AHMC Garfield Medical Center, LP dba Garfield Medical Center Garfield... · 2016. 12. 7. · AHMC...
Transcript of AHMC Garfield Medical Center, LP dba Garfield Medical Center Garfield... · 2016. 12. 7. · AHMC...
ETP 130 - Single (05/02/16) 1 of 6
RETRAINEE - JOB CREATION
Training Proposal for:
AHMC Garfield Medical Center, LP dba Garfield Medical
Center
Agreement Number: ET17-0331
Panel Meeting of: December 16, 2016
ETP Regional Office: North Hollywood Analyst: M. Reeves
PROJECT PROFILE
Contract
Attributes:
Retrainee
SET
Medical Skills Training
Job Creation Initiative
Priority Rate
Industry
Sector(s):
Healthcare
Priority Industry: Yes No
Counties
Served:
Los Angeles Repeat
Contractor:
Yes No
Union(s): Yes No SEIU United Health Workers West, and SEIU Local 121RN
Number of Employees in: CA: 979 U.S.: 979 Worldwide: 979
Turnover Rate: 11%
Managers/Supervisors: (% of total trainees)
N/A
FUNDING DETAIL
Program Costs - (Substantial Contribution)
(High Earner Reduction)
= Total ETP Funding
$749,300
$187,650
50%
$0
$561,650
In-Kind Contribution: 100% of Total ETP Funding Required $1,301,880
AHMC Garfield Medical Center, LP December 16, 2016 ET17-0331 dba Garfield Medical Center
ETP 130 - Single (05/02/16) 2 of 6
TRAINING PLAN TABLE
2 Retrainee
SET
Job Creation Initiative
Medical Skills Training
Priority Rate
MS Preceptor, MS Didactic,
Computer Skills, Continuous Imp.
100 8-200 0 $3,740 **$13.73
Weighted Avg: 187
*Reflects Substantial Contribution
**It will be made a condition of contract that the trainees in this Job Number will never be paid less than the State or local minimum wage rate as in effect at the end of retention regardless of the wage expressed in this table. The highest minimum wage rate will prevail.
Minimum Wage by County: Job Number 1: $21.28 per hour Statewide Average Hourly Wage (Priority Industry). Job Number 2: $13.73 per hour for Los Angeles County (Job Creation).
Health Benefits: Yes No This is employer share of cost for healthcare premiums –
medical, dental, vision.
Used to meet the Post-Retention Wage?: Yes No Maybe
Up to $4.17 per hour for Job Number 1 and $1.42 per hour for Job Number 2 may be used to
meet the Post-Retention Wage.
Wage Range by Occupation
Occupation Titles Wage Range Estimated # of
Trainees
Job Number 1
Registered Nurse 442
Licensed Vocational Nurse 19
Therapist 28
Technician I 59
Technician II 72
Phlebotomist 9
Dietician 1
Social Worker 5
Pharmacist 10
Medical Coder 2
Job
No. Job Description Type of Training
Estimated
No. of
Trainees
Range of
Hours Average
Cost per
Trainee
Post-
Retention
Wage Class /
Lab CBT
1 Retrainee
SET
Medical Skills Training
Priority Rate
MS Preceptor, MS Didactic,
Computer Skills, Continuous Imp.
695 8-200 0 *$270 $21.28
Weighted Avg: 30
AHMC Garfield Medical Center, LP December 16, 2016 ET17-0331 dba Garfield Medical Center
ETP 130 - Single (05/02/16) 3 of 6
Coordinator I 33
Coordinator II 5
Medical Transcriptionist 10
Job Number 2
Registered Nurse 60
Licensed Vocational Nurse 6
Certified Nurse Assistant 10
Ancillary Support Staff 24
INTRODUCTION AHMC Garfield Medical Center, LP dba Garfield Medical Center (Garfield Medical), located in Monterey Park, is a 210-bed acute care facility that has been serving the needs of the San Gabriel Valley since 1933. Garfield Medical (www.garfieldmedicalcenter.com) is a for-profit hospital accredited by The Joint Commission for specialized medical services. The Hospital is eligible for ETP funding under Special Employment Training (SET) for frontline workers, and qualifies for priority industry reimbursement as a healthcare employer. The Hospital’s services include medical/surgical, 24-hour emergency care, pediatric, cardiology, obstetrics, general surgery, radiology, neonatal intensive care, rehabilitation, and a stroke center. The Hospital is also a recognized American Heart Association CPR training center. The Hospital is eligible for ETP funding under Special Employment Training (SET) for frontline workers.
PROJECT DETAILS
Retrainee - Job Creation The Panel offers incentives to companies that commit to hiring new employees. Training for newly-hired employees will be reimbursed at a higher rate, and trainees will be subject to a lower post-retention wage. Garfield Medical has committed to hiring and training 100 new employees, including 60 RNs, (Job Number 2). These new workers are needed for the Hospital to maintain adequate staffing ratios and increase capacity to meet growing patient care requirements. The date-of-hire for all trainees will be within the three-month period before contract approval or within the term-of-contract. These trainees will be hired into “net new jobs” as a condition of contract. The Hospital has identified the following changes in programs and services that are driving the current need for training:
Obstetrics Complications and Emergencies – Training will focus on several conditions that can complicate a pregnancy and threaten the well-being of mother and child. This training will prepare nurses for high-risk cases such as obstetrics hemorrhage, shoulder dystocia, prolapsed cord, and pregnancy-induced hypertension.
AHMC Garfield Medical Center, LP December 16, 2016 ET17-0331 dba Garfield Medical Center
ETP 130 - Single (05/02/16) 4 of 6
Electronic Medical Record (EMR) Utilization –The Hospital has converted to an electronic documentation system and must continue to provide training to staff on proper and effective utilization of the EMR system.
Sepsis Bundle – The Hospital has developed a Sepsis program to establish detection and treatment protocols. Training is necessary to ensure employees remain competent regarding this life-threatening condition that can result in death if treatment is not administered quickly.
Neurosurgery – This highly specialized area involves caring for patients with nervous system disorders including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Comprehensive training is needed to equip staff with the skills to care for patients requiring neurosurgery.
Safe Patient Handling Program – Proper utilization of patient handling equipment ensures safe patient transfer and lifting. Extensive training is necessary to maintain proper and safe operation of equipment.
Open Heart Care Training – Care of the post heart surgery patient is accomplished through both classroom and hands-on training. Trainees will accompany the patient during pre-operation, intra-operation, and post-operation periods. Standard treatment plans and goals of therapy will be covered extensively.
Training Plan Training will take place at the Hospital’s facility in Monterey Park and possibly at off-site vendor locations in California. Training will be delivered by in-house subject matter experts and vendors (to be identified during the contract term). Medical Skills Training (80%) – Approximately 500 RNs and 25 LVNs will participate in Clinical Preceptor and Didactic training classes. This training will ensure trainees are competent in advanced medical procedures. Technicians, Therapists, and other allied-health staff may receive limited medical skills training based on their respective job duties. This training excludes non-nursing Ancillary Support Staff. Computer Skills (10%) - Training will be offered to all occupations. Training will cover software applications to support the Hospital’s continued electronic medical records conversion efforts. Continuous Improvement (10%) - Training will be offered to all occupations. These courses will focus on performance and quality of care improvements. Training will include case management, communication, leadership, and team building skills. SET/Wage Modification Under SET, employers are not required to demonstrate out-of-state competition. To qualify under SET, trainees must be earning at least the statewide average hourly wage at the end of the retention period. However, trainees employed in a Priority Industry qualify for a wage modification up to 25% below the statewide average hourly wage. The Hospital is requesting the wage modification from $28.37 to $21.28 for trainees in Job Number 1.
AHMC Garfield Medical Center, LP December 16, 2016 ET17-0331 dba Garfield Medical Center
ETP 130 - Single (05/02/16) 5 of 6
Substantial Contribution Garfield Medical is a repeat contractor with payment earned in excess of $250,000 and a former Substantial Contribution at the 30% level within the past five years. Reimbursement for trainees in Job Number 1 will be reduced by 50% to reflect the Hospital’s $187,650 Substantial Contribution to the cost of training. The Substantial Contribution requirement does not apply to Retrainee – Job Creation trainees (Job Number 2). Prior Projects This will be Garfield Medical’s fourth ETP Agreement and the third within the past five years (See Prior Projects Table). Training in this new proposal differs from and/or expands on training delivered in the past. In addition to improved programs, the proposed project also features training on several new pieces of equipment/technology including a Philips Vital Sign Machine, Physio-contol LifePak 20 Defibrillator, GE Giraffe Incubator, Echo Cardiac System, GE Giraffe Omnibed, and a Spinal Table System. This proposal includes employees who may have participated in a previous contract. Several Curriculum topics are repeated from prior agreements; however, the subject matter has been updated, so there will be no duplication of training. Garfield Medical is a wholly-owned subsidiary of AHMC Healthcare, Inc. It operates as a Limited Partnership autonomous from other AHMC hospitals in the state. For FY2016/17, the Panel has approved other AHMC wholly-owned and operated subsidiaries. AHMC San Gabriel and AHMC Whittier were approved at the August Panel meeting, and AHMC Monterey Park was approved at the October Panel meeting. Commitment to Training
Garfield Medical spends approximately $2 million annually on training. The Hospital’s ongoing training includes new employee orientation, Annual Skills Day, management training, life support certification and recertification, and in-service training to disseminate new information. Safety training is, and will continue to be, provided in accordance with all pertinent requirements under state and federal law. RECOMMENDATION
Staff recommends approval of this proposal.
PRIOR PROJECTS
The following table summarizes performance by Garfield Medical under ETP Agreements that were completed within the last five years:
Agreement No. Location (City) Term Approved Amount
Payment Earned $ %
ET14-0310 Monterey Park 02/24/14 – 02/23/16
$375,959 $375,959 (100%)
ET12-0336 Monterey Park 03/26/12 – 03/25/14
$179,690 $179,690 (100%)
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ETP 130 - Single (05/02/16) 6 of 6
DEVELOPMENT SERVICES
Training Funding Source in Seal Beach assisted with development for a flat fee of $8,500.
ADMINISTRATIVE SERVICES
Training Funding Source will also perform administrative services for a fee not to exceed 13% of payment earned.
TRAINING VENDORS
To Be Determined
AHMC Garfield Medical Center, LP ET17-0331 dba Garfield Medical Center
ETP 100 Exhibit B Menu Curriculum (07/07/14) 1 of 4
Exhibit B: Menu Curriculum
Class/Lab Hours 8 - 200 Trainees may receive any of the following:
MEDICAL SKILLS TRAINING – DIDACTIC
Acute Myocardial Infarction
Advanced Cardiac Life Support (ACLS)
Arterial Blood Gas (ABG) Interpretation
Basic Life Support (BLS)
Body Mechanics and Safe Patient Handling
Care of the Cardiac Patient
Care of Pediatric Patients (Acute Care, Intensive Care)
Care of the Stroke Patient
Central Lines Management
Chest Tube Care & Management
Code Blue Response & Procedures
Critical Care Nursing Skills
Decontamination Procedures
Diabetes Care & Management
Dysrhythmia Recognition & Interpretation
Educating the Patient & Family
EKG & Cardiac Monitoring
Electronic Fetal Monitoring (Beginning & Advanced)
Emergency Care of the Burn Patient
Emergency Room Nursing Skills
Equipment Skills (IV pumps, cardiac telemetry, vital signs, pulse-oximeter, ventilators, specialty beds and mattresses)
Gastrointestinal Assessment and Management
Infection Control
Intravenous (IV) Insertion & Therapy
Labor, Delivery and Postpartum Nursing Skills
Medical/Surgical Nursing Skills
Medication Administration & Management
Moderate Sedation
Neonatal Advanced Life Support (NALS)
Neonatal Nursing Skills
Neonatal Resuscitation Provider (NRP)
Nurse Orientation Training (for New Grads only)
Ostomy & Continence Care
Pain Management (Acute & Chronic)
Patient Assessment & Care
Patient Fall Prevention
Pediatric Advanced Life Support (PALS)
PICC Line Insertion
Pre and Post-Operative Care
Rapid Response Skills
Renal Assessment & Management
Respiratory Assessment & Care
AHMC Garfield Medical Center, LP ET17-0331 dba Garfield Medical Center
ETP 100 Exhibit B Menu Curriculum (07/07/14) 2 of 4
Restraints
Surgical Nursing Skills
S.T.A.B.L.E.
Telemetry Nursing Skills
Total Parenteral Nutrition (TPN)
Transfer Techniques
Triage Nursing Skills
Ventilator and Tracheotomy Care
New Graduate Program Skills Wound & Skin Care
Defibrillator Training
MEDICAL SKILLS TRAINING – CLINICAL PRECEPTOR
Emergency Department Training o Emergency Room Nursing Skills o Emergency Care of the Burn Patient o OB Trauma o Trauma Nursing Skills o Triage Nursing Skills o Care of Pediatric patients
Intensive Care Unit/Critical Care Unit Training o Critical Care Nursing Skills o Patient Assessment & Care o Pre and Post-Operative Care o Ventilator & Tracheotomy Care o Hemodynamics Training
Long Term Care Unit (Subacute, Skilled Nursing, Transitional Care & Hospice)
o Patient Assessment & Care o Geriatric Nursing Skills o Med/Surg Nursing Skills o Hospice Nursing Skills
Medical/Surgical Unit Training o Patient Assessment & Care o Medical/Surgical Nursing Skills o Pre and Post-Operative Care
Obstetrics Unit Training o Patient Assessment & Care o Antepartum, Labor, Delivery and Postpartum Skills o Neonatal Nursing Skills o S.T.A.B.L.E. o Advanced & Electronic Fetal Monitoring o Neonatal Resuscitation Provider (NRP)
AHMC Garfield Medical Center, LP ET17-0331 dba Garfield Medical Center
ETP 100 Exhibit B Menu Curriculum (07/07/14) 3 of 4
Operating Room and Post-Anesthesia Care Unit (PACU) Training o Patient Assessment & Care o Care of the Burn Patient o Peri-Operative Nursing Skills o Pre and Post-Operative Care
Pediatric Services Unit o Care of Pediatric Patients (Acute Care, Intensive Care) o Patient Assessment & Care o Pre and Post-Operative Care
Surgical Services Unit Training o Patient Assessment & Care o Surgical Nursing Skills o Pre and Post-Operative Care
Telemetry Unit Training o Care of the Cardiac Patient o EKG & Cardiac Monitoring o Dysrhythmia Interpretation o Telemetry Nursing Skills o Pre and Post-Operative Care o Intravenous (IV) Therapy
CONTINUOUS IMPROVEMENT
Case Management/Discharge Planning
Charge Nurse Training/Frontline Leadership Skills
Communications Skills
Conflict Resolution Skills
CORE Measures
Crisis Prevention Intervention (CPI)
Critical Thinking Skills
Culturally Appropriate Care
Patient Satisfaction (HCAPHS) Training
Value-Based Purchasing
Documentation Skills
Organization and Time Management Skills
Patient and Family Centered Care Skills
Preceptor Skills (train-the-trainer)
Performance and Quality Improvement and Procedures Skills
Team Building Skills
Utilization Review
ED Assaultive Training
Meaningful Use COMPUTER SKILLS
Electronic Medical Records Application Skills
AHMC Garfield Medical Center, LP ET17-0331 dba Garfield Medical Center
ETP 100 Exhibit B Menu Curriculum (07/07/14) 4 of 4
Note: Reimbursement for retraining is capped at 200 total training hours per trainee, regardless of the method of delivery.