St. Louis Regional Healthcare Workforce Intelligence System

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St. Louis Regional Healthcare Workforce
Intelligence System
Presented to Kevin Kast President CEO of SSM
St. Josephs Hospital, Medical Park Health
Center
September 22, 2003
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The Founders
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Objectives

• to forecast the regional demand for skilled
  healthcare workers
• to inform decision-makers about the impact of
  legislative, economic, other changes
• to help employers anticipate conditions
  affecting worker supply

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Objectives (cont.)

• to connect transportation, childcare, other
  supporting systems
• to guide education and training providers
• to foster communication and collaboration among
  public / private sector interests, joined in a

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Regional Healthcare Workforce Information
Network.

• Public Policy Organizations
• St. Louis Regional Workforce Policy
• Group
• Local/State/Federal Governments
• Elected Officials
• Depts. of Health and Social Services
• Metropolitan Planning Organization
• Labor Unions
• Workforce Training Agencies
• Medicare/Medicaid Agencies

• Healthcare Industry
• Hospital Systems
• Offices of Physicians Dentists
• Long-term Care Providers
• Residential Care Providers
• Medical and Dental Labs
• Public Sector Insurers
• Private Sector Insurers

• Healthcare Educators/Trainers
• University MO-St. Louis
• University MO-Columbia
• Medical Colleges
• Med Tech Schools
• Community Colleges
• Vocational Educators
• Career Guidance Counselors
• K-12 Educators

Regional Healthcare Workforce Intelligence
System
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How is this unique?

• regional
• multi-dimensional
• dynamic
• ongoing
• a network of sensors embedded within the
  healthcare workforce system

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Today

• We have started to lay the foundation for a
  comprehensive system, using employment forecast
  and policy simulation.
• We think in terms of three components, although
  inextricable
• supply, demand, connectors

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Supply side issues example
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The problem has many facets.
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DOL Community Audit Grant supported our initial
research

• National literature review
• Analysis of existing data
• Census Bureau, BLS, Natl Center for Health
  Workforce Information and Analysis, state data
  centers, professional associations

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Methods (continued)

• Linking and
• completing
• fragmented
• info systems

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East-West Gateway
Methods (Continued)
Geographic Information Systems (GIS) To display
spatial associations and emphasize regional
dimensions
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Methods (continued)

• Focus groups and interviews
• Many patients have unique needs and feel more
  comfortable being cared for by someone who looks
  like them, acts like them, and can speak their
  language. Immigrants and refugees can be an
  important asset.

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Focus Groups Interviews - Continued

• Consider RNs who have been out of nursing for
  years and want to come back. They are
  intimidated by new advances in technology and
  medicine, and decide to look somewhere else to
  work.
• If we dont address hospital working
  conditions, we will never be able to address the
  nursing shortage.

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Demand Side Issues

• Medicare/Medicaid
• Private Payers, HMOs, PPOs, etc.
• Physician Induced Demand/Defensive Medicine
• Certificate of Need
• HIPAA of 1996
• Demographic Trends

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Where We Are

• Initial Steps to Building a Healthcare Workforce
  Modeling System Current Progress

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Health Services SIC 80
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Offices Clinics Of Doctors SIC 801
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Nursing and Personal Care SIC 805
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Hospitals SIC 806
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Medical Dental Labs SIC 807
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Where Were Going

• Next Step From Baselines to Policy Simulations

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Impact of Government Health Insurance on Health
Employment A First Run
Annual Increase of Medicaid Coverage by 1
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Where Were Going

• Next Step Build Regional Representative Hospital

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FAPRIThe Representative Farm Approach

• Panel of Farmers
• Benefits of Representative as opposed to
  Average
• Ability to talk about micro or local concerns as
  opposed to macro
• Kinds of questions one can answer
• Communication opportunities

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Representative Hospitals

• First and Foremost
• Up to local health care to determine what
  questions need answering
• Use models to communicate to policy makers

• Does require some openness to build operations
• Multiple types of operations

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Future Course of Action

• Labor supply wage models
• Occupational demand models
• Policy simulations
• Supply side / connectors research
• Working groups in place
• Positioned within Regional process
• Sustainable resources