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Trends in Health Care
Ed PhippenWashington State Hospital
AssociationSTEM Conference
March 10, 2011
Outline
High level issues
Specific challenges that could impact education
Emerging/promising occupations
Revenue (or lack thereof)
Fewer people have insurance
– Bad debt/charity care increased by more than 300 percent between 2002 and 2009
2009-2010 state cuts to health care
– Approximately $780 million
Labor shortages are gone. For how long?
Staff Nurse (RN)Persons and FTEs Needed
1,4901,596 1,641
2,624
1,1921,004 993
1,127 1,164
1,779
705
995
1,743 1,688
0
500
1,000
1,500
2,000
2,500
3,000
2002-3 2004 2005 2006 2007 2008 2010
Persons FTEs
WSHA/HWFI 2010 Hospital Work Force Survey, September 2010
Surgical TechnologistPersons and FTEs Needed
55
6865
82
28
3437
44
5350
65
23
46
60
0
10
20
30
40
50
60
70
80
90
2002-3 2004 2005 2006 2007 2008 2010
Persons FTEs
Boomers Turn 65 Beginning This Year
U.S. Births: 1940-1994
2500
2700
2900
3100
3300
3500
3700
3900
4100
4300
4500
1940
1942
1944
1946
1948
1950
1952
1954
1956
1958
1960
1962
1964
Bir
ths
(th
ou
sa
nd
s)
The Boomer Years
Health Care Reform
Coverage (??) Quality – preventable errors
– Enhanced data collection– Standards of care
Cost– Demands to curb health care inflation– Increasing focus on population health – but who
will pay?
As our case is new, we must think and act anew Abraham Lincoln
Integration
University of Washington, Northwest Hospital, Valley Medical Center
Hospitals and ambulatory clinics
Rural-urban hospital partnerships
Care design?
14 days 4 days 4 hours
Cost pressures Staffing shortages Baby boomers
Some Specific Challenges
Electronic medical records Efficiency tools such as Lean or Six Sigma Cross disciplinary team work Cultural/linguistic competency
Accept the challenge so you can feel the exhilaration of victory! George S. Patton
What Factors Could Influence Emerging Occupations?
Creating efficiencies Helping staff work at
the top of their scope of practice
Impacting patient/population health
Staffing shortages
New/Potentially Growing Occupations
Health IT Anesthesia technology Community health worker
