The Hawaiian islands are a true paradise, with stunning landscapes, a unique culture, and exceptional weather. Despite these advantages, Hawaii faces a significant shortage of medical providers, especially in Oahu, the Big Island, and Kauai. The reasons for this shortage range from the lengthy credentialing process to the high cost of living. However, these challenges also present an opportunity to innovate and enhance the healthcare landscape in Hawaii.

Streamlining the credentialing process is a critical solution component to address this issue. By making this procedure more efficient, we can encourage more medical practitioners to set up their practices in Hawaii. Additionally, we can develop unique incentive schemes and financial packages to counteract the high cost of living. Collaborations with local authorities and organizations can lead to benefits and support that make a living and working in Hawaii manageable and attractive.

Cultivating local talent is also a significant factor. Partnerships with educational institutions, such as the University of Hawai’i at Mānoa John A. Burns School of Medicine (JABSOM), can be instrumental in increasing the number of homegrown healthcare professionals. We can ensure a steady supply of skilled medical practitioners committed to their local communities by fostering local talent.

We can showcase the unique cultural, environmental, and lifestyle advantages of living in Hawaii to draw talent nationwide. Nationwide recruitment drives, partnerships with mainland medical institutions, and offering relocation assistance can play a significant role in attracting new talent to Hawaii.

The shortage of medical providers in Hawaii is a complex issue requiring comprehensive and innovative solutions. We can build a healthier and stronger Hawaii by improving the credentialing process, creating attractive living incentives, fostering local talent, and drawing talent from nationwide. Let’s remember that Hawaii is more than just a beautiful destination. In addressing the medical provider shortage, we are enhancing the essence of the aloha spirit that makes Hawaii unique. It’s a challenging journey, but it’s worth taking for the love of Hawaii.

References:

• Why is there a doctor shortage in Hawaii?
• Kaua’i doctor shortage includes most specialities

Check out www.kurzsolutions.com to learn more, or Call Aaron Agena, 505-933-7120

KurzSolutions specializes in providing healthcare specialists for restricted access and underserved areas.

The vibrant presence of dedicated physical and occupational therapists often punctuates the tranquil beauty of rural communities. Their commitment to patient care, as deep-rooted as the local communities they serve, remains an integral part of the healthcare landscape in these regions. While their roles are rewarding, they are also rife with unique challenges – from vast geographic distances and limited resources to significant housing concerns.

Challenges

Underneath the idyllic facade of rural life lies a complex set of issues for healthcare providers. The geographic expanse forms a considerable obstacle, limiting access to care. Physical and occupational therapists often grapple with the issue of reaching patients in remote locations, compounded by limited referral options.

Moreover, these therapists are expected to adapt to a wide range of practice settings – outpatient facilities, acute or subacute care, nursing homes, home health, rehab facilities, psychiatric setups, and emergency rooms, to name a few. Navigating these diverse environments necessitates a broad knowledge base and an adaptable skill set.

Recruiting and retaining these professionals in rural areas represents another significant challenge. Traditional strategies often must catch up to attracting and retaining therapists in these regions. Further compounding the problem is the scarcity of adequate housing – a deterrent for professionals considering rural practice.

Solutions

Despite these challenges, potential solutions can significantly enhance the provision of therapy services in rural communities.

A focus on comprehensive education and training is essential. By highlighting the unique aspects of rural practice and fostering adaptable skill sets, more therapists can be encouraged to choose rural settings. Providing competitive incentives – from lucrative salaries to student loan repayment assistance, and housing assistance – can also attract more professionals to these areas.

Enhancing access to resources and providing continuing education opportunities and mentorship programs are crucial for job satisfaction and career longevity.

Paint the picture: Amidst the gentle hum of life and the captivating quiet that defines rural landscapes, the beauty of these areas is undeniable and unique. Framed by the vibrant hues of untouched wilderness and under the vast, expansive skies, rural communities offer a life woven with simplicity, warmth, and a sense of connection often absent in bustling urban environments.

A Collaborative Effort

As experts in physical and occupational therapist recruitment, we strive to bridge the gap in healthcare services in rural regions. We’ve achieved a notable 98% fill rate, a testament to our commitment to overcoming these inherent challenges.

Our organization is more than just recruiters. We see ourselves as care facilitators with a mission to provide high-quality treatment to every patient in resource-scarce regions. We aim to extend comprehensive support to our therapists and ensure access to essential resources for their professional growth. Our commitment to our therapists is unwavering, and we will continue doing everything possible to help them succeed.

Our collaborations also extend to rural healthcare institutions, aiding them in adopting innovative solutions such as telehealth services to enhance service delivery.

At the heart of our work lies the power of human connection. We measure success by filling positions and improving lives through quality care. Our job is propelled by passion and a commitment to bring about real change in rural healthcare. We aim to create beneficial solutions for therapists, patients, and rural communities.

Check out www.kurzsolutions.com to learn more or Call Aaron Agena – 505.933.7120

If you need a home run and have only one “up-to-bat” left, do you want to put Barry Bonds at the plate or an unknown, untested rookie? It seems obvious, doesn’t it?

We chronically encounter GOVT contractors with mission-critical staffing vacancies who fall into faulty thinking when choosing a strategy. The most common is what I refer to as “The Leaky Bucket Strategy.”

The Leaky Bucket Strategy – Many Federal Contractors have a strategy based on hoping that putting enough leaky buckets together will lead to a successful fill of the holey bucket. So they engage an ever-increasing number of usually smaller, less-experienced GOVT staffing firms to do what they have been unable to do. Let me just say that “hope is not a strategy” and having a dozen firms “trying” to fill your positions in JV or contingency role is not a winning strategy.

CONTINGENCY VS. RETAINED SEARCH

Recruiting industry guru and thought leader, Jonathan Bartos, shares enlightening statistics regarding the relative success of different types of relationships with recruiting or staffing firms:

• Non-exclusive contingency recruiting relationships where you work with several or more firms to fill a position result in success in one of eight searches – 12.5% Success Rate
• Exclusive contingency relationships where you contract with only one firm yield a better success rate of one in two searches – 50% Success Rate
• Engaged or Retained relationships have the best result – 90% Success Rate

LIMITED CANDIDATE POOL AND ELITE CANDIDATE MARKET

Furthermore, when the mission-critical vacancy has to do with the physician market – a market in which less than 4% of the talent pool is EVER open to new opportunities – retained or engaged search is the silver bullet. Let me explain…

• Physicians belong to an elite talent market and want to feel targeted and special. Getting calls from several different companies for the same role gives them the impression that you are desperate and that you must be hawking a less-than-ideal position (this is the feedback we get from physicians).
• Given the limited available pool we have learned that if you don’t land an available candidate on the first attempt, subsequent attempts have a poor conversion rate. In this context, you usually only get one chance to hit the ball. In this elite sales environment, you don’t want an inexperienced recruiter making such an important pitch to possibly the only candidate available for your location within your target salary parameters in a given window of time.

“Some companies have learned that one strategy to combat the low fill rates of most contingency firms is to simply hire more of them for the same search. This is the kiss of death when there is a limited talent pool” (“Sales Talent,” – Chris Carlson)

MARKET DEPTH

Most JV partners and most recruiting firms will indeed accept your mission-critical assignments on a contingency basis. Most would not engage in a retained agreement with you because they are not confident they can fill your vacancy. They simply do not have the market depth and expertise to ensure success.

KurzSolutions has more than a decade of experience in the GOVT staffing space. Most of the candidates we provide our clients are providers we have known for years and who have worked for us at another MTF. We are not hoping for success, we guarantee it. Fills at more than 90 Military Treatment Facilities in all branches of the military substantiates our expertise.

Barry Bonds or an untried rookie? You make the choice

Call me today at 505-379-3306

Another thing just happened….

One of our clients has a contract with DC Government to provide psychiatrists. Fulfillment is challenging in that a DC license is required and the population of DC license holders is limited. We have placed several physicians and, after a year, know everyone in the market. Our focus has been on newly-licensed physicians, many of them recent residency graduates.

We landed the ideal candidate….

Having just completed his residency he had made the deliberate decision to pursue inpatient psychiatry (this is an inpatient setting). His fiancé lives in DC, so he is motivated to relocate to the District. The day we talked to him he had just received his DC license.

Score! Right?

Wrong.

We presented him to the client who in turn presented him to DC mental health. Several days of silence ensued. Finally, we were informed that DC was doing a direct-hire of our candidate, a severe end run.

Truth be told, we were aware that the candidate had applied directly to DC back in October 2018, just shy of a year ago. However, he had heard nothing from DC Mental Health until he was presented to them as a potential contractor. Despite significantly less compensation, they convinced him he was better off on staff.

We were skunked! Not entirely, as the client will contractually still owe us a fee. Still trying to get rid of the stink!

What better image for the “speed” of Government business than the Sloth!

The sloth is an interesting creature; the slowest animal on earth with a maximum speed of .0003 miles per hour. Even slugs are faster. However, the Sloth’s seemingly “slothful” behavior has an explanation. They have an incredibly slow digestive system. It can take them up to a full month to digest a single leaf! As a result, they have only two choices, eat more or move less. Since they have been on the earth for sixty-four million years, their choice to expend as little energy as possible seems a winning strategy.

Government business is slow. It is the nature of bureaucracy to have a plodding pace and comedians have gotten a lot of mileage out of this criticism including Disney. But it seems that GOVT Contractors adjust their pace of business to the bureaucracy layering an additional delay upon an already infinite timeline. In our experience, very few contractors have a sense of urgency about what they do…

Recently I ran across a new Contractor whose company name is almost an oxymoron in this environment, Fast Enterprises (they refer to their staff as “fasties’). If so, they are an anomaly in my experience.

GOVT staffing contractors have synchronized their speed with the speed of GOVT business almost like the Sloth to its digestive system. They pursue business deals, candidate closures, and business development with the earnestness of a glacier. Positions are open for months, sometimes years with seemingly little concern to fill them. And while we have built our company specifically for speed, we have found that no one really cares if you are fast or not.

One of my colleagues suggested that the benefit of being slow is that you don’t make mistakes. A word to the wise. Even the Sloth makes mistakes. On occasion, due to the fact that they move in slow motion, a sloth mistakes his own arm for a tree branch and falls to his peril to the jungle floor!

If you have open positions to fill, when you get around to it, give us a call – 888-406-9485

The First 72 Hours in Hiring Are Critical

Whether it’s solving a crime, responding to a disaster, treating an injury, or search and rescue, the first seventy-two hours are critical. As it turns out, the same is true in recruiting. Failure to understand the crucial first seventy-two hour cycle in passive candidate recruiting is a common reason for candidate fall off and yet another reason that the hiring process must be streamlined and swift.

The “burned-over” district…

Fifteen percent of employed adults are actively seeking employment at any given time. The competition for this low-hanging fruit is intense. So intense, that the candidates in high-demand career fields find the attention overwhelming. An active candidate may receive up to fifty calls a day, particularly after posting a resume. Many of these active candidates are chronic job seekers with checkered work histories and besmirched backgrounds. All are heavily recruited.

The fresh, green fields…

Meanwhile a full eighty-five percent of employed adults are happily and productively working with no interest in new opportunities. These are the choice candidates and the most difficult to find and recruit. But these are also the employees who are most likely to be happy in their next job and to stay for a long time. This is the province of the top notch professional recruiter who is not only able to locate and contact them, but sell them on considering new possibilities. This is the big leagues.

The window for harvesting….

Like picking Black Walnuts the window for harvesting passive candidates is short. Many hiring authorities fail to get this for the following reasons…

1. Hiring authorities are still in the mindset that they have the goods; that the job is the commodity rather than the employee. But these passive candidates do not NEED a job, they are happily working and well paid in their current position. We are in the position of having to sell them on us. Recently we recruited a physician for an Alaska assignment and the client asked us, “so why is he interested in Alaska?” The accurate response is: “He was not interested in Alaska. In fact, he was not looking for a job. If he relocated he wanted to move to Arizona! We sold him on Alaska and a substandard salary. That is what good recruiters do.” However, once we get them excited about your position that enthusiasm has a short shelf-life….
2. Employers tend not to understand the chemistry of passive candidate recruiting. Passive candidates are frequently almost offended when asked if they are open to new opportunities, after all they are not on the market! But once a savvy recruiter convinces (activates) them that they should consider an alternative, it doesn’t stop there. They almost immediately begin to look around, which means they start online window shopping. The result? An activated passive candidate very quickly becomes an active candidate. They view jobs, upload a resume, set a job alert and search online for your job, one among many.
3. Most hiring timelines are excessively long – An activated passive candidate’s enthusiasm for your new opportunity lasts for about seventy-two hours. If they don’t get an interview, interview and receive no feedback, or are forced to jump through too many preliminary hoops, their interest in the new opportunity begins to wane. Meanwhile, other companies and recruiters are showing interest in them and their current employer may notice the change and make a counter offer. Disillusionment begins to set in.
4. The GOVT hiring timeline is almost eternal – If the department has the right of review they may take 10-20 days providing an approval. Many GOVT Contracting Companies take days or longer to put together an offer. Then credentialing may be necessary adding another 30+ days. This protracted process puts the candidate at risk of receiving a better offer or simply second-guessing the decision, deciding to stay put, and not move forward with the new opportunity.

Best practices would indicate that we should capitalize on the first seventy-two hours and be prepared to make hiring decisions and issue offers and contracts within the first three days realizing that this process is not about us – it’s about them. The first seventy-two hours are not only critical in rescue and recovery, but also to the hiring process. We need to be prepared to:

• Remove as many preliminary barriers to review and approval as possible
• Put the review, interview, and decision-making process on a short timeline (24 hours)
• Have offers and contracts prepared and ready at hand to facilitate the candidate’s commitment

Make the most of the first 72 hours.

The challenge of managing the protracted credentialing and security timeline is covered in a related article here….

Can’t hire fast? – you lose!

More on the primary care shortage and its impact on Government Contracting

This morning we spoke with a Family Practice Physician who confirmed what we all must know – there is a severe primary care shortage in the U.S.

The physician candidate in question just relocated to Colorado and received a job offer immediately over the phone, sight unseen. During the credentialing process for the new employer (NOTE – they have not yet met her) they called to ask her if she would accept the Medical Director Role. Not having been “on the market” recently, she was literally blown away! In her words, “it was even difficult looking for a new position because I get so many calls every day it is hard to figure out what is real.”

In this competitive market the race goes to the swift. If you cannot hire quickly you will lose candidate after candidate to employers who are more nimble. The company in the above story is not a small multi-specialty group, as you might think, but a billion dollar provider in 36 states. However, they understand the concept of FAST.

In the Government space there are some things outside our control, however, we discover that many contractors do not understand the concept of FAST and have not streamlined their processes on the front end to lock physicians down quickly.

KurzSolutions provides many services to accelerate revenue including helping you develop a quick hiring solution that includes expedited credentialing. Why not give us a call to find the competitive edge you need to win in the war for talent?  800-506-0884

Sleek. Agile. Fast.

It’s not an advertising slogan for a motorcycle or the name of a video game. It’s how you need to hire.