Category Archives: Jobs
Physician Compensation Patterns Pose Challenges to Efforts to Incentivize Changes in How Care Is Delivered
Salary is the most common type of compensation for physicians in non-solo practice settings, many of whom are paid through a blend of methods, according to a new American Medical Association (AMA) Policy Research Perspectives report that says it provides a “rare glimpse” into how non-solo physicians are paid.
Just over 53 percent of non-solo physicians reported that all or most of their compensation came from salary, while nearly 32 percent said all or most of their compensation was based on personal productivity. The report points out that this breakdown “suggests that it may be difficult to align practice-level incentives that encourage judicious use of resources with physician-level incentives that do not.”
Ideally, the report says, financial and other incentives would encourage physicians to make the best care decisions possible for patients, providing them “the right care, in the right place, and at the right time,” but current incentives often do not encourage that approach.
Nearly 40 percent of the country’s 100 most promising employment opportunities are in health care, according to the Best Jobs of 2014 list recently published by U.S. News & World Report.
Although the health care sector dominates the list, it did lose the No. 1 spot (to technology) for the first time since U.S. News launched the annual rankings in 2012. The top 10 jobs include dentist (at No. 3), nurse practitioner (4), pharmacist (5), registered nurse (6), physical therapist (7), physician (8), and dental hygienist (10).
Other health care jobs on the list include occupational therapist, phlebotomist, physical therapy assistant, diagnostic medical sonographer, respiratory therapist, licensed practical and licensed vocational nurse, optician, home health aide, and paramedic.
This is part of the January 2014 issue of Sharing Nursing's Knowledge.
Travel nursing has gotten some bad press recently thanks to Scrubbing In, a salacious new “reality” show on MTV about a group of young travel nurses in California.
More realistic and less sensational information can be found at The Gypsy Nurse, a blog about travel nursing by Candy Treft, RN, a veteran of the field. It is aimed at nurses who suffer from what she calls “hypertravelosis,” a tongue-in-cheek condition in which nurses have an overactive need and desire to travel. The treatment plan, of course, involves becoming a travel nurse.
Treft was inspired to become a nurse when she found herself unemployed and attempting to support herself and two young children. She decided to become a travel nurse in 2004, and has since worked in 16 states and in Europe. She has also traveled throughout North, Central, and South America.
“I live, work, eat, sleep, and breathe TRAVEL,” she writes on her site.
More than half of the 50 jobs projected to be the nation's fastest-growing occupations over the next several years are in the health care industry, according to a new report from the human resources company CareerBuilder and its research affiliate, Economic Modeling Specialists International.
Among the 26 health care jobs in the top 50, the ones with growth rates of 15 percent or greater include biomedical engineers, personal care and home health aides, physical therapy and occupational therapy assistants, physical therapy aides, diagnostic medical sonographers, and medical scientists (except epidemiologists).
The health care sector has created 166,800 new jobs so far this year, according to data from the Bureau of Labor Statistics—but that’s down from the 266,400 new jobs created in the first nine months of 2012. The sector created 6,800 jobs this September, compared with 36,600 in September of last year.
Experts note that these numbers have yet to reflect any slowing demand for physicians and other clinicians.
With health reform taking effect, consolidations and other changes in the health care industry, “what you are seeing is simple action-reaction,” Travis Singleton, senior vice president at the health care staffing firm Merritt Hawkins & Associates, told Health Leaders Media. “[A]nytime you have mass change to an industry you are going to get a reaction.” Singleton says that Merritt Hawkins saw a 14 percent increase in its physician and advanced practice recruiting assignments from 2012 to 2013, and he expects recruitment and hiring to continue to increase, especially in nursing.
Three years ago this week, the Institute of Medicine issued a landmark report, Future of Nursing: Leading Change, Advancing Health. Its recommendations include increasing the proportion of nurses with baccalaureate degrees to 80 percent by 2020. Charleen Tachibana, MN, RN, FAAN, is senior vice president, hospital administrator, and chief nursing officer at Virginia Mason Medical Center in Seattle, Washington. Tachibana is a Robert Wood Johnson Foundation Executive Nurse Fellow (2009 – 2012).
Virginia Mason Medical Center began a bachelor of science in nursing (BSN)-only hiring guideline in the summer of 2012. The change in hiring guidelines for our staff followed a decade of having educational guidelines in place for our nurse leaders. This was a critical step in our success, as our leaders were able to support and understand the need for this change. It’s important for leaders to model lifelong learning, including advancement with formal education. So, last August I also began my Doctor of Nursing Practice (DNP) program.
The publication of the Institute of Medicine (IOM) report on the Future of Nursing really provided the momentum to move to another level. The prominence of this report has made this a relatively easy transition and provided the clarity on why this is critical for our patients and for our profession at this point in time.
Although we have focused this requirement on new hires, it’s been impressive to see the wave of staff RNs returning to school, many for their master’s or doctorate degrees.
The growth of the health care industry—which far outpaced growth in other sectors of the economy over the last decade—helped fuel the nation’s economy recovery, according to a report released last month by the Brookings Institution.
Health care has added 2.6 million jobs nationwide over the last decade, and its employment growth rate (22.7%) significantly outpaced the 2.1 percent growth rate in all other industries.
In the nation’s 100 largest metropolitan areas, health care represents a higher share of jobs today than before the recession struck (2007-2009), the report finds. Thirteen percent of total job growth in those metropolitan areas during the economic recovery can be attributed to health care.
Today, health care accounts for more than one in every 10 jobs in the 100 largest metro areas, ranging from 7 to 20 percent of total employment.
Health care employment accounted for 10.74 percent of total employment in the United States in March, according to a report by the Altarum Institute. One out of every nine jobs was in the health care sector—an all-time high, the report says.
Bureau of Labor Statistics (BLS) March 2013 employment data show that health care employment rose by 23,000 jobs in March, and most were in ambulatory care. Health care has added 1.4 million jobs since the start of the recession in December 2007, the report says, while non-health employment has fallen.
The Altarum Institute is a nonprofit health systems research and consulting organization.
Dentists and nurses are the occupations that will offer the best employment opportunity, salary, work-life balance, and job security in 2013, according to an annual ranking released by U.S. News & World Report. Other health care jobs also made the top tier, including physicians at number five, out of 100 occupations listed.
The dental profession should grow 21.1 percent by 2020, the piece says, and physicians will see “abundant job growth” in that same period. Nurses will also be in greater demand as the population ages, but the rankings note that nurses “will almost always have great hiring opportunity” because of the expanse of the profession.
U.S. News gives each profession is given an overall score calculated from seven component measures: 10-year growth volume, 10-year growth percentage, median salary, employment rate, future job prospects, stress level, and work-life balance.
A report from the consulting firm Accenture finds a significant drop in physicians who practice independently, from 57 percent in 2000 to 39 percent in 2012. Business costs and expenses were the top concerns influencing physicians’ decision to seek employment (cited by 87 percent of survey respondents).
For those who remain independent, alternative business models are becoming more common. Accenture estimates that one-third of independent physicians will adopt subscription-based care models, like high-end concierge medicine and direct pay models.
“Doctors who convert to subscription-based models that shift the focus away from service volume will not only access greater financial rewards, but will also gain the flexibility to get back to the basics of patient care,” the report says. “Patients could also reap the rewards by gaining enhanced access to care at a service level they can afford.”
Accenture estimates that only 36 percent of physicians will be practicing independently by the end of 2013. The survey of 204 physicians who represented an equal split of primary care and specialty physicians was conducted in May.