Agenda for the Summit’s Facilitated Dialog Sessions
Ground Rules for Dialog

• Everyone gets a fair hearing.
• Seek first to understand, then to be understood. • Share “air time.” • If you are offended, say so; and say why. • You can disagree, but don’t personalize it; stick to the issue. No name-calling or stereotyping. • Speak for yourself, not for others. • One person speaks at a time. • What is said in the group stays here, unless everyone agrees to change that. Phase I. Discovery Phase- (50 minutes) Identify the peak moments of excellence you have experienced in having your workforce needs met —times when you experienced the workforce at its most effective state. That is, discuss the “best of what is” in your business or industry, even the small victories that your business or industry has experienced in having a prepared workforce. Your experience does not have to be a “Guam” experience. 1. Signature programs in your industry that have prepared the workforce for jobs. (what are you most proud of in your industry?).

o Pacificare provides funds for UOG Nursing Program o 100% of Senior Class Nursing passed licensing – Spring 2003 o GMH, Asia Pacificare, Public Health, Sagua Managu, Mental Health, Naval Hospital and DOE provided clinical experience to UOG’s nurses students o Public Health provides fundsbto train child care providers. o GMH, AHRD, and UOG work together to provide employment to UOG nursing students in 2004 rd o TDC prodides preceptorship to 3 and 4th year medical students o GCC prepare nursing and medical assistant students and provides clinical experience o Public Health provides carrier orientation

o DVR helps people with disabilities find jobs

2. possible?

What were the conditions that made these accomplishments

o Good working relationship: private and public o Availability of funds: Federal and private o Willingness from individuals to participate and assist o Sharing limited resources


What are your occupational needs?

o Faculty o Nurses: RN, APRN, LPN, OT, PT, LSPT, etc. o MD, dentist o Pharmacist o Social Workers o All Allied health
4. What are the entry level skills for your industry?

o o o o o o

Doctorate for faculty Establish a program for Health Care Professionals Communicate, write and speak well High School graduate: math, sciences Clinical and technical skills Carrier exploration in school

5. What are the training requirements that should be met by our local schools, colleges and universities?

Basic education skills: reading and writing in math Human relation skills Vocational counseling early on Work ethics Certificate, associate degree and apprenticeship program o Bavhelor, Master and certificate program o o o o o


What are the current obstacles to recruitment and retention?

o o o o

Salary Processing time for recruitment Work place environment Civil service commission

7. What kind of continuous, reliable data is needed by your industry to make good decisions about your workforce requirements?

o Data comparing on best practices vs. actual o Benchmarks on patient provider ratio o Data on patients under different enrollment programs (Medicare, MIP) o Planning and data collection o Business industry and Healthcare: data on different type of utilization o Data on different types of diseases, on research, uninsured, disable people o Economic data o Strategic planning
8. And how should this data be reported?

o Recording should meet US guidelines o Annual reporting mandatory Please Note: Problem Area Incraese accessibility to data



Phase II. Dream Phase- (20 minutes) Envision what a workforce might be in your in your business or industry. That is, what are the achievable dreams that you have for your business or industry that can be built on the past or current accomplishments? • Your Ideal Workforce Environment:

Fully staffed, all vacancies filled Technology up to date Teleconferencing: local and regionally DOE has a system: E-rate and would like it to be shared with Healthcare o No medevacs o o o o
Phase III. Design Phase- (30 minutes) Create a strategy to carry out the dreams that your group has identified in the earlier phase. What can be done to build on the current qualities of the workforce, and what aspects of the workforce need to be strengthened in order to achieve your group’s vision and hope for the future? • Your strategy:

o Attract, recruit, retain in schools o Develop a comprehensive limited liability partnership for operation and maintenance of hospital o Develop an interest in healthcare and provide skills at a young age o Maximize our resources and partnership with region and international o Improve skills of executive teams o Mentorship program: expanding to other areas o Opportunities for advancement o Political will to interface all stakeholders on a consistent and long-term basis and plan o Dedication of leadership for the long-term planning o Dynamic, accountability and implemented o Provide financial help to students: scholarship for healthcare o Funding for minority health o More grant writers in Healthcare

Doing Phase: Identify the specific steps your group would like to take to put your dreams into action. That is, what innovations or experimentations will your group undertake to reach your shared vision or dreams? (30 minutes) • Specific action steps to achieve vision or dreams:

o Improve incumbent workforce: training, apprenticeship o Collect data (transparent and easily accessible) Needs assessment survey: workforce and services o Hire a licensing administrator and follow laws for administrator to be a RN - GovGuam and private sector should help each other: reduce bureaucracy to streamline medical and nursing licensing process Reactivate commission on licensure - Update technology for licenses o Gather input from workforce investment agency frontline e.g. case managers o Establish cyclical training programs o Explore grants availability and use funds for healthcare o Find a person to consolidate information and act o Go back to drawing board and look at other options: existing faculty is overworked, already multitasking and cannot focus on grant writing o See our thoughts in action: implemented what we planned o Involve policy makers: implementation and support to healthcare professionals o Each new administration brakes the continuity in work effort o Advocate higher salary o Update job descriptions and skill standards o Succession plan o Evident check and balance system o Malpractice insurance are out of reach: legislature needs to step in o Add disable people in workforce: need job coaches for them (not available on Island at this time) – need a plan, the environment is not disable friendly o Set target numbers for recruitment of RNs…

o o Use the One-Stop center to communicate needs