View
35
Download
0
Category
Tags:
Preview:
DESCRIPTION
VHHA Healthcare Workforce Development Plan. VHWDA Board Dec. 4, 2013. VHHA Strategic Workforce Task Force. Met for 24 months to develop recommendations to address looming workforce needs re: skills and numbers Included stakeholders from health systems, higher education and state agencies. - PowerPoint PPT Presentation
Citation preview
1
VHWDA BoardDec. 4, 2013
VHHA Healthcare Workforce Development Plan
2
VHHA Strategic Workforce Task Force
• Met for 24 months to develop recommendations to address looming workforce needs re: skills and numbers
• Included stakeholders from health systems, higher education and state agencies
3
• Incremental change or maintaining the status quo will not provide a sufficient health professional workforce to meet the core commitment of providing compassionate care to all.
• Our current licensure-based system, even if improved, will not be sufficient to meet our growing and evolving workforce needs.
• State government is a key partner, but the health care community broadly must help lead the needed change efforts.
• Even relatively modest changes will meet fierce stakeholder resistance in some cases, so a long-term effort is necessary.
• Today’s policy recommendations are important and address near-
term priorities, but the conversation will need to continue.
Overall Findings
4
1. Launch a Troops to Healthcare Initiative to bring a younger workforce into healthcare.
2. Increase clinical training slots in Virginia and strengthen retention of medical school and advanced practice professional graduates
3. Support healthcare workforce innovation and flexibility
Recommendation Themes
5
Drivers of Need for Healthcare Workers
• Demographics– Pig in a python age wave for both patients and
providers– Continued Virginia population growth, particularly in
younger ages• Medical Technology Advancements
– Expanding demand, but also potentially labor-saving• ACA coverage vs. Access to Care
– ACA’s 250,000 to 400,000 potential newly insured– Access to effective primary care systems a challenge
6
Virginia’s Population Will Continue to Grow
2012 2020 2030 20400
2
4
6
8
10
12
8.19
8.81
9.65
10.53
University of Virginia, Weldon Cooper Center Estimates (in millions)
7
Aging Health Workforce
Physicians Nurse Practitioners Registered Nurses Pharmacists Virginia Workforce Overall38
40
42
44
46
48
5049
48 48
43
42
DHP Health Workforce Data Center
8
Aging of the Nursing Workforce is a Long-term Trend
HRSA National Sample Survey of Registered Nurse (2006)
9
We Already Rely on Older Professionals
Physicians Pharmacists Nurse Practitioners Registered Nurses25%
30%
35%
34%
33%
32%
31%
DHP Health Workforce Data Center: % of health professionals 55+ years
10
Virginia Has Added Substantial Medical School Capacity Over the Past Decade Plus
2001 20170
100
200
300
400
500
600
700
800
900
1000
200250
150156
1401420
280
0
42
2001 (490 Graduates) v. 2017 (770 Estimated Graduates)
Virginia Tech CarilionVIA SchoolEVMSUVAVCU
11
Medical School Location Does Not Determine Where a Physician Practices
Virginia Other Country Border State Other U.S.0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
22%21%
18%
39%
2010 DHP Physician Licensure SurveyWhere Virginia Licensed Physicians Attended Medical School
12
Residency Site is more Determinative of Practice Site than Medical School Location
Virgini
a Med
ical S
choo
l
Comple
ted R
eside
ncy i
n Virg
inia
Medica
l Sch
ool in
VA or
Bord
er Stat
e
Reside
ncy i
n VA or
Bord
er Stat
e
Medica
l Sch
ool &
Res
idenc
y in V
A
Med. S
choo
l & R
eside
ncy i
n VA or
Bord
er Stat
e0%
10%
20%
30%
40%
50%
60%
22%
32%
40%
55%
13%
26%
2010 DHP Physician Licensure SurveyWhere Virginia Licensed Physicians Attended Medical School
13
As Our Population Has Grown Substantially Since the Federal Residency Freeze
Age 55+
1995 20120
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
6,000,000
7,000,000
8,000,000
9,000,000
6,600,000
8,186,000
Source: U.S. Census Bureau Annual Estimates
14
Good Intentions Negative Outcomes
• GA increases funding to produce more graduates to address growing population.
• Federal freeze makes graduates go out of state for residency.
• MDs likely to reside in state with residency.• VA becomes donor state for other states’
physician workforce.• Graduates unable to practice without
internship/residency.
15
Virginia Has More Than 167,000 Veterans Under Age 40
Under Age 30 Age 30-390
20,000
40,000
60,000
80,000
100,000
120,000
59,797
107,496
Source: U.S. Department of Veterans Affairs, September 2012,Does Not Include Active Duty Military
16
Recommendations (continued)
1. Increase clinical training slots and retention of medical school and advanced practice professionals by:• Making increased retention a priority at medical/health professional schools;• Supporting consortium models for adding clinical training slots; • Expanding state support for residencies and other key clinical training
opportunities via targeted Medicaid payments and public/private partnerships;• Creating incentives for and assistance with placing students/graduates in
certified training programs in geographic areas and specialties of high need;• Working federally to relax the Medicare freeze on residency slots for high
growth states that have expanded medical and health professional school capacity.
13
Prioritized Recommendations
17
Recommendations (continued)
2. Encourage healthcare workforce innovation and effective integration:• Make Virginia a best in class state in clinical team integration who collectively
provide care that fulfill the IOM six aims – health care that is Safe, Timely, Effective, Efficient, Equitable and Patient-centered (STEEEP);
• Develop new care team approach and health professions training to embody STEEP aims
• Include workforce innovation research and demonstration program as part of Virginia Health Innovation Plan;
• Continue push for additional workforce regulatory flexibility with next Governor.
3. Recognize veterans’ competencies and speed integration of qualified veterans into the Virginia healthcare workforce
• Troops to healthcare health system commitment;• Continued push on regulatory flexibility for qualified veterans.
4. Continue multi-stakeholder committee or commission to: • Update workforce analyses, target priority areas and track progress• Address the aging of the workforce
13
Prioritized Recommendations (continued)
Recommended