Certified Nursing Assistant and Acute Care Technician

Certified Nursing Assistant and Acute Care Technician February 2016 Needs Assessment Prepared by Danielle Pearson Date: February 8, 2016 Certified Nursing Assistant and Acute Care Technician Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 1

Scope Data compiled in this report covers San Bernardino, Riverside, Orange, and Los Angeles counties. Data were drawn from external sources, including the Employment Development Department s California Labor Market Information and the U.S. Department of Education s Integrated Postsecondary Education Data System (IPEDS), as well as Chaffey College s Colleague Administrative database. Data Sources and Calculations Educational Program Data TOP Code Program of Study 1230.30 Certified Nurse Assistant The Taxonomy of Programs (TOP) is a standardized system used at the state level to classify programs and courses at California Community Colleges that are intended to achieve the same outcome. Both the Nursing Assistant and Acute Care Technician programs at Chaffey College are classified under the Certified Nurse Assistant TOP code. CIP Code Program of Study 51.1614 Nurse/Nursing Assistant/Aide and Patient Care Assistant The Classification of Instructional Programs (CIP) is a standardized coding system used at the federal level to facilitate accurate tracking, assessment, and reporting of fields of study and program completion at educational institutions throughout the country. This report draws on the Nurse/Nursing Assistant/Aide and Patient Care Assistant CIP code, which maps to the Certified Nurse Assistant TOP code, to compare Chaffey College to other institutions and examine employment trends. Completions Data Degree and certificate data regarding students at Chaffey College were collected from the Colleague Administrative database. Degree and certificate data for all comparison schools were collected from the U.S. Department of Education s Integrated Postsecondary Education Data System (IPEDS). All comparison institutions included in this report are postsecondary and have provided data to IPEDS. IPEDS defines postsecondary education as a formal program designed primarily for students beyond high school age. These include academic, vocational, and continuing professional education, and exclude avocational and adult basic education programs. Occupational Data SOC Code Occupational Title 31.1012 Nursing Aides, Orderlies, and Attendants 31.1014 The Standard Occupational Classification (SOC) system is used by federal statistical agencies to classify workers into occupational categories. The Nurse/Nursing Assistant/Aide and Patient Care Assistant CIP code was mapped to the SOC code listed in the table above using the crosswalk described in the paragraph below. Although CIP 51.1614 was previously mapped to SOC 31.1012 Nursing Aides, Orderlies, and Attendants, SOC 31.1012 is no longer in use by some data sources. In these cases, Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 2

determination to map to SOC 31.1014 was made by evaluating sample reported job titles and tasks associated with the SOC for alignment with Certified Nurse Assistant. Educational Program to Occupation Crosswalk The TOP-CIP-SOC Crosswalk (Employment Development Department, 2009) was used in this report to map TOP codes to CIP and SOC codes. This crosswalk allows the user to estimate labor market demand for California Community College program completers using SOC-based projections from the California Labor Market Information Division. Industry Data The North American Industry Classification System (NAICS) is used by federal statistical agencies to classify business establishments for the purpose of conducting and reporting research on the U.S. business economy. The Standard Occupation Classification codes are mapped to industry data by the California Labor Market Information Division. Industry information is used to observe trends across the industries that employ the occupations identified above. Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 3

Introduction and Contents Contents Background Information 5 Regional Job Outlook 6 Largest and Fastest Growing Industry Employers 8 Regional Graduation Summary 10 Chaffey College s Performance on Core Indicators 11 Purpose and Goals Chaffey College currently offers a 7-unit nontranscripted certificate option in the Nursing Assistant program and a 7-14-unit non-transcripted certificate option in the Acute Care Technician program. The following is a description of the Nursing Assistant program as outlined in the 2015-16 Catalog: The Nursing Assistant (NA) program prepares students for entry-level employment in health care facilities. are important members of the health care team, providing direct care to patients in long-term care settings. All Nursing Assistants function under the supervision of a Licensed Nurse. Programs are approved by the California Department of Health Services. Upon completion of the Nursing Assistant program, the student is eligible to take the state examination for Certified Nurse Assistant (CNA) for a fee. The CNA may then complete courses for certification in Home Health Aide (HHA) and/or Acute Care Technician (ACT). The following is a description of the Acute Care Technician program as outlined in the 2015-16 Catalog: To enter the Acute Care Technician (ACT) program a student must have an active California State Certified Nursing Assistant (CNA) certificate or equivalent. The Acute Care Technician program prepares the nursing assistant to function in acute care settings including hospitals and sub-acute facilities. The Acute Care Technician will gain skills for the Vocational Nursing Program at Chaffey College. The purpose of this report is to integrate and analyze data from multiple sources to determine labor market needs for the Nursing Assistant and Acute Care Technician programs at Chaffey. Regional Definitions Inland Empire includes the Riverside-San Bernardino-Ontario Metropolitan Statistical Area (MSA) Los Angeles County includes the Los Angeles- Long Beach-Glendale Metropolitan Division Orange County includes the Santa Ana- Anaheim-Irvine Metropolitan Division Key Terms and Concepts Replacement Jobs: Replacement jobs refer to the number of job openings due to workers leaving an occupation. Annual Openings: Annual openings are calculated by adding the number of new jobs to the number of replacement jobs, divided by the number of years in the projection period. Projections: Projections of employment are calculated by the Employment Development Department and are based on a mathematical formula that includes historical employment and economic indicators along with national, state, and local trends. Occupation: Jobs are grouped into occupations using the federal Standard Occupational Classification (SOC) system. Industry: Occupations are grouped into industries using the North American Industry Classification System (NAICS). Wages: Hourly wages are reported in percentiles and averages. The 25th percentile is a useful proxy of entry-level wages and the 75th percentile of experienced-level wages. Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 4

Background Information Certified Nurse Assistant Certified Nurse Assistant programs in California Community Colleges teach students routine nursing services of patients in hospitals or long term care facilities practiced under the direction of nursing or medical staff, and specific to the nurse assistant certification examination. 1 The description of job duties for is provided by the Occupational Information Network. 2 provide basic patient care, such as feeding, bathing, dressing, grooming, and moving patients, or changing linens, under the direction of nursing staff. This includes nursing care attendants, nursing aides, and nursing attendants. Typical Tasks Answer patients call signals, signal lights, bells, or intercom systems to determine patients needs Turn and reposition bedridden patients Provide physical support to assist patients to perform daily living activities, such as getting out of bed, bathing, dressing, using the toilet, standing, walking, and exercising Review patients dietary restrictions, food allergies, and preferences to ensure patient receives appropriate diet Measure and record food and liquid intake or urinary and fecal output, reporting changes to medical and nursing staff Record vital signs, such as temperature, blood pressure, pulse, or respiration rate Gather information from caregivers, nurses, or physicians about patient condition, treatment plans, or appropriate activities Observe or examine patients to detect symptoms that may require medical attention, including bruises, open wounds, or blood in urine Document or otherwise report observations of patient behavior, complaints, or physical symptoms to nurses Remind patients to take medications or nutritional supplements 1 California Community Colleges, Chancellor s Office, Taxonomy of Programs, Sixth Edition (Corrected Version). 2 O*Net Online: http://www.onetonline.org/find/ Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 5

Regional Job Outlook Projected Regional Job Outlook The table below displays 2012 employment estimates and 2022 projections for Nursing Assistant jobs. Each of the regions of interest are expected to provide a number of annual job openings, however, opportunities are most numerous in Los Angeles County, followed by Orange County and then the Inland Empire. In addition, most of these openings are due to new rather than replacement jobs. Total Estimated 2012 Jobs Total Projected 2022 Jobs Projected Growth (%) Ave. Annual New Job Openings Ave. Annual Replacement Job Openings Ave. Annual Total Job Openings State of California 98,400 121,600 23,200 (23.6%) 2,320 1,860 4,180 Inland Empire 8,260 9,960 1,700 (20.6%) 170 158 328 Los Angeles CO 31,050 36,980 5,930 (19.1%) 593 590 1,183 Orange CO 8,560 10,610 2,050 (23.9%) 205 160 368 Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited February 8, 2016). Projected Job Growth by Region The graph below shows the projected growth from 2012 to 2022 for Nursing Assistant positions. Moderate-to-high growth is expected across all regions. 50 40 % Growth 30 20 23.6 20.6 19.1 23.9 10 0 California Inland Empire LA County Orange County Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited February 8, 2016). Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 6

Regional Hourly Wages This table displays first quarter 2015 hourly wage statistics of. Hourly wages range from approximately $11 to $17/hr, depending on the region and level of experience. No data specific to Orange County were available. Mean Hourly Rate 25 th Percentile Median Hourly Rate 75 th Percentile State of California $14.75 $11.64 $13.87 $17.08 Inland Empire $13.91 $11.18 $13.20 $15.51 Los Angeles CO $14.46 $11.48 $13.67 $16.75 Orange CO -- -- -- -- Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited February 8, 2016). Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 7

Largest and Fastest Growing Industry Employers Largest Industry Employers of The graphs below display the 2012 staffing patterns of the largest industries employing Nursing Assistants across the state of California. Nursing Care Facilities and General Medical and Surgical Hospitals employ the majority (~85%) of individuals in these professionals. Number of Employees 50000 45000 40000 35000 30000 25000 20000 15000 10000 5000 0 Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns2.asp (visited February 8, 2016). Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 8

Change Over Time of the Largest Industry Employers of The graph below displays projections of change over time from 2012-2022 of the largest industries employing in the state of California. Home Health Care Services and Individual and Family Services are expected to increase the numbers of individuals employed in these occupations the most, whereas residential Mental Health Facilities and the Federal Government re expected to decrease the number of individuals employed. Percent Change 80% 70% 60% 50% 40% 30% 20% 10% 0% -10% -20% Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns2.asp (visited February 8, 2016). Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 9

Regional Graduation Summary Education and Training 1 Nursing assistants must complete a state-approved education program in which they learn the basic principles of nursing and complete supervised clinical work. Formal training is offered in community colleges, vocational-technical centers, nursing care facilities, and some high schools. Upon completion of state-required education, nursing aides take a competency exam. Nursing assistants who have passed the exam are placed on a state registry. In California, those who complete a nursing assistant program are known as Certified (CNAs). Regional Completers in Nurse/Nursing Assistant/Aide and Patient Care Assistant Programs The table below displays the number of program completers in the 2013-14 academic year at regional institutions offering Nurse/Nursing Assistant/Aide and Patient Care Assistant programs. There are 15 institutions offering degrees or certificates across the four county region. Institution Name < 1 year Certificate 1 to < 2 year Certificate Award Level Associate s Degree 2 to < 4 year Certificate Beaumont Adult School 19 -- -- -- California Nurses Education Institute 44 -- -- -- Colton Redlands-Yucaipa Regional Occupational Program East San Gabriel Valley Regional Occupational Program 83 -- -- -- 103 -- -- -- Hacienda La Puente Adult Education 64 -- -- -- InfoTech Career College 18 -- -- -- Long Beach City College 1 -- -- -- Medical Allied Career Center 10 -- -- -- Palo Verde College 14 -- -- -- Preferred College of Nursing-Los Angeles 66 -- -- -- Riverside City College 113 -- -- -- Riverside County Office of Education 86 Summit College 328 -- -- -- Trinity School of Health and Allied Sciences 237 -- -- -- West Coast Ultrasound Institute -- 64 -- -- Total 1,186 64 -- -- Note: -- indicates that this type of degree is not offered. 0 indicates that this degree/certificate level is offered but no degrees or certificates were granted. Source: National Center for Education Statistics, U.S. Department of Education, Integrated Postsecondary Education Data System, on the Internet at: http://www.nces.ed.gov/collegenavigator/ (visited February 8, 2016) 1 Bureau of Labor Statistics, United States Department of Labor, Occupational Outlook Handbook, 2012-13 Edition, on the Internet at: http://www.bls.gov/oco/ (visited February 8, 2016). Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 10

Chaffey College s Performance on Core Indicators The Perkins IV Career and Technical Education Improvement Act of 2006 mandates that all state and local postsecondary institutions provide data on six core performance indicators for their career and technical education programs. These indicators are: 1) Technical Skill Attainment; 2) Completions; 3) Persistence and Transfer; 4) Employment; 5) Nontraditional Participation; and 6) Nontraditional Completion. Performance goals are set at the state and local levels and progress is monitored based on a comparison between the actual percentage of students who master each performance area and the negotiated levels of performance. 2014-2015 Chaffey College Performance on Core Indicators The table below displays negotiated and actual core performance indicator levels for all Chaffey College students classified under the Certified Nurse Assistant TOP code. These students performed above district negotiated levels in two of six areas: Technical Skill Attainment and Persistence and Transfer. Core Performance Indicators Negotiated Level State District Chaffey College Performance Percent Above or Below District Negotiated Level Certified Nurse Assistant Core 1 Technical Skill Attainment 89.50% 89.50% 97.06% 7.6 Core 2 Completions- Credential, Certificate, Degree, or Transfer Ready 81.50% 75.61% 60.00 N/A Core 3 Persistence and Transfer 86.50% 83.24% 94.12% 10.9 Core 4 Employment 80.85% 77.65% DR N/A Core 5a Non-traditional Participation 22.60% 20.29% 5.88% -14.4 Core 5b Non-traditional Completions 26.50% 22.49% 22.22% N/A DR indicates privacy requirements. N/A (Not Applicable) indicates denominators < 10. N/R (Not Reported) indicates categories where no participants were recorded. Source: CA Community Colleges Reporting Services, Certified Nurse Assistant, College Core Indicator Information by 6-Digit TOP (2014-2015 Fiscal Year Planning) Certified Nursing Assistant and Acute Care Technician Needs Assessment Page 11