Healthcare Care Coordination/Case ManagementSummary of Survey Results and Labor Market Research10/19/2016The Survey was conducted over a thirty-day period in September 2016 among the 170 members ofthe Hospital Association of Southern California (HASC) and the 59 members of the CommunityClinic Association of Los Angeles County (CCALAC). A total of 77 organizations responded tothe survey as follows:HASC:47 (27.6% of membership) hospitals and health systems in Los Angelesand Ventura CountiesCCALAC:30 (50.8% of membership) community clinics and health centers in LosAngeles CountyPart I Staffing PatternsThe staffing patterns indicate that both HASC and CCALAC members employ casemanagement/care coordination staff and that these services are primarily delivered by registerednurses in acute hospital care and by social workers and licensed vocational nurses in communityhealth centers and clinics:A. 71.25% of HASC and CCALAC respondents reported employing case management/carecoordination staff for a combined total of 1004 staff currently employed: HASC reported 839 employed in this job function. CCALAC reported 165 employed in this job functionB. Care coordination duties are assigned to employees in a variety of job titles. These job titleswere listed under three primary occupational groups: Registered Nurses, Social Workers andLicensed Vocational Nurses.A. HASC and CCALAC reported fifty-two (52) job titles among five occupational groupsas follows:a.b.c.d.e.Registered Nurse (14)Social Worker (13)Case Manager (12) – may include RNs, Social Workers and LVNsLicensed Vocational Nurse (9)Care/Patient Navigator (4) – may include Medical Assistants, Certified NursingAssistants1

B. Additional labor market information1 indicates growing demand for a variety of patientnavigation staff, primarily in community health centers and clinics, who assist patients andfamilies in connecting to community health care resources as part of the care coordinationteam. They assist with patient enrollment, utilization authorizations, appointments andreferrals for service, coordination of information between the provider and patients andfamily, and, in some instances, community outreach for referral services. Job titles include:a. Entry Level Positions: Family Care Coordinator, Outpatient Care Coordinator,Referrals Coordinator, Patient Navigator, Service Coordinator, UtilizationCoordinator, Case Coordinator, and Patient Care Coordinator.b. Management Level Positions: Clinical Coordinator, Family Care Supervisor,Utilization Manager, Care Coordination ManagerPart II Minimum licensure and educational requirements were reported as follows:a. Survey ResultsMinimum Education RequirementRegistered NurseSocial Worker (AA/BSW/MSW)Licensed Vocational NurseCertificate in Case rage39%28.5%23.5%8%Some HASC respondents also indicate a preference for 2 to 5 years of experience forRegistered Nurses and Licensed Vocational Nurses.b. Labor Market Research ResultsMany entry-level positions require only a high school diploma with 1 – 3 years of experienceand certification as as Medical Assistant (MA) or Certified Nursing Assistant (CNA) from anaccredited school and there is increasing demand for bilingual skills, primarily Spanish, at thislevel. Middle-skill positions usually require a 2-year or 4-year degree in nursing, social workor a related field such as human services and 1- 2 years of experience. Management levelpositions usually require a bachelors or master’s degree in nursing or social worker and 2-5years of experience. Degrees, certifications and experience in specialized fields such asmental health and behavioral science may also be required, dependent upon the provider.Part II Hiring Projections and Training NeedsA. Survey Report on Hiring Projections: 75% of HASC and CCALAC combined projectedhiring new case management staff over the next 12 – 18 months as Job Search Website2

Nearly 60 % of HASC respondents (28) indicate “they anticipate hiring” new casemanagement staff in the next 12-18 months; with the majority (23) intending to hire lessthan 5 new staff. Nearly 90 % of CCALAC respondents (27) indicate “they anticipate hiring” new casemanagement staff in the next 12-18 months; with the majority (24) intending to hire lessthan 5 new staff.B. Additional Labor Market Information:O*NET and EDD Labor Market InformationHealth Care and Social AssistanceCare Coordination OccupationsLA County Labor Market ProjectionsRegistered Nurses2014 employment: 70,1602014-2024 employment: 79,890 added jobs: 9,730 (13.9%) replacement jobs: 13,600 total jobs: 23,330Licensed Vocational Workers2014 employment: 19,7202014-2024 employment: 25,140 added jobs: 5,420 (27.5%) replacement jobs: 4,810 total jobs: 10,230Social Workers2014 employment: 3,7302014-2024 employment: 4,610 added jobs: 880 (23.6%) replacement jobs: 790 total jobs: 1,670Middle-Skill Level IICare CoordinatorIndeed job search website– 100 job openings for“Healthcare CareCoordination andHealthcare CaseManagement in LA County”Entry-Level Level IPatient/HealthNavigator/AdvocateProfessionalLevel IIIRN(ADN,BSN)SocialWorker(BSW)MA, CNA, OtherLVNRN (BSN,MSN)Social Worker(MSW)Acute Hospital HealthSystems170142Community Health Centersand Clinics161492116Total Job Listings331410251825%18%Total % out of 100 joblistings reviewed57%3

C. Hiring Preferences: Most HASC respondents indicate a preference for hiring or movingtoward hiring only Registered Nurses or Registered Nurses for care coordination. Very fewCCALAC respondents reported this preference:HASCMoving towards only hiringWe only hireCCALACMoving towards only hiringWe only hireRNs24%45%RNs03%LVNs00LVNs03%RNs and LVNs10%21%RNs and LVNs6%3%D. Training for Current Workers: Training needs for current workers were lower thananticipated with less than 100 staff projected by HASC to need case management/carecoordination training. No projected numbers were provided by CCALAC. Overall, 23.3% ofHASC (11 out of 47) and CCALAC (7 out of 30) reported they would like to train currentcase management staff.Part IIISkills GapsA. The top 10 care coordination/case management skills reported by both HASC and CCALACare:1) Care Coordination (organize, plan, correlate, and facilitate to ensure resources are usedefficiently and effectively to maximize patient outcomes across the continuum of care)2) Understanding treatment plans3) Communication4) Basic computing5) Multi-tasking6) Establishing appropriate boundaries with patients and families7) Bilingual – Spanish8) Counseling9) Understanding medical terminology10) Assisting in the development of treatment plansB. The top case management training and certification programs reported were:HASCAmerican Case Management Association(ACMA) – Compass Directional Training forCase Managers Credential: ACM (Accredited CaseManager) CertificationCase Management Society of America Credential: Commission for CaseManagement Association (CCMA)CCALACEssential Access Health (formerly CA FamilyHealth Council) - Family Planning Family Planning Health WorkerCertification Pregnancy Counseling Workshop CertificateComprehensive Perinatal ServicesProgram (CPSP) – LA County Public HealthDept. CPSP Overview Training Certificate4

Part IV Survey Respondents30 – Community Clinic Association of Los Angeles County (CCALAC)All for Health, Health for AllAntelope Valley Community ClinicArroyo Vista Family Health CenterAsian Pacific Health Care VentureBartz-Altadonna Community Health CenterBienvenidos Community Health CenterChapCareChinatown Service CenterClinica Msr. Oscar A. RomeroEast Valley Community Health CenterHarbor Community ClinicGarfield Health CenterKHEIRLos Angeles LGBT CenterMission City Community Network, Inc.Northeast Valley Health CorporationPomona Community Health CenterPlanned Parenthood Los AngelesSaban Community ClinicSouth Central Family Health CenterSouth Bay Family Health CareSt. John’s Well Child and Family CenterSouth Central Family Health CenterThe Children’s Clinic: Serving Children and Their FamiliesT.H.E. Health & Wellness CenterUMMA Community ClinicUniversal Community Health CenterValley Community Health CareVenice Family ClinicWestside Family Health Center47 – Hospital Association of Los Angeles County (HASC)Aurora Charter Oak HospitalAurora Vista del Mar HospitalCoast Plaza HospitalCommunity Hospital of Huntington ParkCommunity Hospital of Long BeachEast Los Angeles Doctors HospitalMemorial Hospital of GardenaBarstow Community HospitalBeverly HospitalCasa Colina Hospital and Centers for HealthcareChildren's Hospital Los AngelesCollege Medical CenterCommunity Memorial HospitalEisenhower Medical CenterGoleta Valley Cottage HospitalGreater El Monte Community HospitalHenry Mayo Newhall HospitalHemet Valley Medical CenterHuntington Memorial HospitalLos Robles Hospital & Medical CenterLong Beach MemorialMartin Luther King, Jr. Community HospitalMenifee Valley Medical CenterMethodist Hospital of Southern CaliforniaMiller's Children's & Women's Hospital Long BeachOrange Coast Memorial Medical CenterOrange County Global Medical CenterPalmdale Regional Medical CenterPomona Valley Hospital Medical CenterProvidence Holy Cross Medical CenterProvidence Little Company of Mary Medical Center, San PedroProvidence Little Company of Mary Medical Center, TorranceProvidence Saint John's Health CenterProvidence St. Joseph Medical CenterProvidence Tarzana Medical CenterRedlands Community HospitalPomona Valley Hospital Medical CenterProvidence Holy Cross Medical CenterPomona Valley Hospital Medical CenterSanta Barbara Cottage HospitalSanta Ynez Cottage HospitalSt. Vincent Medical CenterSaddleback Memorial Medical CenterSanta Barbara Cottage HospitalSaddleback Memorial Medical CenterVentura County Medical CenterVictor Valley Global Medical CenterFor More Information Contact the C3 Skills Alliance at [email protected]

or a related field such as human services and 1- 2 years of experience. Management level . Care Coordination (organize, plan, correlate, and facilitate to ensure resources are used efficiently and effectively to maximize patient outcomes across the continuum of care) 2) Understanding treatment plans .