Workforce - Benchmarks and Data Defining the Need

These resources provide data and other documentation to describe the need, opportunities, and obstacles in the current primary care workforce.  They provide a context by which health centers can think about their own workforce needs.  Some of these links will direct you away from the NACHC website.

Click here for a recent Q&A with Kara Odom Walker, MD, MPH, University of California, San Francisco, Department of Family and Community Medicine, formerly a Robert Wood Johnson Foundation Clinical Scholar: “Primary Care Shortages in Urban Underserved Communities: What Can Be Done?”

Med Schools Mapper

State lawmakers, education planners, researchers and policy makers can identify the impact of their medical schools’ effect on residents’ access to primary care, understand how each school currently contributes to their local area, to communities in greatest need and to the specialties at greatest risk of shortage  thanks to the Med Schools Mapper, a free and unique program recently launched by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care.  The Josiah Macy, Jr. Foundation and a national stakeholder advisory board helped Robert Graham Center to construct the Med School Mapper.  The tool shows the impact each medical school has on its home state as well as any county across the country.  Depending on the selections made within the program, users can identify: All the counties in which a school’s graduates currently practice; the number of physicians in each county who have graduated from a particular school; the medical schools that provide the most graduates to each county; the percentage of graduates who are practicing in rural or underserved areas.  In evaluating medical schools, policy makers and the public have had only limited data, such as the U.S. News & World Report Rankings, with which to gauge how well medical schools and our residency training system are socially accountable in meeting America’s need for physicians.  The Med Schools Mapper adds a novel new perspective and an easily accessible information resource.  October 2010.

07-01-2011		NACHC Health Center Salary & Benefits Report 2011-2012 This report, now in its 15th edition and conveniently accessible on CD, is the most comprehensive source for compensation and benefits information pertaining solely to community-based health centers nationwide. It contains valuable compensation data for key health center positions- chief executive officers, chief operating officers, medical directors, physicians, dentists, nurse practitioners, and others-organized by budget and staff size, geographic location and a variety of other relevant factors. Please note: This report is only available on CD.
11-04-2010		Management Training of Physician Executives, Their Leadership Style, and Care Management Performance This article by Sudha Xirasagar, MBBS, PhD, Michael E. Samuels, DrPH, and Thomas F. Curtin, MD, published online in the American Journal of Managed Care (AJMC) on Febuary 1, 2006, examines associations between management training of physician executives and their leadership styles, as well as effectiveness in disease management goals. Training may enable physician executives to develop leadership styles that are effective in influencing clinical providers' adoption of disease management guidelines under managed care.
10-22-2010		Health Centers’ Contributions to Training Tomorrow’s Physicians NACHC sought to take a closer look at residency training by examining four family medicine residency programs and examining the benefits and challenges of residency training, costs associated with residency training, and how health centers’ current approaches to residency training may be affected by the Teaching Health Centers provision passed as part of the Affordable Care Act. This new NACHC report, Health Centers' Contributions to Training Tomorrow's Physicians: Case Studies of FQHC-Based Residency Programs and Policy Recommendations for the Implementation of the Teaching Health Center Program, provides a snapshot of that effort, with four case studies of pioneering health centers: Family Health Center of Worcester in Worcester, Massachusetts; Heart of Texas Community Health Center in Waco, Texas; La Familia Medical Center in Sante Fe, New Mexico; and Community Health of Central Washington in Yakima, Washington, August 2008.
10-15-2009		Training Family Physicians in Community Health Centers : A Health Workforce Solution Carl G. Morris, M.D., MPH; Brian Johnson, M.D.; Sara Kim, Ph.D.; Frederick Chen, M.D., MPH, (Fam Med 2008; 40(4):271-6), April 2008.
10-15-2009		Using Affiliations w/ Residency Training Programs to Increase Your Health Center's Clinical Capacity National Association of Community Health Centers (NACHC), Feldesman, Tucker, Leifer, Fidell, LLP, Washington, DC, Jacqueline C. Leifer, Esq., and Michael D. Golde, Esq., June 2009.
10-15-2009		The Education Health Center Initiative: Findings and Future Directions. Harborview Family Medicine, University of Washington, Carl Morris, M.D., MPH, Medical Director, May 22, 2008.
10-15-2009		Pipeline to Underserved Care (108kb) June 2008.
10-15-2009		Residency Programs for Primary Care Nurse Practitioners in Federally Qualified Health Centers ...A Service Perspective. Online Journal of Issues in Nursing, Flinter, M., Vol. #10 No. #3, Manuscript 5, September 30, 2005.
10-15-2009		Specialty & Geographic Distribution of the Physician Workforce ...What Influences Medical Student and Resident Choices? (Graham Center Report). The Robert Graham Center: Policy Studies in Family Medicine and Primary Care. Robert L. Phillip, Jr., M.D., MSPH; Martey S. Dodoo, Ph.D.; Stephen Petterson, Ph.D.; Imam Xierali, Ph.D.; Andrew Bazemore, M.D., MPH; Bridget Teevan, MS; Keisa Bennett, M.D.; Cindy Legagneur, BS; JoAnn Rudd, M.A.; and Julie Phillips, M.D., MPH, Michigan State University College of Human Medicine. Copyright 2009. Josiah Macy, Jr. Foundation Grant B07-09. Approved by the Georgetown University IRB. March 2, 2009.
10-15-2009		State Workforce Incentive Programs (196kb) National Association of Community Health Centers (NACHC), State Primary Care Associations and State Primary Care Offices, June 1, 2009.
10-15-2009		Assessing the Need for On-Site Eye Care Professionals (175kb) The George Washington University, School of Public Health and Health Services, Department of Health Policy, Peter Shin, Ph.D., MPH; Brad Finnegan, MPP., February 2009.
10-15-2009		Changing Demographics: Implications for Physicians, Nurses, and Other Health Workers (2434kb) U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis, Spring 2003.
10-15-2009		Clinical Workforce Needed to Support Health Center Growth 2008 – 2016 (1393kb) National Association of Community Health Centers (NACHC), Clinical Workforce Report, October 2007.
10-15-2009		Family Medicine Residency Characteristics Assoc. with Practice in a Health Professions Shortage Area The Department of Family Medicine and Community Health, University of Massachusetts Medical School, Warren J. Ferguson, M.D.; Suzanne B. Cashman, ScD; Judith A. Savageau, MPH; Daniel H. Lasser, M.D., MPH. (Fam Med 2009;41:405-10.) Vol. 41, No. 6. June 2001.
10-15-2009		Key Considerations in Developing Residency Training Program Collaborations (152kb) National Association of Community Health Centers (NACHC), Feldesman, Tucker, Leifer, Fidell & Bank, LLP, Washington, DC, Jacqueline C. Leifer, Esq., and Michael D. Golde, Esq., April 20, 2004.
03-26-2009		State's Response to Primary Care Workforce Shortages (67kb) White Paper for The Georgia Statewide AHEC Primary Care Shortages Undergraduate Medical Education Project. Department of Family Medicine, Medical College of Georgia, Denise D. Kornegay, MSW, Associate Professor, Director, Georgia Statewide AHEC Network, March 26, 2009.