Greater Washington’s Health Care Workforce Shortage Presented by: Alison Gold Program Manager, Potomac Conference February 8, 2005

Mission The Health Care Task Force will develop policies and programs to manage health care costs, improve quality of care and strengthen the health care workforce in Greater Washington. Membership Over 180 BOT members including health care providers, insurance company representatives and employers. Co-Chairs Charles Dalluge, President, Leo A Daly International, Vice President & Managing Principal, Washington DC Patricia Mathews, Executive Director, Community Relations, Kaiser Permanente GWBOT Health Care Task Force

Employer Coalition Work Group - partner with area businesses and nonprofit organizations to leverage it members’ purchasing power to improve the quality and cost of services from the region’s health insurance providers. Health Policy Work Group - develop policy recommendations, advocate, and educate legislators and leaders on policies to improve health care in Maryland, Virginia and the District of Columbia. Wellness Work Group - encourage healthy behaviors in member companies by launching educational and interactive regional wellness campaigns. Workforce Work Group - strengthen the region’s health care workforce by aligning existing health care workforce training efforts, creating institutional linkages, identifying barriers and creative solutions, and expanding current programs throughout Greater Washington. Work Groups

1.Conduct a review of national health care workforce trends and challenges, identify emerging and effective strategies that address workforce shortages. 2.Assess the region’s health care occupational needs and document employment trends; review existing healthcare workforce training efforts and best practices throughout Greater Washington. 3.Develop recommendations that identify potential opportunities to align regional efforts, create institutional linkages and expand current programs throughout the region. Regional Work Force Scan

Northern Virginia - Arlington, Fairfax, Fauquier, Loudoun, Prince William, Stafford and Spotsylvania (7 counties); Alexandria, Fairfax City, Falls Church, Leesburg, Manassas, Manassas Park, Fredericksburg, Vint Hill (7 cities) Suburban Maryland - Anne Arundel, Calvert, Charles, Frederick, Howard, Montgomery, Prince George’s and Saint Mary’s (8 counties). Washington, DC Greater Washington: The Region

Washington PMSA: Top 10 Occupational Projections Washington PMSA: Top 10 Occupational Projections (By Annual Total Openings) Health Care-Related Occupations Projected Employment 2010 Estimated Annual Percent Change Annual Total Openings Registered Nurses 43,8591.8%1,461 Nursing, Aides, Orderlies, and Attendants 21,8562.2%655 Licensed Practical and Licensed Vocational Nurses 12,3022.0%482 Medical Assistants 7,4743.8%371 Dental Assistants 6,0753.2%242 Home Health Aides 5,7083.1%203 Pharmacy Technicians 4,5282.8%197 Dental Hygienists 3,7843.1%141 Medical Records and Health Information Technicians 2,8783.3%126 Medical and Clinical Laboratory Technologists 3,7140.9%111

 Scan of public and private 2- and 4-year institutions and private education/training providers in targeted area.  Graduate numbers are based on data from MHEC and SCHEV and self-reported data from individual institutions.  Data on number of graduates is only an estimate for this scan; they should be systemically validated in future studies. Health Care Education Resources and Supply

Greater Washington: Analysis of Postsecondary Educational Institutions and Proprietary Schools Health-care Related Occupations Projected Annual Openings # of Programs in Region Estimated Annual # of Graduates Notes RNs1,461 DC: 10 MD: 19 VA: 7 1,444 Mix of offerings, AssociatesLPN  BSN, and MSN Nursing Aides, Orderlies, and Attendants 655 DC: 4 MD: 11 VA: Mostly non-credit certificate; Private career schools LPNs482 DC: 6 MD: 6 VA: Certificate; Private career schools; Decentralized data collection Continued…

Greater Washington: Analysis of Postsecondary Educational Institutions and Proprietary Schools Continued… Health-care Related Occupations Projected Annual Openings # of Programs in Region Estimated Annual # of Graduates Notes Medical Assistants 371 DC: 1 MD: 12 VA: Certificate; Private career schools; Decentralized data collection Home Health Aides 203 DC: 2 MD: 2 VA: Certificate and non-credit certificate level Private Career Schools Pharmacy Technicians 197 DC: 0 MD: 4 VA: Certificate

Greater Washington: Analysis of Postsecondary Educational Institutions and Proprietary Schools Health-care Related Occupations Projected Annual Openings # of Programs in Region Estimated Annual # of Graduates Notes Dental Hygienists141 DC: 1 MD: 1 VA: Associate and Bachelor’s degrees Medical Records & Health Information Technology 126 DC: 4 MD: 8 VA: Mixed educational offerings, but most are at certificate level Medical and Clinical Lab Technologists 111 DC: 1 MD: 1 VA: 1 ? All programs are Bachelor ’ s degrees

Considerations Other potential sources of supply: non-credit certification programs, high school programs, employer training. More comprehensive study should include analysis of graduation trends, (i.e. MD study on the top 25 healthcare occupations in the state). Mobile student body and workforce may increase or decrease supply of healthcare workers. “Snapshots” in time are inadequate to fully understand supply, demand, and gap; need ongoing data collection and analysis.

7 Regional Challenges/Issues 1.Regional Fragmentation 2.Capacity of Educational and Training Providers 3.Coordination and Cooperation Among Organizations/Institutions 4.Recruitment, Retention and Career Advancement 5.Diversity, Immigration and Culture 6.Skill Development and Career Readiness 7.Social Support Network

Study Recommendations Raising Awareness across the region regarding health care workforce challenges, issues and potential ways to solve them. Playing the role as regional Convener and Facilitator by bringing stakeholders together to discuss issues, share information and solve problems. Working with regional partners to Set the Agenda, Be An Advocate and Support Public Policies that lead to positive change. Becoming a Venture Investor and seed regional initiatives.

Next Steps FutureWorks will deliver draft report in February, final report in March. At February 15 meeting, prioritize strategies, identify what is and is not realistic and develop timeframes. Expand the Work Group to incorporate broad range of stakeholders.

Alison Gold Program Manager, Potomac Conference Greater Washington Board of Trade 1725 I Street, NW, Suite 200 Washington, DC (202)