Transcript Hawaii Physician Workforce Project: Everyone Must Do Their Part

Hawaii’s Physician Workforce: Update
Healthcare Association of Hawaii
May 20, 2011
Kelley Withy, MD, PhD
[email protected]
David Sakamoto, MD, MBA
[email protected]
Primary Care Estimates for
APRN, 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
Primary Care Estimates for
APRN, 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%
Solutions Priorities, Designated at June, 2010 Summit
Tort reform, loan repayment
New systems of care,
Administrative simplification,
Reimbursement changes
Third party
payers
Government
Community
Pipeline,
Appreciation,
Social Integration
L
Business
Office space,
Business Services
Medical
Community
Pipeline Programs, Targeted Training, Implement EHR, Group Formation,
Increase non-Physician Clinicians, Medical Home Model
Change Model of Care
• Care teams, Care Coordination, Increase Nonphysician clinicians
• Patient centered medical home
• Kaiser, HMSA, HPCA, HPH
• Should we have a conference for education and
consensus building?
• Accountable Care Organizations
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
Administrative Simplification
• Central web portal with current enrollment data
• Eligibility, plan benefits/restrictions, copayment
• 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
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