Provider Wellness and Workforce Shortages

The U.S. is facing a healthcare staffing crisis worsened by structural changes and the COVID-19 pandemic. Urologists are among the most stressed professionals, dealing with physician shortages, economic pressures, escalating inflation, and the impending Medicare Physician Fee Schedule (MPFS) payment reduction. These challenges, coupled with safety concerns, excessive administrative duties, and insufficient mental health support, severely impact healthcare professionals' quality of life.

Key Strategies

Investing in Medical Education and Faculty

  • Strengthen the healthcare pipeline by supporting students, graduates, and aspiring healthcare providers through strategic investments.

Expanding Residency Slots

  • Increase Medicare-funded residency slots, particularly in specialties like urology, to address physician shortages and enhance the overall healthcare workforce.

Legislation to Boost the Nursing Workforce

  • Modernize nursing education and evidence-based programs through bills like the National Nursing Workforce Center Act of 2023, ensuring nurses are well-equipped to provide high-quality care.

Supporting Underserved Areas

  • Extend funding for community health centers and the National Health Service Corps (NHSC) to incentivize practice in underserved regions, improving access to care for vulnerable populations.

Strategies to Grow the Workforce and Promote Healthcare Provider Well-Being

Visa Facilitation

  • To supplement the healthcare workforce, streamline visas for foreign-trained nurses and maintain visa waivers for physicians in underserved areas.

Grant Funding for Well-Being Projects

  • Provide grants for projects that enhance healthcare professionals' well-being and create supportive work environments.

Integrating Well-Being Practices

  • Integrate well-being practices with quality enhancement efforts to improve healthcare provider well-being.

 

The New HHS Health Workforce Initiative

In July 2023, the U.S. Department of Health and Human Services (HHS) launched the HHS Health Workforce Initiative to strengthen and expand the health workforce. The initiative supports various healthcare disciplines with a proposed $2.7 billion investment for HRSA's training, scholarship, loan repayment, and well-being programs.

Recent Legislation Addressing the Physician Shortage

The Resident Physician Shortage Reduction Act of 2023, introduced by Reps. Terri Sewell (D-AL) and Brian Fitzpatrick (R-PA) aim to expand Medicare-supported medical residency positions by 14,000 over seven years. This bipartisan legislation is crucial to combating the projected physician shortage and enhancing healthcare access.

Addressing Violence in Healthcare

Violence in healthcare settings has surged, with two nurses assaulted every hour in the second quarter of last year, according to a Press Ganey analysis.

Healthcare and social service workers experienced disproportionately high rates of workplace violence and were five times more likely to be injured at work than the general workforce in 2018, according to the Bureau of Labor Statistics.

The "Safety from Violence for Healthcare Employees" (SAVE) Act, introduced by U.S. Representatives Larry Bucshon, M.D. (R-IN) and Madeleine Dean (D-PA), addresses violence and intimidation against healthcare employees.

The SAVE Act, modeled after protections for aircraft and airport workers, criminalizes assault or intimidation of healthcare employees while providing safeguards for those mentally incapacitated due to illness or substance use. Despite prior challenges, the SAVE Act offers stricter penalties for those who assault or harass healthcare workers.

 

LUGPA’s Role

LUGPA provides practice management resources, advocacy, and support for young urology residents to alleviate regulatory burdens and improve reimbursement for its members. Learn more about our programs:

  • LUGPA Management Resources
  • LUGPA Resident Resources
  • LUGPA Health Policy and Advocacy

Addressing workforce shortages and prioritizing healthcare provider well-being are crucial to ensuring accessible, high-quality healthcare. By adopting these strategies and supporting initiatives like the HHS Health Workforce Initiative and the Resident Physician Shortage Reduction Act, the U.S. can cultivate a robust and diverse healthcare workforce to meet the nation's needs.

 


 

LUPGA Materials

UGPA Policy Brief - Healthcare Workforce Reform - August 2024

New Data Highlights Workplace Stress for Urologists; LUGPA Looks Toward Solutions  - Dec. 2022 

Practitioner Spotlight on Independent Urology: Audrey Barker talks about contract negotiations and tips for interviewing - Mar. 2023 

Policy Brief: Sustaining the Health Care Workforce and Supporting Provider Well-Being - Aug. 2023 

LUGPA Is Raising Awareness About Physician Burnout - Dec. 2023 

LUGPA Policy Brief: Enhancing Provider Safety - Nov. 2023 

Second Community Practice Summit Addresses Critical Healthcare Challenges  - May 2024 

Physician Burnout increases with Government Over-Regulating Bottom Line - Mar. 2022