2014 Health Occupations Report
description
Transcript of 2014 Health Occupations Report
2014 Health Occupations Report
April 15, 2014
Paul LeparuloPrincipal Economic Research Analyst
AgendaReview important information about this reportDiscuss key findings for the health sector Present occupation specific highlights
About this reportContent - Data Sources - Methodology
What’s in the report?2014 Health Occupations Report
More than 50 occupational profiles
Occupation description, education requirements, employment and wage characteristics, school & program completer data, employment outlook. Demographic, work setting information, distribution, per capita statistics, plus more
Sector Analysis
Summary Statistics: Dieticians & Related
Workforce Characteristics Dieticians& Nutritionists
DieteticTechnicians
Employment (2012) 240 130 Employment per1,000 population 0.18 0.10
versus U.S. Average Above avg. Average annual startingwage (Maine) $38,600 $22,980
Median annual wage (Maine) $53,960 $31,450U.S. median annual wage $55,240 $26,260Median wage for alloccupations in Maine $32,590 $32,590
Minimum EducationRequirement Bachelor's degree High school diploma
or equivalentJob Growth Projections 19% 16%National Median Age 47.4 NATop Industry of Employment Hospitals Hospitals
Licensure Board Board of Licensing ofDietetic Practice
Board of Licensing of Dietetic Practice
What data was used in creating this report?
Maine Dept. Labor
Bureau Labor
StatisticsNational Center for Education
StatisticsCensu
s
Occupational Employment
StatisticsEmployme
nt ProjectionsIntegrated
Postsecondary Education Statistics
American Community
Survey
Occupational Employment Estimates (OES)Employment and wage estimates for more than 800 occupations, based on surveys of employers
Consistent methodology across occupations and states.
Does not include the self-employed
Data is subject to suppression
Employees are part and full-time workers
Not designed for time series analysis
2012 data
Employment projections10 year employment projections for every Maine industry and over 800 occupations.
Produced every other year and currently spans 201o-2020.
Occupational projections estimate job openings from new growth and replacement needs. Estimates include the self-employed.
Assumes the status quo in the way healthcare is organized and delivered. Current projections do not incorporate assumptions about ACA.2012-2022 projections coming later this year.
Integrated Postsecondary Education Data System (IPEDS)
Primary source for postsecondary education data in the U.S.
High response ratesData is self-reported and not verified by IPEDS.
Not all programs/schools participate in the federal student loan program.
Does not include adult education data.
American Community Survey (ACS)
Provides estimates of the demographic, economic and social characteristics of the population.
2006-2010 ACS
Large confidence intervals can result when analyzing occupational data at a state level.
ACS data not included for all occupations.
Context & Review• Valerie Landry, Chair of the Maine Health Workforce
Forum• Charles Dwyer, Program Officer at Maine Health Access
Foundation• Matthew Chandler, Director, Rural Health and Primary
Care, Maine CDC• The Maine Health Workforce Forum (the Forum), as
represented by Sally Sutton, Project Director• Ann Sossong, Associate Professor of Nursing, University of
Maine School of Nursing• Lisa Harvey-McPherson, Vice President Continuum of Care
& Chief Advocacy Officer EMHS• Ellen Libby, Program Director, EMMC School of Medical
Laboratory Science• Judith Feinstein, Director, Maine CDC Oral Health
Program• Sheila Comerford, Director, Maine Psychological
Association
Size the workforce by occupation• Employment and wages• Per population • Distribution
Demographics• Race, gender, age• Educational attainment• Maine vs. U.S.
Projected job openings• New growth• Replacement
Program completers• Schools, programs • Number of graduates, 2007-2011Methodology
• Sensitivity analyses
Exclusions
• State licensure data• Adult and continuing education data• Health Practitioner Shortage Area Statistics• Maine job vacancy survey• Longitudinal data• Help wanted job postings
Health SectorKey trends for the health sector and health occupations in aggregate
1. Employment growth has been remarkable.
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
20
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120
Th
ou
san
ds
of
Job
s, M
ain
e
10% statewide employm
ent
18% statewide
employment
+ 80% growth in
employment4% growth/year
2% growth/yearHealth Sector Employment
Net jobs created by sector, 2001-2011
Healt
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re
-25000
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Reta
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Within the health sector, hospitals have been the primary driver of employment
growth.
Contribution to health sector employment growth, 2001-2011
Ambulatory healthcare
services
Hospitals Nursing and resi-dential care facili-
ties
Social Assistance
15%
51%
13%
21%
Pe
rce
nt
Co
ntr
ibu
tio
n
Driven by an aging population and technological innovations, the employment outlook remains robust.
2010-2020 Employment Projections, Change in employment
Healthcare sector Health occupations All occupations
16% 17%
6%
Ambulatory health svcs Hospitals Nursing & residential care Social Assistance
8%
30%
10% 10%
Healthcare employment projections are strong for
Maine, and even stronger nationally.
Health
care
sec
tor
Health
occ
upat
ions
All oc
cupa
tions
16% 17%
6%
34%
29%
14%
U.S
2010-2020 Employment Projections
2. The aging of the workforce amplifies the need for a pipeline of skilled providers.
New Growth
Replacement
Total job openings
Replacement needs
Total Job Openings
Population demographics
Workforce demographics
Health workforce demographics, Maine vs. U.S.
Percent of workforce over 50 years
Dentists Psychologists
49%53%
U.S.
65% 68%
Maine
Percent of workforce over 50 years, Maine vs. U.S.
RNs
Phar
mac
ists
Phys
icia
ns &
Sur
geon
sLP
N
Nurse
Pra
ctiti
oner
s
37%33%
40%35%
41%43%
48%44%
47%50%
Percent of workforce above 50 years
2,800 RNs
2,400 direct care workers
> 1,000 social
workers and counselors
> 700 physicians &
surgeons
170 dentists
Projected job openings due to replacement needs, 2010-2020
410 medical assistants
140 physician assistants
120 Clinical lab technologists
3. The response from higher education has been increased production
2007 2008 2009 2010 20110
1000
2000
3000
4000
Nu
mb
er
of
gra
du
ate
s
2007 2008 2009 2010 20110
200
400
600
800
1000
1200
1400
1600
1800
Nu
mb
er
of
gra
du
ate
s
Bachelor & graduate credentials, +12%
Associate degrees, +39%
Certificates (<2 years), +87%
Source: IPEDS, CWRI
+33%
A majority of the growth in certificates awarded (< 2 years) was driven by schools other than community colleges.
Certificates < 2 years
2007 2008 2009 2010 20110
100
200
300
400
500
600
700
nu
mb
er
of
gra
du
ate
s
Community colleges
Other than community colleges
Other than community colleges includes Beal College, Intercoast Career Institute, Northeast Technical Institute, St. Joseph’s College of Maine, Seacoast Career Schools, University of Maine at Augusta, Spa Tech Institute, Kaplan, and Pierre’s School of Cosmetology.
4. Compared to the nation, Maine has more heath practitioners & support workers per thousand
residents
Health workers per thousand population
2000 2004 2008 2010 20120
5
10
15
20
25
30
35
40
45
50 47
37
MaineUSA
He
alt
h w
ork
ers
pe
r th
ou
san
d r
esi
de
nts
New England
5. The distribution of Maine’s health workforce is uneven and concentrated around the major hospital
centers.
Total-Maine
47
Sagadahoc
Waldo
Oxford
York
Linco
ln
Franklin
Wash
ington
Hancock
Knox
Somerset
Piscataquis
Penobscot
Androsco
ggin
Aroosto
ok
Kennebec
Cumberland
25
70Cumberland County: 31% of the workforce and 21% of Maine’s population = 50% more health workers per thousand populationOxford County: 2% of the
workforce; 4% of the population = 50% fewer health workers per thousand population
Distribution challenges 41% of the population lives in rural areas that have lower incomes, higher rates of poverty and unemployment, and lower levels of educational attainment (USDA Economic Research Service)
A shifting industry landscape—employment is gradually becoming more centralized in the urban areas.
Population demographics—an aging population requires more specialist providers, which tend to be located at large hospital centers.
Occupational Highlights
Nursing•Robust growth
+29% employment growth, 2000-2010+20% growth projected, 2010-2020
•Supply & distribution▫A comparable number of RNs per
population (000) for New England, but 28% more than that of the nation.
Maine has 28% more RNs per thousand residents than the nation, but an average amount for New England.
RNs per thousand residents, 2012
U.S
.
New
Ham
pshi
re
Conne
ctic
ut
Verm
ont
Mai
ne
New
Eng
land
Rhode
Isla
nd
Mas
sach
uset
ts0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
8.49.5 9.7 10.1
10.7 10.9 11.312.0
RN
s p
er
tho
usan
d p
op
.
The distribution of RN employment is uneven. One third of the workforce is employed in Cumberland County, resulting in 53% more RNs per thousand residents than the state
average.
RN employment per thousand residents 2012
Sagad
ahoc
Linco
ln
York
Oxf
ord
Han
cock
Wal
do
Was
hing
ton
Somer
set
Pisca
taqu
is
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took
Total
Frank
lin
Penob
scot
Andro
scog
gin
Kenne
bec
Cumbe
rland
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
5.3 5.4 5.96.6 6.7
8.0 8.39.3
10.410.711.8
13.113.313.7
16.4
RN
s p
er
tho
usan
d r
esid
en
ts
Demand for nurses with a baccalaureate degree is expected to grow faster than average as care giving becomes more
complex.
Educational attainment: Institute of Medicine (IOM) Goal vs. Current
IOM Goal Maine0%
20%
40%
60%
80%
100%
120%
Baccalaureate degree or higher Associate degree
Pro
po
rtio
n o
f n
urs
es
wit
h a
b
acc
ala
ure
ate
de
gre
e
Goal: 80% with a baccalaureate degree by 2020
2012-2013: ~55% of Maine’s nurses have at least a baccalaureate degree
Although demand for RNs is expected to be robust, growth in RN graduates has been flat. Growth in
other areas of healthcare instruction has been much stronger.
2007 2008 2009 2010 20110
500
1000
1500
2000
2500
3000
Gra
du
ate
s p
er
ye
ar
Number of graduates from all health education programs EXCLUDING RN programs, +47%
RN programs, +2%
BSN, +6%ADN, +3%Graduate, -12%
RNsHospitals represent the majority of hiring demand and are large enough to absorb Maine’s entire yearly supply of BSN graduates.
A limited pool of teaching faculty is a barrier to capacity expansion.
Physicians & Surgeons
Workforce Size
~4,000 physicians & surgeons working in Maine, 2010
Average number of practitioners per thousand residents for New England.
Substantially more practitioners per population than the nation.
The size of Maine’s physician workforce is average for a New England state.
Physicians & surgeons per thousand residents, 2010
U.S
.
New
Ham
pshi
re
Conne
cticut
Mai
ne
New
Eng
land
Mas
sach
usse
tts
Verm
ont
Rhode
Isla
nd
2.2 2.2 2.3
3.0 3.0 3.1
4.34.8
The distribution of physician and surgeon employment is uneven. Forty-two percent were employed in Cumberland County, resulting in twice the number of practitioners per
thousand residents as the state average.
Physician & Surgeon employment per thousand residents, 2012
Oxfor
d
Hanco
ck
Was
hing
ton
Andr
osco
ggin
York
Peno
bsco
t
Kenn
ebec
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k
Mai
ne A
vg.
Cumbe
rland
0.0
1.0
2.0
3.0
4.0
5.0
6.0
0.5 0.5 0.6 0.8 0.9 1.0
2.0 2.5 2.6
5.2
Pra
ctit
ioners
per
1,0
00 p
op.
The number of dentists practicing in Maine has been flat. The size of Maine’s dentist workforce is comparable to that of the nation, per thousand population.
Dentists practicing in Maine (includes self-employed)
Dentists per 1,000 population (2010); includes self-employed
2004 2006 2008 2010
580505
542 587
Maine U.S.A.
0.440.42
Age structure of the dentist workforce
Proportion of dentists above and below 50 years old, 2006-2010 ACS
U.S. Maine0%
10%
20%
30%
40%
50%
60%
70%
51%
35%
49%
65%
Less than 50 years50 years or older
Direct Care
•~22,000 providing direct care services▫Largest health occupational group▫Larger than the U.S. direct care workforce,
per pop.•Robust growth prospects•Low pay and high emotional and physical
demands makes recruiting and retaining workers a challenge.
Direct care occupations are low paying relative to other health occupations.
* Excludes direct care occupations
Direct care occupations
$10.0 $10.7 $11.7 $12.3 $12.8 $13.5
$17.2$19.3
$35.6
Average hourly wage, 2011
Medical assistants, medical equipment preparers, dietetic tech, OT & PT aides, pharmacy tech & aides
Forty six percent of Maine’s direct care workers have education credentials above the minimum required for the occupations.
Educational attainment of Maine’s direct care workforce, 2006-2010 ACS
0%10%20%30%40%50%60%
4%
50%37%
7%2%
Mental Health
Psychologists
67% of Maine’s psychologists > 50 years old.
22% fewer practitioners per population (compared to U.S.)
The number graduating with the doctoral credentials necessary to practice is less than half of projected job openings.
Technologists & Technicians
Medical Lab Technologists Only one clinical lab sciences program in Maine
Number of graduates is well below projected job openings.
16% fewer practitioners (per 1,000 population) than the nation.
For more detail: http://www.maine.gov/labor/cwri/publications/pdf/2014HealthOccupationsReport.pdf