CALED Annual Conference Presentation Allied Health Workforce A Long Term Perspective April 28, 2011 Cathy Martin Director, Workforce California Hospital Association Health Care and Job Opportunities From the Bureau of Labor and Statistics-Presentation to CHA, February 4, 2011: • As one of the largest industries, healthcare provides 14.3 million jobs for wage and salary workers. • Ten of the 20 fastest growing occupations are healthcare related. • Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018, more than any other industry. • Most workers have jobs that require less than 4 years of college education. Hospitals are the Largest Employer of Health Care Workers 5.4% Hospitals, private 3.4% 6.1% Offices of health practitioners Nursing and residential care facilities Individual and family services 29.3% 6.3% 7.0% Outpatient, laboratory, and other ambulatory care services Home health care services Child day care services 19.0% 23.5% US Department of Labor, Bureau of Labor and Stats, Feb. 4, 2011 Allied Health Care • Allied health professions are clinical health care professions distinct from medicine, dentistry, and nursing. • California already employs more than 605,153 allied health workers. * • Between new job creation and the need to replace workers who retire or otherwise leave the field, the state will need to train nearly 1 million more allied health workers by 2030.* *Fenton Communications Report, Help Wanted, 2010 2010 Allied Health Workforce Survey • Original survey conducted in 2007. Since that time, the workforce landscape has changed dramatically. • 2010 survey designed to gather up-to-date data regarding 14 allied health occupations and the impact of the economy on the demand for these workers. • Capture estimates regarding the number of employees eligible for retirement in the next one, three and five years. • Assess hospital member’s top concerns regarding workforce in the coming years. Survey Respondent Information • Survey distributed to 200 hospitals • 125 member facilities responded • 62.5% response rate • Response rate was strongest from Northern California and Bay Area region and weakest from the San Diego and Imperial Counties • Survey respondents generally representative of CHA membership, including rural representation. 19.2% of responses were from rural facilities. Selected Allied Health Occupations* *Determined by the CHA Workforce Committee 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Clinical laboratory scientist Medical laboratory technician Radiologic technologist CT technologist PET technologist Cardiovascular & interventional radiology tech (CVIR) MRI technologist Ultrasound technologist Nuclear medicine technologist Pharmacist Pharmacy technician Physical therapist Physical therapy assistant Respiratory therapist Total FTEs Reported 3,584 3,541 3,260 3,153 2,763 Respiratory Therapist Pharmacist Pharmacy Technician Radiological… Clinical Lab Scientist 1,967 Physical Therapist 954 Ultrasound Technologist 496 402 398 385 361 Medical Lab Technician MRI Technologist Physical Therapy Asst CT Technologist Nuclear Med Tech 88 18 CVIR Technologist PET Technologist 0 1,000 2,000 Total FTEs 3,000 4,000 Vacancy Rates by Occupation Physical Therapist CVIR Technologist Medical Lab Technician MRI Technologist PET Technologist Clinical Lab Scientist Physical Therapy Asst Ultrasound Technologist CT Technologist Respiratory Therapist All Occupations (Avg) Nuclear Med Tech Radiological Technologist Pharmacist Pharmacy Technician 0.0% 7.8% 6.8% 6.3% 6.2% 5.6% 5.3% 5.3% 5.0% 4.9% 4.5% 4.4% 4.3% 3.8% 3.1% 2.9% 2.0% 4.0% 6.0% 8.0% 10.0% Impact Rating of Vacancies 1 having no impact and 5 having the greatest adverse impact Average Age by Allied Health Occupation for Responding Hospitals Average Age Urban/ Suburban Hospital 48.0 45.6 Rural Hospital 50.5 49.5 CT Technologist 43.6 47.6 Nuclear Medicine Technologist Medical Lab Technician 43.6 46.0 42.4 43.7 CVIR Technologist 42.0 44.3 Respiratory Therapist 40.9 43.5 PT Assistant 40.9 42.1 Radiological Technologist 40.5 40.1 Pharmacist 40.2 45.9 Ultrasound Technologist Physical Therapist 39.5 37.2 43.0 40.5 Pharmacy Technician 36.9 42.1 Occupation Clinical Lab Scientist MRI Technologist Top Six Profession for Pending Retirement* *Age 62 # Eligible for Retirement 2010 2013 2015 Total 217 189 438 844 92 99 280 471 Pharmacist Radiological Technologist Pharmacy Technician 76 80 260 416 41 51 205 297 21 27 140 188 Physical Therapist 19 15 139 173 Occupation Clinical Lab Scientist Respiratory Therapist Key Factors Impacting the Long Term Demand for Allied Health Professionals • By the year 2020, California’s population is expected to increase by 10 million people, with more than 6 million residents projected to be 65 years of age or older. • An older population means an increased demand for services. • Full implementation of the Affordable Care Act will increase demand for services due to increased coverage. • An aging workforce that will eventually retire in large numbers as the economy improves. Top Workforce Concerns in the Next Five Years Other Health Workforce Needs • • • • • • Increased need for primary care professionals, embracing expanded definition of primary care. Promotoras(es)/Community Health Workers Health Information Technology. Technical skills for clinical professionals, clinical workflow understanding for technical workers. Chronic Care Management (Case Management) Social and Health Case Management for Behavioral Health Patients Direct Care Workers (Home Health Aids, Nursing Aids) What Should Economic Development Understand About the Health Sector? • Although the media points to the health sector as a “bright spot in the economy”, hospitals have been significantly impacted by the recession. • Actively partnering with education (K-12, Community Colleges), health employers, and local workforce investment systems can improve program alignment with industry needs. • Understanding where hospitals may have workforce overlaps with other sectors, such as biotech for example, is important. Both have a need for highly skilled clinical laboratory scientists who are short in supply and high in demand. Creative partnerships can be effective. Questions?