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HAI proposes clinician‑density and residency measures for workforce snapshot; workgroup flags data gaps
Summary
HAI recommended workforce indicators including primary care clinicians per 100,000, new primary care residency positions, and percent of residents trained in community‑based settings. Workgroup members raised data gaps—age stratification, part‑time/full‑time status, non‑claims team data, and rural definitions—that may limit 2026 reporting.
HAI presented recommended workforce indicators for the 2026 primary care snapshot and solicited feedback about data sources, stratifications, and known limitations.
"The first recommended primary care workforce indicator is primary care clinicians per 100,000," Miranda Wartz told the workgroup, proposing stratification by market, payer/product type, geography, clinician taxonomy, and community social‑need measures such as the Healthy Places Index or Social Deprivation Index where feasible. For 2026, HAI said it would use the most recent California data from the Milbank Primary Care Scorecard for this indicator.
HAI also recommended two pipeline indicators: the number of new primary care physician residency positions and the percentage of primary care physician residents trained in community‑based settings. Staff said ACGME data can support state‑level reporting for those residency indicators and that HAI plans to report both narrow and broad Milbank definitions of "community‑based" training where possible.
Workgroup participants raised several data limitations and improvement opportunities. A pediatric clinician asked whether pediatric‑specific measures would be available; HAI replied OKA’s 2026 data are not age‑stratified, so pediatric breakdowns are likely for future iterations using HPD. Dr. Raul Aala (Adventist Health) asked whether license renewal surveys and medical board data could capture part‑time status or FTE; HAI said renewal surveys ask about time in patient care but do not consistently indicate whether clinicians practice primary care versus specialty.
Multiple members recommended tracking postgraduate fellowships for nurse practitioners and physician assistants because such programs appear to improve retention. Jeremy, an adult primary care PA at Wellspace Health, suggested that if counts of graduates are difficult to obtain, tracking investment dollars into fellowships could serve as a proxy for workforce development.
Workgroup members encouraged HAI to refine definitions of "community‑based" and rural training (narrow vs broad Milbank definitions) to ensure programs based in rural hospitals but without formal rural‑track certification are captured where appropriate.
HAI will collect formal feedback through the post‑meeting survey and use results to finalize workforce indicator specifications for 2026 and plan additional data work for future snapshots.
