Posted March 12, 2012
St. Louis (March 12, 2012) – As the era of accountable care evolves and the medical home model becomes more prevalent in organizations, the delivery of successful patient outcomes is expected to be increasingly dependent on the performance of an effective patient care team. Forming and maintaining care teams – especially in primary care – will be among the industry’s most significant challenges, according to the Cejka Search and American Medical Group Association’s (AMGA) 2011 Physician Retention Survey, which for the first time includes staffing and turnover benchmarks for both advanced practitioners and physician staffing.
The turnover rate for both nurse practitioners and physician assistants reported by the survey is 12.6 percent, which nearly doubles the combined, adjusted physician turnover rate* of 6.0 percent. The combination of a projected physician shortage and already high turnover for nurse practitioners and physician assistants places even more pressure on medical groups to use advanced practitioners to fill the gaps in patient care and compensate them appropriately.
“Recruiting and retaining physicians and advanced practitioners is more critical now than ever,” said Lori Schutte, president, Cejka Search. “In the previous year’s survey, the majority of groups told us that the medical home model will deliver a competitive advantage in recruiting primary care physicians and advanced practitioners. But finding, hiring and keeping them is a growing challenge. Medical groups need to be prepared to hire the candidates that are the best fit for their organization.”
“As organizations seek to meet these staffing demands, it is important to recognize that the qualities once sought in a physician or advanced practitioner five years ago have changed along with the health care environment,” said Donald W. Fisher, Ph.D., CAE, AMGA president and chief executive officer. “Collaboration and teamwork are significantly more important to medical groups and health systems because care models and performance measures require it. The ability to work effectively as a member of an accountable care team becomes a valued skill for physicians and advanced practitioners who increasingly will partner with colleagues in primary care, hospital medicine, a wide range of specialties and subspecialties and allied health.”
More than two-thirds (67%) of respondents from the 2011 survey reported that the involvement of advanced practitioners in their groups has grown “somewhat” or “significantly” in the past five years. This response increases to 75% when looking ahead toward the next five years. The respondents also indicated that they identified 21% and 13% growth in new positions, respectively, for physician assistants and nurse practitioners in their groups in the past twelve months.
Hiring primary care physicians and advanced practice providers is a priority for most of the responding groups. Nearly three-quarters (74%) of the responding groups reported that they would hire more or significantly more primary care physicians in the next 12 months, than they did in the prior year. This was particularly noticeable among groups between 150 and 500 physicians and those in integrated delivery systems. No groups reported that they would reduce their Primary Care staffing. Plans for hiring more specialists were only slightly less aggressive.
An electronic version of the 2011 survey is available to non-survey-participating AMGA members for $100 and to non-AMGA members for $200. For more information and to purchase a copy of the survey visit: www.PhysicianRetentionSurvey.com.
The Cejka Search and AMGA 2011 Physician Retention Survey was distributed electronically via e-mail to 2,823 medical organizations, representing both AMGA medical group members and non-members. Survey data was collected from November 2011 through January 2012 A total of 80 survey responses were compiled, representing a 2.8 percent survey response rate. In 2011, the 80 respondents collectively employed 14,366 physicians.
AMGA represents medical groups, including some of the nation’s largest, most prestigious integrated health care delivery systems. More than 125,000 physicians practice in AMGA member organizations, providing healthcare services to approximately 130 million patients. AMGA is the strategic partner for these organizations, providing a comprehensive package of benefits, including political advocacy, educational and networking programs, publications, benchmarking data services, and financial and operations assistance. For more information, visit www.amga.org.
Cejka Search, http://www.cejkasearch.com, is a nationally recognized physician, health care executive, advanced practice and allied health search firm providing services exclusively to the health care industry for more than 30 years. Cejka Search recruits top healthcare talent for organizations nationwide through our team of experienced professionals, award-winning recruitment technology and commitment to service excellence. Cejka Search is a Cross Country Healthcare, Inc. (Nasdaq: CCRN) company, a leading provider of health care staffing services in the United States.