2014 Health Occupations Report

1. 2014 Health Occupations Report April 15, 2014 Paul Leparulo Principal Economic Research Analyst

2. Agenda Review important information about this report Discuss key findings for the health sector Present occupation specific highlights

3. About this report Content - Data Sources - Methodology

4. What’s in the report?

6. What data was used in creating this report?

7. Occupational Employment Estimates (OES)

8. Employment projections

9. Integrated Postsecondary Education Data System (IPEDS)

10. American Community Survey (ACS)

11. Context & Review • Valerie Landry, Chair of the Maine Health Workforce Forum • Charles Dwyer, Program Officer at Maine Health Access Foundation • Matthew Chandler, Director, Rural Health and Primary Care, Maine CDC • The Maine Health Workforce Forum (the Forum), as represented by Sally Sutton, Project Director • Ann Sossong, Associate Professor of Nursing, University of Maine School of Nursing • Lisa Harvey-McPherson, Vice President Continuum of Care & Chief Advocacy Officer EMHS • Ellen Libby, Program Director, EMMC School of Medical Laboratory Science • Judith Feinstein, Director, Maine CDC Oral Health Program • Sheila Comerford, Director, Maine Psychological Association

12. Program completers • Schools, programs • Number of graduates, 2007-2011 • Demographics • Race, gender, age • Educational attainment • Maine vs. U.S. Methodology • Size the workforce by occupation • Employment and wages • Per population • Distribution • Projected job openings • New growth • Replacement • Sensitivity analyses

13. Exclusions • State licensure data • Adult and continuing education data • Health Practitioner Shortage Area Statistics • Maine job vacancy survey • Longitudinal data • Help wanted job postings

14. Health Sector Key trends for the health sector and health occupations in aggregate

15. 1. Employment growth has been remarkable. Health Sector Employment 18% statewide employment + 80% growth in employment 10% statewide employment

16. Net jobs created by sector, 2001-2011

17. Within the health sector, hospitals have been the primary driver of employment growth.Contribution to health sector employment growth, 2001-2011

18. Driven by an aging population and technological innovations, the employment outlook remains robust. 2010-2020 Employment Projections, Change in employment

19. The hospital industry is expected to continue to add jobs more rapidly than other health industries.2010-2020 Employment Projections, Change in employment

20. While the employment outlook is bright for Maine’s health sector and occupations, job growth is expected to be even stronger nationally. 2010-2020 Employment Projections

21. 2. The aging of the workforce amplifies the need for a pipeline of skilled providers. Population demographics Total Job Openings Workforce demographics Replacement needs

22. Health workforce demographics, Maine vs. U.S.

23. Health workforce demographics, Maine vs. U.S.

24. Projected job openings due to replacement needs, 2010-2020 170 dentists 2,400 direct care workers 120 Clinical lab technologists 2,800 RNs > 1,000 social workers and counselors > 700 physicians & surgeons 410 medical assistants 140 physician assistants

25. 3. The response from higher education has been increased production +33% Source: IPEDS, CWRI

26. The highest growth rates in credentials awarded occurred at the lower end of the degree spectrum. Associate degrees, +39% Certificates awarded (< 2 years), +87%

27. A majority of the growth in certificates awarded (< 2 years) was driven by schools other than community colleges.Certificates < 2 years Other than community colleges Community colleges Other than community colleges includes Beal College, Intercoast Career Institute, Northeast Technical Institute, St. Joseph’s College of Maine, Seacoast Career Schools, University of Maine at Augusta, Spa Tech Institute, Kaplan, and Pierre’s School of Cosmetology.

28. 4. Compared to the nation, Maine has more heath practitioners & support workers per thousand residentsHealth workers per thousand population

29. 5. The distribution of Maine’s health workforce is uneven and concentrated around the major hospital centers. Cumberland County: 31% of the workforce and 21% of Maine’s population = 50% more health workers per thousand population Oxford County: 2% of the workforce; 4% of the population = 50% fewer health workers per thousand population

31. Occupational Highlights

32. Nursing • Robust growth +29% employment growth, 2000-2010 +20% growth projected, 2010-2020 • Supply & distribution • A comparable number of RNs per population (000) for New England, but 28% more than that of the nation.

33. Maine has 28% more RNs per thousand residents than the nation, but an average amount for New England.RNs per thousand residents, 2012

34. The distribution of RN employment is uneven. One third of the workforce is employed in Cumberland County, resulting in 53% more RNs per thousand residents than the state average. RN employment per thousand residents 2012

35. Demand for nurses with a baccalaureate degree is expected to grow faster than average as care giving becomes more complex. Educational attainment: Institute of Medicine (IOM) Goal vs. Current Goal: 80% with a baccalaureate degree by 2020 2012-2013: ~55% of Maine’s nurses have at least a baccalaureate degree

36. Although demand for RNs is expected to be robust, growth in RN graduates has been flat. Growth in other areas of healthcare instruction has been much stronger. RN programs, +2% BSN, +6% ADN, +3% Graduate, -12%

38. Physicians & Surgeons

39. The size of Maine’s physician workforce is average for a New England state.Physicians & surgeons per thousand residents, 2010

40. The distribution of physician and surgeon employment is uneven. Forty-two percent were employed in Cumberland County, resulting in twice the number of practitioners per thousand residents as the state average. Physician & Surgeon employment per thousand residents, 2012

41. The number of dentists practicing in Maine has been flat. The size of Maine’s dentist workforce is comparable to that of the nation, per thousand population. Dentists practicing in Maine (includes self-employed) Dentists per 1,000 population (2010); includes self-employed

42. Age structure of the dentist workforceProportion of dentists above and below 50 years old, 2006-2010 ACS

43. Direct Care • ~22,000 providing direct care services • Largest health occupational group • Larger than the U.S. direct care workforce, per pop. • Robust growth prospects • Low pay and high emotional and physical demands makes recruiting and retaining workers a challenge.

44. Direct care occupations are low paying relative to other health occupations. Medical assistants, medical equipment preparers, dietetic tech, OT & PT aides, pharmacy tech & aides Direct care occupations * Excludes direct care occupations

45. Forty six percent of Maine’s direct care workers have education credentials above the minimum required for the occupations. Educational attainment of Maine’s direct care workforce, 2006-2010 ACS

46. Mental Health

47. Technologists & Technicians

48. For more detail: http://www.maine.gov/labor/cwri/publications/Word/2014HealthOccupationsReport.docxhttp://www.maine.gov/labor/cwri/publications/pdf/2014HealthOccupationsReport.pdf

49. Questions? a.paul.leparulo@maine.gov