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Michigan Primary Care Consortium ( MPCC ) Board of Directors. Working Together: Pursuing Collaborative Initiatives Dr. Marick F. Masters Director, Labor@Wayne Professor of Business and Adjunct Professor of Political Science Wayne State University 255 Walter P. Reuther Library
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Michigan Primary Care Consortium (MPCC)Board of Directors Working Together: Pursuing Collaborative Initiatives Dr. Marick F. Masters Director, Labor@Wayne Professor of Business and Adjunct Professor of Political Science Wayne State University 255 Walter P. Reuther Library 5401 Cass Avenue Detroit, MI 48202 TEL: (313) 577-5358 E-mail: marickm@wayne.edu July 22, 2011
Contexts Healthcare Delivery and Organization Healthcare Workforce Labor-Management Relations in Healthcare Fraser Center
Healthcare Industry Contexts • Economic/Budget • Stagnation • Chronic Budget Deficits • Healthcare Inflation • Demographic • Growing Population • Aging Population • Obese Population • Increasing Indigent Population • Legal-Political • Patient Protection and Affordable Care Act • Medicare/Medicaid Reform • ACOs • Technological • Diagnostic and procedure equipment • EMR • CDSS
Healthcare Industry • 14.3 million employees • 595,800 establishments • 17.3% of GDP, 2010 • 19.3% of GDP, 2019 • Federal and state governments projected to soon fund the majority of healthcare
Healthcare Delivery and Organization • Consolidation • Diversification • Profit Centers • New Delivery Model • Accountable Care Organization
Healthcare Workforce • Personnel Shortage (2020) • 200,000 physicians • 1 million nurses • Personnel Distribution (underserved) • Rural • Inner City • Skill Mix • Leaders • Manager • Technology Usage • Shifting Roles • Changing Employment Relationship
Healthcare Workforce Needs • Increase skill set (communication, collaboration) • Increase adaptability • Increase effective deployment • Increase cross-functional coordination
Labor-Management Relations • Significant union presence • Growing unionization opportunities • Workplace conflict and tension
The Nurses’ Union • National Nurses Union • Michigan Nurses Association • California Nurses Association • Minnesota Nurses Association • DC Nurses Association • Iowa Nurses Association • Massachusetts Nurses Association • Florida Nurses Association • Hawaii Nurses Association • Service Employees International Union Nurses Alliance • American Nurses Association • United Steelworkers • American Federation of Teachers • International Brotherhood of Teamsters • United Auto Workers • Office Professional Employees International Union • American Federation of State, County, and Municipal Employees
The Bargaining and Union Structure • Splintered • Varied • Destabilizing
Key Labor-Management Issues • Staffing • Ratio • Role/Usage • Deployment/Scheduling • Training • Health Information Technology • Routization • Deskilling • Surveillance • Workplace Health and Safety • Accident • Exposure • Bullying • Disruptive Behavior • Violence
Douglas A. Fraser Center for Workplace IssuesWayne State UniversityCollege of Liberal Arts and Sciences Mission: Subsidize, encourage and enable teaching and research in various areas of workplace issues; Increase public understanding of workplace issues Delivery: Conferences Workshops Subsidized Research Working Paper Series
Fraser Center Healthcare Industry Academic Panel Dr. BengtArnetz, School of Medicine, WSU Dr. Judith Arnetz, School of Medicine, WSU Dr. Michael Diamond, School of Medicine, WSU Dr. Joseph Fortuna, CEO, PRISM Dr. Julia Gluesing, College of Engineering, WSU Dr. Allen Goodman, Economics, CLAS, WSU Dr. Peter Hammer, School of Law, WSU Dr. Janet Hankin, Sociology, CLAS, WSU Dr. Peter Litchenberg, Institute of Gerontology, WSU Dr. Leslie Monplaisir, College of Engineering, WSU Dr. Kenneth Riopelle, College of Engineering, WSU Dr. Andrea Sankar, Anthropology, CLAS, WSU
Fraser Center Plan: 2011-2012 • Two Conferences • Working Together: Improving the Healthcare Workplace • Healthcare Organization and Workforce of the Future-2022 • Fraser Center Research Support • Fraser Center Faculty Fellows • Fraser Center Workshops • Fraser Center Paper Series • Certificate Program in Communications, Conflict Resolution, Negotiations, and Team-Building for Healthcare Professionals
Looking For: • Conference Co-Sponsors • Healthcare Industry Panel Members • Research Funding Ideas and Opportunities • Interest in Certificate Program