1. Health Care Workforce needs for an industry in transformation Katrina M. Lambrecht, JD, MBA Vice President, Institutional Strategic Initiatives Office of the President March 25, 2014 Business & Education Workforce Symposium San Jacinto College

2. Working Together to Work Wonders 2 Healthcare workforce in Texas Forces of change Impact on healthcare workforce Technical skills Soft skills Questions Agenda

3. Working Together to Work Wonders 3 Between 2005 – 2020, demand for RNs is expected to increase by 86% and supply by only 53% Texas Center for Nursing Workforce Studies Texas has 720 RNs per 100,000 people, compared to the U.S. average of 874 2011 Bureau of Labor Statistics, Statistics, Occupational Employment Statistics survey and U.S. Census Data Texas averages 22 Physician Assistants per 100,000 people, compared to the U.S. average of 27 2010 American Academy of Physician Assistant Census Texas ranks 46 th in the nation in the number of physicians per 100,000 population 2009 American Medical Association Healthcare Workforce in Texas

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7. 7 Demographic changes o Aging population o Growth of population of Houston-Galveston region o Increase in incidence of chronic diseases Patient Protection and Affordable Care Act (PPACA) o Shared savings programs increase financial risk for providers o Value-based purchasing links patient experience to payment o Mental health parity Texas Medicaid 1115 Waiver o Medicaid managed care expanded across the state o Delivery System Reform Incentive Pool (DSRIP) funds innovative programs and pays only upon achievement of outcomes Forces of Change in Healthcare Volume  Value

8. Working Together to Work Wonders 8 Care increasingly provided in outpatient and community settings Need is for more than just physicians and nurses o Respiratory Therapists o Clinical Laboratory Technicians o Social Workers; Licensed Professional Counselors; Psychologists o Quality and Data Analysts; Performance Improvement Specialists o Information Technology roles Emergence of New Roles o Promotora/Community Health Worker o Health Coach o Peer Support Specialists Evolution of existing roles in health care delivery o Scope of practice o Greater use of midlevel providers Impact on Workforce Needs

9. Working Together to Work Wonders 9 Technical Skills Nursing o Associate Degree through Doctorate Physician Assistant o Master’s Degree Clinical Laboratory Technician o High School through Bachelor’s Degree Promotora/Community Health Worker o High School plus 160 hours to obtain certification Information technology roles o Bachelor’s degree through Master’s degree Social Worker o Bachelor’s through Master’s Degree

10. Working Together to Work Wonders 10 “Soft Skills” Are Critical Technical competencies are a baseline Healthcare reimbursement is increasingly: o Based on patient experience (satisfaction) o Delivered in teams o Driven by quality outcomes Lack of success in a job is usually due to lack of: o Ability to work collaboratively in teams o Effective communication skills o Punctuality - showing up for work on time o Excellent customer service o Cultural competency in interactions with patients, families and coworkers

11. Working Together to Work Wonders 11 Questions?