of a part time staff member to schedule classes and assist with data management reviewed workforce shortage survey Reviewed & discussed results of mystery nurse initiative Approved the annual operating budget and conducted monthly reviews of the budget Acted upon all committee requests MARILYN BIVIANO Health Resources & Services Administration Consortium committee reports RECRUITMENT & RETENTION COMMITTEE Co-Chairs Karen Newman, Baptist Hospital East Tony Welch, Hardin Memorial Hospital ESTABLISHED METROCOLLEGE RELATIONSHIP AND HAVE OBTAINED NAMES OF 500+ INTERESTED HEALTH CAREER STUDENT PROSPECTS INITIATED DISCUSSIONS WITH JEFFERSON COUNTY MEDICAL SOCIETY TO IMPROVE PHYSICIAN/NURSE RELATIONSHIPS HELD SCHOOL CAREER EVENTS PROVIDED HOSPITAL JOB SHADOWING OBTAINED & DISTRIBUTED RECRUITMENT MATERIALS TO CONSORTIUM MEMBERS AND ASSOCIATES WORKED WITH KHEAA BOARD TO PROVIDE LOAN FORGIVENESS* PROGRAM FOR REGISTERED NURSES (*925 in Kentucky now taking advantage of interest forgiveness) PARTICIPATED IN CAREER FAIRS ESTABLISHED A CNO/DEAN SUBCOMMITTEE TO IMPROVE COMMUNICATIONS BETWEEN NURSING SCHOOLS & HOSPITALS FACILITATED COLLABORATION BETWEEN JCPS, KBN, & JTC TO START THE FIRST KENTUCKY LPN IN HIGH SCHOOL PROGRAM ENDORSED EXPLORER SCOUT PROGRAMS IN HOSPITALS SPONSORED A RECRUITMENT BOOTH AT THE STATE FAIR BEGAN STRATEGY DEVELOPMENT FOR JA EXCHANGE CITY DEVELOPED & IMPLEMENTED STRATEGY TO WORK WITH PAROCHIAL SCHOOLS CONDUCTED A REPEAT WORKFORCE SHORTAGE SURVEY CONDUCTED A “MYSTERY NURSE” APPLICANT INQUIRTY WITH HOSPITALS AND PROVIDED FEEDBACK PROCURED NURSING COLORING BOOKS FROM J & J FOR DISSEMINATION IN ELEMENTARY SCHOOLS WORKING WITH HRSA TO REEVALUATE KENTUCKY DESIGNATION AS STATE WITH A CURRENT SHORTAGE OF RNS OUTCOMES STATES WITH NO SHORTAGE OF RNS WEBSITE UTILIZATION History from 9/1/2001 to 12/31/2003 2001 2002 2003 CONSORTIUM RN VACANCY RATE 5.9% CONSORTIUM RN VACANCIES 2002 Vacancies 2003 Vacancies Medical-Surgical 224 90 58 23 ICU/CCU 169 68 OR/PACU 41 31 Maternal-Child 29 21 108 65 629 297 ER Other RNs Totals RN VACANCIES 2002 Vacancies 2003 Vacancies 250 200 150 100 50 0 MedicalSurgical ER ICU/CCU OR/PACU MaternalChild Other RNs AGENCY FEES 2002 2003 Linear (2003) 47% 50% 45% 40% 33% 35% 30% 25% 20% 15% 17% 18% 17% 12% 10% 17% 12% 8% 6% 8% 6% 5% 0% MUCH LOWER LOWER SAME HIGHER MUCH HIGHER NA VACANCY RATES LPN 2003 2003 2002 Current Currently Vacancy Vacant Vacant Workforce Employed Rate FTEs FTEs >60 629 7% 47 45 2% 1852 6% 107 101 2% 53 2% 1 1 4% LPT 185 2% 4 1 0% LPTA 119 0% 0 2 1% Speech Pathologist 144 4% 5 4 0% Med Tech 346 2% 6 5 6% MLT 62 0% 0 7 1% Monitor Tech 55 4% 2 0 3% Coder 90 6% 5 0% Registered Dietitian 36 0% 0 0% 707 3% 21 Nursing Assistant EEG Tech Unit Secretary 19 VACANCY RATES (cont’d) 2003 2003 2002 Current Currently Vacancy Vacant Vacant Workforce Employed Rate FTEs FTEs >60 OR Tech 299 3% 10 25 1% Pharmacist 183 7% 13 6 2% 39 4% 2 2 0% Pharmacy Tech 178 4% 6 3 1% RT 364 8% 28 34 2% Imaging Tech 295 5% 14 32 2% Mammo Tech 55 0% 0 0% Nuclear Tech 55 5% 3 2% MRI Tech 59 2% 1 0% Ultrasound Tech 70 6% 5 7 0% CT Tech 72 4% 3 4 0% CV Tech 145 10% 15 3 2% Certified Pharmacy Tech OVERTIME PAY 2003 2002 Linear (2003) 60% 50% 50% 42% 40% 42% 33% 30% 17% 20% 8% 10% 8% 0% 0% LOWER SAME HIGHER MUCH HIGHER CONSORTIUM RN TURNOVER RATE 12.3% RN TURNOVER 2002 2003 Linear (2003) 60% 50% 50% 46% 46% 40% 31% 30% 19% 20% 8% 10% 0% 0% 0% 0% 0% MUCH LOWER LOWER SAME HIGHER MUCH HIGHER RN TURNOVER RATE 45% 35% 25% 15% 15% 12% 13% Consortium All Kentucky Urban 5% Statewide RN SIGN-ON BONUS YES NO 100% 90% 88% 80% 70% 60% 55% 45% 50% 40% 30% 20% 13% 10% 0% 2002 2003 RN & LPN METROLOUISVILLE GRADUATES* *KBN Data 400 300 200 100 0 2001 RN Graduates 2002 2003 LPN Graduates 2001-2003 CHANGE IN RN GRADUATES* *KBN Data 10% 9% 9% 8% 7% 6% 6% 5% 4% 3% 2% 1% 1% 0% Consortium Kentucky National RN AGENCY COVERAGE 2002 2003 Linear (2003) 45% 38% 40% 33% 35% 31% 30% 27% 25% 20% 15% 15% 13% 13% 13% 8% 10% 5% 8% 0% 0% 0% 0% <1% 1-6% 7-13% 14-20% 20%+ ↓ STAFFED BEDS DUE TO RN STAFFING YES 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% NO 92% 55% 45% 8% 2002 2003 IMPACTED ED OVERCROWDING YES 80% NO 73% 69% 70% 60% 50% 40% 31% 27% 30% 20% 10% 0% 2002 2003 IMPACTED ED DIVERSION YES NO 90% 80% 77% 71% 70% 60% 50% 40% 29% 30% 23% 20% 10% 0% 2002 2003 CANCELLED SURGERIES 2002 2003 100% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 62% 38% 8% 0% YES 0% NO UNKNOWN ↓ PATIENT SATISFACTION 2002 2003 80% 70% 60% 50% 40% 30% 20% 10% 0% 77% 71% 21% 23% 7% YES NO 0% UNKNOWN ↓ RN PERCEPTION OF CARE 2002 70% 2003 62% 60% 50% 47% 47% 40% 30% 23% 20% 15% 7% 10% 0% YES NO UNKNOWN Please feel free to see us following the meeting if you have questions or would like to become a member of this Committee CONTINUING EDUCATION & TRAINING COMMITTEE Co-Chairs Lisa Twohey, Jewish Hospital Kim Maffet, Norton Healthcare REVIEWED ON-LINE NURSING AIDE COURSES AND COMPILED LISTINGS OF AVAILABLE NURSING AIDE COURSES HIRED A PART TIME RN TO TEACH CONTINUING EDUCATIONAL CERTIFIED NURSING AIDE COURSES TO CONSORTIUM MEMBER FACILITIES REVIEWED NURSING SCHOOL & ALLIED HEALTH SCHOOL ENROLLMENTS WORKED CLOSELY WITH JCPS ON HEALTHCARE RELATED PROJECTS PROVIDED MANAGEMENT SKILLS ENHANCEMENT SEMINARS DEVELOPED ON-LINE COURSE REGISTRATION PROCESS COLLABORATED WITH THE KBN ON MAJOR NURSING ISSUES SUCH AS THE CLINICAL FACULTY:STUDENT RATIO CREATED A SUB-COMMITTEE TO INVESTIGATE NEW MODESL OF CARE IN HOSPITAL SETTINGS DISTRIBUTED BROCHURES FROM AHEC DEPICTING HEALTH CAREER JOB DESCRIPTIONS WHICH ALSO PROMOTED HEALTH SCIENCE CAREERS MET WITH GREATER CINCINNATI HEALTH CARE WORK FORCE CENTER TO DISCUSS ‘BEST PRACTICES’ PROVIDED FIVE DAY EMOTIONAL INTELLIGENCE CERTIFICATION COURSE OUTCOMES EI CERTIFICATION EI CERTIFICATION EI CERTIFICATION "This program helps bring to light the 'root causes' of people problems in organizations." "This course gave me to tools to use to elevate the performance of people in my hospital." "This course is wonderful because of its potential universal application." "A reaffirmation that increases understanding of self and others." NEW MANAGER CURRICULUM Myers Briggs Leading Change Employment Law The Interview Process Coaching for Improved Performance Managing Conflict Overview The Budget Process NEW MANAGER CURRICULUM Understanding the Business of Healthcare Conducting Departmental Variance Reviews Understanding & Managing Productivity State & Federal Licensure Requirements JCAHO Overview Planning/Conducting/Documenting Meetings The PI Process MANAGER DEVELOPMENT SEMINARS Time Management Leadership Nightmares Perspectives of Diversity Leading Change Managing Conflict MANAGER DEVELOPMENT SEMINARS Mentoring Stress Management Planning/Conducting/Documenting Meetings Myers Briggs Team Building Please feel free to see us following the meeting if you have questions or would like to become a member of this Committee grant COMMITTEE Chair Tony Bohn, Baptist Hospital East APPLIED FOR KELLOGG PROCESS GRANT RECEIVED BLUEGRASS STATE SKILLS MATCHING GRANT OF $64,927 SECURING GRANT FUNDING FOR WAGGENER INITIATIVE TO EXPEDITE POST SECONDARY DEGREE COMPLETION RECEIVED HRSA NURSE RETENTION GRANT OF $675,000* *$199,000 EACH YEARS 2003-2006 $39,000 FOR YEARS 2007-2008 Kentucky Nursing Shortage, 2003 Counties with shortage or no hospital Campbell Boone Kenton Gallatin Carroll Trimble Pendleton Bracken Grant Mason Oldham Nicholas Fleming Scott Jefferson Meade Hancock Breckinridge Henderson Daviess Hardin Union Webster Crittenden McLean Hopkins Butler Christian Marshall Trigg Todd Green Taylor Graves Hickman Fulton Johnson Wolfe Estill Casey Martin Magoffin Lee Jackson Owsley Rockcastle Pulaski Barren Laurel Floyd Pike Knott Clay Leslie Letcher Russell Knox Logan Simpson Morgan Perry Metcalfe Allen Lawrence Powell Edmonson Warren Elliott Breathitt Adair Lyon Rowan Montgomery Clark Menifee Jessamine Mercer Nelson Washington Madison Boyle Garrard Marion Larue BallardMcCracken Carlisle Spencer Anderson WoodfordFayette Boyd Carter Bath Lincoln Hart Caldwell Bourbon Franklin Grayson Ohio Muhlenberg Livingston Bullitt Shelby Greenup Lewis Robertson Harrison Owen Henry CumberlandClinton Wayne Monroe McCreary Whitley Harlan Bell Calloway Source: Health Services Resource Administration(HRSA) Hospitals with Shortages No Hospital in County HRSA SOARS GRANT Ohio Valley Region Blue Grass Region Cumberland Region Boone 1 Twin Lakes Region Kenton 3 Bracken Pendleton Carroll 1 Grant Mason 1 Trimble Owen 1 Robertson Henry Jefferson 13 Franklin 1 Shelby 1 Spencer Meade Hancock Henderson 1 Union 1 Webster Ohio 1 Crittenden 1 Hopkins 1 Livingston 1 Caldwell 1 Boyle 1 Larue Grayson 1 Edmonson Butler Muhlenberg 1 Marion 1 Mccracke n 3 Metcalfe Lyon Warren 4 Carlisle Marshall 1 Hickman Trigg 1 Todd Logan 1 Calloway 1 Monroe 1 Martin Garrard Magoffin Wolfe Estill 1 Lee Jackson Owsley Floyd 3 Breathitt 1 Knot t Rockcastle 1 Casey 1 Adair 1 Perry 1 Pulaski 1 Russell 1 Laure l 2 Clinton 1 Wayne 1 Mccreary Whitley Letche r 2 Leslie 1 Knox 1 Cumberland 1 Simpson 1 Johnson 1 Clay 1 Barren 1 Allen Graves 1 Fulton 1 Christian 3 Morgan 1 Green 1 Ballard Elliott Menifee Clark 1 Lincoln 1 Taylor 1 Hart 1 Rowan 1 Lawrence 1 Madison 2 Hardin 3 Mclean Boyd 2 Powel l Washington Daviess 1 Carter Bath Mercer 1 Nelson Nelson 1 Breckinridge 1 Breckinridge Bourbon 1 Fayett e 8 Jessamine Anderson Bullitt Fleming 1 Nicholas 1 Scott 1 Greenup Lewis Harrison 1 Oldham 1 Harlan 1 Bell 2 Pike 2 Grant Committee will function as an ad hoc committee during 2004 2004 Board election