HWL Insights

In the past decades, the healthcare industry as a whole has seen unprecedented labor shortages, which were greatly exacerbated by the coronavirus pandemic. With record rates of burnout, the Great Resignation, and other factors seemingly outside of the industry's control, healthcare facilities have turned toward locum tenens to fill the gaps. 

For the past few years, already-existing labor shortages in the healthcare space have been exacerbated by the pandemic, thus shifting the way facilities operate. Pre-pandemic, there were already ongoing discussions about nursing shortages. In its current state, industry projections state that shortages are slated to last until 2030, with a total supply of nurses decreasing by ~100,000 from 2020 to 2021, the largest drop in four decades.

Today’s workforce looks vastly different from the one even just three years ago. Between the gig economy, remote work's increasing viability, and technology now facilitating contactless appointments, no longer are all workers working 9 to 5.

Kaiser Health News (KHN) shared the news in December that a new workforce solution has attracted the eyes of leadership at many large healthcare organizations across the nation. An increasing number of health systems and medical facilities are creating internal agencies to staff their centers that are struggling with tremendous gaps in their clinical staff and a heavy reliance on travel nurses to fill those gaps. The reliance on travel nurses has created contingent staff costs that have skyrocketed through using the traditional staffing model that healthcare staffing companies offer. Without any cap on what staffing agencies can charge for nurse coverage, hospitals have paid what was asked to avoid any interruption in the care at their facilities. The agency markups are becoming detrimental to the organizations that desperately look to them for nurses.

The 2020s have been a decade of challenges and adversity for society as a whole. Healthcare has borne the brunt of these challenges as it was on the frontlines of many of these trials. Healthcare workers have pushed through many of the obstacles that were put in front of them over the last three years, beginning at the start of the Pandemic. Staff shortages, long hours with no breaks, delays in receiving necessary supplies, and overall low morale have brought forth new core challenges that we must continue to address nationwide as we enter 2023.

Recent years have seen the healthcare industry battling increasing obstacles, but according to multiple surveys and polls, from ACHE and MGMA respectively, staffing shortages remain the top concern of healthcare leaders. While staffing shortages have long plagued the industry, the rapidly rising agency rates for contract nurses and other staff are no longer sustainable for many organizations.

It's no secret that healthcare organizations have had the need for quick, efficient staffing solutions, even before the pandemic started. While coronavirus certainly put extra strain on these systems as well — between the "Great Resignation", unprecedented rates of burnout, and more — healthcare organizations have been struggling to attract and retain the talent that they need to provide quality patient care and improve patient outcomes, including in pediatrics. In fact, nationally, around 80% of pediatric hospital beds were occupied as of late October 2022.

In February, 2020, healthcare facilities and providers across the nation were hit with an unexpected, desperate need for staff. Healthcare Workforce Logistics (HWL) was called on by state organizations and hit the ground running to connect healthcare professionals with communities and organizations who need help as efficiently and effectively as possible.

HWL’s agile solution, design, and delivery capabilities help clients navigate both turnkey and end-to-end enterprise solutions tailored to each of the client's unique requirements.  

The Situation

Upstate New York healthcare systems were no exception to the staffing crisis felt by virtually every hospital in the country amidst the onset of the COVID-19 Pandemic. The recent 2022 NSI National Healthcare Retention & RN Staffing Report revealed that the average hospital turnover rate was 25.9% in 2021 – a 6.4% increase over the prior year. Pre-Pandemic, many hospitals relied on traditional staffing agencies to fill their vacancies. By the summer of 2020, reliance had turned into dependence, and there seemed to be no end in sight. Particularly in the more rural areas, hospital executives were faced with the most difficult decisions they could possibly imagine- would they be able to meet the financial demand for contingent labor, with hourly bill rate increases of 100 to 200% or would they inevitably be forced to close their doors on the communities that needed them now more than ever?  

ABOUT AUGUSTA UNIVERSITY HEALTH MEDICAL CENTER 

Located along Georgia’s border with South Carolina, Augusta University Health Medical Center (AUH) is a 520-bed tertiary hospital and ACS-verified Level I trauma center serving patients from over 13 counties across the State of Georgia. As the region’s only academic hospital, AUH conducts leading-edge clinical research and gives patients access to treatments not available elsewhere in the region.

THE SITUATION 

As the Director of Physician Recruitment at one of the largest health systems in Greater Baltimore, Devyn Kern has a lot  on her plate. The ongoing physician shortage makes her job at LifeBridge Health increasingly difficult, and the steady flow  of physician job requisitions on her desk takes every ounce of her attention. When temporary needs arise, this too falls to  Devyn and her department of two, but with no bandwidth to address the needs and no process to follow, the task is often  delegated to hiring managers, who contact any number of locum staffing agencies for assistance.  

Since the beginning of the pandemic, HWL has helped organizations across the country stay on top of cost-effective staffing needs in order to manage surges in necessary care. One particular place we managed to see great success is in Georgia.

When the Department of Health and Human Services (DHHS) approached AMI Health for disaster response assistance, its staffing department, which consisted of two people, knew they needed help. That's where HWL came into play.

When Houston Healthcare, an organization located in Warner Robins, GA that consists of seven different entities serving 300,000 patients annually, approached Healthcare Workforce Logistics (HWL) with a problem, we sprang into action. 

It's no secret that the COVID-19 pandemic created unforeseen challenges and has forced every industry to innovate and adapt in order to survive; and the healthcare industry is certainly not an exception. Medical facilities have altered procedures and created new policies in order to accommodate massive influxes of patients and improve patient outcomes — but it certainly hasn't been easy, and there are still some common pain points that many organizations still deal with.

Healthcare Workforce Logistics (HWL) is ecstatic to announce that Craig Hershovitz, MBA has joined the team as Vice President of Implementations and Capture Management! 

Healthcare Workforce Logistics (HWL) is ecstatic to welcome Nancy Bourg, RN, BSHCA, MBA to the team! For over 25 years, she's been a pioneer and expert in hospital staffing solutions and has extensive experience both in established and startup organizations.

We're excited to announce that Tony Gregoire recently joined the HWL team as a Data Analyst! His extensive experience in both the healthcare and staffing industries will undoubtedly prove to be an essential asset to our growing organization.

As the conference season ramps up, AAPPR 2022 is just around the corner. This year, it's being hosted in Chicago, IL and HWL will be present from April 24-26.