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Business & Education Workforce Symposium San Jacinto College. Health Care Workforce needs for an industry in transformation. Katrina M. Lambrecht , JD, MBA Vice President, Institutional Strategic Initiatives Office of the President March 25, 2014. Agenda. Healthcare workforce in Texas
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Business & Education Workforce Symposium San Jacinto College Health Care Workforce needs for an industry in transformation Katrina M. Lambrecht, JD, MBA Vice President, Institutional Strategic Initiatives Office of the President March 25, 2014
Agenda Healthcare workforce in Texas Forces of change Impact on healthcare workforce Technical skills Soft skills Questions
Healthcare Workforce in Texas Between 2005 – 2020, demand for RNs is expected to increase by 86% and supply by only 53% Texas Center for Nursing Workforce Studies Texas has 720 RNs per 100,000 people, compared to the U.S. average of 874 2011 Bureau of Labor Statistics, Statistics, Occupational Employment Statistics survey and U.S. Census Data Texas averages 22 Physician Assistants per 100,000 people, compared to the U.S. average of 27 2010 American Academy of Physician Assistant Census Texas ranks 46th in the nation in the number of physicians per 100,000 population 2009 American Medical Association
Forces of Change in Healthcare Demographic changes Aging population Growth of population of Houston-Galveston region Increase in incidence of chronic diseases Patient Protection and Affordable Care Act (PPACA) Shared savings programs increase financial risk for providers Value-based purchasing links patient experience to payment Mental health parity Texas Medicaid 1115 Waiver Medicaid managed care expanded across the state Delivery System Reform Incentive Pool (DSRIP) funds innovative programs and pays only upon achievement of outcomes Volume Value
Impact on Workforce Needs Care increasingly provided in outpatient and community settings Need is for more than just physicians and nurses Respiratory Therapists Clinical Laboratory Technicians Social Workers; Licensed Professional Counselors; Psychologists Quality and Data Analysts; Performance Improvement Specialists Information Technology roles Emergence of New Roles Promotora/Community Health Worker Health Coach Peer Support Specialists Evolution of existing roles in health care delivery Scope of practice Greater use of midlevel providers
Technical Skills • Nursing • Associate Degree through Doctorate • Physician Assistant • Master’s Degree • Clinical Laboratory Technician • High School through Bachelor’s Degree • Promotora/Community Health Worker • High School plus 160 hours to obtain certification • Information technology roles • Bachelor’s degree through Master’s degree • Social Worker • Bachelor’s through Master’s Degree
“Soft Skills” Are Critical • Technical competencies are a baseline • Healthcare reimbursement is increasingly: • Based on patient experience (satisfaction) • Delivered in teams • Driven by quality outcomes • Lack of success in a job is usually due to lack of: • Ability to work collaboratively in teams • Effective communication skills • Punctuality - showing up for work on time • Excellent customer service • Cultural competency in interactions with patients, families and coworkers