1 Ohio Health Care Employment Labor Market Trends and Challenges.

1

Ohio Health Care EmploymentLabor Market Trends and Challenges

2

Health Care: Industries,Occupations & Training

Occupations

Industries

Training

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Ohio Employment Growth, 1976-2009

0

50

100

150

200

250

1976

1978

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

Em

plo

ymen

t In

dex

(19

76=

100)

Health Care Total

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Ohio Nonfarm Wage and Salary Employment, 2007-2010

4,500

4,600

4,700

4,800

4,900

5,000

5,100

5,200

5,300

5,400

5,500

5,600

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Em

plo

ym

en

t (t

ho

us

an

ds

)

2007 2008 2009 2010

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Hospital Employment2007-2010

212

214

216

218

220

222

224

226

228

230

232


Em

plo

ym

en

t (t

ho

us

an

ds

)

2007 2008 2009 2010

6

Nursing and Residential Care Employment, 2007-2010

154

156

158

160

162

164

166

168

170

172


Em

plo

ymen

t (t

ho

usa

nd

s)

2007 2008 2009 2010

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Ambulatory Care Employment2007-2009

210,000

215,000

220,000

225,000

230,000

235,000

240,000


Em

plo

ym

en

t

2007 2008 2009

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Growth Drivers

• Medical technology advances

• Aging population

• Expanded health care coverage

• Difficult to outsource

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Health Care Industries

• Ambulatory health care services – (NAICS 621)

• Hospitals – (NAICS 622)

• Nursing and residential care facilities– (NAICS 623)

• Ambulatory health care services – (NAICS 621)

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Ambulatory Health Care Services Year

Number of Estab.

EmployeesEmpl. per

Estab.

Average Weekly Wages

2001 17,058 190,572 11.2 $8122002 17,348 197,711 11.4 $8262003 17,628 203,774 11.6 $8352004 17,657 208,811 11.8 $8652005 17,836 216,033 12.1 $8782006 18,063 221,354 12.3 $8952007 18,148 226,657 12.5 $9052008 18,576 229,159 12.3 $9352009 18,719 233,527 12.5 $955Net

Change, 2001-09

1,661 42,955 1.3 $143

Percent Change, 2001-09

9.7% 22.5% 11.7% 17.6%

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Offices of Physicians

Absolute Change 1,658 41,963 $3,521,341 $7,951

Percent Change 9.80% 22.40% 46.50% 19.60%

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Offices of Dentists

Absolute Change 1,658 41,963 $3,521,341 $7,951

Percent Change 9.80% 22.40% 46.50% 19.60%

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Offices of Outpatient Care Centers

Number of All Total Wages Average

Establishments Employees (in thousands) Annual Wage

2000 600 19,728 $617,161 $31,284

2001 641 20,591 $663,103 $32,203

2002 684 20,609 $697,406 $33,839

2003 720 20,926 $736,545 $35,197

2004 813 21,072 $768,768 $36,482

2005 846 23,449 $918,299 $39,161

2006 874 24,320 $977,536 $40,194

2007 924 25,502 $1,076,985 $42,231

2008 1,027 25,824 $1,119,612 $43,355

Absolute Change 427 6,096 $502,452 $12,071

Percent Change 71.20% 30.90% 81.40% 38.60%

Item Type

Change from 2000 (pre-2001 recession total Statewide employment peak) to 2008

Absolute Change 1,658 41,963 $3,521,341 $7,951

Percent Change 9.80% 22.40% 46.50% 19.60%

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Offices of Medical and Diagnostic Laboratories

Number of All Total Wages Average


2000 294 4,634 $166,827 $36,001

2001 313 4,896 $182,120 $37,201

2002 401 5,591 $211,677 $37,863

2003 423 5,821 $223,558 $38,406

2004 437 6,500 $253,096 $38,938

2005 476 6,745 $282,807 $41,927

2006 538 7,150 $297,581 $41,618

2007 576 7,570 $325,086 $42,943

2008 627 7,573 $331,725 $43,803

Absolute Change 333 2,939 $164,898 $7,802

Percent Change 113.30% 63.40% 98.80% 21.70%

Item Type


Absolute Change 1,658 41,963 $3,521,341 $7,951

Percent Change 9.80% 22.40% 46.50% 19.60%

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Offices of Other Ambulatory Health Care ServicesNumber of All Total Wages Average


2000 297 8,547 $212,461 $24,859

2001 297 8,713 $218,736 $25,105

2002 304 9,054 $252,458 $27,884

2003 314 9,728 $259,450 $26,670

2004 296 9,859 $275,406 $27,935

2005 292 10,451 $301,925 $28,890

2006 300 11,046 $325,460 $29,465

2007 304 11,598 $356,722 $30,758

2008 300 11,876 $379,157 $31,927

Absolute Change 3 3,329 $166,696 $7,068

Percent Change 1.00% 38.90% 78.50% 28.40%

Item Type


Absolute Change 1,658 41,963 $3,521,341 $7,951

Percent Change 9.80% 22.40% 46.50% 19.60%

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Occupations and Wages in Health Care Industries

• Staffing patterns in the health care industries are bi-modal: both high-skill/high-wage and low-skill/low-wage jobs.

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Health Care Occupations

• 76 health care occupations • Projected growth of 20.4% between 2006 and

2016 –117,000 new jobs• 18 of the 30 fastest growing occupations in Ohio

are health care occupations• More than 21,000 openings annually• About 44% of openings will be for replacements,

not growth

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Top 4 Fastest Growing Health Care Occupations (2004-2014)

Percent Growth

Occupation2004-2014

Total, All Healthcare Occupations (77) 19.5%Non-health Care Occupations 5.9%Home Health Aides 45.0%Physician Assistants 43.0%Medical Assistants 42.2%Diagnostic Medical Sonographers 31.0%

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High Replacement Need Occupations

Percent 45 to 54

Occupation in 2000Total, All Occupations, All Industries 22.7%Psychologists 42.8%Medical & Health Service Managers 35.1%Counselors 33.7%Speech-Language Pathologists 33.7%Licensed Practical Nurses 30.9%Registered Nurses 29.8%

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Training and Education Needs

Net Percent

All Healthcare Occupations 117,250 20.4% 21,217Short-Term On-the-Job Training 29,410 35.8% 4,093Moderate-Term On-the-Job Training 14,760 20.7% 2,715Long-Term On-the-Job Training -50 -1.0% 134Postsecondary Vocational Award 19,860 14.2% 4,120Associate Degree* 34,950 21.6% 6,225Bachelor's Degree 5,460 17.1% 1,169Work Experience plus a Bachelor's Degree or Higher 1,640 15.0% 368Master's Degree 6,230 21.1% 1,127Doctoral Degree 420 9.1% 113First Professional Degree 4,570 11.7% 1,153*Registered nurses are included in this category, though training requirements may be met through a two-year associate degree, a three-year diploma, or a four-year bachelor's degree.

Education & Training LevelChange 2006-16 Average

Annual Openings

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Outlook for Key Occupations

Net PercentRegistered Nurses 25,590 22.6% 4,425 $28.72Nursing Aides, Orderlies, and Attendants 11,110 14.4% 1,801 $11.57Licensed Practical and Licensed Vocational Nurses 5,380 13.9% 1,593 $19.19Medical Secretaries 4,070 13.3% 895 $13.72Cooks, Institution and Cafeteria 0 0.0% 657 $12.21Medical Assistants 6,090 32.1% 845 $13.16Dental Assistants 2,090 20.8% 383 $15.54Radiologic Technologists and Technicians 1,300 13.3% 262 $23.91Social and Human Service Assistants 2,630 33.6% 354 $13.27Dental Hygienists 1,320 20.9% 253 $29.82

Occupational TitleGrowth, 2006-16 Avg. Ann.

Openings2009 Avg. Hr. Wage

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Additional Professions

Net PercentFamily and General Practitioners 610 9.8% 174 $78.79Internists, General 280 8.6% 86 $79.99Obstetricians and Gynecologists 240 17.0% 49 $89.22Pediatricians, General 210 9.4% 61 $69.55Surgeons 190 7.8% 63 $110.72Physicians and Surgeons, All Other 1,480 13.3% 349 $91.36Physician Assistants 370 23.4% 59 $40.33

Occupational TitleGrowth, 2006-16 Avg. Ann.

Openings2009 Avg. Hr. Wage

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Ambulatory Health Care Services

Code Occupational TitleMay 2009 Avg. Hr. Wage.

29-1111 Registered Nurses $28.7231-9092 Medical Assistants $13.1631-1011 Home Health Aides $9.7843-4171 Receptionists and Information Clerks $11.5043-6013 Medical Secretaries $13.7231-9091 Dental Assistants $15.5439-9021 Personal and Home Care Aides $9.9129-2061 Licensed Practical and Licensed Vocational Nurses $19.1943-9061 Office Clerks, General $13.0229-2021 Dental Hygienists $29.82

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Training and Education Key Occupations

Occupational TitleAvg. Ann. Openings

Training Output,

2007-08†

Entering Labor

Market‡

Difference

Registered Nurses* 4,425 6,728 5,719 1,294Nursing Aides, Orderlies, and Attendants 1,801 1,543 1,312 -489Licensed Practical and Licensed Vocational Nurses 1,593 3,670 3,120 1,527Medical Secretaries 895 997 847 -48Cooks, Institution and Cafeteria 657 122 104 -553Medical Assistants 845 3,759 3,195 2,350Dental Assistants 383 677 575 192Radiologic Technologists and Technicians 262 604 513 251Social and Human Service Assistants 354 17 14 -340Dental Hygienists 253 329 280 27*Training output only includes Registered Nurse Training (CIP 51.1601).†Only includes awards through the bachelor's level.‡Of those completing degree programs, about 15% do not enter the labor market.

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Health Care-Related Occupational Projections

by Training Needs

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by Training Needs

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by Training Needs

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by Training Needs

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by Training Needs

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by Training Needs

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Nursing-Related Occupational Supply

by Training Schools and Programshttp://occsupplydemand.org

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Nursing-Related Occupational Supply

Program Completers by Degree Levelhttp://occsupplydemand.org

**Total Demand 4175

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Http://lmi.state.oh.us

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http://occsupplydemand.org

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Ohio Bureau of Labor Market Information

•For further information contact:

Keith Ewald, Bureau ChiefBureau of Labor Market Information

Office of Workforce DevelopmentOhio Department of Job & Family

ServicesPhone:(614) 752-9494

E-mail: [email protected]

1 Ohio Health Care Employment Labor Market Trends and Challenges.

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