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VHWDA Board Dec. 4, 2013

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.

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VHWDA Board Dec. 4, 2013

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  1. VHHA Healthcare Workforce Development Plan VHWDA Board Dec. 4, 2013

  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. Launch a Troops to Healthcare Initiative to bring a younger workforce into healthcare. Increase clinical training slots in Virginia and strengthen retention of medical school and advanced practice professional graduates 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

  7. Aging Health Workforce

  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

  10. Virginia Has Added Substantial Medical School Capacity Over the Past Decade Plus

  11. Medical School Location Does Not Determine Where a Physician Practices

  12. Residency Site is more Determinative of Practice Site than Medical School Location

  13. As Our Population Has Grown Substantially Since the Federal Residency FreezeAge 55+

  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

  16. Prioritized Recommendations 13

  17. Prioritized Recommendations (continued) 13

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