Montana’s Health Care Workforce Projections Presented to the Montana Healthcare Workforce Advisory Committee May 4th, 2015 Amy Watson Economist MT Dept. of Labor and Industry

About MT DLI Employment Projections Two-Year Projections 2014 to 2016 Ten-Year Projections 2014 to 2024 Projections by Industry, Occupation and Region Projection of Employment Demand Data Sources: Quarterly Census of Employment and Wages Occupational Employment Statistics

Montana Recession (2007 to 2010) and Recovery (2010-2013) by Industry Montana Healthcare Workforce Data Update Montana Recession (2007 to 2010) and Recovery (2010-2013) by Industry Government Source: Quarterly Census of Employment and Wages, MT DLI. Montana Department of Labor and Industry

Steady Employment Growth in Health Care Industry, 1990-2024 1.8% 1.9% 2.8% Source: Montana Department of Labor and Industry 2024 Employment Projections .

Regional Distribution of Health Care Annual Employment Growth, 2014-2024 Source: Montana Department of Labor and Industry 2024 Employment Projections .

Employment Growth in Health Care Industry by Region, 1990-2024 Source: Montana Department of Labor and Industry 2024 Employment Projections .

Top 15 Health Care Jobs with the Most Annual Openings, 2014 – 2024 Occupation Minimum Requirement Annual Openings 2014 MT Average Annual Wage Education Work Experience Openings Due to New Jobs Openings Due to Workers Leaving Total Annual Openings 1 Registered Nurses Associate’s 199 177 376 $61,814 2 Nursing Assistants PS Award 107 111 218 $24,890 3 LPNs and LVNs 50 69 119 $38,762 4 Home Health Aides < HS ST-OJT 59 34 93 $22,368 5 Medical Records and HIT   24 57 $34,727 6 Physical Therapists Prof 27 25 52 $69,587 7 Pharmacists 16 43 $106,667 8 Dental Assistants 13 37 $33,202 9 Physicians and Surgeons, All Other Int/Res 22 35 $228,882 10 EMTs and Paramedics 21 $29,591 11 Dental Hygienists 14 19 33 $68,591 12 Medical Assistants 15 31 $31,263 Pharmacy Technicians HS or GED MT-OJT 17 28 $33,408 Radiologic Technicians 26 $53,377 Medical and Clinical Lab Techs $38,356 <HS =Less than high school diploma, HS or GED = high school diploma or GED, PS= postsecondary non-degree award, Prof= Doctoral or Professional degree, ST-OJT=Short-term on the job training, MT-OJT=Medium-tem OJT, Int/Res = Internship or Residency Source: Montana Department of Labor and Industry 2024 Employment Projections .

Health Care Occupations by AHEC Region Healthcare Practitioners and Technical Occupations AHEC Region Employment Mean Annual Wage Entry-Level Wage 1 Western Montana AHEC Region 9,115 $70,132 $33,262 2 South Central Montana AHEC Region 7,471 $70,034 $32,767 3 North Central Montana AHEC Region 3,896 $64,912 $34,320 4 Eastern Montana AHEC Region 7,158 $75,184 $35,362 5 North Eastern Montana AHEC Region 1,613 $63,851 $32,421 Healthcare Support Occupations AHEC Region Employment Mean Annual Wage Entry-Level Wage 1 Western Montana AHEC Region 2,997 $27,318 $ 20,748 2 South Central Montana AHEC Region 3,443 $26,484 $20,244 3 North Central Montana AHEC Region 1,502 $26,628 $20,725 4 Eastern Montana AHEC Region 2,245 $28,999 $21,510 5 North Eastern Montana AHEC Region 990 $27,148 $ 21,653 Source: Occupational Employment Statistics May 2014, Bureau of Labor Statistics and MT Dept. of Labor and Industry

Montana Healthcare Workforce Data Update Top 15 Non-Health Care Jobs within the Health Care Industry, 2014 – 2024 Occupation Minimum Requirement Annual Openings across all Industries 2014 MT Average Annual Wage Education Work Experience Openings Due to New Jobs Openings Due to Workers Leaving Total Annual Openings 1 Personal Care Aides < HS ST-OJT 156 46 201 $21,775 2 Medical Secretaries HS or GED MT-OJT 58 27 84 $30,954 3 Social & Human Service Assistants 28 41 69 $26,272 4 Maids and Housekeeping Cleaners 90 132 222 $20,908 5 Childcare Workers 40 99 139 $20,758 6 Cooks, Institution & Cafeteria 24 64 $25,215 7 Receptionists & Information Clerks 23 80 103 $26,339 8 Bookkeeping, Accounting, & Auditing Clerks 170 109 280 $33,051 9 Billing and Posting Clerks 29 32 61 $32,574 10 Medical & Health Services Managers Bachelor's 18 42 $81,143 11 Secretaries and Admin Assistants 150 129 278 $29,931 12 Food Servers, Non restaurant 47 $19,473 13 Mental Health Counselors Master's Int/Res 14 19 33 $31,319 Substance Abuse & Behavioral Disorder Counselors 26 $40,308 15 Child, Family, & School Social Workers   $34,917 <HS =Less than high school diploma, HS or GED = high school diploma or GED, PS= postsecondary non-degree award, Prof= Doctoral or Professional degree, ST-OJT=Short-term on the job training, MT-OJT=Medium-tem OJT, Int/Res = Internship or Residency Source: Montana Department of Labor and Industry 2024 Employment Projections . Montana Department of Labor and Industry

Health Professionals and Related Programs Graduates from 2011 to 2013 All Fields of Study Total Graduates: 9,532 Gender Distribution 45.2% Male 54.8% Female Mean Age: 28 One Year Post Graduation Mean Wage $24,267 68% Employed in Montana 2.6 Average Quarters Employed Health Professionals and Related Programs Total Graduates: 3,438 Gender Distribution 17.7% Male 82.3% Female Mean Age: 32 One Year Post Graduation Mean Wage $35,486 75% Employed in Montana 1.3 Average Quarters Employed Source: Montana University System Micro Data from the Office of Commissioner of Higher Education. Does not include FVCC or tribal colleges.

Health Professions and Related Programs Graduates from 2011 to 2013 PhD and Other Masters Degree First Professional Degree Baccalaureate Degree Associate Degree Certificate of Applied Science Certificate of Technical Studies Source: Montana University System Micro Data from the Office of Commissioner of Higher Education. Does not include FVCC or tribal colleges.

Nursing Occupational Projections Nursing Occupation Projections, 2014-2024 Occupation Minimum Requirements Before Entering Profession Employment Levels Annual Openings 2014 MT Average Annual Wage Education Work Experience Base Employment 2014 Projected Employment 2024 Openings Due to New Jobs Openings Due to Workers Leaving Total Annual Openings Nurse Practitioners Master's None 385 484 10 8 18 $92,797 Registered Nurses Associate's 9,126 11,118 199 177 376 $61,814 Licensed Practical and Licensed Vocational Nurses PS Award 2,825 3,325 50 69 119 $38,762 Nursing Assistants 5,821 6,888 107 111 218 $24,890 Abbreviations: PS Award=Postsecondary Award; Master's= Masters Degree; Associate's=Associates Degree Source: Montana Department of Labor and Industry Employment Projections, 2014 wages from Occupational Employment Statistics Source: Montana Department of Labor and Industry 2024 Employment Projections .

Nursing Employment and Wages by AHEC Region Registered Nurses Employment and Wages by AHEC Region AHEC Region Employment Mean Annual Wage Entry-Level Wage 1 Western Montana AHEC Region 2,791 $63,501 $51,943 2 South Central Montana AHEC Region 2,333 $60,413 $48,139 3 North Central Montana AHEC Region 1,371 $59,212 $49,860 4 Eastern Montana AHEC Region 2,337 $63,754 $51,860 5 North Eastern Montana AHEC Region 626 $58,181 $47,228 Source: Occupational Employment Statistics May 2015 Source: Occupational Employment Statistics May 2014, Bureau of Labor Statistics and MT Dept. of Labor and Industry

Registered Nursing Graduates by School and Degree from 2011 to 2013 Associates Degree Bachelors Degree Masters Degree Source: Montana University System Micro Data from the Office of Commissioner of Higher Education. Does not include FVCC or tribal colleges.

Primary Care Physician Projections Primary Care Physicians Projections, 2014-2024 Occupation Minimum Requirements Before Entering Profession Employment Levels Annual Openings 2014 MT Average Annual Wage Education Work Experience Base Employment 2014 Projected Employment 2024 Openings Due to New Jobs Openings Due to Workers Leaving Total Annual Openings Family and General Practitioners PhD or Prof Int/Res 412 439 3 10 13 $191,730 Internists ND $220,880 Obstetricians and Gynecologists 79 84 1 2 $241,100 Pediatricians 130 141 4 $236,690 Abbreviations: ND= Not Disclosable, Prof= Doctoral or Professional degree, Int/Res = Internship or Residency Source: Montana Department of Labor and Industry Employment Projections, 2014 wages from Occupational Employment Statistics Source: Montana Department of Labor and Industry 2024 Employment Projections .

Contact Information: Amy Watson, Economist awatson@mt.gov 406-444-3245 More Information Available: www.lmi.mt.gov