Career OpportunitiesHealth Care Pathways 2010

Alysia Ordway

Boston Private Industry Council

November 18, 2010

Career Opportunities Data Projections Demographics Changing National Healthcare Reform

Primary Care Home healthcare / community-based Information technology Laboratory

Occupational ProjectionsMA 2006-2016Actual Number of Openings

Occupation 2006 Jobs New Jobs

Replacement

Net Openings

Registered Nurses

78,370 16,110 12,940 29,050

Licensed Practical Nurses

17,450 2,040 4,760 6,810

Pharmacy Technicians

5,740 1,660 1,750 3,410

Medical & Health Services Managers

8,210 1,110 1,530 2,640

Physicians & Surgeons

9,030 890 1,630 2,520

Baby Boomers January 1, 2011 which "officially" starts the

Era of the Golden Boomers

By 2030 Nearly one in five U.S. residents will be aged 65

and older The number of Medicare eligible seniors will

double

Healthcare Reform March 23, 2010 the Patient Protection and

Affordable Care Act $940 billion over ten years Expand coverage to 32 million Americans who are currently

uninsured. Individual mandate Expansion of public programs Cost containment Prevention/Wellness

ACA & National Strategy through Workforce Advisory Committee

November 2, 2010 Elections

ACA & National Strategy through Workforce Advisory Committee

Scholarships & loans Primary care training & capacity building Establish a public health workforce loan program Promote training of a diverse workforce Promote cultural competency Nursing & creating a career ladder to nursing Support development of training programs that

focus on primary care models

Why these occupations?

Data & Demographics

•Large numbers leaving the workforce•More care needs with older pop

•Primary care•Laboratory technicians & technologists•Home health services

Healthcare Reform

•Bringing more individuals into system•Need for cost containment focus on wellness & prevention, technology

•Primary care•Home Health Aides•Community-based services•Health Information Technology

Where will the opportunities be?

Primary Care

Home healthcare

Laboratory Technician and Technologists

Information Technology

Headlines Shortage of Primary Care Doctors CBS News March 25, 2010 4:06 PM The new healthcare bill will extend insurance

to 32 million Americans who do not already have it. Estimates are that the U.S. needs about 13,000 more primary care doctors to care for them.

The Doctor Won’t See You Now Newsweek February 26, 2010 A critical shortage of primary-care physicians

is yet another symptom of our ailing healthcare system.

The long path …. Undergraduate degree in pre-medical program Medical College Admission Test (MCAT),

essays, letters of reference 4 years of medical school Earn Doctor of Medicine degree Take licensing exam Post- graduate residency program (2 to 6

years)

Where will the opportunities be?

Primary Care

Home healthcare

Laboratory

Information Technology

Home Health Aides

2006 -2016 MA Projections:

2006 labor force: 17,330 2016 projected labor force:

23,150 33.6% change

New jobs: 5,830 Replacement jobs: 1,550 Total 7,380

2007 MA Average Wage & Salary: $12.16 $25,290

Education Requirements High School diploma On the Job Training from RNs, LPNs,

experienced HHAs If with employers who receive Medicare

reimbursement, must pass competency test National Association for Home Care and

Hospice (NAHC). Licensing as a Certified Nursing Assistant

(CNA)

Move on to Medical Assistants, LPNs, RNs

Where will the opportunities be?

Primary Care

Home healthcare / community-based

Laboratory

Information Technology

Medical & Clinical Technicians & Technologists

2006 – 2016 Projections2006 2016 %

changeNew Replac

ementTotal

Technicians

7,220 8,180 13.3% 960 1090 1,560

Technologists

7,090 7,570 6.9% 490 1070 1550

Salary ComparisonsPercentile 10% Median 90%

Technicians

Hourly $11.46 $17.32 $26.55

Annual $23,850 $36,030 $52,210

Technologists

Hourly $18.05 $26.51 $36.52

Annual $37,540 $55,140 $75,960

Laboratory

Medical & Clinical Laboratory Technicians: Assoc. Degree plus 12 semester hours biology and chemistry

Prepare specimens and operate automated analyzers Perform manual tests Work under the supervision of medical and clinical laboratory

technologists or laboratory managers.

Medical & Clinical Laboratory Technologists Bachelor’s degree plus 30 semester hours of biology and

chemistry Prepare specimens for examination, count cells, and look for

abnormal cells in blood and body fluids. Use microscopes, cell counters, and other sophisticated laboratory

equipment. Use automated equipment and computerized instruments capable of performing a number of tests simultaneously.

Analyze the results and relay them to physicians

Insert BWH slide here

Where will the opportunities be?

Primary Care

Home healthcare / community-based

Laboratory

Information Technology

Information Technology

Health Information Technology

Health Informatics

Health Information Management

Health Information Technology BLS: Through 2018, 20% increase in demand health information systems

internet wireless connections hardware handheld devices as well as applications for information management,

decision-support tools, communication, and transactional programs

EMRs computer software EHR security

Health Information Technology, continued Associate degree & Registered Health Information

Technicians (RHIT) credential. College Courses:

medical terminology, anatomy and physiology, health data requirements and standards, clinical classification and coding systems, data analysis, healthcare reimbursement methods, database security and management, and quality improvement methods.

High School Students: biology, math, chemistry, health, and computer science courses

Health Informaticsthe application of the computing and information technology disciplines to solving problems in the field of health care. “Because I have the vocabulary of both sides, I can serve as translator between them.”

http://www.nytimes.com/2009/04/12/jobs/12starts.html?_r=2

Health Informatics “My rough estimate is that we need about

70,000 health informaticians,” said Don E. Detmer, president and chief executive of the American Medical Informatics Association, a nonprofit industry group.

As of 2009, no educational, licensing or credential requirements for health informaticians.

Training programs are proliferating - master’s programs or certificates in health informatics

“medical” or “biomedical” informatics: data that doctors need for treating patients. “Bioinformatics” : biological or genetic data

“health informatics”: clinical data and health records

Health Information Management Interdisciplinary: medicine, management,

finance, IT, and law

Design and manage health information systems to ensure they meet medical, legal and ethical standards.

Database management, designing, generating and analyzing reports for administrators and physicians.

Roles for Health Information Managers Practice workflow and information management

redesign specialists

Clinician/practitioner consultants

Implementation support specialists

Implementation managers

Technical/software support staff

Trainers

IT Salary ComparisonsPercentile 10% Median 90%

Health Information Technology

Hourly $10.03 $15.04 $24.76

Annual $20,850 $31,290 $51,510

Health Informatics

Average salary in US is $88,750 (BA +)

the top 10% make an average of $137,800 annually

Health Information Management

More than half of new HIM graduates with a bachelor's degree start with salaries in the $30,000 to $50,000 range. By five years out, one can earn upwards of $50,000 - $75,000 annually.

2010 Career Opportunities

Range of Opportunities

Career Pathways

New Opportunities