TAMPA, Fla., Nov 23, 2016 /PRNewswire/ -- Black Book's annual poll of public relations and crisis management firm clients noted a key shift from past years' workforce issues, physician satisfaction and medicolegal problems, to newly developing technology-related and financial events challenging the reputations of healthcare provider and payer organizations in 2017. Anticipated demand for external PR support is expected to increase by nearly 20% over last year's budgeted funds industry-wide. Logo - http://photos.prnewswire.com/prnh/20161123/442426LOGO 1,895 executive level officers participated over the seven month crowdsourced survey which included Chief Executive, Operations, Financial, Information, Marketing, Medical and Nursing Officers from 334 hospitals, 218 physician groups and ambulatory organizations, and 107 payers. In the survey, Black Book asked respondents to rank 20 issues, which present the highest level of unease in order of how pressing they were in 2016, and to identify specific areas of concerns within each issue for 2017. 280 single events, separated into 26 emergency-group situations reflected 2016 engagements with external Crisis Management and Public Relations firms. These 26 subject areas were: External Emergencies and Disasters, Internal Emergencies and Disasters, Patient/Clinical and Disease Emergencies, Governmental Issues, Man-Made Emergencies and Disasters, Physical Structure Emergencies, Medio-Legal Suits, Environmental Emergencies, Visitor Emergencies, Staff Emergencies, Workforce Issues, Technology and Information Systems Issues, Competitor Problems, Nursing Emergencies, Patient Satisfaction, Physician Satisfaction, Employee Satisfaction, Contractual and Temporary Staffing Issues, Medical Staff Issues, Hospital Outcomes and Patient Safety, Social Media, Marketing and Public Relations Concerns, Financial Issues, Community Issues, Crime, and Other. A total of 105 agencies, 78 public relations and 27 crisis management specific practices, received ballots on their clients' satisfaction in four areas of performance before, during and after 2016 event engagements. These end-to-end services include (1) crisis preparedness, training and planning, (2) crisis management, media and public response, (3) litigation, press, community, labor and restructuring communications, and (4) reputation recovery, impact, assessment and restoration.