“The median investment/subsidy per physician FTE was above late 2019 and late 2020 levels throughout 2021, rising to $263,001 for the fourth quarter, and was up 9.9% from $239,274 in the fourth quarter of 2020. The metric was up 5.9% compared to the third quarter of 2021, driven in part by a 16.3% year-over-year increase in total direct expense per physician FTE that mitigated physician revenue and productivity gains.”
|TABLE 1. PATIENT IMPACT AND COST COMAPRISON BETWEEN NON-ITINERANT STAFF NURSE AND A LAY NAVIGATOR|
|Resource||Number of Patients||Cost/Patient|
American Hospital Association. (2022, January). Data Brief: Workforce Issues Remain at the Forefront of Pandemic-related Challenges for Hospitals. Retrieved from American Hospital Association: https://www.aha.org/system/files/media/file/2022/01/Data-Brief-Workforce-Issues-012422.pdf/
Greysen SR, H. J. (2017). Understanding patient-centered readmission factors: a multi-site, mixed-methods study. BMJ Quality & Safety(26), 33-41.
Jacobs, A. (2022, January 23). A Shrinking Band of Southern Nurses, Neck-Deep in Another Covid Wave. Retrieved from The New York Times: https://www.nytimes.com/2022/01/23/health/covid-mississippi-nurses.html
King, R. (2022, January 10). JPM 2022: Staffing expenses led to an extra $440M in operating costs in 2021 for AdventHealth. Retrieved from Fierce Healthcare: https://www.fiercehealthcare.com/hospitals/jpm-day-1-staffing-expenses-led-to-extra-440m-operating-costs-2021-for-adventhealth
Landi, H. (2022, February 1). Physician practices make revenue gains in 2021 but face mounting expenses, labor shortages. Retrieved from Fierce Healthcare: https://www.fiercehealthcare.com/providers/physician-practices-make-revenue-gains-2021-face-higher-expenses-labor-shortages
Mercadante, N. (2022, February 7). OU Health to invest millions for nurses. Retrieved from KSWO: https://www.kswo.com/2022/02/08/ou-health-invest-millions-nurses/
Muoio, D. (2022, February 4). Hospital CEOs: Workforce shortages outweigh financials as top concern in 2021. Retrieved from Fierce Healthcare: https://www.fiercehealthcare.com/hospitals/hospital-ceos-workforce-shortages-outweigh-financials-top-concern-2021
Roberto Cardarelli, M. H. (2018, February). Reducing 30-day readmission rates in a high-risk population using a lay-health worker model in Appalachia Kentucky. Health Education Research, 33(1), 73–80.
Samantha Artiga, E. H. (2018, May 10). Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity. Retrieved from KFF: https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/
Valdez, B. (2022 , February 4). The crisis in healthcare staffing. Retrieved from Medical Economics: https://www.medicaleconomics.com/view/the-crisis-in-healthcare-staffing
Y. Tony Yang, D. J. (2022, January 28). COVID-19’s Impact On Nursing Shortages, The Rise Of Travel Nurses, And Price Gouging. Retrieved from Health Affairs Forefront : https://www.healthaffairs.org/do/10.1377/forefront.20220125.695159/
I’ve been working to reduce the impact of healthcare disparities and the obstacles embedded in the social determinants of health for over 30 years. Guideway represents the culmination of all of this experience and the logical progression of work that we have published in the Journal of the American Medical Association (JAMA). We are excited to work through Vizient to bring these practical solutions to its membership across the country.