2012 MHA Workforce Survey Hospital Turnover and Vacancy Rates by Workforce Investment Area (WIA) 2011 Calendar Year Data

Contents  Overview – slides 3-9  Nursing – slides  Diagnostic Imaging – slides  Clinical Lab – slides  Therapies – slides  Pharmacy –  Surgical Tech – slides  Coding – slides 62-66

Overview  The Missouri Hospital Association has collected workforce data from member hospitals since  165 hospitals participated in this survey – 148 from Missouri, 10 from Kansas and 7 from Illinois.  The number of positions surveyed increased by one-third in this most recent survey, from 21 to 32 positions surveyed.

Overview  11 positions were added  Certified Nurse Assistant  Patient Care Technician  Advanced nursing positions – Nurse Anesthetist – Nurse Midwife – Nurse Practitioner – Nurse Specialist

Overview  Survey additions  New sonographer categories – Cardio/Echo – Vascular – Ultrasound  Pharmacist – clinical  Pharmacy Technician  Medical Records Coder – Non-certified  Medical Records Coder – Certified

Overview  For each position, hospitals submit the following:  Total FTE on Dec. 31  Total number of employees  Number of vacant FTE on Dec. 31  Total number of vacant positions on Dec. 31  FTE separations from Jan. 1 to Dec. 31  Total number of separations from Jan. 1 to Dec. 31

Overview  MHA develops tables, trend charts and graphics that include statewide and regional turnover and vacancy rates.  Trends show Missouri data only; maps include data from KS and IL.

Overview: Calculating Turnover  Hospitals report the number of full-time equivalent (FTE) separations January 1 through Dec. 31 as well as the total number of FTE positions. FTE Separations Jan. 1 - Dec. 31 (Total FTEs on Dec Vacant FTEs on Dec. 31) = FTE Turnover Percentage X 100 Replace “FTE” with “Employee” to determine Employee Turnover percentages.

Overview: Calculating Vacancy  Hospitals report the number of full-time equivalent (FTE) vacancies on Dec. 31 as well as the total number of FTE positions. Vacant FTEs on Dec. 31 (Total FTEs on Dec Vacant FTEs on Dec. 31) = FTE Vacancy Percentage X 100 Replace “FTE” with “Employee” to determine Employee Vacancy percentages.

Nursing  LPN  3,038 Missouri employees  470 separations  RN  31,595 Missouri employees  4,703 separations  Turnover among LPNs and RNs is 14 percent

Nursing

Licensed Practical Nurse Turnover (Employee)

Licensed Practical Nurse Vacancy (FTE)

Nursing

RN Vacancy (FTE)

RN Turnover (Employee)

Advanced Nursing Positions PositionEmployee TurnoverFTE Vacancy Nurse Anesthetist6.2%5.1% Nurse Midwife12.5%0% Nurse Practitioner6.6%6.1% Nurse Specialist3.8%3.3%

Nurse Practitioner Turnover (Employee)

Nurse Practitioner Vacancy (FTE)

Diagnostic Imaging  Employee counts  Radiologic Technologist – 1,878  CT Technologist – 531  MRI Technologist – 283  Nuclear Medicine Technologist – 308  Sonographer (Cardio/Echo, Ultrasound and Vascular) - 843

Diagnostic Imaging

Radiologic Technologist (RTR) Turnover (Employee)

Radiologic Technologist (RTR) Vacancy (FTE)

Diagnostic Imaging

Clinical Laboratory  Employee counts  Medical Laboratory Technician – 639  Medical Technologist – 1,750

Clinical Laboratory

Medical Laboratory Technician Turnover (Employee)

Medical Laboratory Technician Vacancy (FTE)

Clinical Laboratory

Medical Technologist Turnover (Employee)

Medical Technologist Vacancy (FTE)

Therapy  Vacancy in therapy positions is stable or lower  Hospitals have need for therapists but not enough supply, especially in the following:  Occupational therapy  Speech-language pathology

Therapy

Occupational Therapist Turnover (Employee)

Occupational Therapist Vacancy (FTE)

Therapy

Physical Therapist Turnover (Employee)

Physical Therapist Vacancy (FTE)

Therapy

Respiratory Therapist (certified) Turnover (Employee)

Respiratory Therapist (certified) Vacancy (FTE)

Therapy

Respiratory Therapist (registered) Turnover (Employee)

Respiratory Therapist (registered) Vacancy (FTE)

Therapy

Speech-Language Pathologist Turnover (Employee)

Speech-Language Pathologist Vacancy (FTE)

Pharmacy  Pharmacy schools scarce in Missouri  MERIC predicted shortage of 700 pharmacists in 2012  Expanded questionnaire to include more pharmacy categories and positions  Pharmacist – Staff  Pharmacist – Clinical  Pharmacy Technician New

Pharmacy

PositionNo. EmployeesTurnoverVacancy Pharmacist – Staff8317.9%2.9% Pharmacist – Clinical5137.4%4.4% Pharmacy Tech1,0189.7%2.9%

Pharmacist (clinical) Turnover (Employee)

Pharmacist (clinical) Vacancy (FTE)

Pharmacist (staff) Turnover (Employee)

Pharmacist (staff) Vacancy (FTE)

Pharmacy Technician Turnover (Employee)

Pharmacy Technician Vacancy (FTE)

Other Positions: Surgical Tech

Surgical Technician Turnover (Employee)

Surgical Technician Vacancy (FTE)

Other Positions: Medical Coding PositionNo. Employees TurnoverVacancy Medical Coder – non- certified %2.0% Medical Coder (CCS)4538.9%3.6% New

Medical Records Coder (non- certified) Turnover (Employee)

Medical Records Coder (non- certified) Vacancy (FTE)

Medical Records Coder (certified) Turnover (Employee)

Medical Records Coder (certified) Vacancy (FTE)

More Information  Maura Browning Director of Workforce Development 573/ ext