metro north regional employment board – quarterly meeting cambridge, ma june 19, 2013
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The Workforce Implications of the Affordable Care Act: Research in Progress. Metro North Regional Employment Board – Quarterly Meeting Cambridge, MA June 19, 2013. The Workforce Implications of the Affordable Care Act. Overview Research Questions and Methods ACA Breakdown - PowerPoint PPT PresentationTRANSCRIPT
Metro North Regional Employment Board – Quarterly MeetingCambridge, MAJune 19, 2013
The Workforce Implications of the Affordable Care Act:Research in Progress
The Workforce Implications of the Affordable Care Act
• Overview• Research Questions and Methods• ACA Breakdown• Labor and Skills Demand• Opportunities• Challenges and Next Steps• Discussion
EMPLOYER LEADERSHIP OF RESEARCH
OVERVIEW
• High degree of uncertainty – “building the car while driving it”• Frontline workers essential to Triple Aim • Demand will increase in both patient and technology-centered
positions• Higher skill expectations: top of the job description, specific skills• Opportunities for new or expanded roles and advancement• Challenges, unknowns and cross-cutting trends
AFFORDABLE CARE ACT: A MOVING TRAIN
• Extending care to more patients• Achieving the triple aim: better care, lower cost, improved health
o Coordination of care (ACOs, Patient-Centered Medical Homes)o Reducing readmissions, focus on “frequent flyers”o Patient follow-up and self-managemento Population health and community-based care
• Implementing electronic health records
AFFORDABLE CARE ACT: BREAKDOWN
How will the Affordable Care Act affect frontline health care workers?• What are the forecasts of labor demand in the next 10 years? • How are individual providers preparing for workforce needs?• What skills will be required of the workforce?• What are the opportunities for frontline worker advancement?• What are the best current models of workforce development?• What are the potential challenges?
RESEARCH QUESTIONS
RESEARCH METHODS
• Scan of literature from health care and workforce• Analysis of labor market data• Interviews with key informants• Interviews and roundtable discussions with providers
LABOR DEMAND
Health Care Subsector Growth 2010 – 2020
0100020003000400050006000
20102020
Source: US Bureau of Labor Statistics
LABOR DEMAND
Patient-CenteredPositions
Entry Education # Jobs 2010 Job Growth 2010-2020
Change
Home Health and Personal Care Aides
Less than high school 1,878,700 70% 1,313,200
Registered Nurses Associates degree 2,737,400 26% 711,900
Nursing Aides Post-secondary certificate
1,505,300 20% 302,000
Licensed Practical Nurses
Post-secondary certificate
752,300 22% 168,500
Medical Assistants HS Diploma/ equivalent
527,600 31% 162.900
EMTs and Paramedics Post-secondary certificate
226,500 33% 75,400
LABOR DEMAND
Technology-CenteredPositions
Entry Education # Jobs 2010 Job Growth 2010-2020
Change
Pharmacy Technicians
HS Diploma/ equivalent
334,400 32% 198,300
Radiologic Technicians
Associate's Degree 219,900 28% 61,000
Medical Records & Health Information Technicians
Post-secondary certificate
179,500 21% 37,700
Source: US Bureau of Labor Statistics
LABOR DEMAND: MA HEALTH REFORM
Administrative positions Health care professionals Patient care support All other non-administrative positions
18.4%
2.8%
18.2%
7.6%8.0%
5.9%
11.4%
9.5%
Employment Growth by Occupation 2005-2009MA Rest of US
SKILLS IN DEMAND
• General: team skills, communication, technology, problem-solving, knowledge of the care transition
• Direct Care (CNAs, PCAs): observational skills, customer service• Medical Assistants: administrative as well as clinical skills;
supervisory skills in some cases• Patient navigators: assertiveness, cultural competencies• Health Information/Med Records Techs: medical terminology, data
analytics, detail orientation, cross-disciplinary understanding
OPPORTUNITIES FOR FRONTLINE WORKERS
• Expanded responsibilities and skill upgradeso Cross-training for medical assistant and admin (Youngstown,
NYC)o Calling “timeouts” for error reduction (PCAs in Boston)o DCWs assuming routine tasks of RNs (documentation, med pulls)
– Northern VA• Assuming new roles
o Patient navigator (discharge, follow-up)o Health coaches o Care coordinators
CHALLENGES
• No template or standards for new roles – “you can’t download the job description”
• Payment model lagging behind delivery reforms • Scope of practice restrictions• Providers’ reluctance – ACA uncertainties, cost concerns• Potential job reductions with merged positions, shift to primary, use of
technology• More responsibility without compensation• Potential cutbacks in talent development
NEXT STEPS / DISCUSSION
RANDALL WILSON, SENIOR PROJECT MANAGERJOBS FOR THE [email protected]
TEL 617.728.4446 FAX 617.728.4857 [email protected] Broad Street, 8th Floor, Boston, MA 02110122 C Street, NW, Suite 650, Washington, DC 20001WWW.JFF.ORG