As a field we are still on the journey from volume to value. The emphasis on the integration of value-based care into payment reform efforts will increasingly affect all stakeholders. It will drive movement toward a common set of metrics that will constitute the value and quality provided. It will require a comprehensive data strategy to assess performance and analyze different risk-sharing models and ultimately move to enhanced models of care.

— MaryJane Wurth, executive vice president, American Hospital Association

  • The average turnover rate for nurses in 2014 was 16.4 percent, according to the 2015 National Healthcare Retention & RN Staffing Report. The cost of turnover for a bedside nurse ranges from $36,900 to $57,300, leading to a loss of $6.2 million for an average hospital. 1
  • Sixty percent of health care professionals in a survey responded that informatics nurses have a high degree of impact on the quality of care. Approximately one-quarter of respondents (23 percent) reported that their organization hired their first informatics professional prior to year 2000 and 61 percent said their organization employs an informatics professional in a leadership position. 2
  • Potentially lowering the projected shortfalls of physicians is the rapid growth in supply of advanced practice nurses and the increased role these clinicians are playing in patient care delivery. However, even with these scenarios, physician shortages are projected to persist. 3
  • Approximately 95,600 physician assistants were active in the workforce in 2013, more than double (219 percent) the number from a decade earlier. The PA workforce is younger than the physician workforce, with 77 percent younger than 50. 3
  • At least 25 percent of health systems will have a formal plan for including pharmacists, along with nurse practitioners and physician assistants, in advanced roles that allow primary care physicians to care for more patients. It is also predicted that at least half of health systems over the next five years will apply a pharmacy team-based approach to medications-use management, with formalized levels of responsibilities for technicians, students, residents and attending pharmacists. 4
  • Workers in health care and social assistance settings are five times more likely to be victims of nonfatal assaults or violent acts than the average worker in all other occupations, according to the Bureau of Labor Statistics. 5

2017 AHA Environmental Scan

Download the complete 2017 AHA Environmental Scan PDF sponsored by B. E. Smith.


  1. “FutureScan 2016-2021, Healthcare Trends and Implications,” AHA’s Society for Healthcare Strategy & Market Development and American College of Healthcare Executives, with support from Evariant
  2. “27th Annual HIMSS Leadership Survey: Executive Summary,” HIMSS, March, 2016
  3. “The Complexities of Physician Supply and Demand: Projections from 2013 to 2025,” prepared for the AAMC, submitted by IHS Inc., March 2015
  4. “Pharmacy Forecast 2016-2020,” ASHP Foundation, Dec. 2015
  5. “Addressing Violence in the Healthcare Workplace,” Hospitals & Health Networks, Pamela Thompson, R.N., July 2015