Care quality is a critical part of value-based care success, but workforce shortages and burnout threaten healthcare organizations’ ability to deliver optimal care.
Value-based care (VBC) is centered around core tenants:
A critical factor in achieving many of these goals is having a robust clinical workforce to ensure timely access to high-quality, effective, and efficient care. When the healthcare field experiences workforce shortages and extreme burnout, everyone – from high-level administrators and front-line staff to the patients coming in for care – feels the repercussions.
Workforce shortages and burnout are also a threat to our ability to forge ahead in our efforts to go from a fee-for-service to a value-based care system in America.
The dual challenges of staffing shortages and workforce burnout in healthcare have been ongoing in U.S. healthcare for decades. However, COVID-19 exacerbated both in devastating ways.
The extreme demand for highly skilled healthcare workers to care for patients through the pandemic, combined with the high-stress work environment and an environment where healthcare workers’ motives and qualifications were questioned, pushed many otherwise qualified healthcare workers out of the profession. Fewer people wanted to enter the profession, and those who were already in it reported alarming levels of burnout and stress.
Hundreds of studies have shown that workforce shortages, stress. and burnout, have direct links to care quality and patient outcomes. In one study, physicians who reported symptoms of burnout were more than twice as likely to report a medical error, and the rates of medical errors were about three times as high in medical work units (even ones rated as extremely safe) if physicians working on that unit had high burnout levels. The administrative demands of things like charting, billing, and reporting only add to the challenges.
All these issues make it more difficult to enter, and succeed in, value-based care programs. These models link quality with financial incentives, and missing quality targets are directly tied to revenue and reimbursement. Aligning financial incentives with care outcomes rather than volume is central to VBC. But when extraneous forces like workforce shortages obviously impact quality and outcomes, how can organizations that want to transition to VBC make it work?
There is no simple solution to the challenge of finding enough highly skilled healthcare workers to fill current and future needs. But there are ways organizations can lighten the load for clinicians and staff who are overworked and overwhelmed.
Much of the hype over AI in medicine has centered around a future vision of curing cancer, discovering new drugs, and personalizing medicine. All of these are exciting, and worth pursuing. Most of these will also take years or decades to realize.
But there are ways AI can mitigate the impacts of workforce shortages today while simultaneously improving care quality and patient outcomes:
AI won’t be the only solution to address our healthcare workforce needs moving forward. It won’t replace the need for skilled humans to work with patients and provide exceptional care. But AI – and other technologies – can be a critical tool when designed appropriately, and used ethically and responsibly, to mitigate the negative impacts of workforce shortages and burnout among healthcare workers and help us move toward a necessary value-based care future.