New York State Education Department Health Occupations Education ACTEA Leadership Conference March 24, 2011

U.S. Health Workforce  Since 2000, employment in health sector in US has grown 30%, all other sectors 4%  In million in either health sector or in health occupations outside the health sector, representing 12% of the total US workforce  Between 2008 and 2018, health sector is expected to grow by 23%, other employment sectors 9% Center for Health Workforce Studies, March 2010

U.S. Health Workforce Demand Needed between :  Over 1 million new RNs  553,000 home health aides  480,000 personal and home care aides  422,000 nursing aides  391,000 LPNs Center for Health Workforce Studies, March 2010

Occupations with the Largest Projected Need between 2006 and 2016 Sources: U.S. Department of Labor, Bureau of Labor Statistics, National Employment Matrix, employment by industry, occupation, and percent distribution, 2006 and projected 2016.

U.S. Health Workforce Demand by Setting Between 2008 and 2018-fastest growth annually:  Home Health Care -4%  Offices of Health Practitioners -3%  Nursing Care Facilities -2.4%  Hospitals 1.1% Across all settings: More than 6.1 million workers in health occupations needed to fill new jobs and replacements (attrition, retirements,etc) Center for Health Workforce Studies, March 2010

NYS Health Workforce Supply NYS projected shortfall of 37,000 registered nurses (RNs) by Shortages of allied health professionals including pharmacists, coders, various medical technicians, therapists, and other clinical workers are beginning to reach crisis levels. These shortages impact health systems’ ability to offer comprehensive, and often, basic health care services. Center for Health Workforce Studies, March 2010

New York State Health Workforce  Health sector vital to New York’s economy  Revenue shortfalls have led to staffing cuts, easing current shortages in some health professions  Economic recovery will result in job growth and increased demand  Demand for health workers may precipitate future shortages Center for Health Workforce Studies, April 2010

New York State Health Workforce Similar to US trends  Between 2001 and 2008 health sector grew more than 14%, other employment sectors: less than one-half of 1%  In 2008, 1 in 9 NY jobs in health care sector  From : Home Health Aide –jobs increase by 52,000 RNs-24,000 (5,200 av. annual openings) Nurse Aides- 2,400 av. Annual LPNs-1,900 av. Annual Center for Health Workforce Studies, April 2010

2007 Allied Health Professionals Vacancy and Turnover Rates HANYS, VITAL SIGNS FADING, DECEMBER 2008

Programs Requiring “Operational” SED/DOH Approval  Nurse Assisting (Certified Nurse Aide)  Home Health Assisting (Home Health Aide)  Personal Care Aide Programs are delivered in School Districts’ and BOCES’ secondary and adult programs, colleges, proprietary schools, nursing homes, and home health agencies

Nurse Aide Program Approval Operational Requirements: 1987 OBRA LAW and NYS Department of Health  Curriculum  Hours  Instructor and Coordinator Qualifications  Clinical Contracts  Site Visit-every 2 years  NYS DOH Nurse Aide Registry

Nurse Aide Programs RN-Supervised Clinical Experience – minimum 30 hours in nursing home  Secondary-216 hours (108 hours didactic, 108 clinical)  Adult – 120 hours (90 hours didactic, 30 hours clinical)  Clinical skills must be practiced and demonstrated/documented in lab prior to patient care

Nurse Assisting (Nurse Aide) Instructor/Coordinator Qualifications  NYS Registered Nurse-current license  Two years working in long term care (elderly and chronically ill)  Teaching experience Documentation: Submission of resume and current RN license Signed attestation of Instructor, Coordinator or Administrator (Form 2 and Form 3)

Prometric Contracted by NYS DOH to: Administer Nurse Aide Written and Skills Performance Tests and maintain Nurse Aide Registry All SED-approved NA program Coordinators in secondary, adult, colleges, and proprietary schools have opportunities for input and receive information from Prometric. Website postings updated regularly

Home Health Aide/Personal Care Aide  SED Operational Program Approval  Valid for up to 3 years  Curriculum Hours HHA 65 didactic HHA 30 clinical ( supervised in-home) PCA-40 total hours (no clinical)  Instructor Qualifications Registered Nurse Home Care work experience Approved by SED and entered on HCWR

NYS Home Care Worker Registry  Legislation enacted September 2008 (NY PBH Article 36)  Home Care Worker Registry developed and maintained by NYS DOH  Statute established September 25, 2009 as deadline for full implementation  NYSED–approved training programs responsible for input of student-completer data  Valid PCA or HHA Certificate is generated by Registry only

CTE Approval (Technical Endorsement) Board of Regents Policy  110 applications, 95 approved  All programs include HOE Core Curriculum  Supervised Clinical Experience – by health professional (WBL)  Integrated or Specialized Academics  Assessments  Articulation – relevance to secondary program/pathway Tangible student benefit  Appropriate CTE Teacher Certification

Current NYS Health Occupations CTE Teacher Certifications  Practical Nursing  Medical Laboratory Technology  Medical Assisting  Dental Lab Technology  Nurse Assisting  Emergency Medical Services  Personal Trainer Assisting  Pharmacy Assisting

Health Occupations New CTE Teacher Titles  In response to school districts and BOCES’ applications for Regents policy-CTE program approval, two new teacher titles in Health Occupations were created and have been included in the TEACH Online Services System at  Pharmacy Assisting  Personal Trainer Assisting

HOE Advisory Committees  Key to regional program success  Ideal representatives: Hospital/Nursing Home/Home Care CEOs Facility–based Nurse educators VP Human Resources area health facilities AHEC Executive Directors College Presidents/Nursing Deans WIB/One Stop Directors Ambulatory Health Center Managers Regional Chamber of Commerce President

HEALTH OCCUPATIONS NYSED LISTSERV List To subscribe to the HEALTHOCC list: Send an to leaving the message subject blank. Just type SIGNUP HEALTHOCC command in the message body, making sure that SIGNUP is one word. You will receive an from the New York State Education Department LISTSERV Server telling you that your command has been received. You will need to click on the link provided in this to confirm the execution of your

Health Career Resources  Center Health Workforce Studies Health Careers Website:  Bureau of Labor Statistics, Occupational Outlook Handbook:  NYS Area Health Education Center Website:  Upstate Health Workforce Center   NYS Department of Labor Career Services:  NY Career Zone  Local Workforce Investment Boards  Local colleges and universities

HOSA Spring Leadership Conference April 27-29, 2011 Doubletree Hotel Syracuse, NY For more information visit Competitive Events to qualify students for: HOSA National Leadership Conference For more information visit

New York State Education Department Joanne O’Brien Associate in Health Occupations Education (518)