Reinventing the Health Care Workplace I

✯ ✯ 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 • • • • • • Demographic – Aging Demographic – Diversity Values – Women in Workforce Values – Generation X Stressed Delivery System and Institutions Consumerism Kimball 1/03 What we know now…. • • • • A different kind of work force shortage Past solutions will fall short The public mission is threatened An impending workforce crisis looms Kimball 1/03 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 Kimball 1/03 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 Kimball 1/03 The War for Talent Lessons from other Service Sectors Education, Religion, the Military: • • • • • • 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 Kimball 1/03 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 Kimball 1/03 A Range of Stakeholder Strategies • National Professional Organizations • Health Care Industry • Labor • Legislatures • Government Entities • Education Organizations • Health Care Delivery Organizations • Staffing Organizations • Philanthropies Kimball 1/03 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 Kimball 1/03 A Continuum of Responses, an Evolving Profession High Complexity and Professionalism 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 Kimball 1/03