Current Healthcare Workforce:HealthCARE Grant Data

Annie GloverMontana Department of Labor

and Industry

Data Sources

• Montana Employment Projections 2013

• TAACCCT Round 4 “Montana HealthCARE” Needs Assessment Survey of Employers, Workforce Services, and Colleges

Employment Projections

• DLI prepares 10-year employment forecasts for job growth annually

• Based on historic employment data from January 1990-September 2013

• Questions about this data should be directed to Barbara Wagner, Chief Economist, Montana Department of Labor and Industry (bwagner@mt.gov)

Employment Projections

Full document can be found at:

http://ourfactsyourfuture.org/admin/uploadedPublications/5621_EmpProj.pdf

Employment Projections

Employment Projections

• The percentage of jobs requiring higher than a high school diploma will increase from 28.2% in 2013 to 29.1% in 2022.

Employment Projections

These are calculated by minimum requirements, but most high-paying, full-time jobs require postsecondary training.

Employment Projections

• Healthcare employs 15% of Montana’s total workforce

• Healthcare is expected to add about 1,300 more jobs per year through 2022

Employment Projections

Healthcare Workforce Needs Assessment

Healthcare Workforce Needs Assessment

  

 Northw

estSouthw

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North Centra

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South Centra

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Health Care Provider 63 51 28 26 33 201Educational

Institution 21 15 22 14 5 77Workforce

Agency/Job Service Office 28 22 1 6 4 61

Health Care Association 7 15 2 4 5 33

Q2: What is your role in Montana’s healthcare workforce?

Healthcare Workforce Needs Assessment

Health Care Sector Q5: Which human resource issues have posed the greatest challenge for your organization?

Northwest Southwest North Central South Central Eastern Total

Recruitment 22 17 13 8 20 80

Retention 14 10 9 5 14 52

Scheduling challenges 12 4 6 4 5 31

Responding to requirement of the Affordable Care Act 10 3 3 6 7 29

Continuing education of staff in quality improvement, data analysis and reporting 11 4 4 4 4 27

On the job training needs for new hires 11 4 5 4 1 25

Health information technology staffing 9 3 3 2 4 21

Developing care coordination and team based clinical teams 5 2 2 5 0 14

Tele-Health 1 3 0 0 2 6

Healthcare Workforce Needs Assessment

Healthcare Employers

Q5: Which human resource issues have posed the greatest challenge for your organization? Northwest Southwest North Central South Central Eastern Total

Recruitment 22 17 13 8 20 80

Retention 14 10 9 5 14 52

Scheduling challenges 12 4 6 4 5 31

Responding to requirement of the Affordable Care Act 10 3 3 6 7 29

Continuing education of staff in quality improvement, data analysis and reporting 11 4 4 4 4 27

On the job training needs for new hires 11 4 5 4 1 25

Health information technology staffing 9 3 3 2 4 21

Developing care coordination and team based clinical teams 5 2 2 5 0 14

Tele-Health 1 3 0 0 2 6

Healthcare Workforce Needs Assessment

Healthcare EmployersQ18: Of the following potentially eligible healthcare occupations, which do you feel have the greatest unmet need in your loc al area? (choose 5)

Northwest Southwest North Central South Central Eastern Total

CNA/Nursing Aide/Attendant 16 13 10 8 19 66

Registered Nurse (RN) Bachelor's Degree 18 15 11 5 11 60 Registered Nurse (RN) Associates Degree 20 12 9 4 13 58

Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) 16 13 9 6 6 50

Medical Coder 13 10 5 5 10 43

Certified Medical Assistant (CMA) 12 5 5 5 9 36 Medical Records/Health Information Technician 5 10 4 4 9 32

EMT/Paramedic 4 7 6 3 9 29

Medical Office Specialist/ Medical Office Assistant 9 7 3 2 4 25

Physical Therapist Aide 5 4 2 7 6 24

Speech Therapy Aide 6 5 5 4 4 24

Occupational Therapy Aide 7 2 6 2 5 22 Patient Representative/Navigator 9 5 4 2 1 21

Medical/Clinical Laboratory Technologist 8 3 2 3 5 21 Community Health Worker 10 7 0 0 3 20

Dietary/Kitchen 1 7 1 2 9 20

Home Health Aide 9 5 2 0 3 19

Radiologic Technologist/Technician 1 7 3 2 5 18

Dental Hygienist 2 3 6 3 2 16

Respiratory Therapist 3 5 2 1 5 16

Housekeeping 3 5 1 0 5 14

Pharmacy Technician 3 1 2 2 4 12

Dental Assistant 4 2 3 1 1 11

Medical Office Supervisor 3 2 1 4 1 11

Health Coach 5 2 2 0 1 10

Medical Scribe 3 0 1 1 0 5

Laundry 1 1 0 0 2 4

Healthcare Workforce Needs Assessment

Healthcare Employers

Q19: Why do you believe these occupations have been difficult to fill? (choose 3) Northwest Southwest North Central South Central Eastern Total

Inability to pay sufficiently high wages 31 23 17 15 14 100

Insufficient number of graduates exiting training programs 33 27 13 11 11 95 Applicants lack necessary technical skills 21 17 6 7 11 62

Undesirable location of job 10 4 9 5 19 47 Aging workforce/retiring employees 13 8 8 5 11 45

Applicant unwillingness to work available shift 10 8 5 5 7 35 Applicants lack necessary customer service/interpersonal skills 13 11 2 3 5 34

Healthcare Workforce Needs Assessment

Q8: What challenges do you face in training workers for the healthcare field? Northwest Southwest North Central South Central Eastern Total

Lack of financial resources to attend college/training 7 5 10 8 2 32

Remediation needs when starting degree/ certificate program 10 3 6 5 2 26

Lack of local clinical training sites 7 7 5 4 1 24

Students are place-bound 6 2 8 5 2 23

Competition for local clinical training sites by multiple programs 5 8 4 4 0 21

Students have child care/dependent care issues 3 2 8 2 2 17

Students cannot take off work to pursue training 2 3 8 2 2 17

Programs do not match current local employer needs 5 1 2 1 0 9

Time to completion is too long 1 0 0 0 1 2

Q9: If funding was not an issue, what would you implement to improve your institution’s delivery of healthcare job training?

Northwest Southwest North Central South Central Eastern Total

Additional clinical sites/ opportunities 9 8 10 6 1 34

Clinical simulation labs 8 7 7 4

26

Financial incentives to clinical preceptors 4 5 8 4 2 23

Distance learning 6 2 6 3 3 20

Transition to practice/mentoring programs 3 4 5 4 3 19

Better coordination between existing training programs to avoid duplication 4 3 3 5 0 15

Improve remediation opportunities 6 0 3 3 1 13

Apprenticeship models 3 2 4 1 1 11

On the job training 3 1 3 2 2 11

Pathways- LPN to RN 3 1 4 1 0 9

Stackable credentials 3 1 3 2 0 9

Pathways- Two year RN to BSN 3 2 0 0 2 7

Credit for military training experience 1 2 1 1 0 5

Colleges

Healthcare Workforce Needs Assessment

Workforce AgenciesQ13: What are the reasons job seekers give for not being interested in training? (Choose 3)

Northwest Southwest North Central South Central Eastern Total

Can't afford tuition 20 13 1 3 3 40

Need income right away 17 14 1 3 3 38

School is too far away 7 6 0 0 1 14

No Transportation 10 2 1 1 0 14

Access to childcare 5 4 1 0 3 13

Clinical training sites too far from home 6 4 0 0 1 11

Too many family pressures 7 3 0 1 0 11

Too old 3 7 0 0 0 10

Don't think basic skills are good enough to succeed, or it is too hard 6 2 0 1 1 10

Never liked school 3 3 1 0 0 7

Q15: What challenges do you see job seekers/displaced workers facing when seeking jobs in healthcare fields? (Choose 3) Northwest Southwest North Central South Central Eastern Total

Lack of prerequisites/skills required to enter healthcare training program 18 12 1 2 1 34

Lack of training opportunities 16 10 0 0 0 26

Lack of understanding about available training and other support programs 9 9 0 2 2 22

Scheduling challenges of healthcare jobs 8 3 1 2 3 17

Lack of soft skills 9 2 0 2 3 16

Access to childcare 8 1 1 1 3 14

Lack of job openings 2 1 0 0 0 3

Conclusion

• Healthcare is Montana’s fastest growing industry, in terms of jobs

• Education programming should be driven by labor market needs and job seeker availability and skills needs

• Increased industry engagement is necessary to measure emerging occupations and trends