Iowa Paramedic and EMT Labor Market Analysis (January · PDF filethe EMT level in patient...

IOWA PARAMEDIC & EMT LABOR MARKET ANALYSIS

RELEASED | JANUARY 2015

IN PARTNERSHIP WITH:

Published: January 2015 This report was funded in part by the National Governors Association Reemployment Connections grant Iowa Workforce Development Communications & Labor Market Information Division, Regional Research and Analysis Bureau 1000 E. Grand Avenue, Des Moines, IA 50319 www.iowaworkforce.org/lmi/labsur/researchbureau.htm Iowa Department of Public Health Acute Disease Prevention, Emergency Response and Environmental Health Division Bureau of Emergency and Trauma Services 321 E 12th Street, Des Moines, IA 50319 www.idph.state.ia.us

Table of Contents

Introduction ................................................................................................................................... 1 Job Vacancies .............................................................................................................................. 2 Wages .......................................................................................................................................... 3 Occupational Projections .............................................................................................................. 6 Certification Analysis .................................................................................................................... 7 Overall .................................................................................................................................... 7 Emergency Medical Responder .............................................................................................. 9 Emergency Medical Technician ............................................................................................ 11 Emergency Medical Technician - Intermediate ..................................................................... 13 Advanced Emergency Medical Technician ........................................................................... 15 Emergency Medical Technician - Paramedic ....................................................................... 17 Paramedic Specialist / Paramedic ........................................................................................ 19

1

Introduction

Introduction The Iowa Paramedic & EMT Labor Market Analysis report is designed to provide data relevant to the supply of and demand for emergency medical technicians (EMTs) and paramedics in Iowa. The opening sections describe the demand for these occupations through the number of job vacancies posted on the IowaJobs bank, comparison of Iowa’s hourly wages to the rest of the United States, regional wage levels within Iowa and projected future growth of EMT and paramedic employment in Iowa. The data for these analyses are provided by Iowa Workforce Development and the U.S. Bureau of Labor Statistics. The remainder of the report is devoted to the state’s supply of emergency medical services (EMS) personnel, and uses Iowa Department of Public Health certification data, along with American Community Survey (ACS) population estimates for per-capita calculations. The geographical distribution of certified personnel, age profiles, and change in new certifications over time are all analyzed both overall and by type of certification. The groups of certifications analyzed in this report are:

This report was written by Iowa Workforce Development (IWD) in cooperation with the Iowa Department of Public Health (IDPH).

Emergency Medical Responder (EMR) - Delivers on-scene emergency care prior to the arrival of a transporting service, though they may also function as part of a transport service. The skills of the EMR are non-invasive and include the use of oxygen, oropharyngeal airways, automated external defibrillators, bleeding control and manual stabilization.

Emergency Medical Technician (EMT-B/EMT) - Provides basic emergency care. EMT care is the minimum for transporting services. EMTs perform the skills of the EMR and use basic equipment commonly carried by ambulances including automated transport ventilators, over-the-counter medications and use of the pneumatic anti-shock garment. EMTs also assist patients in taking prescription medications.

Emergency Medical Technician - Intermediate (EMT-I) - EMT-Intermediates have additional training above the EMT level in patient assessment and are able to initiate non-medicated intravenous fluids. This level is being transitioned to the AEMT level and will be eliminated on April 1, 2016.

Advanced Emergency Medical Technician (AEMT) - The skills of the AEMT include those of the EMT with additional advanced skills. The advanced skills of the AEMT are high impact, lower risk procedures such as insertion of airways other than those intended to be placed in the trachea, initiation of intravenous access, and administration of a limited set of medications.

Emergency Medical Technician - Paramedic (EMT-P) - The EMT-P has additional skills above the EMT-I level and is based on the National EMT-Intermediate curriculum. Providers at this level are transitioning to the Paramedic level and the level will be eliminated on April 1, 2018.

Paramedic Specialist / Paramedic (PS/Paramedic) - Paramedics are the highest level of out-of-hospital care and care is determined based on advanced assessment and the formulation of a field impression. The Paramedic has the largest set of skills, including invasive skills and pharmacological interventions.

2

LINN0

LEE0

SAC0

TAMA0

IDA0

SIOUX0

CLAY0

IOWA0

LYON1

POLK3

CASS0

KOSSUTH0

PAGE1

JASPER0

ADAIR0

BENTON0

JONES0

DAVIS1

CLAYTON1

STORY0

FAYETTE0

CEDAR0

CLINTON2

BOONE0

PLYMOUTH0

MONONA0

DALLAS0

MILLS0

FLOYD0

SHELBY0

OBRIEN0

HARDIN0

WAYNE0

BUTLER0

WOODBURY2

WEBSTER5

WRIGHT0

MARION0

KEOKUK0

TAYLOR1

SCOTT6

JACKSON0

GREENE0

HARRISON0

UNION0

GUTHRIE0

LUCAS1

WARREN0

JOHNSON3

HENRY0

DUBUQUE0

CRAWFORD0

CARROLL0

MADISON0

ADAMS0

FRANKLIN0

MAHASKA0

CALHOUN0

GRUNDY0

POTTAWATTAMIE7

HANCOCK0

LOUISA0

HAMILTON2

DECATUR1

EMMET0

ALLAMAKEE0

CLARKE1

WORTH0

PALO ALTO0

MARSHALL0

HOWARD0

FREMONT0

DELAWARE0

CHEROKEE0

BREMER0

BUCHANAN0

RINGGOLD0

POWESHIEK0

MONROE0

MITCHELL0

WAPELLO1

VAN BUREN0

CHICKASAW0

APPANOOSE0

OSCEOLA0

HUMBOLDT0

MUSCATINE1

JEFFERSON0

DICKINSON0

WINNESHIEK0

BUENA VISTA0

AUDUBON0

BLACKHAWK

1

POCAHONTAS0

WASHINGTON0

CERROGORDO

1

DES MOINES1

WINNEBAGO0

MONTGOMERY0

EMT & Paramedic Job Vacancies by County0

1 - 3

4 - 7

EMT & Paramedic Job Vacancies by County Data Reflects Job Openings on December 31, 2014

Job Vacancies

Daily Count of EMT & Paramedic Job Vacancies Posted on iowajobs.org

Iowa Workforce Development’s IowaJobs bank (www.iowajobs.org) contains job postings from all around the state and can be analyzed for general trends in occupational demand. The figures below contain data from job postings on iowajobs.org that have been classified under the Standard Occupational Classification (SOC) emergency medical technicians and paramedics (29-2041) – this classification covers all EMS certifications. Job openings not listed in the IowaJobs job bank are not reflected in this data. This data generally only covers paid positions (not volunteer). The line chart shows the daily count of active EMT and paramedic job vacancies posted on IowaJobs. Since 2013, the number of posted openings have generally fluctuated between 40 and 85 at any given time. The map at the bottom of the page shows the geographic locations of active job postings on IowaJobs on December 31, 2014, the last day that was analyzed. The highest concentrations of job vacancies were in the Council Bluffs/Omaha, Davenport and Fort Dodge areas.

Data missing between November 22, 2012 and February 6, 2013

Data Source: Iowa Workforce Development IowaJobs bank (www.iowajobs.org)

3

Wages

On this page and the next two are hourly wage estimates for occupations classified under the emergency medical technicians and paramedics SOC (29-2041) from Occupational Employment Statistics (OES) – this classification covers all EMS certifications. This data only covers paid positions (not volunteer). The chart below shows how Iowa EMT and paramedic wages compare to other states. Iowa is generally in the middle-of-the-pack nationwide, but ranks in the lower half when compared with its neighboring states. The maps and tables on the next two pages show how EMT and paramedic wages differ geographically within Iowa (p.4 by MSA and Balance of State Area, p.5 by IWD Region). The Des Moines -West Des Moines metro area has the highest median wages.

EMT & Paramedic Hourly Wage Distribu on by State (sorted by median wage)

Data Source: U.S. Bureau of Labor Sta s cs, Occupa onal Employment Sta s cs (May 2013)

4

AreaMean

Wage

Entry

Wage

Experienced

Wage

Median

Wage

Statewide 16.00$ 10.50$ 18.74$ 15.39$

Ames, IA Metro Area * * * *

Cedar Rapids, IA Metro Area 13.62$ 8.72$ 16.06$ 12.26$

Davenport‐Moline‐Rock Island, IA‐IL Metro Area 14.46$ 9.72$ 16.83$ 12.08$

Des Moines‐West Des Moines, IA Metro Area 18.55$ 13.42$ 21.11$ 17.98$

Dubuque, IA Metro Area 11.86$ 8.66$ 13.46$ 10.84$

Iowa City, IA Metro Area 17.73$ 14.01$ 19.59$ 17.05$

Omaha‐Council Bluffs, NE‐IA Metro Area * * * *

Sioux City, IA‐NE‐SD Metro Area 15.55$ 12.16$ 17.24$ 14.47$

Waterloo‐Cedar Falls, IA Metro Area 16.36$ 12.19$ 18.44$ 16.22$

Balance of State Northeast Iowa 14.63$ 10.81$ 16.54$ 13.92$

Balance of State Northwest Iowa 17.27$ 10.12$ 20.85$ 15.08$

Balance of State Southwest Iowa 15.74$ 11.15$ 18.04$ 14.87$

Balance of State Southeast Iowa 14.87$ 9.17$ 17.72$ 14.57$

Median Wage of EMTs & Paramedics

by MSA and Balance of State Area

Unavailable

$10.84 - $12.26

$12.27 - $15.08

$15.09 - $17.98

Balance of State Northwest Iowa$15.08

Balance of State Southeast Iowa$14.57

Balance of State Southwest Iowa$14.87

Balance of State Northeast Iowa$13.92

Des Moines-West Des Moines, IAMetro Area

$17.98Omaha-Council Bluffs, NE-IA

Metro Area*

Cedar Rapids, IAMetro Area

$12.26

Iowa City, IAMetro Area

$17.05

Sioux City, IA-NE-SDMetro Area

$14.47

Waterloo-Cedar Falls, IAMetro Area

$16.22

Ames, IA Metro Area*

Dubuque, IAMetro Area

$10.84

Davenport-Moline-Rock Island, IA-IL

Metro Area$12.08

LINN

LEE

SAC

TAMA

IDA

SIOUX CLAY

IOWA

LYON

POLK

CASS

KOSSUTH

PAGE

JASPER

ADAIR

BENTON

JONES

DAVIS

CLAYTON

STORY

FAYETTE

CEDAR

CLINTONBOONE

PLYMOUTH

MONONA

DALLAS

MILLS

FLOYD

SHELBY

OBRIEN

HARDIN

WAYNE

BUTLER

WOODBURY

WEBSTER

WRIGHT

MARION KEOKUK

TAYLOR

JACKSON

GREENE

HARRISON GUTHRIE

LUCAS

WARREN

JOHNSON

HENRY

DUBUQUE

CRAWFORD CARROLL

MADISON

FRANKLIN

MAHASKA

CALHOUN GRUNDY

POTTAWATTAMIE

HANCOCK

LOUISA

HAMILTON

DECATUR

EMMET WORTH

PALO ALTO

MARSHALL

HOWARD

FREMONT

DELAWARE

CHEROKEE BREMER

BUCHANAN

RINGGOLD

POWESHIEK

MITCHELL

VAN BUREN

CHICKASAW

APPANOOSE

OSCEOLA

HUMBOLDT

MUSCATINE

DICKINSON

SCOTT

UNIONADAMS

ALLAMAKEEWINNESHIEK

CLARKE MONROE WAPELLO

BUENAVISTA

AUDUBON

BLACKHAWK

POCAHONTAS

WASHINGTON

CERROGORDO

JEFFERSONDES

MOINES

WINNEBAGO

MONTGOMERY

Data Source: May 2013 OES es mates. Iowa Wage data produced by the Labor Force & Occupa onal Analysis Bureau, Communica ons & Labor Market

Informa on Division, Iowa Workforce Development.

Median Hourly Wages of EMTs and Paramedics by MSA and Balance of State Area

Hourly Wages of EMTs and Paramedics by MSA and Balance of State Area

Wages

*Wage data not available.

5

Median Wage of EMTs & Paramedics

by IWD Region

Unavailable

$11.45 - $14.72

$14.73 - $16.49

$16.50 - $17.40

LINN

LEE

SAC

TAMA

IDA

SIOUX CLAY

IOWA

LYON

POLK

CASS

KOSSUTH

PAGE

JASPER

ADAIR

BENTONJONES

DAVIS

CLAYTON

STORY

FAYETTE

CEDAR

CLINTON

BOONE

PLYMOUTH

MONONA

DALLAS

MILLS

FLOYD

SHELBY

OBRIEN

HARDIN

WAYNE

BUTLER

WOODBURY WEBSTER

WRIGHT

MARION KEOKUK

TAYLOR

SCOTT

JACKSON

GREENE

HARRISON

UNION

GUTHRIE

LUCAS

WARREN

JOHNSON

HENRY

DUBUQUE

CRAWFORD CARROLL

MADISON

ADAMS

FRANKLIN

MAHASKA

CALHOUN GRUNDY

POTTAWATTAMIE

HANCOCK

LOUISA

HAMILTON

DECATUR

EMMET

ALLAMAKEE

CLARKE

WORTH

PALO ALTO

MARSHALL

HOWARD

FREMONT

DELAWARE

CHEROKEE BREMER

BUCHANAN

RINGGOLD

POWESHIEK

MONROE

MITCHELL

WAPELLO

VAN BUREN

CHICKASAW

APPANOOSE

OSCEOLA

HUMBOLDT

MUSCATINE

JEFFERSON

DICKINSON

WINNESHIEK

BUENA VISTA

AUDUBON

BLACK HAWK

POCAHONTAS

WASHINGTON

CERRO GORDO

DES MOINES

WINNEBAGO

MONTGOMERY

Region 3/4$14.68

Region 1$12.82

Region 15$16.27

Region 11$17.40

Region 10$15.66

Region 13$16.08

Region 2$14.36

Region 8$17.18

Region 5$11.45

Region 14$13.57

Region 12$16.49

Region 7$16.44

Region 6$16.93

Region 9*

Region 16$14.72

Data Source: May 2013 OES es mates. Iowa Wage data produced by the Labor Force & Occupa onal Analysis Bureau, Communica ons & Labor Market

Informa on Division, Iowa Workforce Development.

Median Hourly Wages of EMTs and Paramedics by IWD Region

Hourly Wages of EMTs and Paramedics by IWD Region

Wages

*Wage data not available.

RegionMean

Wage

Entry

Wage

Experienced

Wage

Median

Wage

Statewide 16.00$ 10.50$ 18.74$ 15.39$

Region 1 13.24$ 9.83$ 14.94$ 12.82$

Region 2 15.48$ 9.97$ 18.24$ 14.36$

Region 3/4 15.69$ 9.98$ 18.54$ 14.68$

Region 5 13.44$ 10.54$ 14.90$ 11.45$

Region 6 16.95$ 12.48$ 19.18$ 16.93$

Region 7 16.91$ 11.89$ 19.42$ 16.44$

Region 8 17.68$ 11.68$ 20.68$ 17.18$

Region 9 * * * *

Region 10 15.70$ 10.61$ 18.24$ 15.66$

Region 11 17.51$ 11.34$ 20.60$ 17.40$

Region 12 19.24$ 12.14$ 22.78$ 16.49$

Region 13 15.83$ 10.67$ 18.41$ 16.08$

Region 14 14.66$ 11.28$ 16.34$ 13.57$

Region 15 16.22$ 11.73$ 18.47$ 16.27$

Region 16 15.48$ 8.72$ 18.85$ 14.72$

6

Statewide 2,245 2,605 1.6% 35 60 95

Region 1 265 310 1.7% 5 5 10

Region 9 170 210 2.6% 5 5 10

Region 10 260 305 1.7% 5 5 10

Region 11 455 520 1.3% 5 10 20

New Replace TotalRegion

Employment Annual Job Openings

2012

Estimated

2022

Projected

Annual

Growth Rate

2012‐2022 EMT & Paramedic Occupa onal Projec ons by IWD Region

Data Source: 2012‐2022 occupa onal projec ons es mates based on 2012 annual industry employment data and 2013 second quarter occupa onal staffing pa ern

data. Iowa projec ons data produced by the Labor Force & Occupa onal Analysis Bureau, Communica ons & Labor Market Informa on Division, Iowa Workforce

Development.

Projec ons data only available for the above listed IWD regions.

Occupational Projections

Iowa Workforce Development’s Labor Force & Occupational Analysis Bureau produces both long-term (10-year) and short-term (2-year) occupational projections that estimate how the number of employed will change over time by occupation. The table below has the 2012-2022 estimates for jobs classified under the emergency medical technicians and paramedics SOC (29-2041) – this classification covers all EMS certifications. This data only covers paid positions (not volunteer). Data is not available for every IWD region, but overall, Iowa EMT and paramedic employment is projected to grow 1.6 percent per year over the ten year period. The projections estimate that there will be 60 replacement job openings per year, as well.

Certification Analysis The remainder of this report will utilize Iowa Department of Public Health emergency medical services certification data to describe the certified EMS personnel in the state from both a geographical and a demographic perspective. The geographic location represented for personnel is their residential location – not their work location. The data also represents all those with an active certification – not all certified personnel are actively working in the field. Pages 6-7 analyze the entire cohort, while pages 8-19 break them into groups defined by the type of certification held. Each section includes the following:

Map of the number of certifications by county - this can be used to analyze where the highest concentrations of certifications in the state are located.

Map of the number of certifications by county per 1,000 population - this can be used to analyze the ratio of EMS personnel to the general population and find potential weaknesses in staffing coverage.

Map of median age of certified personnel by county - this can be used to analyze which areas of the state have an older demographic of EMS personnel and could be more heavily affected by retirements in the short- to medium-term future.

Age is calculated as of January 1, 2015 Chart of the number of new certifications by year - this can be used to analyze the trend in new certifications

over time (whether they’re growing, shrinking or remaining steady).

7

Total Ac ve EMS Cer fica ons by County

LINN572

LEE131

SAC46

TAMA102

IDA44

SIOUX175

CLAY69

IOWA67

LYON87

POLK993

CASS81

KOSSUTH88

PAGE61

JASPER141

ADAIR32

BENTON170

JONES82

DAVIS29

CLAYTON102

STORY251

FAYETTE114

CEDAR124

CLINTON186

BOONE58

PLYMOUTH154

MONONA64

DALLAS159

MILLS60

FLOYD50

SHELBY62

OBRIEN102

HARDIN80

WAYNE40

BUTLER93

WOODBURY334

WEBSTER123

WRIGHT56

MARION143

KEOKUK56

TAYLOR32

SCOTT474

JACKSON130

GREENE35

HARRISON92

UNION35

GUTHRIE56

LUCAS41

WARREN198

JOHNSON420

HENRY80

DUBUQUE366

CRAWFORD50

CARROLL89

MADISON49

ADAMS20

FRANKLIN39

MAHASKA50

CALHOUN60

GRUNDY70

POTTAWATTAMIE305

HANCOCK61

LOUISA67

HAMILTON85

DECATUR35

EMMET43

ALLAMAKEE91

CLARKE19

WORTH48

PALO ALTO46

MARSHALL105

HOWARD48

FREMONT63

DELAWARE121

CHEROKEE72

BREMER129

BUCHANAN94

RINGGOLD25

POWESHIEK66

MONROE23

MITCHELL55

WAPELLO105

VAN BUREN52

CHICKASAW60

APPANOOSE58

OSCEOLA29

HUMBOLDT39

MUSCATINE153

JEFFERSON41

DICKINSON59

WINNESHIEK58

BUENA VISTA45

AUDUBON33

BLACKHAWK

265

POCAHONTAS51

WASHINGTON112

CERROGORDO

114

DESMOINES

116

WINNEBAGO63

MONTGOMERY44

Total Certifications

by County

19 - 94

95 - 265

266 - 572

573 - 993

LINN2.68

SAC4.50

LEE3.67

TAMA5.78

SIOUX5.14

CLAY4.16

IOWA4.10

LYON7.46

IDA6.20

POLK2.27

CASS5.87

KOSSUTH5.70

PAGE3.85

JASPER3.84

ADAIR4.22

BENTON6.55

JONES3.97

DAVIS3.31

CLAYTON5.67

STORY2.77

FAYETTE5.47

CEDAR6.72

CLINTON3.80

BOONE2.20

PLYMOUTH6.18

MONONA6.95

DALLAS2.29

MILLS4.00

FLOYD3.09

SHELBY5.13

OBRIEN7.16

HARDIN4.58

WAYNE6.27

BUTLER6.24

WOODBURY3.27

WEBSTER3.27

WRIGHT4.28

MARION4.29

KEOKUK5.37

TAYLOR5.12

SCOTT2.84

JACKSON6.59

GREENE3.78

HARRISON6.25

UNION2.79

GUTHRIE5.16

LUCAS4.64

WARREN4.25

JOHNSON3.13

HENRY3.96

DUBUQUE3.88

CRAWFORD2.91

CARROLL4.29

MADISON3.14

ADAMS5.03

FRANKLIN3.67

MAHASKA2.23

CALHOUN6.03

GRUNDY5.64

POTTAWATTAMIE3.28

HANCOCK5.43

LOUISA5.90

HAMILTON5.49

DECATUR4.21

EMMET4.24

ALLAMAKEE6.39

CLARKE2.04

WORTH6.35

PALO ALTO4.92

MARSHALL2.57

HOWARD5.02

FREMONT8.64

DELAWARE6.85

CHEROKEE5.99

BREMER5.29

BUCHANAN4.49

RINGGOLD4.90

POWESHIEK3.51

MONROE2.87

MITCHELL5.12

WAPELLO2.96

VAN BUREN6.92

CHICKASAW4.85

APPANOOSE4.53

OSCEOLA4.58

HUMBOLDT3.99

MUSCATINE3.57

JEFFERSON2.44

DICKINSON3.51

WINNESHIEK2.76

BUENA VISTA2.21

AUDUBON5.50

BLACKHAWK2.02

POCAHONTAS7.04

WASHINGTON5.13

CERROGORDO

2.59

DESMOINES

2.88

WINNEBAGO5.87

MONTGOMERY4.14

Total Certifications per 1,000 Population

by County

2.02 - 3.31

3.32 - 4.64

4.65 - 6.03

6.04 - 8.64

Total Ac ve EMS Cer fica ons per 1,000 Popula on by County

Not pictured are cer fied personnel that live out‐of‐state which total 787.

Certification Analysis | Overall

County popula on es mates are ACS 2013 5‐Year (2009‐2013) es mates, Table B01003

8

As of November 2014, there were 11,654 total active emergency medical services personnel certified in Iowa. This represents all those with an active certification – not all certified personnel are actively working in the field. The maps on the previous page show how those personnel are distributed around the state by their residential address (not their work address). The map on top shows the raw count of certifications, while the map on the bottom shows the number of certified personnel per 1,000 population in each county. Emergency medical services personnel are generally clustered around the state’s metropolitan areas. The map above shows the median age of each county’s certified EMS personnel. Over one-fourth (28.1%) of those certified are over the age of 50 and could be close to retirement. North central, northwest and southwest Iowa are in position to be most heavily impacted by retirements in the coming decade. The bar chart above shows the number of new EMS certifications issued by year. This could either be a person new to the field, or someone that earned a higher certification (i.e., became certified as a paramedic after previously being an EMT). New certifications have been fairly steady over the last five years.

LINN38

LEE42

SAC50

TAMA50

IDA46

SIOUX42

CLAY45

IOWA43

LYON41

POLK38

CASS42

KOSSUTH50

PAGE45

JASPER43

ADAIR47

BENTON44

JONES45

DAVIS43

CLAYTON48

STORY38

FAYETTE51

CEDAR45

CLINTON43

BOONE38

PLYMOUTH43

MONONA45

DALLAS40

MILLS44

FLOYD44

SHELBY46

OBRIEN46

HARDIN48

WAYNE46

BUTLER43

WOODBURY42

WEBSTER44

WRIGHT45

MARION42

KEOKUK40

TAYLOR50

SCOTT37

JACKSON46

GREENE43

HARRISON48

UNION44

GUTHRIE45

LUCAS43

WARREN41

JOHNSON35

HENRY40

DUBUQUE44

CRAWFORD50

CARROLL44

MADISON43

ADAMS46

FRANKLIN45

MAHASKA44

CALHOUN44

GRUNDY44

POTTAWATTAMIE40

HANCOCK46

LOUISA44

HAMILTON49

DECATUR46

EMMET48

ALLAMAKEE46

CLARKE42

WORTH42

PALO ALTO46

MARSHALL46

HOWARD43

FREMONT54

DELAWARE46

CHEROKEE38

BREMER46

BUCHANAN46

RINGGOLD56

POWESHIEK38

MONROE32

MITCHELL46

WAPELLO39

VAN BUREN48

CHICKASAW45

APPANOOSE48

OSCEOLA53

HUMBOLDT49

MUSCATINE44

JEFFERSON39

DICKINSON45

WINNESHIEK45

BUENA VISTA45

AUDUBON45

BLACKHAWK

43

POCAHONTAS45

WASHINGTON42

CERROGORDO

45

DESMOINES

42

WINNEBAGO52

MONTGOMERY36

Median Age of All Cer fied EMS Personnel by County

Median Age of Certificate Holders

by County

32 - 40

41 - 44

45 - 48

49 - 56

Median age of out‐of‐state cer ficate holders is 34 years old.

Certification Analysis | Overall

953

1,0841,138

1,278

1,082

1,220

1,0221,104 1,107

1,002

0

200

400

600

800

1,000

1,200

1,400

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

Total Newly Issued EMS Cer fica ons by Year

*2014 count only includes cer fica ons earned through October 24, 2014

9

EMR Cer fica ons by County

LINN46

LEE46

SAC16

TAMA6

IDA11

SIOUX22

CLAY11

IOWA17

LYON21

POLK11

CASS6

KOSSUTH16

PAGE0

JASPER2

ADAIR1

BENTON14

JONES1

DAVIS2

CLAYTON17

STORY47

FAYETTE32

CEDAR12

CLINTON31

BOONE5

PLYMOUTH34

MONONA3

DALLAS12

MILLS3

FLOYD7

SHELBY7

OBRIEN10

HARDIN13

WAYNE11

BUTLER3

WOODBURY19

WEBSTER8

WRIGHT2

MARION22

KEOKUK14

TAYLOR1

SCOTT38

JACKSON30

GREENE2

HARRISON11

UNION3

GUTHRIE6

LUCAS6

WARREN6

JOHNSON32

HENRY28

DUBUQUE42

CRAWFORD15

CARROLL13

MADISON1

ADAMS1

FRANKLIN8

MAHASKA5

CALHOUN2

GRUNDY5

POTTAWATTAMIE1

HANCOCK6

LOUISA0

HAMILTON7

DECATUR0

EMMET5

ALLAMAKEE1

CLARKE3

WORTH24

PALO ALTO6

MARSHALL17

HOWARD9

FREMONT1

DELAWARE31

CHEROKEE14

BREMER24

BUCHANAN12

RINGGOLD6

POWESHIEK5

MONROE5

MITCHELL11

WAPELLO15

VAN BUREN5

CHICKASAW26

APPANOOSE9

OSCEOLA8

HUMBOLDT6

MUSCATINE15

JEFFERSON9

DICKINSON2

WINNESHIEK15

BUENA VISTA6

AUDUBON3

BLACKHAWK

19

POCAHONTAS8

WASHINGTON21

CERROGORDO

22

DESMOINES

2

WINNEBAGO9

MONTGOMERY5

EMR Certifications

by County

0

1 - 16

17 - 28

29 - 47

LINN0.22

SAC1.56

LEE1.29

TAMA0.34

SIOUX0.65

CLAY0.66

IOWA1.04

LYON1.80

IDA1.55

POLK0.03

CASS0.44

KOSSUTH1.04

PAGE0.00

JASPER0.05

ADAIR0.13

BENTON0.54

JONES0.05

DAVIS0.23

CLAYTON0.94

STORY0.52

FAYETTE1.54

CEDAR0.65

CLINTON0.63

BOONE0.19

PLYMOUTH1.36

MONONA0.33

DALLAS0.17

MILLS0.20

FLOYD0.43

SHELBY0.58

OBRIEN0.70

HARDIN0.74

WAYNE1.72

BUTLER0.20

WOODBURY0.19

WEBSTER0.21

WRIGHT0.15

MARION0.66

KEOKUK1.34

TAYLOR0.16

SCOTT0.23

JACKSON1.52

GREENE0.22

HARRISON0.75

UNION0.24

GUTHRIE0.55

LUCAS0.68

WARREN0.13

JOHNSON0.24

HENRY1.39

DUBUQUE0.44

CRAWFORD0.87

CARROLL0.63

MADISON0.06

ADAMS0.25

FRANKLIN0.75

MAHASKA0.22

CALHOUN0.20

GRUNDY0.40

POTTAWATTAMIE0.01

HANCOCK0.53

LOUISA0.00

HAMILTON0.45

DECATUR0.00

EMMET0.49

ALLAMAKEE0.07

CLARKE0.32

WORTH3.17

PALO ALTO0.64

MARSHALL0.42

HOWARD0.94

FREMONT0.14

DELAWARE1.75

CHEROKEE1.17

BREMER0.98

BUCHANAN0.57

RINGGOLD1.17

POWESHIEK0.27

MONROE0.62

MITCHELL1.02

WAPELLO0.42

VAN BUREN0.67

CHICKASAW2.10

APPANOOSE0.70

OSCEOLA1.26

HUMBOLDT0.61

MUSCATINE0.35

JEFFERSON0.54

DICKINSON0.12

WINNESHIEK0.71

BUENA VISTA0.29

AUDUBON0.50

BLACKHAWK0.14

POCAHONTAS1.10

WASHINGTON0.96

CERROGORDO

0.50

DESMOINES

0.05

WINNEBAGO0.84

MONTGOMERY0.47

EMR Certifications per 1,000 Population

by County

0

0.01 - 0.84

0.85 - 1.39

1.40 - 3.17

EMR Cer fica ons per 1,000 Popula on by County


Certification Analysis | Emergency Medical Responder


10

As of November 2014, there were 1,220 active emergency medical responders (EMR) certified in Iowa. This represents all those with an active certification – not all certified personnel are actively working in the field. The maps on the previous page show how those personnel are distributed around the state by their residential address (not their work address). The map on top shows the raw count of certifications, while the map on the bottom shows the number of certified personnel per 1,000 population in each county. Emergency medical responders are most heavily clustered in eastern Iowa. The map above shows the median age of each county’s certified EMRs. Nearly half (45.6%) of those certified are over the age of 50 and could be close to retirement. Western Iowa is in position to be most heavily impacted by retirements in the coming decade. The bar chart above shows the number of new EMR certifications issued by year. This certification only started being issued in 2011, as Iowa is in the process of transitioning to the nationally identified scope of practice levels. The transition program is built for those that were previously certified as first responders to move to an EMR certification.

LINN48

LEE46

SAC53

TAMA58

IDA54

SIOUX50

CLAY55

IOWA57

LYON43

POLK48

CASS52

KOSSUTH55

PAGE*

JASPER*

ADAIR*

BENTON50

JONES*

DAVIS*

CLAYTON55

STORY47

FAYETTE52

CEDAR46

CLINTON41

BOONE45

PLYMOUTH46

MONONA62

DALLAS46

MILLS48

FLOYD40

SHELBY51

OBRIEN48

HARDIN52

WAYNE53

BUTLER55

WOODBURY46

WEBSTER56

WRIGHT*

MARION42

KEOKUK48

TAYLOR*

SCOTT40

JACKSON42

GREENE*

HARRISON58

UNION61

GUTHRIE62

LUCAS39

WARREN54

JOHNSON50

HENRY45

DUBUQUE53

CRAWFORD58

CARROLL49

MADISON*

ADAMS*

FRANKLIN38

MAHASKA26

CALHOUN*

GRUNDY57

POTTAWATTAMIE*

HANCOCK58

LOUISA*

HAMILTON55

DECATUR*

EMMET58

ALLAMAKEE*

CLARKE54

WORTH52

PALO ALTO54

MARSHALL50

HOWARD44

FREMONT*

DELAWARE44

CHEROKEE38

BREMER45

BUCHANAN56

RINGGOLD65

POWESHIEK47

MONROE43

MITCHELL40

WAPELLO48

VAN BUREN48

CHICKASAW44

APPANOOSE60

OSCEOLA54

HUMBOLDT55

MUSCATINE52

JEFFERSON43

DICKINSON*

WINNESHIEK47

BUENA VISTA53

AUDUBON60

BLACKHAWK

51

POCAHONTAS55

WASHINGTON45

CERROGORDO

54

DESMOINES

*

WINNEBAGO57

MONTGOMERY46

Median Age of EMR Cer ficate Holders by County

Median Age of EMR Certificate Holders

by County

Not Available

26 - 46

46 - 54

55 - 65

Median age of out‐of‐state cer ficate holders is 44 years old. Median age not reported for coun es with less than three cer fied personnel.

Certification Analysis | Emergency Medical Responder

0 0 0 0 0 0 0

64

99

74

0

20

40

60

80

100

120

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

Total Newly Issued EMR Cer fica ons by Year

*2014 count only includes certifications earned through October 24, 2014 New EMRs that were previously first responders are not counted above

11

EMT‐B & EMT Cer fica ons by County

LINN303

LEE53

SAC19

TAMA75

IDA22

SIOUX130

CLAY41

IOWA37

LYON64

POLK551

CASS57

KOSSUTH61

PAGE39

JASPER94

ADAIR27

BENTON107

JONES41

DAVIS20

CLAYTON64

STORY153

FAYETTE59

CEDAR78

CLINTON91

BOONE28

PLYMOUTH93

MONONA45

DALLAS98

MILLS39

FLOYD29

SHELBY31

OBRIEN81

HARDIN53

WAYNE14

BUTLER73

WOODBURY166

WEBSTER78

WRIGHT42

MARION76

KEOKUK25

TAYLOR22

SCOTT229

JACKSON84

GREENE25

HARRISON74

UNION19

GUTHRIE34

LUCAS25

WARREN113

JOHNSON275

HENRY33

DUBUQUE153

CRAWFORD24

CARROLL56

MADISON26

ADAMS12

FRANKLIN19

MAHASKA31

CALHOUN43

GRUNDY53

POTTAWATTAMIE226

HANCOCK37

LOUISA37

HAMILTON61

DECATUR16

EMMET27

ALLAMAKEE79

CLARKE13

WORTH18

PALO ALTO32

MARSHALL68

HOWARD28

FREMONT44

DELAWARE68

CHEROKEE47

BREMER61

BUCHANAN57

RINGGOLD11

POWESHIEK45

MONROE8

MITCHELL33

WAPELLO49

VAN BUREN34

CHICKASAW22

APPANOOSE21

OSCEOLA17

HUMBOLDT27

MUSCATINE79

JEFFERSON18

DICKINSON33

WINNESHIEK25

BUENA VISTA29

AUDUBON23

BLACKHAWK

136

POCAHONTAS32

WASHINGTON54

CERROGORDO

46

DESMOINES

63

WINNEBAGO37

MONTGOMERY22

EMT-B & EMT Certifications

by County

8 - 49

50 - 136

137 - 303

304 - 551

LINN1.42

SAC1.86

LEE1.48

TAMA4.25

SIOUX3.82

CLAY2.47

IOWA2.27

LYON5.49

IDA3.10

POLK1.26

CASS4.13

KOSSUTH3.95

PAGE2.46

JASPER2.56

ADAIR3.56

BENTON4.12

JONES1.99

DAVIS2.28

CLAYTON3.56

STORY1.69

FAYETTE2.83

CEDAR4.23

CLINTON1.86

BOONE1.06

PLYMOUTH3.73

MONONA4.89

DALLAS1.41

MILLS2.60

FLOYD1.79

SHELBY2.56

OBRIEN5.68

HARDIN3.04

WAYNE2.19

BUTLER4.90

WOODBURY1.62

WEBSTER2.07

WRIGHT3.21

MARION2.28

KEOKUK2.40

TAYLOR3.52

SCOTT1.37

JACKSON4.26

GREENE2.70

HARRISON5.02

UNION1.51

GUTHRIE3.14

LUCAS2.83

WARREN2.42

JOHNSON2.05

HENRY1.63

DUBUQUE1.62

CRAWFORD1.39

CARROLL2.70

MADISON1.67

ADAMS3.02

FRANKLIN1.79

MAHASKA1.38

CALHOUN4.32

GRUNDY4.27

POTTAWATTAMIE2.43

HANCOCK3.29

LOUISA3.26

HAMILTON3.94

DECATUR1.93

EMMET2.66

ALLAMAKEE5.55

CLARKE1.40

WORTH2.38

PALO ALTO3.42

MARSHALL1.67

HOWARD2.93

FREMONT6.03

DELAWARE3.85

CHEROKEE3.91

BREMER2.50

BUCHANAN2.72

RINGGOLD2.15

POWESHIEK2.39

MONROE1.00

MITCHELL3.07

WAPELLO1.38

VAN BUREN4.52

CHICKASAW1.78

APPANOOSE1.64

OSCEOLA2.68

HUMBOLDT2.76

MUSCATINE1.85

JEFFERSON1.07

DICKINSON1.96

WINNESHIEK1.19

BUENA VISTA1.43

AUDUBON3.83

BLACKHAWK1.03

POCAHONTAS4.42

WASHINGTON2.47

CERROGORDO

1.05

DESMOINES

1.56

WINNEBAGO3.45

MONTGOMERY2.07

EMT-B & EMT Certifications per 1,000 Population

by County

1.00 - 1.99

2.00 - 2.93

2.94 - 4.13

4.14 - 6.03

EMT‐B & EMT Cer fica ons per 1,000 Popula on by County


Certification Analysis | Emergency Medical Technician


12

As of November 2014, there were 6,615 active emergency medical technicians (EMT) certified in Iowa. This represents all those with an active certification – not all certified personnel are actively working in the field. The maps on the previous page show how those personnel are distributed around the state by their residential address (not their work address). The map on top shows the raw count of certifications, while the map on the bottom shows the number of certified personnel per 1,000 population in each county. Emergency medical technicians are generally clustered around the state’s metropolitan areas. The map above shows the median age of each county’s certified EMTs. Over one-fourth (25.5%) of those certified are over the age of 50 and could be close to retirement. North central and southwest Iowa are in position to be most heavily impacted by retirements in the coming decade. The bar chart above shows the number of new EMT certifications issued by year. This could either be a person new to the field or state, or someone that earned a higher certification (i.e., became certified as an EMT after previously being an EMR). New certifications have been fairly steady over the last five years.

LINN37

LEE39

SAC42

TAMA48

IDA40

SIOUX38

CLAY45

IOWA35

LYON39

POLK36

CASS41

KOSSUTH48

PAGE44

JASPER41

ADAIR47

BENTON44

JONES44

DAVIS40

CLAYTON44

STORY35

FAYETTE51

CEDAR43

CLINTON44

BOONE33

PLYMOUTH43

MONONA43

DALLAS38

MILLS41

FLOYD46

SHELBY39

OBRIEN41

HARDIN48

WAYNE34

BUTLER42

WOODBURY41

WEBSTER43

WRIGHT45

MARION41

KEOKUK36

TAYLOR48

SCOTT34

JACKSON47

GREENE43

HARRISON45

UNION42

GUTHRIE47

LUCAS41

WARREN38

JOHNSON35

HENRY38

DUBUQUE44

CRAWFORD48

CARROLL38

MADISON46

ADAMS41

FRANKLIN45

MAHASKA51

CALHOUN45

GRUNDY44

POTTAWATTAMIE40

HANCOCK43

LOUISA43

HAMILTON49

DECATUR36

EMMET43

ALLAMAKEE46

CLARKE42

WORTH35

PALO ALTO39

MARSHALL42

HOWARD42

FREMONT53

DELAWARE45

CHEROKEE37

BREMER44

BUCHANAN45

RINGGOLD51

POWESHIEK39

MONROE30

MITCHELL50

WAPELLO38

VAN BUREN51

CHICKASAW44

APPANOOSE46

OSCEOLA52

HUMBOLDT35

MUSCATINE43

JEFFERSON32

DICKINSON44

WINNESHIEK47

BUENA VISTA41

AUDUBON42

BLACKHAWK

41

POCAHONTAS42

WASHINGTON37

CERROGORDO

44

DESMOINES

41

WINNEBAGO52

MONTGOMERY35

Median Age of EMT‐B & EMT Cer ficate Holders by County

Median Age of EMT-B & EMT Certificate Holders

by County

30 - 37

38 - 42

43 - 47

48 - 53

Median age of out‐of‐state cer ficate holders is 30 years old.

Certification Analysis | Emergency Medical Technician

605

725 748

826

701

842

688739 718

657

0

100

200

300

400

500

600

700

800

900

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

Total Newly Issued EMT‐B & EMT Cer fica ons by Year

*2014 count only includes certifications earned through October 24, 2014 New EMTs that previously held an EMT-B certification are not counted above

13

EMT‐I Cer fica ons by County

LINN33

LEE7

SAC2

TAMA10

IDA4

SIOUX6

CLAY3

IOWA2

LYON0

POLK35

CASS7

KOSSUTH4

PAGE6

JASPER5

ADAIR0

BENTON13

JONES11

DAVIS1

CLAYTON4

STORY3

FAYETTE3

CEDAR5

CLINTON6

BOONE4

PLYMOUTH13

MONONA6

DALLAS5

MILLS6

FLOYD2

SHELBY10

OBRIEN0

HARDIN2

WAYNE2

BUTLER7

WOODBURY61

WEBSTER10

WRIGHT2

MARION7

KEOKUK3

TAYLOR3

SCOTT47

JACKSON1

GREENE1

HARRISON3

UNION2

GUTHRIE2

LUCAS0

WARREN12

JOHNSON3

HENRY2

DUBUQUE13

CRAWFORD0

CARROLL3

MADISON3

ADAMS1

FRANKLIN3

MAHASKA3

CALHOUN3

GRUNDY2

POTTAWATTAMIE12

HANCOCK7

LOUISA7

HAMILTON1

DECATUR9

EMMET3

ALLAMAKEE2

CLARKE0

WORTH2

PALO ALTO1

MARSHALL3

HOWARD3

FREMONT8

DELAWARE11

CHEROKEE3

BREMER7

BUCHANAN7

RINGGOLD2

POWESHIEK5

MONROE0

MITCHELL2

WAPELLO2

VAN BUREN1

CHICKASAW2

APPANOOSE11

OSCEOLA2

HUMBOLDT1

MUSCATINE7

JEFFERSON6

DICKINSON7

WINNESHIEK1

BUENAVISTA

1

AUDUBON1

BLACKHAWK

17

POCAHONTAS7

WASHINGTON5

CERROGORDO

5

DESMOINES

4

WINNEBAGO6

MONTGOMERY1

EMT-I Certifications

by County

0

1 - 8

9 - 17

18 - 61

LINN0.15

SAC0.20

LEE0.20

TAMA0.57

SIOUX0.18

CLAY0.18

IOWA0.12

LYON0.00

IDA0.56

POLK0.08

CASS0.51

KOSSUTH0.26

PAGE0.38

JASPER0.14

ADAIR0.00

BENTON0.50

JONES0.53

DAVIS0.11

CLAYTON0.22

STORY0.03

FAYETTE0.14

CEDAR0.27

CLINTON0.12

BOONE0.15

PLYMOUTH0.52

MONONA0.65

DALLAS0.07

MILLS0.40

FLOYD0.12

SHELBY0.83

OBRIEN0.00

HARDIN0.11

WAYNE0.31

BUTLER0.47

WOODBURY0.60

WEBSTER0.27

WRIGHT0.15

MARION0.21

KEOKUK0.29

TAYLOR0.48

SCOTT0.28

JACKSON0.05

GREENE0.11

HARRISON0.20

UNION0.16

GUTHRIE0.18

LUCAS0.00

WARREN0.26

JOHNSON0.02

HENRY0.10

DUBUQUE0.14

CRAWFORD0.00

CARROLL0.14

MADISON0.19

ADAMS0.25

FRANKLIN0.28

MAHASKA0.13

CALHOUN0.30

GRUNDY0.16

POTTAWATTAMIE0.13

HANCOCK0.62

LOUISA0.62

HAMILTON0.06

DECATUR1.08

EMMET0.30

ALLAMAKEE0.14

CLARKE0.00

WORTH0.26

PALO ALTO0.11

MARSHALL0.07

HOWARD0.31

FREMONT1.10

DELAWARE0.62

CHEROKEE0.25

BREMER0.29

BUCHANAN0.33

RINGGOLD0.39

POWESHIEK0.27

MONROE0.00

MITCHELL0.19

WAPELLO0.06

VAN BUREN0.13

CHICKASAW0.16

APPANOOSE0.86

OSCEOLA0.32

HUMBOLDT0.10

MUSCATINE0.16

JEFFERSON0.36

DICKINSON0.42

WINNESHIEK0.05

BUENAVISTA0.05

AUDUBON0.17

BLACKHAWK0.13

POCAHONTAS0.97

WASHINGTON0.23

CERROGORDO

0.11

DESMOINES

0.10

WINNEBAGO0.56

MONTGOMERY0.09

EMT-I Certifications per 1,000 Population

by County

0

0.02 - 0.40

0.41 - 0.65

0.66 - 1.10

EMT‐I Cer fica ons per 1,000 Popula on by County


Certification Analysis | Emergency Medical Technician - Intermediate


14

As of November 2014, there were 611 active intermediate emergency medical technicians (EMT-I) certified in Iowa. This represents all those with an active certification – not all certified personnel are actively working in the field. The maps on the previous page show how those personnel are distributed around the state by their residential address (not their work address). The map on top shows the raw count of certifications, while the map on the bottom shows the number of certified personnel per 1,000 population in each county. Intermediate EMTs are generally clustered around the state’s metropolitan areas. The map above shows the median age of each county’s certified EMT-Is. Slightly over half (51.9%) of those certified are over the age of 50 and could be close to retirement. Many parts of the state are in position to be heavily impacted by retirements in the coming decade. The bar chart above shows the number of new EMT-I certifications issued by year. This could either be a person new to the state, or someone that earned a higher certification (i.e., became certified as an EMT-I after previously being an EMT-B). The last EMT-I certification was issued was in 2012, as Iowa is in the process of transitioning to the nationally identified scope of practice levels. The transition program is built for those that were previously certified as EMT-Is to move to an AEMT certification.

LINN47

LEE49

SAC*

TAMA50

IDA50

SIOUX53

CLAY48

IOWA*

LYON*

POLK53

CASS54

KOSSUTH52

PAGE54

JASPER55

ADAIR*

BENTON48

JONES53

DAVIS*

CLAYTON54

STORY36

FAYETTE60

CEDAR46

CLINTON56

BOONE42

PLYMOUTH40

MONONA46

DALLAS57

MILLS54

FLOYD*

SHELBY52

OBRIEN*

HARDIN*

WAYNE*

BUTLER54

WOODBURY47

WEBSTER48

WRIGHT*

MARION47

KEOKUK52

TAYLOR54

SCOTT52

JACKSON*

GREENE*

HARRISON50

UNION*

GUTHRIE*

LUCAS*

WARREN46

JOHNSON37

HENRY*

DUBUQUE48

CRAWFORD*

CARROLL65

MADISON52

ADAMS*

FRANKLIN56

MAHASKA52

CALHOUN52

GRUNDY*

POTTAWATTAMIE44

HANCOCK46

LOUISA56

HAMILTON*

DECATUR55

EMMET57

ALLAMAKEE*

CLARKE*

WORTH*

PALO ALTO*

MARSHALL46

HOWARD44

FREMONT48

DELAWARE57

CHEROKEE57

BREMER59

BUCHANAN59

RINGGOLD*

POWESHIEK39

MONROE*

MITCHELL*

WAPELLO*

VAN BUREN*

CHICKASAW*

APPANOOSE49

OSCEOLA*

HUMBOLDT*

MUSCATINE50

JEFFERSON40

DICKINSON61

WINNESHIEK*

BUENAVISTA

*

AUDUBON*

BLACKHAWK

54

POCAHONTAS54

WASHINGTON43

CERROGORDO

52

DESMOINES

58

WINNEBAGO54

MONTGOMERY*

Median Age of EMT‐I Cer ficate Holders by County

Median Age of EMT-I Certificate Holders

by County

Not Available

36 - 47

48 - 54

55 - 65


Certification Analysis | Emergency Medical Technician - Intermediate

61

4543

54

34

27

11

30 0

0

10

20

30

40

50

60

70

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

Total Newly Issued EMT‐I Cer fica ons by Year


15

AEMT Cer fica ons by County

LINN14

LEE0

SAC2

TAMA0

IDA4

SIOUX1

CLAY0

IOWA2

LYON0

POLK5

CASS0

KOSSUTH1

PAGE0

JASPER0

ADAIR0

BENTON5

JONES6

DAVIS0

CLAYTON0

STORY2

FAYETTE2

CEDAR4

CLINTON0

BOONE2

PLYMOUTH1

MONONA0

DALLAS0

MILLS1

FLOYD1

SHELBY1

OBRIEN0

HARDIN0

WAYNE0

BUTLER2

WOODBURY19

WEBSTER0

WRIGHT1

MARION2

KEOKUK1

TAYLOR1

SCOTT0

JACKSON0

GREENE0

HARRISON0

UNION0

GUTHRIE2

LUCAS1

WARREN1

JOHNSON0

HENRY0

DUBUQUE2

CRAWFORD0

CARROLL0

MADISON0

ADAMS0

FRANKLIN1

MAHASKA2

CALHOUN2

GRUNDY3

POTTAWATTAMIE1

HANCOCK1

LOUISA1

HAMILTON1

DECATUR3

EMMET0

ALLAMAKEE0

CLARKE1

WORTH1

PALO ALTO2

MARSHALL0

HOWARD0

FREMONT0

DELAWARE0

CHEROKEE0

BREMER3

BUCHANAN4

RINGGOLD3

POWESHIEK0

MONROE0

MITCHELL1

WAPELLO0

VAN BUREN1

CHICKASAW1

APPANOOSE1

OSCEOLA1

HUMBOLDT1

MUSCATINE5

JEFFERSON0

DICKINSON1

WINNESHIEK0

BUENAVISTA

0

AUDUBON1

BLACKHAWK

8

POCAHONTAS2

WASHINGTON2

CERROGORDO

1

DESMOINES

3

WINNEBAGO3

MONTGOMERY0

AEMT Certifications

by County

0

1 - 3

4 - 8

9 - 19

LINN0.07

SAC0.20

LEE0.00

TAMA0.00

SIOUX0.03

CLAY0.00

IOWA0.12

LYON0.00

IDA0.56

POLK0.01

CASS0.00

KOSSUTH0.06

PAGE0.00

JASPER0.00

ADAIR0.00

BENTON0.19

JONES0.29

DAVIS0.00

CLAYTON0.00

STORY0.02

FAYETTE0.10

CEDAR0.22

CLINTON0.00

BOONE0.08

PLYMOUTH0.04

MONONA0.00

DALLAS0.00

MILLS0.07

FLOYD0.06

SHELBY0.08

OBRIEN0.00

HARDIN0.00

WAYNE0.00

BUTLER0.13

WOODBURY0.19

WEBSTER0.00

WRIGHT0.08

MARION0.06

KEOKUK0.10

TAYLOR0.16

SCOTT0.00

JACKSON0.00

GREENE0.00

HARRISON0.00

UNION0.00

GUTHRIE0.18

LUCAS0.11

WARREN0.02

JOHNSON0.00

HENRY0.00

DUBUQUE0.02

CRAWFORD0.00

CARROLL0.00

MADISON0.00

ADAMS0.00

FRANKLIN0.09

MAHASKA0.09

CALHOUN0.20

GRUNDY0.24

POTTAWATTAMIE0.01

HANCOCK0.09

LOUISA0.09

HAMILTON0.06

DECATUR0.36

EMMET0.00

ALLAMAKEE0.00

CLARKE0.11

WORTH0.13

PALO ALTO0.21

MARSHALL0.00

HOWARD0.00

FREMONT0.00

DELAWARE0.00

CHEROKEE0.00

BREMER0.12

BUCHANAN0.19

RINGGOLD0.59

POWESHIEK0.00

MONROE0.00

MITCHELL0.09

WAPELLO0.00

VAN BUREN0.13

CHICKASAW0.08

APPANOOSE0.08

OSCEOLA0.16

HUMBOLDT0.10

MUSCATINE0.12

JEFFERSON0.00

DICKINSON0.06

WINNESHIEK0.00

BUENAVISTA0.00

AUDUBON0.17

BLACKHAWK0.06

POCAHONTAS0.28

WASHINGTON0.09

CERROGORDO

0.02

DESMOINES

0.07

WINNEBAGO0.28

MONTGOMERY0.00

AEMT Certifications per 1,000 Population

by County

0

0.01 - 0.13

0.14 - 0.36

0.37 - 0.59

AEMT Cer fica ons per 1,000 Popula on by County

Certification Analysis | Advanced Emergency Medical Technician


16

As of November 2014, there were 147 active advanced emergency medical technicians (AEMT) certified in Iowa. This represents all those with an active certification – not all certified personnel are actively working in the field. The maps on the previous page show how those personnel are distributed around the state by their residential address (not their work address). The map on top shows the raw count of certifications, while the map on the bottom shows the number of certified personnel per 1,000 population in each county. Advanced EMTs are most heavily clustered in the Cedar Rapids and Sioux City areas. The map above shows the median age of each county’s certified AEMTs. Over one-fifth (21.8%) of those certified are over the age of 50 and could be close to retirement. Advanced EMTs are younger than other certifications in aggregate, and no area of the state is going to be heavily impacted by retirements in the short- to medium-term future. The bar chart above shows the number of new AEMT certifications issued by year. This could either be a person new to the state, or someone that earned a higher certification (i.e., became certified as an AEMT after previously being an EMT). This certification only started being issued in 2011, as Iowa is in the process of transitioning to the nationally identified scope of practice levels. The transition program is built for those that were previously certified as EMT-Is to move to an AEMT certification.

LINN42

LEE*

SAC*

TAMA*

IDA38

SIOUX*

CLAY*

IOWA*

LYON*

POLK40

CASS*

KOSSUTH*

PAGE*

JASPER*

ADAIR*

BENTON40

JONES45

DAVIS*

CLAYTON*

STORY*

FAYETTE*

CEDAR33

CLINTON*

BOONE*

PLYMOUTH*

MONONA*

DALLAS*

MILLS*

FLOYD*

SHELBY*

OBRIEN*

HARDIN*

WAYNE*

BUTLER*

WOODBURY37

WEBSTER*

WRIGHT*

MARION*

KEOKUK*

TAYLOR*

SCOTT*

JACKSON*

GREENE*

HARRISON*

UNION*

GUTHRIE*

LUCAS*

WARREN*

JOHNSON*

HENRY*

DUBUQUE*

CRAWFORD*

CARROLL*

MADISON*

ADAMS*

FRANKLIN*

MAHASKA*

CALHOUN*

GRUNDY33

POTTAWATTAMIE*

HANCOCK*

LOUISA*

HAMILTON*

DECATUR28

EMMET*

ALLAMAKEE*

CLARKE*

WORTH*

PALO ALTO*

MARSHALL*

HOWARD*

FREMONT*

DELAWARE*

CHEROKEE*

BREMER31

BUCHANAN42

RINGGOLD27

POWESHIEK*

MONROE*

MITCHELL*

WAPELLO*

VAN BUREN*

CHICKASAW*

APPANOOSE*

OSCEOLA*

HUMBOLDT*

MUSCATINE47

JEFFERSON*

DICKINSON*

WINNESHIEK*

BUENAVISTA

*

AUDUBON*

BLACKHAWK

37

POCAHONTAS*

WASHINGTON*

CERROGORDO

*

DESMOINES

37

WINNEBAGO42

MONTGOMERY*

Median Age of AEMT Cer ficate Holders by County

Median Age of AEMT Certificate Holders

by County

Not Available

27 - 33

34 - 40

41 - 47

Median age not reported for coun es with less than three cer fied personnel.

Certification Analysis | Advanced Emergency Medical Technician

0 0 0 0 0 0 0

5249

51

0

10

20

30

40

50

60

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

Total Newly Issued AEMT Cer fica ons by Year


17

EMT‐P Cer fica ons by County

LINN11

LEE2

SAC3

TAMA5

IDA0

SIOUX4

CLAY1

IOWA1

LYON0

POLK51

CASS3

KOSSUTH1

PAGE2

JASPER1

ADAIR1

BENTON5

JONES1

DAVIS0

CLAYTON5

STORY1

FAYETTE2

CEDAR6

CLINTON9

BOONE0

PLYMOUTH2

MONONA0

DALLAS5

MILLS1

FLOYD3

SHELBY1

OBRIEN2

HARDIN1

WAYNE1

BUTLER1

WOODBURY4

WEBSTER2

WRIGHT3

MARION6

KEOKUK0

TAYLOR0

SCOTT3

JACKSON0

GREENE5

HARRISON0

UNION1

GUTHRIE2

LUCAS0

WARREN12

JOHNSON5

HENRY0

DUBUQUE30

CRAWFORD0

CARROLL0

MADISON1

ADAMS0

FRANKLIN1

MAHASKA0

CALHOUN2

GRUNDY4

POTTAWATTAMIE0

HANCOCK0

LOUISA3

HAMILTON0

DECATUR0

EMMET0

ALLAMAKEE3

CLARKE0

WORTH2

PALO ALTO0

MARSHALL5

HOWARD1

FREMONT6

DELAWARE1

CHEROKEE1

BREMER9

BUCHANAN2

RINGGOLD0

POWESHIEK0

MONROE0

MITCHELL3

WAPELLO0

VAN BUREN0

CHICKASAW3

APPANOOSE2

OSCEOLA0

HUMBOLDT0

MUSCATINE4

JEFFERSON0

DICKINSON0

WINNESHIEK1

BUENAVISTA

1

AUDUBON1

BLACKHAWK

38

POCAHONTAS1

WASHINGTON1

CERROGORDO

14

DESMOINES

2

WINNEBAGO0

MONTGOMERY3

EMT-P Certifications

by County

0

1 - 6

7 - 14

15 - 51

LINN0.05

SAC0.29

LEE0.06

TAMA0.28

SIOUX0.12

CLAY0.06

IOWA0.06

LYON0.00

IDA0.00

POLK0.12

CASS0.22

KOSSUTH0.06

PAGE0.13

JASPER0.03

ADAIR0.13

BENTON0.19

JONES0.05

DAVIS0.00

CLAYTON0.28

STORY0.01

FAYETTE0.10

CEDAR0.33

CLINTON0.18

BOONE0.00

PLYMOUTH0.08

MONONA0.00

DALLAS0.07

MILLS0.07

FLOYD0.19

SHELBY0.08

OBRIEN0.14

HARDIN0.06

WAYNE0.16

BUTLER0.07

WOODBURY0.04

WEBSTER0.05

WRIGHT0.23

MARION0.18

KEOKUK0.00

TAYLOR0.00

SCOTT0.02

JACKSON0.00

GREENE0.54

HARRISON0.00

UNION0.08

GUTHRIE0.18

LUCAS0.00

WARREN0.26

JOHNSON0.04

HENRY0.00

DUBUQUE0.32

CRAWFORD0.00

CARROLL0.00

MADISON0.06

ADAMS0.00

FRANKLIN0.09

MAHASKA0.00

CALHOUN0.20

GRUNDY0.32

POTTAWATTAMIE0.00

HANCOCK0.00

LOUISA0.26

HAMILTON0.00

DECATUR0.00

EMMET0.00

ALLAMAKEE0.21

CLARKE0.00

WORTH0.26

PALO ALTO0.00

MARSHALL0.12

HOWARD0.10

FREMONT0.82

DELAWARE0.06

CHEROKEE0.08

BREMER0.37

BUCHANAN0.10

RINGGOLD0.00

POWESHIEK0.00

MONROE0.00

MITCHELL0.28

WAPELLO0.00

VAN BUREN0.00

CHICKASAW0.24

APPANOOSE0.16

OSCEOLA0.00

HUMBOLDT0.00

MUSCATINE0.09

JEFFERSON0.00

DICKINSON0.00

WINNESHIEK0.05

BUENAVISTA0.05

AUDUBON0.17

BLACKHAWK0.29

POCAHONTAS0.14

WASHINGTON0.05

CERROGORDO

0.32

DESMOINES

0.05

WINNEBAGO0.00

MONTGOMERY0.28

EMT-P Certifications per 1,000 Population

by County

0

0.01 - 0.20

0.21 - 0.37

0.38 - 0.82

EMT‐P Cer fica ons per 1,000 Popula on by County


Certification Analysis | Emergency Medical Technician - Paramedic


18

As of November 2014, there were 338 active emergency medical technician - paramedics (EMT-P) certified in Iowa. This represents all those with an active certification – not all certified personnel are actively working in the field. The maps on the previous page show how those personnel are distributed around the state by their residential address (not their work address). The map on top shows the raw count of certifications, while the map on the bottom shows the number of certified personnel per 1,000 population in each county. Emergency medical technician paramedics are most heavily clustered around the Des Moines, Waterloo and Dubuque areas. The map above shows the median age of each county’s certified EMT-Ps. Over one-fourth (26.0%) of those certified are over the age of 50 and could be close to retirement. Several parts of the state are in position to be heavily impacted by retirements in the coming decade. The bar chart above shows the number of new EMT-P certifications issued by year. This could either be a person new to the state, or someone that earned a higher certification (i.e., became certified as an EMT-P after previously being an EMT-B). There have been very few EMT-P certifications issued in Iowa in the last four years, as Iowa is in the process of transitioning to the nationally identified scope of practice levels. The transition program is built for those that were previously certified as EMT-Ps to move to a Paramedic certification.

LINN41

LEE*

SAC52

TAMA58

IDA*

SIOUX52

CLAY*

IOWA*

LYON*

POLK42

CASS53

KOSSUTH*

PAGE*

JASPER*

ADAIR*

BENTON50

JONES*

DAVIS*

CLAYTON57

STORY*

FAYETTE*

CEDAR44

CLINTON45

BOONE*

PLYMOUTH*

MONONA*

DALLAS41

MILLS*

FLOYD54

SHELBY*

OBRIEN*

HARDIN*

WAYNE*

BUTLER*

WOODBURY44

WEBSTER*

WRIGHT52

MARION40

KEOKUK*

TAYLOR*

SCOTT34

JACKSON*

GREENE43

HARRISON*

UNION*

GUTHRIE*

LUCAS*

WARREN42

JOHNSON46

HENRY*

DUBUQUE40

CRAWFORD*

CARROLL*

MADISON*

ADAMS*

FRANKLIN*

MAHASKA*

CALHOUN*

GRUNDY50

POTTAWATTAMIE*

HANCOCK*

LOUISA55

HAMILTON*

DECATUR*

EMMET*

ALLAMAKEE41

CLARKE*

WORTH*

PALO ALTO*

MARSHALL54

HOWARD*

FREMONT56

DELAWARE*

CHEROKEE*

BREMER42

BUCHANAN*

RINGGOLD*

POWESHIEK*

MONROE*

MITCHELL44

WAPELLO*

VAN BUREN*

CHICKASAW35

APPANOOSE*

OSCEOLA*

HUMBOLDT*

MUSCATINE54

JEFFERSON*

DICKINSON*

WINNESHIEK*

BUENAVISTA

*

AUDUBON*

BLACKHAWK

39

POCAHONTAS*

WASHINGTON*

CERROGORDO

40

DESMOINES

*

WINNEBAGO*

MONTGOMERY44

Median Age of EMT‐P Cer ficate Holders by County

Median Age of EMT-P Certificate Holders

by County

Not Available

34 - 46

47 - 53

54 - 58


Certification Analysis | Emergency Medical Technician - Paramedic

93

43 45

33

21

13

1 14

10

10

20

30

40

50

60

70

80

90

100

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

Total Newly Issued EMT‐P Cer fica ons by Year


19

PS & Paramedic Cer fica ons by County

LINN165

LEE23

SAC3

TAMA6

IDA3

SIOUX11

CLAY13

IOWA8

LYON1

POLK340

CASS8

KOSSUTH5

PAGE14

JASPER39

ADAIR3

BENTON25

JONES21

DAVIS6

CLAYTON11

STORY45

FAYETTE15

CEDAR19

CLINTON49

BOONE19

PLYMOUTH11

MONONA10

DALLAS39

MILLS10

FLOYD8

SHELBY12

OBRIEN5

HARDIN10

WAYNE11

BUTLER7

WOODBURY65

WEBSTER25

WRIGHT6

MARION29

KEOKUK12

TAYLOR5

SCOTT156

JACKSON15

GREENE1

HARRISON4

UNION10

GUTHRIE10

LUCAS8

WARREN54

JOHNSON105

HENRY17

DUBUQUE126

CRAWFORD10

CARROLL17

MADISON18

ADAMS6

FRANKLIN7

MAHASKA9

CALHOUN8

GRUNDY3

POTTAWATTAMIE64

HANCOCK9

LOUISA19

HAMILTON15

DECATUR7

EMMET8

ALLAMAKEE6

CLARKE2

WORTH1

PALO ALTO5

MARSHALL12

HOWARD5

FREMONT4

DELAWARE10

CHEROKEE7

BREMER25

BUCHANAN12

RINGGOLD3

POWESHIEK11

MONROE10

MITCHELL4

WAPELLO39

VAN BUREN10

CHICKASAW6

APPANOOSE14

OSCEOLA1

HUMBOLDT4

MUSCATINE42

JEFFERSON7

DICKINSON16

WINNESHIEK16

BUENAVISTA

8

AUDUBON4

BLACKHAWK

47

POCAHONTAS1

WASHINGTON29

CERROGORDO

26

DESMOINES

42

WINNEBAGO8

MONTGOMERY12

PS & Paramedic Certifications

by County

1 - 23

24 - 65

66 - 165

166 - 340

LINN0.77

SAC0.29

LEE0.64

TAMA0.34

SIOUX0.32

CLAY0.78

IOWA0.49

LYON0.09

IDA0.42

POLK0.78

CASS0.58

KOSSUTH0.32

PAGE0.88

JASPER1.06

ADAIR0.40

BENTON0.96

JONES1.02

DAVIS0.69

CLAYTON0.61

STORY0.50

FAYETTE0.72

CEDAR1.03

CLINTON1.00

BOONE0.72

PLYMOUTH0.44

MONONA1.09

DALLAS0.56

MILLS0.67

FLOYD0.49

SHELBY0.99

OBRIEN0.35

HARDIN0.57

WAYNE1.72

BUTLER0.47

WOODBURY0.64

WEBSTER0.66

WRIGHT0.46

MARION0.87

KEOKUK1.15

TAYLOR0.80

SCOTT0.93

JACKSON0.76

GREENE0.11

HARRISON0.27

UNION0.80

GUTHRIE0.92

LUCAS0.90

WARREN1.16

JOHNSON0.78

HENRY0.84

DUBUQUE1.33

CRAWFORD0.58

CARROLL0.82

MADISON1.15

ADAMS1.51

FRANKLIN0.66

MAHASKA0.40

CALHOUN0.80

GRUNDY0.24

POTTAWATTAMIE0.69

HANCOCK0.80

LOUISA1.67

HAMILTON0.97

DECATUR0.84

EMMET0.79

ALLAMAKEE0.42

CLARKE0.21

WORTH0.13

PALO ALTO0.53

MARSHALL0.29

HOWARD0.52

FREMONT0.55

DELAWARE0.57

CHEROKEE0.58

BREMER1.03

BUCHANAN0.57

RINGGOLD0.59

POWESHIEK0.58

MONROE1.25

MITCHELL0.37

WAPELLO1.10

VAN BUREN1.33

CHICKASAW0.48

APPANOOSE1.09

OSCEOLA0.16

HUMBOLDT0.41

MUSCATINE0.98

JEFFERSON0.42

DICKINSON0.95

WINNESHIEK0.76

BUENAVISTA0.39

AUDUBON0.67

BLACKHAWK0.36

POCAHONTAS0.14

WASHINGTON1.33

CERROGORDO

0.59

DESMOINES

1.04

WINNEBAGO0.75

MONTGOMERY1.13

PS & Paramedic Certifications per 1,000 Population

by County

0.09 - 0.44

0.45 - 0.72

0.73 - 1.10

1.11 - 1.72

PS & Paramedic Cer fica ons per 1,000 Popula on by County


Certification Analysis | Paramedic Specialist / Paramedic


20

As of November 2014, there were 2,692 active paramedics certified in Iowa. This represents all those with an active certification – not all certified personnel are actively working in the field. The maps on the previous page show how those personnel are distributed around the state by their residential address (not their work address). The map on top shows the raw count of certifications, while the map on the bottom shows the number of certified personnel per 1,000 population in each county. Paramedics are most heavily clustered in the Des Moines area. The map above shows the median age of each county’s certified paramedics. Over one-fifth (21.2%) of those certified are over the age of 50 and could be close to retirement. Northeast and southwest Iowa are in position to be most heavily impacted by retirements in the coming decade. The bar chart above shows the number of new paramedic certifications issued by year. This could either be a person new to the state, or someone that earned a higher certification (i.e., became certified as a paramedic after previously being an EMT). New certifications have been fairly steady over the last five years.

LINN37

LEE42

SAC48

TAMA47

IDA62

SIOUX38

CLAY35

IOWA36

LYON*

POLK37

CASS41

KOSSUTH33

PAGE44

JASPER44

ADAIR47

BENTON42

JONES41

DAVIS44

CLAYTON50

STORY39

FAYETTE54

CEDAR53

CLINTON38

BOONE38

PLYMOUTH43

MONONA38

DALLAS40

MILLS41

FLOYD38

SHELBY48

OBRIEN51

HARDIN40

WAYNE41

BUTLER52

WOODBURY44

WEBSTER38

WRIGHT44

MARION40

KEOKUK33

TAYLOR54

SCOTT36

JACKSON45

GREENE*

HARRISON49

UNION46

GUTHRIE42

LUCAS48

WARREN43

JOHNSON34

HENRY37

DUBUQUE41

CRAWFORD38

CARROLL50

MADISON38

ADAMS50

FRANKLIN47

MAHASKA37

CALHOUN33

GRUNDY41

POTTAWATTAMIE40

HANCOCK53

LOUISA43

HAMILTON39

DECATUR54

EMMET38

ALLAMAKEE46

CLARKE*

WORTH*

PALO ALTO45

MARSHALL54

HOWARD41

FREMONT42

DELAWARE45

CHEROKEE45

BREMER49

BUCHANAN30

RINGGOLD62

POWESHIEK36

MONROE35

MITCHELL43

WAPELLO37

VAN BUREN38

CHICKASAW55

APPANOOSE44

OSCEOLA*

HUMBOLDT52

MUSCATINE42

JEFFERSON45

DICKINSON44

WINNESHIEK37

BUENAVISTA

48

AUDUBON42

BLACKHAWK

45

POCAHONTAS*

WASHINGTON48

CERROGORDO

44

DESMOINES

40

WINNEBAGO48

MONTGOMERY31

Median Age of PS & Paramedic Cer ficate Holders by County

Median Age of PS & Paramedic Certificate Holders

by County

Not Available

30 - 40

41 - 48

49 - 62


Certification Analysis | Paramedic Specialist / Paramedic

83

165

199 196

223 218

249235 232

219

0

50

100

150

200

250

300

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014*

Total Newly Issued PS & Paramedic Cer fica ons by Year

*2014 count only includes certifications earned through October 24, 2014 New paramedics that previously held a paramedic specialist certification are not counted above

Iowa Workforce Development Communications and Labor Market Information Division

Regional Research & Analysis Bureau 1000 E. Grand Avenue

Des Moines, Iowa 50319 (515) 281-7505

www.iowaworkforce.org

Iowa Department of Public Health Acute Disease Prevention, Emergency Response and Environmental Health Division

Bureau of Emergency and Trauma Services 321 E 12th Street

Des Moines, IA 50319 (515) 281-0620

www.idph.state.ia.us

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