NYAPRS Note: How will DSRIP impact the health care workforce across NY? How can DSRIP funds be purposed for training and education of existing staff, and how can a competent new workforce be obtained and integrated for new innovative service demands? These questions and more are on the minds of executives and policy makers in NY as the state undergoes a vast transformation in acute care. Panel members of the independent review committee, established by the state to review provider system applications, are grappling with these questions among the experts in workforce issues around the table. Learn more about the review process and view the final 25 provider system applications here.
Join us at the NYAPRS 11th Annual Executive Seminar to engage with experts on workforce and other pertinent issues to DSRIP implementation. Register for the April 14-15 event here!
DSRIP’s Workforce Impact
Crain’s Health Pulse; 1/20/2015
The state Department of Health posted the PPS applications online last week, and there will be much to digest. The United Hospital Fund did some number crunching, online here. But one theme the documents clearly illustrate is the deep impact DSRIP will have on New York state’s health care workforce. As Montefiore noted in its application, “DSRIP will have wide-ranging impacts on many of the 75,000 to 100,000 employees in our PPS.” A drop in emergency department volume will “lead to reductions in workforce.” But with attrition and turnover, Montefiore is projecting “a parallel increase in outpatient and community-based care, care management, and administrative functions, and anticipates hundreds of new opportunities will be created across our PPS.” The end result: no net reductions “unless staff is unwilling or unable to be retrained or redeployed.” Mount Sinai says it anticipates hiring an additional 1,435 workers: case managers, psychiatrists, psychologists, and clinical and operational staff for its MSO. Mount Sinai said it already has more than 3,000 current vacancies, 70% of them in clinical roles. St. Barnabas’ PPS is predicting minimal job loss for the roughly 35,000 existing workers in its system. It assumes it will cut 18 to 20 hospital beds across its PPS, resulting in redeployment of 150 workers. But 750 new jobs will be generated. In Brooklyn, Lutheran predicts cutting at least 40 skilled nursing facility beds and making about 203 new hires. Maimonides wants to cut 104 inpatient beds and about 500 positions—but it predicts 1,500 new hires, the majority of them in mental health. Bronx-Lebanon was not specific on job cuts, but predicts reductions in floor nurses, doctors, providers and middle managers in the ED, and inpatient workers. But the Bronx PPS is predicting 5,320 new hires.