Workforce: Recruitment, Allocation, and Management

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Workforce Recruitment, Allocation, and Management

• Dr. Peter W. Vaughan, MA, MD, MPH
• Chief Health Human Resource Officer
• Nova Scotia Department of Health

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(No Transcript)
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Challenges

• Data information evidence
• Infrastructure
• Analytical capacity
• Recruitment and retention

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Conceptual Basis for Analysis
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Trends and Issues

• Geographical
• Aging population
• Potential demand for more health services
• Shift from rural to urban areas
• Greater dispersion of the rural community

• Economical
• Rising costs of health care
• Magnified by rising costs of the aging
  population/technology
• Competitive wages, salaries and benefits

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Trends and Issues

• Social
• Aging population
• Changes in community demographics
• Recruitment and retention
• Quality of work-life and workload
• Public expectations
• Role of media

• Political
• Creeping Credentialism
• Role of self-regulated professions

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Trends and Issues

• Technological
• Increase of health technology
• Potential to reduce information barriers
• Training required
• Telehealth telemedicine
• Internet
• Rise of self-care

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Toward Citizen-centric Policy
Healthy Workforce
Integrated Delivery System
Retooling
Innovation
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Mobile workforce Allocation
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Recruitment Retention

• Incentives gets them wont keep them
• Alternate payment plans
• Blended payment plans
• Pensions dis-incentives
• Community economic development
• Rural and remote
• Market segmentation

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Recruitment and Retention Actions

• Increase interest in health careers, both
  generally and in specific areas of shortage
  (media)
• Increase the diversity of health care providers
  to better reflect the Canadian mosaic (policy)
• Improve working environments for health care
  providers (management)
• Increase the supply of health care providers to
  ensure availability where and when needed
  (investment)
• Improve the utilization and distribution of
  health care providers (innovation).

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Education and Training

• Long-term strategy
• Understand the cohort effect
• Distributive learning/rural and remote
• Linked with immigration tactics
• Social accountability
• Collaborative model
• Alternatives

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Management

• Leadership
• Disruptive thinking
• Organizations unwittingly strip the disruptive
  potential from new ideas before they reach the
  light of day.
• -- Christensen and Raynor, The Innovators
  Solution (2003)

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Management and Policy Nexus

• Scopes of Practice
• Liability
• Quality framework

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Thank you/Merci!