Healthcare Apprenticeship Strategies & Techniques May 27,2004

1. Healthcare ApprenticeshipStrategies & TechniquesMay 27,2004 Anne Wetmore, WA SD John Hakala, AK SD

2. Goals and Objectives • Overview of Healthcare Apprenticeship Projects • Expand Apprenticeship Markets • Incorporate Consultative Skills • Discuss Challenges and Solutions • Share Ideas and Successes

3. Agenda • Dispensing Optician • Surgical Technologist • Health Unit Coordinator • Consultative Skills Applications • Questions & Discussion

4. Dispensing Optician • Project Description • WA State Dispensing Opticians Joint Apprenticeship and Training Committee formed 1998 • Statewide Dispensing Optician’s standards developed • Based on skill standards for Dispensing Optician • Approved by WA State Apprenticeship and Training Council • Approved by WA State Department of Health

5. Dispensing Optician • Project Partners • Employers: Costco, Group Health, Sears (Cole National), WalMart, LensCrafters, Independents • Labor: United Food and Commercial Workers (UFCW) Local 1001 • College: Highline Community College, Des Moines, WA • Government: WA State Department of Labor and Industries Apprenticeship (L&I) and WSATC

6. Dispensing Optician • Program Development • Skill Standards, Competencies developed • Common problem=training needs of industry • 2 career pathways: school only or OJT only • Developed new pathway=Dispensing Opticians Registered Apprenticeship

7. Dispensing Optician • Program Implementation • 6,000 hours OJT • 144 hours instruction per year • 2 apprentices to 1 licensed Optician ratio • Completion can take licensing exam • Successes: More diversity, Higher pass rate on licensing exams, Better quality and consistency of training employees

8. Dispensing Optician • Project Challenges • Volunteer committee members overworked • On-line classes, mobile labs for rural regions • CEO, National level support • College degree only pathway supporters • Image of apprenticeship not “professional” • Suspicious of government programs • Lack of funding to support growth, prove value and develop sustainable programs

9. Dispensing Optician • Licensing and Certifications • State Government agency authority, rules, licensing • National Certifications: ABO and NCLE • Resources/Research: (See website/resource handout) • National and state trade associations (NAO) • Training needs/Training available • Industry terminology (Use their language) • Listen to employers • National Opticians standards, WA State standards • Show successes at local levels • National Office work with national associations and business

10. Surgical Technologist • Project Description • Developed in cooperation with three healthcare facilities • Bulletin 2003-12 • Facility-based training • Competency-based • National Accreditation

11. Surgical Technologist • Project Partners - Primary & Secondary • Alaska Native Medical Center • Providence Health System Alaska • Alaska Surgery Center • Washington SAC/BAT • Investors • WIA System • Post-secondary Education/Special Interest • Accrediting Agencies

12. Surgical Technologist • Program Development - Healthcare Apprenticeship Training Cooperative • Maximize Return on Investment • Share Resources • Share Didactics Delivery • Apprentice Rotations • Sustainability Plan - Training Trust • Career Development Framework

13. Pharmacy Biomedical Equipment Nursing Core Curriculum Radiology Surgery Laboratory Administration Dental Apprenticeship Expansion

14. Surgical Technologist • Program Implementation - 3 Standards Registered • Target of 10-12 incumbent workers 1st year • Setting up meetings with WIA, Job Corps • Healthcare Apprenticeships are very labor intensive • Requires patience and ongoing support • Apprenticeship is an “unknown”

15. Surgical Technologist • Project Challenges • Licensing and Certifications • University Politics • Nursing Matriarchs • Healthcare Consortiums • Healthcare Organization Timelines • Resources • Grants: Federal, State, & Local Options • Employer Contributions • Foundations

16. Health Unit Coordinator • Project Description/Project Partners • Multicare Health System, Tacoma, WA • Developed HUC Apprenticeship Program, • Approved by WSATC • HUC: coordinates with medical staff and patient/family with non-clinical care • First HUC apprenticeship in WA State and country • Submitted for apprenticeability to National Office • Partners: Multicare, USDOL/NASTAD/WA L&I,WA Workforce Training Education Coordinating Board, Workforce Development Council of Tacoma-Pierce Co

17. Health Unit Coordinator • Program Development Challenges: • Difficulty recruiting enough HUC • Current in-hospital training not standardized • Lack occupational competencies • RNs were doing too much HUC work Solution: • Develop apprenticeship to address challenges • Done by Partnerships

18. Health Unit Coordinator • Program Implementation • 2,000 hours OJT + 144 hours classroom • College curriculum provided in-house • Apprentice wage: $10.31 Completion wage: $13.59 • National certification exam • National HUC Association approval • 17 current active apprentices • Plan for 80 registered HUC apprentices in 2 yrs • Career ladder

19. Health Unit Coordinator • Project Challenges/Successes • Funding to start program $50,000 DOL/L&I leveraged $30,000 State and local WDC $80,000 Employer matched Funding developed and implemented the apprenticeship • 2 more apprenticeships developed: CT and MRI • Apprenticeships are self sustaining by employer • PR Video from KING 5 NEWS on HUC Apprenticeship

20. Health Unit Coordinator • Licensing and Certifications • A certification exam is available but not required for this occupation • HUC Apprenticeship teaches to those competencies of the certification • Resources • Apprenticeability approval pending • National Association of Health Unit Coordinators (www.NAHUC.org) • Multicare HUC Apprenticeship Program Standards

21. Consultative Skills Applications • The Three Driving Principles • Focus on the Customer • Persuade Through Involvement • Earn the Right To Advance

22. Consultative Skills Applications • Exploring Needs • Research Company • Research Labor Shortages & Earnings Forecasts • Research Available Training • Research Licensing and Certifications • Identify ALL Gaps

23. Consultative Skills Applications • Explore Consequences • Cost • Quality • Productivity • Reliability • Personal/Political Impact • Develop Apprenticeship Payoffs • Prepare for Objections

24. Consultative Skills Applications • Consultative Selling Process: Are we there yet? • No Interest • Low Interest • Strong Interest • Convinced • Committed • Now the Work Begins…

25. Questions & Discussion • How do you market? • How do you incorporate consultative sales skills into your work? • How do you get your foot in the door? • Who do you talk to? • How do you work with licensing & regulatory groups?

26. Questions & Discussion • How do you work with community colleges? • How do you work with the workforce system? • How do SAC/BAT issues affect your efforts? • Are there any other questions?

28. Contact Information • Anne Wetmore • Wetmore.anne@dol.gov • Tel: (206) 553-0076 • John Hakala • Hakala.john@dol.gov • Tel: (907) 271-5035