1. Trends in Health Care Ed Phippen Washington State Hospital Association STEM Conference March 10, 2011

2. Outline High level issues Specific challenges that could impact education Emerging/promising occupations

3. Revenue (or lack thereof) Fewer people have insurance – Bad debt/charity care increased by more than 300 percent between 2002 and 2009 2009-2010 state cuts to health care – Approximately $780 million

4. Labor shortages are gone. For how long? WSHA/HWFI 2010 Hospital Work Force Survey, September 2010

5. Boomers Turn 65 Beginning This Year

6. Health Care Reform Coverage (??) Quality – preventable errors – Enhanced data collection – Standards of care Cost – Demands to curb health care inflation – Increasing focus on population health – but who will pay? As our case is new, we must think and act anew Abraham Lincoln

7. Integration University of Washington, Northwest Hospital, Valley Medical Center Hospitals and ambulatory clinics Rural-urban hospital partnerships

8. Care design? 14 days 4 days 4 hours Cost pressures Staffing shortages Baby boomers

9. Some Specific Challenges Electronic medical records Efficiency tools such as Lean or Six Sigma Cross disciplinary team work Cultural/linguistic competency Accept the challenge so you can feel the exhilaration of victory! George S. Patton

10. What Factors Could Influence Emerging Occupations? Creating efficiencies Helping staff work at the top of their scope of practice Impacting patient/population health Staffing shortages

11. New/Potentially Growing Occupations Health IT Anesthesia technology Community health worker

12. Questions?? Ed Phippen Washington State Hospital Association 206-216-2552 edp@wsha.org