Request for Applications #17842 / Grants Gateway ID: DOH01-HWRI2-2019
Grants to New York nonprofits, hospitals, medical facilities, health-related organizations, educational institutions, and labor organizations to train and retrain health and public health workers. Applicants must be prequalified in the online grants system prior to applying. The purpose of this program is to ensure that health industry workers have the skills necessary in the current public health and health care market.
The New York State Department of Health, in consultation with the New York State Department of Labor, is soliciting applications from organizations proposing to train or retrain (hereafter referred to as “train”) health industry workers to obtain new positions, meet the new job requirements of existing positions, or otherwise meet the requirements of the changing public health and health care market and the diversity of the populations seeking health care services.
Growth in health care occupations continues to be strong. It is projected that between 2016 and 2026, health sector employment will grow much faster than employment in all other sectors, adding more jobs than any other occupational groups. This trend is reflected in New York State, where health sector employment accounted for over 12% of total employment in 2014, increasing faster than employment in all other sectors.
Despite this job growth, shortages exist in many regions and settings across the state. Health care sectors, including public health, continue to face challenges in recruiting and retaining employees in various health care settings. Health care facilities face increasing pressures to operate more efficiently due to declining inpatient occupancy levels, a continuing need to integrate emerging technologies into the health care delivery system, revenue shortfalls, the continued transition of resources from inpatient and tertiary care to primary care and the risk of destabilization of the health care market due to federal cuts to health care.
In addition, New York State initiatives such as the Delivery System Reform Incentive Payment (DSRIP) Program and the State Health Innovation Program (SHIP), encourage providers to work collaboratively to achieve better health, better health care and lower costs through the development of models of integrated care management such as “patient centered medical homes,” advanced primary care models and “health homes.” These efforts require the existing workforce to be trained in emerging models of collaborative care, understand how to focus on population health needs, work in interdisciplinary teams, maximize the use of health information technology and prepare for value and outcome based payment systems.
Purpose and Availability of Funds:
This program is intended to support organizations to train or retrain health industry workers to obtain new positions, meet the new job requirements of existing positions, or otherwise meet the demand for skills and expertise required by the changing public health and health care market, including the diversity of the populations seeking health care services. In particular, this program is intended to address workforce needs including, but not limited to, the following:
-The need for new skills required for existing public health and health care workers to maintain current employment including meeting new job or certification/licensing requirements;
-Additional skills needed to prepare individuals for new job opportunities that are created due to changes in the market, including new employment for laid off workers or workers at risk of being laid off;
-Occupational shortages, both current and anticipated in the near future;
-Changes in skills required to support models of integrated care management and interdisciplinary team-based care;
-Changes in skills required to support emerging technologies, including telehealth;
-The need for data production and analytic skills that are required to support performance measurement, quality improvement, better population health management and high quality, cost effective health care service delivery;
-The growth of home and community-based long-term care and the need for long term care workers caring for individuals wishing to remain in their homes and communities; and
-Skills needed to ensure safe and effective care transition from one setting to another, to reduce avoidable hospital readmissions and emergency care usage.
Regional funding is available based on the amount available in a region and will be awarded on a competitive basis within a region in accordance with the guidelines laid out in RFA Section V.C..
The region in which funding is to be requested is determined by:
-The county of the employer with participants to be trained, or
-The county of residence of laid-off workers to be trained.
Activities eligible for funding under HWRI training projects may include, but are not limited to those described below.
In-service training provided by a staff development department will not be funded including training required by accreditation organizations e.g. The Joint Commission (JCAHO). PLEASE NOTE: Training for new mandates required by laws enacted since January 1, 2016 are eligible for funding.
Funds also may not be used to train physicians and physicians in training.
1. Assessment and Intake
As part of a training project, assessment and intake may include activities to determine training needs and class placement, including the use of such tools as:
-Test of Adult Basic Education (TABE) – to assess literacy, math/reading level and/or job skills;
-AHRQ Health Literacy Universal Precautions Tool Kit – to assess health literacy; and/or
-Other relevant assessment tools,
Activities may also include counseling and guidance activities related to pre-intake assessment, but not ongoing evaluation of progress during training.
Remediation activities include preparation in English for speakers of other languages, taking into consideration limited English Proficiency (LEP) populations when developing instructions in basic reading or mathematics, or completion of requirements for a General Equivalency Diploma (GED). Remediation may be provided as part of a training project which includes health literacy, where it is necessary for redeployment to new jobs or required to maintain current employment.
3. Basic Skill Development
Basic skill development activities include training in such skills as work processing, data entry, computer-based calendaring and scheduling, reception and customer service, language development and communication skills.
Reorientation activities include short-term preparation of public health and health care workers to transition to other health sectors. For example, this may include preparing a medical-surgical nurse as a public health nurse, or preparing bilingual community health workers as medical interpreters, or preparing a nurse to be a care coordinator.
Counseling activities include culturally and linguistically appropriate counseling, mentoring, and precepting for employees who are learning new skills.
6. Skill Development and Enhancement
Skill development and enhancement activities include training that develops or enhances new skills in areas such as care coordination, team-based care, chronic disease management, language development and communication skills, cultural competency and health literacy. This might include, for example, care coordination skills for outpatient medical assistants, communication skills to promote transfer between acute and post-acute facilities, or training to enhance skills among Community Health Workers/Promotoras.
7. Career Advancement
Career advancement activities include training for public health or health care career ladder and degree programs, e.g., RN training or LPN training. Expenses may include tuition, books, fees, etc., paid to an accredited program.
8. Expansion of Educational Capacity
Includes support for faculty, clinical instructors, preceptors and others to create added training slots that meet the educational, cultural, linguistic and health literacy needs of the public health and health care workforce.
It is expected that contracts resulting from this RFA will have the following time period: January 1, 2019 through December 31, 2020. Contracts are for a two-year fixed term.
Continued funding throughout this two-year period is contingent upon availability of funding and state budget appropriations. Discrete budgets are submitted for each year of the contract. Any residual funds awarded for year one cannot be rolled over and used in year two.
New York State Department of Health
Empire State Plaza
Corning Tower Room, Room 1695
Albany, New York 12237