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Stephen N. Collier, Ph.D. Professor Emeritus University of Alabama at Birmingham

Competition, Challenges and Mixed Signals in the Health Workforce Family Impact Seminar, East Lansing, MI May 7, 2013. Stephen N. Collier, Ph.D. Professor Emeritus University of Alabama at Birmingham.

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Stephen N. Collier, Ph.D. Professor Emeritus University of Alabama at Birmingham

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  1. Competition, Challenges and Mixed Signals in the Health WorkforceFamily Impact Seminar, East Lansing, MIMay 7, 2013 Stephen N. Collier, Ph.D. Professor Emeritus University of Alabama at Birmingham

  2. OverviewMixed Signals National Health Workforce Data: Current and FutureCompetition in Health Care and the Health WorkforceChallenges facing PolicymakersPolicy Considerations

  3. Mixed Signals

  4. Healthcare Retirement Rates(largest decline in retirement rates among all workforce sectors of the U.S. economy) Percent of healthcare workforce retired within 12 months 2004-20072009-2010 approx 4% 1.55% Source: The Conference Board, as reported by John Commins in Health Leaders Media, May 25, 2011

  5. U.S. Workforce Employment 2010-2020 Numbers listed are in thousands of jobs Source: table prepared by Stephen N. Collier using data from the Bureau of Labor Statistics: Occupational employment projections to 2020, Occupational Outlook Quarterly, Winter 2011-12, Bureau of Labor Statistics.

  6. Health Workforce Employment 2010-2020 Numbers listed are in thousands of jobs • Source: table prepared by Stephen N. Collier using data from the Bureau of Labor Statistics: Occupational employment projections to 2020,Occupational Outlook Quarterly, Winter 2011-12, Bureau of Labor Statistics.

  7. Health Reform

  8. Affordable Care Actpassed March 2010 Features: • 32 million newly covered by insurance by 2019 • Accountable care organizations • Bundled payments • Medical home • CMS reduction in physician payment • Insurance reforms

  9. Competition

  10. Oklahoma: Governor’s Council for Workforce and Economic Development (2006) • “As one of Oklahoma’s most important industries, healthcare continues to be a key element in the state’s ability to recruit and retain new and expanding businesses…In 2004, health care was the second largest employing industry in Oklahoma, comprising 14% of the state’s total employment

  11. Source: The Emerging Policy Triangle: Economic Development, Workforce Development, and Education • Dennis Jones and Patrick Kelley, National Center for Higher Education Management Systems, 2007

  12. Challenges

  13. Bitter Pill: Why Medical Bills Are Killing Us, Steven Brill, Time Magazine, March 4, 2013

  14. Average Annual Premiums for Single and Family Coverage, 1999-2009 * Estimate is statistically different from estimate for the previous year shown (p<.05). Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009.

  15. The Changing Healthcare Workforce Why do educational institutions sometimes seem slow to react to employers expressed need for healthcare graduates?

  16. Workplace personnel needs change more rapidly than educational programs can respond • a local personnel need is identified • Program planning occurs (6 mos-1year) • Hiring a program director, accreditation, curriculum development, faculty hiring (1-2 years) • Program implementation (2 years) • First graduates (4 or more yrs from identification)

  17. Policy Considerations

  18. Strategies to Influence the Distribution of Physicians1. Provide more residency training in the state and in rural areas2. Increase scholarship and loan forgiveness programs3. Establish an equitable reimbursement system for rural practice 4. Give preferential admission to residents of rural areas5. Include rural preceptorships and emphasis on prevention6. Support Area Health Education Centers and primary care residencies associated with them7. Review and revise licensure acts relating to physician assistants and nurse practitioners8. Provide support to community recruitment and retention efforts Stephen N. Collier, Influencing the Distribution of Physicians: Manpower Policy Strategies, Southern Regional Education Board, Atlanta, GA 1978

  19. Data & Information Sources—Federal Government Bureau of Labor Statistics (Dept of Labor) National Center for Health Workforce Analysis (HRSA) Census Bureau (& American FactFinder) HRSA Geospacial Data Warehouse National Center for Education Statistics National Center for Health Statistics (CDC)

  20. Questions/Contact Stephen N. Collier, Ph.D., Professor Emeritus & Former Director (2003-13) Office of Health Professions Education and Workforce Development University of Alabama at Birmingham colliers@uab.edu(205) 790-8931

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