Indiana s Long Term Care Workforce: Description, Challenges, and Pathways. Speaker: Hannah Maxey
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1 Indiana s Long Term Care Workforce: Description, Challenges, and Pathways Speaker: Hannah Maxey Assistant Professor and Director Bowen Center for Health Workforce Research and Policy Objectives Describe Bowen Center and data sources Present data on professions/occupations Physicians (can we look at geriatricians and those in Long term care?) Registered Nurses Certified Nurse Aides Consider key workforce issues Discuss Pathways Project Present preliminary results if available 1
2 Data Management and Policy Support Our mission: To improve population health by contributing to informed health workforce policy through data management, community engagement, and original research. Our role: Data management Research Policy 2
3 Data Sources Professional Licensing Agency License/Certificate Surveys Office of Medicaid Policy and Planning Provider enrollment Long term care nursing facilities workforce reports Indiana State Health Department Occupational data Workforce Description 3
4 Physicians: Geriatric Medicine How many? 65 out of 10, 057 Indiana Physicians reported Geriatric Medicine as their specialty Demographic characteristics? 62% male (66% all physicians) 71% white (73% all physicians) 54 years mean age (50 all physicians) Source: Based on respondents to the survey administered during the 2015 license renewal period Physicians: Geriatric Medicine Educational characteristics? Medical School 31% Indiana (36% all physicians) 48% contiguous states (21% all physicians) Residency 38% Indiana (39% all physicians) 26% contiguous state (28% all physicians) Professional characteristics? 85% urban setting (50% all physicians) 91% reported serving Indiana Medicaid recipients (91% all physicians) Source: Based on respondents to the survey administered during the 2015 license renewal period 4
5 Registered Nurses How many? 5029 (or 7%) out of 67,554 Indiana Registered Nurses reported working in Nursing Home/Extended Care Facility/Assisted Living Facility 308 (6%) of these are Advanced Practice Nurses Demographic characteristics 89% white (92% overall RN) 45 years mean age (45 years overall RN) Source: Based on respondents to the Registered Nurse survey administered during the 2015 license renewal period Registered Nurses Educational characteristics? 59% Associate Degree/diploma highest education (33% overall RNs) 81% reported completing initial training in Indiana Professional characteristics? 69% urban Source: Based on respondents to the Registered Nurse survey administered during the 2015 license renewal period 5
6 Certified Nurse Aide 51,131 Active CNA Certifications as of 08/1/16 Unknown demographic and professional characteristics Source: Indiana State Department of Health and Indiana Professional Licensing Agency. No survey currently administered. Workforce Challenges 6
7 LTC: Workforce in Crisis Source: Myers and Stauffer, LC. LTC Reports. Retrieved from: and Indiana State Department of Health Long Term Care Facility Directory Accurately estimated demand? Source: Indiana Department of Workforce Development employment projections 2012 to
8 Pathways Project What is it? CNA Pathways Project Assessing whether and to what extent Certified Nurse Aide be a pathway to licensed health professions, Methods? Linking CNAs to licenses administered by Professional Licensing Agency 8
9 Pathways Project: Preliminary Results in Nursing Nursing Pathways Number Percent CNA - LPN 3, CNA - LPN - RN 1, CNA - RN 6, CNA - RN - APN CNA - LPN - RN - APN Total 10, Note: The following acrynoms are used: Licensed Practical Nurse (LPN), Registered Nurse (RN), & Advanced Practice Nurse (APN) Pathways Project: Preliminary Results in Other Health Professions Professions Number Percent Pharmacy Technician % Occupational Therapist Asst % Respiratory Care Practitioner 178 9% Health Facility Administrator 117 6% Physical Therapy Assistant 83 4% Physician Assistant 73 4% Mental Health Professionals 52 3% Dental Hygienist 49 3% Physician (MD and DO) 37 2% Occupational Therapist 37 2% Speech Language Pathology and Audiology and Hearing Aide Dealers 33 2% Pharmacist and Pharmacy Intern 14 1% Other Doctoral Level: Dentist, Podiatrists, Optometrist 13 1% Other: Veterinary Technician, Athletic Trainer, Dietician, Acupuncturist 27 1% TOTAL
10 Next Steps Assess time to transition between license types Match to survey data to determine current characteristics (demographic, practice, etc.) Prepare policy report on findings Questions 10
11 11
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