Re-Imagining Michigan’s Primary Care Workforce
Aug 04, 2015
Re-Imagining Michigan’s Primary Care Workforce
In a perfect world
supply x capacity = demand
Looking at demand
supply x capacity
demand=
Grimes and Fulton, Institute on Labor, Employment and the Economy, Prepared for Michigan Department of Transportation
0 to 17 18 to 24 25 to 44 45 to 64 65 plus0
5
10
15
20
25
30
20102040
Percent of Michigan Population Distribution by Age Group
Perc
en
t of
popu
lati
on
1 in 4Michigan residents will be older than65 by 2020
439,975 new Medicaid
beneficiaries
272,537 Exchange Consumers
Looking at supply
supply x capacity
demand=
By 2030America will have apermanently smaller
labor force
GONE FISHINGProviders of all types are quickly approaching retirement age
NONE A FEW MANY0
20
40
60
80
100
1200%
4600%4200%
Nearing Capacity of Current ProvidersPercent of physicians reporting number of
new patients they can accept
Source: 2012 MDCH Survey
501 Health Professional
Shortage Areas
Looking at capacity
supply x capacity
demand=
We need to pick the right workforce tools to solve the right problems
Right people, right place, right time
Complexity of care needs
Source: Ani Turner, Altarum Institute
What could change the equation?
Interprofessional collaboration is a growing development
Personal and Systems Technology
By 2020 the “Doctor’s Office”May Look More Like This
Are We Ready?
Are We Prepared?
16 reports with more than 200 individual recommendations since 2006
Michigan Department of Community Health Increasing health care workforce capacity in Michigan2012
Blue Ribbon Physician Workforce Committee2006
Michigan Primary Care AssociationImproving Michigan’s primary care workforce policies2012
U.S. Department of Health & Human ServicesHealth Resources and Services AdministrationStrategic partnership session2009
Centers for Disease Control and PreventionModernizing the workforce for the public’s health: Shifting the balance2013
American Hospital AssociationWorkforce roles in a redesigned primary care model2011
American Hospital AssociationWorkforce 2015: Strategy trumps shortage2010
Bipartisan Policy CenterThe complexities of national health care workforce planning2011
Association of Academic Health CentersOut of order, out of time: The state of the nation’s health workforce2008
New York State Workforce Investment BoardTransforming the health workforce for New New York2012
Institute for Alternative FuturesPrimary care 2025: A scenario exploration2012
Association of Academic Health CentersState actions and the health workforce crisis2007
Robert Graham Centern.d.
National Institute for Health Care ReformMatching supply to demand: Addressing the U.S. primary care workforce shortage2011
Urban Institute Health Policy CenterAssuring access to care under health reform: The key role of workforce policy2011
1
At your table, you only have
At your tables, answer these questions
What foundations exist today to build
upon?
What is the value to re-imagining primary
care?
What are the first steps we’d need to
take?
Who is at the table? Who is the champion?