Geography, Demography, Policy (NCIOM) Describe the geographic distribution of physicians in NC Describe the age-gender structure of NC physicians Comment on policies in other states and changes in production of physicians Opportunities for growth and collaboration Comment on potential changes in NC
North Carolina Providers*: Supply and Distribution by Race (NCIOM)
Race of NC providers compared to NC population Rates of practicing in rural and undeserved areas by race Geographic distribution of underrepresented NC physicians compared to population *providers include physicians, physician assistants and nurse practitioners.
The Supply and Distribution of Psychiatrists in North Carolina
Pressing Issues in the Context of Mental Health Reform North Carolina’s physician supply compared to national context Psychiatrists: supply, education and distribution Child psychiatrists: supply and distribution Policy Considerations
Addressing “Stress” in the Health Care Workforce
Human Resources for Health The term “stress” is used to describe conditions where supply trends move differently than they have in the past Workforce problems and solutions Past and current research themes Questions to be asked
Shaping Health Workforce Policy through Data-Driven Analyses
The Sheps/NC AHEC Collaboration The NC Health Professions Data System (HPDS) Lessons Learned The Challenge: Defining AHEC role in context of declining funding and limited national capacity for workforce planning Moving Forward: Technical Assistance
One State’s Effort to Track the Social Accountability of Medical Education
Policy context and dilemmas Medical student tracking in NC: history, data sources, methods Findings: retention of NC medical students five years out Discussion and lessons learned Future directions
The Status of Health Professions Diversity in North Carolina
Diversity and emerging workforce shortages Where do the data come from and what are strengths/limitations? What does health workforce diversity currently look like in the state? How has workforce diversity changed over time? Where are NC’s diverse practitioners educated? Data reflections: What does it all mean?
Meeting the Demands of a Transformed Health Care System
Retooling and Reconfiguring North Carolina’s Health Workforce to Meet the Demands of a Transformed Health Care System Why we need to retool and reconfigure the workforce Current challenges Future challenges What is needed to move toward a transformed system? Alignment of AHEC traditional mission with goals of health reform
Physicians in North Carolina: Sufficiency, Shortage or “Stress”
Current policy context What’s a shortage? Trends in supply and distribution Where do NC physicians come from? Why do we care where physicians trained? Who counts as primary care? If we need more people, who do we need? Health workforce planning in NC
Trends in Graduate Medical Education in North Carolina and the United States
GME is hot topic (and not just for policy wonks) North Carolina versus the United States — how do we compare? Residents trained in North Carolina – retention, specialty choice and distribution AHEC’s contribution to residency training in NC GME costs and funding Time to change the GME training paradigm?
Meeting the Needs of a Transformed Health System
Reconfiguring and Retooling the Workforce To Meet the Needs of a Transformed Health System Current policy context Health workforce planning in the past Health workforce planning in the future What can we learn from New Zealand?
Education Models to Cultivate the Rural Health Workforce
Health system is transforming; existing workers take on new roles There are imbalances in the geographic location, specialty and practice settings of health professionals New and existing workforce will shift from acute to ambulatory,community- and home-based settings Career ladders missing, have broken rungs
Trends in the Nursing Workforce in North Carolina
Presentation Overview Background on NC HPDS Licensed Practical Nurses Registered Nurses Nurse Practitioner Specialty Definitions Certified Nurse Midwifery data presented at NC General Assembly
Graduate Medical Education in the US
Lessons Learned from State Initiatives May 21, 2014: CMMI SIM Team Webinar Why Study States? • Most discussion has been national, our study examines state initiatives • In absence of substantive federal policy change, states are “policy laboratories” for GME innovation We sought to: understand successes and failures of state innovations identify innovative ideas about… Read more »
Webinar: Meeting the Needs of a Transformed Health System 4-09-14
How can we transform the workforce to meet the needs of a transformed health system? Presenter: Erin Fraher, PhD, MPP, Director, Program on Health Workforce Research and Policy, Cecil G. Sheps Center for Health Services Research, UNC-Chapel Hill When: April 9th, 2014 at 2:00pm EDT Length: 1 hour Slides: HWTACwebinar3_Fraher_9Apr2014.pdf Description: Much discussion is underway… Read more »