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    Bain & Company's 2020 US Frontline of Healthcare Study

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    Alex Kacik
    Frontline healthcare worker concern over their health and safety is declining as COVID-19 cases flatten, though concern remains highest in New York. Clinicians cite growing concerns over burnout and mental health, especially in New York where support for these issues has increased. Many providers still lack additional mental health resources. Compensation cuts are expected to increase over the next few months as hospitals face financial strain from reduced revenue. While telehealth adoption is up, providers face challenges resuming regular care due to insufficient testing and PPE.

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    Bain & Company's 2020 US Frontline of Healthcare Study

    Uploaded by

    Alex Kacik
    93 views9 pages
    Frontline healthcare worker concern over their health and safety is declining as COVID-19 cases flatten, though concern remains highest in New York. Clinicians cite growing concerns over burnout and mental health, especially in New York where support for these issues has increased. Many providers still lack additional mental health resources. Compensation cuts are expected to increase over the next few months as hospitals face financial strain from reduced revenue. While telehealth adoption is up, providers face challenges resuming regular care due to insufficient testing and PPE.

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    Data collected April 24-28.

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    Bain & Company’s 2020 US Frontline of Healthcare Study

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    Frontline healthcare worker concern over their health and safety is declining as COVID-19 cases flatten, though concern remains highest in New York. Clinicians cite growing concerns over burnout and mental health, especially in New York where support for these issues has increased. Many providers still lack additional mental health resources. Compensation cuts are expected to increase over the next few months as hospitals face financial strain from reduced revenue. While telehealth adoption is up, providers face challenges resuming regular care due to insufficient testing and PPE.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    93 views9 pages

    Bain & Company's 2020 US Frontline of Healthcare Study

    Uploaded by

    Alex Kacik
    Frontline healthcare worker concern over their health and safety is declining as COVID-19 cases flatten, though concern remains highest in New York. Clinicians cite growing concerns over burnout and mental health, especially in New York where support for these issues has increased. Many providers still lack additional mental health resources. Compensation cuts are expected to increase over the next few months as hospitals face financial strain from reduced revenue. While telehealth adoption is up, providers face challenges resuming regular care due to insufficient testing and PPE.

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    Bain & Company’s 2020 US Frontline of Healthcare Study

    Pulse Check 3 (data collected April 24-28)

    • As the Covid caseload curves flatten and initial panic of Coronavirus pandemic wanes, Frontline provider concern over their health and
    safety is dropping – from 76% of frontline providers being “very concerned” in the last week of March, to 47% in the last week of April
    – Although the trend of lower concerns is consistent across geographies, the New York Frontline remains the most concerned. Concern in Seattle and LA has dropped
    by half.

    • However, in the US epicenter, New York City, provider concern of burnout and mental health has spiked since our first survey at the end of
    March—16% of frontline healthcare workers in NYC now rank burnout or their mental health as a top concern
    – Clinicians cite virtual visits with behavioral health specialists and support groups as key resources to confront growing mental health concerns
    – Nationally, hospitals have responded to growing mental health concerns with additional resources, but ~40% of providers responded that they still lack extra support

    • As hospitals revenue declines due to reduced non-Covid care and cancelled elective procedures, providers see the impact in their
    compensation. More healthcare workers expect pay cuts in May than they did in April, and ~40% of clinicians expect additional
    compensation cuts for the next three months (May, June, July). Compensation cuts are occurring across all specialties and geographies
    – Faced with a multi-month path to financial stability, Frontline providers, including PCPs, point to reduction in shifts or hours as the primary driver behind changes
    in wages, while 40% of specialists cite cancelled elective procedures

    • Although the rate of new Covid-19 cases is dropping across the country, providers see impediments to resuming regular patient care. ~60% of
    providers report that their organization is not equipped to manage the return of elective care, citing a lack of patient / provider testing and
    sufficient PPE as the most common barriers to successfully managing the return of elective care
    – Providers across all geographies cite a similar mix of barriers to managing elective care return

    • Rates of telehealth adoption has increased since our last survey on April 13. Frontline provider time spent on patient care via telehealth is
    primarily for COVID-related urgent care; PCPs spend the majority of time on follow-up care

    NYC BainCo_COVID Frontline Pulse C ... 1


    Frontline provider concern about their health and safety is declining as new cases
    flatten across the country; New York provider concern remains elevated

    % of Frontline respondents who are “Very concerned” about their health, four week comparison

    Covid
    caseload
    677 1.9K 916 489 243 203 175 109 92
    per 100K
    (April 28)
    Source: Frontline pulse check wave 3 (N=364), USAFacts.org

    NYC BainCo_COVID Frontline Pulse C ... 2


    Clinicians are becoming increasingly concerned about long-term impacts of Covid-19
    on hospital financials and their own mental health

    What are frontline providers’ top concerns? What are other providers’ top concerns?

    Source: Frontline pulse check wave 3 (N=364)

    NYC BainCo_COVID Frontline Pulse C ... 3


    In New York, Frontline provider concern about mental wellbeing has increased; they
    rank virtual behavioral health visits and support groups as most impactful resources

    16% of New York frontline providers cite sustaining Frontline clinicians in New York rank virtual visits,
    their mental health or burnout as a top concern support groups as top resources

    Source: Frontline pulse check wave 3 (N=364)

    NYC BainCo_COVID Frontline Pulse C ... 4


    While mental health support has increased, many respondents still report no
    additional mental health resources

    Additional mental health resources

    Source: Frontline pulse check wave 3 (N=364)

    NYC BainCo_COVID Frontline Pulse C ... 5


    Providers expect increased pay cuts in May and continued cuts over the summer,
    citing shift reductions, cancelled procedures, and deferred bonuses as top drivers

    More providers expect compensation cuts over next 3 Comp cuts from shift reductions impact frontline and
    mos., indicating worsening financial dynamics PCP salaries; cancelled procedures impact specialists

    Source: Frontline pulse check wave 3 (N=364)

    NYC BainCo_COVID Frontline Pulse C ... 6


    ~60% of providers do not feel fully prepared to resume elective care, citing a lack of
    patient/provider testing and insufficient PPE as top concerns

    Source: Frontline pulse check wave 3 (N=364)

    NYC BainCo_COVID Frontline Pulse C ... 7


    Frontline clinicians are leveraging telehealth for Covid-19 related care; ~half of
    PCPs’ telehealth use cases are routine care and follow-ups

    Frontline providers PCPs Specialists

    Source: Frontline pulse check wave 3 (N=364)

    NYC BainCo_COVID Frontline Pulse C ... 8


    As Covid-19 caseloads taper, frontline clinicians are now asking more for better
    communications and telehealth, instead of redeployments

    What would support providers in doing their job well?


    ~75% of other providers
    asking for mental health
    20% 20%
    resources were redeployed

    Frontline providers Other providers

    Source: Frontline pulse check wave 3 (N=364)

    NYC BainCo_COVID Frontline Pulse C ... 9

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