Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How to start reversing the clinician shortage today

Timothy Lee, MPH
Policy
August 9, 2021
Share
Tweet
Share

The pandemic may have caused a nationwide labor shortage in the short term.

Employees resigning on the spot.

Businesses shortening operating hours.

Employers offering signing bonuses.

However, due to the ongoing urgency and lethality of COVID, very few leaders are currently thinking of how inevitable long-term trends like America’s aging demographics may accelerate the existing provider shortages soon.

By 2034, the U.S. Census is predicting the number of adults 65 years and over will surpass the number of children 18 and under. And with 2 out of every 5 physicians expected to retire in the next decade, coupled with current nursing shortages, the demand for health care services and providers will not only impact price and quality but also broader social reforms and economic policies.

Similar situations are occurring in Japan, Germany, and China. The supply of clinicians and other ancillary professionals cannot match the demand of their growing populations. As a result, health systems, which were already under severe financial and labor constraints, are now struggling to remain afloat with COVID.

And soon, America may too. But the gravity and severity will hinge on how well health care leaders today are preparing and incentivizing organizations for the future to address burnout rates, administrative burdens, and job satisfaction, which directly attributes to the clinician shortage. Thus, health care must first align on incentivizing value-based contracts to slow the turnover rate.

Clinicians burn out faster and exacerbate staffing shortages quicker when, instead of focusing on patient care, they must commit major time and energy to administrative tasks like charting, which has grown increasingly cumbersome. One study suggests physicians spend almost 17 minutes per encounter using EHRs; with 11 percent of that time occurring after-hours. This is especially true in a fee-for-service arrangement, where large swaths of documentation are needed to obtain reimbursements and clinicians are overworked.

Operating instead in a value-based contract arrangement, clinicians don’t need to generate large volumes of patients and associated documentation to receive payments. Clinicians can focus more on patient care with less paperwork. This can lighten the clinicians’ patient caseloads, reduce administrative burdens, and partially address the clinician shortage.

Secondly, health care leaders must leverage predictive analytics and automation to optimize staffing capabilities and eliminate highly manual and repetitive tasks.

EHRs that minimize pop-ups and require as few clicks as possible to chart records will not only free up time to provide higher-quality care but also perhaps enable other clinicians, like nurses and APPs, to practice at the top of their scope. Research shows higher retention levels are related to job satisfaction, which also influences better patient health outcomes and how likely nurses decide to retire early.

Furthermore, the physical and mental demands required of nurses today are taxing and will only continue to rise due to the increasing acuity of patients. Many nurses, like physicians, feel overworked and emotionally exhausted. The result only exacerbates the clinician shortage. Therefore, it is critical that health care leaders choose carefully which technologies best support providing high-quality patient care, optimizing workforce capabilities, and promoting a healthy safe work environment for employees.

ADVERTISEMENT

Unhealthy work environments are the last major factor that health care leaders need to consider. To counter the impacts of burnout and other factors on clinician shortages, organizations need to offer mental health wellness programs for care team members. More importantly, organizations need to foster a space that allows clinicians to seek help without feeling stigma. One survey reports that 73 percent of ER doctors expect stigma at work for seeking personal treatment during the pandemic. There must be an organizational shift to encourage clinicians that seeking help is normal. Clinicians don’t need to always feel as if they must be superhumans.

While certain factors contributing to the shortage aren’t amendable to change, health care leaders still must figure how to align payment incentives, invest in appropriate technologies, and foster a sustainable work culture. We have to realize that what’s most important for patient care and health outcomes is to ultimately help clinicians avoid leaving the profession. If we don’t, the clinician shortage will be far worse than one can imagine.

Timothy Lee is a health care strategist.

Image credit: Shutterstock.com

Prev

In memory of a nurse who died from injuries sustained during a patient assault

August 9, 2021 Kevin 6
…
Next

Physicians and the importance of servant leadership

August 9, 2021 Kevin 0
…

Tagged as: Primary Care

Post navigation

< Previous Post
In memory of a nurse who died from injuries sustained during a patient assault
Next Post >
Physicians and the importance of servant leadership

ADVERTISEMENT

Related Posts

  • The health care system will cause its own physician shortage

    Advait Suvarnakar and Aashka Suvarnakar
  • Patient autonomy in times of shortage

    Deepak Gupta, MD
  • Why the baby formula shortage happened

    Divya Srinivasan and Tejas Sekhar
  • We need a clinician review system with a personal touch

    Brittany Ganguly
  • An ode to great clinician-educators

    Robert Centor, MD
  • How to tackle the physician shortage

    Sujan Gogu, DO and Aishwarya Sivaramakrishnan

More in Policy

  • Online eye exams spark legal battle over health care access

    Joshua Windham, JD and Daryl James
  • The One Big Beautiful Bill and the fragile heart of rural health care

    Holland Haynie, MD
  • Why health care leaders fail at execution—and how to fix it

    Dave Cummings, RN
  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • The hidden health risks in the One Big Beautiful Bill Act

    Trevor Lyford, MPH
  • The CDC’s restructuring: Where is the voice of health care in the room?

    Tarek Khrisat, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How to start reversing the clinician shortage today
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...