Workforce Capacity
Identifying the most critical capacity shortages will enable states to target their efforts so they can meet the increased demand for services generated by the expanded insurance coverage that will occur as a result of the ACA.
*Milestone details:
*Full name: Identify high priority areas for increasing healthcare provider and public health workforce capacity.
*Relevance to the ACA:
ACA does not require a workforce capacity assessment, but identifying priority areas of need can help states strategically address shortages. Provisions relevant to improving system capacity:
§5101 - National Health Care Workforce Commission - a resource on evaluating and meeting the need for health care workers, will issue reports in 2011.
§5102 - State Health Care Workforce Development Grants through HRSA.
§5103 - National Center for Health Care Workforce Analysis in HHS, will collect and analyze workforce information.
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District of Columbia
On February 5, 2012, the Bipartisan Policy Center and the Deloitte Center for Health Solutions released two reports examining the health care workforce supply and demand. Although the Bureau of Labor statistics has projected the workforce will increase from 16.4 million in 2010 to 22.0 million in 2020, independently calculated estimates from different professional groups have inhibited accurate projections of how many new providers will be necessary to meet the increase in demand for services expected over time. The reports include a set of recommendations to ensure the workforce can meet the expected increase in demand for health care services. See BPC's press release and both reports below.
District of Columbia
This research brief by the Center for Studying Health System Change looks at variation of primary care physician (PCP) supply across the states, expected Medicaid enrollment rates in 2014 and how this variation will impact the number of primary care physicians willing to accept new Medicaid patients.
District of Columbia
This brief by the National Institute for Health Care Reform examines how the primary care workforce shortage can be addressed, including strategies to increase productivity of primary care providers and accelerate the primary care expansion.
District of Columbia
The California HealthCare Foundation released a paper in December evaluating provider capacity in Fresno, one of the poorest regions of the state. They found that while there is work being done to expand provider capacity in the region, the area has fallen behind other areas of California in its preparation for national health reform.
District of Columbia
In November 2012, the Urban Institute published a brief by Ian Hill examining the expected demand for health care among the newly insured, the provisions of the ACA that address provider supply issues and new information on how states are planning to address this issue.
Missouri
Excellent paper!! Improved/Updated Provider Network Adequacy standards in these 10 states is another way to meet the needs of the uninsured or rural populations that are under served. If the states would verify the provider networks they could easily identify those areas of need. The problem of allowing plans to self report and using outdated standards such as 1 provider within 15 miles to cover all areas and all provider types, introduces gaps and problems. It might work well for PCP's in a Urban area but not for Hospitals in a Rural area for example. CMS has come up with the solution that would address these issues and many more. I would welcome a conversation about these solutions at robert.smith@questanalytics.com or I've attached a link to our White Paper That explains how and why CMS created Network Adequacy standards. Those standards address many of these issues but if the states continue to allow self reporting from the Health Plans then they will never know where and how to address the areas that are thin in Provider Capacity. Thanks for posting Jade!! http://www.statereforum.org/sites/default/files/white_paper_leveraging_n...
Kentucky
from the NASHP Conference: David Auerback (RAND) addressed medical home staffing and supply and demand projections
Kentucky
States working on common definition of Patient Centered Medical Home - Arkansas accepted AHRQ definition. Focus on team based model where providers operate at the top of their license.
District of Columbia
The National Institute for Health Care Management Foundation released an issue brief, "Investing in the Future Health Care Workforce." The report summarizes current factors impacting the health care workforce in the U.S. and highlights health plan foundation efforts to ensure that a stable number of physicians and other health care professionals continue to practice in their communities. It also examines opportunities for foundations to have a real impact on the supply of health care providers and future access to care.
Colorado
This new analysis from the Colorado Health Institute answers the question "How many additional primary care providers (physicians, nurse practitioners and physician assistants) will Colorado need to care for the residents who become insured after federal health care reform?"
Maryland
Attached is the Maryland report, Preparing Maryland's Workforce for Health Reform: Health Care 2020, the result of a one-year HRSA planning grant to increase primary care providers.
District of Columbia
The Bipartisan Policy Center has released the Executive Summary of its report, "The Complexities of National Health Care Workforce Planning." A full report will be published in November 2011.
District of Columbia
Please see our new brief on public health workforce, which is attached to this post. The brief summarizes the various provisions in the Affordable Care Act related to health care workforce issues. For more information, visit www.healthreformgps.org.
Mark Dorley
California
Critical Roles: Report of Key Findings from Allied Health Workforce Survey of California Hospitals
California
The Present & Future of California’s Registered Nurse Labor Market: Shortages, Surpluses, and Surprising Trends
Webinar presented on Thursday, September 29, 2011.
This webinar was presented by the University of California, San Francisco - Institute for Health Policy Studies, in collaboration with CINHC, CHA, HASC, and the Gordon and Betty Moore Foundation.
Summary:
After more than a decade of statewide registered nurse shortages, there have been reports of RNs being unable to find work and of new RN graduates leaving the state for greener pastures. Is the shortage over? Does California have a surplus of RNs? Will health care providers be able to hire all the RNs needed now and in the long term?
California
Forecasts of the Registered Nurse Workforce in California, November 2011
This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2011 through 2030. These new forecasts are based on data from the 2010 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the U.S. Bureau of Health Professions (BHPr) 2008 National Sample Survey of RNs, and data extracted from the BRN license records. The 2011 forecasts indicate that the shortage of RNs identified in 2005 has narrowed, and in fact there may be a small surplus of nurses at the current time. In the long term, it is possible that supply continues to exceed demand, although it also is plausible that a new shortage of RNs will emerge.
California
It is absolutely imperative for providers and payers to consider telehealth as a means of strategically leveraging current clinician resources and improving patient access which will undoubtedly suffer with the growth of government programs. We are currently investigating a tele/virtual health community pathways model as a part of a free clinic to improve access to care and improve outcomes in underserved communities.
The addition of new practitioners while necessary will be slow in mediating rapid growth. Due to nursing and medical society’s measures to "safeguard" their professions with overtly stringent and exclusionary regulations, limited access to educational programs to accommodate those who wish to enter these fields, potential restriction of federal funds to reputable for-profit institutions that fill this gap, and little incentive to entice qualified medical personnel to work where the shortage lies, in direct patient care, it will be necessary to explore creative solutions such as telehealth.
California
Hello
One means to stretch provider capacity is to make better use of existing clinicians through telehealth. This report suggests "model" state statute (grounded in California's existing statutes) for creating a policy environment that is friendly to the broadscale adoption of telehealth.
District of Columbia
On May 26, 2011 PBS Newshour included a segment on the role of Nurse Practitioners in providing primary care. View the 7-minute segment here:
http://video.pbs.org/video/1951907817#
Colorado
Physician assistants (PAs) are certified health care professionals licensed to practice clinical medicine under the license and supervision of a physician. The Colorado Health Institute recently surveyed physician assistants licensed in Colorado to better understand their characteristics. This report looks at the demographic attributes of Colorado PAs and highlights key findings as they relate to workforce policy issues of relevance to Colorado policymakers.
web: www.coloradohealthinstitute.org
blog: analysiswithaltitude.org
twitter: @CoHealthInst
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