Who is Entering and Who is Leaving Healthcare, and Why Do We Care? - - PowerPoint PPT Presentation
Who is Entering and Who is Leaving Healthcare, and Why Do We Care? Bianca K. Frogner, PhD, Associate Professor Director of Center for Health Workforce Studies Department of Family Medicine Ground Rounds November 4, 2015 Seattle, WA Topics
Bianca K. Frogner, PhD, Associate Professor Director of Center for Health Workforce Studies
Department of Family Medicine Ground Rounds November 4, 2015 Seattle, WA
The UW CHWS became one of 6 HRSA-funded Health Workforce Research Centers in Fall 2014 with award of a $1.4 million, three year competitive collaborative agreement grant. The following studies of the allied health workforce are supported during the first 2 years of the award: Year 1: 1. Characteristics of Physician Assistant Students Planning to Work in Primary Care. 2. Pathways for Military Veterans to Enter Allied Health Careers. 3. The Workforce Needed to Integrate Behavioral Health Workforce with Primary Care. 4. Impacts of Greater Use of Low Skilled, Low-wage Workers in Health Care Delivery. 5. Characteristics of Veterans in Allied Health Care Jobs. Year 2: 1. Career Paths of Allied Health Professionals 2. Emerging Roles in Allied Health Occupations 3. Immigrants in Allied Health Professions 4. Leveraging Data to Monitor the Allied Health Workforce: Building a Database for Studies of Workforce Size, Distribution and Availability 5. Emerging Health IT Roles and Skillsets
Health System Design and Context Health Care Resources and Activities Health Care System Performance
Health Status Non-Medical Determinants of Health Health Workforce Use of Health Goods and Services Cost/Expenditure Access to Care Quality of Care
HCE as a Share of GDP under Alternative GDP+X Scenarios
Source: Figure 8 from Technical Review Panel on the Medicare Trustees Report, “Review of Assumptions and Methods of the Medicare Trustees’ Financial Projections,” 2000.
40% by 2075
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Health Care Labor Force Health Care Wage Rate HCE / GDP
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(1,500,000) (1,000,000) (500,000)
Durable goods manufacturing Construction Nondurable goods manufacturing Wholesale trade Information Retail trade Agriculture, forestry, fishing and hunting Utilities Real estate and rental and leasing Pharmaceutical and medicine manufacturing Medical equipment and supplies Pharmacies and drug stores Social assistance Finance and insurance Other services Transportation and warehousing Mining Public Administration Management, administrative and support, and Educational services Professional, scientific and technical services Leisure and hospitality Health care Absolute Difference of People within an Industry between 2003 to 2013
Absolute Difference in Number of People by Industry, 2003 and 2013
Entrants’ Prior Year Industry Leavers’ Current Year Industry Not in the labor force or unemployed (excluding in school) 13.0% Not in the labor force 34.7% Leisure and hospitality 11.0 Unemployed 18.6 Retail trade (excluding pharmacies and drug stores) 8.8 Educational services 5.6 Educational services 8.4 Leisure and hospitality 4.6 In school 6.9 Professional, scientific and technical services 4.3 Professional, scientific and technical services 6.3 Retail trade (excluding pharmacies and drug stores) 4.0 Public Administration 6.0 Public Administration 3.9 Management, administrative and support, and 5.7 Other services 3.8 Other services 5.7 Management, administrative and support, and 3.8 Finance and insurance 5.1 Social assistance 3.2
Ten Most Common Prior Year Industry for Entrants and Current Year Industry for Leavers of the Health Care Industry (UNPUBLISHED)
Term Care,” UCSF Health Workforce Research Center Report. Available at: http://healthworkforce.ucsf.edu/publication/entry-and-exit-workers-long- term-care
supported by Health Resources and Services Administration, National Center for Health Workforce Analysis, http://healthworkforce.ucsf.edu
Supplement (“March Supplement”) [2003-2013]
households (200,000 individuals); weighted for national representation
1. Home health care services 2. Nursing care facilities 3. Residential care facilities 4. Individual and family services 5. Community food and housing, and emergency services 6. Private households
Derived from 2007 North American Industry Classification System (NAICS) codes
Occupation Total Employment Most Common Second Most Common Home health care services 1,111,737 41% Nursing, Psychiatric, and Home Health Aides 28% Personal care aides Nursing care facilities 1,719,845 37% Nursing, Psychiatric, and Home Health Aides 12% Registered nurses Residential care facilities 779,961 20% Personal care aides 13% Food prep & service-related Individual and family services 1,445,790 21% Personal care aides 18% Social workers Community food and housing, and emergency services 120,393 19% Social workers 13% Office & admin support Private households 652,564 40% Bldg & grounds cleaning and maintenance 36% Personal care & services (excluding PCAs)
0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 Home health care services Nursing care facilities Residential care facilities without nursing Individual and family services Community food and housing, and emergency services Private households Entry Rate Exit Rate
Industry Entry from what industry? Most common occupation of entrants Exit to what industry? Home Health Care Services 14% Hospitals 14% Nursing care facilities 42% Nursing, psych & home health aides 23% Personal care aides 33% Out of labor force 18% Unemployed Nursing Care Facilities 18% Hospitals 12% Leisure & hospitality 37% Nursing, psych & home health aides 10% Registered nurses 27% Out of labor force 19% Unemployed Residential Care Services 14% Leisure & hospitality 8% Out of labor force 21% Personal care aides 13% Food preparation 25% Out of labor force 16% Unemployed Individual & Family Services 10% Out of labor force 9% Education 22% Personal care aides 16% Social workers 30% Out of labor force 16% Unemployed Community Food & Housing, and Emergency Services 10% Education 10% Retail 15% Office & administrative support occupations 11% Social workers 22% Unemployed 21% Out of labor force Private Households 21% Out of labor force 14% Leisure & hospitality 43% Building & grounds cleaning & maintenance
39% Personal care and services occupations (excluding PCAs) 50% Out of labor force 16% Unemployed
Industry % female % white % with child in HH under 5 % age 16-24 years % age 55-64 years Home Health Care Services Entrants 88% 49% 15% 14% 15% Leavers 90% 54% 15% 11% 17% Stayers 90% 51% 12% 7% 18% Nursing Care Facilities Entrants 85% 59% 14% 23% 10% Leavers 86% 58% 17% 21% 13% Stayers 86% 60% 13% 13% 17% Residential Care Services Entrants 73% 60% 11% 24% 10% Leavers 73% 61% 12% 23% 13% Stayers 71% 65% 12% 14% 16%
Industry % female % white % with child in HH under 5 % age 16-24 years % age 55-64 years Individual & Family Services Entrants 86% 58% 11% 15% 15% Leavers 76% 54% 11% 18% 14% Stayers 79% 60% 11% 7% 19% Community Food & Housing, and Emergency Services Entrants 63% 52% 6% 10% 15% Leavers 67% 60% 13% 8% 18% Stayers 73% 60% 12% 5% 18% Private Households Entrants 90% 56% 11% 34% 11% Leavers 88% 59% 11% 36% 11% Stayers 92% 48% 8% 16% 15%
Industry % not a citizen % rural residence % disabled % below poverty % full- time Wages from past year Home Health Care Services Entrants 10% 20% 4% 18% 74% $19,666 Leavers 9% 20% 10% 22% 59% $15,289 Stayers 11% 19% 4% 14% 66% $19,799 Nursing Care Facilities Entrants 8% 24% 2% 16% 75% $20,677 Leavers 7% 25% 8% 16% 72% $17,409 Stayers 8% 26% 2% 8% 78% $22,527 Residential Care Services Entrants 6% 17% 4% 14% 74% $19,517 Leavers 7% 17% 8% 13% 73% $16,123 Stayers 6% 19% 3% 5% 79% $21,203
Industry % not a citizen % rural residence % disabled % below poverty % full- time Wages from past year Individual & Family Services Entrants 6% 17% 5% 13% 78% $19,951 Leavers 6% 17% 9% 15% 64% $17,606 Stayers 6% 17% 5% 7% 77% $25,430 Community Food & Housing, and Emergency Services Entrants 6% 17% 5% 19% 68% $23,524 Leavers 4% 18% 8% 12% 70% $14,006 Stayers 3% 17% 5% 5% 77% $27,425 Private Households Entrants 26% 15% 5% 26% 65% $7,297 Leavers 18% 17% 10% 21% 37% $6,764 Stayers 34% 12% 4% 20% 50% $11,519
– But also other non-health industries (e.g., leisure/hospitality)
– Large share become unemployed or exit labor force – Age, disability, poor health, earnings important drivers
– Sufficient pipeline? – Job security?
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Occupation Title Median Pay ($, 2012) Tuition & Fees ($) Ratio of Tuition to 1 Yr Median Pay Pharmacy Technician 29,320 17,067 58% Medical Assistant 29,370 13,057-17,067 44 to 58% Optical Technician 33,330 17,067 51% Health Information Technician 34,160 35,112 103% Dental Assistant 34,500 17,067 49% Massage Therapist 35,970 17,067 47% Vocational Nursing 41,540 34,110-35,112 82 to 84% Surgical Technologist 41,790 35,112 84% Respiratory Therapy 55,870 45,137 81% Claims Adjuster or Biller 59,850 17,067 29%
Source: http://www.bls.gov/ooh/ http://americancareercollege.edu/misc/tuition-fees.html
Bianca K. Frogner, PhD Associate Professor, Department of Family Medicine Director, Center for Health Workforce Studies bfrogner@uw.edu UW Center for Health Workforce Studies http://depts.washington.edu/uwchws/ @uwchws