Literature Review

Kaiser Permanente lays off 115 IT employeesModern HealthcareDecember 12, 2023Kaiser Permanente has joined a growing list of health systems cutting back their IT teams. The Oakland, California-based health system confirmed it eliminated 115 workers from IT positions last month. Kaiser declined to specify how many IT employees were retained or provide detail about the roles and locations affected. Overall, Kaiser has about 220,000 employees. 

Nurses at University Medical Center vote to unionize, a Louisiana firstTimes-Picayune (New Orleans, LA)December 10, 2023LCMC Health’s University Medical Center nurses voted to join National Nurses United, the largest U.S. union for registered nurses, after a three-day vote that ended Saturday night. The union will be Louisiana’s first among health care workers. It is also one of the state’s largest, with 598 eligible members. More than 90% of eligible nurses voted in the election. Of those who voted, 82% voted in favor of the union, according to National Nurses United. ... Officials at UMC acknowledged the union and said they would “continue to work with the National Labor Relations Board and operate consistently with the processes established by the National Labor Relations Act.” ... Next, the union will be certified by the National Labor Relations Board. Negotiations and bargaining on a contract come after that. ... The union includes registered nurses who are full-time, part-time and per diem, along with clinic nurses and nurse practitioners.

Aging population requires ‘bold leadership’ to protect human dignity—LeadingAge to House SpeakerMcKnight’s Senior LivingDecember 11, 2023The growing population of older adults requires “bold leadership” to ensure aging with dignity, as well as access to care and support, according to an open letter from LeadingAge to Speaker of the House Mike Johnson (R-LA). The changing demographics and need to support older adults where they live and receive services presents a unique opportunity for Johnson to demonstrate leadership and commitment to “protecting human dignity,” according to the letter from LeadingAge President and CEO Katie Smith Sloan. ... “The US healthcare system is navigating a new and unfamiliar landscape in the wake of the COVID-19 public health emergency,” Sloan wrote. “Three years of sustained stress and increasing workloads have caused a dramatic shift in staffing patterns and an alarming rise in burnout across health professions.”

Why health systems are dropping their IT teamsModern HealthcareDecember 7, 2023The digital transformation is underway at health systems but it increasingly doesn’t involve in-house IT departments. Health systems are transitioning their analytics and tech employees to managed service companies as they look to scale virtual care, artificial intelligence and analytics initiatives. By moving the work out-of-house and the employees with it, a process called rebadging, health systems struggling with razor-thin margins say they can deploy IT projects more efficiently while saving on costs. ... In November, consulting firm Guidehouse surveyed health system CEOs and chief financial officers about their top three IT investment priorities in 2024. A third of respondents said they have expanded relationships with IT outsourcing partners ... But there are downsides to the strategy. The transition of employees can be bumpy. Also, by offloading IT employees, the quality of work can be worse when the outside company doesn’t understand the system as well. 

Nurses seeking work in U.S. on the rise despite visa pauseModern HealthcareDecember 6, 2023A record number of occupational visa certificates were issued this year to nurses and other healthcare workers by the Commission on Graduates of Foreign Nursing Schools. The nonprofit, which helps foreign-educated nurses work in other countries by verifying their credentials for federal and state agencies, said it issued almost 27,000 visa certificates this year—85% of which were for registered nurses—twice as many as in 2022. The number of certificates has quadrupled since 2017. The commission’s report also found that 78% of those who applied for a visa certificate intended to apply for a permanent green card, an increase from 64% in 2022.

Labor challenges slowing nonprofit hospital recovery—FitchModern HealthcareDecember 5, 2023Nonprofit hospitals and health systems are recovering financially but more slowly than expected, according to a report Fitch Ratings published Tuesday. Much of the sector has broken even in operations on a month-to-month basis in 2023, but it happened later in the year and to a lesser extent than analysts anticipated, the credit ratings agency reported. Labor costs, although softening, remain the top pressure point. Fitch is keeping the nonprofit hospital sector in the “deteriorating” category. Downgrades have outpaced upgrades by about 3-to-1 so far in 2023. Negative rating outlooks grew from 8.9% in 2022 to 10.7% this year. ... In 2024, operational success will largely hinge on how well hospitals recruit and retain employees, Fitch concluded.