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    Nursing Shortage? What about the impending physician shortage?

    January 26th, 2006

    CHEFChicago
    I went to the ACHE Chicago Chapter's annual meeting earlier this week where James Orlikoff spoke about the state of our healthcare system. One of the many (depressing) points he made (more on this in future posts) was that we are starting to experience a physician shortage like no other.

    I've previously written quite a few entries on the dynamics of the nursing shortage, and rightfully so - the nursing shortage is seen and felt at a majority of hospitals today. 10% vacancy rates are not uncommon.

    But after this week, I'm starting to wonder if the impending physician shortage will actually be worse. Yes, the number of medical school students are at the same levels as years past. But, according to Orlikoff, the problem is five-fold:
    - Our population is growing faster than the # of medical students (but this one is the least of our problems)
    - 50% of current medical students are female, an all-time high. Orlikoff shared an astounding statistic: 10 years after graduation, 60% of female medical students will be working part-time or not working at all. 60%!
    - Today's doctors are 3x less productive than the previous generation of doctors. This one is hard to believe until we start thinking about how important work/life balance is to us now.
    - More and more medical school graduates don't practice medicine at all. Just look at the recent explosion of MD/MPH, MD/MBA, MD/JD, and MD/PhD degrees. Just look into any Wall Street firm covering biotech stocks and you'll find a boatload of MD healthcare analysts.
    - Given that 22% of new MDs are born in other countries, more and more of them are returning back to their home countries. As medical tourism continues to expand, it is actually financially more favorable for some docs to set up a small shop back home.

    What is being done to address this problem? Not much it seems, as the most pressing & immediate concern is nurses. Given the nature of our medical education system (4 years MD, 3-5 years residency), I'm scared that the moment we start focusing on this, we'll be at least 10 years too late.

    Comments:

    Comment from: Wiliam R. Anderson, MD, PhD [Visitor]

    Less productive? Yes, and for several reasons. First, and mainly out of my control,is the increasing paperwork demanded of insurance companies (I ordered a prescription 3 times for a patient because the PBM kept trying to get me to change to a cheaper alternative- which my patient did not respond to), and I expect it to worsen severely with P4P that is being cooked up by the insurance companies and government. And secondly, I am purposely less productive because I've come to the conclusion that being available to all the sick does not help me pay my overhead, so I have refused seeing below cost reimbursement patients, refused to take E.R. followup cases unless they meet the financial requirements of my business, and the fact that I am starting to consider limiting my exposure to the medicare population because of low reimbursement and increasing paperwork. This, I've found has increased my free time without hurting my bottom line. You bet I'm less productive, maybe in the office, but I'm more productive with the family and home life. Thanks to the bureaucrats for making my life better!!!!
    Permalink 03/14/06 @ 22:09
    Comment from: homeschool [Visitor] · http://www.tipstohomeschool.com
    Hello, I just wanted to say how much I appreciate you putting this information out there. Enjoyed visiting. thanks
    Permalink 05/10/06 @ 06:23
    Comment from: Nurse Jenny [Visitor] · http://www.startanursingagency.com
    Try to visit this site How to start a nursing home its a nursing guide.. And its a solution to the nursing shortage crisis.
    Permalink 07/14/06 @ 00:34
    Comment from: Mericle [Visitor] · http://www.independentrncontractor.com
    Many nurses are frustrated in their profession because they feel that choices are limited, income is inadequate and there is no respect for their professional ability. This is one of the greatest times in history to become a nurse. More and more nurses are becoming aware that career options are available which have never existed before. Who says that a nurse has to work for an employer. Why should you split your profits with a “middleman” Nurses you do the work you deserve the pay.
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    Permalink 07/26/06 @ 10:10
    Comment from: dave [Visitor] · http://lpnorrn.blogspot.com/
    Hi I'm thinking about a nursing career and most everywhere I read all I see is "nursing shortage". So I want to be a nurse as it looks like a good career. However I saw an article and posted about it here http://lpnorrn.blogspot.com/ reguarding nursing jobs in the US be outsourced. Maybe insourced is a better term? The article talks about nurses from the Philippines going to other countries. So will this have a negative impact on the careers of current and future US trained nurses?
    Permalink 08/05/06 @ 20:32
    Comment from: Alexis Bridge [Visitor] · http://www.how-to-start-a-nursing-agency.com
    How To Start Your Own Nursing Agency is a comprehensive guide covering all aspects of starting and successfully running a healthcare business. Our product covers important legal considerations, marketing strategies, organizational structure, administrative needs and many more. You will get all the answers that you need while allowing you the creativity to design a business suited to you. This e-book will walk you through everything that you need to know about opening and running / starting a Nursing Home, Nursing Agency, Nursing Registry, Nurse Staffing Agency, Healthcare Staffing Agency, Homecare Agency Business, Medical Homecare Business or becoming Independent Nurse Contractor / Independent RN Contractor. From choosing a name, forming a business entity, to charging your clients and paying your nurses. Whether or not you are familiar with healthcare business or a complete novice without prior business experience this guide is for you.
    Permalink 11/26/06 @ 21:41
    Comment from: Mr.Robert [Visitor] · http://www.nursingagencynetwork.com
    The time is now for entrepreneurs to start a nursing agency,nursing registry business, operate a home care business, or as a medical recruiter or just become an independent health care contractor. By being an independent healthcare contractor, you are bypassing the agency and are self employed. Health care facilities are the clients. Home care are regulated by all levels of government from local to federal level. Home care levels of regulations depends on the category of service provided to clients. Home care services ranges from providing just companions or the more medically needed clients such as terminally ill clients. Home care services can be in the form of social service, non-medical, and medical services.

    How To Start A Nursing, Nurse, Medical Staffing Agency or Become an Independent RN Contractor


    for more info: http://www.nursingagencynetwork.com
    Permalink 11/26/06 @ 21:43
    Comment from: Jason Anders [Visitor] · http://www.nursingagencyebookguide.com
    About half of the RN workforce will reach retirement age in the next 15 years.

    Urban hospitals reported that filling nursing vacancies is significantly more difficult.
    Small hospitals are experiencing increased difficulty in recruiting obstetrics nurses, and the time to recruit them has substantially been increasing.

    Larger and urban facilities reported increased use of agency and contract nurses.
    It is estimated that the shortage of RNs will reach 500,000 within 10 years.

    Casual nurses often have a high level of expertise obtained through working in different environments and dealing with a wide variety of situations. This makes them very adaptable and attractive to employers.

    While many employers are keen for the experience offered by the growing number of agency-contracted nurses, the attraction for the nurses themselves is also very appealing, with flexibility being one of the more important aspects.

    In today’s market place nursing has a unique service to offer not only to hospitals but nursing homes, private care and doctor offices. Nurses have the skill, knowledge and motivation to be successful entrepreneurs. The definition of entrepreneur is a person who organizes, operates and assumes the risk for a business adventure.

    The nursing shortage is just beginning and there doesn’t appear to be a quick fix in the near future. Much of the nursing workforce is coming up on retirement time, which is only going to compound the lack of skilled nurses to deal with the oncoming baby-boomers. There is no better feeling than to own your own business. Nurses will enjoy not only increased wages but also an increased feeling of self-respect. Nurses are the perfect business owners. They have the communication skills and the ability as assess, implement and organize a plan. These are the same criteria that any business owner uses.


    Today's nurses occupy a critical position in the changing environment of health care management. With the expansion of managed care programs and developments such as long-term care, home health care, shorter hospital stays, and specialized rehabilitation programs, it is essential that nurses can integrate sound business and management skills with their advanced clinical skills.

    Healthcare is one of the fastest growing sectors of business in the country. As the shortage of qualified nurses becomes more pronounced, the need for Nursing Registries is growing faster then ever. Hospitals, Nursing Homes, Clinics, and doctors‘ offices are looking for alternatives to their staffing needs, and with the ever-increasing nursing shortage, you have the opportunity to start a successful business with limitless possibilities.

    visit: http://www.nursingagencyebookguide.com
    Permalink 12/12/06 @ 23:21
    Comment from: Dave Smith [Visitor] · http://www.medicalandnursingguide.com
    The healthcare industry is experiencing unprecedented shortages due to the baby-boomer generation reaching retirement age. Individuals are leaving the workforce at record pace, leaving hospitals nationwide short of staff. At the same time, retirees require three times the healthcare services. As a result, healthcare recruiting services are in high demand.

    Associate Healthcare Recruiter's Software: If you decide you want to take the easy path of the HealthCare Recruiting Business and become an Associate Healthcare Recruiter, our software will provide you over 1200 listings of Licensed HealthCare Recruiters through the United States to negotiate a split fee agreement with. The idea of become a Great Associate Healthcare Recruiter lies in the network that he or she develops.

    United States has a nursing shortage, one that promises to grow to alarming proportions. Too many nurses are retiring, and too few are entering the profession. To compound the problem, within the next 5 to 10 years, over 76 million Baby Boomers are scheduled to retire from the workforce, with only about 44 million Generation X'ers available to pick up the slack. This will soon place unprecedented demands for health care agency services / home care agency services on a system that is already stretched thin. The problem is not limited to hospital nursing. Today, there is also a critical shortage of nursing faculty. As a result, thousands of qualified men and women who want to enter the field are being turned away by the nation’s schools of nursing.

    Are you ready to start a nursing agency business for the upcoming 76 million Baby Boomers? You don't have to be a nurse to start or establish a Nursing Agency, Nurse Registry, Nurse Staffing Agency, Nursing Home, Healthcare Staffing Agency, Homecare Agency Business. Our package covers a comprehensive guide to get you started. Keep in mind that the Nursing Business is the only industry where there will always be a shortage. There is never a fear for competition. Now is the right time for any ambitious nursing entrepreneur to tap into this multi-billion dollar industry and start a nursing company. Get our packages now and you can be in business in less than a week.
    Permalink 02/15/07 @ 11:57
    Comment from: Nurse Jenny [Visitor] · http://www.medicalnursingbusiness.com
    Start a Medical Recruiting Firm Business

    Nursing shortage has been experienced almost worldwide and the problem is expected to worsen with the growing baby boomers age and the need for health care. This is being compounded with the few enrolments in the nursing course although the educational institutions across many countries are struggling to expand enrolment levels to meet the rising demand for nursing care.

    However, the shortage of allied healthcare professionals, especially nurses, has created a bang to the nursing agency registry business, supplemental staffing agency for medical professionals, permanent placement medical recruiter, or starting a business in homecare and staffing pool. And the medical staffing industry will continue to grow because of the upcoming baby boomers, and the dwindling current supply of nurses.

    If you are a registered nurse (RN) or a licensed practical nurse (LPN), try to be ready for the upcoming 79 million baby boomers. You can build fortunes on nursing agency registry, medical recruiting, medical and non-medical private homecare business or become a self-employed independent nurse, an RN or LPN contractor. In fact, hospital executives feel more comfortable contracting nurses from an agency dedicated to temporary medical staffing than from a one-stop-shop that also places welders, janitors and filing clerks.

    A Search Firm Consulting Business, called medical recruiting, provides direct employment placement to companies for a fee. A search firm locates healthcare workers for a direct employment placement to companies for a certain fee on a contingency or retainer basis. The package includes the retainer, contingency, consulting fee contract agreement.

    The Nursing Registry, on the other hand, is an agency that provides nursing services to private individuals and healthcare facilities on a contractual basis. This business has low overhead, no franchise fees and low start up cost. A nurse recruiter is one who finds qualified nurses to fill permanent positions in health care facilities for a “retained fee” that is usually 25 to 30 percent of the nurses, annual income.

    Permalink 03/28/07 @ 08:43
    Comment from: Andre Collison [Visitor] · http://www.how-to-start-a-nursing-agency.com
    It’s no secret that the United States has a nursing shortage, one that promises to grow to alarming proportions. Too many nurses are retiring, and too few are entering the profession. To compound the problem, within the next 5 to 10 years, over 76 million Baby Boomers are scheduled to retire from the workforce, with only about 44 million Generation X'ers available to pick up the slack. This will soon place unprecedented demands for healthcare services on a system that is already stretched thin. The problem is not limited to hospital nursing. Today, there is also a critical shortage of nursing faculty. As a result, thousands of qualified men and women who want to enter the field are being turned away by the nation’s schools of nursing.

    Are you ready to start a nursing agency business for the upcoming 76 million Baby Boomers? You don't have to be a nurse to start or establish a Nursing Agency, Nurse Registry, Nurse Staffing Agency, Nursing Home, Healthcare Staffing Agency, Homecare Agency Business. Our package covers a comprehensive guide to get you started. Keep in mind that the Nursing Business is the only industry where there will always be a shortage. There is never a fear for competition. Now is the right time for any ambitious nursing entrepreneur to tap into this multi-billion dollar industry and start a nursing company. Get our packages now and you can be in business in less than a week.

    How To Start a Nursing Agency is a comprehensive guide covering all aspects of starting and successfully running a healthcare business. Our product covers important legal considerations, marketing strategies, organizational structure, administrative needs and many more. You will get all the answers that you need while allowing you the creativity to design a business suited to you. This e-book will walk you through everything that you need to know about opening and running / starting a Nursing Home, Nursing Agency, Nursing Registry, Nurse Staffing Agency, Healthcare Staffing Agency, Homecare Agency Business, Medical Homecare Business or becoming Independent Nurse Contractor / Independent RN Contractor. From choosing a name, forming a business entity, to charging your clients and paying your nurses. Whether or not you are familiar with healthcare business or a complete novice without prior business experience this guide is for you.

    For More Info: http://www.how-to-start-a-nursing-agency.com

    Permalink 05/21/07 @ 03:14
    Comment from: roy vera [Visitor] · http://vismedical.com/
    The United State is suffering from a nursing shortage. You will find more companies entering the foreign nursing agency business. London is strongly becoming a hub for bringing nurses to the united state.

    Not only nurses are in shortage in the united state, you find a shortage in other industries within the medical staffing industry. Such shortages are radiology staffing, ultrasound staffing, Nuclear staffing, Imaging staffing, CT staffing, MRI staffing.

    Because of the shortage in the medical staffing, many more entrepreneurs are beginning to take the lead and start there own medical staffing agency. Careers in staffing are fast becoming the norm for medical professionals.

    Careers in the staffing industry are also fast becoming the norm for home care staffing.

    Staffing industry training, medical staffing training, online training, recruiter training, staffing industry education, consulting for staffing and training for staffing professionals seem to be a viable option for those new to the industry.

    Every new entrepreneur should be abler to have FREE access to staffing training in order to make intelligent and cost saving decisions before they start there own temporary staffing agency.

    FREE Guide To Starting A Medical Staffing Agency

    for more info: http://www.vismedical.com
    Permalink 07/17/07 @ 15:46
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    okay, how many more start-up nursing staffing agency offers are going to comment on this post?
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    Own a nurse agency. Then time is now for entrepreneurs. Throughout your journey in becoming self employed. You will gain fame and earn lots of profits! Interesting right? Learn to recognize all possibilities will turn you into an entrepreneur in the healthcare field. Get of our packages now and you can be in business in less than a month. Learn the secrets on how to start a nurse agency, start a nursing registry or Independent nurse contractor.

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    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.