November 2007 Central Minnesota Health Professional Workforce and Community Health Analysis Central...

November 2007Central Minnesota Health Professional

Workforce and Community Health Analysis

Central Minnesota Health Professional Workforce and Community Health Analysis

Central Minnesota Area Health Education Center

November 2007

Presented by:



Introduction

Commissioned by Central Minnesota AHEC Study of health professional workforce,

community health needs and K-12 health careers courses

Focus on Central Minnesota; 14 counties 11 health care and mental health occupations Conducted by the Rural Health Resource Center

- Minnesota Center for Rural Health



• To provide technical assistance,

information, tools and resources for

the improvement of rural health care.

• To serve as a national rural health

knowledge center and strive to build

state and local capacity.

Mission



PurposeTo gather: data about current and projected health

professional supply and demand community health needs health career opportunities in central MN

For: workforce planning development of community-based education recruitment and health promotion activities



Regional Definition

Big Stone (5,820) Clay (51,229) Crow Wing (55,099) Douglas (32,821) Grant (6,289) Morrison (31,712) Otter Tail (57,159) Pope (11,236) Stearns (133,166) Stevens (10,053) Todd (24,426) Traverse(4,134) Wadena (13,713) Wilkin (7,138)

Total region population = 443,995

Source: Minnesota State Demographic Center, Population Projections for Minnesota Counties, 2000 to 2030



Study Objectives

Current Supply of Health Care Professionals Potential Supply Projected Supply Current Demand Projected Demand Health Care Professional Compensation Community Health Analysis K-12 Health Careers Information and Courses



Methodology Primary data

School survey Secondary data

MN Office of Rural Health and Primary Care State of MN Health Professions Boards MN Department of Employment & Economic

Development MN Department of Health MN Department of Human Services Medical Group Management Association

Analysis of Community Health Boards public health plans



Current and Projected Supply and Demand for Health Care Professionals



Supply and Demand

Current employment status Current vacancies and shortages

Provider/Population ratios Health Professional Shortage Areas State workforce data

Projected future employment Population projections Age of health care workforce Health care professional graduates



Health Care Professionals

Certified Nurse Midwives Clinical Laboratory

Scientists (MLT) Dentists Dental Hygienists Nurse Practitioners Occupational Therapists

Pharmacists Physical Therapists Physicians Physician Assistants Veterinarians



Current Supply of Health Care Professionals in Central MN

County Primary Care Physicians

Specialty Care Physicians

*Other Specialties

Unlisted Specialty

Total # of Physicians

Big Stone 3 0 0 4 7 Clay 8 3 0 4 15 Crow Wing 24 31 3 69 127 Douglas 26 19 2 16 63 Grant 0 0 0 1 1 Morrison 12 6 1 10 29 Otter Tail 28 17 8 11 64 Pope 6 0 0 3 9 Stearns 128 84 49 162 423 Stevens 4 4 0 6 14 Todd 15 1 0 2 18 Traverse 1 1 0 2 4 Wadena 5 2 1 5 13 Wilkin 1 0 1 2 4 Total 261 168 65 297 791**

2006 Active, Licensed Physicians by County in Central MN

* = Other specialties not included in Central AHEC Study** 100% Response based on licensure database.Source: 2006 Physician Licensure Database, Office of Rural Health & Primary Care-Minnesota Department of Health.




County *Certified Nurse

Midwives Nurse

Practitioners Total

Big Stone 0 2 2 Clay 0 4 4 Crow Wing 0 8 8 Douglas 1 1 2 Grant 0 0 0 Morrison 0 1 1 Otter Tail 0 3 3 Pope 0 1 1 Stearns 1 23 24 Stevens 0 2 2 Todd 1 1 2 Traverse 0 2 2 Wadena 0 0 0 Wilkin 0 0 Total 3 48 51

2004- 2006 Active Advanced Nursing Professions by County in Central MN

*Source: Minnesota Registered Nurse Licensure Database, Minnesota Department of Health, Office of Rural Health and Primary Care. *All three CNMs practice in a clinic setting. *100% based on licensure response.




Active Health Professionals inMinnesota vs. Central MN AHEC Region

Sources: Office of Rural Health & Primary Care-MDH, University of Minnesota-College of Pharmacy, MN Board of Veterinary Medicine.

Health ProfessionsCentral MN

RegionMinnesota

Percent of Health Professionals Working

in Central MN

Certified Nurse Midwives 3 74 4%

Nurse Practitioners 48 703 7%

Occupational Therapists 130 2,602 5%

Physical Therapists 143 1,570 9%

Veterinarians 174 1,852 9%

Dentists 199 2,444 8%

Dental Hygienists 243 2,912 8%

Pharmacists 416 7,324 6%

Physician Assistants 87 955 9%

Primary Care Physicians 261 3,861 7%

Clinical Laboratory Scientists NA NA NA

Total 1704 24,297 7%




Certified Nurse Midwives $80,437 $79,409

Nurse Practitioners $57,819-$74,934 $66,715-$80,663

Physicians $162,922-$457,153 $142,952-$358,649

Physician Assistants

$73,784.00

$74,519.00

Pharmacists - Pharm D or BS

$100,720.00

$97,559.50

Dentists - DDS

$126,844.00

$125,569.50

Dental Hygienists

$63,278.00

$57,937.50

Veterinarians

$69,740.00

No information available

Occupational Therapists

$54,695.50

$60,347.50

Physical Therapists

$62,461.00

$63,097.50

Clinical Laboratory Scientists -MLT

$53,413.00

$53,097.00

Source: Physician Compensation & Production Survey – 2006 Report, Medical Group Management Association http://www.salary.com/. Occupational Outlook Handbook, 2006-07 Edition, Department of Labor, Bureau of Statistics, http://www.stats.bls.gov/oco/reprints/ocor008.pdf

Health Professions Compensation



Health Care Professionals Enrolled in Central MN Region 2006-2007 Clinical Laboratory Scientists 12 Dentists 0 Dental Hygienists 0 Nurses

Master’s NP 0 Master’s CNM 0

Occupational Therapists 0 Pharmacists 0 Physical Therapists 0 Physicians – Family Medicine 4 (per year) Physician Assistants 0 Veterinarians 0



Health Care Professional Programs Offered in Central MN

Educational programs offered in Central MN Family Practice Physician (Residency Program) Clinical Laboratory Scientists (MLT)



Projected Supply of Health Care Professionals in Central MN

Provider Type # Practicing # 55 yr. & over% 55 yr. &

over

Certified Nurse Midwives 3 1 33%

Dentists 199 69 35%

Dental Hygienists 243 18 7%

Nurse Practitioners 48 17 35%

Occupational Therapists 130 NA NA

Pharmacists 416 137 33%

Physical Therapists 143 13 9%

Physician Assistants 87 13 15%

Physicians 791 218 28%

Veterinarians 174 43 25%

Number of Health Care Providers Age 55 and Older in Central MN

Source: Office of Rural Health & Primary Care, MDH, University of Minnesota-College of Pharmacy, MN Board of Dentistry, and MN Board of Veterinary Medicine.



Provider Type # of Vacancies Vacancy Rate

Healthcare Practitioners and Technical (Physicians, Dentists, RNs)

164 1.4%

Healthcare Support (CNA, Home Health Aides)

371 4.8%

Current Vacancies and Vacancy Rates of Health Care Professionals

Health Care Vacancy Rates in Northwest Planning Region(Includes 12 of 14 Central MN AHEC counties)

Source: Minnesota Department of Employment & Economic Development, Labor Market Information Office,Minnesota Job Vacancy Survey, second quarter, 2007.



Central MN Health Professional

Shortage Areas 12 counties are full county or partially

designated Primary Care Health Professional Shortage Areas (HPSAs)

14 counties (all) are Mental Health Professional Shortage Areas (HPSAs)

6 counties are Dental Health Professional Shortage Areas (HPSAs)



Central MN Population Projections

Source: Minnesota State Demographic Center, Population Projections for Minnesota Counties, 2000 to 2030

Central MN Population Projections by County

County2000

PopulationProjected 2010

PopulationProjected 2020

Population% change

+ or -

Big Stone 5,820 5,570 5,450 -6.4%

Clay 51,229 52,590 52,810 3.1%

Crow Wing 55,099 67,060 79,390 44.1%

Douglas 32,821 36,940 41,700 27.1%

Grant 6,289 6,390 6,670 6.1%

Morrison 31,712 33,560 35,580 12.2%

Otter Tail 57,159 63,240 70,900 24.0%

Pope 11,236 11,540 12,120 7.9%

Stearns 133,166 148,480 163,170 22.5%

Stevens 10,053 10,110 10,120 0.7%

Todd 24,426 25,640 27,070 10.8%

Traverse 4,134 3,830 3,730 -9.8%

Wadena 13,713 14,520 15,210 10.9%

Wilkin 7,138 6,930 6,990 -2.1%

Total 443,995 486,400 530,910 19.6%



Projected Health Professional Demand

Practitioner TypeActual #

Licensed in Region

Practitioner to 100,000 Population

2000

Practitioner to100,000

PopulationRatio 2010

Practitioner to100,000

PopulationRatio 2020

Primary Care Physicians 261 58.9 53.5 49.2

Dental Hygienists 243 54.9 49.8 45.8

Dentists 199 44.9 40.8 37.5

Nurse Practitioners 48 10.8 9.8 9.1

Certified Nurse Midwives 3 .67 .61 .56

Pharmacists 416 93.9 85.2 78.5

Physical Therapists 143 32.3 29.3 27.0

Occupational Therapists 130 29.3 26.6 24.5

Veterinarians 174 39.3 35.7 32.8

Source: Minnesota Department of Administration, Population Projections for Minnesota Counties, 2000 to 2030 and MN Office of Rural Health & Primary Care-MN Department of Health; MN Board of Veterinary Medicine and 2006 Minnesota Pharmacist Licensure Database, University of Minnesota, College of Pharmacy.

Ratio of Health Care Professionals per 100,000 Individuals 2000-2020 in Central MN



Community Health Analysis



Regional Public Health Priorities by County, 2005-2009

Source: Minnesota Department of Health, Community and Family Health, Office of Public Health Practice, June 2007

County

Alco

ho

l, T

ob

acco &

Oth

er Dru

gs

Ch

ild &

Ad

olescen

t Gro

wth

&

Develo

pm

ent

Ch

ron

ic/ No

nin

fectiou

s Disease

Disab

ility – Decreased

Ind

epen

den

ce

Em

ergen

cy Prep

aredn

ess

En

viron

men

tal Co

nd

ition

s

Infectio

us D

isease

Men

tal Health

Preg

nan

cy & B

irth

Service D

elivery System

Un

inten

tion

al Inju

ry

Un

inten

ded

Preg

nan

cy

Vio

lence

Big Stone * * * * * * * * * * *

Clay, Wilkin * * * * * * * *

Crow Wing * * * * * * * * * * *

Douglas * * * * * * * *

Grant, Pope, Stevens, & Traverse CHB

* * * * * * * * * *

Morrison * * * * * * * * * *

Otter Tail * * * * * * * * * * *

Stearns * * * * * * * * * *

Todd * * * * * * * * * * * * *

Wadena * * * * * * * * * * *



Central MN Top Public Health Improvement Goals, 2005 Alcohol, tobacco and other drug use Child & adolescent growth & development Environmental conditions Infectious Disease Mental health Pregnancy and Birth



Central MN Behavioral Risk Factors of Adults

Estimated Percent of:

Overweight Current Smokers

Acute Drinking

Chronic Drinking

Perceiving Health Status as Fair or Poor

State of Minnesota

59.9 20.0 18.8 5.0 11.3

Big Stone 60.4 17.4 14.9 4.7 14.0 Clay 56.8 21.1 19.7 5.4 11.3 Crow Wing 59.8 19.1 17.4 4.8 12.4 Douglas 59.6 18.9 17.6 4.8 12.6 Grant 60.2 17.7 15.7 4.7 13.8 Morrison 59.8 19.4 18.2 4.9 12.0 Otter Tail 60.4 18.6 16.6 4.8 12.9 Pope 60.2 18.2 16.3 4.8 13.2 Stearns 57.7 20.9 20.4 5.3 11.0 Stevens 56.1 20.4 19.3 5.6 12.3 Todd 60.2 19.1 17.6 4.9 12.3 Traverse 59.9 17.0 14.6 4.6 14.8 Wadena 59.8 18.2 16.4 4.8 13.3 Wilkin 60.4 19.1 17.2 4.9 12.3

Source: Minnesota Department of Health, 2006 Minnesota County Health Tableshttp://www.health.state.mn.us/divs/chs/countytables/profiles2006/D_Morbidity_Util_05.pdf



Central MN Top Leading Causes of Death by Age Group

(Includes all 14 Central MN AHEC Counties) Source: Minnesota Department of Health, Center for Health Statistics, 2005

Cause 0-4 5-14 15-24 25-44 45-64 65-74 75+ All Ages

AIDS/HIV 0 0 0 0 2 1 0 3 Alzheimer’s Disease

0 0 0 0 3 6 135 144

Atherosclerosis 0 0 0 0 0 0 19 19 Cancer 0 1 1 22 197 200 479 900 Cirrhosis 0 0 0 4 14 5 6 29 Congenital Anomalies

8 0 0 3 3 2 1 17

Chronic Lower Respiratory Disease

0 0 0 1 19 48 162 230

Diabetes 0 0 1 0 16 13 91 121 Heart Disease 1 0 1 15 106 112 706 941 Homicide 0 0 1 1 3 0 3 8 Hypertension 0 0 0 0 4 9 34 47 Nephritis 0 0 0 0 3 8 50 61 Perinatal Conditions

21 0 0 0 0 0 0 21

Pneumonia and Influenza

0 0 1 1 6 7 84 99

Septicemia 0 0 0 0 2 6 9 17 SIDS 4 0 0 0 0 0 0 4 Stroke 0 0 0 1 15 20 233 269 Suicide 0 0 11 17 12 0 3 43 Unintentional Injury

2 3 25 32 40 13 69 184

Other 7 4 3 28 66 71 499 678 Total 43 8 44 125 511 520 2,583 3,835



Central MN Health Care Facilities

County Housing With Services

Mental Health Clinics

Home Care & Home Health Agencies

Hospital (beds)

Nursing Homes (beds)

Pharmacies Psychiatric Hospitals (beds)

Rural Health Clinics

Big Stone 4 0 6 2 (40) 2 (114) 5 0 1 Clay 16 0 12 0 4 (384) 19 0 3 Crow Wing 27 0 21 2 (204) 3 (319) 21 0 1 Douglas 16 0 15 1 (127) 4 (376) 10 0 0 Grant 4 0 2 1 (20) 3 (125) 5 0 1 Morrison 10 1 8 1 (49) 3 (262) 7 0 2 Otter Tail 37 1 27 2 (137) 11 (793) 17 1 (29) 3 Pope 8 0 14 2 (53) 3 (192) 4 0 1 Stearns* 34 1 27 6 (817) 8 (677) 46 0 3 Stevens 3 0 3 1 (54) 1 (104) 4 0 1 Todd 4 0 3 2 (61) 2 (173) 8 0 5 Traverse 1 0 1 1 (25) 2 (91) 2 0 3 Wadena 7 0 7 1 (49) 3 (250) 7 0 2 Wilkin 1 0 4 1 (25) 1 (120) 3 0 0

Source: Pharmacies: Minnesota Board of Pharmacy, Minnesota Department of Health, Health Care Facility and Provider Database http://www.health.state.mn.us/divs/fpc/directory/providerselect.cfm

*Includes St. Cloud VA Hospital



K-12 Health Professional Career Activities



Target Population for Health Careers Information and Courses in Central MN

Target Population for Health Careers Information and Courses in Central MN

19%

35%

54%

0%

0%

0%

0% 10% 20% 30% 40% 50% 60%

All Students

Elementary

High School

Home-School

Out-of-School

Post-Secondary

Percent

Note: 246 Surveys mailed to Central MN Schools with 31 responses for a response rate of 13%.



Health Career Information Provided in

Central MNHealth Care Professional Courses Offered by Schools in Central MN

Type of CourseNumber of Responses

Percent

Medical Terminology 5 16%

Health Care Careers 5 16%

Certified Nursing Assistant 1 3%

Emergency Medical Technician 0 0%

Nursing (RN, LPN) 0 0%

First Aid 6 19%

CPR 5 16%

Other 0 0%



Summary

Gaps exist between health care professional supply and demand: Most prevalent outside of Otter Tail, Crow Wing and

Stearns Counties Especially in non-primary care professions – dentists,

and mental health professionals Demand for health care services will increase as

a result of the aging population Population projected to grow by 19% in 2020



Summary continued

Limited number of advanced health care educational programs in region (MLT, family medicine)

Lack of dentistry, advanced nursing, therapy, pharmacy and non-primary care medicine regionally

One-third of CNMs, NPs, pharmacists and dentists are age 55 and over



Summary continued

Community health priorities identified: Alcohol, Tobacco & Drug Use Child & Adolescent Growth & Development Chronic Disease Mental Health

Heart disease was the leading cause of death in Central Minnesota



Summary continued Most organizations target high school students when

providing health care career information and courses Nice mix of health career courses Possible areas of health career expansion for Central

MN AHEC include: Professional and student leadership associations Health career resource centers Mentoring Training and tuition assistance Scholarship programs Expand rural clinical rotations for medicine, pharmacy,

dentistry, veterinary medicine, and therapy

Date post:	11-Jan-2016
Category:	Documents
Upload:	marcus-alexander
View:	213 times
Download:	0 times

November 2007 Central Minnesota Health Professional Workforce and Community Health Analysis Central...

Documents