1. 2014 Health Occupations Report
April 15, 2014
Paul Leparulo
Principal Economic Research Analyst

2. Agenda Review important information about this report
Discuss key findings for the health sector
Present occupation specific highlights

3. About this report
Content - Data Sources - Methodology

4. More than 50 occupational profiles
What’s in the report?
2014 Health Occupations Report
More than 50 occupational profiles
Occupation description, education requirements, employment and wage characteristics, school & program completer data, employment outlook. Demographic, work setting information, distribution, per capita statistics, plus more
Sector Analysis

5. Summary Statistics: Dieticians & Related Workforce Characteristics
& Nutritionists
Dietetic
Technicians
Employment (2012)
240
130
Employment per 1,000 population
0.18
0.10
versus U.S.
Average
Above avg.
Average annual starting wage (Maine)
$38,600
$22,980
Median annual wage (Maine)
$53,960
$31,450
U.S. median annual wage
$55,240
$26,260
Median wage for all occupations in Maine
$32,590
Minimum Education Requirement
Bachelor's degree
High school diploma or equivalent
Job Growth Projections
19%
16%
National Median Age
47.4 NA
Top Industry of Employment
Hospitals
Licensure Board
Board of Licensing of Dietetic Practice
Board of Licensing of Dietetic Practice

6. What data was used in creating this report?
Maine Dept. Labor
Bureau Labor Statistics
National Center for Education Statistics
Census
Occupational Employment Statistics
Employment Projections
Integrated Postsecondary Education Statistics
American Community Survey

7. Occupational Employment Estimates (OES)
Employment and wage estimates for more than 800 occupations, based on surveys of employers
Consistent methodology across occupations and states.
Does not include the self-employed
Data is subject to suppression
Employees are part and full-time workers
Not designed for time series analysis
2012 data

8. Employment projections
10 year employment projections for every Maine industry and over 800 occupations.
Produced every other year and currently spans 201o-2020.
Occupational projections estimate job openings from new growth and replacement needs.
Estimates include the self-employed.
Assumes the status quo in the way healthcare is organized and delivered. Current projections do not incorporate assumptions about ACA.
projections coming later this year.

9. Integrated Postsecondary Education Data System (IPEDS)
Primary source for postsecondary education data in the U.S.
High response rates
Data is self-reported and not verified by IPEDS.
Not all programs/schools participate in the federal student loan program.
Does not include adult education data.

10. American Community Survey (ACS)
Provides estimates of the demographic, economic and social characteristics of the population.
ACS
Large confidence intervals can result when analyzing occupational data at a state level.
ACS data not included for all occupations.

11. Context & Review
Valerie Landry, Chair of the Maine Health Workforce Forum
Charles Dwyer, Program Officer at Maine Health Access Foundation
Matthew Chandler, Director, Rural Health and Primary Care, Maine CDC
The Maine Health Workforce Forum (the Forum), as represented by Sally Sutton, Project Director
Ann Sossong, Associate Professor of Nursing, University of Maine School of Nursing
Lisa Harvey-McPherson, Vice President Continuum of Care & Chief Advocacy Officer EMHS
Ellen Libby, Program Director, EMMC School of Medical Laboratory Science
Judith Feinstein, Director, Maine CDC Oral Health Program
Sheila Comerford, Director, Maine Psychological Association

12. Size the workforce by occupation
Program completers
Schools, programs
Number of graduates,
Demographics
Race, gender, age
Educational attainment
Maine vs. U.S.
Methodology
Size the workforce by occupation
Employment and wages
Per population
Distribution
Projected job openings
New growth
Replacement
Sensitivity analyses

13. Exclusions State licensure data Adult and continuing education data
Health Practitioner Shortage Area Statistics
Maine job vacancy survey
Longitudinal data
Help wanted job postings

14. Health Sector
Key trends for the health sector and health occupations in aggregate

15. 1. Employment growth has been remarkable.
Health Sector Employment
2% growth/year
18% statewide employment
+ 80% growth in employment
4% growth/year
10% statewide employment

16. Net jobs created by sector, 2001-2011
going one level deeper and taking a closer look at the last 10 years ( ), more than 16,000 net new jobs were generated in healthcare, an increase of 19% (over this same time period Maine experienced a net decline of more than 13,000 jobs, or a 2% decline). And this dwarfed what happened in other segments of the economy (click).
o ….more net jobs created in hc than in all other job producing sectors.
o Strong industry growth has been a tailwind for health occupational employment. Over this same time frame employment of those working in health occupations increased 21%.

17. Within the health sector, hospitals have been the primary driver of employment growth. Contribution to health sector employment growth,

18. Driven by an aging population and technological innovations, the employment outlook remains robust Employment Projections, Change in employment

19. Healthcare employment projections are strong for Maine, and even stronger nationally.
U.S

20. Total job openings Total Job Openings
2. The aging of the workforce amplifies the need for a pipeline of skilled providers.
Population demographics
New Growth
Replacement
Total job openings
Total Job Openings
Workforce demographics
Replacement needs

21. Health workforce demographics, Maine vs. U.S.
Percent of workforce over 50 years

22. Percent of workforce over 50 years, Maine vs. U.S.
Percent of workforce above 50 years

23. Projected job openings due to replacement needs, 2010-2020
170 dentists
2,400 direct care workers
120 Clinical lab technologists
2,800 RNs
> 700 physicians & surgeons
> 1,000 social workers and counselors
410 medical assistants
140 physician assistants

24. 3. The response from higher education has been increased production
+33%
Associate degrees, +39%
Certificates (<2 years), +87%
Source: IPEDS, CWRI

25. A majority of the growth in certificates awarded (< 2 years) was driven by schools other than community colleges. Certificates < 2 years
Other than community colleges
Community colleges
Other than community colleges includes Beal College, Intercoast Career Institute, Northeast Technical Institute, St. Joseph’s College of Maine, Seacoast Career Schools, University of Maine at Augusta, Spa Tech Institute, Kaplan, and Pierre’s School of Cosmetology.

26. 4. Compared to the nation, Maine has more heath practitioners & support workers per thousand residents Health workers per thousand population

27. 5. The distribution of Maine’s health workforce is uneven and concentrated around the major hospital centers.
Cumberland County: 31% of the workforce and 21% of Maine’s population = 50% more health workers per thousand population
Oxford County: 2% of the workforce; 4% of the population = 50% fewer health workers per thousand population

28. Distribution challenges
41% of the population lives in rural areas that have lower incomes, higher rates of poverty and unemployment, and lower levels of educational attainment (USDA Economic Research Service)
A shifting industry landscape—employment is gradually becoming more centralized in the urban areas.
Population demographics—an aging population requires more specialist providers, which tend to be located at large hospital centers.

29. Occupational Highlights

30. Nursing Robust growth Supply & distribution
+29% employment growth,
+20% growth projected,
Supply & distribution
A comparable number of RNs per population (000) for New England, but 28% more than that of the nation.

31. Maine has 28% more RNs per thousand residents than the nation, but an average amount for New England. RNs per thousand residents, 2012

32. The distribution of RN employment is uneven
The distribution of RN employment is uneven. One third of the workforce is employed in Cumberland County, resulting in 53% more RNs per thousand residents than the state average. RN employment per thousand residents 2012

33. Demand for nurses with a baccalaureate degree is expected to grow faster than average as care giving becomes more complex. Educational attainment: Institute of Medicine (IOM) Goal vs. Current
Goal: 80% with a baccalaureate degree by 2020
: ~55% of Maine’s nurses have at least a baccalaureate degree

34. Although demand for RNs is expected to be robust, growth in RN graduates has been flat. Growth in other areas of healthcare instruction has been much stronger.
RN programs, +2%
BSN, +6%
ADN, +3%
Graduate, -12%

35. RNs
Hospitals represent the majority of hiring demand and are large enough to absorb Maine’s entire yearly supply of BSN graduates.
A limited pool of teaching faculty is a barrier to capacity expansion.

36. Physicians & Surgeons Workforce Size
~4,000 physicians & surgeons working in Maine, 2010
Average number of practitioners per thousand residents for New England.
Substantially more practitioners per population than the nation.

37. The size of Maine’s physician workforce is average for a New England state. Physicians & surgeons per thousand residents, 2010

38. The distribution of physician and surgeon employment is uneven
The distribution of physician and surgeon employment is uneven. Forty-two percent were employed in Cumberland County, resulting in twice the number of practitioners per thousand residents as the state average. Physician & Surgeon employment per thousand residents, 2012

39. The number of dentists practicing in Maine has been flat
The number of dentists practicing in Maine has been flat. The size of Maine’s dentist workforce is comparable to that of the nation, per thousand population.
Dentists practicing in Maine (includes self-employed)
Dentists per 1,000 population (2010); includes self-employed

40. Age structure of the dentist workforce Proportion of dentists above and below 50 years old, ACS

41. Direct Care ~22,000 providing direct care services
Largest health occupational group
Larger than the U.S. direct care workforce, per pop.
Robust growth prospects
Low pay and high emotional and physical demands makes recruiting and retaining workers a challenge.

42. Direct care occupations are low paying relative to other health occupations.
Medical assistants, medical equipment preparers, dietetic tech, OT & PT aides, pharmacy tech & aides
Direct care occupations
* Excludes direct care occupations

43. Forty six percent of Maine’s direct care workers have education credentials above the minimum required for the occupations. Educational attainment of Maine’s direct care workforce, ACS

44. Mental Health Psychologists
67% of Maine’s psychologists > 50 years old.
22% fewer practitioners per population (compared to U.S.)
The number graduating with the doctoral credentials necessary to practice is less than half of projected job openings.

45. Technologists & Technicians
Medical Lab Technologists
Only one clinical lab sciences program in Maine
Number of graduates is well below projected job openings.
16% fewer practitioners (per 1,000 population) than the nation.

46. For more detail:
  OccupationsReport.pdf

47. Questions?