Virtual Paper Presentations: The role of the workforce in driving health service transformations

November 10, Wednesday, 12:30 – 13:30 

Learn and be inspired by brief presentations of innovative programs, projects, and good practices from various organizations:

Expanding community impact in the USA through strategic human resource management: The potential of US health systems as anchor institutions
Presented by: Prof. Andrew Garman and Prof. Tricia Johnson
In the USA, health systems represent almost 18% of the economy, and in many regions are the largest stable employers, with wages higher than national averages.  By viewing health systems as ‘anchor institutions,’ payroll represents a significant potential resource to improve community health. This presentation will describe Rush’s experiences in expanding the lens through which it assesses human resource management decisions, to include their potential for positively impacting community health. The presentation focuses in particular on two initiatives.  The first involved researching the well-being of current employees, to better understand barriers they were facing to career growth and financial health. The second involved establishing a five-component Career Pathways program, to support employees in successfully pursuing higher-wage roles in high-demand areas: (1) Patient Care Technician career pathway; (2) Medical Assistant Pathway Program; (3) Health IT Pathway; (4) Nursing Pathway; and (5) College readiness program.

Expanding community impact in the UK through strategic human resource management: The potential for the NHS as an anchor institution
Presented by: Dr. Dominique Allwood
The NHS employs more than 1.6 million people in the UK and, with more than 350 career options, represents a critical source of economic opportunity for people in the communities it serves. Research has demonstrated that there are robust relationships between work and health, and for work to have a positive health impact, it must provide stable employment, a living wage, fair working conditions, work-life balance and career progression. This presentation will report on the potential for healthcare to meaningfully impact the health of citizens through its employment practices drawing on the Health Foundation-sponsored report, “Building healthier communities; The role of the NHS as an anchor institution” and case studies from members of the newly formed UK wide ‘Health Anchor Learning Network’. The examples described will highlight how the impacts of COVID-19 have accelerated action in this important area.

The exodus of nurses and its’ impact on future workforce sufficiency
Presented by: Dr. Christine Mahoney
This presentation addresses an important people issue—retaining nurses and the overall supply of nurses. The presenters will examine the factors that increase the probability that nurses leave nursing, particularly before retirement age. They will examine the difference in causes of turnover for rural and urban nurses. Turnover will have an impact on the future sufficiency of the workforce for any healthcare system. The supply of nurses is integral to both the quantity and quality of healthcare available.

Systematic second opinion before a surgical intervention: New national directive in Germany
Presented by: Dr. Doris Voit
Obtaining a “second opinion“ is widely used in the German healthcare system: interdisciplinary co-operation is common and patients have free choice among specialists. The “Act to Strengthen the Supply in the Statutory Health Insurance“ (2015) empowered patients: They became legally entitled to claim an independent second medical opinion before well-defined elective operations. On this basis, the Federal Joint Committee, the highest decision-making body of the joint self-government in Germany`s healthcare system, has developed a new  directive. In force since December 2018, it regulates the process of the second opinion for hysterectomies, tonsillectomies, shoulder arthroscopies, knee-TEPs, foot amputation and spinal surgery. This new directive, part of the German quality assurance system (which is mandatory for all healthcare providers), regulates the duties of the involved medical specialists and defines the rights of patients in this context, aiming at empowerment of patients by enhancing active participation in the shared decision-making process.

Empowering Communities in Crisis: How Wsparcie dla Szpitala Connected Hospitals With Donors in Poland
Presented by: Dr. Jakub Jasiczak and Urszula Szybowicz
In March of 2020, Poland found itself in the grip of a global pandemic. With the borders shut, Covid infections rising, and crucial supplies dwindling, members of the public were stepping up to try and help hospitals on the front line. Local support groups popped up here and there, but they were overwhelmed by the task of coordinating their donations.
A group of 8 scientists from the Poznań University of Economics and Business, 12 programmers from Clorce Company, and 16 activists gathered around PARK NGO – in substantive partnership with The Polish Hospital Federation – transformed uncoordinated, chaotic help provided to hospitals by residents and companies into an effective and efficient system of social support for the health care. by the Salesforce platform helped 700 hospitals and nursing homes to declare their needs, donors to declare their help and a network of 360 local coordinators to collect and deliver.