Healthcare Workforce Clearinghouse

1. Healthcare Workforce Clearinghouse California Health Professions Consortium/California Health Workforce Alliance September 6, 2012

2. 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 Agenda

3. 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 Need for Central Repository of Health Workforce Data

4. 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 Statutory Mandate (SB 139)

5. 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 Statutory Mandate (SB 139)

6. OSHPD is mandated to provide the State Legislature annual reports that do the following: • 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 Statutory Mandate (SB 139)

7. A 2008 grant from The California Endowment funded the following activities: • Feasibility Study Report (2008) • Five Focus Group meetings throughout the State (2008) • A 35-member Advisory Committee was developed to support and guide the development of the Clearinghouse (2008-present) • Pilot Testing provided19 data providers and/or other stakeholders opportunity to give OSHPD feedback regarding initial release of the data (June 2012) Stakeholder Engagement

8. 16 states contacted; focus on Michigan, Texas, S. Dakota, Tennessee, N. Carolina, Wyoming, and Minnesota • Research included surveys, e-mail, phone calls, reviewing websites, and contacting Primary Care Offices • States encountered challenges with collection and analysis of data: • Getting support for detailed workforce data collection • No mandatory reporting • Low survey participation/response rate • 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 • Database not fully functional for specific purposes Other States Workforce Analysis

9. As a result, following recommendations for Clearinghouse: • Identify master list of data elements • Set expectations for what types of information would be most useful • Establish contractual agreements with data providers • Utilize e-mail surveys • Evaluate need for mandatory reporting Other States Workforce Analysis

10. 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) Highlights

12. 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 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 June 2012 Release

13. June 2012 Release • Data Provider: • Employment Development Department • Interactive Reports: • Employment Projections • Wage Estimates • Staffing Patterns

14. June 2012 Release 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

15. June 2012 Release

16. Cross Cutting Data Challenges • 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 Data Gaps

17. Licensing Authorities • No mandate requiring all 22 licensing authorities to conduct surveys • 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 • Surveys vs. licensing forms • Not all licensing authorities collect the same information • Limited diversity data for race/ethnicity and languages spoken • Only collected through surveys, most licensing authorities do not collect surveys Data Gaps

18. Employment Development Department Labor Market Information Division (EDD-LMID) • 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 Data Gaps

19. State-Level Education Entities • 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 Data Gaps

20. 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 Opportunities

21. Continue efforts to release more data • Upcoming Interactive Reports include data from the Dental Board, Dental Hygiene Committee and Osteopathic Medicine Board • Upcoming Fact Sheets include: • Physician Assistants • Vocational Nurses • Psychiatric Technicians • Respiratory Therapists • Osteopathic Physicians • Continue efforts to partner with more data providers • 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 Clearinghouse Next Steps

22. Purpose: Provide guidance and advise to Clearinghouse development and implementation • Next Meeting: November 2012 Advisory Team

23. 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 Advisory Team

24. 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 Advisory Team

25. 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/ Contact