Workforce planning and development in times of delivery system transformation

Patricia Pittman, Ellen Scully-Russ

Research output: Contribution to journalArticle

Abstract

Background: As implementation of the US Affordable Care Act (ACA) advances, many domestic health systems are considering major changes in how the healthcare workforce is organized. The purpose of this study is to explore the dynamic processes and interactions by which workforce planning and development (WFPD) is evolving in this new environment. Methods: Informed by the theory of loosely coupled systems (LCS), we use a case study design to examine how workforce changes are being managed in Kaiser Permanente and Montefiore Health System. We conducted site visits with in-depth interviews with 8 to 10 stakeholders in each organization. Results: Both systems demonstrate a concern for the impact of change on their workforce and have made commitments to avoid outsourcing and layoffs. Central workforce planning mechanisms have been replaced with strategies to integrate various stakeholders and units in alignment with strategic growth plans. Features of this new approach include early and continuous engagement of labor in innovation; the development of intermediary sense-making structures to garner resources, facilitate plans, and build consensus; and a whole system perspective, rather than a focus on single professions. We also identify seven principles underlying the WFPD processes in these two cases that can aid in development of a new and more adaptive workforce strategy in healthcare. Conclusions: Since passage of the ACA, healthcare systems are becoming larger and more complex. Insights from these case studies suggest that while organizational history and structure determined different areas of emphasis, our results indicate that large-scale system transformations in healthcare can be managed in ways that enhance the skills and capacities of the workforce. Our findings merit attention, not just by healthcare administrators and union leaders, but by policymakers and scholars interested in making WFPD policies at a state and national level more responsive.

Original languageEnglish (US)
Article number56
JournalHuman Resources for Health
Volume14
Issue number1
DOIs
StatePublished - Sep 23 2016
Externally publishedYes

Fingerprint

Delivery of Health Care
planning
Patient Protection and Affordable Care Act
Outsourced Services
Policy Making
Health
stakeholder
act
Administrative Personnel
layoffs
outsourcing
History
time
Organizations
health
Interviews
development policy
profession
Growth
commitment

Keywords

  • Healthcare delivery reform
  • Human resources in health
  • Labor-management partnerships
  • Loosely coupled systems
  • System change
  • US Affordable Care Act
  • Workforce planning and development

ASJC Scopus subject areas

  • Public Administration
  • Public Health, Environmental and Occupational Health

Cite this

Workforce planning and development in times of delivery system transformation. / Pittman, Patricia; Scully-Russ, Ellen.

In: Human Resources for Health, Vol. 14, No. 1, 56, 23.09.2016.

Research output: Contribution to journalArticle

Pittman, Patricia ; Scully-Russ, Ellen. / Workforce planning and development in times of delivery system transformation. In: Human Resources for Health. 2016 ; Vol. 14, No. 1.
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