Healthcare Workforce Clearinghouse

California Health ProfessionsConsortium/California Health

Workforce AllianceSeptember 6, 2012

Agenda 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

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Need for Central Repository of Health Workforce Data

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

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Statutory Mandate (SB 139)

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

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Statutory Mandate (SB 139)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

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Statutory Mandate (SB 139)

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

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Stakeholder Engagement

A 2008 grant from The California Endowment funded the following activities:o Feasibility Study Report (2008)o 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 provided 19 data providers and/or other stakeholders opportunity to give OSHPD feedback regarding initial release of the data (June 2012)

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Other States Workforce Analysis

16 states contacted; focus on Michigan, Texas, S. Dakota, Tennessee, N. Carolina, Wyoming, and Minnesotao Research included surveys, e-mail, phone calls, reviewing websites, and

contacting Primary Care Offices States encountered challenges with collection and analysis of

data:o Getting support for detailed workforce data collectiono No mandatory reportingo Low survey participation/response rate o 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 manuallyo Database not fully functional for specific purposes

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As a result, following recommendations for Clearinghouse: o Identify master list of data elements o Set expectations for what types of information would be most usefulo Establish contractual agreements with data providerso Utilize e-mail surveyso Evaluate need for mandatory reporting

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Other States Workforce Analysis

Highlights 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)

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June 2012 Release

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

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June 2012 Release

Data Provider: Employment Development Department

Interactive Reports: Employment Projections Wage Estimates Staffing Patterns

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June 2012 ReleaseData Providers: California Post Secondary Education Commission, California Community Colleges, California State University and University of CaliforniaInteractive 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

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June 2012 Release

Data Gaps

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

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Data Gaps Licensing Authorities

No mandate requiring all 22 licensing authorities to conduct surveyso 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 providerso Surveys vs. licensing formso Not all licensing authorities collect the same

information Limited diversity data for race/ethnicity and

languages spokeno Only collected through surveys, most licensing

authorities do not collect surveys 17

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Data GapsEmployment 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

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Data GapsState-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

Opportunities

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

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Clearinghouse Next Steps

Continue efforts to release more datao Upcoming Interactive Reports include data from the Dental Board,

Dental Hygiene Committee and Osteopathic Medicine Boardo Upcoming Fact Sheets include:

Physician Assistants Vocational Nurses Psychiatric Technicians Respiratory Therapists Osteopathic Physicians

Continue efforts to partner with more data providerso 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 design21

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Advisory Team

Purpose: Provide guidance and advise to Clearinghouse development and implementation

Next Meeting: November 2012

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Advisory Team

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

Members

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Advisory Team

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

Members (continued)

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ContactOffice of Statewide Health Planning and Development

400 R Street, Suite 330Sacramento, 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/