Health Workforce Now and Tomorrow Urgent Matters - PowerPoint PPT Presentation

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  1. Health WorkforceNow and TomorrowUrgent Matters Delaware Health Care Commission December 1, 2011

  2. International Comparison of Spending on Health, 1980–2008 Average spending on healthper capita ($US PPP) Total expenditures on healthas percent of GDP Source: OECD Health Data 2010 (June 2010).

  3. Number of Practicing Physiciansper 1,000 Population, 2006 *2005 Source: OECD Health Data 2008, “June 2008.”

  4. Federal Snapshot • AAMC projects 91,500 physician shortage by 2020 • COGME projects 85,000 shortage by 2020 • HRSA: demand will outstrip supply • Nearly 40% doctors over 55 – economists say 1/3 could retire in next 10 years • More women physicians – work fewer hours

  5. Federal Snapshot • RN’s over 50: 2000 2008 • % total RN’s 33% 44.7% • 157,000 pharmacy shortage -2020* • Faculty shortages: nursing & pharmacy • Demographics do not reflect population • *Health Resources and Services Administration

  6. Delaware Snapshot • 2,255 Est. physicians active practice • 863 Est. pcp: 1 pcp to 1187 people • Federally designated shortage areas: all Kent & Sussex & portions NCC • Meet or exceed 3500 to 1 ratio • COGME low end of acceptable – 1250 to 1

  7. Delaware Snapshot • DE Healthcare Assn • 7900 nurses and allied professional between 2009 - 2014 • 1 to 9582 - Psychiatrist to population ratio • 80% bachelor’s program report faculty shortage • Average faculty age (2006) • 46 – diploma, certificate, associates • 53 – bachelor and graduate

  8. PCP – DE Age Distribution PCP ‘08 DE ‘08 DE 2020 DE 2030 Under 40 19% 19% 19% 17% 40-49 29.2% 14.9% 11% 12% 50 – 64 35.4% 19% 20%17% Over 65 16.3% 14% 19%24%

  9. PCP – DE Race Distribution • Caucasian • PCP ’08 73% DE 2030 72% • Asian • PCP ’08 20.%% DE 2030 .04%* • African American • PCP ’08 4.5% DE 2030 23.5% • Other • PCP ’08 1.2% DE 2030 .04% • * Population Consortium does not separate Asian from “other”

  10. Hispanic & Non-Hispanic Hispanic Non-Hispanic • PCP ’08 4.2% 95.8% • DE ’08 6% 94% • DE 2020 10% 90% • DE 2030 12.5% 87.5%

  11. Primary Care: WHY IT MATTERS • Aging “Boomers” will create more demand for services • Increased insured from ACA • Increased rates of chronic illness • Proven efficiency; cost effective; better outcomes • Adequate supply critical to insuring access and maintain healthy populations

  12. Primary Care Challenges • Medical School Debt $145,000 - $180,000 • Annual Compensation: • Orthopedics $473,770 • Radiology $468,594 • Dermatology $385,088 • Pediatrics $192,000 • Family Medicine $183,999 • Geriatrics $179,950 • “ROAD” to success

  13. DHCC Strategies • DIMER DE Institute Medical Education & Research • 20 slots Jefferson Medical College • 6 slots Phil. College Osteopathic Medicine • DIDER – Delaware Institute Dental Education & Research • Dental residency support – CCHS • 5 slots Temple Univ. Kornberg School of Dentistry • Loan Repayment • Repay undergraduate and graduate education debt • Must locate in federally designated under-served area • Workforce Development

  14. SLRP Gets Results! • 78 total • 46 physicians • 12 nurses • 20 dentists • 5 left after service

  15. Looking Ahead - • Patient Centered Medical Home • Payment Reform • Scope of Practice • Accountable Care Organizations • Team approach – best care, less spending • Evidence based medicine • Technology • health information exchanges and electronic medical records • Incentives – Loan Repayment

  16. CONTACT INFORMATION Paula K. Roy Executive Director Delaware Health Care Commission Margaret O’Neil Building 410 Federal St. Suite 7 Dover, DE 19901 302-739-2730 302-739-6927 fax Paula.roy@state.de.us www.dhcc.delaware.gov