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
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
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
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
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
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
LTC: Workforce in Crisis Source: Myers and Stauffer, LC. LTC Reports. Retrieved from: http://in.mslc.com/resources/documents.aspx and Indiana State Department of Health Long Term Care Facility Directory Accurately estimated demand? Source: Indiana Department of Workforce Development employment projections 2012 to 2022 7
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
Pathways Project: Preliminary Results in Nursing Nursing Pathways Number Percent CNA - LPN 3,378 31.84 CNA - LPN - RN 1,005 9.47 CNA - RN 6,041 56.95 CNA - RN - APN 166 1.56 CNA - LPN - RN - APN 18 0.17 Total 10,608 100 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 993 51% Occupational Therapist Asst 206 11% 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 1940 9
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
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