• Need more information on these or other topics? Ask an information specialist at (312) 422-2050 or rc@aha.org

  • Enter your email address to subscribe to this blog and receive notifications of new posts by email.

    Join 257 other followers

  • Share this blog

    Share |
  • Note:

    Information posted in this blog does not necessarily represent the views of the American Hospital Association
  • Archives

  • Categories

  • Top Posts

  • Top Rated Posts

PHYSICIANS: Average salary offers to recruited specialists

For the eleventh consecutive year, family physicians topped the list of Merritt Hawkins’ 20 most requested recruiting assignments, underscoring the continued urgent demand for primary care physicians in an evolving healthcare system.”

Each year, the physician recruiting firm Merritt Hawkins provides aggregate data based on the many recruiting assignments completed during the previous year.  The data in this report cover nearly 3,300 search assignments from the first quarter 2016 to the first quarter 2017.

RECRUITING OFFERS:  Base Salary / Guaranteed Income (average) [Excludes production bonus; excludes benefits]

  • $120,000 Physician assistant
  • $123,000 Nurse practitioner
  • $231,000 Family Medicine
  • $240,000 Pediatrics
  • $257,000 Internal Medicine
  • $263,000 Psychiatry
  • $264,000 Hospitalist
  • $305,000 Neurology
  • $335,000 Obstetrics/Gynecology
  • $349,000 Emergency Medicine
  • $376,000 Anesthesiology
  • $390,000 Pulmonology/Critical Care
  • $411,000 General Surgery
  • $421,000 Dermatology
  • $428,000 Cardiology (non-invasive)
  • $436,000 Radiology
  • $468,000 Otolaryngology
  • $492,000 Gastroenterology
  • $563,000 Cardiology (invasive)
  • $579,000 Orthopedic Surgery

Source: Merritt Hawkins (2017). 2017 review of physician and advanced practitioner recruiting incentives.  Dallas: MH.  Click here: https://www.merritthawkins.com/physician-compensation-and-recruiting.aspx  Posted by AHA Resource Center (312) 422-2050 rc@aha.org

PROJECTIONS: Physician supply and demand in 2025

Physician manpower projections by specialty for the year 2025 have been prepared by the Health Resources and Services Administration (HRSA) using 2013 as a baseline year.  Here are the projections for 2025 giving the difference between supply and demand.  Note that a negative number means a projected shortage of physicians in that specialty.  Also note that these are FTEs – full time equivalents.  The largest shortages are projected in Family practice and General internal medicine, two key primary care specialties.

PHYSICIAN FTEs in 2025 (DIFFERENCE between supply and demand)

  • (-)   480  Allergy and immunology
  • (-)7,080  Cardiology
  • (-)1,810  Cardiothoracic surgery
  •         130  Colon/rectal surgery
  •      1,480  Critical care
  • (-)   430  Dermatology
  •         280  Endocrinology
  • (-)13,100 General and Family medicine
  • (-)12,960 General internal medicine
  • (-)2,970  General surgery
  • (-)1,630  Gastroenterology
  •         890  Geriatrics
  • (-)1,400  Hematology/Oncology
  •         210  Infectious disease
  •         140  Neonatal/Perinatal medicine
  •         130  Nephrology
  • (-)1,200  Neurological surgery
  • (-)4,930  Obstetrics
  • (-)6,180  Ophthalmology
  • (-)5,050  Orthopedic surgery
  • (-)1,620  Otolaryngology
  •      1,530  Pediatrics, general
  • (-)1,490  Plastic surgery
  • (-)6,080  Psychiatry, or (-)15,400 – two scenarios are given
  • (-)1,400  Pulmonology
  • (-)   280  Rheumatology
  • (-)3,630  Urology
  • (-)    520  Vascular surgery

Source: U.S. Department of Health and Human Services, Health Resources and Services Administration. (2017). Health workforce projections. Click here for access to free full text: https://bhw.hrsa.gov/health-workforce-analysis/research/projections  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

 

 

PHYSICIAN VISITS: Same day appointments with specialists

It is more common for health care providers to offer same-day visits to primary care physicians, but at least one health system is also offering same-day visits to specialists on a large-scale basis.  Allegheny Health Network (Pittsburgh, PA), an 8-hospital system with 250 outpatient clinics, started to offer this option in January 2017.  In the first few months, there have been 36,000 patients who scheduled a same-day appointment, with about one-third seeing specialists.  Patient satisfaction with this option is reported as being very high.

Sources:

Castellucci, M. (2017, April 3). Offering same-day doc visits. Modern Healthcare, 47(14), 32.  Click here for link to publisher: http://www.modernhealthcare.com/article/20170401/MAGAZINE/304019981

The Advisory Board. (2017, February 28). The 5 lessons Allegheny Health Network learned from offering same-day specialist appointments. The Daily Briefing. Click here: https://www.advisory.com/daily-briefing/2017/02/28/allegheny-specialist-same-day

Venteicher, W. (2017, January 19). Allegheny Health Network to schedule same-day doctors’ appointments. Trib Live.  Click here: http://triblive.com/news/healthnow/11804612-74/appointments-health-patients

Allegheny Health Network website has some FAQs about this service here: https://www.ahn.org/same-day

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

PHYSICIAN BURNOUT: May exceed 50 percent in U.S.

As many as half of practicing physicians may experience at least some degree of burnout – making consideration of underlying factors a key concern for health care managers and the nation as a whole.  This short commentary just posted in JAMA was written by Dr. Tait Shanafelt and colleagues at the Mayo Clinic – who are among the foremost experts in the field of clinician well-being.

The authors make specific suggestions – at the national, state, institutional, and personal  (self-improvement) levels about how to improve conditions for physicians, including among others:

  • Reduction and streamlining of required documentation
  • Integration of maintenance of certification and continuing medical education requirements
  • Implementing participatory management
  • Physician self-care

Source: Shanafelt, T.D., Dyrbye, L.N. (2017, Feb. 9). Addressing physician burnout: The way forward. JAMA. Click here for free full text: http://jamanetwork.com/journals/jama/fullarticle/2603408   Posted by AHA Resource Center (312) 422.2050 rc@aha.org

Physician Practice Acquisition and Employment Trends

A new report by the Physicians Advocacy Institute (PAI) in collaboration with Avalere Health analyzes recent trends in physician employment and the acquisition of physician practices by hospitals and health systems. Physicians may become employees through a group practice acquisition, or individual physicians may enter into employment arrangements directly with hospitals/systems. Here are some highlights from the analysis:

  • Between July 2012 and July 2015, the percentage of hospital-employed physicians increased nearly 50%
  • By 2015, 38% of physicians were employed by hospitals
  • Hospital or system ownership of physician practices grew by 86% from 2012 to 2015
  • By July 2015, there were 67,000 hospital-owned physician practices
  • One in four physician practices was hospital-owned by 2015

Regionally, nearly half of all physicians in the Midwest were employed by hospitals in 2015. Physician employment rates were lowest in the South and in Alaska and Hawaii where a third of physicians were hospital-employed. The pros and cons of these employment trends are briefly listed.

PAI and Avalere are planning additional analysis of this trend and its implications for early 2017.

 

Source: Avalere Health. Physician practice acquisition study: national and regional employment changes. Physicians Advocacy Institute, Sept. 2016. http://www.physiciansadvocacyinstitute.org/Portals/0/PAI-Physician-Employment-Study.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Largest Hospital and Ambulatory Care EHR Vendors

The Office of the National Coordinator for Healthcare Information Technology (ONC) tracks the vendors used by providers that participate in its electronic health record (EHR) incentive program. ONC has released a list of all certified health IT vendors used by providers along with how many hospitals and ambulatory care professionals are using each vendor’s technology.

There were 175 certified health IT vendors supplying technology to 4,474 non-federal acute care participating hospitals as of June 2016. These ten vendors, ranked by the number of hospitals with certified EHR technology, were the largest suppliers:

  1. Cerner Corporation (1,029 hospitals)
  2. MEDITECH (953)
  3. Epic Systems Corporation (869)
  4. Evident (636)
  5. McKesson (462)
  6. MEDHOST (359)
  7. Allscripts  (235)
  8. Sunquest Information Systems (200)
  9. FairWarning Technologies (172)
  10. Iatric Systems (161)

On the ambulatory care side, 632 vendors supplied certified health IT to 337,432 ambulatory primary care physicians, medical and surgical specialists, podiatrists, optometrists, dentists, and chiropractors also participating in the Medicare EHR Incentive Program. These were the top ambulatory care EHR vendors based on the number of participating health care professionals using each vendor’s technology:

  1. Epic Systems Corporation (83,673 professionals)
  2. Allscripts (33,127)
  3. eClinical Works LLC (25,524)
  4. Next Gen Healthcare (19,676)
  5. GE Healthcare (17,704)
  6. Cerner Corporation (15,104)
  7. athenahealth Inc (14,570)
  8. Greenway Health LLC (12,407)
  9. Practice Fusion (8,523)
  10. McKesson (7,347)

Sources:

Hospital EHR vendors: certified health IT vendors and editions reported by hospitals participating in the Medicare EHR Incentive Program. Office of the National Coordinator for Healthcare Information Technology, June 2016. http://dashboard.healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-Participating-Hospitals.php

Health care professional EHR vendors: certified health IT vendors and editions reported by ambulatory health care professionals participating in the Medicare EHR incentive program. Office of the National Coordinator for Healthcare Information Technology, June 2016. http://dashboard.healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-Participating-Professionals.php

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

MEDICAL GROUPS: Top 10 largest in the U.S.

This is a study of large medical group practices, comparing characteristics of academic medical groups (“gown”) with those not linked to medical schools (“town”).  A large part of the study involved developing a list of the 100 largest practices – which included those from about 500 physicians at the bottom of the list of 100 to ten times that many at the top.  An average of about one-quarter of physicians in these large practices were primary care physicians (PCPs).  However, there was a smaller percentage of PCPs in the academic practices than in the community practices.

Top 10 Largest Physician Practices: U.S. 2013

  1. Northern California Permanente Medical Group (the largest with 5,634)
  2. Southern California Permanente Medical Group
  3. Harvard University
  4. Mayo Medical School
  5. Case Western Reserve University
  6. University of Pittsburgh
  7. University of Washington
  8. University of Michigan
  9. Johns Hopkins University
  10. University of Texas, Houston

Source: Welch, W.P., and Bindman, A.B. (2016, July). Town and gown differences among the 100 largest medical groups in the United States. Academic Medicine, 91(7), 1007-1014.  Click here: http://journals.lww.com/academicmedicine/Abstract/2016/07000/Town_and_Gown_Differences_Among_the_100_Largest.32.aspx  Posted by AHA Resource Center (312) 422-2050, rc@aha.org