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Re-Imagining Michigan’s 
Primary Care Workforce
In a perfect world 
supply x capacity = 
demand
Looking at demand 
supply x capacity 
= demand
Grimes and Fulton, Institute on Labor, Employment and the Economy, 
Prepared for Michigan Department of Transportation 
30 
25 
20 
15 
10 
5 
0 
0 to 17 18 to 24 25 to 44 45 to 64 65 plus 
2010 
2040 
Percent of Michigan Population 
Distribution by Age Group 
Percent of population
1 in 4 
Michigan residents 
will be older than 
65 by 2020
439,975 new Medicaid 
beneficiaries
272,537 
Exchange Consumers
Looking at supply 
supply x capacity 
= demand
By 2030 America will have a 
permanently smaller 
labor force
GONE FISHING 
Providers of all 
types are quickly 
approaching 
retirement age
Nearing Capacity of Current Providers 
Percent of physicians reporting number of new 
12% 
patients they can accept 
46% 
42% 
1 
0.8 
0.6 
0.4 
0.2 
0 
NONE A FEW MANY 
Source: 2012 MDCH Survey
501 Health Professional 
Shortage Areas
Looking at capacity 
supply x capacity 
= demand
We need to pick the right workforce 
tools to solve the right problems
Right people, right place, right time
Complexity of care needs 
Source: Ani Turner, Altarum Institute
What could 
change the 
equation?
Interprofessional 
collaboration is a 
growing 
development
Personal and Systems 
Technology
By 2020 the “Doctor’s Office” 
May Look More Like This
Are We Ready? 
Are We Prepared?
16 reports with 
more than 200 
individual 
recommendations 
since 2006
Michigan Department of Community Health Increasing 
health care workforce capacity in Michigan 
2012 
Blue Ribbon Physician Workforce Committee 
2006 
Michigan Primary Care Association 
Improving Michigan’s primary care workforce policies 
2012 
U.S. Department of Health & Human Services 
Health Resources and Services Administration 
Strategic partnership session 
2009 
Centers for Disease Control and Prevention 
Modernizing the workforce for the public’s health: Shifting 
the balance 
2013 
American Hospital Association 
Workforce roles in a redesigned primary care model 
2011 
American Hospital Association 
Workforce 2015: Strategy trumps shortage 
2010 
Bipartisan Policy Center 
The complexities of national health care workforce planning 
2011 
Association of Academic Health Centers 
Out of order, out of time: The state of the nation’s health 
workforce 
2008 
New York State Workforce Investment Board 
Transforming the health workforce for New New York 
2012 
Institute for Alternative Futures 
Primary care 2025: A scenario exploration 
2012 
Association of Academic Health Centers 
State actions and the health workforce crisis 
2007 
Robert Graham Center 
n.d. 
National Institute for Health Care Reform 
Matching supply to demand: Addressing the U.S. primary care 
workforce shortage 
2011 
Urban Institute Health Policy Center 
Assuring access to care under health reform: The key role of 
workforce policy 
2011
At your table, you 
only have 
1
At your tables, answer these 
questions 
What foundations exist today to build upon? 
What is the value to re-imagining primary care? 
What are the first steps we’d need to take? 
Who is at the table? Who is the champion?

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Re-Imagining Michigan's Primary Care Workforce

  • 2. In a perfect world supply x capacity = demand
  • 3. Looking at demand supply x capacity = demand
  • 4. Grimes and Fulton, Institute on Labor, Employment and the Economy, Prepared for Michigan Department of Transportation 30 25 20 15 10 5 0 0 to 17 18 to 24 25 to 44 45 to 64 65 plus 2010 2040 Percent of Michigan Population Distribution by Age Group Percent of population
  • 5. 1 in 4 Michigan residents will be older than 65 by 2020
  • 6. 439,975 new Medicaid beneficiaries
  • 8. Looking at supply supply x capacity = demand
  • 9. By 2030 America will have a permanently smaller labor force
  • 10. GONE FISHING Providers of all types are quickly approaching retirement age
  • 11. Nearing Capacity of Current Providers Percent of physicians reporting number of new 12% patients they can accept 46% 42% 1 0.8 0.6 0.4 0.2 0 NONE A FEW MANY Source: 2012 MDCH Survey
  • 12.
  • 13. 501 Health Professional Shortage Areas
  • 14. Looking at capacity supply x capacity = demand
  • 15. We need to pick the right workforce tools to solve the right problems
  • 16. Right people, right place, right time
  • 17. Complexity of care needs Source: Ani Turner, Altarum Institute
  • 18. What could change the equation?
  • 19. Interprofessional collaboration is a growing development
  • 20. Personal and Systems Technology
  • 21. By 2020 the “Doctor’s Office” May Look More Like This
  • 22. Are We Ready? Are We Prepared?
  • 23. 16 reports with more than 200 individual recommendations since 2006
  • 24. Michigan Department of Community Health Increasing health care workforce capacity in Michigan 2012 Blue Ribbon Physician Workforce Committee 2006 Michigan Primary Care Association Improving Michigan’s primary care workforce policies 2012 U.S. Department of Health & Human Services Health Resources and Services Administration Strategic partnership session 2009 Centers for Disease Control and Prevention Modernizing the workforce for the public’s health: Shifting the balance 2013 American Hospital Association Workforce roles in a redesigned primary care model 2011 American Hospital Association Workforce 2015: Strategy trumps shortage 2010 Bipartisan Policy Center The complexities of national health care workforce planning 2011 Association of Academic Health Centers Out of order, out of time: The state of the nation’s health workforce 2008 New York State Workforce Investment Board Transforming the health workforce for New New York 2012 Institute for Alternative Futures Primary care 2025: A scenario exploration 2012 Association of Academic Health Centers State actions and the health workforce crisis 2007 Robert Graham Center n.d. National Institute for Health Care Reform Matching supply to demand: Addressing the U.S. primary care workforce shortage 2011 Urban Institute Health Policy Center Assuring access to care under health reform: The key role of workforce policy 2011
  • 25. At your table, you only have 1
  • 26. At your tables, answer these questions What foundations exist today to build upon? What is the value to re-imagining primary care? What are the first steps we’d need to take? Who is at the table? Who is the champion?