Meeting Minutes Workforce 10/06/2015 | 09:30AM-11AM | CDPHE 4300 E. Cherry Creek Dr. A5A Type of meeting

Workforce

Facilitator

Michael Talamantes, Sydney Oelerich

Note taker

Matthew Welchert

Members in Attendance: : Jeana Capel-Jones, RN MS DNP, Gail Finley, Patrece Hairston, PsyD, Steve Holloway, Laurie Ivey, Mita Johnson, Cordelia Rosenberg, PhD RN , Michael Talamantes, LCSW, Alice Vienneau, LCSW Phone: Amy Barton, Ph.D, RN, Colleen Casper, William Heller, Janet Steinkamp, Sandy Steinman Guests: Emily Haller, Pat Uris, Aubrey Hill, Lynnette Hampton, Caitlyn Everett, Don Sutton.

Discussion Items:

Introductions: What expertise you bring to the table and what brought you here. Michael Talamantes: Professor of Social Work at DU. Bringing expertise on pipeline and training. Sydney Oelerich: New Program Manager (PM), looking forward to learning from the group. Corry Robinson Rosenburg: CU School of Medicine. Cordelia Robinson Rosenberg, goes by Corry. Completed 22 years of director of JFK partners: Interdisciplinary leadership training around neurological disabilities, autism. Personnel and pipeline is an ongoing interest. Steve Holloway: Branch Chief,Health Equity and Access Branch/Primary Care Office. Evaluates needs based community and health frame. Motivated to find solutions to health disparities. Alice Veaneau: Social worker at Denver Health. Bringing insight on what the process of integration looks like on the ground. Lynette Hampton: SIM Operations Manager. Provides direction and oversight. Patrece Hairston: Expertise: PsyD with Colroado Children’s Healthcare Access Program. Passionate about integrated care/medical home for all. Mita Johnson: Colorado Association of Addiction Professionals. Brings focus from two areas: education and workforce retention. Jeana Capel-Jones: Greater Metro Denver Healthcare Partnership. Works directly with employers, workforce, and brings unique perspective and knowledge of workforce trends to the table.

The Project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services.

Meeting Minutes Laurie Ivey: Training physicians and doing integrated work for a long time, training psychology fellows next to clinicians. Gail Finely: Colorado Hospital Association, Vice President of Rural Health and Regulatory Policy. Can provide information relating to barriers of rural communities. Janet Steinkamp: New member, replacing Kai Stavi. Red Rocks Community College. Can help the SIM Workforce group understand the directions of the Community Colleges in Colorado and how it fits with their mission, legislative mandates and Colorado's economic development as well. Amy Barton: CU College of Nursing. Has experience and insight regarding integrated care. Colleen Casper: Executive Director of CO Nursing Association: Able to provide information and recommendations about future nursing workforce. Bill Haler: Dept. Of HCPF: Provider Relations: Interested in the dental piece as well. Sandy Steinman: Jefferson Center for Mental Health. Human Resources expertise. Can speak to current and future workforce issues. Public: Aubrey Hill: Director of health systems exchange: Colorado Coalition for the Medically Underserved. Collaboration on grand scale and I am excited to see what is produced. Pat Uris: Ph.D CDPHE: Patient Navigator workforce focus. Emily Haller: Colorado Behavioral Health Council Caitlyn Everett: CDPHE: Children and Families BH integration Specialist. Don Sutton: Psychologist: Working with CDPHE on SIM Grant. Jean Lamont: SIM Office, HIT PM. Review of the Charter Michael: Looking through these objectives: think about the subgroups we had discussed:  Unlicensed WF  Future/Pipeline/Education  Current BH Provider Training Objective 1: Make recommendations regarding minimum qualifications, credentialing, training, and job descriptions for new positions in the workforce: (e.g. Regional Health Connectors.)  



The group noted a need for enumeration of the current workforce, and recognized that there is no real count of the unlicensed workforce specifically. Group discussed the new Regional Health Connector role (RHC) and the 6 positions currently funded by AHRQ. Position designed to build linkages among the various components of the healthcare delivery system (with a particular focus on primary care SIM will hire fund approximately 20 more RHC positions and house them in communities.

The Project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services.

Meeting Minutes   

Group recognized need to clearly define roles. PM will post working document of common unsilenced workforce to basecamp. Focus on 3-5 titles. Group recommended getting input from DORA and the Policy Workgroup.

Objective 2: Offer guidance on the best manner of delivering training to existing providers in order to promote successful integration of behavioral and physical health 

  

Group discussed how to re-train the current workforce. (Nov 17th Summit may look into the competencies we are looking at figure these points out. The summit will be key but the subgroup may help develop this before and after). Other groups are already looking at this issue. Will have to coordinate to avoid duplication of efforts. The group would like some information on how telehealth and other HIT efforts will impact the workforce. Is some sort of certification necessary to establish an integrated care practice? PM will research and make connections.

Objective 3: Propose strategies that create standardization in the way that existing, but largely unregulated positions (e.g. Community Health Workers), interact with health care integration efforts throughout Colorado.    

What are the best practices for capturing who is already out there working? Subgroup with address some of these issues, identify what is already working, what issues will arise in an integrated care setting. Possibly look at defining best practices for unsilenced roles instead of moving toward standardization. Identification of core competencies will be important

Group decided to merge Objective 1 and Objective 3: Make recommendations regarding minimum qualifications, credentialing, training, and job descriptions for new positions in the workforce: (e.g. Regional Health Connectors.) AND propose strategies that create standardization in the way that existing, but largely unregulated positions (e.g. Community Health Workers), interact with health care integration efforts throughout Colorado. Objective: Objective 4: To assess Colorado’s current and future workforce capacity for both behavioral health and primary care both independent and integrated, and develop a draft plan for workforce development.  CDPHE is pulling existing research and drafting a plan for workforce development.  Initial findings are on Basecamp  Steve Holloway will provide updates as they are available.  Subgroup objectives and members: Unlicensed Workforce: Laurie Ivey, Andrea Dwyer, Mita Johnson Pipeline/ Future Workforce: Michael Talamantes, Jeana Capel-Jones, Mita Johnson, Corry Rosenburg, possibly Laurie Ivey Current Workforce/Integration: Alice Vienneau, Steve Holloway, Patrece Hariston

The Project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services.

Meeting Minutes More info on the Summit will come at the next meeting: Nov 17 th Workforce Workgroup meeting will be rescheduled for the summit. Members of the public expressed interested in being looped into Basecamp. There were issues with the phone and webinar services that the SIM office will resolve before next meeting. Next meeting is Tuesday Oct. 20th. Summit is November 17.

Action Items: Topic

Responsible Party

Deadline

Participate in subgroup thread on Basecamp

All

Ongoing

Check schedule and participate in Nov. 17th Summit if available

All

11/17/2015

Sydney Oelerich

Ongoing

Initiate conversations with DORA and other agencies to assess what information is already being captured on workforce and what work is already being done to define roles.

The Project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services.

2015-10-06 Workforce Minutes.pdf

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