Journal of Healthcare Management - September/October 2016 - 378
J o u r n al
of
H ealt H care M anageMent 61:5 S epte Mber /o ctober 2016
PRAC TITIONER
A P P L I C AT I O N
H. Ray Gibbons, FACHE, president, Saint Alphonsus Medical Center,
Baker City, Oregon
P
ittman et al. examine CEO perspectives on creating effective and sustainable
clinical staffing models for community health centers (CHCs). My thoughts are
from the perspective of a president of a critical access hospital (CAH) with a variety
of rural healthcare experiences. Great similarities exist between federally qualified
health centers (FQHCs) and CAHs in the area of clinical staffing models. Our challenge as leaders is to avoid claiming that our staffing model is based on our unique
environment. Although I acknowledge that the local labor supply, wages, and scope
of practice have a significant effect on the ability to create a sustainable clinical
staffing model, the talent pool in the United States is expected to become smaller
both near term and long term. Competition for this clinical talent has already
become an issue for both FQHCs and CAHs.
In response, I would like to challenge healthcare leaders to learn from other
industries and develop innovative staffing models. To stimulate this dialogue, I
suggest that the following concepts and questions be discussed and vetted at all levels
of the healthcare system:
1. Can local, regional, and statewide leaders create a vision regarding the need for
change in clinical staffing of clinics?
2. How can CHCs maintain a balance of team-based care with advanced practice
providers who have their own panel?
3. How will the patient-centered medical home model and population health
demands be balanced with the current fee-for-service payment programs?
4. How will virtual clinics affect FQHCs and CAHs? Will they complement them or
be a competitor?
5. How will medical app developers view FQHCs and CAHs? Will they work with
them or compete with them?
6. How will state licensing boards deal with virtual clinics and app developers?
7. Can organizations partner to train clinical providers? In rural areas, for example,
the agricultural extension services are redefining their community roles, and
opportunities exist to develop a combination of online and didactic programs
using this resource. In 2016, Oregon State University in Corvallis, Oregon,
launched a community health worker training program in partnership with the
Eastern Oregon Coordinated Care Organization.
378
Table of Contents for the Digital Edition of Journal of Healthcare Management - September/October 2016
Journal of Healthcare Management - September/October 2016
Contents
Interview With Jayne E. Pope, RN, FACHE, CEO of Hill Country Memorial Hospital
How to Find the Ideal Chief Medical Officer
Four Strategies for Succeeding With Bundled Payments
Who Is a Hospital’s “Customer”? Olena Mazurenko, Dina Marie Zemke, and Noelle Lefforge
Vision Statement Quality and Organizational Performance in U.S. Hospitals Rachna Gulati, Osama Mikhail, Robert O. Morgan, and Dean F. Sittig
Maximizing Healthcare Professionals’ Use of New Computer Technologies in a Small, Urban Hospital’s Critical Care Unit Patricia C. Vadillo, Estrellita S. Rojo, Adelaida Garces, and Maria G. Checton
Factors Determining Medical Staff Configurations in Community Health Centers: CEO Perspectives Patricia Pittman, Leah Masselink, Lauren Bade, Bianca Frogner, and Leighton Ku
Journal of Healthcare Management - September/October 2016 - Contents
Journal of Healthcare Management - September/October 2016 - Cover2
Journal of Healthcare Management - September/October 2016 - i
Journal of Healthcare Management - September/October 2016 - ii
Journal of Healthcare Management - September/October 2016 - 305
Journal of Healthcare Management - September/October 2016 - 306
Journal of Healthcare Management - September/October 2016 - Interview With Jayne E. Pope, RN, FACHE, CEO of Hill Country Memorial Hospital
Journal of Healthcare Management - September/October 2016 - 308
Journal of Healthcare Management - September/October 2016 - 309
Journal of Healthcare Management - September/October 2016 - 310
Journal of Healthcare Management - September/October 2016 - How to Find the Ideal Chief Medical Officer
Journal of Healthcare Management - September/October 2016 - 312
Journal of Healthcare Management - September/October 2016 - 313
Journal of Healthcare Management - September/October 2016 - Four Strategies for Succeeding With Bundled Payments
Journal of Healthcare Management - September/October 2016 - 315
Journal of Healthcare Management - September/October 2016 - 316
Journal of Healthcare Management - September/October 2016 - 317
Journal of Healthcare Management - September/October 2016 - 318
Journal of Healthcare Management - September/October 2016 - Who Is a Hospital’s “Customer”? Olena Mazurenko, Dina Marie Zemke, and Noelle Lefforge
Journal of Healthcare Management - September/October 2016 - 320
Journal of Healthcare Management - September/October 2016 - 321
Journal of Healthcare Management - September/October 2016 - 322
Journal of Healthcare Management - September/October 2016 - 323
Journal of Healthcare Management - September/October 2016 - 324
Journal of Healthcare Management - September/October 2016 - 325
Journal of Healthcare Management - September/October 2016 - 326
Journal of Healthcare Management - September/October 2016 - 327
Journal of Healthcare Management - September/October 2016 - 328
Journal of Healthcare Management - September/October 2016 - 329
Journal of Healthcare Management - September/October 2016 - 330
Journal of Healthcare Management - September/October 2016 - 331
Journal of Healthcare Management - September/October 2016 - 332
Journal of Healthcare Management - September/October 2016 - 333
Journal of Healthcare Management - September/October 2016 - 334
Journal of Healthcare Management - September/October 2016 - Vision Statement Quality and Organizational Performance in U.S. Hospitals Rachna Gulati, Osama Mikhail, Robert O. Morgan, and Dean F. Sittig
Journal of Healthcare Management - September/October 2016 - 336
Journal of Healthcare Management - September/October 2016 - 337
Journal of Healthcare Management - September/October 2016 - 338
Journal of Healthcare Management - September/October 2016 - 339
Journal of Healthcare Management - September/October 2016 - 340
Journal of Healthcare Management - September/October 2016 - 341
Journal of Healthcare Management - September/October 2016 - 342
Journal of Healthcare Management - September/October 2016 - 343
Journal of Healthcare Management - September/October 2016 - 344
Journal of Healthcare Management - September/October 2016 - 345
Journal of Healthcare Management - September/October 2016 - 346
Journal of Healthcare Management - September/October 2016 - 347
Journal of Healthcare Management - September/October 2016 - 348
Journal of Healthcare Management - September/October 2016 - 349
Journal of Healthcare Management - September/October 2016 - 350
Journal of Healthcare Management - September/October 2016 - 351
Journal of Healthcare Management - September/October 2016 - Maximizing Healthcare Professionals’ Use of New Computer Technologies in a Small, Urban Hospital’s Critical Care Unit Patricia C. Vadillo, Estrellita S. Rojo, Adelaida Garces, and Maria G. Checton
Journal of Healthcare Management - September/October 2016 - 353
Journal of Healthcare Management - September/October 2016 - 354
Journal of Healthcare Management - September/October 2016 - 355
Journal of Healthcare Management - September/October 2016 - 356
Journal of Healthcare Management - September/October 2016 - 357
Journal of Healthcare Management - September/October 2016 - 358
Journal of Healthcare Management - September/October 2016 - 359
Journal of Healthcare Management - September/October 2016 - 360
Journal of Healthcare Management - September/October 2016 - 361
Journal of Healthcare Management - September/October 2016 - 362
Journal of Healthcare Management - September/October 2016 - 363
Journal of Healthcare Management - September/October 2016 - Factors Determining Medical Staff Configurations in Community Health Centers: CEO Perspectives Patricia Pittman, Leah Masselink, Lauren Bade, Bianca Frogner, and Leighton Ku
Journal of Healthcare Management - September/October 2016 - 365
Journal of Healthcare Management - September/October 2016 - 366
Journal of Healthcare Management - September/October 2016 - 367
Journal of Healthcare Management - September/October 2016 - 368
Journal of Healthcare Management - September/October 2016 - 369
Journal of Healthcare Management - September/October 2016 - 370
Journal of Healthcare Management - September/October 2016 - 371
Journal of Healthcare Management - September/October 2016 - 372
Journal of Healthcare Management - September/October 2016 - 373
Journal of Healthcare Management - September/October 2016 - 374
Journal of Healthcare Management - September/October 2016 - 375
Journal of Healthcare Management - September/October 2016 - 376
Journal of Healthcare Management - September/October 2016 - 377
Journal of Healthcare Management - September/October 2016 - 378
Journal of Healthcare Management - September/October 2016 - 379
Journal of Healthcare Management - September/October 2016 - 380
Journal of Healthcare Management - September/October 2016 - 381
Journal of Healthcare Management - September/October 2016 - 382
https://www.nxtbook.com/nxtbooks/ache/jhm_20161112
https://www.nxtbook.com/nxtbooks/ache/jhm_20160910
https://www.nxtbook.com/nxtbooks/ache/jhm_20160708
https://www.nxtbook.com/nxtbooks/ache/jhm_20160506
https://www.nxtbook.com/nxtbooks/ache/jhm_20160304
https://www.nxtbook.com/nxtbooks/ache/jhm_20160102
https://www.nxtbook.com/nxtbooks/ache/jhm_20151112
https://www.nxtbook.com/nxtbooks/ache/jhm_20150910
https://www.nxtbook.com/nxtbooks/ache/jhm_20150708
https://www.nxtbook.com/nxtbooks/ache/jhm_20150506
https://www.nxtbook.com/nxtbooks/ache/jhm_20150304
https://www.nxtbook.com/nxtbooks/ache/jhm_20150102
https://www.nxtbook.com/nxtbooks/ache/jhm_20141112
https://www.nxtbook.com/nxtbooks/ache/jhm_20140910
https://www.nxtbook.com/nxtbooks/ache/jhm_20140708
https://www.nxtbook.com/nxtbooks/ache/jhm_20140506
https://www.nxtbook.com/nxtbooks/ache/jhm_20140304
https://www.nxtbook.com/nxtbooks/ache/jhm_20140102
https://www.nxtbook.com/nxtbooks/ache/jhm_20131112
https://www.nxtbook.com/nxtbooks/ache/jhm_20130910
https://www.nxtbook.com/nxtbooks/ache/jhm_20130708
https://www.nxtbook.com/nxtbooks/ache/jhm_20130506
https://www.nxtbook.com/nxtbooks/ache/jhm_20130304
https://www.nxtbook.com/nxtbooks/ache/jhm_20130102
https://www.nxtbookmedia.com