Provides background research and recommendations for implementing a health care delivery reform based on data-driven, evidence-based practices using data collected from interviews with healthcare workers, educators, and policymakers.

“This report…provides background research to support Rhode Island’s development of a healthcare workforce transformation strategy. It analyzes workforce and educational needs required to achieve the [t]riple [a]im of better care, smarter spending, and healthier people….

To define these needs and how to address them, [the authors] interviewed a cross-section of the state’s healthcare employers, educators, and policymakers about changes in healthcare payment and delivery and their impact on the workforce; the adoption of new roles and occupations critical to delivering better care; changes in skill and performance requirements; and the capacity of the state’s education and training entities to meet new health workforce needs” (p.7). More than 250 healthcare partners were engaged (p.4). “Data from Healthcare Workforce Transformation Committee meetings, interviews, and literature on health workforce transformation helped build a portrait of Rhode Island’s current health workforce landscape and potential strategies for the state to consider in achieving its transformation goals.

In order to translate…findings from interviews, literature, and meetings into actionable strategies and recommendations, [the authors] used the lens of `drivers of health system transformation’—or principles and concepts that can aid in achieving better care, smarter spending, and healthier people. The drivers of change include social determinants of health, value-based payments that reward quality outcomes; population health; data analytics; rebalancing delivery systems from high-cost institutional settings to home and community-based care; and access to high-quality primary care.

This research was complemented by analysis of labor market information on present and projected employment trends in key healthcare professional and support occupations, as well as vacancies and skills sought by employers. The analysis (presented in appendices and an occupational compendium) focuses in depth on occupations considered strategic to transforming Rhode Island’s health system, such as nurses, community health workers, and behavioral health professionals. The report also provides data (in appendices) on the number of graduates from the state’s public higher education health professional programs, and the employment of these graduates in the state and in the healthcare industry” (p.7).

(Abstractor: Author and Website Staff)