February 4, 2011

Health Professions Training: Registered Respiratory Therapist Scholar ProgramThe California Hospital Association

February 4, 2011

Presentation Overview

Background

– Barlow Respiratory Hospital Registered Respiratory Therapist Scholar Program

– Overview

– Components/Objectives/Process

– Outcomes

– Sample Participant Survey Results– Pictures

Contact Us

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Barlow Respiratory Hospital (BRH)

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BRH Quick Facts

Founded in 1902, originating as a tuberculosis sanatorium

Currently a long-term, acute care hospital (LTACH)

105 beds total, servicing approximately 750 patients/year, across three facilities (Los Angeles, Van Nuys, Whittier)

Goal is to improve the quality of life for patients with respiratory and other diseases, requiring prolonged acute hospitalization or specialized treatment

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Health Workforce Development at BRH

Health Workforce Pipeline– Clinical Care Extender Internship– Health Professions Training

• Registered Respiratory Therapy (RRT) Scholar Program

• Nurse Scholar Program

– Mentoring & Professional Development • Preceptor Training• New Graduate/New Hire Residency Training

Health Professions Training: Registered Respiratory Therapist Scholar Program

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Overview

The RRT Scholar Program sought to:– Recruit and retain a highly skilled and culturally diverse

respiratory therapy workforce– Bridge the gap in knowledge and training from school

and professional practice for respiratory therapists– Develop a partnership between BRH and the respiratory

therapy program at East Los Angeles College/Santa Monica College

– Support new graduate RTs transition into the profession – Build teamwork and communication between RTs and

registered nurses (RNs) in order for them effectively work alongside one another to provide quality patient care

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Components/Objectives/ProcessesComponent Objective ProcessesScholarship Encourage RT students to focus on

their studies while preparing them for employment at BRH upon licensure

Provide $5,000 scholarships to RT students entering their last year of training

Networking/Mentorship

Allow RT students to receive direct one-on-one guidance from an experienced RT staff as they complete their education, examinations, and transition into the workplace

Provide RT students the opportunity to network with key executives and directors at BRH

Identify RT staff at BRH to serve as mentors to RT students

Pair RT staff mentor with RT student Facilitate mentor/mentee interaction Conduct regularly scheduled luncheons

Clinical Rotations

Expose RT students to the BRH work environment

Allow RT students to gain familiarity in working with BRH patients alongside the patient-care team

Evaluate competencies of RT students post rotation

Work with ELAC/SMC to use BRH as a clinical site for one of RT students’ rotations

Assign RT student to shadow Respiratory Care Practitioner at BRH

Train and educate RT students in:• Mechanical Ventilation• Invasive Procedures• Special Procedures• Patient Care Assessments

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Components/Objectives/ProcessesComponent Objective Processes

Preparation for Licensure Examinations

Provide RT students with the mentoring needed to pass their Certified Respiratory Therapy (CRT) examination

Provide RT students with the resources needed to pass their Registered Respiratory Therapy (RRT) licensure examination

Provide mentoring to RT students to pass CRT and RRT exam

Provide RT students with Lindsey-Jones or Kettering National Seminars RRT preparation material

Mentoring & Professional Development Program (MAP)

To create a welcoming, enriching and supportive educational environment for new-grads and new-hires

To facilitate the smoothest transition possible from school to professional practice at BRH

Provide the clinical and cultural competency needed to meet the treatments of each individual patient

Identify experienced RT staff to serve as preceptors for new-grad RTs for three months

Educate and train preceptors to work with new-grad/new-hire RTs

Provide essential hands-on training and case management for each new RT until they are fully prepared to begin working independently at BRH

Administer skills implementation post-graduate evaluation three months after RTs graduate from the MAP program

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OutcomesPerformance Measures OutcomesMeasure 1: Participants complete their coursework and pass their Certified Respiratory Therapy (CRT) exam and receive their respiratory therapy degree

A total of 4 participants were selected to participate as RRT Scholars • Cohort 1: 2 in Fall 2009• Cohort 2: 2 in Fall 2010

Cohort 1 RRT Scholars passed their CRT Exam and received their coursework degree in June 2010

Cohort 2 RRT Scholars are expected to pass their CRT Exam and receive their coursework degree in June 2011

Measure 2: Participants’ RRT licensing examination pass rate

Cohort 1 RRT Scholars passed their RRT Exam by August 2010, within 2 months of graduation

Cohort 2 RRT Scholars are expected to pass their RRT Exam within 6 months of their graduation in June 2011

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Outcomes (Cont.)Performance Measures OutcomesMeasure 3: Participants’ satisfaction with overall program

Cohort 1 RRT Scholars marked 5 on a scale from 1-Poor to 5-Excellent when asked what their overall satisfaction with the program was at their completion of the program

Measure 4: Participants’ competency to work as a licensed RRT at BRH

Cohort 1 RRT Scholars successfully began employment as full-time Respiratory Care Practitioners at BRH in September 2010

Cohort 1 RRT Scholars completed the MAP 12 week residency training during their first three months of hire and were assessed on their ability to “perform independently” on 46 different categories of their Competency Based Orientation Evaluation. They received the following:

• 30 Days: 49% • 60 Days: 78%• 90 Days: 99%

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Sample Participant Survey Results

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Sample Participant Survey Results (Cont.)

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Sample Participant Survey Results (Cont.)

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Contact Us

Oswaldo Ruiz, MHA, RRTDirector of Respiratory Care ServicesBarlow Respiratory Hospitaloruiz@barlow2000.org213-250-4200 x3346

Elyse TangManager, Health Workforce Solutionsetang@copehealthsolutions.org213-250-4200 x3144