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NEW NSI SERVICE OFFERING - RN LIFELINE
NSI is proud to introduce “RN Lifeline”, a new free advertising service. RN Lifeline provides access to tens of thousands of experienced RNs, and includes advertising, sourcing, screening and referral of nurses at no charge. Simply put, and at no cost to you, we will advertise your positions on RN Lifeline and refer qualified RNs for your team to make hiring decisions, and for your convenience, we will input the information from your website. Call us today to learn how you can become a part of RN Lifeline.
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E & Y: HOSPITAL STRATEGIES FOR PROCESS BASED COST REDUCTION
Reimbursement change is driving more sophisticated cost management...focusing on process reengineering. The need for more substantial YOY savings has a new financial urgency. Strategies for Process-Based Cost Reduction (PBCR). An approach to PBCR is "Lean" principles. "Lean" focuses on waste elimination in routine processes-of-care by identifying waste root causes and rooting lessons learned in organizational culture; and then driving rapid improvement events, with continuous change monitoring. The right decision tree is critical for examining the impact of cost reduction and process reengineering. As the focus on value of care increases, organizations are needing more advanced business intelligence finding the effects of cost cutting on operations, quality care, and patient satisfaction.
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"HEALTHCARE GROWS LIKE CRAZY..." AND "THE NURSING SHORTAGE IS NOT A NEW PROBLEM..."
One in eight Americans (4,806,600) work in healthcare and costs $2.7 trillion a year. It's more than one-sixth of our GDP; compared to Europe which is pushing 10% of their GDP. The US is 17%, and projections indicate in 10 years it will be 20% of GDP. Tony Carnevale, of Georgetown University's Center on Education and Workforce, says "healthcare is growing like crazy;" (106,600 YOY) with a Physician shortage of 160,000 by 2020, of which 65,000 are PCPs. "The shortage of RNs... is not a new problem....Yet, in recent years, some employers...reported an RN demand decrease, while 2011 more than 41,000 nursing school applicants were rejected.... These findings begged the question, has the nursing shortage come to an end? In a word, the answer is no. Rather than being over, some experts contend a larger crisis is looming. With nursing jobs projected to increase by 22% by 2018...The supply of nurses is not adequate to meet the anticipated demand.... Some experts estimate there will be a shortage of 1M RNs by 2020...
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WHAT IS THE NURSING SHORTAGE IN MY STATE?
The Trust for America's Health survey provides the anticipated nursing short falls by State. CLICK HERE (HRSA's Geospatial Data Warehouse, State Profile Report. Some states are still in the process of assessing their nursing shortage... The states reporting nursing shortages in 2012 are AL, CA, CO, FL, GA, ID, IA, MO, MT, NV, NJ, NM, NC, ND, OH, OK, TN, TX, UT, WY; with the worst shortages reported in CA, FL and TX.
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SARASOTA HERALD TRIBUNE: "ITS OFFICIAL- FLORIDA'S NURSING SHORTAGE IS BACK"
"As health care employers struggled to contain costs, hospital vacancy rates for registered nurses in Florida fell from more than 8% in 2007 to only 4.6% in 2009. But that trend has now reversed itself. A survey by the University of Central Florida, Center for Nursing shows that vacancies and turnover have accelerated.... The Center projects 16,000 new nursing positions will be created in the state this year... and will run short by 50,000 by 2025." "The Center also reports, that Florida is in dire need of nurses and faces a shortage of more than 15,000 RNs in 2012.
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PENSION FUNDS STRONGER IN 2011
S&P rated hospital pension funds higher in 2011, than 2010, due to investment gains, contributions and plan changes that limit liabilities. The median plan was 78.6% funded for a sample of hospitals with FY that ended through Sept. 30. That's compared with 71.7% for hospitals in 2010. The 2011 gain is still lower than 2008 and 2007, when the median pensions were 80.7% and 90% funded.
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CBO: SEE 2013 BUDGET LOWERING MEDICARE OUTLAYS
In its 2013 budget Obama estimates $364 billion in savings in healthcare spending. The CBO estimated the lower Medicare spending would reduce the federal program by $276 billion over 10 years. These savings are based on changes in payments to providers...and reduced waste, fraud and abuse. The changes to Medicaid—could lead to savings of $66 billion 2013 and 2022. The budget relates to Medicare's SGR formula for physicians payment rates that are scheduled to drop 27% in January 2013. The budget assumes Congress will pass a so-called doc fix to avert cut, which increases federal outlays by $271 billion 2013 and 2022. Overall, the deficit from enacting the budget over the 2013-22 period amounts to $6.4 trillion or 3.2% of GDP—which is about $3.5 trillion larger than projected in current law.
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ECONOMIC INDEX SIGNALS ROSINESS THROUGH 3Q12, ON-LINE JOB ADS UP AND AGENCY STAFFING UP
The Conference Board’s employment trends index rose 0.7%. The acceleration in the index suggests that rapid job growth is likely....If this trend continues, employment growth could remain robust even if GDP continues to grow at a modest 2% to 2.5%. Monster’s employment index of online jobs rose 10 points in March to 143,up YOY by 14 points. Online jobs rose 39,900 in March. Staffing agency employment is up 4.2% YOY March, according to the American Staffing Association. Since January, 2012, staffing employment has grown 15.8%.
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