Workforce Development Presentation by Ben Robinson

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Workforce Development Presentation by Ben Robinson

Public SectorHealth Workforce Usual Suspects MDs, RNs, APRNs,DMDs, Some less thanusual suspects Laboratorypersonnel Therapyprofessions Unusual settings Greater legal andbudget constraints Publicexpectations Heavier BehavioralHealth Focus More difficult“patients”


Change in Hospital, Nursing Home and HomeHealth Staffing 2000 – 2010ProfessionFY 2000 FY 2010 ChangeBudgetedPositionsBudgetedPositionsFY 2000 - 2010MD 1,157 1,196 39RN 30,527 39,755 9,228LPN 10,555 11,306 751Pharmacy 1,397 1,581 184Other* 43,175 46,583 3,408Total 86,811 100,422 13,611* Includes nurse aides and alliedhealthRanking of per capita number of Behavioral HealthProfessionals in GeorgiaCounselorsMarriage & FamilyTherapistsPsychiatric APRNsPsychiatristsPsychologistsRNsPhysiciansSocial Workers28 th31 st28 th30 th42 nd40 th40 th41 stContext:Extensive ShortagesGeorgia struggles with healthworkforce• Growth in demand:• Rapid growth in Population• Aging of population• Increases in capabilities ofworkforce• Supply concerns:• Aging workforce• Historic short supply of keyprofessions• Declines in production fromacademic pipeline (undercorrection)• Shortages exist at nationallevel


Aspects of Public Sectorcan inhibit growth Unique aspects Service oriented Personnel heavy Budget disconnect Size of budget notreflective of servicedemands Budgeting drivenby externalconsiderations Inelasticexpectations Provide services asdemandedregardless ofbudget….. Perverse Response Cut staffing Downgradecredentials Staff-up on lowerskilled personnel Push duties down theprofessional network Pray nothing goeswrong


Unique aspects ofthe Health Workforce Elements of health profession legal,academic and practice constructs canrestrict access to these professionals Licensure requirements Practice constraints Education However, these can also provide uniqueways to connect


Results inWorkforce Problems General shortages of personnel and challenges ofpublic sector employment have produces majorshortages in public sector Corrections: Worsening Staffing Ratios in key behavioral HealthProfessions - Psychology Mental Health: Heavy reliance on low skilled workforce Public Health Oral health and laboratory personnel shortages K-12 Education High impact of early health interventions difficult toaccess (DOE not necessarily employer) Therapy personnel Pediatric subspecialties Vision and oral healthcare Nurses in short supply across the public sector


Goal for PublicSector• The right professionals• Doing the right job• For the right people• With the right needs


Solutions:How to get there This is not simply an HR problem Many issues at work Employer concerns exist – benefits, salary Sector problems Exist – Constraints of publicsector and personnel shortages Pipeline Problems exist Peculiarities of healthcare personnel exist Scope of Practice problems exist


Solutions Build internal DBHDD workforce knowledge Strengthen the education pipeline: Create more education programs as needed (orenlarge existing ones) Establish high quality clinical educationexperiences for students Establish residency/internship/post doctoralprograms/experiences for medicine, nursing,psychology and others Develop existing workers into needed professionals Establish career pathways Enhance supports (salary, stipend and supervisory)for students engaged in supervised clinicalpractice prior to full licensure

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