Hawaii Physician Workforce Assessment 2015

Transcription

1 Act 18, SSLH 2009 (Section 5) Act 186, SSLH 2012 Hawaii Physician Workforce Assessment 2015 Kelley Withy, MD, PhD

2 Physician Workforce Specifics >9,100 licensed 3,596 practicing non-military 2,806 Full Time Equivalents(FTEs) We had 2,802 FTEs last year We gained 4 physicians Demand grows by 50 FTE/yr

3 Demographics 711 docs are 65 or over 31% female, 69% male 58% practices of 5 or less How many do telehealth? 60 (2%)

4 FTE Physicians 4,500 4, Demand Projection 3,500 3,000 2,500 2, Supply Projection ~600 Physician 2012 Supply Supply Demand Tracking 1, Year

5 FTE Physicians 4,500 4, Demand Projection ,500 ~600 >800 Best Estimate of Current Supply 3,000 2, Supply Projection 2,000 1, Year

6 New Microsimulation Demand Model Taking into Account Improved Health Status and ObamaCare Supply Demand

7 2015 Physician Shortage by Region Physician Shortage % 60-79% 40-59% 20-39% 0-19%

8 2020 Physician Shortage by Region Physician Shortage % 60-79% 40-59% 20-39% 0-19%

9 2025 Physician Shortage by Region Physician Shortage % 60-79% 40-59% 20-39% 0-19%

10 Physician Shortage % 60-79% 40-59% 20-39% 0-19% 2015 Primary Care Physician Shortage by Region

11 Physician Shortage % 60-79% 40-59% 20-39% 0-19% 2020 Primary Care Physician Shortage by Region

12 Physician Shortage % 60-79% 40-59% 20-39% 0-19% 2025 Primary Care Physician Shortage by Region

13 Statewide Specialty Shortages % Shortage Pediatric Endocrinology 74.4% Infectious Disease 65.1% Colorectal Surgery 64.8% Peds Card 57.5% Pathology 54.6% General Surgery 51.1% Peds Neurology 47.0% Pulmonology 46.8% Neurology 45.1% Neurological Surgery 44.1% Pediatric Heme/Onc 39.7%

14 Statewide Shortage (Cont.) % Shortage Orthopedic Surgery 34.8% General & Family Practice 34.6% Thoracic Surgery 34.0% Rheumatology 33.9% Cardiology 33.2% Peds GI 32.4% Hematology & Oncology 32.0% Urology 27.2% Allergy & Immunology 27.0% Otolaryngology 24.9% Nephrology 24.2% Critical Care 20.3%

15 Greatest FTE Shortages General & Family Practice General Surgery Pathology General IM Orthopedic Surgery Cardiology Anesthesiology Neurology Pulmonology Infectious Disease OBGYN Hematology & Oncology 16.49

16 Hawaii Island Demand Supply FTE Shortage % Shortage Colorectal Surgery % Neonatal-perinatal % Peds Rheumatology % Peds Card % Peds GI % Peds Neurology % Plastic Surgery % Neurological Surgery % Infectious Disease % Allergy & Immunology % Nephrology % Heme/Oncology % Critical Care % Orthopedic Surgery % Pulmonology % Neurology %

17 Big Island (Cont) Pathology % Otolaryngology % Endocrinology % Urology % Rheumatology % Physical Medicine and Rehabilitation % Cardiology % Thoracic Surgery % Anesthesiology % Pediatric Heme/Onc % Psychiatry % General Surgery % Dermatology % General IM % Pediatrics % OBGYN %

18 Kauai Demand Supply FTE short % Short Critical Care % Neonatal-perinatal % Pediatric Endocrinology % Pediatric Heme/Onc % Peds Card % Peds GI % Peds Neurology % Endocrinology % Vascular Surgery % Neurological Surgery % Thoracic Surgery % Rheumatology % Plastic Surgery % Pulmonology % Allergy & Immunology % Pathology % Neurology % Orthopedic Surgery % OBGYN % Cardiology %

19 Maui Demand Supply FTE short % short Colorectal Surgery % Geriatrics % Neonatal-perinatal % Pediatric Endocrinology % Pediatric Heme/Onc % Pediatric Rheumatology % Peds Card % Peds Neurology % Thoracic Surgery % Rheumatology % Infectious Disease % Pathology % Critical Care % General Surgery % Neurological Surgery % Gastroenterology % Pulmonology %

20 Maui Continued Demand Supply Shortage % Short Neurology % Vascular Surgery % Psychiatry % Plastic Surgery % Ophthalmology % Allergy & Immunology % Endocrinology % Orthopedic Surgery % Urology % Hematology & Oncology % Emergency Medicine % Pediatrics % General IM %

21 Oahu Demand Supply FTE short % Short Pediatric Endocrinology % Infectious Disease % Colorectal Surgery % General Surgery % General & Family Practice % Pathology % Peds GI % Peds Card % Pulmonology % Neurology % Cardiology % Neurological Surgery % Endocrinology % Orthopedic Surgery % Pediatric Heme/Onc % Peds Neurology % Otolaryngology % Hematology & Oncology % Urology % Nephrology %

22 HI: 205!!!!!

23 What to do? Get em Train em Keep em Steal em

24 24 Teen Health Camp

25 You can help! It s fun! withy@hawaii.edu Get em Teen Health Camp Teen Mentorship Academy HOSA support PreHealth Advising Center Medical Student Mentorship Program support Speaker s Bureau Health Career Navigator book

26

27 Get em Teen Health Camp Teen Mentorship Academy HOSA support PreHealth Advising Center Medical Student Mentorship Program support Speaker s Bureau Health Career Navigator book Prehealth Career Corps-you can help! (yep, same withy@hawaii.edu)

28 Train em

29 What have we got? Hawaii graduates: medical students 95 residents every year

30 86%

31 Expand training Need 100 every year Med School=double to triple Residency=double+

32

33 Steal em

34 61 docs interested in Hawaii 2013 mailer

35 Practice in Paradise Campaign 61 physicians on our interested in Hawaii list Advertising 140 job openings in Hawaii at Working with Hawaii Physician Recruiters group to expand collaborative efforts Ho`okipa Welcome Wagon for students, residents, interviewees and new providers on neighbor islands

36 Keep em

37 Advertising of positions, outreach to graduates and interested providers, Health Careers job fair Recruitment talks at all residencies (with the Hawaii Physician Recruiters Group) State Loan Repayment Program Continuing Education (ECHO?)

38 New Idea Bridge to practice

39 AND?? Keep em HAPPY Carol Peckham. Medscape Physician Lifestyle Report 2015, January 26,

40 What can the system do to keep you happy? Administrative simplification Malpractice reform Vibrant professional community and facilities Improved compensation Tax breaks Provide and support a strong team to support you Make provider satisfaction a quality metric

41 What can YOU do to stay happy? Remember why you went into medicine Share the responsibilities with others (huddle?) Look around and feel the aloha Connect with others, personally and professionally Be responsible to your hobbies Give yourself permission

42 What to do? Get em Train em Steal em Keep em

43 Just Don t Kill em Kelley Withy, MD, PhD withy@hawaii.edu