September 6, 2012

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Need for Central Repository of Health Workforce Data
Statutory Mandate (SB 139)
Stakeholder Engagement
Other States Workforce Analysis
Highlights
June 2012 Release
Data Gaps
Opportunities
Clearinghouse Next Steps
Advisory Team
Contact Information
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Multiple sources of health workforce and education data (i.e. licensing boards, educational institutions, etc.)
Need to centralize collection of health workforce and education data
Multiple data sources challenge understanding of shortages, distribution, diversity, etc.
Federal and state health care reform efforts compound need for data
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Chapter 522, Statutes of 2007 (SB 139 Alquist)
Mandates OSHPD to create and implement Clearinghouse
Central source of healthcare workforce and educational data in the State
Responsible for collection, analysis and distribution of information on educational and employment trends for healthcare occupations in California
Funded by the California Health Data and Planning Fund
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OSHPD will retrieve records from the Employment Development
Department’s Labor Market Information Division, state health licensing boards, and state higher education entities to collect data on the following as it relates to healthcare workers:
Current supply of healthcare workers by specialty.
Geographical distribution of healthcare workers, by specialty.
Diversity of healthcare workforce, by specialty, including, but not necessarily limited to, data on race, ethnicity and languages spoken.
Current and forecasted demand for healthcare workers, by specialty.
Educational capacity to produce trained, certified and licensed healthcare workers, by specialty and by geographical distribution, including, but not limited to, number of educational slots, the number of enrollments, the attrition rate and wait time to enter the program of study
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OSHPD is mandated to provide the State Legislature annual reports that do the following:
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Identify education and employment trends in the health care profession
Report on the current supply and demand for health care workers in California and gaps in the educational pipeline producing workers in specific occupations and geographic areas.
Recommend state policy needed to address issues of workforce shortage and distribution
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A 2008 grant from The California Endowment funded the following activities: o Feasibility Study Report (2008) o Five Focus Group meetings throughout the State (2008)
A 35-member Advisory Committee was developed to support and guide the development of the Clearinghouse (2008present)
Pilot Testing provided 19 data providers and/or other stakeholders opportunity to give OSHPD feedback regarding initial release of the data (June 2012)
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16 states contacted; focus on Michigan, Texas, S. Dakota,
Tennessee, N. Carolina, Wyoming, and Minnesota o Research included surveys, e-mail, phone calls, reviewing websites, and contacting Primary Care Offices
States encountered challenges with collection and analysis of data: o Getting support for detailed workforce data collection o No mandatory reporting o Low survey participation/response rate o Quality of data, few to no validity checks on field entries, too much staff time is required to clean up data fields, must enter data manually o Database not fully functional for specific purposes
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As a result, following recommendations for Clearinghouse: o Identify master list of data elements o Set expectations for what types of information would be most useful o Establish contractual agreements with data providers o Utilize e-mail surveys o Evaluate need for mandatory reporting
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Advisory Committee (March 2008 – onward)
Focus Group Meetings (April – May 2008)
Feasibility Study Report (Approved 2009)
Budget Change Proposal (Approved 09/10)
Other States Analysis (June 2009)
Phase I Collection and Validation (July 2009)
Phase II Website and Report Development (September 2011)
Go Live (June 28, 2012)
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Data Providers:
Board of Registered Nursing, Board of Vocational
Nursing and Psychiatric Technicians, CA Department of Public Health:
Licensing and Certification Branch and Laboratory Field Services Branch;
Dental Board of CA, Dental Hygiene Committee, Medical Board of CA,
Naturopathic Medicine Committee, Osteopathic Medical Board, Physician
Assistant Committee and Respiratory Care Board
Interactive Reports:
 Supply of active status health care workers by specialty
 Geographical distribution by county of record
 Diversity by specialty: race/ethnicity, age, gender, languages spoken
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Data Provider:
Employment Development Department
Interactive Reports:
 Employment Projections
 Wage Estimates
 Staffing Patterns
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Data Providers:
California Post Secondary Education Commission, California
Community Colleges, California State University and
University of California
Interactive Reports:
 Aggregate data on students (i.e. enrollments, gender, race/ethnicity degrees awarded)
 Unitary data on public and private institutions by location
Health profession education training programs and locations
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 Unable to collect SSNs, employment locations and residential addresses
 Data collected is not uniform
 There is no mandate requiring entities to collect and/or provide data needed to populate the
Clearinghouse
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 No mandate requiring all 22 licensing authorities to conduct surveys o Surveys allow collection of data not available through licensing forms (race/ethnicity, languages spoken, employment status and hours, practice settings)
 Lack of data standardization across data providers o Surveys vs. licensing forms o Not all licensing authorities collect the same information
 Limited diversity data for race/ethnicity and languages spoken o Only collected through surveys, most licensing authorities do not collect surveys
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 Limited response rate from the health care industry
 EDD-LMID’s physicians data does not include all specialties
 Demand estimates for most health personnel categories in California pre-date the Affordable Care Act and do not take into account service delivery models of the future
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 Inability for OSHPD to collect numbers of educational slots, attrition rate, wait time to enter a program and unitary data because data is collected by individual campuses, not the
Presidents and Chancellors’ offices
 Lack data on high school health training and academy programs
 Inability to collect private institutions’ data from a central source
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Enhance California’s ability to understand and manage its complex healthcare delivery infrastructure and growing and aging population
Formulate coherent policy and planning strategies based on data indications
Improve workforce recruitment and retention
Conduct trend analysis and reporting
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Continue efforts to release more data o Upcoming Interactive Reports include data from the Dental Board,
Dental Hygiene Committee and Osteopathic Medicine Board o Upcoming Fact Sheets include:
 Physician Assistants
 Vocational Nurses
 Psychiatric Technicians
 Respiratory Therapists
 Osteopathic Physicians
Continue efforts to partner with more data providers o Targeted engagements include Board of Podiatric Medicine, Board of
Behavioral Sciences, Board of Psychology, Radiologic Health Branch of
California Department of Public Health
Improve and enhance Clearinghouse products and design
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 Purpose: Provide guidance and advise to Clearinghouse development and implementation
 Next Meeting: November 2012
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Members
 Debra Kurtti, California Association of Health Facilities
 Robert Puleo, California Board of
Chiropractic Examiners
 Patrick Perry, California Community
Colleges Chancellor’s Office
 Katherine Flores M.D., California
Health Professions Consortium
 William Ing, The California
Endowment
 Kevin Barnett, California Health
Workforce Alliance
 Jimmy Hara, California Healthcare
Workforce Policy Commission
(ex-officio)
 Cathy Martin, California Hospital
Association
 Jamie Fall, California Labor and
Workforce Development Agency
 Ellen Wu, California Pan-Ethnic
Health Network
 Carmella Castellano-Garcia,
California Primary Care Association
 Michelle Baass, California Senate
Office of Research
 Steve Barrow, California State
Rural Health Association
 Marsha Hirano-Nakanishi,
California State University Office of the Chancellor
 TBD, The California Wellness
Foundation
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Members (continued)
 Steve Saxton, Employment
Development Department Labor
Market Information Division
 Beth Abbott, Health Access
California
 Carolyn Lee, Health Occupations
Students of America
 Stephen Robinson, M.D., Health
Professionals
 Lupe Alonzo-Diaz, Health
Professions Education Foundation
 Chad Silva, Latino Coalition for a
Healthy California
 Bob David, Office of Statewide
Planning and Development
 Sabina Ohri, Public Policy Institute of California
 Diane Littlefield, Sierra Health
Foundation
 Andrea Gerstenberger, University of California Office of the President
 Moreen Lane, California Workforce
Investment Board
 Nancy Rose-Anton, Rona Sherriff,
Consumer Representatives
 Linda Davis-Alldritt, Department of
Education
 Robert Stroud, Department of
Health Care Services
 Hattie Rees-Hanley, Department of
Managed Health Care
 Kim DeWeese, Department of
Public Health
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Office of Statewide Health Planning and Development
400 R Street, Suite 330
Sacramento, CA 95811-6213
(916) 326-3600 (tel) www.oshpd.ca.gov
Stephanie Clendenin, Chief Deputy Director
Lupe Alonzo-Diaz, Acting Deputy Director
Dorian Rodriguez, Acting Manager www.oshpd.ca.gov/HWDD/HWC/
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