Thursday, October 26, 2023

Attract and keep exceptional medical staff with retention and recruiting strategies for today’s labor market

Providing high-quality patient care is vital to the success of a practice, but it can also be challenging to execute when physicians have a revolving door of staff or an understaffed office that struggles to keep up with the practice’s demands.

Since the COVID-19 pandemic, though, attracting and retaining employees has been an ongoing problem in the health care industry, particularly for physicians and practices who are competing with hospitals for top talent. The reasons are plenty – high rates of burnout among medical professionals, a lack of qualified candidates to fill openings, and a lack of flexibly often not feasible within the industry.

However, physicians and health care providers can implement recruiting and retention strategies aimed at improving how they find, recruit and retain exceptional talent.


Attract the right job candidates


Too often, turnover within a practice can be attributed to hiring candidates who aren’t a good fit – perhaps they aren’t a match culturally or don’t have the proper qualifications for the job. Either way, the impact can be valuable time lost during recruiting and while training the new hire, only to lead to the employee leaving after a few short months.

Taking the time to attract the right candidate from the start, therefore, can save physicians time and money. Building a team with this mindset is also vital to the long-term success of a business. A productive, motivated team often leads to better patient care, innovative ideas, and employee satisfaction that boosts retention.

To help find the right candidates, physicians can take the following measures:
  • Assess how competitive the practice is within the market and health care industry. Offering competitive wages and benefits packages is critical to gaining the attention of top-quality candidates, especially in today’s tight labor market.
  • Evaluate job descriptions and ensure they clearly and accurately define the skillsets and knowledge needed for the position. Include information on culture within the practice to help candidates envision whether they are a good fit.
  • Post openings to job boards specific to health care, so the right audience is viewing the position.
  • Consider using helpful pre-hire assessments, such as skills assessments, as another method of helping determine whether the candidate is a good fit.


Showcase employer brand


Potential job candidates may already have a perception of a physician’s practice based on its reputation within the community. Focusing on the employer brand will help display what makes the provider stand out for patients and potential employees.

An important part of a provider’s recruitment strategy should include highlighting how the practice provides exceptional care or what differentiates it from others, such as educational opportunities, flexible scheduling, or unique benefits. The provider’s website and social media accounts are additional channels that physicians can utilize to showcase their brand.

Then, the provider’s brand and culture should be reflected throughout the recruitment process. A poor interview experience or a recruitment process that lacks adequate communication can negatively impact the practice’s brand. Conversely, when physicians convey a realistic view of their culture, they are more likely to find candidates who are a good match.


Provide training opportunities and promote from within


Career advancement and professional development continue to be a high priority for employees, with LinkedIn’s Global Talent trends report indicating 59% of employees want their current employers to invest more in professional development. But implementing training may feel overwhelming to health care providers already stretched thin with day-to-day operations.

Online learning management systems provide a cost-effective solution that allows employees to complete trainings from a desk at a convenient time. Course offerings may include leadership training to certifications that help advance an employee’s career.

By giving employees the opportunity to grow and learn, physicians are demonstrating care for their employees. When positions become open within a practice, administrators and physicians should look within their staff for potential candidates. A clear talent pipeline can increase retention rates by building a happier and stronger work environment.


Help prevent burnout through wellness programs


The health care industry has experienced high rates of burnout since the pandemic, as staff shortages and demanding schedules took a toll across the industry. In addition, more workplaces are recognizing the benefits of offering mental-health resources to employees.

Health care providers can help reduce stress and prevent burnout by designing and implementing a wellness program that also expresses their commitment to their employees’ well-being. Not only will a wellness program lead to greater employee satisfaction, but it can also signal to job candidates that the organization values its employees through a supportive culture.

The benefits of a wellness program extend beyond attracting and retaining talent. By providing the proper resources to employees, physicians can experience improved productivity and better employee engagement, ultimately leading to better patient care.


Get creative with flexible schedules


Better work/life balance is important to today’s workforce, and many employees are seeking job opportunities that provide flexibility or remote options. However, in the health care industry, remote work may not be feasible for doctors and nurses who must be in office to see patients.



But getting creative and adding flexibility in the workplace can help physicians attract and retain talent while providing that balance employees are seeking. Options can be customized to meet the needs of the practice and the employees, such as:
  1. Offer shift work, in which different work hours (6 a.m.-2 p.m. and 2-10 p.m.) are performed on a rotation.
  2. Provide job sharing options. For example, one person may work in a position on Monday and Tuesday, and another person handles the position on Wednesday and Thursday.
  3. Schedule alternating days off or split schedules. With alternating days off, an employee may have one day off during the week in exchange for working on weekend day. A split schedule allows employees to start the workday earlier and end later with a 2-3 hour break midday.
  4. Offer flex-time models. Employees work their 40 hours per week, but they have the ability to vary their shift throughout the week. For example, they may work 8 a.m.-4 p.m. three days per week, then 11 a.m.-7 p.m. the other two days.


Implementing these strategies can help physicians find, recruit, and retain top talent, leading to a more productive, motivated team that is vital to the practice’s long-term success. And just as important, it lets physicians and their staff get back to focusing on providing high-quality patient care.


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Wednesday, October 25, 2023

Is texting the future of patient-centric care?

Physicians know the power of in-person care. There is nothing like seeing a patient in person, not only to gauge outward physical markers of health but also when it comes to reading their body language, making eye contact and other non-verbal cues that allow doctors to form a bond with their patients. This early and consistent trust building can be crucial to a patient’s health outcomes.

But today’s patient isn’t just looking for a great health result, they also want a great experience. In one survey of health care consumers, 70% of respondents said convenience was either very or extremely important. This could be specific to geographical location or virtual options – 60% of patients chose telehealth because it was more convenient – as well as the availability of online scheduling, messaging and easy prescription refills.

In the past couple years, a new modality in the form of text-based offerings has come to the forefront of the patient-centric approach. As chatbots become more advanced, so too can their use-cases in health care. With the launch of ChatGPT specifically, many specialists in health care IT began to ideate on how text-based services and AI-led chatbots could be integrated into the everyday patient experience.


When done right, text-based modalities save physicians time and money while prioritizing convenience for the consumer and providing support even during off hours. Patients love that they can get in touch with their physician anytime, no matter where they are in the world. It’s accessible and flexible. Text modalities also have the benefit of being discreet. It’s much easier to text your doctor while at work or sitting on a train than to call them and discuss a health concern aloud. This discretion further increases the odds a patient will reach out in the first place.

To properly implement a text-based health modality, physicians must first conduct a comprehensive initial assessment to determine a patient’s suitability to participate in a text-based program and receive medical advice via this modality. As with any intake screening, doctors must establish that a patient’s concerns, capabilities and state of health are appropriate for communication around their symptoms and treatment that isn’t always face to face.

Similarly, patients themselves must be properly informed about the purpose and limitations of text-based care. This starts with a transparent introduction that details how the system works, what it will be used for and what it won’t be used for. By creating boundaries around the work that text-based communications are best suited for, doctors can better manage expectations and assist the client with their goals. It’s also crucial that patients provide informed consent upfront to build trust.

As part of this introduction to text-based modalities, physicians will want to craft open-ended questions to better hear the patient’s concerns and work with them to define their ideal outcomes upfront. From there, doctors should have a system for timely, responsive communication. Again, setting this expectation ahead of time, such as promising to respond within 24- or 48- hours, will go a long way towards customer satisfaction.

It's not enough to get patients on board, though. Implementing a text-based health care modality requires an understanding of legal and ethical implications. To deliver patient-centered services safely in the digital realm, physicians and their IT providers must be certain the following safeguards are in place:



Data privacy and security: Confidentiality is paramount in any health setting. The following data protection practices are key to security in text-based care:

Encryption and Secure Storage: It’s crucial to ensure end-to-end encryption is implemented for all patient communication and that data is stored in compliant and secure databases. Encryption standards must be regularly updated to align with industry security best practices.

Access Control: Access to patient data must be limited only to authorized personnel. Role-based access control parameters and regular audits on access should be considered.

Data Minimization: Only essential patient data should be collected to minimize data risks. Similarly, all staff should be educated on the importance of minimizing the collection of any data that may not be necessary.

Compliance: Regulations for both health care and data privacy, such as HIPAA and GDPR, should be adhered to for any text-based health care. Providers using these modalities should be sure to stay up to date as regulations in these spaces continue to evolve. Frequent compliance audits can help identify any gaps or areas for improvement.

Training: Finally, it’s critical that all staff are well trained on data privacy and information security protocols. Fostering a culture of awareness and continuous education ensures patient privacy is always prioritized.



Informed consent: Not everyone will want to use text-based modalities and that’s okay. Allowing patients to opt-in is foundational to ethical implementation. Informed consent includes several requirements:

Clear Information and Communication: The services provided, risks, benefits and limitations should all be clearly outlined for patients within the informed consent form. Importantly, be sure to use plain language and avoid medical jargon to ensure patients can fully comprehend the information.

Consent Reiteration: Consent should be obtained at various stages, including before initiating communication via text, when treatment starts or before any information is gathered with other healthcare professionals.

Digital Consent Mechanism: Implement a secure digital platform for obtaining and storing electronic consent. Patients must have the ability to easily access and review their consent at any time.

Licensing and jurisdiction compliance: Complying with legal requirements protects physicians and their practice while aligning with professional standards. Regularly verify the licensing and credentials of all healthcare professionals involved in providing services through the digital platform. Check regularly to ensure all licenses are valid and up to date.

Text-based care modalities are a game changer in patient-centric care. By giving clients the freedom and flexibility to reach their care team in this way, physicians enhance their sense of empowerment. With this autonomy and control comes a greater likelihood that they will take charge of their health, potentially increasing preventative health practices and improving outcomes.

Written communication not only leaves a text-based record for physicians to look back on, providing an easy way to track progress and revisit recommendations and insights, but it also allows the patient space to self-reflect. Many people find it easier to articulate their thoughts and issues through written communication. Just the act of drafting the note can be therapeutic and empowering.

Text-based modalities can be especially effective for physicians looking to increase their impact on patient mental health. Amid today’s current mental health crisis, many have called for GPs of family medicine to take a more active role in this area, but physicians often feel uncomfortable treating more serious mental disorders. Rightfully so!

As a psychologist, I’ve seen first-hand how powerful text-based therapeutic discussions can be. Supported by research evidence, text-based therapy stands as a legitimate and effective means of delivering mental health services. As a former skeptic turned believer, I am continually humbled by the transformative power of text-based therapy. It has allowed me to connect with clients on a profound level, offering them not only the freedom from structure and time constraints but also a safe space to vent, share and explore their inner worlds.

Text-based health care, either for physical or mental health needs, will never replace traditional in-person therapy. However, it’s a powerful and effective method for delivering support in the modern age, improving access, convenience and outcomes for all patients – no matter their diverse background or needs.

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Monday, October 23, 2023

4 Reasons your medical practice should combine remote patient monitoring and chronic care management

For practices looking to scale their care coordination strategy, there is a long list of reasons why a combined chronic care management (CCM) and remote patient monitoring (RPM) program is a winning formula. Currently working for hundreds of practices around the country, the combined approach is leading to higher provider and patient satisfaction, better care for patients most in need, and increased revenue opportunities.

Let’s define the equation. CCM is a model of care designed to support patients with diabetes, arthritis, heart disease, and other long-term conditions. Treatment is highly collaborative and includes routine, non-face-to-face monitoring of the patient's health, medication levels, care coordination, and more.

RPM leverages technology, such as digital devices and sensors, to remotely collect and monitor a patient’s health status. Overseeing everything from vital signs to glucose levels, RPM allows patients to stay connected to their providers, and engaged in their care, from their homes. Often, RPM programs include trained medical teams that are available through a mobile app or a video chat in case the patient has questions.

  1. Here are four of the top benefits practices can experience from a combined approach:Happier, healthier patients. The combined RPM and CCM approach—broadly referred to as remote care management—provides significant advantages to patients. Most patients qualify for both initiatives and, once they are onboarded, become highly engaged in both the programs and their individual remote care plans. Patients don’t know which program they’re enrolled in, nor would they likely know if they are enrolled in both. However, they do understand and care about the strong relationship between themselves, their doctor, and the care coordinators that they interact with. When technology can support that symbiotic relationship, the practice provides exceptional whole-person care.
  2. Better reimbursement potential. Dual enrollment of patients into a CCM and RPM program also improves the practice’s bottom line, maximizing reimbursement for remote care services, without placing an additional burden on physicians and staff. In fact, many practitioners find that they are already doing much of the work associated with both programs, but since they aren’t offering a formal program, they are missing out on the full reimbursement potential. Essentially, a dual program enables the practice to more appropriately categorize RPM and CCM services, and therefore, compliantly capture the services delivered that are best suited for each patient’s needs.
  3. Easily scalable remote care management. From a practice perspective, Chronic Care Management and Remote Patient Monitoring go hand-in-hand. The program enables practices to scale their programs quickly and easily—engaging and retaining most of their eligible patients. It’s also very easy to introduce, enroll, and onboard patients in both programs simultaneously. For example, if a practice is providing chronic care management to its patients with heart failure, it could easily incorporate remote patient monitoring of hypertension for many of these patients as well. Since heart failure patients typically have hypertension as well, enrolling them in both programs would allow the practice to treat the patient more holistically.
  4. More accurate vitals measurements to inform clinical decision-making. While CCM programs entail only patient self-reported vitals, RPM measures vitals through electronic devices. Both forms of vitals reporting are important, because they provide more context into the patient’s perception of their own health (CCM), as well as what’s really occurring with their condition (RPM). This creates additional opportunities to identify gaps in patient care, adherence, or understanding, and as a result, enables practices to more fully engage patients and build stronger patient relationships.



Other top benefits of a combined RPM and CCM approach include:

  • Improved patient adherence to care plans
  • More patient engagement and accountability
  • Early detection of health issues
  • More personalized care
  • Improved efficiency for providers

As practices face the aging patient population, ongoing staff shortages, and ongoing revenue strains, many are recognizing that a new approach to care is needed in order to continue thriving and providing optimal care to patients. A combined RPM and CCM approach can help.

While in-person office visits will always remain integral for maintaining physician-patient relationships and conducting in-depth annual evaluations, they can no longer remain a status quo. Rather, technology that facilitates ongoing RPM and CCM will empower a new paradigm of care.

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