Building a Healthier Hawaii Island-- Together Hawaii Community College Community Economic Development Strategies, April 27 2012 Sharon Vitousek MD, North Hawaii Outcomes Project , www.nhop.org Hawaii Island Healthcare Alliance www.hawaiihealthcarealliance.org
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Building a Healthier Hawaii Island-- Together
Hawaii Community College Community Economic Development Strategies,
April 27 2012
Sharon Vitousek MD, North Hawaii Outcomes Project , www.nhop.org
Hawaii Island Healthcare Alliancewww.hawaiihealthcarealliance.org
How can HCC support economic growth of the Health sector?
• What health careers are expected to grow?
• [What additional training is needed for existing health professions?]
• [What partnerships/ resources can help answer these questions?]
Why should we collaborate to grow the health sector on Hawaii Island ?
Inadequate Access on Hawaii Island
Source IHI John Wasson MD
Impact of Primary Care Shortage
• Delayed Care & Increased suffering• Higher ER utilization• Higher hospital utilization• Increased costs• Less focus on Prevention- Life style• Less screening- Cancer & Depression• Poorer outcomes
Health Disparities in Hawaii County
Higher Death rates from:– All causes– Heart disease– Stroke– Overall cancer– Infant Mortality– Suicide– Traffic-related accidents
Less than 12 yrs of school 12 yrs of school 13 yrs of school or more
13th Year of School Associated with Lower Death Rates
U.S. Age-adjusted per persons 24 - 65 years of age
Chart: North Hawaii Outcomes Project - February 2010 Source: Health, United States 2008
*Reporting areas that have adopted the 2003 revision of the U.S. Standard Certificate of Death are excluded because educational attainment data based on the 2003 revision are not comparable with data based on the 1989 revision of the U.S. Standard Certificate of Death. Starting with 2003 data, data from California, Idaho, Montana, and New York are excluded. In addition to these four states, starting with 2004 data, Connecticut, Georgia, Michigan, New Hampshire, New Jersey, Oklahoma, Rhode Island, South Dakota, Washington, and Wyoming have adopted the 2003 revision and therefore are excluded. Because of different education profiles of the excluded states compared with the remaining reporting areas, 2003 and subsequent years are not directly comparable to earlier years.
Health Disparities - Hawaii CountyHealth Related Behaviors- 2010
Access to care:• Higher uninsured Lower ratio of physicians per 1,000 population• Higher percent of population without a personal doctor• Lower percent mothers receiving prenatal care
Utilization & Cost:• Higher acute care hospitalizations per 1,000 population
Quality:
2.1
3.4
2.22.4
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
Hawaii County City & County Of Honolulu
Maui County Kauai County
Lice
nsed
phy
sici
ans
per 1
,000
pop
ulat
ion
Licensed Physicians with a Hawaii Primary Address per 1,000 Population by County (2011)
Chart: North Hawaii Outcomes Project - September 2011 Source: Numerator from Department of Commerce and Consumer Affairs –July 27, 2011
*Denominator from U.S. Census 2010 .may or may not be active** Licensed physicians
Hawaii Island Increasing Provider Shortages
2010 2012 2014 2016 2018 20200
100
200
300
400
500
600
700
SupplyDemand
157331
Source : JABSOM Workforce Study, Kelly Withy
What Healthcare ProvidersAre Doing
• Collaboration to improve:– Hawaii Island Healthcare Alliance- – Hawaii Island Beacon Community
• Health information exchange• Clinical transformation, care coordination
– Hawaii Island Trauma Committee– Hawaii Island Perinatal Collaborative– Long Term Care Hui / Aging Resource Center,
• Island wide, voluntary, collaborative group of stakeholders
• Goal: Improve health & healthcare in Hawaii County by increasing healthcare workforce
• Friends of the Future is 501(c )(3) Fiscal Agent
SupportsGrowing Our Primary Care Workforce
Family Practice Residency Program in HiloGrowing effective use of mid-level providersImproving recruitment & retention of providers
Increase effective use of technology - Beacon Collaboration and leveraging resources
Regional planning Aligning high leverage policy change.
HAWAII ISLAND FAMILY HEALTH CENTERCurrent Health Training site
Health Workforce Shortages are in a Larger Economic Context
Negative Impact• Health Disparities are
Partly a Result of poorer rural economy
AND
• Health Workforce shortages are a Barrier to productivity & economic growth
Opportunity• Growing the health
workforce is an OPPORTUNITY to stimulate economy
• Job multiplier effect of Physicians is ~1 to 5
Healthcare is 3rd Largest Employer in Hawaii County (DBED Nov 2011)
Growing Healthcare sector is part of economic development for Hawaii Island
Employment sector # of Employees1. Government 12,0002. Retail trade 8,0003. Healthcare/social assistance 6,9004. Accommodations 5,5005. Food and beverage services 5,200
What Hawaii County Can Do
• Approach policy decisions through a health lens: “How will this policy impact the health of our
community-- now & in future ?” • Support Hawaii County economic development
of the science, energy, education & healthcare sectors
• Add community health improvement to Criteria for Community Development Conditions
• Advocate for State health data to be analyzed by County and Sub- county to better track needs & progress
How can HCC support economic growth of the Health sector?
• What health careers are expected to grow?
• What additional training is needed for existing health professions?
• What partnerships/ resources can help answer these questions?
Future Health Care? Address “silver tsunami” & shortages
• More team care• More allied personnel• More “care coordination”• More integration with behavioral health
– Lifestyle coaching• More use of population health data• More use of info systems
What health careers are expected to grow?
• Health Workforce Information Centerhttp://www.hwic.org/topics/professions.php
• Virtual Career Network - health care- a project of the American Association of Community Colleges
•Audiologists•Dietitians and Nutritionists•Health Aides, Assistants and Guides
• Community Health Workers• Health Educators• Home Health Aides• Medical Assistants• Nursing Aides• Patient Navigators• Personal and Home Care Aides
•Health Information and Informatics Occupations• Chief Information Officers• Chief Medical Information Officers• Health Informaticians• Health Information Administrators• Health Information Technicians
Health Careers Expected to Grow
•Health Technologists and Technicians• Cardiovascular Technologists and Technicians• Diagnostic Medical Sonographers• Medical Appliance Technicians• Nuclear Medicine Technologists• Radiologic Technologists and Technicians• Surgical Technologists
•Laboratory Professionals• Phlebotomists
•Medical Interpreters•Pharmacy Occupations
• Pharmacy Technicians and Aides•Speech-Language Pathologists•Vision Care Occupations
• Optometric Assistants and Technicians
10 Hot Careers in the Health Industry
1. Dental Assisting 2. Information Management 3. Health Care Administrator 4. Medical Assistants and Nurses 5. Massage Therapy 6. Medical Transcriptionists 7. Billing and Coding 8. Medical Imaging 9. Pharmacy Techs 10. Occupational Therapists
Allied Health Careers1. Medical Assistants:2. Cardiovascular Technologists3. Diagnostic Medical Sonographers:4. Physician Assistants:5. Respiratory Therapists and Technicians:6. Athletic Trainers:7. Surgical Technologists:8. Clinical Laboratory Technologists:9. Medical and Health Services Managers:10. Dietitians and Nutritionists:
Source: Bureau of labor statistics 8/2011
What additional training for existing professionals?
• Leadership & Change Management– Mentoring
• Healthcare Finances • Performance monitoring/Program evaluation • Effective use of data• Mediation/Negotiations• Communications• Billing & coding
What partnerships/ resources can help answer these questions?
• Hawaii Workforce Development CouncilTo support and facilitate the development of a skilled workforce that meets the needs of business and industry, enhances workplace productivity, and increases opportunities for employment and entrepreneurship.