Business & Education Workforce Symposium
San Jacinto College
Health Care
Workforce needs for an industry in transformation
Katrina M. Lambrecht, JD, MBA
Vice President, Institutional Strategic Initiatives
Office of the President
March 25, 2014
Agenda
• Healthcare workforce in Texas
• Forces of change
• Impact on healthcare workforce
• Technical skills
• Soft skills
• Questions
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Healthcare Workforce in Texas
• Between 2005 – 2020, demand for RNs is expected to
increase by 86% and supply by only 53%
Texas Center for Nursing Workforce Studies
• Texas has 720 RNs per 100,000 people, compared to
the U.S. average of 874
2011 Bureau of Labor Statistics, Statistics, Occupational
Employment Statistics survey and U.S. Census Data
• Texas averages 22 Physician Assistants per 100,000
people, compared to the U.S. average of 27
2010 American Academy of Physician Assistant Census
• Texas ranks 46th in the nation in the number of
physicians per 100,000 population
2009 American Medical Association
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Forces of Change in Healthcare
• Demographic changes
o Aging population
o Growth of population of Houston-Galveston region
o Increase in incidence of chronic diseases
• Patient Protection and Affordable Care Act (PPACA)
o Shared savings programs increase financial risk for providers
o Value-based purchasing links patient experience to payment
o Mental health parity
• Texas Medicaid 1115 Waiver
o Medicaid managed care expanded across the state
o Delivery System Reform Incentive Pool (DSRIP) funds innovative
programs and pays only upon achievement of outcomes
Volume  Value
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Impact on Workforce Needs
• Care increasingly provided in outpatient and community
settings
• Need is for more than just physicians and nurses
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Respiratory Therapists
Clinical Laboratory Technicians
Social Workers; Licensed Professional Counselors; Psychologists
Quality and Data Analysts; Performance Improvement Specialists
Information Technology roles
• Emergence of New Roles
o Promotora/Community Health Worker
o Health Coach
o Peer Support Specialists
• Evolution of existing roles in health care delivery
o Scope of practice
o Greater use of midlevel providers
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Technical Skills
• Nursing
o Associate Degree through Doctorate
• Physician Assistant
o Master’s Degree
• Clinical Laboratory Technician
o High School through Bachelor’s Degree
• Promotora/Community Health Worker
o High School plus 160 hours to obtain certification
• Information technology roles
o Bachelor’s degree through Master’s degree
• Social Worker
o Bachelor’s through Master’s Degree
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“Soft Skills” Are Critical
• Technical competencies are a baseline
• Healthcare reimbursement is increasingly:
o Based on patient experience (satisfaction)
o Delivered in teams
o Driven by quality outcomes
• Lack of success in a job is usually due to lack of:
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Ability to work collaboratively in teams
Effective communication skills
Punctuality - showing up for work on time
Excellent customer service
Cultural competency in interactions with patients, families and
coworkers
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Questions?
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