Re-Imagining Michigan’s Primary Care Workforce

In a perfect world

supply x capacity = demand

Looking at demand

supply x capacity

demand=

Grimes and Fulton, Institute on Labor, Employment and the Economy, Prepared for Michigan Department of Transportation

0 to 17 18 to 24 25 to 44 45 to 64 65 plus0

5

10

15

20

25

30

20102040

Percent of Michigan Population Distribution by Age Group

Perc

en

t of

popu

lati

on

1 in 4Michigan residents will be older than65 by 2020

439,975 new Medicaid

beneficiaries

272,537 Exchange Consumers

Looking at supply

supply x capacity

demand=

By 2030America will have apermanently smaller

labor force

GONE FISHINGProviders of all types are quickly approaching retirement age

NONE A FEW MANY0

20

40

60

80

100

1200%

4600%4200%

Nearing Capacity of Current ProvidersPercent of physicians reporting number of

new patients they can accept

Source: 2012 MDCH Survey

501 Health Professional

Shortage Areas

Looking at capacity

supply x capacity

demand=

We need to pick the right workforce tools to solve the right problems

Right people, right place, right time

Complexity of care needs

Source: Ani Turner, Altarum Institute

What could change the equation?

Interprofessional collaboration is a growing development

Personal and Systems Technology

By 2020 the “Doctor’s Office”May Look More Like This

Are We Ready?

Are We Prepared?

16 reports with more than 200 individual recommendations since 2006

Michigan Department of Community Health Increasing health care workforce capacity in Michigan2012

Blue Ribbon Physician Workforce Committee2006

Michigan Primary Care AssociationImproving Michigan’s primary care workforce policies2012

U.S. Department of Health & Human ServicesHealth Resources and Services AdministrationStrategic partnership session2009

Centers for Disease Control and PreventionModernizing the workforce for the public’s health: Shifting the balance2013

American Hospital AssociationWorkforce roles in a redesigned primary care model2011

American Hospital AssociationWorkforce 2015: Strategy trumps shortage2010

Bipartisan Policy CenterThe complexities of national health care workforce planning2011

Association of Academic Health CentersOut of order, out of time: The state of the nation’s health workforce2008

New York State Workforce Investment BoardTransforming the health workforce for New New York2012

Institute for Alternative FuturesPrimary care 2025: A scenario exploration2012

Association of Academic Health CentersState actions and the health workforce crisis2007

Robert Graham Centern.d.

National Institute for Health Care ReformMatching supply to demand: Addressing the U.S. primary care workforce shortage2011

Urban Institute Health Policy CenterAssuring access to care under health reform: The key role of workforce policy2011

1

At your table, you only have

At your tables, answer these questions

What foundations exist today to build

upon?

What is the value to re-imagining primary

care?

What are the first steps we’d need to

take?

Who is at the table? Who is the champion?