Post on 27-May-2020
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RURAL RECRUITMENT PLAYBOOK OUTLINE
State of the industry and trends in rural physician recruitment
Emerging strategies for recruitment into rural communities.
Examples of optimized recruitment & retention outcomes
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Projected physician shortfall between 40,800 and 104,900 by 2030. Demographic trends
continue to be the primary drivers of increasing demand from 2015 to 2030.
Physician’s retirement decisions are projected to have the greatest impact on supply.
If underserved populations had standard care utilization patterns, demand for physicians would rise substantially.
Source:“TheComplexitiesofPhysicianSupplyandDemand2017Update.”IHSMarkit forAssociationofAmericanMedicalColleges.February2017
STATE OF THE INDUSTRY
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Medical School Graduates Outnumber Residency Slots
Limits on Treatment Activity by Advanced Practice Providers
Visa Processing Backlog and Foreign Travel Restrictions
Adverse Malpractice Climate
TRENDS IN RURAL RECRUITMENT
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ACUTE SHORTAGE OUTSIDE OF MAJOR CITIES
Lessthan8%ofphysicianspracticeinruralareas
About20%ofAmericansliveinruralareaswheremanydonothaveeasyaccesstoprimarycareorspecialistservices
Source:TrendWatch,AmericanHospitalAssociation;Doximity
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RURAL PRIMARY CARE CANDIDATE POOL
Source:2017AAMCStatePhysicianWorkforceDataBook
ActivePrimaryCarePhysicians296,353
Est.PhysiciansUnder60177,812
Availabledueto7%Turnover12,447
(+)3YResidents40,674
Est.8%ChooseRural3,254
15,701
24%ofResidentsareInternationalMedical
Graduates
78%ofInternalMedicineResidentsPursueSubspecialties
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HIGHLY DISPROPORTIONATE ACCESS TO MEDICAL CARE
NationalRuralHealthSnapshot Rural Urban
PercentageofAmericanpopulation 19.3% 80.7%
Populationaged65andolder 18% 12%
Physiciansper10,000people 13.1 31.2
Specialistsper100,000people 30 263
Source:HealthResourcesandServicesAdministrationandRuralHealthInformationHub.
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COMMUNITY IMPACT
Each physician supports 14 jobs and $2.2 million in economic input for a community.
Adding One Physician to a community of 10,000 people is associated with a 5.3% reduction in average mortality.
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FIND PASSIVE CANDIDATES ONLINE
ofall physiciansusesocialmediaforprofessionalnetworking
Digital Recruitment is a Trend that is Here to Stay
31%Source:MaximizingMulti-ScreenEngagementAmongClinicians,Epocrates,Inc.2013;MedTech Media2015
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FIND PASSIVE CANDIDATES ONLINE
ofU.S.physiciansareonDoximity – a“Top5”smartphoneappusedbytheAmericanCollegeofPhysicians
Digital Recruitment is a Trend that is Here to Stay
70%Source:Doximity;AmericanCollegeofPhysicians
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FIND PASSIVE CANDIDATES ONLINE
ofall physiciansprefertoreceiveinfoaboutjobopportunitiesviaemail.
Digital Recruitment is a Trend that is Here to Stay
95%Source:MMSJobOpportunityPreferences
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RURAL RECRUITMENT PLAYBOOK OUTLINE
State of the industry and trends in rural physician recruitment
Emerging strategies for recruitment into rural communities.
Examples of optimized recruitment & retention outcomes
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CULTURE AND ENGAGEMENTThe Interview: Window to Your Culture
TailortheInterviewTeam totheCandidate
UtilizeYourBestFacility
andCommunityAdvocates
AssignTopics&EnsureConsistentMessage
ExploretheCandidate'sPrioritiesandMotivations
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CULTURE AND ENGAGEMENT
ShareYourFacilityVisionandCommunityImpact
MatchYourCommunityandCulturetothePhysician’sValues
InvolvetheSpouseandFamily
PersonalizeandStrategizeEvery Interview
The Interview: Selling the Vision
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MORE IMPORTANT THAN MONEY
Source:“TheEngagementGap,”JacksonHealthcare,2016
Two elements have the strongest relationship to satisfaction:
Trust in the hospital / health system’s leadership team
Quality of communication across the hospital or health
system
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RURAL RECRUITMENT PLAYBOOK OUTLINE
State of the industry and trends in rural physician recruitment
Emerging strategies for recruitment into rural communities.
Examples of optimized recruitment & retention outcomes
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TRANSPARENCYVisits/Procedures
Expenses
PracticeOverhead
Profit/(Loss)
Charges
WorkRVUs:RVUs&Expense(Cost)perVisit
Expensesas%ofCollections
PatientCollections
GrossCollection%
AccountsReceivable
Staffing
PayerMixbasedonEncounters
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AUTONOMY
Source:MedscapePhysicianCompensationReport2017
TooManyHours
PerWeekonPaperwork
NotEnoughTimewithEachPatient
Nationwide: Physicians Do Not Have Enough Control Over Their Time
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DEFINING BENCHMARKS
End ResultPlacementsperYear
EfficiencyInterviews-to-Hire|Time-to-Fill|Etc.
ProcessRecruitmentSpend-per-Hire|Retention|Etc.
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DEFINING BENCHMARKS
123
456
TotalPlacements
Interviews-to-Hire
Time-to-Fill RecruitmentSpend-per-Hire
Retention
AcceptanceRate
TypicalRecruitmentBenchmarks
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EFFECTIVE RECRUITMENTSuccessFactorsforSmall,RemoteCommunities
PrimaryCareSouthBigHornCountyHospital
Basin,WY
FamilyMedicineandNPPeakVistaCommunity
HealthCentersLimon,CO
Ob/GynGlendiveMedicalCenter
Glendive,MT
MultipleCanton-PotsdamHospitalCanton,NY
ForensicPsychiatryOklahomaForensicCenterVinita,OK
FamilyMedicineFriendCommunityHealthcareSystemFriend,NE