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The Standard Q3 2016

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Industry Perspectives

The Key to Reducing Hospital Readmissions: Patient Education

Stephen Gault, Director of Marketing, Delta Locum Tenens

Across the United States, hospital readmission rates have trended down, and in 2015 we saw 10 percent less than the previous year. One of the most influential drivers for the decline is the Hospital Readmissions Reduction Program (HRRP), an initiative lead by Centers for Medicare and Medicaid Services (CMS) that reduces payments to hospitals with high readmission rates. The penalties can go as high as 3 percent, and in 2015, CMS collected $428 million from hospitals that had excessive readmissions. As the number of insured patients increases due to coverage from the Affordable Care Act, more people can visit hospitals today than ever before to treat acute illness or conditions. Logically, more patients equal more opportunity for readmissions. As such, hospitals are motivated to facilitate greater communication between patients and their caregivers in order to provide more efficient continuity of care.

Patient-Centered Focus

CMS defines hospital readmissions as being readmitted to the hospital within 30 days of the initial visit. Despite the year-over-year decrease, the actual number of hospitals that are getting penalized has grown over the last three years. In 2013 it was 64 percent, in 2014 it was 66 percent, and in 2015, it was 78 percent.

HRRP has provided a sense of urgency for hospitals to mitigate readmissions by ramping up their efforts to ensure patients receive proper discharge planning, follow-up, and education.  Electronic medical records, which keep track of patient treatments and progress in a digital format that can be shared among healthcare providers, play an influential role in facilitating this ongoing communication among healthcare professionals.

As the healthcare industry evolves from service oriented to one focused on outcome and reducing hospital readmissions, patient-centered care will become even more critical. This is also why finding the right healthcare professionals to assist with short- or long-term staffing  needs is so important.

Delta Locum Tenens (DLT) and Delta Healthcare Providers (DHP) provide staffing coverage for a few days, weeks, or longer. Whether a client needs assistance staffing a big city facility, rural health environment, or a federally qualified health center, the professionals represented by DLT and DHP ensure patients understand what their health solution looks like from the moment they leave the hospital. As such, these healthcare professionals strive to help hospitals keep readmission rates low—and the continuity of care sky high.

Delta Locum Tenens is among the 2 percent of healthcare staffing agencies in the nation to receive Best of Staffing® honors from Inavero. Visit deltalocumtenens.com to Learn more about how DLT can assist with your healthcare staffing needs today.

 

 

Placements & Interviews

Placement Data by Specialty

This data represents average statistics of placements and interviews by Delta Physician Placement over the twelve-month survey period. Since these averages only include placements and interviews, the compensation information presented indicates the rate at which candidates are choosing to interview or sign. Average days information can be used to forecast a probable timeline for a recruitment effort in a particular specialty.

  Average Compensation Average Days
  Starting Compensation Sign-on Bonus Potential Compensation From Interview to Placement Total Placement Fastest Days-to-Fill
Primary Care
Family Medicine $225,357 $26,923 $248,393 30 145 17
Family Medicine- Obstetrics  $255,000 $25,000 $270,000 106 208 208
Internal Medicine $222,083 $21,944 $247,500 29 145 32
Obstetrics/Gynecology $326,000 $31,000 $386,000 12 133 58
Pediatrics $213,857 $18,571 $266,429 16 144 36
Psychiatry $237,124 $22,429 $265,545 18 165 22
Urgent Care $280,000 $30,000 $280,000 6 131 131
Surgery
Orthopedic Surgery $550,000 $17,500 $675,000 8 189 58
Ophthalmology $250,000 $20,000 $250,000 29 150 150
General Surgery $371,228 $35,000 $415,714 47 78 54
Surgery- Cardiothoracic $565,000 $50,000 $600,000 14 48 48
Urology $490,000 $39,000 $600,000 47 174 51
Sub-Specialty
Gastroenterology $566,667 $35,000 $616,667 49 130 72
Neurology $325,000 $30,000 $350,000 19 105 105
Hospital-Based
Emergency Medicine  $313,309 $36,250 $377,346 18 272 135
Hospitalist $237,500 $15,000 $270,000 27 214 200
Pediatric Hospitalist $220,000 $20,000 $240,000 26 208 208

Data reflects averages from placements and interviews by Delta Physician Placement from October 2015 through September 2016. “Potential Compensation” data reflects average yearly compensation at full production excluding benefits. “Average Days” data does not include off-contract placements. “Average Days Total Placement” data is calculated from profile to placement. 


Placements by Population

Placements by Population

Data indicates sources of candidates for placements and interviews from October 2015 through September 2016.

Candidate Sources

Candidate Sources

 

Data indicates sources of candidates for placements and interviews from October 2015 through September 2016.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Locum Tenens on behalf of healthcare facilities from October 2015 through September 2016.



Specialty Demand Comparison

  3rd Quarter 2016 3rd Quarter 2015
1. Family Medicine Family Medicine
2. Hospitalist Internal Medicine
3. Internal Medicine Psychiatry
4. Emergency Medicine Pediatrics
5. Psychiatry Emergency Medicine
6. Gastroenterology Hospitalist
7. Family Medicine - Obstetrics Podiatric Medicine
8. Pediatrics Urology
9. Surgery - General Cardiology - Invasive
10. Obstetrics/Gynecology Dermatology
11. Pediatric Hospitalist Endocrinology
12. Urology Gastroenterology
13.

Cardiology - Interventional

Hematology/Oncology
14. Hematology/Oncology IM/Pediatrics
15. Hospitalist Dir.

Infectious Disease


Data compares the top 15 most requested searches initiated by Delta Physician Placement, comparing the third quarters of 2015 and 2016.

Search Distribution Specialty

Search Distribution Specialty

Data indicates the percentage of searches initiated by specialty grouping between October 2015 through September 2016.



Candidate Placements

  Top 5 States Providers Have
Taken New Opportunities
1. Texas
2. Iowa
3. California
4. Colorado
5. Minnesota

Compares all states for the top 5 candidate placements as initiated by Delta Physician Placement from October 2015 through September 2016.

Locum Tenens

Days Requested - Top Specialties

Days Requested

Data indicates the top specialties by days requested from October 2015 through September 2016.

Nationwide Physician Distribution

Nationwide

Map represents searches initiated by Delta Physician Placement on behalf of healthcare facilities from October 2015 through September 2016.

3rd Quarter 2016 
October 2015 - September 2016

Industry Perspectives

Demand for Physical Therapists is On The Rise

Evan Hale, Marketer, Delta Healthcare Providers

Physical therapists (PTs) treat a range of cardiopulmonary, musculoskeletal, neurological, pediatric, and hand therapy conditions. To say their jobs are vital to patient health and wellness isn’t an exaggeration. Americans are living longer, there are more people who now have access to healthcare, and one of our largest demographic groups (baby boomers) is aging and in need of hands-on customized care. These realities are all driving the demand for PTs, and this demand is expected to grow over the next two decades. The problem is that the growth will happen at a rate faster than the supply can keep up with.

The Pull For PTs

Physical therapists have historically reported high job satisfaction scores. This year, PTs ranked 12th on the Best Healthcare Jobs List from U.S. News and World Report.  But despite the fact that PTs are happy with their chosen field, there is still a shortage of these important professionals working today.  According to American Physical Therapy Association (APTA), we can expect a deficiency of about 34,000 PTs next year, and a shortage of about 18,350 PTs by 2025, assuming a 3.5 percent attrition rate.  (For this and more information, download “Workforce Model Description and Figures.”) While APTA forecasts a 4 percent growth rate of graduates from PT programs from 2016 to 2025, there still aren’t enough professionals coming on board to cover patient need.

The competition to find great healthcare talent is intense.  Adding fuel to the fire is the fact that changes in the business of healthcare are widening the gap between supply and demand. As hospitals are under pressure to treat and release patients as quickly as possible, many patients, the majority of which are seniors, rely on a home health setting to continue their care. More seniors create the need for more PTs, and APTA says that 80 percent of PTs practice in settings other than a hospital, such as an extended care facility or private residence.

Discovering Opportunities

Delta Healthcare Providers can assist with finding the right PT professionals for your practice or facility to solve a staffing need today. Clients benefit from DHP’s nationwide reach, extensively vetted PT candidates, and deep experience identifying the right professionals for rural hospitals and remote settings. As the demand for PTs grows, DHP is focused on matching the right healthcare professional to the right opportunity.

Delta healthcare providers is among the 2 percent of healthcare staffing agencies in the nation to receive best of staffing® honors from Inavero. Visit deltahealthcareproviders.com to learn more about how DHP can assist with your pt placement today.

 

Placements & Interviews

Placement Data by Specialty

This data represents average statistics of placements and interviews by Delta Healthcare Providers over the twelve-month survey period. Since these averages only include placements and interviews, the compensation information presented indicates the rate at which candidates are choosing to interview or sign. Average days information can be used to forecast a probable timeline for a recruitment effort in a particular specialty.

  Average Compensation Average Days
  Starting Compensation Sign-on Bonus Student Loan Repayment Relocation Reimbursement From Interview to Placement Total Placements Fastest Days-to-Fill
Rehabilitation
Occupational Therapist $83,743 $10,276 $24,800 $4,711 7 77 1
Physical Therapist $83,834 $13,390 $10,948 $4,226 9 73 1
Physical Therapy Assistant $61,361 $11,500 $25,000 $10,889 8 59 11
Extenders
Nurse Practitioner $111,050 $9,300 $36,661 $6,828 14 98 11
Physician Assistant $90,000 $5,000 - $2,500 7 86 19
Allied/Other
Dentist $138,333 $8,875 $50,000 $5,833 17 78 17
Licensed Clinical Social Worker $65,000 $2,000  $30,000  $15,000 6 80 76
Diagnostic Medical Sonographer $78,000 $12,000          -  $4,000 20 83 83
Audiologist $80,000 - - $5,000 7 35 35
Nursing
Director of Emergency Dept. $105,000 $3,000 - $4,000 7 76 76
CRNA $163,333 $5,000 $17,500 $25,000 18 55 44
Nurse Manager of Medical/Surgical $92,000 $5,000 - $3,500 3 71 64
Nurse Manager of Surgical Services $95,000 $5,000 - $5,000 3 17 17
Registered Nurse $73,457 $7,594 $31,302 $7,579 8 96 7

Data reflects averages from placements and interviews by Delta Healthcare Providers from October 2015 through September 2016. “Average Compensation” data reflects average yearly compensation for each position listed above. “Average Days” data does not include off-contract placements.


Placements by Population

Placements by Population


Data indicates the percentage of placements made from October 2015 through September 2016 by the population of the search facility's metropolitan area.

Years of Experience

Years of Experience

 

Data indicates the average years of experience of candidates for placements and interviews from October 2015 through September 2016.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Healthcare Providers on behalf of healthcare facilities from October 2015 through September 2016.



Candidate Placements

  Top 5 States Providers Have
Taken New Opportunities
1. Texas
2. California
3. New Mexico
4. Alaska
5. Arizona


Data is compiled from assignments placed by Delta Healthcare Providers from October 2015 through September 2016.

Specialty Demand Comparison

  3rd Quarter 2016 3rd Quarter 2015
1. Physical Therapist  Registered Nurse
2. Registered Nurse

Physical Therapist

3. Nurse Practitioner Nurse Practitioner
4. CRNA Occupational Therapist
5. Dentist Speech-Language Pathologist

 


Candidate Sources

Candidate Sources


Data indicates sources of candidates for placements and interviews from October 2015 through September 2016.

Staffing

Facility Demographics

Facility Demographics Charts


Data is compiled from assignments placed by Delta Healthcare Providers from July 2015 through September 2016.



Years of Experience

Years of Experience

 


Data is compiled from assignments placed by Delta Healthcare Providers from July 2016 through September 2016.