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2003 National Health Policy ✯Conference
January 22-23, 2003
J.W. Marriott
Washington, D.C.
Reinventing the Health Care
Workplace
Bobbi Kimball, RN, MBA
The 2003 National Health Policy Conference
Washington, D.C.
High Priority Challenge:
Clinical work force shortages
• What are the key drivers of this situation?
• Can past solutions be effectively applied?
• Are there lessons to learn from outside of health care as
to how we should respond?
• Is there a framework for moving forward?
• What innovative approaches are stakeholders using to
address the current work force challenge?
Kimball 1/03
Drivers: A Shifting Environment
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Demographic – Aging
Demographic – Diversity
Values – Women in Workforce
Values – Generation X
Stressed Delivery System and Institutions
Consumerism
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What we know now….
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A different kind of work force shortage
Past solutions will fall short
The public mission is threatened
An impending workforce crisis looms
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What Drives Other Sectors ?
Same demographics & demanding customers…
• Performance standards
– Quality * Regulatory * Globalization
• New technological and organizational
competencies
• Changing nature of work
– Flatter * Faster * Flexible
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The War for Talent
Lessons from the Corporate Sector
• Move workforce to the highest strategic
level (work force = strategic asset)
• Invest in technology to enhance
workplace
• Build sustainable workplaces
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The War for Talent
Lessons from other Service Sectors
Education, Religion, the Military:
•
•
•
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•
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Redefine entry into the profession
Focus on under-representation
Integrate recruitment and retention
Create sustainable career paths
Information: image and attractiveness
Create public understanding and will
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2002 National Reports Drill Down
“In Our Hands: How Hospital Leaders Can Build a
Thriving Workforce”
-American Hospital Association
“Healthcare at the Crossroads”
-Joint Commission on Accreditation for
Healthcare Organizations
“Health Care’s Human Crisis: The American Nursing
Shortage”
-The Robert Wood Johnson Foundation
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A Range of Stakeholder Strategies
• National Professional
Organizations
• Health Care Industry
• Labor
• Legislatures
• Government Entities
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• Education
Organizations
• Health Care Delivery
Organizations
• Staffing Organizations
• Philanthropies
Where do we go from here?
• New solutions are required
• New partnerships are necessary
• Technology, Diversity & Consumers play key
roles in the future of health care
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A Continuum of Responses,
an Evolving Profession
Complexity and Professionalism
High
Start Over
(Nurse as
Professional
Partner)
Reinvent
(Nurse as Valued
Asset)
Improve
(Nurse as Customer)
Scramble
(Nurse as
Commodity)
Low
Short Term
Long Term
Time
Care Defined by
Institutional Needs
Care Defined by
Consumer Needs
Value to Consumers
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