Healthcare job growth slows; hospitals add 10.6K jobs in June

https://www.beckershospitalreview.com/workforce/healthcare-job-growth-slows-hospitals-add-10-6k-jobs-in-june.html

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Healthcare added 25,200 jobs in June, with hospitals contributing 10,600 to that total, according to the latest jobs report from the U.S. Bureau of Labor Statistics.

This is down from the 28,900 jobs the industry added in May.

Within healthcare, ambulatory healthcare services continued to show employment growth, adding 13,500 jobs last month. Hospitals added 10,600 jobs in June compared to the 6,200 they added in May. Nursing and residential care facilities gained 1,100 jobs last month.

Overall, healthcare has added 309,000 jobs over the year, according to the BLS.

In total, the U.S. added 213,000 jobs in June.

 

 

California city anticipates 1,200 jobs spurred by Kaiser, Adventist and Sutter expansions

https://www.beckershospitalreview.com/workforce/california-city-anticipates-1-200-jobs-spurred-by-kaiser-adventist-and-sutter-expansions.html

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The city of Roseville, Calif., anticipates a job boom as healthcare giants Kaiser Permanente, Adventist Health and Sutter Health expand in the area, reports The Sacramento Bee.

The area is expected to see about 1,200 more jobs over several years resulting from the projects.

“We are expecting a significant, 11 percent job growth over the next five years, and these expansions play into that,” Laura Matteoli, the city’s acting economic development director, told the publication.

Roseville, Calif.-based Adventist Health’s plans involve consolidation. According to the report, the system will consolidate its corporate headquarters and other buildings into one 275,000-square-foot building, projected to cost $100 million and slated to open in January. Human resources, IT and strategy departments will be housed in the building. Adventist Health also is building a clinic for its workers in Roseville, vice president of talent strategy Doris Tetz Carpenter told The Sacramento Bee.

Oakland, Calif.-based Kaiser Permanente’s plans in Roseville involve replacing its 90,000-square-foot Riverside Medical Offices with one 210,000-square-foot building that will offer outpatient services, spokesperson Edwin Garcia said.

At Sacramento, Calif.-based Sutter Health, hospital officials are expanding the system’s Roseville hospital’s emergency and intensive care unit, the report states. The 97,000-square-foot building addition is slated for completion in 2020.

 

 

Northwell Health to station armed guards at all 23 hospitals

https://www.beckershospitalreview.com/facilities-management/northwell-health-to-station-armed-guards-at-all-23-hospitals.html

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New Hyde Park, N.Y.-based Northwell Health placed armed security guards at two of its hospitals on Long Island as part of a pilot program to help staff prepare for an active shooter situation, according to Newsday.

The pilot program, which placed armed security at Manhasset, N.Y.-based North Shore University Hospital in March and at New Hyde Park-based Long Island Jewish Medical Center July 2, came to fruition after employees called for more security in the wake of an increasing number of violent incidents at hospitals across the nation, the report states.

“Hundreds of our employees have gone through active shooter training and have asked us why we don’t have armed security,” Jon Sendach, deputy executive director at North Shore University Hospital, told Newsday. “The solution here includes having guards who can respond immediately.”

He told the publication Northwell plans to have retired law enforcement officers serving as armed guards at all of its 23 hospitals within one year. He noted that not all guards at every hospital will be armed.

A second Northwell administrator told Newsday Bay Shore, N.Y.-based Southside Hospital will be the next facility to add armed security.

The goal of the program is to ensure the overall safety of patients, their families and employees, a Northwell spokesperson told Becker’s Hospital Review July 10.

 

Healthcare Triage News: Ending Risk Adjustment Payments Will Further Undermine Obamacare

Healthcare Triage News: Ending Risk Adjustment Payments Will Further Undermine Obamacare

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Mice Don’t Know When to Let It Go, Either

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Animals, like humans, are reluctant to give up on pursuits they’ve invested in, psychologists report.

Suppose that, seeking a fun evening out, you pay $175 for a ticket to a new Broadway musical. Seated in the balcony, you quickly realize that the acting is bad, the sets are ugly and no one, you suspect, will go home humming the melodies.

Do you head out the door at the intermission, or stick it out for the duration?

Studies of human decision-making suggest that most people will stay put, even though money spent in the past logically should have no bearing on the choice.

This “sunk cost fallacy,” as economists call it, is one of many ways that humans allow emotions to affect their choices, sometimes to their own detriment. But the tendency to factor past investments into decision-making is apparently not limited to Homo sapiens.

In a study published on Thursday in the journal Science, investigators at the University of Minnesota reported that mice and rats were just as likely as humans to be influenced by sunk costs.

The more time they invested in waiting for a reward — in the case of the rodents, flavored pellets; in the case of the humans, entertaining videos — the less likely they were to quit the pursuit before the delay ended.

“Whatever is going on in the humans is also going on in the nonhuman animals,” said A. David Redish, a professor of neuroscience at the University of Minnesota and an author of the study.

This cross-species consistency, he and others said, suggested that in some decision-making situations, taking account of how much has already been invested might pay off.

“Evolution by natural selection would not promote any behavior unless it had some — perhaps obscure — net overall benefit,” said Alex Kacelnik, a professor of behavioral ecology at Oxford, who praised the new study as “rigorous” in its methodology and “well designed.”

“If everybody does it, the reasoning goes, there must be a reason,” Dr. Kacelnik said.

Even more important than the similarity among species was the study’s finding that sunk cost effects appeared only after the subjects had decided to pursue a reward, Dr. Redish noted, not while they were still deliberating whether to do so.

In effect, the animals seemed to consider the deliberation time not to be part of their investment — an indication, Dr. Redish said, that different brain processes might be at work in different aspects of decision-making.

The idea runs counter to the notion that “time is time, and you’re wasting it either way,” he said.

Shelly Flagel, an associate professor of psychiatry at the University of Michigan who was not involved in the study, said the research had “far-reaching implications across fields including education, economics, psychology, neuroscience and psychiatry.”

For example, she said, persisting in a behavior even though it has adverse consequences is reminiscent of the conduct “exhibited by people with addictions.”

“Once they start searching for their next ‘fix,’ they will often go hours or days on the same quest, even if it means giving up food, relationships, their job,” Dr. Flagel said.

Learning more about the distinct processes that go awry in psychiatric disorders like addiction might yield new strategies for treatment, she added.

In the study, led by a doctoral student, Brian M. Sweis, three research laboratories at the University of Minnesota collaborated to conduct tests on mice, rats and humans. The rodents were trained to forage for the flavored pellets — banana, chocolate, grape or plain — in a square maze with a “restaurant” in each corner.

The humans were taught to “forage” on a computer for videos of kittens, “dance landscapes” or bicycle accidents. Both rodents and humans were given an overall time limit for the foraging tasks.

In the rodents’ version of the task, the animal first entered an “offer zone” outside a restaurant and heard a pitched tone that informed it how long the wait would be for the pellet reward — a delay that varied randomly from 1 to 30 seconds.

The animal could skip the offer, in which case it was withdrawn, or it could enter the “wait zone” of the restaurant, setting off a countdown signaled by a descending tone. At any time during the countdown, the rodent could choose to leave the restaurant, but once it left it could not return without going all the way around through the other restaurant offer zones.

In the human version of the experiment, subjects were offered a video and presented with buttons saying “stay” or “skip.” A download bar informed them how long they would have to wait to view the video. Clicking the “stay” button started a countdown, and the screen showed the progression of the download.

The study found that the more time the rodents spent in the “wait zone,” the more likely they were to stick out the delay to the end, even though the longer they waited, the more it cut into their overall time to seek food.

Similarly, the longer the human subjects spent waiting for a video to download, the more likely they were to stay the course until the download was finished.

Surprisingly, the amount of time that the subjects — rodent or human — spent deliberating whether to accept the “offer” of a reward did not affect whether they quit before receiving it or stayed through to the end.

“Obviously, the best thing is as quick as possible to get into the wait zone,” Dr. Redish said. “But nobody does that. Somehow, all three species know that if you get into the wait zone, you’re going to pay this sunk cost, and they actually spend extra time deliberating in the offer zone so that they don’t end up getting stuck.”

Dr. Flagel, of the University of Michigan, noted that as compelling as the new research was, it was not without limitations, including the fact that the tasks presented to humans and rodents, though similar in some ways, were still quite different.

“The challenge moving forward,” Dr. Flagel said, “is going to be to know that one is truly capturing the same phenomenon across species. Or perhaps more appropriately, what is the meaning of the differences that will be revealed between species?”