1. CALED Annual Conference Presentation Allied Health Workforce A Long Term Perspective April 28, 2011 Cathy Martin Director, Workforce California Hospital Association

2. Health Care and Job Opportunities From the Bureau of Labor and Statistics-Presentation to CHA, February 4, 2011: As one of the largest industries, healthcare provides 14.3 million jobs for wage and salary workers. Ten of the 20 fastest growing occupations are healthcare related. Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018, more than any other industry. Most workers have jobs that require less than 4 years of college education.

3. Hospitals are the Largest Employer of Health Care Workers US Department of Labor, Bureau of Labor and Stats, Feb. 4, 2011

4. Allied Health Care Allied health professions are clinical health care professions distinct from medicine, dentistry, and nursing. California already employs more than 605,153 allied health workers. * Between new job creation and the need to replace workers who retire or otherwise leave the field, the state will need to train nearly 1 million more allied health workers by 2030.* * Fenton Communications Report, Help Wanted, 2010

5. 2010 Allied Health Workforce Survey Original survey conducted in 2007. Since that time, the workforce landscape has changed dramatically. 2010 survey designed to gather up-to-date data regarding 14 allied health occupations and the impact of the economy on the demand for these workers. Capture estimates regarding the number of employees eligible for retirement in the next one, three and five years. Assess hospital member’s top concerns regarding workforce in the coming years.

6. Survey Respondent Information Survey distributed to 200 hospitals 125 member facilities responded 62.5% response rate Response rate was strongest from Northern California and Bay Area region and weakest from the San Diego and Imperial Counties Survey respondents generally representative of CHA membership, including rural representation. 19.2% of responses were from rural facilities.

7. Selected Allied Health Occupations* * Determined by the CHA Workforce Committee 1.Clinical laboratory scientist 2.Medical laboratory technician 3.Radiologic technologist 4.CT technologist 5.PET technologist 6.Cardiovascular & interventional radiology tech (CVIR) 7.MRI technologist 8.Ultrasound technologist 9.Nuclear medicine technologist 10.Pharmacist 11.Pharmacy technician 12.Physical therapist 13.Physical therapy assistant 14.Respiratory therapist

8. Total FTEs Reported

9. Vacancy Rates by Occupation

10. Impact Rating of Vacancies 1 having no impact and 5 having the greatest adverse impact

11. Occupation Average Age Urban/ Suburban Hospital Rural Hospital Clinical Lab Scientist48.050.5 MRI Technologist45.649.5 CT Technologist43.647.6 Nuclear Medicine Technologist 43.646.0 Medical Lab Technician42.443.7 CVIR Technologist42.044.3 Respiratory Therapist40.943.5 PT Assistant40.942.1 Radiological Technologist40.540.1 Pharmacist40.245.9 Ultrasound Technologist39.543.0 Physical Therapist37.240.5 Pharmacy Technician36.942.1 Average Age by Allied Health Occupation for Responding Hospitals

12. Top Six Profession for Pending Retirement* *Age 62

13. Key Factors Impacting the Long Term Demand for Allied Health Professionals By the year 2020, California’s population is expected to increase by 10 million people, with more than 6 million residents projected to be 65 years of age or older. An older population means an increased demand for services. Full implementation of the Affordable Care Act will increase demand for services due to increased coverage. An aging workforce that will eventually retire in large numbers as the economy improves.

14. Top Workforce Concerns in the Next Five Years

15. Other Health Workforce Needs Increased need for primary care professionals, embracing expanded definition of primary care. Promotoras(es)/Community Health Workers Health Information Technology. Technical skills for clinical professionals, clinical workflow understanding for technical workers. Chronic Care Management (Case Management) Social and Health Case Management for Behavioral Health Patients Direct Care Workers (Home Health Aids, Nursing Aids)

16. What Should Economic Development Understand About the Health Sector? Although the media points to the health sector as a “bright spot in the economy”, hospitals have been significantly impacted by the recession. Actively partnering with education (K-12, Community Colleges), health employers, and local workforce investment systems can improve program alignment with industry needs. Understanding where hospitals may have workforce overlaps with other sectors, such as biotech for example, is important. Both have a need for highly skilled clinical laboratory scientists who are short in supply and high in demand. Creative partnerships can be effective.

17. Questions?