What to Do About the Biggest Physician Recruitment Issues Affecting FQHC’s in 2019

By

As physician recruitment becomes even more competitive each year, Federally Qualified Health Centers (FQHC) are feeling the brunt of the challenges. Jackson Physician Search, in partnership with CommonWealth Purchasing Group, recently published a white paper on the Issues Affecting FQHC’s.  Here is a brief synopsis of the major talking points.

Shrinking Candidate Pool

The National Association of Community Health Centers is reporting that at least 95% of all health centers are reporting a clinical vacancy, with 70% of those being a physician opening.  Because CHC’s are expected to be managing the care of more than 35 million patients by 2020, not having candidates to fill vacancies is going to be impacting communities across the United States.  As you might expect, primary care is the hardest hit regarding vacancies, but keep in mind that CHC’s are providing a broader range of services than traditional primary care. Reports show that less than 6% of medical students plan to practice Family Medicine and 2% are pursuing internal medicine.

Compensation Models Have Changed

In years past, CHC’s would promote “non-monetary” benefits to practicing in a CHC. Things like a better schedule and quality of work/life balance, all used to be part of the draw to a small health center. Those advantages are no longer exclusive to CHC’s and rural practice settings.  Now, hospitals of all sizes are using every means available to attract qualified candidates in this highly competitive recruitment environment.  Salaries and sign-on bonuses are rising, loan forgiveness is being offered, and FQHC’s are having a difficult time keeping pace.

Four Things that FQHC’s Can Do to Recruit and Retain Staff

  1. Develop a Brand Strategy and Recruitment Marketing Plan – Less than 25% of FQHC’s have a fully implemented marketing plan. Physicians today are more interested in things like organizational culture and work environment than in years past. This is an area that a smaller health center can excel at if the time and attention is paid to developing a winning brand that highlights culture, values, and work/life balance.
  2. Develop Local and Regional Outreach Campaigns – FQHC’s can compete through the development of training partnerships with local or regional academic institutions. Attracting and retaining local talent can be accomplished with a solid brand strategy, promoting training partnerships, shadowing and mentor programs and other similar community relationships that draw candidates into a facility.
  3. Create a Comprehensive Retention Program – Recruiting a physician is only one-half of the battle. Having to replace a physician can take as long as 24 months and cost more than $500,000. By developing internal systems that monitor physician and staff satisfaction and continually cultivate a positive workplace culture, health centers can proactively achieve better retention. Also, by focusing on the type of employee that embodies their culture, they are prone to attract and hire individuals who fit that culture.
  4. Review Your Compensation Model and Delivery Team – Health centers are no longer able to get physicians “at a discount.” Salaries are much more competitive today across all practice settings, so CHC’s are being forced to be more creative. Implementing productivity metrics is one way to improve a physician’s base salary. CHC’s are also more commonly offering 3- or 4-day work weeks as a quality of life benefit.  This trend coincides with the utilization of more nurse practitioners and physician assistants to supplement the staff.

There is no simple answer to how FQHC’s can compete in the ultra-competitive physician recruitment and retention environment.  What is required is a fully developed strategy that incorporates many or all of the elements identified.  As Community Health Centers continue to play an integral role in the healthcare industry and more importantly in helping the patients and communities where they are located, it is critical that we as an industry support their needs.

If you are looking for a partner with the resources, experience, and nationwide reach to help solve your critical recruitment and retention challenges, contact Jackson Physician Search and find out how we can help today.

 

Jackson Physician Search Issues Affecting FQHCs White Paper

[White Paper] Issues Affecting FQHCs: What will it take for Federally Qualified Health Centers to survive in today’s healthcare physician recruiting climate?

Physician vacancies are affecting the majority of health centers across the country. This paper examines some of the recruitment and retention challenges that Federally Qualified Health Centers are…

Physician Hiring Outlook

2019 Outlook for Hiring Physicians

For several years, reports of the ongoing physician shortage have dominated the headlines.  To give healthcare leaders the comprehensive information they need to invest and adjust…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

How to Close Physician Recruitment Gaps and Improve ROI in 2019

By

This is the final article in an ongoing series summarizing the findings in a recent white paper published by the President of Jackson Physician Search, Tony Stajduhar. To read “Physician Recruitment: The Cost to Hire and Return on Investment” in its entirety, find it here.

The physician shortage is our current reality across the healthcare industry.  Treating it as anything less than an urgent situation is a step closer to a financial cliff. Your key consideration in all of this is how well your recruiting and hiring process is working.  If your recruitment process is broken and your time to fill rates are lagging, then the chances are you are going to end up with a bad hire anyway.  The time to invest in the implementation of key best practices to improve your hiring process and create success in the recruitment process is now.  Here are a few ways you can close your physician recruitment gaps, improve your hiring process, and see a better return on investment.

  1. Continuous Recruiting – Just because you have identified a group of candidates and scheduled interviews, don’t stop recruiting. It is important to continue the process until you have a signed contract in hand.  Why you ask? First, at any point in the process, you may find yourself back at square one due to unforeseen circumstances. Second, you need to maintain your leverage throughout the negotiating process and keep your potential candidates engaged.  Lastly, it is important to create a memorable experience for the candidates you meet to keep your referral pipeline full and also keep them engaged for future needs.
  2. Don’t Get Stuck on Cost per Hire – While the cost per hire is an important metric, viewing your recruitment process in its entirety allows you to measure whether or not you have made a good hire in the long run. The quality of hire impacts your return on investment because of turnover, loss of patient loyalty, quality of care, and other issues.
  3. Strategic Partnerships Can Improve ROI – Sometimes finding the right strategic partner is the key to improving your recruitment process. Smaller systems or community health centers may not be equipped to cast a wide enough net to attract the right candidate to a position. Finding a partner that can manage the digital tools available and has a trusted reputation in the industry will allow your key internal leaders to focus on creating a quality interview process and keeping the process on track.
  4. Paint a Better Picture – As a candidate goes through the recruitment process, there are many considerations that they are internally processing. For example, is the community a place that is a good fit for their family? They are going to be assessing your workplace culture and whether or not they can envision themselves fitting in and contributing. Far too often, the process gets bogged down by paperwork and non-human considerations.  Instead, create an onboarding process that caters to them as a person and their family as a whole. Highlight the community, the schools, and the things that will engage them in the longer term.  Focusing on the person first creates an environment that builds trust, rapport, and retention, not to mention word of mouth that benefits your referral pipeline.

If your organization is suffering from a lackluster recruitment process or is saddled by too many bad hires, we can help.  Jackson Physician Search has the experience, nation-wide reach, and industry knowledge to help you streamline your recruitment, hiring, and retention process.  Contact our team today and find out how we can be the strategic partner you need.

Benchmarking Your Recruitment Tactics

Benchmarking to Improve Your Recruitment Process

This is the second in an ongoing series summarizing the findings in a recent white paper published by the President of Jackson Physician Search…

Physician’s Contribution

What is the ‘Physician’s Contribution’ Really Worth?

This is the second in an ongoing series summarizing the findings in a recent white paper published by the President of Jackson Physician Search…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

What is the ‘Physician’s Contribution’ Really Worth?

By

This is the third article in an ongoing series summarizing the findings in a recent white paper published by the President of Jackson Physician Search, Tony Stajduhar. To read “Physician Recruitment: The Cost to Hire and Return on Investment” in its entirety, find it here.

In our last article, we looked at how organizations can utilize benchmarking to drill down and find the true costs of your recruitment and hiring process.  While it is important to benchmark against national medians to understand how physician compensation and your recruitment costs will impact your return on investment, it doesn’t tell you the whole story.  Other variables that play an important role in ROI consideration are payer mix, your market’s clinician supply/demand, quality incentive payouts, and cost of living.

Finally, a big piece of the puzzle that often gets overlooked is ‘Physician Contribution.’  Simply put, physician’s contribution relates to the typical inpatient and outpatient revenues, referral revenues, and other incomes not directly related to patient care. For example, a primary care physician can generate as much as $1.5 million in indirect revenue, from labs to imaging, and hospital admissions. Additionally, as much as 10% of primary care visits result in specialty referrals!

While examining the data, it is easy to pinpoint your revenue generation indicators, what your specific referral ratios are for each physician by department, and more.  With that, you are still missing pieces of the revenue puzzle.  Physician’s contribution also includes non-monetary benefits that can’t be discounted.

Non-monetary conditions include better staff morale and patient satisfaction because the department is fully staffed.  Patients are less likely to migrate to a new provider because their needs are being met in an environment that is noticeably more efficient and timely.  Physician retention and overall organizational culture will improve leading to lower turnover, shorter vacancies, and improved fill rates.  It is important to recognize the link between a healthy culture and physician recruitment and retention.  Healthy workplace culture is not a condition that is hidden from view. Being recognized as a great place to work is generally known within community circles and any physician, or any potential staff member, doing their due diligence on a job opportunity will learn that information.

Organizations that aren’t focused on creating a healthy culture will ultimately pay a price.  Research demonstrates a direct link between culture and performance measurables related to healthcare. In a healthy workplace culture where the clinical staff understands their role and how it relates to the organization’s mission and values, you can find a 33% increase in overall quality.

If your organization is behind the curve on developing and maintaining a healthy culture, or if you are looking to improve your recruitment and retention process, contact us today and find out how Jackson Physician Search can help.

Benchmarking Your Recruitment Tactics

Benchmarking to Improve Your Recruitment Process

This is the second in an ongoing series summarizing the findings in a recent white paper…

The True Cost of Physician Vacancies

The True Cost of Physician Vacancies

This article is the first in a series of content that reflects upon the findings in a recent white paper published…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

Benchmarking to Improve Your Recruitment Process

By

This is the second in an ongoing series summarizing the findings in a recent white paper published by the President of Jackson Physician Search, Tony Stajduhar. To read “Physician Recruitment: The Cost to Hire and Return on Investment” in its entirety, find it here.

In our first white paper summary, we highlighted how much vacancies are costing healthcare organizations. Now, let’s focus on how much it costs you to recruit and fill those physician vacancies.  As if healthcare organizations don’t lose enough revenue by having lingering vacancies in their physician ranks, having an inefficient recruitment process not only wastes time and money, it also keeps the vacancy open longer.

In thinking about your organization’s recruitment process answer this simple two-part question, ‘Are we measuring key recruitment metrics, and if so, are we acting on the data?’  If you answered no to either of the above, then your recruitment process is in dire need of attention.  Here are a few key indicators you should be measuring:

  • Time to Fill – Team Satisfaction Scores
  • # of Interviews to Hire
  • # of New and Returning Patients
  • Acceptance Rate percentage
  • Three- and Five-year retention rates
  • Physician Satisfaction Scores

Benchmarking your recruitment process from top to bottom allows you to reveal inefficiencies and make the necessary corrections for improvement. No matter how successful your recruitment process may have been in the past, as times change and the candidate profiles change, what worked yesterday doesn’t necessarily work today.

A recent survey found that 95% of physicians want to receive job information by email, but the volume of contacts they receive are watering down the effectiveness of solicitation. Over 39% of physicians report multiple job solicitations each week. Compounding the issue is that doctors are finding that they are receiving relevant information less than 10% of the time. It is critical for organizations to do a deeper dive into creating targeted emails that resonate with the recipients. Refining the email content to be more relevant can be achieved if you are collecting the data and acting upon the results.

An effective way to engage physicians who may be interested in a career move, is through social media, as a surprising 87% of physicians between the ages of 26 and 55 are using social media platforms. The key for savvy healthcare organizations is to attract passive candidates by producing fresh, interesting content that sets you apart from your competitors. If physicians are drawn to your content because it piques their interest, you are essentially recruiting them before they even know it.

If you feel that your recruitment process is suffering from the same old, same old and your vacancies aren’t being filled in a reasonable timeframe, it may be time for a total recruitment makeover.  Check out our ‘Guide to Developing a Strategic Physician Recruitment Plan’, or contact a Jackson Physician Search recruitment professional today.

 

Jackson Physician Search Physician Recruitment ROI White Paper

[White Paper] Physician Recruitment: The Cost to Hire and Return on Investment

President of Jackson Physician Search, Tony Stajduhar, gives insight into how vacancies and recruiting can quickly become costly. If you’re looking to optimize your ROI when it…

The True Cost of Physician Vacancies

The True Cost of Physician Vacancies

According to a 2018 Association of Physician Recruiters’ (ASPR) survey, 40% of physician vacancies in 2017 went unfilled.  The largest …

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

The True Cost of Physician Vacancies

By

This article is the first in a series of content that reflects upon the findings in a recent white paper published by Tony Stajduhar, President, of Jackson Physician Search, titled Physician Recruitment: The Costs to Hire and Return on Investment.

According to a 2018 Association of Physician Recruiters’ (ASPR) survey, 40% of physician vacancies in 2017 went unfilled.  The largest number of hiring searches were for family medicine, hospital medicine, internal medicine, neurology, and urgent care.  With these shortages in mind, it is even more concerning when you realize that by 2020, almost 33% of active physicians will be 65 years of age and older.  If you are struggling with filling physician vacancies, check out our Guide to Physician Recruitment.  But first, let’s examine the true cost of physician vacancies.

Loss of Revenue 

The first and most obvious cost of a physician vacancy is the loss of revenue. For example, a Gastroenterologist generates almost $2 million in gross charges, while an Orthopedic Surgeon can generate almost $1.8 million in charges. Annualizing these numbers show that a hospital or medical group can lose between $150,000 and $170,000 per month for specialist vacancies.

Patient Migration 

Not as clearly defined, but just as critical are the numbers of patients that are lost while there is a vacancy. If a physician leaves, there is the danger of losing all of the patients that were already loyal to that doctor, especially if there is not a viable alternative already on staff. Hospitals and groups also lose out on referrals and the peripheral losses of not having a flow of patient to doctor and doctor to doctor referrals.

Market Share 

When vacancies are unfilled, that doesn’t mean that patients needing services halt until the position is filled. Anytime patients are forced to seek specific services elsewhere, your competitor is reaping the benefit. Once a competitor has an opportunity to develop a relationship with someone who was once loyal to your facility, the opportunity to recover them as a client diminishes exponentially.

Longer Time to Fill = More Costs

Different specialties have a wide variation in the typical time to fill. Bearing in mind the monetary losses and the ancillary losses the length of time your vacancy goes unfilled is critical. The ASPR reports that a family medicine vacancy is typically open 4.3 months, while a surgical vacancy can be open for 10 months or more based on the specialty and the location.

 

It is clear that the demand for physicians, coupled with a dwindling supply is not going away anytime soon. As physician vacancies continue to go unfilled and healthcare organizations struggle to manage the costs, the industry as a whole will be in a perpetual state of “all hands on deck” until the physician pipeline is stable once again.

If your organization is all too familiar with the costs associated with lingering physician vacancies, check out our report on How to Create Growth and ROI through Recruitment and Retention.

Physician Hiring Outlook

2019 Outlook for Hiring Physicians

For several years, reports of the ongoing physician shortage have dominated the headlines.  To give healthcare leaders the comprehensive information they need to invest and adjust to the physician shortage…

Create a Cultural Blueprint for Successful Physician Recruitment

How to Create a Cultural Blueprint for Successful Physician Recruitment

Culture is defined as “values, beliefs, attitudes, and behaviors that employees share and exhibit on a daily basis in their work and in the community”. And, lack of cultural fit is among the top reasons…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

[White Paper] Issues Affecting FQHCs: What will it take for Federally Qualified Health Centers to survive in today’s healthcare physician recruiting climate?

By

Physician vacancies are affecting the majority of health centers across the country. This paper examines some of the recruitment and retention challenges that Federally Qualified Health Centers are facing and how to overcome them. Feel free to download and share.

Issues Affecting FQHCs

What will it take for Federally Qualified Health Centers to survive in today’s healthcare physician recruiting climate?

Jackson Physician Search in Partnership with CommonWealth Purchasing Group

A vast majority of all health centers are reporting a clinical and physician vacancy. Over the years, health centers have evolved to provide much more than primary care services in their community, but we are entering a critical time, and the shortage of physicians and clinicians overall is set to make a massive impact in the world of Community Health.

This paper examines some of the challenges that centers are facing today regarding recruitment and retention. Staffing shortages and difficulty in attracting physicians are overcome through a proactive and strategic approach to recruitment. Today, two of the top challenges are the shrinking candidate supply and changing compensation trends.

Neither of these issues are insurmountable, but they are a driving force in changing the community and rural health center model.

You can save and read the rest of this white paper by clicking the download button below.

Jackson Physician Search Physician Recruitment ROI White Paper

[White Paper] Physician Recruitment: The Cost to Hire and Return on Investment

President and CEO of Jackson Physician Search, Tony Stajduhar, gives insight into how vacancies and recruiting can quickly become costly. If you’re looking to optimize your ROI when it…

Social Media for Physician Recruitment

[White Paper] Physician Workforce through 2030: Social Media for Physician Recruitment

Download our White Paper covering Social Media for Physician Recruitment for insight into how physicians use social media and how hospital and healthcare leaders and recruiters can use…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

[White Paper] Physician Recruitment: The Cost to Hire and Return on Investment

By

President of Jackson Physician Search, Tony Stajduhar, gives insight into how vacancies and recruiting can quickly become costly. If you’re looking to reduce your cost to hire and optimize your return on investment when it comes to physician recruitment, this white paper is for you.

Jackson Physician Search Physician Recruitment The Cost to Hire and Return on Investment

Cultural Blueprint for Successful Physician Recruitment

Focus on Fit: A Cultural Blueprint for Successful Physician Recruitment

This presentation, given by our President at the 2018 MGMA Annual Meeting, explains why cultural fit is so important and how to create a physician recruitment blueprint that focuses on fit.

Utilizing Metrics and KPIs for More Successful Recruiting

Healthcare is an outcomes-driven industry. However, many organizations lack a structured method and accountability for measuring…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

[Recruitment Guide] Guide to Developing a Strategic Physician Recruitment Plan

By

This is Part 1 of our complete Guide to Physician Recruitment. With any process, it is best to start by assessing your unique needs and developing your strategy. This handbook helps you do just that with step by step instructions for developing a strategic physician recruitment plan. Download Part 1 of our Guide to Physician Recruitment. This PDF handbook defines six key steps on your path to building a strategic physician recruitment plan.

Physician Recruiting Process_Part1-FINAL

Developing a Strategic Physician Recruitment Plan: Part 1

The physician shortage continues to be a growing concern for hospital CEOs and executives and consistently ranks in the top 5 concerns along with financial challenges and governmental mandates. You can download a study about the physician shortage from the American College of Healthcare Executives.

To combat physician shortage, it is critical to develop a strategic recruitment plan. Recruiting top physicians can be an expensive and time-consuming process for hospitals and health systems, which is even more reason to do it efficiently. This guide is a support tool for our clients as well as those hospitals who are still exploring their strategy for physician recruitment.

Our four decades of experience in partnering with hospitals and healthcare organizations across the country to develop strategic recruitment plans helps us have a unique perspective and wide knowledge base, which we are eager to share here.

From the hospital CEO to the physician recruiter, this broad-spectrum guide offers you a clear path toward optimizing your efforts and your investment in physician recruitment. And, if you find you need additional assistance at any point, we are available for an in-person consultation. Contact us.

Top 5 Indicators You Need a Strategic Physician Recruiting Plan

  1. Lost Revenue – Each day you are recruiting is thousands of dollars in lost revenue. Hiring more quickly will benefit your hospital’s bottom line as well as productivity, morale, and patient loyalty.
  2. Recruitment Time – According to a recent report from ASPR, the average placement time for physicians is between 109 and 128 days.
  3. Losing New Patient Opportunities – If you are having to turn away patients because you don’t have the capacity to see them, then your recruitment needs are critical.
  4. Left Scrambling – Few hospitals and healthcare groups have physicians in the queue ready to start. If you need to backfill a position, you are most likely experience patient rejection and lost revenue.
  5. Competition – Competition with another facility creates the urgent and essential need for strategy and effective marketing of your open positions.

Defining a Strategic Physician Recruitment Plan

A strategic recruitment plan is simply a roadmap to assess, create, and launch effective recruitment for your physicians and other providers. Whether the CEO or the physician recruiter, you and your team need to be able to critically evaluate the needs of your system and obtain buy-in from key stakeholders and decision makers to develop and execute an optimal recruitment strategy that benefits your whole organization. A strategic recruitment plan is part of a well-designed medical staff development plan that encompasses:

  • Physician Alignment
  • A Community Needs Assessment
  • Population Analysis
  • A Five-Year Strategic Plan
  • Input From Key Stakeholders
  • Metrics and Benchmarks to Analyze Effectiveness

How to Add Strategy to Your Recruiting Plan

Being strategic in your recruiting helps save your organization time and money while ensuring you find the right physicians and advanced practice professionals to grow your business. It took an average of 128 days to fill positions across all specialties in 2016, according to the 2016 Association of Staff Physician Recruiters report. An internist, for example, brings in an average revenue of &823,900 for a facility each year, Jackson Physician Search found in its annual Physician Salary Calculator. That adds up to nearly half a million dollars in lost revenue for your hospital while you’re looking for a new hire.

It’s increasingly important to not just recruit quickly but to recruit the right doctors. Estimated turnover costs are as much as $1 million per physician after factoring in recruitment, start-up and lost revenue costs. A solid recruitment plan will enable you to find the right doctors for the right positions at the right time.

Remember, there is no other resource in your hospital that will give you a greater return on investment than a physician. For that reason, we encourage you to recruit and retain these professionals carefully and strategically.

To read the rest of this guide, please click the download button.

.

Physician Recruitment Guide: How to Execute Physician Site Visits

[Recruitment Guide] How to Expertly Execute Physician Site Visits

Part 2 of our Guide to Physician Recruitment focuses on site visits. How you execute a physician site visit has a huge impact on the decision of your candidate. This recruitment guide has tips…

Focus on Culture for the Best Physician Team

Focus On Culture To Build the Perfect Team

Are you having staffing issues and problems with turnover?  Does the cost of constantly recruiting physicians get brought up at every meeting?  If either of these situations sound…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

2019 Outlook for Hiring Physicians

By

For several years, reports of the ongoing physician shortage have dominated the headlines.  To give healthcare leaders the comprehensive information they need to invest and adjust to the physician shortage, the Association of American Medical Colleges (AAMC) began publishing physician supply and demand reports in 2015.  The most recent update projects an even greater shortfall between supply and demand than previously forecasted.

By the Numbers – According to the AAMC, the total physician shortfall will be between 42,600 and a staggering 121,300 by the year 2030. Primary care shortages are projected up to 49,300 and non-primary care specialties up to 72,000 physicians. Oncology and Surgery are projected to be among the hardest hit specialties. The data shows that new cancer cases are likely to increase by 42% by 2025, while the number of oncologists is expected to grow by only 28%. This exacerbates the current shortage, as more than 70% of U.S. counties already have no medical oncologists. General surgery is facing a shortfall of almost 21,400 qualified surgeons over the next 5 years.

Contributing Factors – A combination of factors are creating this perfect storm which makes recruiting and retaining physicians more challenging than ever:

  • Demographics – The growing shortage is primarily due to an uncontrollable factor: demographics. America is aging, physicians included. By 2030, the number of Americans over age 65 is projected to grow by 50%, consuming healthcare at a higher rate as they age. At the same time, more than one-third of all currently active physicians will be 65 or older within the next decade.
  • Education/Residency Disconnect – Medical schools have been increasing their class sizes, but the number of residency slots have not increased commensurately to keep up with demand.
  • Working Fewer Hours – The trend toward physicians working fewer hours per week is reducing the FTE physician supply. AAMC’s updated report reflects new data showing declines in physician working hours across all age groups, not just millennials.
  • Burnout – According to the 2018 Future of Healthcare Report, 7 out of 10 physicians are unwilling to recommend healthcare as a profession because they are disheartened by changes to the practice of medicine. As many as 78% of physicians experience feelings of burnout associated with paperwork overload, frustration with Electronic Health Records (EHR) and challenges to their clinical autonomy by administrators.
  • Regulatory Burdens – A full 86% of respondents to the Medical Group Management Association 2018 survey reported an increase in regulatory burdens that impact the time they can spend with patients. More than half (54%) said that administrative overload is contributing to their likelihood of retirement within five years.

Looking Ahead – Workforce trends are important to understand for planning yet largely outside your control. But, you can improve the outlook for hiring in 2019 and beyond by focusing on factors you can influence within your organization and community.

  1. Create environments that physicians want to work in. Workplace culture will continue to be a dominant factor in attracting physicians to open positions. Your most important role as a leader is to proactively nurture a healthy cultural environment to support success in hiring and retaining physicians.
  2. Promote patient care over paperwork. Increase the utilization of clinical scribes to increase the quality and quantity of time physicians spend with patients. Also, ensure that EHR workflows are not impacting patient care.
  3. Strive for physician work/life balance. If you do not actively help physicians avoid burnout, you will continually fight turnover rates, retention deficits and prolonged vacancies. Physician assistants and nurse practitioners can ease the burden on doctors, allowing them time to pursue personal activities, research opportunities, and professional development.
  4. Embrace technology solutions. Telemedicine solutions can ease demands on over-extended physicians. Encourage patients to seek out telehealth alternatives to ease overcrowded schedules and increase the efficiency of routine office visits.
  5. Influence legislative reforms. Well-intentioned legislation often carries negative consequences on the practice of medicine.  Seek out opportunities to play a larger role in educating policy-makers about the impact of their actions on physicians and patient care.

For information about how Jackson Physician Search can help you develop attract and retain the qualified clinicians you need, contact one of our industry experts today.

Meeting Urban Recruitment Challenges

The Challenges of Urban Physician Recruitment

While the expansion of community-based facilities is a welcome development for inner cities and rural settings where most are located, it is not without challenges.  The National Association of Community Health Cent…

Recruit Physician to Rural Communities

Successfully Recruit Physicians to Rural Communities

It’s challenging to successfully recruit physicians and even harder for rural communities. Let’s look at the current state of physician recruitment, address some of the challenges rural communities fa…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.

The Challenges of Urban Physician Recruitment

By

While the expansion of community-based facilities is a welcome development for inner cities and rural settings where most are located, it is not without challenges.  The National Association of Community Health Centers (NACHC) reports that 95% of health centers have a clinical vacancy and 70% are reporting a physician vacancy.  These trends are even more concerning when you consider that by the year 2020, CHC’s are expected to be managing the care of 35 million patients. Unfortunately, this is becoming the new reality for community health centers, and it is forcing administrators to rethink the FQHC model and adapt to become more competitive in recruitment and retention.

In the past, community health centers could utilize desirable work schedules and quality of life incentives to attract physicians to practice there. Typically, CHC’s would offer attractive schedules, little to no call, better work/life balance and other similar enticements.  Whether it was the slower pace of a quiet rural community or a consistent 9 to 5 schedule in an urban setting, physicians would often forgo some salary in exchange for quality of life.  Today, physician recruitment and retention is so competitive, that CHC’s no longer have exclusivity with convenient work schedules, limited call, and other attractive incentives.  Large hospitals and major health systems have the financial resources to not only offer salary incentives, but student loan forgiveness, favorable work schedules, and so much more that smaller CHCs cannot compete against.

All of these developments are increasingly putting more and more pressure on CHC administrators to adapt.  Many health centers are expanding partnerships and residency programs with local universities to introduce graduating physicians to their systems and potentially attract them to stay on after graduation. Another strategy has been to become even more creative in making work schedules as flexible as possible, including generous leave packages, allowing physicians to focus on limited types of preferred services, part-time work, and more. These types of creative solutions are made possible through the increased use of nurse practitioners.

Another advantage that community health centers may have over large systems is a close-knit sense of family and teamwork.  By promoting the values and culture of the CHC, administrators are able to attract like-minded physician candidates. CHC’s are rebranding their organizations, enhancing their social media messaging and online presence, and ensuring that candidates are a good fit culturally and have similar values to the organization.

There is no magic solution to physician recruitment for small urban and rural community health centers.  It takes a combination of best practices to ensure that not only are the right candidates aware of vacancies but that no stone is left unturned in their pursuit.  This includes having a network of relationships throughout the community acting as an extension of your recruitment team. Whether it is to learn about family members who may be pursuing a career in healthcare, or currently practicing clinicians who may want to return home to be closer to family and friends, the local network is a goldmine for information.

Jackson Physician Search has the expertise and nationwide reach to help solve even the most challenging physician and advanced practice recruiting situations. To find out more, contact a recruitment professional today.

 

reviewing the physician recruitment checklist

Community Health Center Physician Recruitment Checklist

The growing demand for affordable primary care, especially among underserved patient populations, has fueled the need for innovative solutions to the most pressing health care issues…

Physician Recruitment Guide: How to Execute Physician Site Visits

[Recruitment Guide] How to Expertly Execute Physician Site Visits

Part 2 of our Guide to Physician Recruitment focuses on site visits. How you execute a physician site visit has a huge impact on the decision of your candidate. This recruitment guide…

Need Help Recruiting Physicians?

Click the Get Started button if you’re ready to speak with one of our physician recruitment experts.