2012 MHA Workforce Survey
Hospital Turnover and Vacancy Rates
by Workforce Investment Area (WIA)
2011 Calendar Year Data
Contents

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Overview – slides 3-9
Nursing – slides 10-19
Diagnostic Imaging – slides 20-26
Clinical Lab – slides 27-33
Therapies – slides 34-49
Pharmacy – 50-58
Surgical Tech – slides 59-61
Coding – slides 62-66
Overview
 The Missouri Hospital Association has collected
workforce data from member hospitals since
2001.
 165 hospitals participated in this survey – 148
from Missouri, 10 from Kansas and 7 from
Illinois.
 The number of positions surveyed increased by
one-third in this most recent survey, from 21 to
32 positions surveyed.
Overview
 11 positions were added



Certified Nurse Assistant
Patient Care Technician
Advanced nursing positions
–
–
–
–
Nurse
Nurse
Nurse
Nurse
Anesthetist
Midwife
Practitioner
Specialist
Overview
 Survey additions

New sonographer categories
– Cardio/Echo
– Vascular
– Ultrasound




Pharmacist – clinical
Pharmacy Technician
Medical Records Coder – Non-certified
Medical Records Coder – Certified
Overview
 For each position, hospitals submit the following:






Total FTE on Dec. 31
Total number of employees
Number of vacant FTE on Dec. 31
Total number of vacant positions on Dec. 31
FTE separations from Jan. 1 to Dec. 31
Total number of separations from Jan. 1 to
Dec. 31
Overview
 MHA develops tables, trend charts and graphics
that include statewide and regional turnover and
vacancy rates.
 Trends show Missouri data only; maps include
data from KS and IL.
18.0%
16.0%
14.0%
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
FTE Vacancy
Emp Vacancy
FTE Turnover
2012
2011
2010
2009
2008
2007
2006
2005
2004
Emp Turnover
Overview: Calculating Turnover
 Hospitals report the number of full-time
equivalent (FTE) separations January 1 through
Dec. 31 as well as the total number of FTE
positions.
FTE Separations Jan. 1 - Dec. 31
(Total FTEs on Dec. 31 +
Vacant FTEs on Dec. 31)
X 100 =
FTE Turnover
Percentage
Replace “FTE” with “Employee” to determine Employee Turnover
percentages.
Overview: Calculating Vacancy
 Hospitals report the number of full-time
equivalent (FTE) vacancies on Dec. 31 as well as
the total number of FTE positions.
Vacant FTEs on Dec. 31
(Total FTEs on Dec. 31 +
Vacant FTEs on Dec. 31)
X 100 =
FTE Vacancy
Percentage
Replace “FTE” with “Employee” to determine Employee Vacancy
percentages.
Nursing
 LPN
3,038 Missouri employees
 470 separations
 RN
 31,595 Missouri employees
 4,703 separations
 Turnover among LPNs and RNs is 14 percent

Nursing
Trends: Licensed Practical Nurse
25.0%
Percentage
20.0%
15.0%
10.0%
5.0%
0.0%
FTE Vacancy
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
10.8%
9.1%
9.2%
6.2%
5.1%
6.5%
4.7%
7.9%
5.4%
4.5%
4.9%
5.1%
5.8%
5.2%
7.0%
5.4%
7.0%
4.2%
3.9%
5.5%
5.2%
17.5%
20.1%
14.5%
16.4%
17.9%
12.8%
13.4%
14.6%
20.3%
20.9%
22.9%
21.9%
20.0%
21.8%
17.9%
16.2%
17.2%
14.9%
Emp Vacancy
FTE Turnover
Emp Turnover
21.1%
Licensed Practical Nurse Turnover
(Employee)
Licensed Practical Nurse Vacancy
(FTE)
Nursing
Trends: Registered Nurse
20.0%
18.0%
16.0%
Percentage
14.0%
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
FTE Vacancy
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
10.6%
11.1%
10.0%
9.2%
9.5%
7.5%
7.2%
7.6%
7.8%
4.3%
5.4%
3.7%
8.7%
8.8%
8.9%
9.8%
8.3%
6.1%
3.9%
5.4%
4.1%
11.9%
12.9%
10.4%
12.0%
9.5%
10.2%
12.1%
12.2%
11.8%
14.9%
16.4%
17.8%
15.0%
12.7%
15.9%
12.6%
13.9%
14.3%
Emp Vacancy
FTE Turnover
Emp Turnover
13.9%
RN Vacancy (FTE)
RN Turnover (Employee)
Advanced Nursing Positions
Position
Employee Turnover
FTE Vacancy
Nurse Anesthetist
6.2%
5.1%
Nurse Midwife
12.5%
0%
Nurse Practitioner
6.6%
6.1%
Nurse Specialist
3.8%
3.3%
Nurse Practitioner Turnover
(Employee)
Nurse Practitioner Vacancy (FTE)
Diagnostic Imaging
 Employee counts





Radiologic Technologist – 1,878
CT Technologist – 531
MRI Technologist – 283
Nuclear Medicine Technologist – 308
Sonographer (Cardio/Echo, Ultrasound and
Vascular) - 843
Diagnostic Imaging
Trends: Radiology Technologist - RTR
20.0%
18.0%
16.0%
Percentage
14.0%
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
6.6%
2.5%
2.6%
2.3%
2.1%
1.3%
2.0%
1.8%
Emp Vacancy
6.4%
4.5%
2.5%
2.3%
1.7%
0.9%
2.3%
1.6%
FTE Turnover
14.4%
11.0%
8.6%
7.2%
6.3%
5.6%
7.4%
5.9%
Emp Turnover
18.7%
18.6%
13.4%
11.6%
11.9%
9.6%
11.2%
9.0%
Radiologic Technologist (RTR)
Turnover (Employee)
Radiologic Technologist (RTR)
Vacancy (FTE)
Diagnostic Imaging
Trends: CT Technologist RT
25.0%
Percentage
20.0%
15.0%
10.0%
5.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
7.0%
7.5%
5.8%
3.0%
2.4%
1.2%
1.2%
1.8%
Emp Vacancy
6.5%
8.3%
2.8%
4.0%
2.2%
0.2%
2.2%
0.9%
FTE Turnover
6.8%
16.5%
8.6%
6.6%
4.9%
7.7%
6.5%
5.7%
Emp Turnover
11.1%
19.4%
10.3%
9.4%
9.3%
9.4%
9.1%
6.5%
Diagnostic Imaging
Trends: MRI Technologist RT
18.0%
16.0%
14.0%
Percentage
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
6.5%
1.0%
3.8%
3.8%
1.1%
2.6%
3.4%
1.9%
Emp Vacancy
7.0%
10.4%
3.6%
3.2%
1.8%
1.3%
4.6%
2.1%
FTE Turnover
10.4%
5.0%
13.3%
7.8%
8.7%
8.4%
5.0%
4.6%
Emp Turnover
16.7%
6.8%
14.3%
10.5%
12.9%
11.0%
6.9%
8.3%
Diagnostic Imaging
Trends: Nuclear Medicine Technologist RT
25.0%
Percentage
20.0%
15.0%
10.0%
5.0%
0.0%
2004
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
10.3%
4.4%
2.4%
1.7%
1.7%
2.6%
3.6%
1.5%
0.7%
Emp Vacancy
9.4%
5.4%
12.8%
2.2%
7.4%
2.4%
2.6%
3.4%
1.0%
FTE Turnover
15.7%
8.1%
13.0%
5.2%
2.2%
2.3%
4.4%
5.9%
2.5%
Emp Turnover
17.2%
10.7%
19.6%
9.1%
10.5%
6.0%
3.3%
7.4%
4.5%
Clinical Laboratory
 Employee counts


Medical Laboratory Technician – 639
Medical Technologist – 1,750
Clinical Laboratory
Trends: Medical Lab Technician (MLT)
25.0%
Percentage
20.0%
15.0%
10.0%
5.0%
0.0%
FTE Vacancy
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
7.8%
6.5%
10.7%
3.3%
4.1%
7.4%
8.2%
7.3%
4.5%
4.3%
3.5%
1.6%
2.9%
4.0%
10.8%
8.6%
7.2%
3.2%
2.2%
4.3%
3.5%
6.6%
12.6%
6.6%
10.4%
10.6%
6.2%
9.0%
7.6%
8.2%
8.5%
17.1%
9.2%
12.9%
12.1%
11.6%
9.6%
9.3%
10.8%
Emp Vacancy
FTE Turnover
Emp Turnover
20.6%
Medical Laboratory Technician
Turnover (Employee)
Medical Laboratory Technician
Vacancy (FTE)
Clinical Laboratory
Trends: Medical Technologist (MT)
12.0%
10.0%
Percentage
8.0%
6.0%
4.0%
2.0%
0.0%
FTE Vacancy
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
6.2%
5.1%
5.5%
3.3%
3.1%
3.0%
3.2%
3.2%
3.3%
2.2%
2.5%
2.6%
3.1%
3.1%
4.5%
3.9%
3.4%
3.4%
2.5%
2.9%
2.7%
7.8%
6.4%
6.8%
6.9%
5.6%
6.2%
7.1%
7.0%
6.0%
9.0%
8.7%
10.7%
8.2%
8.1%
8.9%
7.6%
8.3%
7.0%
Emp Vacancy
FTE Turnover
Emp Turnover
8.4%
Medical Technologist Turnover
(Employee)
Medical Technologist Vacancy (FTE)
Therapy
 Vacancy in therapy positions is stable or lower
 Hospitals have need for therapists but not
enough supply, especially in the following:
 Occupational therapy
 Speech-language pathology
Therapy
Trends: Occupational Therapist
20.0%
18.0%
16.0%
Percentage
14.0%
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
7.3%
6.8%
8.5%
8.2%
13.4%
7.3%
8.3%
6.3%
Emp Vacancy
8.1%
11.1%
9.7%
10.0%
11.7%
7.6%
9.0%
6.7%
FTE Turnover
12.9%
11.3%
9.5%
6.6%
6.2%
9.8%
8.9%
8.2%
Emp Turnover
15.6%
17.5%
13.4%
10.2%
13.6%
12.9%
12.9%
11.2%
Occupational Therapist Turnover
(Employee)
Occupational Therapist Vacancy
(FTE)
Therapy
Trends: Physical Therapist
20.0%
18.0%
16.0%
Percentage
14.0%
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
9.9%
7.1%
7.8%
8.5%
8.9%
5.7%
5.9%
6.1%
Emp Vacancy
10.7%
9.4%
8.3%
8.9%
7.6%
6.9%
6.8%
6.3%
FTE Turnover
13.2%
7.9%
11.6%
6.2%
5.9%
6.8%
8.6%
6.9%
Emp Turnover
17.5%
12.3%
12.7%
8.8%
9.5%
9.7%
11.0%
8.4%
Physical Therapist Turnover
(Employee)
Physical Therapist Vacancy (FTE)
Therapy
Trends: Respiratory Therapist (certified)
25.0%
Percentage
20.0%
15.0%
10.0%
5.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
4.7%
2.8%
5.8%
2.6%
2.2%
2.6%
2.5%
0.5%
Emp Vacancy
5.7%
7.0%
8.8%
3.7%
3.8%
2.6%
2.1%
1.0%
FTE Turnover
11.6%
11.9%
13.1%
13.7%
7.7%
6.0%
5.3%
6.8%
Emp Turnover
16.6%
19.8%
19.0%
17.1%
13.5%
8.7%
9.9%
10.3%
Respiratory Therapist (certified)
Turnover (Employee)
Respiratory Therapist (certified)
Vacancy (FTE)
Therapy
Trends: Respiratory Therapist (registered)
14.0%
12.0%
Percentage
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
4.8%
3.4%
5.1%
4.2%
2.7%
3.3%
2.2%
2.2%
Emp Vacancy
5.0%
8.3%
7.2%
4.9%
2.9%
2.5%
2.3%
1.7%
FTE Turnover
8.3%
7.9%
9.3%
8.1%
6.1%
5.5%
6.9%
6.0%
Emp Turnover
12.8%
11.2%
12.8%
12.2%
12.7%
8.7%
10.8%
10.1%
Respiratory Therapist (registered)
Turnover (Employee)
Respiratory Therapist (registered)
Vacancy (FTE)
Therapy
Trends: Speech-Language Pathologist
16.0%
14.0%
Percentage
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
2008
2009
2010
2011
2012
FTE Vacancy
7.0%
4.5%
8.8%
3.0%
2.3%
Emp Vacancy
9.1%
6.1%
4.8%
4.4%
4.4%
FTE Turnover
4.6%
6.5%
7.8%
7.9%
7.4%
Emp Turnover
7.3%
14.1%
12.7%
10.9%
11.7%
Speech-Language Pathologist
Turnover (Employee)
Speech-Language Pathologist
Vacancy (FTE)
Pharmacy
 Pharmacy schools scarce in Missouri
 MERIC predicted shortage of 700 pharmacists in
2012
 Expanded questionnaire to include more
pharmacy categories and positions
 Pharmacist – Staff
 Pharmacist – Clinical New
 Pharmacy Technician New
Pharmacy
Trends: Pharmacist - Staff
16.0%
14.0%
Percentage
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
FTE Vacancy
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
9.0%
7.9%
7.7%
6.4%
7.9%
6.3%
9.6%
6.6%
5.8%
3.4%
4.0%
2.9%
6.0%
7.4%
10.2%
12.6%
7.1%
4.9%
3.6%
4.4%
3.9%
9.6%
8.7%
8.8%
9.6%
5.7%
5.3%
4.5%
6.2%
6.5%
13.4%
10.5%
13.7%
11.9%
7.9%
9.2%
5.8%
10.1%
7.9%
Emp Vacancy
FTE Turnover
Emp Turnover
10.6%
Pharmacy
Position
No. Employees
Turnover
Vacancy
Pharmacist – Staff
831
7.9%
2.9%
Pharmacist – Clinical
513
7.4%
4.4%
1,018
9.7%
2.9%
Pharmacy Tech
Pharmacist (clinical) Turnover
(Employee)
Pharmacist (clinical) Vacancy (FTE)
Pharmacist (staff) Turnover
(Employee)
Pharmacist (staff) Vacancy (FTE)
Pharmacy Technician Turnover
(Employee)
Pharmacy Technician Vacancy (FTE)
Other Positions: Surgical Tech
Trends: Surgical Technician
18.0%
16.0%
14.0%
Percentage
12.0%
10.0%
8.0%
6.0%
4.0%
2.0%
0.0%
2005
2006
2007
2008
2009
2010
2011
2012
FTE Vacancy
7.4%
3.7%
5.0%
3.6%
7.3%
3.8%
3.7%
2.7%
Emp Vacancy
7.6%
3.9%
7.2%
3.6%
5.5%
3.3%
3.8%
2.9%
FTE Turnover
10.7%
8.8%
14.4%
6.6%
10.4%
10.9%
10.4%
10.4%
Emp Turnover
12.7%
12.5%
15.2%
8.3%
16.5%
11.5%
13.2%
12.4%
Surgical Technician Turnover
(Employee)
Surgical Technician Vacancy (FTE)
Other Positions: Medical Coding
Position
No.
Employees
Turnover
Vacancy
Medical Coder – noncertified
185
8.9%
2.0%
Medical Coder (CCS)
453
8.9%
3.6%
Medical Records Coder (noncertified) Turnover (Employee)
Medical Records Coder (noncertified) Vacancy (FTE)
Medical Records Coder (certified)
Turnover (Employee)
Medical Records Coder (certified)
Vacancy (FTE)
More Information
 Maura Browning
Director of Workforce Development
mbrowning@mail.mhanet.com
573/893-3700 ext. 1333