New Research on Workforce Needs for Population Health and Care Coordination Models

2015 Summer Newsletter, Initiative Updates

GNYHA Report on Emerging Positions in Primary Care

GNYHA released its first workforce report focused on the ambulatory setting, Emerging Positions in Primary Care: Results from the 2014 Ambulatory Care Workforce Survey. With support from NYACH, the survey was conducted to understand how GNYHA member hospitals are addressing workforce issues in the context of the rapid changes in State policy and new expectations in the ambulatory care environment. The report includes results related to care coordination roles that support emerging primary care models, such as the Patient-Centered Medical Home. It also includes information on hiring requirements, recruitment challenges, and training and education needs. NYACH and its partners will use the survey results to inform curriculum development and training efforts.

PCDC and 1199SEIU Release Report on Building New York’s Care Coordination Workforce

A new report by the Primary Care Development Corporation and 1199SEIU United Healthcare Workers East discusses significant challenges that threaten to undermine the care coordination and care management workforce as healthcare transformation gets underway. The report “Who’s Going to Care?  Analysis and Recommendations for Building New York’s Care Coordination and Care Management Workforce” was based on the survey results of 49 downstate New York Health Homes (which manage care of Medicaid enrollees with costly and complex chronic conditions) about their care management and care coordination workforce.  The study revealed that (1) recruitment and retention challenges are prevalent, driven by insufficient salaries, high caseloads and a lack of appropriate skills and competencies; (2) job titles for those providing care coordination and care management are still evolving; (3) a diverse and broad set of skills and competencies are needed by the care coordination and care management workforce; and (4) ongoing training and supervision are needed for staff that provide care coordination and care management. The recommendations include the need for sufficient compensation, training, and career ladders to ensure the effectiveness of care coordination.

Upcoming Report on Emerging Titles in FQHCs

With support from NYACH, the Community Health Care Association of New York State (CHCANYS) will soon release a report on new job titles that are emerging in federally qualified health centers (FQHCs) in New York City as healthcare reform proceeds and “team-based” care becomes the new norm.  To develop this report, CHCANYS partnered with the Center for Health Workforce Studies (CHWS) at the State University of New York at Albany to conduct a survey of FQHCs across New York State.  Twenty-eight FQHCs in NYC responded to the survey.  The report will focus primarily on the extent to which specific emerging titles, including care coordinators, community health workers, health educators, and patient navigators, are used by FQHCs across the five boroughs.  It will also outline related skill and education requirements, recruiting methods, training needs, as well as a set of training and policy recommendations.  CHCANYS will release a workforce report early next year focused on the entire state.