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WHY AND HOW TO ESTABLISH AN ALLIED HEALTH COUNCIL. ASAHP WORKSHOP, MARCH 16 2006 David E. Yoder, Ph.D. Executive Director The Council for Allied Health in North Carolina. WHY?.

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Why and how to establish an allied health council
WHY AND HOW TO ESTABLISH AN ALLIED HEALTH COUNCIL

ASAHP WORKSHOP, MARCH 16 2006

David E. Yoder, Ph.D. Executive Director

The Council for Allied Health

in North Carolina


WHY?

  • Provides an open and friendly forum where AH professionals, employers and educators can meet to discuss major policy issues affecting service, education and funding.

  • Provides a large unified voice when approaching legislators on issues of health care and need for fiscal support.

  • Provides access to vital current health care information including current workforce supply and demand.


  • Provides a healthy network with a diverse set of AH professionals. “Unity through Diversity.”

  • Provides for open and non threatening discussion of issues related to state and federal policy, standards of practice, licensure and credentialing.

  • Provides a forum for educational presentations by state and federal legislators, agency directors, higher education leadership and others.


Establish a viable reason for having a council

ESTABLISH A VIABLE REASON FOR HAVING A COUNCIL? professionals. “Unity through Diversity.”

List and examine the reason(s) for establishing a visible and audible “VOICE”for allied health sciences and professions in your state.


In the late 80 s north carolina had an allied health workforce in crisis
IN THE LATE 80’S NORTH CAROLINA HAD AN ALLIED HEALTH WORKFORCE IN CRISIS!!

  • Occupational Therapy

  • Physical Therapy

  • Speech-Language Pathology


The letter june 24 1988
The Letter WORKFORCE IN CRISIS!!June 24, 1988

“The purpose of this (first) meeting is to explore the feasibility and desirability to expand the recruitment of allied health professionals… We are convinced that a more unified effort is needed statewide to resolve allied health manpower shortage issues.”

L. Ann Daniels, Northwest AHEC


Key players
KEY PLAYERS WORKFORCE IN CRISIS!!

  • VP for Academic Affairs, UNC General Administration

  • Assoc. VP for Academic Affairs, UNC GA

  • NC AHEC Director

  • Chief, NC Office of Health Resources Development

  • Exec. Director, NC Home Care Association

  • President, NC Hospital Association

  • VP for Program Services NC Community Colleges

  • President, NC Health Care Facilities Association

  • Director, NC Division of Mental Health, DD and Substance Abuse Services

  • State Health Director, Dept. of Environmental Health, & Natural Resources

  • Assoc. Chair & AHEC Liaison, Dept. Allied Health Sciences, UNC

    12. President of NC Alliance of Allied Health Professionals


Ahec organized 4 key collaborative conferences
AHEC Organized 4 Key Collaborative Conferences WORKFORCE IN CRISIS!!

  • October 25, 1989 “The Allied Health Professions in North Carolina: Avoiding Crisis”

  • July 18, 1990 “Meeting of Presidents of NC Allied Health Professions”

  • November 1, 1990 “Allied Health in North Carolina: Taking Action to Avoid Crisis”

  • October 1, 1991 “From Crisis to Empowerment”


Guiding Principles of the First Invitational Conference WORKFORCE IN CRISIS!! - 19891. Must have wide-ranging representation, including practitioners, employers, policy-makers and educators.2. Invitation only to target the appropriate leaders.3. The definition of “allied health” for purposes of the conference included 20 most visible professions.4. The Conference would serve as a first step, not as a finished product. Should generate proposal(s) for directions and strategies to address issues in AH workforce development in NC.


Precepts Cont’d WORKFORCE IN CRISIS!!5. Must include ample opportunity for interaction and discussion. Small group sessions to promote constructive discussion of key issues.6. Needs the guidance and support of allied health practioners, educators and employers to address the workforce issues confronting the state.


Six conference topics
SIX CONFERENCE TOPICS WORKFORCE IN CRISIS!!

1. The Role of Educational Policy in Influencing Supply

2. Health Professions Education Funding

3. Licensure, Certification and Accreditation

4. The Health Care Employer’s Perspective

5. Personnel and Long-Term Care

6. Approaches to Measuring Demand and Supply


Eight themes emerged
EIGHT THEMES EMERGED WORKFORCE IN CRISIS!!

  • Need a reliable database of AH manpower information in the state.

  • Need for inter-professional cooperation in allied health.“progress toward commonly shared goals will be made only when individuals disciplines see themselves as ‘allied health professionals’”

  • Need to Market the Allied Health Professions.

    4. Mandate for organized planning to meet the AH manpower needs. Rx. Establish a “health manpower council.”


  • Need to increase access to scholarship funds for AH students WORKFORCE IN CRISIS!!; identify more resources for expanded educational programs and AH faculty development.

  • Need to increase communication & coordination between the University system and the CC System “articulation”.

  • Need better retention of AH personnel.

  • Need to focus on solutions to AH manpower shortages.

    Ultimate goal must be to ensure access to appropriate health care to all communities in N.C., and access to professional opportunities for those with interest and potential to become AH professionals.


Conference of presidents of allied health associations
Conference of Presidents of Allied Health Associations WORKFORCE IN CRISIS!!

  • July 18, 1990

    Purpose:

    To develop greater inter-professional identification and cooperation among the diverse professions.

    To provide valuable input into the strategy proposals being developed.


Second invitational conference taking action to avoid crisis
Second Invitational Conference “Taking Action to Avoid Crisis”

  • November 1, 1990

    Purpose:

    From written strategies, create solutions to problems and set priorities on issues.

  • Results: Recommended Agenda for 3rd Conference based on outcomes from the October 1989 Conference.


Third allied health invitational conference
Third Allied Health Invitational Conference Crisis”

  • October 1, 1992

    “Allied Health in North Carolina: From Crisis to Empowerment ”

    Results:

    Strategies for the founding document for the Allied HealthCouncilin N.C. and the scope of its work.


Third invitational conference outcome
THIRD INVITATIONAL CONFERENCE OUTCOME Crisis”

Established a Council under the the guidance of the N.C AHEC. This is a “neutral” body funded by the NC Legislature through the UNC System. This was accomplished by the late Dr. Gene Mayer Director of the N.C. AHEC in 1991. From the beginning Council membership consisted of educators, employers, educators and allied health professionals.


Council mission which emerged from the 4 conferences
COUNCIL MISSION Crisis”WHICH EMERGEDFROM THE 4 CONFERENCES


Ensure access to a well-prepared, well-distributed allied health workforce that is representative of the diversity of North Carolina communities.


Council goals which emerged
COUNCIL GOALS health workforceWHICH EMERGED


Monitor trends in the demand, supply, distribution of allied health workforce in the state, in cooperation with NC area Health Education Centers Program (AHEC), the Sheps Center for Health Service Research, and key professional, employer and educational groups.


Provide policymakers at the local and state level with accurate information related to allied health workforce and educational needsto make appropriate decisions regarding resources for education and training in the state’s community college system and four-year universities.


Provide employers and state agencies with allied health workforce data to help meet the demands for health care service needs of the state.


Monitor and respond to state and federal initiatives and actions that affect the delivery of allied health care services in North Carolina.


Serves as a source for public and private university systems, community colleges and the general publicto inform them of workforce imbalances affecting access and costs of services as well as supply and demand issues.


Serve as a point of coordination, support, information exchange, and crisis interventionfor allied health professions, employers and allied health education programs in the state.


Promote the allied health professions as sound occupational pathwaysfor students and persons who wish to change careers.


The Council Meets pathwaysBimonthly, five times a year.First Wednesday of the month beginning in September.The Council does not meet in July.May meetinghi-lights Prof. Associations.All meetings are open to the public.Visit the Council website:www.alliedhealthcouncilNC.org


Composition of the n c allied health council
COMPOSITION of THE N.C. ALLIED HEALTH COUNCIL pathways:

1. 29allied health professionsrepresenting more than 21,000 professionals.Divided into 6 groups:

1. Counseling & Recreation Science (5)

2. Rehabilitation Sciences (4)

3. Diagnostic Sciences I (9)

4. Diagnostic Sciences II (4)

5. Dental Sciences (2)

6. Medical Sciences (5)

Representative for each group serves for 2 years. Rotation of professions within each group every 2 years.


Council composition
Council Composition pathways

2. 6 Educational Organizations:UNC System & AH Dean Rep Independent Colleges & Universities NC Comm. College Sys. & AH Dean Rep NC AHEC

NC Health Careers Access Program

NC State Educ. Assistance Authority

Representatives are appointed by Admin. of the system & serve at their discretion.


Council composition1
Council Composition pathways

3. 8employer groups:

NC Hospital Assoc.;

Assoc. for Health Care Facilities;

Assoc. for Home & Hospice Care;

SDPI;

Mental Health, DD & Substance Abuse;

Division of Rural Health;

Division of Public Health;

Health & Human Services.Representatives are appointed by their Admin. and serve at their discretion.


Executive committee
Executive Committee pathways

Meets by Conference Call on alternate months of Council Meetingsre: establishing Council agenda.Composed of:

Chair ;

Vice-Chair;

Immediate Past Chair;

Treasurer;

Legislative Liaison;

Representatives of: Professional Assoc.;

Membership at Large;

Workforce Data Chair

Executive Director


Council advisory board
Council Advisory Board pathways

  • Meets as needed:

    Current composition:

    Chair: Pres. of NCHA

    Members are Reps of:

    UNC System

    CC System

    Legislature

    Public Instruction

    Lobbyist

    Ex Officio:

    Council Chair, Past Chair, Exec. Dir.


Council accomplishments
Council Accomplishments pathways

a.Established an ongoing and open forum in 1991 for sharing information and issues related to:

  • Education

  • Professional trends

  • Workforce availability of allied health professionals

  • Health care delivery models

  • Standards of practice

  • Proposed licensure changes

  • State and federal legislation and policy


b pathways.Developed and implemented a plan in 1994 to address serious workforce shortages in OT, PT, and SLP.

c.Collaborated with statewide communities in a successful effort to seek legislative approval and support ($3,728,934.) for the expansion of programs in Occupational Therapy, Physical Therapy and Speech-Language Pathology

-Provided funding for Distance Learning to upgrade BS level SLPs to MS


d pathways.Established, with the NC AHEC and Sheps Center for Health Services Research a comprehensive survey and model database of supply and demand of allied health workforce personnel. Because It became clear that collection and dissemination of information on the status of the allied health workforce would be an important continuing role for the Council.


  • e. pathwaysEstablished an office of the Council for Allied Health in NC in 2002 because we saw the need for more sustainable leadership.

    • Funded by a Duke Endowment Grant for 3 years extended for 2 additional years

    • Established a set of Council Guidelines

    • Hired first Executive Director: David Yoder

    • Revised and printed Council Brochures

    • Published the booklet of “Allied Health Associations of North Carolina, May 2005 Distributed to all NC Legislators


f. pathwaysEstablished the Council website:

  • http://www.alliedhealthcouncilNC.org

    • 18,000 hits since in 2005.

    • Average 1,500 per month

    • Visitors from 42 foreign countries

g.Established regular communication with 29 NC Allied Health Professional Associations representing more than 21,000 allied health professionals.

h. Established an ombudsman service to persons who contact the Council with questions & issues related to education, professional services, licensure etc.


j. Established a collaboration with the Sheps Center for Health Sciences Research and the N.C. AHEC to undertake a number of allied health workforce studies.


Allied health workforce studies

Completed 6 workforce studies pathways

Speech-Language

Pathology

2001

Physical

Therapy

2000

Health Information

Management

2002

Allied Health Workforce Studies


Allied health workforce studies1

Completed 6 workforce studies pathways

Radiological

Sciences

2003

Clinical Lab

Sciences

2004

Respiratory

Care

2004

Allied Health Workforce Studies


Allied health workforce studies2

State of Allied Health Brief pathways

Allied Health Vacancy Report

Allied Health Workforce Studies

2005 Reports


WORKFORCE REPORTS pathwaysElectronic copies of the reports are available atwww.shepscenter.unc.edu/hpunder “publications”&www.alliedhealthcouncilNC.orgunder “reports”or call [email protected]


The current challenge for the council
The Current Challenge for The Council: pathways

Establish a mechanism for permanent funding. Request will go to NC GA-06.

  • Develop more effective strategies to communicate the work and needs of the Council to the:

    • UNC Board of Governors

    • N.C. State Board of Community Colleges

    • N.C. General Assembly



What makes the north carolina allied health council work
WHAT MAKES THE NORTH CAROLINA ALLIED HEALTH COUNCIL WORK? North Carolina will have access to a well prepared, well distributed allied health workforce that is representative of the diversity of our state’s communities.

PROVIDES AN OPEN FORUM FOR PRACTITIONERS, EMPLOYERS AND EDUCATORS TO MEET AND WORK COLLABORATIVELY TOWARD RESOLVING THE CRITICAL ALLIED HEALTH CARE ISSUES CONFRONTING OUR STATE.


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