HEALTH CARE WORKFORCE INITIATIVES FROM THE 2015 SESSION

Workforce Legislative Commission

August 26, 2016

Workforce Initiatives from 2015

• Loan Forgiveness Expansion

• Primary Care Residency Grant

• International Medical Graduate (IMG) Program

• Home and Community Based Services

Scholarship program

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Loan Forgiveness expansion

• In 2015 the Legislature added $2.5 million to the state’s

Loan Forgiveness program (now $3.24 million per year)

• And created eligibility for three new professional categories

• Mental Health Professionals (Urban and Rural)

• Dental Therapists (Rural)

• Public Health Nurses (Rural)

• Initial Results:

• Demand is still high for the program

• Some areas of the state still have challenges recruiting

• Demand by MH Professionals far exceeded expectation

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Results:

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2015 2016A 2016B 2017

Physician 2 3 5 6

Pharmacist 2 3 6 3

Dentist 1 2 1 2

Nurse Faculty 3 2 2 3

MidLevel 4 3 11 11

Nurse in NH 2 5 11 20

PHN - - 10 7

DT/ADT - - 6 4

RMHP - - 4 24

UMHP - - 6 9

New Contracts 14 18 62 89

# of Applications 53 51 117 234

Field Strength 59 56 118 207

Results

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Primary Care Residency Expansion Grant

• $1.5 million to fund new “slots” in residency programs

• Eligible residency programs:

• Family Medicine

• General Internal Medicine

• General Pediatrics

• Geriatrics

• General Surgery

• Psychiatry (funds are prioritized for these programs)

• Programs can receive up to $300,000 per additional

resident – over 3 years

• $150,000 in year 1; $100,000 in year 2; $50,000 in year 3

• Programs can also apply for a planning grant of up to $75,000

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2016 Grantees:

Residency Program Description

# of new

MDs

funded

United Family Medicine

Family Medicine Residency Program in St Paul

FQHC, with frequent rural rotations 3

HCMC -- Psychiatry Joint program between HCMC and Regions 2

HCMC -- Family Medicine

Program with a strong track record of training

physicians who work in underserved areas 2

U of M -- General Surgery

Rural surgeon track, operated in coordination

with Essentia in Duluth 2

U of M – Pediatrics (EPAD)

A flexible pediatrics program that can expedite

training for pediatricians – could have added

up to 4 new residents 1

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International Medical Graduate (IMG)

Assistance Program• Administered in collaboration with stakeholder group

• $500,000 to fund:• Career navigation and foundational skill building

• Clinical assessment

• Clinical preparation

• $500,000 to fund dedicated primary care residency

positions for IMGS• Eligible primary care programs include:

• Family Medicine

• Pediatrics

• Psychiatry

• OB/GYN

• Internal Medicine

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Additional Program Requirements

• Develop and maintain a voluntary roster of IMGS

• Create a revolving fund to accept additional funds to

support the program.

• Study in consultation with the medical board and other

stakeholders changes necessary in the health

professional licensure and regulation to ensure full

utilization of IMGs into the Minnesota healthcare system.

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CONTINUUM of SERVICES – Years 1-2 of IMG Assistance Program

Provided by: Community-based

grantees

Provided by: Community-based grantees working

with others to provide specialized

classes

Provided by: Medical schools

and/or residency programs

Provided by: Contractor

Provided by: Residency programs

Provided by: Community-based

grantees

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Gateway& Foundational

navigation

Roster enrollment

Career navigation

ECFMG certification

-skill

building

Medical English

Orientation to U.S. health care system

IT/typing

Clinical assessment

Clinical skills assessment

Clinical preparation

Clinical instruction

Clinical experience

Letters of reference

Residency application

Assistance with

application & Match

Residency

Dedicated .

pnmary care

residency positions

Early Impact

Program Component Grantee or Contractor Number Served

Career Guidance and

Support

• WISE/NAAD

Partnership (St. Paul)

• Workforce

Development Inc.

(Rochester)

114

Clinical Assessment University of Minnesota 15

Clinical Preparation Pending

Dedicated Residency

Position

University of Minnesota

– Pediatric Residency

Program

2 (1 funded by program,

1 funded by the U of M)

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Home and Community Based Services

(HCBS) Scholarship Grant• $950,000 available annually to reimburse employer-based

scholarship programs

• Eligible applicants:

• Home Care Agencies

• Adult Day Care Facilities

• Housing with Services Establishments

• Scholarships and Trainings

• Employers can support employees

• Obtain care-related degrees

• Acquire advanced certificates

• Receive specialized trainings

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Early Results

• High Demand

• 87 applications from employers

• 31 grants were awarded

• Only 10 fully funded

• Good mix of degree/training

• 15 non-profit / 16 for-profit

• 39% Metro / 61% Outstate

• Roughly 80% new programs

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Early Results

• Immediate Impact

• Over 750 Employee Recipients

• Examples of scholarships and

trainings:

• Nursing Degrees

• Social Work

• Health Support Specialist

• Physical Therapy

• Dementia Care Certificate

• Medication Aide training

• Wound Care Certificate

• English as a Second Language

• A better trained, more professional HCBS workforce

• Higher wages for scholarship recipients who stay

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Upcoming opportunities

• HCBS Scholarship Grant

• Application cycle is open now

• Applications are due September 23, 2016

• Primary Care Residency Grant

• RFP will be published in mid-September

• Applications will be due at the end of October

• Loan Forgiveness

• RFP will be published in November

• Applications will be due early January, 2017

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Questions?

Information about ORHPC grants:

http://www.health.state.mn.us/divs/orhpc/funding/

Information about IMG Program:

http://www.health.state.mn.us/divs/orhpc/img

Contacts:

• Yende Anderson, 651-201-5988

yende.anderson@state.mn.us

• Will Wilson, 651-201-3842

will.wilson@state.mn.us

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