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Presentation of the Health Care Committee meeting April 11, 2012.
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A Tulare County Office of Ed and Tulare WIB Collaboration SeriesHealthy Pathways
Kristy Fairfax, Consultant
April 11, 2012 8:00am – 10:00amAgenda
Wecome and IntroductionWecome and Introduction
Healthy Pathways StrategyHealthy Pathways StrategyHealth Care Workforce OutlookHealth Care Workforce Outlook
Public CommentsPublic Comments
TCOE Health Pathways OverviewTCOE Health Pathways Overview
Employer PresentationEmployer Presentation
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22
33
44
55
66
77
Health Care Career Day UpdateHealth Care Career Day Update
✓
Update from ReginaHealth Care Career Conference
• Date: Saturday May 5th, 2012 9:00 am – 2:00 pm• Students from around Tulare County and Kings County interested
in Health Care Careers will attend.• Venue Change• College FairSome of the schools and programs that have been invited to provide
informational booths:-San Joaquin Valley College (Visalia campus)-Fresno State Health Careers Opportunity Program -UCSF Fresno-UEI College
Student Registration Process
1.Students will complete an initial assessment to gauge their interest at Health Jobs Start Here prior to registration :http://www.healthjobsstarthere.com
2.After obtaining their results, students will identify two healthcare professions they are interested in (i.e. MD, PA, RN). Students will rank their first and second choice.
3.Teachers will enter student information into the Google Doc registration tool.
4.The following information should be entered for each student:
1. First and last name2. Grade3. First and second career choice4. Gender5. Race6. Age7. Any specific dietary needs for lunch (if applicable)
Update from ReginaHealth Care Career Conference
• Introduce the Health Care academy, pathway and/or ROP programs in Tulare-Kings County Schools
• Establish and solidify relationships between health care employers and school programs
• Inform schools on employer needs and reality of working in the Industry
• Identify health career learning opportunities • Identify county-wide long term goals for career pathway
development• Develop 3 -5 year strategy for industry-school partnership based on
identified outcomes
Health PathwaysA TCOE Project to unify health career pathways in Tulare County
Meeting SeriesHealthy Pathways
Your own footer Your Logo
During the third meeting we will do a re-cap of the Career Day and get feedback on the event. Additionally we will begin to shape county wide strategy for enhancing career pathway programs in the county.
3. Strategy Discussion
We will go over Health Care Labor Market information and employers will present information about their organizations and workforce needs. We will also discuss the affect the ACA will have on the labor market.
2. LMI & Employers in TC
How will this work? We will recap the strategy and decide how to make it most effective and useful in Tulare County.
4. Implementation
Introduction to Career Pathway Programs around Tulare County. Meeting Minutes can be found at www.tularewib.org•Presentation career pathways•Overview of HS Career Pathways in TC
1. Career Pathways in TC
Employer Presentations:
Family Health Care Network
Kaweah Delta Health Care District
Sierra View District Hospital
Health Care Workforce OutlookLabor Market Information
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Estimated Top Health Care Occupations
SOC Code Description 2011 Jobs 2020 Jobs % Change Openings Annual Openings
29-1024 Prosthodontists <10 <10 -- --29-1071 Physician assistants 937 1,333 42% 549 61
29-2041 Emergency medical technicians and paramedics 1,739 2,380 37% 974 108
29-2055 Surgical technologists 800 1,094 37% 476 5329-2052 Pharmacy technicians 3,123 4,252 36% 1,838 20431-1011 Home health aides 7,098 9,587 35% 3,125 34729-1124 Radiation therapists 154 206 34% 77 9
29-2099 Healthcare technologists and technicians, all other 1,027 1,367 33% 529 59
31-2022 Physical therapist aides 542 715 32% 244 2729-9091 Athletic trainers 82 108 32% 51 631-9092 Medical assistants 8,497 11,139 31% 3,494 388
31-9096 Veterinary assistants and laboratory animal caretakers 625 817 31% 254 28
29-1111 Registered nurses 19,976 25,718 29% 8,883 987
29-2031 Cardiovascular technologists and technicians 315 405 29% 131 15
29-1126 Respiratory therapists 1,213 1,555 28% 540 6029-1131 Veterinarians 651 834 28% 286 3231-2021 Physical therapist assistants 364 466 28% 149 1729-2021 Dental hygienists 1,355 1,705 26% 601 67
29-2071 Medical records and health information technicians 1,266 1,599 26% 566 63
29-1123 Physical therapists 1,391 1,753 26% 513 5729-2051 Dietetic technicians 504 634 26% 244 2731-9091 Dental assistants 4,017 5,020 25% 1,688 18829-1051 Pharmacists 2,390 2,998 25% 1,086 121
29-2012 Medical and clinical laboratory technicians 1,008 1,261 25% 425 47
2011-2020 Ranked by Percent Increase
Description 2011 Jobs 2020 Jobs % Change Total Openings
Annual Openings
1 Physician assistants 937 1,333 +42% 549 61
2 Emergency medical technicians and paramedics 1,739 2,380 +37% 974 108
3 Surgical technologists 800 1,094 +37% 476 534 Pharmacy technicians 3,123 4,252 +36% 1,838 2045 Home health aides 7,098 9,587 +35% 3,125 3476 Radiation therapists 154 206 +34% 77 9
7 Healthcare technologists and technicians, all other 1,027 1,367 +33% 529 59
8 Physical therapist aides 542 715 +32% 244 279 Athletic trainers 82 108 +32% 51 6
10 Medical assistants 8,497 11,139 +31% 3,494 38811 Registered nurses 19,976 25,718 +29% 8,883 987
12 Cardiovascular technologists and technicians 315 405 +29% 131 15
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Estimated Top Health Care Occupations Cont’d
SOC Code Description 2011 Jobs 2020 Jobs % Change Openings Annual Openings
29-1024 Prosthodontists <10 <10 -- --29-1071 Physician assistants 937 1,333 42% 549 61
29-2041 Emergency medical technicians and paramedics 1,739 2,380 37% 974 108
29-2055 Surgical technologists 800 1,094 37% 476 5329-2052 Pharmacy technicians 3,123 4,252 36% 1,838 20431-1011 Home health aides 7,098 9,587 35% 3,125 34729-1124 Radiation therapists 154 206 34% 77 9
29-2099 Healthcare technologists and technicians, all other 1,027 1,367 33% 529 59
31-2022 Physical therapist aides 542 715 32% 244 2729-9091 Athletic trainers 82 108 32% 51 631-9092 Medical assistants 8,497 11,139 31% 3,494 388
31-9096 Veterinary assistants and laboratory animal caretakers 625 817 31% 254 28
29-1111 Registered nurses 19,976 25,718 29% 8,883 987
29-2031 Cardiovascular technologists and technicians 315 405 29% 131 15
29-1126 Respiratory therapists 1,213 1,555 28% 540 6029-1131 Veterinarians 651 834 28% 286 3231-2021 Physical therapist assistants 364 466 28% 149 1729-2021 Dental hygienists 1,355 1,705 26% 601 67
29-2071 Medical records and health information technicians 1,266 1,599 26% 566 63
29-1123 Physical therapists 1,391 1,753 26% 513 5729-2051 Dietetic technicians 504 634 26% 244 2731-9091 Dental assistants 4,017 5,020 25% 1,688 18829-1051 Pharmacists 2,390 2,998 25% 1,086 121
29-2012 Medical and clinical laboratory technicians 1,008 1,261 25% 425 47
2011-2020 Ranked by Percent Increase
Description 2011 Jobs 2020 Jobs % Change Total Openings
Annual Openings
13 Respiratory Therapists 1,213 1,555 +28% 540 6014 Veterinarians 651 834 +28% 286 3215 Physical Therapist Assistants 364 466 +28% 149 1716 Dental Hygienists 1,355 1,705 +26% 601 67
17 Medical Records and Health Information Technicians 1,266 1,599 +26% 566 63
18 Physical Therapists 1,391 1,753 +26% 513 5719 Dietetic Technicians 504 634 +26% 244 2720 Dental Assistants 4,017 5,020 +25% 1,688 18821 Pharmacists 2,390 2,998 +25% 1,086 12122 Medical and clinical laboratory technicians 1,008 1,261 +25% 425 4723 Occupational therapist assistants 140 175 +25% 54 624 Occupational therapist aides 79 99 +25% 30 325 Healthcare support workers, all other 2,211 2,732 +24% 743 83
Estimated Top Health Care Ocupations2011-2020 Ranked by Annual Openings
Regional CompletionsHealth Care Training Programs
Ratio of Supply v. Demand
Medical Assistants: Over 4,000 completions annually with only 500 annual job openings.Medical Assistants: Over 4,000 completions annually with only 500 annual job openings.11
Audiologists: 48 completions annually, 4 openings. The disconnect is probably from there being 2 audiology programs in the Central Valley accounting for 15% of graduates and only 7% of employed audiologists in the state.
Audiologists: 48 completions annually, 4 openings. The disconnect is probably from there being 2 audiology programs in the Central Valley accounting for 15% of graduates and only 7% of employed audiologists in the state.
22
Clinical Laboratory Scientists: There are several academic programs that can lead to this occupation in the region but there is still a shortage of this occupation. This may be a marketing problem or a shortage of degrees completed.
Clinical Laboratory Scientists: There are several academic programs that can lead to this occupation in the region but there is still a shortage of this occupation. This may be a marketing problem or a shortage of degrees completed.
33
Psych Techs: There are 239 regional completions and only 39 annual openings according to the LMI. Is this accurate? The annual openings predictions are likely not taking into account new facilities that are being built in the north valley.
Psych Techs: There are 239 regional completions and only 39 annual openings according to the LMI. Is this accurate? The annual openings predictions are likely not taking into account new facilities that are being built in the north valley.
44
EMT: The database shows 1 annual completion but there are several training programs for EMTs.EMT: The database shows 1 annual completion but there are several training programs for EMTs.55
Outliers from Completion Data
The Patient Protection & Affordable Care Act(PPACA)
What does it mean for the workforce?
"Administrative positions" includes management, business, and financial operations and office and administrative support (including med record & Health IT)). "Health care professionals" includes physicians & nurses. "Patient care support" includes therapists, technicians, & aides. "All other non-administrative positions" includes all other occupations outside the administrative categories, primarily food service, security, and janitorial personnel.
Data from a Rand Corporation research brief based on Staiger DO, Auerbach DI, and Buerhaus PI, "Health Care Reform and the Health Care Workforce — The Massachusetts Experience," New England Journal of Medicine, Vol. 365, No. 12, pp. e24(1)–e24(3), September 22, 2011 (EP-201100-185).
What is it showing? What is unknown or missing?Conclusions from the LMI and PPACA
11There are a lot more assistants being trained than are getting hired. The One Stop staff have noticed this on the ground with clients who have trouble finding jobs.
Too Many Medical Assistants being trained
33 Again, the data model is based on past trends, not on future unknowns. A clear example is the predicted increase for physicians. Workforce analysis for the act predict that areas of high uninsured populations will see a more significant increase in demand for health services.
The Impact of the Affordable Care Act
The data offers an incomplete picture but it
does offer a good starting point. From
here a local conversation can begin
about the real time regional and local
demand.
The data model is based on past trends of actual employment. As a result, chronic shortages such as Occupational Therapist or Physicians may not stand out if the demand has never fully been met.
Chronic shortages may not stand out
2
Healthy Pathways
• There is a lack of professional level health care workers in the region that require MA or Doctorate level studies
– Shortage of MDs, PA, Pharmacists, OT/PTs, NP, specialty nurses, Medical Lab Scientist
• Supply for “first rung” careers exceeds demand.– Need to elevate the skill level of the workforce as a whole.
• Lack of communication framework between secondary schools, post-secondary schools and employers
– No real time/real world labor market information– Little connection between HS students and employers (an everyone in-between)
• Limited resources in region to support career pathway programs and work based learning.
The Problem StatementWhy are we here? How can we make an impact?
This is what this project can most easily impact
Soution: Feedback Loop
New Hires
HC Providers
Patient Needs
Post-Secondary
Schools
High Schools
Students
Problem: No real time, real world labor market information
• Annual Career Conference and Doc Band
• Work Based Learning
• Quarterly Stakeholder meetings
• Information sharing– Tulare WIB website– Other
Problem: Little Connection
Solution: Connect key stakeholders!
• Have ready and waiting partnerships and information sharing structure to better be able to take advantage of funding and other resource opportunities as they come along.– For Example the WIB’s Promotores Grant
Problem: Limited Resources
Solution: Building a Foundation
Meeting SeriesHealthy Pathways
Your own footer Your Logo
During the third meeting we will do a re-cap of the Career Day and get feedback on the event. Additionally we will begin to shape county wide strategy for enhancing career pathway programs in the county.
3. Strategy Discussion
We will go over Health Care Labor Market information and employers will present information about their organizations and workforce needs. We will also discuss the affect the ACA will have on the labor market.
2. LMI & Employers in TC
How will this work? We will recap the strategy and decide how to make it most effective and useful in Tulare County.
4. Implementation
Introduction to Career Pathway Programs around Tulare County. Meeting Minutes can be found at www.tularewib.org•Presentation career pathways•Overview of HS Career Pathways in TC
1. Career Pathways in TC
Next MeetingWednesday May 9 at 8:00 a.m.- 10:00 a.m.
THANK YOU!