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Hawaii’s Physician Workforce: Update

Hawaii’s Physician Workforce: Update. Healthcare Association of Hawaii May 20, 2011. Kelley Withy, MD, PhD David Sakamoto, MD, MBA withy@hawaii.edu dts@hawaii.edu. Primary Care Estimates for APRN, PA, MD & DOs. PA: Supply estimate: 35 FTE Demand Estimate: 59 FTE

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Hawaii’s Physician Workforce: Update

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  1. Hawaii’s Physician Workforce: Update Healthcare Association of HawaiiMay 20, 2011 Kelley Withy, MD, PhD David Sakamoto, MD, MBA withy@hawaii.edudts@hawaii.edu

  2. Primary Care Estimates forAPRN, PA, MD & DOs • PA: Supply estimate: 35 FTE • Demand Estimate: 59 FTE • Physicians: Supply estimate: 892 FTE • Demand estimate: 1,228 FTE • APRN: Supply estimate: 209 FTE • Demand estimate: 268 FTE

  3. Primary Care Estimates forAPRN, PA, MD & DOs • Current Total Supply, using .75 productivity conversion factor for PAs & APRNs = 1,075 • Current Total Demand = 1,473 2010 Shortage of Primary Care Providers is 27%

  4. Solutions Priorities, Designated at June, 2010 Summit Tort reform, loan repayment New systems of care, Administrative simplification, Reimbursement changes Loan repayment, Sin tax, Tort reform Office space, Business Services Pipeline, Appreciation, Social Integration Pipeline Programs, Targeted Training, Implement EHR, Group Formation, Increase non-Physician Clinicians, Medical Home Model

  5. Change Model of Care • Care teams, Care Coordination, Increase Non-physician clinicians • Patient centered medical home • Kaiser, HMSA, HPCA, HPH • Should we have a conference for education and consensus building? • Accountable Care Organizations

  6. Revenue Support • Medicare reimbursement to physicians (#8) • US Bureau of Labor has Hawaii in bottom quartile (except peds) • MGMA not assess HI, but current hiring at MGMA average? • Fairhealth doing a claims database study of reimbursement rates (previously Ingenix) Rural payment differential (UHA and AlohaCare) • Business assistance • Loan repayment

  7. Administrative Simplification • Central web portal with current enrollment data • Eligibility, plan benefits/restrictions, co-payment • Drug formularies, rules, forms (standard preauthorization forms would save staff time) • Single credentialing service • Standard contract (provider : insurer) • Standardized claims processing, CPT conventions and ability to track claims • Uniform Health ID card

  8. Tort Reform • Workgroup: • Pretrial Hearing Process Review/New Ideas • Enterprise Medical Liability • Broadens the prospects for holding healthcare organizations, such as hospitals and health plans, directly responsible for medical injuries, in addition to or instead of holding the individual providers liable • Payors demand reduced utilization; legal system says, do everything

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