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Focus on Workforce Development

Workforce development: Your organization is only as strong as its people

<p>According to the Association of American Medical Colleges, the United States will see a shortage of between 46,900 and 121,900 physicians by 2032, including both primary care doctors and specialists. How can you minimize the effect of this trend on your healthcare organization? How can you recruit the best people, retain talent you have and ensure a diverse workforce that reflects the patients you serve?</p>
<p>In the month of July, we'll speak to experts about how they're managing their workforces – not just clinicians, but IT departments, data scientists, care managers, back office staff and others. We'll also look at how those healthcare workforces are changing – and how they ought to be changing – in the face of automation, value-based reimbursement, telemedicine, consumerism and other emerging trends and new technologies.</p>

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Physicians are key to making precision medicine investments pay off

Finding the best care for a patient can be a constantly moving target. The number of stakeholders, the constant advance of new information and treatment options and the nuanced demands of different payers make for a maze of complexities to navigate. In the field of oncology, for example, nobody but a specialist could be expected to keep up with the growing wealth of knowledge in the treatment of individual cancers. Yet most patients are treated by general oncologists who may not be abreast of every best course of action for specific conditions. These practices might not know which treatments a patient could be pre-approved for, or which payers are most likely to compensate and for what. As the practice of tailoring precision medicine plans for each patient takes hold, physicians are being asked to make more specific treatment decisions than ever before. "You have labs, you have payers, you have providers and you have pharma – and they’re all interested in what the doctor is about to do with a patient," said Clynt Taylor, CEO of Intervention Insights, which makes a tool called Trapelo that helps streamline treatment and payment options. Taylor says that giving an oncologist "an opportunity to see what they should be ordering based on the clinical scenario" empowers them to make the best decision for the patient. Information is inspiration "Most doctors have a good idea of what they want to do," said Taylor. "It’s information access that’s really holding up the process: ‘I didn’t know the lab could do that, I didn’t know these genes should be tested.’" Effective deployment of an IT system that can gather all of this information and put it at an oncologist’s fingertips, integrated into their workflow, helps align the interests of everyone involved. In precision medicine, every decision has to be tailored to the patient at hand. This requires significant knowledge about everything in a field where treatment options and knowledge about the disease are advancing rapidly. Doctors need to know their options in a way that relates to the patient and which a payer will approve. "If I order a test, will I get a treatment option that is supported by clinical evidence?" said Taylor. "Or will I get treatment options I can’t use?" Taylor notes that health plans "will pay if there’s evidence." But that puts the onus on providers to have conversations with the payer at the beginning of the care process to build a case for a specific treatment regimen. Integrating payers into the treatment option plan helps form a more granular narrative of care. "Payers not usually involved until the end of treatment selection process," said Taylor. "Docs go through the process, made treatment decisions, submitted to payer and the payer says ‘what’s going on?’ Involving them earlier in the process avoids the situation where payer prior authorization is a holdup." Having a picture at the onset of care of how to proceed and the likely outcomes enables a much better relationship with the payer and delivers the most effective care possible for an individual. Deep insights have been helping physicians predict the best treatment course in a number of fields; tying the process to the payer conversation makes for a more streamlined transition from treatment to payment. Taylor notes that as more data is amassed about precision health, the more seamless the whole process will become. "The more we can streamline communications through automation, the faster a decision can be made," he said. Benjamin Harris is a Maine-based freelance writer and former new media producer for HIMSS Media. Twitter: @BenzoHarris.

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Massachusetts to fund pilots expanding digital training for entry-level healthcare workers

Commonwealth Corporation, a workforce development agency that works to boost the skills of Massachusetts young adults with investments and partnerships, has released new funding to create new pilots to expand training for entry-level healthcare workers. WHY IT MATTERS The money for the pilots comes after Massachusetts' Commission on Digital Innovation and Lifelong Learning issued a report and recommendations to Gov. Charlie Baker, making the case that "healthcare, information technology and advanced manufacturing are among the most vital employment sectors for Massachusetts’ future prosperity" and "should be important focal points of any meaningful effort to align lifelong learning opportunities with employer needs." Three partnerships will get as much as $200,000 each via two-year grants to help develop and new digital or hybrid competency-based training programs for entry-level healthcare workers. The money will support an initial Program Design phase and subsequent implementation, including tuition for a first cohort of students. THE LARGER TREND Despite being a world leader in the healthcare and technology industries, Massachusetts is still home to thousands of employees in entry- and mid-level healthcare jobs – home health aides, certified nursing assistants, direct care workers and others – who don't have sufficient access to education and skill-building opportunities, the Commonwealth Corporation noted. Meanwhile, many employers in healthcare and beyond are grappling with worker shortages that are hindering their ability to deliver high-quality care. The goal of this new initiative is to help upskill employees such as those with digital training programs, accomplishing the dual goal of boosting economic opportunity for workers while addressing healthcare's workforce shortages. ON THE RECORD Commonwealth Corporation illustrated the kind of worker who might benefit from these programs by describing an entry-level healthcare worker named Carla. "A single mother with a high school diploma who immigrated to the United States eight years ago, her wages are now $14 an hour, making it a struggle for her to support her family even when she works more than 40 hours a week. Despite these challenges, Carla has consistently demonstrated passion for her work, earning praise from both her patients and employer, who cite her caring approach, diligence and interest in continuing to improve her practice. "Carla would like to advance professionally, but she can’t figure out how to participate in the required training. She needs to continue to work as the sole caretaker of her two youngest children and she shares her car with her 19-year-old daughter, who attends a community college and works evenings. Carla’s circumstances make returning to the classroom an unrealistic – and unaffordable – option. "With the rising demand for community-based care, Carla’s employer also faces growing challenges filling open positions. The company wishes to build a career advancement ladder to develop the skills of staff like Carla and other promising colleagues, but it lacks the knowledge and capacity to provide in-house training. And low margins for reimbursable time make it nearly impossible to schedule sufficient training time during the work day." The hope with this new funding is to create new opportunities for employees and employers alike, and better position Massachusetts' workforce for the future of digital health. .jumbotron{ background-image: url("https://www.healthcareitnews.com/sites/hitn/files/u6245/workforce%20development%20jumbotron.png"); background-size: cover; color: white; } .jumbotron h2{ color: white; } Focus on Workforce Development In July, we'll speak to experts about how they're managing their workforces – not just clinicians, but IT departments, data scientists, care managers, back office staff and others. Twitter: @MikeMiliardHITN Email the writer: mike.miliard@himssmedia.com Healthcare IT News is a publication of HIMSS Media.

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Doctors rarely aware of online feedback from patients

Moreover, the majority of respondents to a new survey had never encouraged patients to leave online feedback in the first place, although feedback on reviews or ratings sites was seen as more useful than social media feedback to help improve services.