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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 Alliance www.hawaiihealthcarealliance.org.

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building a healthier hawaii island together

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

how can hcc support economic growth of the health sector
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?]
inadequate access on hawaii island
Inadequate Access on Hawaii Island

Source IHI John Wasson MD

impact of primary care shortage
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 count y
Health Disparities in Hawaii County

Higher Death rates from:

  • All causes
  • Heart disease
  • Stroke
  • Overall cancer
  • Infant Mortality
  • Suicide
  • Traffic-related accidents

Lower Life Expectancy

Higher Teen Birth Rates

institute of medicine framework for population health
Institute of MedicineFramework for Population Health

Social and Physical Environment

Social, Economic & Physical Environment

(Socioeconomic Determinants)

Population

HealthOutcomes

Health-Related Behaviors

HealthSystems

(Access to Care)

health disparities hawaii county
Health Disparities - Hawaii County

Health Systems

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:

hawaii island increasing provider shortages
Hawaii Island Increasing Provider Shortages

331

Source : JABSOM Workforce Study, Kelly Withy

what healthcare providers are doing
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,
slide24

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
slide25

Supports

  • Growing Our Primary Care Workforce
    • Family Practice Residency Program in Hilo
    • Growing effective use of mid-level providers
    • Improving recruitment & retention of providers
  • Increase effective use of technology - Beacon
  • Collaboration and leveraging resources
    • Regional planning
  • Aligning high leverage policy change.
slide27

HAWAII ISLAND FAMILY HEALTH CENTER

Current Health Training site

health workforce shortages are in a larger economic context
Health Workforce Shortages are in a Larger Economic Context

Negative Impact

Opportunity

Growing the health workforce is an OPPORTUNITY to stimulate economy

Job multiplier effect of Physicians is ~1 to 5

  • Health Disparities are Partly a Result of poorer rural economy

AND

  • Health Workforce shortages are a Barrierto productivity & economic growth
healthcare is 3 rd largest employer in hawaii county dbed nov 2011
Healthcare is 3rd Largest Employer in Hawaii County (DBED Nov 2011)

Growing Healthcare sector is part of

economic development for Hawaii Island

what hawaii county can do
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 sector1
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
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
What health careers are expected to grow?
  • Health Workforce Information Center

http://www.hwic.org/topics/professions.php

  • Virtual Career Network - health care- a project of the American Association of Community Colleges

http://www.vcn.org/healthcare/careergrid/worktypecode/mdn/score/high

On line courses

health careers expected to grow
Health Careers Expected to Grow
  • 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 grow1
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
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

http://www.healthdegrees.com/10-hot-careers-in-the-health-industry

top ten 10 fastest growing allied health careers
Top Ten (10) Fastest Growing Allied Health Careers

1. Medical Assistants:

2. Cardiovascular Technologists

3. 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:

  • Dietitians and Nutritionists:

Source: Bureau of labor statistics 8/2011

what additional training for existing professionals
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
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.
  • Contact:dlir.workforce.council@hawaii.gov808.586.8670
benefits of developing hawaii island health workforce health lens
Benefits of Developing Hawaii Island Health Workforce- Health lens
  • Improved Access
    • Timely care & decreased suffering
    • More recommended screenings
  • More prevention & better lifestyles
  • Better outcomes & quality of life
  • Improved productivity of workforce
  • Improved economy - job creation
    • Decreased healthcare costs
      • Lower hospital/ER utilization
benefits of developing hawaii island health workforce education lens
Benefits of Developing Hawaii Island Health Workforce- Education lens
  • Increased educational attainment
  • Increased economic potential of individuals
  • Can afford better living conditions, lifestyle
  • Increased health literacy
  • Better outcomes & quality of life
  • Improved productivity of workforce
  • Improved economy - job creation
  • Decreased healthcare costs
contact info
Contact info

vitousek@nhop.org

www.nhop.org

www.hawaiihealthcarealliance.org

Tools for policy makers