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The North Carolina Health Professions Data System Katie Gaul, Erin Fraher, Thomas C. Ricketts, Jessica Carpenter University of North Carolina at Chapel Hill
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Overview of Today’s Presentation The North Carolina Health Professions Data System Mission Background Data Collection, Cleaning, Reporting Organizational Issues External Data Sources WHY? Examples and Value of Work Wrapping Up
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Our Mission To provide timely, useful data and analysis to support decision making for health professions policy in North Carolina and the United States To support research into health workforce issues and problems To train others in how to develop and maintain data systems in health workforce
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HPDS: 3 Main Product Lines Maintenance of Licensure Data Files for HPDS This function is the backbone of our work. It takes substantial time and staff effort to collect, clean, edit, and disseminate licensure data. Sustaining & maintaining this infrastructure is challenging. Special Projects: Service to the State and the Institution The HPDS often undertakes special research projects at the request of the NC AHEC, UNC Board of Governors (respond to legislation, make presentations), licensure boards etc. This service has increased the visibility of the Sheps Center to important local sponsors and policymakers. Allied Health Workforce Studies Funded by the Duke Endowment and the NC AHEC, research has focused on quantifying the supply of, and demand for, allied health workers. Findings highlighting the growth of allied health employment have gained the attention of policy makers. Staff in the Governor’s office, the legislature, and other state agencies are working to develop innovative ways to transition unemployed individuals into allied health jobs.
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North Carolina HPDS A collaboration between the Cecil G. Sheps Center for Health Services Research at UNC-CH and the health professions licensing boards. Data are provided voluntarily by the boards—there is no legislation that requires this, there is no appropriation. Core funding provided by: NC AHEC Program Office, data request fees, project cross-subsidies, and the UNC-CH Office of the Provost.
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The System is Unique in the U.S. 30 years of continuous, complete data Comprehensive and voluntary collaboration with 12 licensing bodies in North Carolina Data remain property of licensing board, permission sought for each “new” use System is independent of government or health care professionals
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Categories of Health Professionals in Data System Certified Nurse Midwives (1985) Chiropractors Dental Hygienists Dentists Licensed Practical Nurses Nurse Practitioners Occupational Therapists (2006) Occupational Therapy Assistants (2006) Optometrists Pharmacists Physical Therapists Physical Therapist Assistants Physician Assistants Physicians (MDs and DOs) Podiatrists Psychological Associates Psychologists Registered Nurses Respiratory Therapists (2004)
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HPDS Data Collected from Boards “Base” data from initial licensure/approval forms Updated data from renewals of licensure and approvals to practice Includes 100% of active professionals because licensure is required by law We develop a ‘Snapshot’ of files as of October of each year (Orange Book)
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Data Items Collected Demographic data: Data elements that usually don’t change Unique identifier Name Date and place of birth Race/ethnicity Gender Basic professional degree (degree conferred, name and location of institution attended, practice qualifications)
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Data Items Updated Data elements that may change: Home address Employment address Type of position Employment setting Clinical practice area/specialty Activity status (retired, active practice, not employed in profession) Average hours per week/employment status Highest degree Foreign language ability (available from select boards)
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Additional Data Items Collected for Physicians and PAs Primary, Secondary and Other practice location ZIP Code location Facility type Hours in clinical care (by location) Hours in primary care (by location) Provide prenatal care? Deliver babies? Hospital Privileges (2007) Licenses ever held in other states/countries (2007)
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Licensure File Creation and Maintenance (continued) Data come in Edits, cleaning Review for changes Formatted initial analysis file Trial Posts to web Data Book released News Release OctoberAugust The entire process takes nearly a year from start to finish
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North Carolina Health Professions Data Book Annual Health Professions Data Book, produced since 1979, details state and county level health professions data; current issue: October 2007 data Publications and research widely used by policymakers, educators, researchers, the media and health professionals as the official source of health professions statistics in NC Supported by the North Carolina Area Health Education Centers Program and the University of North Carolina at Chapel Hill Office of the Provost
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North Carolina Health Professions Data Book Counts of active, licensed health professionals Population by age group and race Employment and income data Vital statistics (births, deaths, pregnancies) Infant mortality rates Hospital and facility data Aggregated by state, county and regions (AHEC, DHHS, Perinatal)
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HPDS: Organizational Issues
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Infrastructure: Hardware/Software Hardware High end personal computers which are regularly upgraded (every 2-3 years) Connected to Sheps Center servers allowing file sharing, storage of large files, automatic back-up Label writer for mailing data requests Cleaning and processing of licensure files is done on local desktop computer using SAS ® Archive licensure files kept on UNC mainframe Software Microsoft Access - track data requests, do file audits, invoicing, data book pages Microsoft Excel/Powerpoint - graphically present data Macromedia Dreamweaver ® - web development Adobe Acrobat ® - create PDF documents for website Quark ® or Adobe InDesign ® - desktop publishing Adobe Illustrator ® - format maps and graphics MapInfo ® or ArcGIS ® - create maps and do spatial analysis SAS ® or Stata ® - statistical analysis and programming
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Dissemination State-Level (examples) State Legislators, Governor’s office, State Policy Makers Health Professions Schools All regional AHECs and their libraries North Carolina State Library North Carolina DHHS, Commerce North Carolina Hospital Association and other employers Professional Associations Duke Endowment and Kate B. Reynolds Charitable Trust North Carolina Institute of Medicine National-Level AAMC, other workforce centers, AHECs, and researchers Federal Bureau of Health Professions, HRSA, NAO Library of Congress Email listserv: 2,298 members, sign-up available on website
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Basic Cost Estimates Stage Funding type Tasks Estimate *This may vary* Design the System One-Time Explore available data, infrastructure, personnel, expectations; design database and data collection & analysis procedures Wide range; depends on quality of data and current database format; personnel Implement the System One-Time Hire; purchase infrastructure; collect and audit data; populate database; identify and repair glitches; launch website OperationsOngoing Maintain files and collect new data; publish Data Book and aggregate stats; maintain website; respond to requests for data $117,000 (North Carolina) Special ProjectsOccasional Undertake special projects at the request of General Assembly and others; tasks determined by nature of project Depends on scope of work and budget
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Cost Estimate for Producing the Annual Data Book: Operating Costs Personnel Time (salaries and benefits) excludes project cross-subsidies ~$113,300 Administrative (copying, postage, phone, supplies) $600 Publications (printing, dissemination) $2,900 Total~$116,849 Fiscal Year 2007-2008 This is a general estimate of the costs to produce the Data Book each year; This does not include funds necessary for infrastructure or additional functions. *These estimates cover the production of the annual HPDS Data Book and don’t take into account other projects that we design with the NC AHEC Program and others.
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Examples of Sources of Funding for Workforce Research Maintenance of Licensure Data Files for HPDS Annual Contract Current Year, $116,849 NC AHEC Program Special Projects: Service to the State and the Institution State, Federal & Foundation Funding Development of Dental HPSA process (HRSA, $450,000) Evaluation of the National AHEC Program (BHPR, $239,467) Physician Workforce Study with NC IOM (Kate B. Reynolds $44,491) Rural Pharmacist Workforce Study (ORHP, $78,808) Supply of Psychiatrists in NC (NC AHEC, $30,000) Need for Assistance (NFA) process (BPHC, $90,000) SE Regional Center for Health Workforce Studies (HRSA, $1,000,000) Allied Health Workforce Studies Multi Year Contract Total 2001-2007 $262,476 (Duke Endowment and NC AHEC)
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Data Request Revenue July 1, 2006 – August 30, 2007 253 total data requests $6,536.29 Encumbered Average 5-10 contacts regarding requests per week (including all types and follow-ups on requests in process) Revenue supports publication of the annual Data Book and other publications, helps cover programming and administrative time, and helps purchase miscellaneous supplies & software This is not typically a self-sustaining method to fund a data system
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Data Sources
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Examples of Secondary Data Sources Supply and distribution of pharmacists in North Carolina: HPDS data Number, type and location of pharmacies in NC: NC Board of Pharmacy Population data: Census, Claritas, State Demographer Volume and payer type for prescriptions dispensed in NC: IMS Health Enrollments and graduations from NC pharmacy schools: UNC-CH, Campbell Informal interviews Literature and internet searches National workforce data: BHPr, AMA, APA, AANP
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HPDS benefits from other data sets at Sheps Area Resource File (1994-present, intermittent files for previous years) HPSA/MUA file Claritas (1998-2000, 2003, 2005) AMA Masterfile (1981, 1986, 1991, 1996, 2000, 2001, 2004, 2005, 2006) ADA Data (various) NC Hospital Discharge Data (1989-2005, except 1995) NC Ambulatory Surgery Data (1997-2005)
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Why? Examples and Value of Work
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The Data System Can Help Answer Questions Like: How many dentists are there in North Carolina? Where are they practicing? Are there too few psychiatrists in the state? Are we retaining health professionals trained in North Carolina? Will NC’s supply of physicians keep pace with expected population growth? Does the ethnic and racial distribution of health professionals match the population? How well do the linguistic capabilities of practitioners match the language needs of North Carolina’s citizens?
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BUT it can’t answer some types of questions for lack of appropriate data: When do physicians actually retire? Are fewer physicians delivering babies because of malpractice issues? Are we facing a psychiatrist shortage because reimbursement rates are too low? Where should we put the new (dentistry, pharmacy, satellite medical) school? Goal: to provide data-driven, timely and objective analyses to inform the policy debate.
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The Basics: Describing the Workforce For example… Supply of physicians is growing, but growth has slowed Average age of physicians is increasing slightly Gender is converging slowly for new physicians Newly licensed physicians were more likely to be female, be minority or be younger Of the physicians that left the file between 2002-2003, 143 retired from practice and the average retirement age was 66 27% of active physicians in 2003 completed medical school in NC; 35% completed NC residencies
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Makes analysis “simple” Ongoing tracking stimulate attention and policy change Having the trend data readily available makes it unnecessary to do complex studies The data speak for themselves, and allows the stakeholders to feel some ownership in the data Stakeholders can “do their own analysis” by asking us questions of the data which we can answer Our data help people avoid doing large and complex (time- consuming) studies that cost a lot of money In some cases, the Medical Board will include “survey” questions on their licensure and renewal forms, making it easier to collect data with broad interest
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Informing Policy Makers North Carolina General Assembly, 2003-2006 Planning for potential new schools of: Dentistry Pharmacy Optometry Plans for expansion of medical, dental schools Effects of malpractice insurance rate increases Effects of changes in license rules
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Trends in the Supply of Dentists in North Carolina, 1996-2005 Policy Issue : Dental access in rural NC Key Findings: NC lags behind national supply Between 1996-2005, 33% of counties experienced decline in dentists per 10K pop, 26 of 33 were rural counties Aging dental workforce, especially in rural counties 87% of dentists are white Policy Response Legislature appropriated $89.6 million for new dental school at ECU and $96 million For expansion at UNC-CH February 2007
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The Supply and Distribution of Psychiatrists in North Carolina: Pressing Issues in the Context of Mental Health Reform Policy Issue: State decentralizing mental health services—will there be an adequate supply of psychiatrists? Key Findings: Overall supply adequate, distribution is a problem 44 counties qualify as mental health professional shortage areas Of 19 counties that qualify as primary care HPSAs, 11 have shortage of psychiatrists 43 counties have no child psychiatrists Policy Response: Legislature gave $500,000 of recurring funding to AHEC to address maldistribution and supply. Pilot efforts focus on mid-levels, residents and tele- psychiatry, consultation models. January 2006
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NC AHEC, Sheps, NC IOM: The Primary Care and Specialty Physician Taskforce HPDS data revealed in 2003 that rate of growth of physicians per10,000 population slowed At same time, supply of primary care physicians did not keep pace with population in many rural counties With funding from Kate B. Reynolds, NC IOM convened taskforce to examine issue Nurse practitioners, physician assistants and certified nurse midwives included
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The Primary Care and Specialty Physician Taskforce: Supply Projections 80% 85% 90% 95% 100% 105% 20042006200820102012201420162018202020222024202620282030 Year Ratio Relative to 2004 Level.5 FTE, slower growth.75 FTE, faster growth Key Findings: Despite rapid growth of NPs and PAs, NC provider supply will not keep pace with population NC IOM made 32 recommendations to the legislature to address supply, diversity and maldistribution Final report released June 2007; available at http://www.nciom.org
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Wrapping Up
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“Giving Back” to the Boards Health Professions Licensing Boards Consult on new or modified questions on licensing forms Language ability (Pharmacy, Nursing, Medicine) Race (Pharmacy) Activity status (Physical Therapy) Help evaluate online registration (Medical Board, Nursing)
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Lessons Learned Data driven workforce analyses necessary to: Monitor longitudinal trends in supply and distribution— establish benchmarks. Are we worse or better off? Identify emerging workforce issues Challenge anecdotal evidence Be perceived as objective in politically charged policy debates Justify funding requests Tackle discrete policy-relevant and manageable size projects Disseminate results in short policy briefs with lots of pictures (maps are good…)
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Health Workforce Planning: The Future Workforce issues are not going away Federal workforce research funds have been cut and there are limited national data Responsibility falls on individuals states—most policy levers are at state-level
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Moving Forward We (HPDS) are starting to shift from “classic” workforce studies (assign physician to place, counts by county, look at distribution, etc.) to more in-depth analyses Involves merging administrative and other databases onto our licensure files to capture more detailed information Dr. John Doe is not just a surgeon at ABC Hospital; Dr. Doe does this many of these particular procedures on these types of patients per year, and has shifted from doing general surgery to more specialized surgical procedures
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Recommendations Start small and make a big impact Expand later Get a good team together - people with different skill sets who work well together and can learn from each other What you’re looking to do will inform state policy = look for some state money to fund this (don’t depend solely on federal funding sources) Stay objective and maintain credibility
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Contact Us Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill 725 Martin Luther King Jr. Blvd, CB 7590 Chapel Hill, NC 27599 HPDS Main Line: (919) 966-7112, nchp@unc.edu Tom Ricketts tom_ricketts@unc.edu (919) 966-5541 Erin Fraher, Director erin_fraher@unc.edu (919) 966-5012 Katie Gaul k_gaul@unc.edu (919) 966-6529 Jessica Carpenter jmcarpen@unc.edu (919) 843-3402
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HPDS Website http://www.shepscenter.unc.edu/hp County- and region-level data Historical health professions trends (1979-2006) Practitioner per 10,000 population ratios and maps Data definitions HPDS publications, press releases Powerpoint presentations Data request instructions General information about the HPDS; frequently asked questions Sign-up for HPDS listserv Links to NC licensing boards, other national and state health workforce sites, other useful statistics sources
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Extra Slides
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Overview The North Carolina Health Professions Data System Background Organizational Issues Data Sources Special Reports and Projects Allied Health WHY? Examples and Value of Work Wrapping Up Contact Information
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The Cecil G. Sheps Center for Health Services Research Founded in 1968; is one of the oldest and largest health services research centers in the nation Is an organizational unit of the University of North Carolina at Chapel Hill in the Health Affairs Division $14 million annual budget (2006) Employs or houses 170 staff including senior faculty, research fellows, analytic staff, fellows and graduate students Over 130 research fellows based in other academic departments, state and federal government, private industry and other countries are affiliated with the Sheps Center
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Data Request Process Receive requests by Email Fax Phone Informational Requests Non-Sheps Data – refer to appropriate source (if possible) HPDS Data request procedures HPDS General Information Requests tracked in contact database (MS Access) Requestor’s name & contact information Detailed description of request Output type Due date – date sent
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Data Request Process Two types of data requests: 1.Off the shelf data and publications Aggregate statistics found on HPDS website or Data Book (e.g. How many RNs are active in Durham County?) Requests for Publications (Data Book, fact sheets) 2.Requests requiring data processing Aggregate statistics not found in HPDS publications (e.g. How many family practice physicians in the state provide obstetric deliveries?) Individual level data Mailing lists (e.g. Regional MS Society sending educational fliers to local physicians; Companies advertising CE programs to psychologists) Analysis files for research Permission sought from board to release individual level data
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Data Requests Requiring Processing Requests tracked in contact database (MS Access) Requestor’s name & contact information Detailed description of request Output type Due date – date sent Fees Health Professions Data Book $20.00 per book, plus postage Mailing lists (name, address, county, specialty) $4.50 per 100 names for electronic files $100 minimum, non-profit organizations; $200 minimum, for-profit organizations $600 maximum Analysis files (including the above plus additional demographic and practice characteristics) $7.00 per 100 names for electronic files $200 minimum, non-profit organizations; $300 minimum, for-profit organizations $700 maximum, non-profit organizations; $800 maximum, for-profit organizations Requests requiring programming $50.00 per hour for substantial requests (else free) Discounts given for AHECs, students, UNC System, North Carolina State Agencies, and at the Director’s discretion
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Organizational Issues: Personnel Center Director Deputy Director Research Deputy Director Operations Policy Analysis Tom Ricketts, PhD Director Program on Primary Care & Health Professions Associate Director Health Policy Information Director NC Rural Health Policy Analysis Associate Director Policy Analysis Director Health Professions Erin Fraher, MPP 50% Associate Director Data Mgmt & Information Services Programmer Research Assoc Research Associate 100% Data Coordinator 100% Programmer 50%10% Graduate RA 10hrsGraduate RA 20 hrs Research Associate
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HPDS Benefits from Sheps Center Infrastructure Administrative Support Programming Information and Library Services Media and Communications Business and Financial Support Computer and Data Management Support Executive Other Research Areas Health Professions Data System
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Infrastructure: Cartography and Geographic Analysis Capabilities Maps with HPDS data are prepared using cartographic software that provides a Geographic Information System (GIS) interface such as ESRI’s Arc Suite (ArcView ®, ArcInfo ®, ArcGIS ®, ArcIMS ® ), and MapInfo ® MapInfo / ArcView - Data System has benefited from availability of cartographic software and expertise through the NC Rural Health Policy Research and Analysis Program. There are three licenses for MapInfo in the Center. The Center may shift over to ArcView because UNC has an unlimited number of licenses. Rural program buys Claritas products for ZIP to county coding and address matching. Other GIS products are used as needed
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Infrastructure: Library Services Sheps employs two full-time librarians who oversee the Center’s library holdings Librarians conduct customized bibliographic research from electronic sources for researchers Librarians manage a Rural Policy collection, which includes over 11,000 items related to rural health, primary care, health policy dated back to 1978 Rural policy collection regularly deposits and cross-references items from the Federal Office of Rural Health Policy (OFRHP), General Accounting Office (GAO), the Office of Management and Budget (OMB), the Congressional Budgeting Office (CBO), Medicare Advisory Payment Commission (MedPAC) and the Bureau of Health Professions (BHPr)
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Infrastructure: Dissemination Center normally employs two full-time Information and Communication Specialists, who assist in the development written and published material; these positions are currently vacant Provide copy editing, prepare fact sheets, and respond to short term queries for information Center employs two full-time web masters with distributed responsibilities Press releases and Press events are managed in collaboration with the UNC Office of Public Affairs
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Electronic Dissemination Email listserv Updates to website New publications and news items Sent to key policy makers, educators, researchers, employers, etc. Sign-up available on the HPDS website 2,298 people on the list
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HPDS: 3 Main Product Lines Maintenance of Licensure Data Files for HPDS This function is the backbone of our work. It takes substantial time and staff effort to collect, clean, edit, and disseminate licensure data. Sustaining & maintaining this infrastructure is challenging. Special Projects: Service to the State and the Institution The HPDS often undertakes special research projects at the request of the NC AHEC, UNC Board of Governors (respond to legislation, make presentations), licensure boards etc. This service has increased the visibility of the Sheps Center to important local sponsors and policymakers. Allied Health Workforce Studies Funded by the Duke Endowment and the NC AHEC, research has focused on quantifying the supply of, and demand for, allied health workers. Findings highlighting the growth of allied health employment have gained the attention of policy makers. Staff in the Governor’s office, the legislature, and other state agencies are working to develop innovative ways to transition unemployed individuals into allied health jobs.
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The Basics: Benchmarking Benchmark to US practitioner-to-population ratio Benchmark to neighboring states Problems: What is an active practitioner? Counting bodies vs. calculating FTEs Dealing with missing data? Allocating individuals with more than one practice location and out-of-state locations Allocating individuals based on % in primary care Difficulty in quantifying a shortage, how many practitioners is too few?
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Health Professions Data System Recent Products Special reports Trends in Licensed Health Professions in North Carolina, 1979-2005 Fact Sheets Physician Medical and Residency Training Fact Sheet, 2005, 2003, 2001,1999,1997,1995 Allied Health Job Vacancy Tracking Reports (Apr. 2007, Aug. 2006, Apr. 2005) Trends in the Supply of Dentists in NC, 1996-2005 The Supply and Distribution of Psychiatrists in North Carolina: Pressing Issues in the Context of Mental Health Reform Trends in the Supply of NPs and PAs in NC, 1990-2001
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Trends in Physicians Delivering Babies 20002001200220032004 OB/GYNs919937954960981 OB/GYNs Delivering 651701742750748 % OBs70.8%74.8%77.8%78.1%76.2% FPs2,1732,2242,2932,3272,040 FPs Delivering 212227228232205 % FPs9.8%10.2%9.9% 10%
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Osteopaths, relatively few, but growing fast in numbers Growth rate of >10% per year 0 50 100 150 200 250 300 350 400 19941995199619971998199920002001200220032004 379 practicing in NC 2.2% of Total Physician Supply Number of DOs
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Evaluation
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Medical Student Tracking (Class of 1996) North Carolina Medical Students-Retention in Primary Care* 1996 Graduates *Primary Care = Family Medicine, General Pediatric Medicine, General Internal Medicine, Internal Medicine/Pediatrics, and obstetrics/gynecology. Sources: Wake Forest University SOM Office of Student Affairs Association of American Medical Colleges N.C. Medical Board Duke Office of Medical Education UNC-CH Office of Student Affairs ECU Office of Medical Education American Medical Association Compiled by: N.C. AHEC Program Cecil G. Sheps Center for Health Services Research
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Medical Student Tracking (Class of 2002) *Primary Care = Family Medicine, General Pediatric Medicine, General Internal Medicine, Internal Medicine/Pediatrics, and obstetrics/gynecology. Sources: Wake Forest University SOM Office of Student Affairs Association of American Medical Colleges N.C. Medical Board Duke Office of Medical Education UNC-CH Office of Student Affairs ECU Office of Medical Education American Medical Association Compiled by: N.C. AHEC Program Cecil G. Sheps Center for Health Services Research School Total Number of 2002 Graduates Number of 2002 Graduates not Entering Residency Training Number of 2002 Graduates Entering Residency Training Number of 2002 Graduates Entering Residency Training Who Chose A Primary Care Residency Percent of 2002 Graduates Entering Residency Training Who Chose A Primary Care Residency Duke880 4045% ECU710 4462% UNC-CH15161457652% Wake Forest962944649% North Carolina Medical Students-Initial Choice of Primary Care* 2002 Graduates
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Informing Policy Makers NC AHEC – Special Requests Provide research support to Central NC AHEC office Rural Curve Retention of physicians who do NC/AHEC residency Other miscellaneous requests
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Allied Health Studies
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HPDS: 3 Main Product Lines Maintenance of Licensure Data Files for HPDS This function is the backbone of our work. It takes substantial time and staff effort to collect, clean, edit, and disseminate licensure data. Sustaining & maintaining this infrastructure is challenging. Special Projects: Service to the State and the Institution The HPDS often undertakes special research projects at the request of the NC AHEC, UNC Board of Governors (respond to legislation, make presentations), licensure boards etc. This service has increased the visibility of the Sheps Center to important local sponsors and policymakers. Allied Health Workforce Studies Funded by the Duke Endowment and the NC AHEC, research has focused on quantifying the supply of, and demand for, allied health workers. Findings highlighting the growth of allied health employment have gained the attention of policy makers. Staff in the Governor’s office, the legislature, and other state agencies are working to develop innovative ways to transition unemployed individuals into allied health jobs.
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The State of Allied Health in NC Policy Issue: Making link between allied health workforce vacancies and economic development in rural NC Key Findings: Between 1999-2005, overall employment in NC grew by 0.2% compared to 20.2% growth in health care jobs and 45.8% increase in allied health employment Allied health comprises 37% of all health care jobs 8 of top 10 fastest growing professions (across all employment sectors in are in allied health) Policy Response: Pending We have requested funding for continued monitoring of allied health workforce May 2005
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Manufacturing and Health Care & Social Assistance Employment, NC, 1995-2005 0 100 200 300 400 500 600 700 800 900 Employment (thousands) 568,835 822, 995 491,637 332,446 19951996199719981999200020012002200320042005 Year Manufacturing Health Care & Social Assistance Source: North Carolina Employment Security Commission, 2006.
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Healthcare and Allied Health Jobs Grew, Overall Employment Remained Stagnant Source: Bureau of Labor Statistics. Occupational Employment Statistics. State Cross-Industry Estimates: 1999-2005. URL: http://www.bls.gov/oes/. Accessed 06/28/2006. 19992005 % Growth (1999-2005) Total N.C. Employment 3,801,6703,809,6900.2% Healthcare Jobs 251,550302,27020.2% Allied Health Jobs 76,590111,63045.8% Total State, Healthcare and Allied Health Employment, North Carolina, 1999-2005
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North Carolina’s Fastest Growing Occupations Percent Change in Employment, 2002-2012 RankOccupationProjected Openings% Change 1Medical Assistants4,95060.9 2Occupational Therapy Aides3060.0 3Dental Hygienists2,59053.9 4Dental Assistants3,12053.0 5Social and Human Services Assistants 5,11048.4 6Medical Record Tech.2,62048.3 7Physical Therapist Assist.72047.7 8Fitness Trainers2,78047.6 9Respiratory Therapy Tech.33047.1 10Respiratory Therapists1,17046.8 http://eslmi23.esc.state.nc.us/projections/EmploymentOutlook.asp?version=aopengp&AreaType=01&Area=000037&PeriodID=06
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Health Care Jobs in North Carolina, 2005 Other, 3% Physicians, 5% LPNs, 5% RNs, 24% Nurse aides, orderlies and attendants, 26% Allied Health Professions, 37% Note: "Other healthcare occupations" includes: chiropractors, dentists, optometrists, and pharmacists. Source: U.S. Bureau of Labor Statistics, Occupational Employment Statistics (2005). URL: http://www.bls.gov/oes/. Total Health Care Jobs = 302,270
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Job Vacancy Tracking Reports Purpose : Estimate workforce demand for selected allied health professions Method : Monitor weekly job listings in newspaper and online sources Data : Latest data collected for twelve professions during 10 week period (September 24-November 26, 2006) Results : Number of vacancies Distribution of vacancies by region and profession Types of employers advertising vacancies April 2007 August 2006 April 2005
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Medical Assistants Employed in North Carolina, 2002-2006 Source: North Carolina Health Professions Data System with data from the Employment Security Commission Medical assistants are growing at nearly double the projected growth rate
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Licensure File Creation and Maintenance Files are received annually from Boards, effective Oct. 31 Applications analyst programmers clean and edit files Compare new files to previous year to look for changes in variables Code individuals to counties based on ZIP code data There are checks in place to flag inconsistencies which we then investigate, but otherwise we do not verify the accuracy of each record Generate tables of summary statistics for review by Data Book Coordinator
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Licensure File Creation and Maintenance (continued) File audit Aggregated totals by variable are compared to previous years by state and county Programmers scrutinize files where strange patterns are detected Final review by HPDS staff and approval for release Feedback to Boards Tables of aggregate statistics by geographic region are returned to boards for their reference HPDS sends feedback to boards on potential data collection issues, trends in the data
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Licensure File Creation and Maintenance Compare variables received to previous year’s variables Generate tables of summary stats for review Files received from Boards, effective Oct. 31 Applications analyst programmers clean and edit files Code individuals to county based on ZIP code File Audit: compare, investigate Final review, approval for release Feedback to Boards Release Data Book, Post data to web The entire process takes nearly a year from start to finish October August
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