The Workforce Crisis

The aging of the large baby boom generation is having an impact on every industry, but health care faces an additional challenge as aging increases the demand for and complexity of health care. The pool of available workers is shrinking as large numbers of baby boomers reach retirement age, and demand for hospital and health services is growing.

The impact of this dual challenge is being felt by hospitals across the state as it is increasingly difficult to fill posted positions.
 
WHA’s well-respected annual Wisconsin Health Care Workforce Report is informed by state and national data and the experience and expertise of our members, and in turn informs WHA’s workforce advocacy. 
 
WHA’s workforce advocacy is targeted to allow Wisconsin to recruit, retain and protect health care workers; allow teams to work to the top of their education, training and experience; and remove burden and burnout wherever possible.
 
WHA has successfully advocated for public policy that supports the workforce by filling educational pipelines to grow the workforce faster, supporting employer efforts to recruit, retain and protect the health care workforce, and removing unnecessary regulatory burden that is an underlying cause of workforce burnout.

Strategies

1. Grow Faster

For instance, WHA partnered with Wisconsin’s two medical schools to advance a matching-grant program for hospitals and health systems interested in expanding Graduate Medical Education capacity in their community. To date, the program has created eight brand new residency programs and provided funding to expand nine existing residency programs – in total, providing 149 new residency training opportunities for new physicians in Wisconsin who would have otherwise likely trained in another state. These additional residency opportunities will graduate 49 new physicians for Wisconsin each and every year once the pipeline is full.
 
WHA also championed proposals, modeled after the successful GME initiative above, to provide resources for rural hospitals seeking to increase training capacity for advanced practice clinicians and allied health professionals in rural communities.

These grant programs, successfully administered by the Wisconsin Department of Health Services, are based on WHA’s data-driven 86% equation to "Grow Our Own." As of March 2023, DHS has awarded almost $30 million in the form of 89 "Grow Our Own" grants. Since these are matching grants the end result is a $60 million investment in Wisconsin training for allied health professionals, advanced practice clinicians and physicians.



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2. Recruit, Retain and Protect

Wisconsin values the outstanding talent and effort of the health care workers serving patients, families and communities throughout the state. Wisconsin also recognizes the unique challenges related to health care work, and has enacted several laws advanced by WHA and its members to address key concerns of the state’s health care workforce.

Wisconsin proactively addresses key health care worker concerns:
 

• Wisconsin law protects its health care workers from violence and threats: In 2022, Wisconsin enacted the most comprehensive criminal prohibition against battery and threats of violence against health care workers and their families in the nation, including penalties of up to six years in prison.
• Wisconsin law protects its health care workers from efforts to criminalize medical errors: Wisconsin’s Quality Improvement Act prevents prosecutors from bringing criminal charges for good-faith medical mistakes.
• Wisconsin law protects error and incident reports from being used against a health care worker in a malpractice suit: Wisconsin’s Quality Improvement Act embraces the idea that patient safety isn’t improved through courtroom subpoenas and depositions, but is advanced through quality improvement processes that rely on honest reporting of incidents and errors.
• Wisconsin’s balanced medical malpractice system protects both professionals and patients: Wisconsin’s comprehensive and unique medical liability system caps non-economic damages at $750,000, while ensuring that patients receive100% of their economic losses for medical expenses and lost earnings. This system has kept medical liability insurance costs in Wisconsin among the lowest in the nation.

Wisconsin regularly appears near the top of National Rankings of the best states for health care workers, including:
 

• 2nd Best State for Nurse Satisfaction and Happiness (Nurse.org, 2019)
• 3rd Best State for Physicians (Wallet Hub, 2022)
• 5th Best Work Environment for Nurses (Wallet Hub, 2021)

3. Reduce Regulatory Burden and Burnout

As one of the most regulated industries in the state, Wisconsin’s hospitals and health systems are burdened with significant levels of regulatory compliance from federal and state agencies.

Recent data has shown that the average size hospitals dedicates 59 full time equivalent positions, a quarter of which are providers like physicians and nurses, to regulatory compliance. The cost of this regulatory compliance is roughly $1,200 for every patient admission.

WHA provides leadership to members and policymakers by identifying regulations that are either duplicative or unnecessary, creating adding more work for health care providers and more cost to patients seeking care in Wisconsin hospitals.

WHA also engages with state agencies, such as the Department of Safety and Professional Services, to ensure that good health care policy, like licensure compacts, is implemented to help support the workforce. 

WHA spearheaded Wisconsin 2021 Act 10 to make permanent changes enacted to cope with COVID, and this new law has allowed hospitals and health systems to get health care professionals working quicker in Wisconsin, but more change is needed. Licensure delays continue to create a regulatory barrier and a negative experience for health care workers before they can even enter the Wisconsin health care workforce. 

Wisconsin can welcome health care professionals by improving the licensing experience:
 

• Utilize graduation and national certification exams to expedite preliminary licensure
• Lengthen renewal timelines
• Eliminate unnecessary legal review

WHA and WHA members will continue to identify opportunities to reduce regulatory burden and will oppose efforts to increase regulation or impose mandates on an already over-regulated workforce.

Relevant Videos

Watch the 2023 WHA State of the Health Care Workforce Legislative Briefing.


Watch WHA Senior Vice President of Workforce and Clinical Practice Ann Zenk discusses a shortage of certified nursing assistants and what is being done to make up the shortfall.