Campus confident of filling openings amid worker shortage
Vanessa Miller
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Just months ahead of opening its new $525.6 million hospital in North Liberty, University of Iowa Health Care is ramping up hiring amid a national health care worker shortage for the campus — promoting “innovative opportunities” across a range of disciplines in the state-of-the-art facility.
“The new campus includes a three-level hospital and five-level medical office building, and spaces to support medical education and research,” UI Health Care said of the 60-acre site, which is scheduled to open this spring.
Among the 70-plus open positions UIHC is “currently accepting applications for” on its up-and-coming North Liberty campus are jobs in nursing, the emergency room, respiratory care, central sterilization, environmental services, pharmacy, physical therapy, radiology, engineering and safety and security.
Specific jobs postings include third-shift mechanic earning up to $62,481 a year; patient care technician, making up to $50,157; sports medicine nurse making $60,589; and food service manager, with the potential to earn a six-figures salary Additional job postings are “coming soon,” according to the university — including guest services, food and nutrition and additional nursing and ER positions.
Worker shortage
The UIHC expansion — and its influx of staffing needs — comes amid a national health care worker shortage, with a deficit of 100,000 projected industrywide by 2028, according to a study released in August and promoted by the American Hospital Association.
The nursing assistant shortage is expected to be especially severe, at a 73,000 projected deficit nationwide by 2028, according to the report from Mercer, a health care consulting company.
When looking across just the UIHC, more than 730 health care-related jobs are open — including more than 460 nursing positions.
In applying to the State Health Facilities Council in 2021 for a certificate of need to build the new North Liberty hospital, UIHC officials raised worker shortages as a reason to approve the project. Highlighting its academic function in teaching and training providers, UIHC said it was struggling to keep up with the demand due to its limited capacity.
“There is currently a statewide shortage for health care providers that affects all hospitals and their patients,” according to the university’s application, reporting that at that time Iowa ranked 42nd nationally in physicians per 100,000 population.
Today, Iowa ranks 44th nationally in active physicians per 100,000 people, according to the American Association of Medical Colleges.
“The statewide shortage of health care providers is anticipated to worsen over the next decade,” according to the university’s 2021 application. “UIHC does not have sufficient infrastructure capacity to expand its learner and training programs. Only with additional infrastructure capacity that can simultaneously accommodate the clinical and academic missions … can UIHC increase the number of health care providers trained for Iowa.”
‘No concern with recruiting’
In promoting jobs on its North Liberty campus, touted as the university’s new “home to our nationally ranked Department of Orthopedics and Rehabilitation,” officials have promoted career opportunities for “professionals with various levels of experience and skill sets to grow, learn, and make a positive impact.”
In the university’s original 2020 application for a certificate to build the hospital — which was denied, compelling UIHC to return to the state with a revised application — administrators projected the North Liberty campus would need the equivalent of 535 full-time employees.
That total included 65 in the operating room, 67 in the emergency department and 50 to staff the inpatient rooms. To the state’s request for evidence that enough personnel would be available, UIHC pointed to its service as a “training site for approximately 3,000 aspirating health care professionals annually” across its colleges of medicine, dentistry, nursing, public health and pharmacy.
“These programs have historically proven to be very beneficial in providing well qualified candidates to fill new or vacant positions,” according to the 2020 application. “There is no concern with recruiting positions for this facility based on UIHC's traditional hiring methods.”
The revised 2021 application — which was approved — lowered the projected worker needs to 454 FTEs for the new hospital that will offer up to 48 inpatient beds, 84 clinic exam rooms, 14 emergency care rooms and 12 operating rooms.
“UIHC has a strong record of recruiting health care providers and staff from outside of the state who wish to work at a tertiary/quaternary center, and UIHC anticipates that it will be able to fill a substantial number of the positions in this manner,” according to that 2021 application.
UIHC — across all its campuses, including a new Downtown Campus it acquired through Mercy Iowa City’s bankruptcy auction — boasts more than 20,000 staff members, including more than 1,200 doctors and dentists.
In the 2023 budget year, the system recorded more than 33,000 inpatient admissions and more than 52,000 ER visits. It performed more than 36,000 major surgeries, more than 190,00 minor procedures and more than 1.2 million clinic visits.
In its 2021 state application, administrators reported more than half the existing 850 inpatient beds were in double rooms — which are “not recommended in the interest of patient safety, infection control, and patient experience.”
With an occupancy rate often above 96 percent, UIHC annually turns down 2,200 to 2,400 transfer requests.
“Projections indicate that UIHC needs capacity to treat an additional 6,031 inpatient encounters by 2039,” the application states.
When asked about staffing and recruitment for the North Liberty campus, including whether travel nurses and temporary workers will be used, UIHC spokeswoman Laura Shoemaker told The Gazette, “We have ramped up recruitment and retention efforts accordingly, as we recognize our talented team members are central to our ability to fulfill our mission as the state’s academic medical center.”
“We take our commitment to serving Iowans very seriously, and when we need additional staff to maintain patient care services, we may seek temporary support from travel staff until we can permanently fill open roles,” she said. “The number of agency staff working at UI Health Care fluctuates by the week based on patient care needs and available staff. We continuously review current and anticipated staffing needs and look for opportunities to reduce agency needs.”
Regarding North Liberty, specifically, she said, “We anticipate hundreds of new full-time staff across all departments will eventually be hired, and we expect that to happen over an extended period of time as we ramp up operations.”
Vanessa Miller covers higher education for The Gazette.
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