Concurrent Session Per Diem Nurse Staffing: Risks and Opportunities in a Changing Landscape

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1 TUE, SEPT 9 11:45 AM DALLAS BALLROOM D2 Concurrent Session Per Diem Nurse Staffing: Risks and Opportunities in a Changing Landscape Moderator: David Francis, Research Associate, Staffing Industry Analysts Panelists: Kathleen Kohnke, EVP, Advisory Services, Parallon Workforce Management Solutions Kathy A. Perry, RN, President, Favorite Healthcare Staffing Inc. David Savitsky, CEO, ATC Healthcare Services Marisa Zaharoff, SVP Performance Outcomes, Medical Staffing Network (MSN)

2 DIGITAL SURVEYS Per Diem Nurse Staffing: Risks and Opportunities in a Changing Landscape Don t forget to rate this session as you exit.

3 Per diem nurse staffing in 2014 Per diem nurse staffing revenue, ($Billions) Source: Staffing Industry Analysts

4 Potential for future declines in hospital census Predicted drop in inpatient use rates (decline in census by 2016 between 5% 34%) Source: Independent actuarial database, Kaiser State Health Facts, AHA

5 Staffing firms value proposition to hospitals Look at last three months activity Determine minimum amount of perm staff needed to function Use flex up model Goal of 40% flexible workforce in hospitals (internal float pools & per diem)

6 Ambulatory setting: low penetration an opportunity? High growth, low pen High growth, high pen Estimated # of per diem positions filled by staffing agencies in hospital and ambulatory settings Setting 2013 Nurse Employment Temporary Penetration rate Estimated per diem temp employment Hospitals 1,665, % 25,983 Low growth, low pen Low growth, high pen Ambulatory 666, % 3,200 Source: Bureau of Labor Statistics, National Center for Health Workforce Analysis, Staffing Industry Analysts

7 Ambulatory setting: low penetration an opportunity? Estimated # of per diem positions that could be filled by staffing agencies in hospital and ambulatory settings High growth, low pen High growth, high pen Setting 2013 Nurse Employment Temporary Penetration rate Estimated per diem temp employment Low growth, low pen Low growth, high pen Hospitals 1,665, % 25,983 Ambulatory 666, % 3,200 Setting Estimated 2020 Nurse Employment Temporary Penetration rate Estimated per diem temp employment Hospitals 1,765, % 27,542 Ambulatory 766, % 10,119 Potential industry growth of 30%! Source: Bureau of Labor Statistics, National Center for Health Workforce Analysis, Staffing Industry Analysts

8 Permanent Placement/temp to perm conversion fees Median temp to perm conversion rate for temporary staffing industry as a whole is 15% Median temp to perm conversion rate for temporary healthcare staffing is only 5% Hospitals often use per diem nurses as a last resort, and like to try before they buy Is it an opportunity for per diem staffing firms? Source: Staffing Industry Analysts

9 Hospitals internal float pools the biggest competitor to staffing? Advances in technology make hospitals less reliant on staffing firm Are they a threat? How to mitigate the risk/work with the hospital

10 VMS Hospitals love it Staffing firms hate it How to deal with it Contracts don t have to be accepted Nurses/ staffing firms have more leverage

11 Credentialing & nurse quality Joint Commission Certification (JCAHO) Cost benefit analysis Other quality measures

12 ACA and other regulations What is going on with ACA? Should staffing firms give full medical benefits as recruiting tool? Nurse ratio mandate regulations: Good? Bad? Neutral?

13 1 minute wrap up: If you could only give one piece of advice to the audience members about how to succeed right now in Per Diem nurse staffing, what would it be?

14 Q&A

15 DIGITAL SURVEYS Per Diem Nurse Staffing: Risks and Opportunities in a Changing Landscape Don t forget to rate this session as you exit.

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