1. America’s Community Colleges A National Resource for Homeland Security

2. Inform You About: America’s Community Colleges America’s Community Colleges Northern Virginia Community College Northern Virginia Community College The Contributions of Community Colleges to Homeland Security The Contributions of Community Colleges to Homeland Security Healthcare Workforce Shortage Healthcare Workforce Shortage The Unique Role of Community Colleges in Homeland Security The Unique Role of Community Colleges in Homeland Security Conclusion Conclusion

3. Northern Virginia Community College

4. NVCC is the largest institution of higher education in the Commonwealth of Virginia, enrolling more than 64,000 students in credit classes.

5. Another 300,000 individuals participate in NVCC programs and services. We’re the second largest community college in the nation!

6. Six campus locations, including a new Medical Education Campus.

7. Medical Education Campus “The Campus of the Future…Today”

8. America’s Community Colleges

9. Community College Facts: Number of Community Colleges: Public institutions - 979 Private institutions - 148 Tribal institutions - 30 Total 1157

10. Community College Facts: Enrollment: 11.6 million students 6.6 million credit 5.0 million noncredit Enrollment: 11.6 million students 6.6 million credit 5.0 million noncredit 46% of all U.S. undergraduates 45% of first-time freshmen 62% part time; 38% full time (full time = 12 + credit hours) 46% of all U.S. undergraduates 45% of first-time freshmen 62% part time; 38% full time (full time = 12 + credit hours)

11. Community College Facts: Community college students bring a mix of diverse characteristics to their campuses: Average student age - 29 years Average student age - 29 years 58% of the students are women 58% of the students are women Minority students make up 30% of enrollments nationally. Minority students make up 30% of enrollments nationally. More than 80 percent of students balance studies with full-time or part- time work. More than 80 percent of students balance studies with full-time or part- time work.

12. Community College Facts: Tuition and Fees: $2,076 average annual tuition at public community colleges $2,076 average annual tuition at public community colleges $1,954 average tuition for private and public community colleges $1,954 average tuition for private and public community colleges

13. Community College Facts: Degrees and Certificates annually: More than 490,000 associate degrees More than 490,000 associate degrees Nearly 235,000 certificates Nearly 235,000 certificates

14. Community College Facts: Revenue Sources (Public Colleges): 44% - state funds 20% - tuition and fees 20% - local funds 5% - federal funds 11% - other

15. The Contributions of Community Colleges to Homeland Security

16. Homeland Security Programs and Courses: Law Enforcement Law Enforcement Fire and Safety Administration Fire and Safety Administration Environmental Safety Environmental Safety Cyber Security Cyber Security Energy - e.g., power grid, pipeline security Energy - e.g., power grid, pipeline security Emergency Response Management Emergency Response Management Allied Health and Nursing Allied Health and Nursing Food Safety Food Safety HazMat HazMat

17. Homeland Security: Approximately 80% of…. Firefighters Firefighters Law Enforcement Officers Law Enforcement Officers Emergency Medical Technicians Emergency Medical Technicians ……are trained at Community Colleges.

18. Healthcare: In 2003, 62% of applicants taking the national registered nurse examination to become Registered Nurses (RN) were graduates of associate degree programs. In 2003, 62% of applicants taking the national registered nurse examination to become Registered Nurses (RN) were graduates of associate degree programs. 65% of new healthcare workers get their training at community colleges. 65% of new healthcare workers get their training at community colleges.

19. The Hidden Professions in Biomedical Security

20. Medical and Clinical Laboratories Provide first validated identification of Bioterrorism and BiohazardsProvide first validated identification of Bioterrorism and Biohazards Trained in proper specimen collection and processingTrained in proper specimen collection and processing Provides rapid ID of infectious agentsProvides rapid ID of infectious agents 80% of validated data in a patient’s medical record is clinical laboratory data80% of validated data in a patient’s medical record is clinical laboratory data

21. Medical Laboratory Technician (MLT) Perform complex laboratory tests for the diagnosis, treatment and prevention of diseasesPerform complex laboratory tests for the diagnosis, treatment and prevention of diseases It was a lab tech who identified Anthrax in the elderly lady in CTIt was a lab tech who identified Anthrax in the elderly lady in CT Education: Associate DegreeEducation: Associate Degree 19% growth rate projected (2002-2012)19% growth rate projected (2002-2012) NVCC average annual graduation: 12NVCC average annual graduation: 12

22. Health Information Management Three main HIM needs were identified for bioterrorism: Three main HIM needs were identified for bioterrorism: A standardized communications mechanism that will allow healthcare providers to report and to query public health resourcesA standardized communications mechanism that will allow healthcare providers to report and to query public health resources A way to use technology to both alert and educate healthcare professionals about the threatA way to use technology to both alert and educate healthcare professionals about the threat A method of reviewing certain aspects of collective health information on individuals to determine if there is a public health threat that warrants follow up and reactionA method of reviewing certain aspects of collective health information on individuals to determine if there is a public health threat that warrants follow up and reaction

23. HIM AND THE ELECTRONIC RECORD: “By computerizing health records, we can avoid dangerous medical mistakes, reduce costs and improve care.” ( President George W. Bush, State of the Union Address, January 20, 2004 ) “By computerizing health records, we can avoid dangerous medical mistakes, reduce costs and improve care.” ( President George W. Bush, State of the Union Address, January 20, 2004 ) “Within ten years every American must have a personal electronic medical record.” (President George W. Bush. American Association of Community Colleges’ Annual Convention, April 26, 2004) “Within ten years every American must have a personal electronic medical record.” (President George W. Bush. American Association of Community Colleges’ Annual Convention, April 26, 2004)

24. Medical Records and Health Information Technicians Rising health care demandRising health care demand Increased scrutiny of medical documentationIncreased scrutiny of medical documentation Continued emphasis on the electronic medical recordContinued emphasis on the electronic medical record Growth will be primarily distributed among physician offices/clinics, hospitals, and long-term care facilitiesGrowth will be primarily distributed among physician offices/clinics, hospitals, and long-term care facilities Increased demand for medical records technicians will be fueled by:

25. Medical Records and Health Information Technicians (cont) Third-party payers and government regulators are expected to add to the demandThird-party payers and government regulators are expected to add to the demand Quality of Medial RecordsQuality of Medial Records

26. The Healthcare Workforce Shortage:

27. Key Drivers Increased demand for services due to the aging populationIncreased demand for services due to the aging population Concurrent aging of the health care workforce and resultant retirements Concurrent aging of the health care workforce and resultant retirements Shortage of nursing and allied health profession faculty, schools, and clinical experience sites and the inability to find replacements Shortage of nursing and allied health profession faculty, schools, and clinical experience sites and the inability to find replacements Concurrent aging of clinical faculty and the resultant retirements Concurrent aging of clinical faculty and the resultant retirements Difficulties with having market competitive salaries for clinical faculty Difficulties with having market competitive salaries for clinical faculty Nature of the profession Nature of the profession Low unemployment rates and high cost of living Low unemployment rates and high cost of living Inpatient Days - Concentrated in the Over 65 population cohort per National Data Inpatient days per 1,000 population, 2000 Inpatient Days by Age Cohort

28. Fastest-Growing Occupations Requiring Post-Secondary Training or an Associate's Degree — All States

29. Fastest Growing Occupations Requiring Post-Secondary Training or an Associate’s Degree Ranking#OccupationEmployment Percent Change 20022012 1 Physical Therapy Assistants 58,70084,60044% 2 Dental hygienists 157,800226,20043% 3 Forensic Science Technician 9,80013,40036% 5 Diagnostic Medical Sonographers 42,30057,00035% 6 Occupational Therapist Assistants 21,30028,60034% 8 Cardiovascular Technologists and Technicians 44,90059,50033% 10 Surgical Technologists 84,100109,00030% 11 Register Nurses 2,393,6003,096,10029% 12 Medical Records and Health Information Technicians 158,800204,70029% 13 Respiratory Therapists 93<700120,30028% 15 Emergency Medical Technician and Paramedics 191,500243,70027%

30. Fastest Growing Occupations Requiring Post-Secondary Training or an Associate’s Degree Ranking#OccupationEmployment Percent Change 20022012 17 Radiation Therapists 14,80018,70026% 18 Medical and Clinical Laboratory Technician 146,600183,30028% 20 Massage Therapists 96,700119,50024% 21 Medical Transcriptionists 104,700129,10023% 22 Radiologic Technologists and Technicians 182,000224,20023% 27 Nursing aides, orderlies, and attendants 1,455,4001,780,60022% 29 Nuclear Medicine Technologists 17,90021,80021% 35 Biological Technicians 64,40075,50017% 36 Licensed Practical and Licensed Vocational Nurses 725,700850,00017% 37 Occupational Health and Safety Technicians 11,60013,60017% 38 Medical Secretaries 373,000436,50017%

31. Washington Metro Area: Top 10 Occupational Projections 2000-2010 Health Care-Related Occupations Projected Employment 2010 Estimated Annual Percent Change Annual Total Openings Registered Nurses 43,8591.8%1,461 Nursing, Aides, Orderlies, and Attendants 21,8562.2%655 Licensed Practical and Licensed Vocational Nurses 12,3022.0%482 Medical Assistants 7,4743.8%371 Dental Assistants 6,0753.2%242 Home Health Aides 5,7083.1%203 Pharmacy Technicians 4,5282.8%197 Dental Hygienists 3,7843.1%141 Medical Records and Health Information Technicians 2,8783.3%126 Medical and Clinical Laboratory Technologists 3,7140.9%111 (By Annual Total Openings)

32. Estimated Demand for Health Care Workers Through 2020

33. Northern Virginia Example: Without intervention, the Nursing and Allied Health workforce vacancy rate is anticipated to grow to overWithout intervention, the Nursing and Allied Health workforce vacancy rate is anticipated to grow to over 41 percent by 2020 16,595 Allied Health and Nursing vacancies16,595 Allied Health and Nursing vacancies RNs dominate the current and projected shortage, with more than 1,000 current vacanciesRNs dominate the current and projected shortage, with more than 1,000 current vacancies Health Information Technicians and Diagnostic Imaging also show significant increased demandHealth Information Technicians and Diagnostic Imaging also show significant increased demand

34. Northern Virginia Health Care Workforce Alliance

35. The Northern Virginia Health Care Workforce Alliance (NVHCWA) A coalition of academic, business, community and health care leaders Mission is to establish a long-term, business- driven, sustainable strategy to address the regional health care workforce shortage

36. NoVaHealthFORCE The new name, NoVaHealthFORCE, represents its action plan to increase the awareness of the health care shortage and promote ideas to alleviate it

37. NoVaHealthFORCE Strategies and Action Plan

38. NoVaHealthForce Strategies: Goal 1: Increase capacity within the health care education and training system Goal 2: Develop and sustain an ongoing supply of persons interested in entering health care career fields Goal 3: Nurture Innovation

39. NoVaHealthFORCE Action Plan: Action plan developed by eight working groups Working groups consisted of stakeholders from: education, healthcare industry, local, state and federal government, social service agencies and economic development authorities

40. Capacity: Address the lack of nursing and allied health faculty Address the need for additional clinical training sites and clinical faculty

41. Capacity (cont): Address the projected increasing population in the western and southern portions of Northern Virginia Ensure optimal resource utilization to increase capacity and output of Northern Virginia educational health care institutions

42. Pipeline: Increase awareness of the healthcare career fields Improve healthcare career preparedness in the school systems Provide upward mobility opportunities Facilitate foreign trained healthcare personnel to enter the workforce

43. Innovation: Enhance the adoption in Northern Virginia of Information Technology Harness the potential of the healthcare consumer Create innovative approaches in healthcare human resource management

44. Innovation (cont): Nurture the career fields of tomorrow Develop a forum to share best practices Designate an organization to coordinate the implementation of these actions

45. www.NoVaHealthFORCE.org

46. The Unique Role of Community Colleges in Homeland Security

47. Former Secretary of Homeland Security Tom Ridge Stated: “ Citizen Preparedness is every bit as important as a community’s preparedness” [Ridge 2004] “Each individual American must choose to make emergency planning a priority in our homes, at our places of work and in our schools” [ Ridge 2004]

48. Citizen and Community education in Homeland Security: First responders have received much attention and resources since 9/11 However, the education of the public has been the most critical factor under addressed by our nation in preparing to respond to terrorism and natural disasters

49. Community Colleges are: Strategically located throughout the United States Focused on the needs of the local community Highly flexible in designing curriculum to meet local requirements

50. Company LOGO Conclusions

51. The “Boots on the Ground” in Homeland Security Are…

52. Company LOGO Community College Graduates

53. Questions?