A large, not-for-profit medical center in the northwest needed an objective study of physician supply and demand by, specialty, to use as the foundation for its physician recruitment and engagement plan.
Consultants with Turning Point Healthcare Advisors, Inc., began by determining the service areausing the definitions outlined in the Stark III regulations.Demographics were obtained for each of three distinct geographic segments that comprise the service area.
Next, we ascertained physician supply by developing a database that included physician demographic information from the participating hospital and others in the service area, supplemented with information from the state licensing board.To ensure accuracy of physician supply, FTE status of all physicians was documented from phone calls made to each physician office.
Subsequent to establishing physician supply, we prepared a physician demand forecast using physician-to-population ratios that relate to community need.For most specialties, the ratios for the 65+ population are higher than those for the <65 population to reflect their greater use of healthcare services.
And, finally, we calculated the variance between supply and demand, taking into account physicians expected to retire during the forecast period.
Our team provided the following to the medical center:
Physician supply findings by specialty showing physician age (youngest, oldest, and weighted average) along with FTE supply projected for the next five years.
A copy of the physician database Turning Point consultants developed to determine supply.
Supply, demand, and variance by specialty projected for the next five years.
Recommendation that the facility develop an aggressive recruitment plan to address the current shortage of nearly 29 primary care physicians, which was expected to grow to 42 in the next five years.
Recommendations for the number of medical and surgical specialists, by specialty, necessary to meet community need over the next three years.
Recommendations for solidifying physician relationships and improving physician retention.
The hospital used the information to set recruitment priorities and to craft its plan to strengthen its relationships with physicians currently on staff.
Medical Staff Engagement - Case #2
A coalition of rural hospitals in the west, formed to address mutual healthcare issues, wanted an objective study of physician supply and demand, by specialty, for eight of its members, seven of which were hospitals.
Turning Point consultants started by defining the service areas of each of the eight participating entities, taking into account Stark III regulations for defining a facilityís GASH (geographic area served by the hospital). Subsequent to establishing service areas, we obtained demographics specific to each.
Next, we determined physician supply by creating a database that contained demographic data about physicians in the entire geographic area served by the coalition. Included were physicians on the medical staffs of non-participating hospitals as well as the eight participants. This information was supplemented by accessing the state licensing board, National Practitioner Identifier Web site, and American Boards of Medical Specialties. Physician supply counts were documented from phone calls made to each physician office.
Once physician supply was known by specialty, our team applied physician-to-population ratios to calculate physician demand. For most specialties, the ratios for the 65+ population are higher than those for the <65 population to reflect the older groupís greater use of health care services.
The final step was to calculate the difference between supply and demand for each of the next five years, taking into account physicians expected to retire during the forecast period.
Each of the eight participants received the following from Turning Point:
Individual profiles of all physicians on each entityís medical staff showing name, NPI number, date of birth, age, gender, specialty, FTE status, practice address(es), phone number(s), fax number(s), practice name, hospital affiliations, board certification(s), and state medical license number. (The sponsoring organization received the complete physician database.)
A supply and aging forecast, by specialty, showing the number of physicians in each specialty as well as the youngest, oldest, and average ages of those physicians.
A forecast, by specialty, comparing the supply for each of the next five years to the projected demand.
Turning Point Healthcare Advisors, Inc. 7535 East Hampden Avenue, Suite 400 Denver, CO 80231 303.752.1010 PH