IV.

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. What were the conditions that made these accomplishments

possible?
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

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

5. What are the training requirements that should be met by our

local schools, colleges and universities?
o Basic education skills: reading and writing in math
o Human relation skills
o Vocational counseling early on
o Work ethics
o Certificate, associate degree and apprenticeship
program
o Bavhelor, Master and certificate program
 6. What are the current obstacles to recruitment and retention?
o Salary
o Processing time for recruitment
o Work place environment
o 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 and international
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:

o Fully staffed, all vacancies filled
o Technology up to date
o Teleconferencing: local and regionally
o DOE has a system: E-rate and would like it to be
shared with Healthcare
o No medevacs

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