november 2007 central minnesota health professional workforce and community health analysis central...
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November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Central Minnesota Health Professional Workforce and Community Health Analysis
Central Minnesota Area Health Education Center
November 2007
Presented by:
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Introduction
Commissioned by Central Minnesota AHEC Study of health professional workforce,
community health needs and K-12 health careers courses
Focus on Central Minnesota; 14 counties 11 health care and mental health occupations Conducted by the Rural Health Resource Center
- Minnesota Center for Rural Health
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
• To provide technical assistance,
information, tools and resources for
the improvement of rural health care.
• To serve as a national rural health
knowledge center and strive to build
state and local capacity.
Mission
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
PurposeTo gather: data about current and projected health
professional supply and demand community health needs health career opportunities in central MN
For: workforce planning development of community-based education recruitment and health promotion activities
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Regional Definition
Big Stone (5,820) Clay (51,229) Crow Wing (55,099) Douglas (32,821) Grant (6,289) Morrison (31,712) Otter Tail (57,159) Pope (11,236) Stearns (133,166) Stevens (10,053) Todd (24,426) Traverse(4,134) Wadena (13,713) Wilkin (7,138)
Total region population = 443,995
Source: Minnesota State Demographic Center, Population Projections for Minnesota Counties, 2000 to 2030
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Study Objectives
Current Supply of Health Care Professionals Potential Supply Projected Supply Current Demand Projected Demand Health Care Professional Compensation Community Health Analysis K-12 Health Careers Information and Courses
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Methodology Primary data
School survey Secondary data
MN Office of Rural Health and Primary Care State of MN Health Professions Boards MN Department of Employment & Economic
Development MN Department of Health MN Department of Human Services Medical Group Management Association
Analysis of Community Health Boards public health plans
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Current and Projected Supply and Demand for Health Care Professionals
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Supply and Demand
Current employment status Current vacancies and shortages
Provider/Population ratios Health Professional Shortage Areas State workforce data
Projected future employment Population projections Age of health care workforce Health care professional graduates
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Health Care Professionals
Certified Nurse Midwives Clinical Laboratory
Scientists (MLT) Dentists Dental Hygienists Nurse Practitioners Occupational Therapists
Pharmacists Physical Therapists Physicians Physician Assistants Veterinarians
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Current Supply of Health Care Professionals in Central MN
County Primary Care Physicians
Specialty Care Physicians
*Other Specialties
Unlisted Specialty
Total # of Physicians
Big Stone 3 0 0 4 7 Clay 8 3 0 4 15 Crow Wing 24 31 3 69 127 Douglas 26 19 2 16 63 Grant 0 0 0 1 1 Morrison 12 6 1 10 29 Otter Tail 28 17 8 11 64 Pope 6 0 0 3 9 Stearns 128 84 49 162 423 Stevens 4 4 0 6 14 Todd 15 1 0 2 18 Traverse 1 1 0 2 4 Wadena 5 2 1 5 13 Wilkin 1 0 1 2 4 Total 261 168 65 297 791**
2006 Active, Licensed Physicians by County in Central MN
* = Other specialties not included in Central AHEC Study** 100% Response based on licensure database.Source: 2006 Physician Licensure Database, Office of Rural Health & Primary Care-Minnesota Department of Health.
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Current Supply of Health Care Professionals in Central MN
County *Certified Nurse
Midwives Nurse
Practitioners Total
Big Stone 0 2 2 Clay 0 4 4 Crow Wing 0 8 8 Douglas 1 1 2 Grant 0 0 0 Morrison 0 1 1 Otter Tail 0 3 3 Pope 0 1 1 Stearns 1 23 24 Stevens 0 2 2 Todd 1 1 2 Traverse 0 2 2 Wadena 0 0 0 Wilkin 0 0 Total 3 48 51
2004- 2006 Active Advanced Nursing Professions by County in Central MN
*Source: Minnesota Registered Nurse Licensure Database, Minnesota Department of Health, Office of Rural Health and Primary Care. *All three CNMs practice in a clinic setting. *100% based on licensure response.
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Current Supply of Health Care Professionals in Central MN
Active Health Professionals inMinnesota vs. Central MN AHEC Region
Sources: Office of Rural Health & Primary Care-MDH, University of Minnesota-College of Pharmacy, MN Board of Veterinary Medicine.
Health ProfessionsCentral MN
RegionMinnesota
Percent of Health Professionals Working
in Central MN
Certified Nurse Midwives 3 74 4%
Nurse Practitioners 48 703 7%
Occupational Therapists 130 2,602 5%
Physical Therapists 143 1,570 9%
Veterinarians 174 1,852 9%
Dentists 199 2,444 8%
Dental Hygienists 243 2,912 8%
Pharmacists 416 7,324 6%
Physician Assistants 87 955 9%
Primary Care Physicians 261 3,861 7%
Clinical Laboratory Scientists NA NA NA
Total 1704 24,297 7%
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Current Supply of Health Care Professionals in Central MN
Certified Nurse Midwives $80,437 $79,409
Nurse Practitioners $57,819-$74,934 $66,715-$80,663
Physicians $162,922-$457,153 $142,952-$358,649
Physician Assistants
$73,784.00
$74,519.00
Pharmacists - Pharm D or BS
$100,720.00
$97,559.50
Dentists - DDS
$126,844.00
$125,569.50
Dental Hygienists
$63,278.00
$57,937.50
Veterinarians
$69,740.00
No information available
Occupational Therapists
$54,695.50
$60,347.50
Physical Therapists
$62,461.00
$63,097.50
Clinical Laboratory Scientists -MLT
$53,413.00
$53,097.00
Source: Physician Compensation & Production Survey – 2006 Report, Medical Group Management Association http://www.salary.com/. Occupational Outlook Handbook, 2006-07 Edition, Department of Labor, Bureau of Statistics, http://www.stats.bls.gov/oco/reprints/ocor008.pdf
Health Professions Compensation
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Health Care Professionals Enrolled in Central MN Region 2006-2007 Clinical Laboratory Scientists 12 Dentists 0 Dental Hygienists 0 Nurses
Master’s NP 0 Master’s CNM 0
Occupational Therapists 0 Pharmacists 0 Physical Therapists 0 Physicians – Family Medicine 4 (per year) Physician Assistants 0 Veterinarians 0
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Health Care Professional Programs Offered in Central MN
Educational programs offered in Central MN Family Practice Physician (Residency Program) Clinical Laboratory Scientists (MLT)
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Projected Supply of Health Care Professionals in Central MN
Provider Type # Practicing # 55 yr. & over% 55 yr. &
over
Certified Nurse Midwives 3 1 33%
Dentists 199 69 35%
Dental Hygienists 243 18 7%
Nurse Practitioners 48 17 35%
Occupational Therapists 130 NA NA
Pharmacists 416 137 33%
Physical Therapists 143 13 9%
Physician Assistants 87 13 15%
Physicians 791 218 28%
Veterinarians 174 43 25%
Number of Health Care Providers Age 55 and Older in Central MN
Source: Office of Rural Health & Primary Care, MDH, University of Minnesota-College of Pharmacy, MN Board of Dentistry, and MN Board of Veterinary Medicine.
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Provider Type # of Vacancies Vacancy Rate
Healthcare Practitioners and Technical (Physicians, Dentists, RNs)
164 1.4%
Healthcare Support (CNA, Home Health Aides)
371 4.8%
Current Vacancies and Vacancy Rates of Health Care Professionals
Health Care Vacancy Rates in Northwest Planning Region(Includes 12 of 14 Central MN AHEC counties)
Source: Minnesota Department of Employment & Economic Development, Labor Market Information Office,Minnesota Job Vacancy Survey, second quarter, 2007.
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Central MN Health Professional
Shortage Areas 12 counties are full county or partially
designated Primary Care Health Professional Shortage Areas (HPSAs)
14 counties (all) are Mental Health Professional Shortage Areas (HPSAs)
6 counties are Dental Health Professional Shortage Areas (HPSAs)
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Central MN Population Projections
Source: Minnesota State Demographic Center, Population Projections for Minnesota Counties, 2000 to 2030
Central MN Population Projections by County
County2000
PopulationProjected 2010
PopulationProjected 2020
Population% change
+ or -
Big Stone 5,820 5,570 5,450 -6.4%
Clay 51,229 52,590 52,810 3.1%
Crow Wing 55,099 67,060 79,390 44.1%
Douglas 32,821 36,940 41,700 27.1%
Grant 6,289 6,390 6,670 6.1%
Morrison 31,712 33,560 35,580 12.2%
Otter Tail 57,159 63,240 70,900 24.0%
Pope 11,236 11,540 12,120 7.9%
Stearns 133,166 148,480 163,170 22.5%
Stevens 10,053 10,110 10,120 0.7%
Todd 24,426 25,640 27,070 10.8%
Traverse 4,134 3,830 3,730 -9.8%
Wadena 13,713 14,520 15,210 10.9%
Wilkin 7,138 6,930 6,990 -2.1%
Total 443,995 486,400 530,910 19.6%
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Projected Health Professional Demand
Practitioner TypeActual #
Licensed in Region
Practitioner to 100,000 Population
2000
Practitioner to100,000
PopulationRatio 2010
Practitioner to100,000
PopulationRatio 2020
Primary Care Physicians 261 58.9 53.5 49.2
Dental Hygienists 243 54.9 49.8 45.8
Dentists 199 44.9 40.8 37.5
Nurse Practitioners 48 10.8 9.8 9.1
Certified Nurse Midwives 3 .67 .61 .56
Pharmacists 416 93.9 85.2 78.5
Physical Therapists 143 32.3 29.3 27.0
Occupational Therapists 130 29.3 26.6 24.5
Veterinarians 174 39.3 35.7 32.8
Source: Minnesota Department of Administration, Population Projections for Minnesota Counties, 2000 to 2030 and MN Office of Rural Health & Primary Care-MN Department of Health; MN Board of Veterinary Medicine and 2006 Minnesota Pharmacist Licensure Database, University of Minnesota, College of Pharmacy.
Ratio of Health Care Professionals per 100,000 Individuals 2000-2020 in Central MN
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Community Health Analysis
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Regional Public Health Priorities by County, 2005-2009
Source: Minnesota Department of Health, Community and Family Health, Office of Public Health Practice, June 2007
County
Alco
ho
l, T
ob
acco &
Oth
er Dru
gs
Ch
ild &
Ad
olescen
t Gro
wth
&
Develo
pm
ent
Ch
ron
ic/ No
nin
fectiou
s Disease
Disab
ility – Decreased
Ind
epen
den
ce
Em
ergen
cy Prep
aredn
ess
En
viron
men
tal Co
nd
ition
s
Infectio
us D
isease
Men
tal Health
Preg
nan
cy & B
irth
Service D
elivery System
Un
inten
tion
al Inju
ry
Un
inten
ded
Preg
nan
cy
Vio
lence
Big Stone * * * * * * * * * * *
Clay, Wilkin * * * * * * * *
Crow Wing * * * * * * * * * * *
Douglas * * * * * * * *
Grant, Pope, Stevens, & Traverse CHB
* * * * * * * * * *
Morrison * * * * * * * * * *
Otter Tail * * * * * * * * * * *
Stearns * * * * * * * * * *
Todd * * * * * * * * * * * * *
Wadena * * * * * * * * * * *
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Central MN Top Public Health Improvement Goals, 2005 Alcohol, tobacco and other drug use Child & adolescent growth & development Environmental conditions Infectious Disease Mental health Pregnancy and Birth
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Central MN Behavioral Risk Factors of Adults
Estimated Percent of:
Overweight Current Smokers
Acute Drinking
Chronic Drinking
Perceiving Health Status as Fair or Poor
State of Minnesota
59.9 20.0 18.8 5.0 11.3
Big Stone 60.4 17.4 14.9 4.7 14.0 Clay 56.8 21.1 19.7 5.4 11.3 Crow Wing 59.8 19.1 17.4 4.8 12.4 Douglas 59.6 18.9 17.6 4.8 12.6 Grant 60.2 17.7 15.7 4.7 13.8 Morrison 59.8 19.4 18.2 4.9 12.0 Otter Tail 60.4 18.6 16.6 4.8 12.9 Pope 60.2 18.2 16.3 4.8 13.2 Stearns 57.7 20.9 20.4 5.3 11.0 Stevens 56.1 20.4 19.3 5.6 12.3 Todd 60.2 19.1 17.6 4.9 12.3 Traverse 59.9 17.0 14.6 4.6 14.8 Wadena 59.8 18.2 16.4 4.8 13.3 Wilkin 60.4 19.1 17.2 4.9 12.3
Source: Minnesota Department of Health, 2006 Minnesota County Health Tableshttp://www.health.state.mn.us/divs/chs/countytables/profiles2006/D_Morbidity_Util_05.pdf
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Central MN Top Leading Causes of Death by Age Group
(Includes all 14 Central MN AHEC Counties) Source: Minnesota Department of Health, Center for Health Statistics, 2005
Cause 0-4 5-14 15-24 25-44 45-64 65-74 75+ All Ages
AIDS/HIV 0 0 0 0 2 1 0 3 Alzheimer’s Disease
0 0 0 0 3 6 135 144
Atherosclerosis 0 0 0 0 0 0 19 19 Cancer 0 1 1 22 197 200 479 900 Cirrhosis 0 0 0 4 14 5 6 29 Congenital Anomalies
8 0 0 3 3 2 1 17
Chronic Lower Respiratory Disease
0 0 0 1 19 48 162 230
Diabetes 0 0 1 0 16 13 91 121 Heart Disease 1 0 1 15 106 112 706 941 Homicide 0 0 1 1 3 0 3 8 Hypertension 0 0 0 0 4 9 34 47 Nephritis 0 0 0 0 3 8 50 61 Perinatal Conditions
21 0 0 0 0 0 0 21
Pneumonia and Influenza
0 0 1 1 6 7 84 99
Septicemia 0 0 0 0 2 6 9 17 SIDS 4 0 0 0 0 0 0 4 Stroke 0 0 0 1 15 20 233 269 Suicide 0 0 11 17 12 0 3 43 Unintentional Injury
2 3 25 32 40 13 69 184
Other 7 4 3 28 66 71 499 678 Total 43 8 44 125 511 520 2,583 3,835
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Central MN Health Care Facilities
County Housing With Services
Mental Health Clinics
Home Care & Home Health Agencies
Hospital (beds)
Nursing Homes (beds)
Pharmacies Psychiatric Hospitals (beds)
Rural Health Clinics
Big Stone 4 0 6 2 (40) 2 (114) 5 0 1 Clay 16 0 12 0 4 (384) 19 0 3 Crow Wing 27 0 21 2 (204) 3 (319) 21 0 1 Douglas 16 0 15 1 (127) 4 (376) 10 0 0 Grant 4 0 2 1 (20) 3 (125) 5 0 1 Morrison 10 1 8 1 (49) 3 (262) 7 0 2 Otter Tail 37 1 27 2 (137) 11 (793) 17 1 (29) 3 Pope 8 0 14 2 (53) 3 (192) 4 0 1 Stearns* 34 1 27 6 (817) 8 (677) 46 0 3 Stevens 3 0 3 1 (54) 1 (104) 4 0 1 Todd 4 0 3 2 (61) 2 (173) 8 0 5 Traverse 1 0 1 1 (25) 2 (91) 2 0 3 Wadena 7 0 7 1 (49) 3 (250) 7 0 2 Wilkin 1 0 4 1 (25) 1 (120) 3 0 0
Source: Pharmacies: Minnesota Board of Pharmacy, Minnesota Department of Health, Health Care Facility and Provider Database http://www.health.state.mn.us/divs/fpc/directory/providerselect.cfm
*Includes St. Cloud VA Hospital
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
K-12 Health Professional Career Activities
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Target Population for Health Careers Information and Courses in Central MN
Target Population for Health Careers Information and Courses in Central MN
19%
35%
54%
0%
0%
0%
0% 10% 20% 30% 40% 50% 60%
All Students
Elementary
High School
Home-School
Out-of-School
Post-Secondary
Percent
Note: 246 Surveys mailed to Central MN Schools with 31 responses for a response rate of 13%.
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Health Career Information Provided in
Central MNHealth Care Professional Courses Offered by Schools in Central MN
Type of CourseNumber of Responses
Percent
Medical Terminology 5 16%
Health Care Careers 5 16%
Certified Nursing Assistant 1 3%
Emergency Medical Technician 0 0%
Nursing (RN, LPN) 0 0%
First Aid 6 19%
CPR 5 16%
Other 0 0%
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Summary
Gaps exist between health care professional supply and demand: Most prevalent outside of Otter Tail, Crow Wing and
Stearns Counties Especially in non-primary care professions – dentists,
and mental health professionals Demand for health care services will increase as
a result of the aging population Population projected to grow by 19% in 2020
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Summary continued
Limited number of advanced health care educational programs in region (MLT, family medicine)
Lack of dentistry, advanced nursing, therapy, pharmacy and non-primary care medicine regionally
One-third of CNMs, NPs, pharmacists and dentists are age 55 and over
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Summary continued
Community health priorities identified: Alcohol, Tobacco & Drug Use Child & Adolescent Growth & Development Chronic Disease Mental Health
Heart disease was the leading cause of death in Central Minnesota
November 2007Central Minnesota Health Professional
Workforce and Community Health Analysis
Summary continued Most organizations target high school students when
providing health care career information and courses Nice mix of health career courses Possible areas of health career expansion for Central
MN AHEC include: Professional and student leadership associations Health career resource centers Mentoring Training and tuition assistance Scholarship programs Expand rural clinical rotations for medicine, pharmacy,
dentistry, veterinary medicine, and therapy