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The Standard Q4 2016

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Industry Perspectives

The Impact of Telemedicine on Staffing

James Heil, Regional Vice President, Delta Locum Tenens

Telemedicine makes it possible to diagnose, monitor, and treat patients virtually in real time through technology-enabled devices. It also facilitates communication and consultation between providers, nurses, and healthcare professionals to drive excellence in patient care. The capability of on-demand virtual visits will continue to evolve healthcare, and the remote patient monitoring device market is poised to hit $46 billion this year, according to data cited by the Advisory Board.* Providers can leverage the power of telemedicine to streamline staffing and work with professionals who may once been inaccessible.

Hire the Best Professionals

Because telemedicine eliminates the need for in-person interactions, licensed and highly qualified candidates can provide healthcare services remotely—even across facilities. This capability enables providers to leverage the best expertise possible—without worry about schedules and travel. Radiology, primary care, intensive care, and psychiatry are just some of the specialties and practice that are leading the use of telemedicine.

Dynamic Staffing Capabilities

The balancing act required to staff a facility can be tenuous. Telemedicine empowers providers to leverage staffing resources dynamically and efficiently, and even accommodate last-minute needs and requests as the opportunities arise—without compromising care.

Provider and Patient Benefits

Advisory Board names several strategic benefits of data-driven telemedicine between patients and providers, such as greater patient convenience and streamline medication management. Providers can also realize operational efficiencies and fewer hospital readmissions due to more frequent and timely communication with patients. And as the market share for wearables climbs—with a projected $16.3 billion for 2018, according to Advisory Board—the acceptance of the technology that enables telemedicine is on the rise.

The Opportunity

Advisory Board reports that:

  • 20 percent of patients are living in areas with insufficient primary care doctors,
  • nationwide patients wait 19.5 days on average for an appointment with a family practice
  • and only 55 percent of patients receive recommended preventative care.

These gaps can be filled with remote patient care capabilities. As more consumers say they prefer virtual care—and Advisory Board reports that 72 percent would be willing to see a doctor via video—telemedicine is poised to grow in practice and acceptance.

Delta Locum Tenens strives to find new ways to provide service lines to our customers, and telemedicine is one where we see an opportunity to be a resource to our facilities and providers looking for help with their telemedicine needs in the future.

 

*All Advisory Board data points in this story are cited from either Advisory Board research or external sources and can be found in the presentation, The Advisory Board Company, Market Innovation Center, “Telemedicine Industry Trends 2016.”

 

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 $225,109 $28,148 $254,766 36 145 17
Family Medicine- Obstetrics  $180,000 $20,000 $249,000 16 72 10
Internal Medicine $219,583 $21,667 $250,000 16 158 32
Obstetrics/Gynecology $319,286 $27,143 $359,286 12 107 31
Pediatrics $216,667 $19,000 $273,889 19 152 40
Psychiatry $243,837 $18,667 $269,000 22 179 81
Urgent Care $280,000 $30,000 $280,000 6 131 131
Surgery
Orthopedic Surgery $600,000 $20,000 $800,000 14 82 82
General Surgery $370,000 $32,143 $414,286 29 50 40
Surgery- Cardiothoracic $565,000 $50,000 $600,000 14 48 48
Surgery- Vascular $350,000 - $800,000 47 80 80
Urology $516,667 $41,667 $533,333 56 164 51
Sub-Specialty
Gastroenterology $583,750 $41,667 $646,250 44 143 72
Neurology $325,000 $30,000 $350,000 19 105 105
Hospital-Based
Emergency Medicine  $289,713 $40,000 $385,250 18 337 135
Hospitalist $237,500 $15,000 $270,000 27 214 200
Pediatric Hospitalist $227,500 $45,000 $237,500 28 140 72

Data reflects averages from placements and interviews by Delta Physician Placement from January 2016 through December 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 January 2016 through December 2016

Candidate Sources

Candidate Sources

 

Data indicates sources of candidates for placements and interviews from January 2016 through December 2016.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Physician Placement on behalf of healthcare facilities from January 2016 through December 2016.



Specialty Demand Comparison

  4th Quarter 2016 4th Quarter 2015
1. Family Medicine Family Medicine
2. Internal Medicine Psychiatry
3. Pediatrics Internal Medicine
4. Family Medicine - Obstetrics Obstetrics/Gynecology
5. Surgery - General Emergency Medicine
6. Obstetrics/Gynecology Family Medicine - Obstetrics
7. Otolaryngology Hospitalist
8. Urology Surgery - General
9. Geriatric Medicine - IM Neurology
10. Psychiatry Pediatrics
11. Allergy/Immunology Physical Medicine & Rehabilitation
12. Emergency Medicine Pulmonary Critical Care Medicine
13.

Gastroenterology

Urgent Care
14. Hospitalist Gastroenterology
15. Medical Oncology

Infectious Disease

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

Search Distribution Specialty

Search Distribution Specialty

Data indicates the percentage of searches initiated by specialty grouping between January 2016 through December 2016.



Candidate Placements

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

Compares all states for the top 5 candidate placements as initiated by Delta Physician Placement from January 2016 through December 2016.

Locum Tenens

Days Requested - Top Specialties

Days Requested

Data indicates the top specialties by days requested from January 2016 through December 2016.

Nationwide Physician Distribution

Nationwide

Map represents the percentage of licensed physicians by region working with Delta Locum Tenens

4th Quarter 2016 
January 2016 - December 2016

Industry Perspectives

The Need to Address the Nursing Shortage

Brendan Alvey, Marketer, Delta Healthcare Providers

The nursing shortage isn’t slowing down, and by 2020, there will be an estimated shortfall of 200,000 nurses. Add in the rate of retirement—which is a projected 1.1 million over the next two decades—and it’s clear the gap is going to have a big, ongoing impact on healthcare.

Part of the problem is staffing and budget. Facilities freeze the hiring of additional registered nurses because of budgets, and then a year later, when they desperately need to hire, they don’t have the applicants. The result: many facilities are forced to hire travel nurses—at a rate nearly double that of a full-time employee. And the cycle continues.

Working with a staffing partner like Delta Healthcare Providers (DHP) is key to meeting the ever-changing nursing needs of the facility—without incurring over or understaffing problems.

Rural vs. Urban Locations

Rural facilities feeling the greatest impact of the nursing shortage, and often are hard-pressed to compete with urban locations on pay and lifestyle amenities. When rural facilities are understaffed, nurses who are currently on the payroll may feel they too should leave for better circumstances. After all, no one wants to be overworked, and when there is more work than the number of nurses, this is exactly what happens. Just in the past two months, DHP has had conversations with two different facilities that lost their Director of Nursing, and in both situations, it was because the nurse had to work nights to cover shifts, making it difficult and stressful to complete the administrative duties.

When there is a nursing shortage at a facility, registered nurses are pulled in many directions—and multiple settings. For example, an RN in a critical access hospital may be asked to split time in the ER, OR, and surgery unit. However, most nurses tell us they actually prefer to work in one specific setting. This back and forth activity can wear on job satisfaction, and even lead to burn out.

Need for Nurses Climbs

As the population ages, the need for nurses will only climb, and about 80 percent of people are expected to have one or more chronic conditions. Nurses will be at the forefront of care, and being called on more frequently in more situations. The shortage may be addressed with education and national licensing standards, but part of the issue is utilizing the professionals available today in the smartest ways possible.

DHP works with facilities to address registered nursing needs through temporary and permanent services. Each candidate is screened, vetted, and qualified through rigorous standards. DHP also assists with forecasting and staffing to ensure the facility has the nursing professionals necessary to deliver excellence in patient care.

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 $81,857 $10,276 $23,750 $4,389 6 100 1
Physical Therapist $84,073 $12,615 $13,332 $3,891 9 96 1
Speech-Language Pathologist $78,651 $5,625 $13,550 $2,750 17 46 1
Occupational Therapy Assistant $75,000 $15,000 - $5,000 6 38 38
Physical Therapy Assistant $65,791 $12,500 $25,000 $13,667 12 84 26
Extenders
Nurse Practitioner $109,409 $10,583 $29,941 $9,739 15 103 11
Physician Assistant $103,750 $5,000 $28,000 $4,375 11 96 19
Allied/Other
Dentist $142,500 $9,500 $50,000 $5,000 17 128 17
Licensed Clinical Social Worker $75,000 -  -  $25,000 10 76 76
Diagnostic Medical Sonographer $72,107 $12,000          -  $6,000 14 88 48
Audiologist $80,000 - - $5,000 7 35 35
Nursing
Director of Emergency Dept. $105,000 $3,000 - $4,000 7 76 76
CRNA $169,333 $5,000 $17,500 $15,000 15 71 45
Case Manager $81,500 - $20,000 $4,500 10 50 46
Registered Nurse $72,464 $8,500 $27,129 $7,330 10 125 9

Data reflects averages from placements and interviews by Delta Healthcare Providers from January 2016 through December 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 January 2016 through December 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 January 2016 through December 2016.

Market Demand

Nationwide Search Distribution

Nationwide Search Distribution

Map represents searches initiated by Delta Healthcare Providers on behalf of healthcare facilities from January 2016 through December 2016.



Candidate Placements

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


Data is compiled from assignments placed by Delta Healthcare Providers from January 2016 through December 2016.

Specialty Demand Comparison

  4th Quarter 2016 4th Quarter 2015
1. Registered Nurse Physical Therapist
2. Physical Therapist

Dentist

3. Nurse Practitioner Registered Nurse
4. Dentist Nurse Practitioner
5. Medical Laboratory Technician Occupational Therapist

 


Candidate Sources

Candidate Sources


Data indicates sources of candidates for placements and interviews from January 2016 through December 2016.

 

Staffing

Facility Demographics

Facility Demographics Charts


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



Years of Experience

Years of Experience

 

Data is compiled from assignments placed by Delta Healthcare Providers from October 2016 through December 2016