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

✓ 11

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

Your own footer Your Logo

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

Your own footer Your Logo

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!