1. 2014 MHA Workforce Survey Hospital Turnover and Vacancy Rates by Workforce Investment Area (WIA) 2013 Calendar Year Data

2. Contents  Overview – slides 3-8  Nursing – slides 9-18  Diagnostic Imaging – slides 19-25  Clinical Lab – slides 26-32  Therapies – slides 33-48  Pharmacy – 49-56  Surgical Tech – slides 57-59  Coding – slides 60-61  New Positions – slide 62

3. Overview  The Missouri Hospital Association has collected workforce data from member hospitals since 2001.  155 hospitals participated in this survey – 139 from Missouri, 10 from Kansas and 6 from Illinois.  The surveyed requested data from 37 health care positions.

4. Overview  3 new positions were added  Clinical Informatics Specialist (RN)  Business Analyst (IT)  Project Manager (IT)

5. Overview  For each position, hospitals submit the following:  Total FTEs on Dec. 31  Number of vacant FTEs on Dec. 31  Total number of employees on Dec. 31  Total number of vacant positions on Dec. 31  Total number of separations from Jan. 1 to Dec. 31

6. Overview  MHA develops tables, trend charts and graphics that include statewide and regional turnover and vacancy rates.  Trends show Missouri data only; maps include data from KS and IL.

7. Overview: Calculating Turnover  Hospitals report the number of full-time equivalent (FTE) separations January 1 through Dec. 31 as well as the total number of FTE positions. FTE Separations Jan. 1 - Dec. 31 (Total FTEs on Dec. 31 + Vacant FTEs on Dec. 31) = FTE Turnover Percentage X 100 Replace “FTE” with “Employee” to determine Employee Turnover percentages.

8. Overview: Calculating Vacancy  Hospitals report the number of full-time equivalent (FTE) vacancies on Dec. 31 as well as the total number of FTE positions. Vacant FTEs on Dec. 31 (Total FTEs on Dec. 31 + Vacant FTEs on Dec. 31) = FTE Vacancy Percentage X 100 Replace “FTE” with “Employee” to determine Employee Vacancy percentages.

9. Nursing  LPN (I.V. certified)  1,940 Missouri employees  382 separations  Turnover is 14 percent  LPN (non-certified)  940 Missouri employees  352 separations  Turnover is 21 percent

10. Nursing  Nurse – staff (RN)  20,596 Missouri employees  5,456 separations  Turnover among RNs is 14 percent

11. LPN (I.V. Certified) Turnover (Employee)

13. Nursing

14. RN Turnover (Employee)

15. RN Vacancy (FTE)

16. Advanced Nursing Positions PositionEmployee TurnoverFTE Vacancy Nurse Anesthetist1.7% Nurse Midwife0.0%6.9% Nurse Practitioner9.3%4.7% Nurse Specialist1.5%0.0%

17. Nurse Practitioner Turnover (Employee)

18. Nurse Practitioner Vacancy (FTE)

19. Diagnostic Imaging  Employee counts  Radiologic Technologist – 2,317  CT Technologist – 1,025  MRI Technologist – 717  Nuclear Medicine Technologist – 724  Sonographer (Cardio/Echo, Ultrasound and Vascular) - 675

20. Diagnostic Imaging

21. Radiology Technologist (RTR) Turnover (Employee)

22. Radiologic Technologist (RTR) Vacancy (FTE)

23. Diagnostic Imaging

26. Clinical Laboratory  Employee counts  Medical Laboratory Technician – 1,362  Medical Technologist – 1,853

27. Clinical Laboratory

28. Medical Laboratory Technician Turnover (Employee)

29. Medical Laboratory Technician Vacancy (FTE)

30. Clinical Laboratory

31. Medical Technologist Turnover (Employee)

32. Medical Technologist Vacancy (FTE)

33. Therapy  Vacancy in therapy positions increased  Hospitals have need for therapists but not enough supply, especially in the following:  physical therapy  respiratory therapy  speech-language pathology

34. Therapy

35. Occupational Therapist Turnover (Employee)

36. Occupational Therapist Vacancy (FTE)

37. Therapy

38. Physical Therapist Turnover (Employee)

39. Physical Therapist Vacancy (FTE)

40. Therapy

41. Respiratory Therapist (certified) Turnover (Employee)

42. Respiratory Therapist (certified) Vacancy (FTE)

43. Therapy

44. Respiratory Therapist (registered) Turnover (Employee)

45. Respiratory Therapist (registered) Vacancy (FTE)

46. Therapy

47. Speech-Language Pathologist Turnover (Employee)

48. Speech-Language Pathologist Vacancy (FTE)

49. Pharmacy

50. PositionNo. EmployeesTurnoverVacancy Pharmacist – Staff1,5216.0%3.8% Pharmacist – Clinical9325.6%3.2% Pharmacy Tech1,39610.2%2.7%

51. Pharmacist (staff) Turnover (Employee)

52. Pharmacist (staff) Vacancy (FTE)

53. Pharmacist (clinical) Turnover (Employee)

54. Pharmacist (clinical) Vacancy (FTE)

55. Pharmacy Technician Turnover (Employee)

56. Pharmacy Technician Vacancy (FTE)

57. Other Positions: Surgical Technician

58. Surgical Technician Turnover (Employee)

59. Surgical Technician Vacancy (FTE)

60. Medical Records Coder (certified) Turnover (Employee)

61. Medical Records Coder (certified) Vacancy (FTE)

62. Medical Positions - NEW PositionEmployee Turnover FTE Vacancy Business Analyst3.9%3.8% Clinical Information Specialist3.7%8.3% Project Manager0.9%4.2%

63. More Information  LeAnn Jackson Director of Workforce Development ljackson@mail.mhanet.com 573/893-3700 ext. 1333 ljackson@mail.mhanet.com