Oklahoma Health Care Workforce Center A public/private partnership created through legisla5on SB 1394 Passed in May 2006; Effec5ve Nov. 2006 Co authors: Sen. Susan Paddack; Rep. Doug Cox A private, non profit organiza5on dedicated to allevia5ng Oklahoma s health care worker shortage With Whom Does OHCWC Collaborate? Other Collabora3ve Partners 19 Member Board Oklahoma State Regents for Higher Educa5on Department of Career Tech Department of Educa5on OU Health Sciences Center OSU Center for Health Sciences Governor s Council for Workforce & Economic Development Oklahoma State Senate (2) Oklahoma House of Representa5ves (2) Office of State Finance Secretary of Health Commissioner of Health Oklahoma Hospital Associa5on Oklahoma Nurses Associa5on Nursing Home Associa5on State Medical Associa5on State Osteopathic Associa5on Lay Member Represen5ng the General Public OK Department of Commerce U.S. Department of Labor Ok Employment Securi5es Commission OK Board of Nursing K 12 Teachers/Counselors School Nurses Allied Health & Nursing Faculty from Career Techs, 2 & 4 year colleges/universi5es Oklahoma Healthcare Educators Associa5on Oklahoma Area Health Educa5on Centers (AHECs) Workforce Investment Boards Physician Manpower Training Commission LPN, ADN & BSN Council Chairpersons Oklahoma Organiza5on of Nurse Execu5ves Ins5tute for Oklahoma Nursing Educa5on Oklahoma Hospital HR Associa5on 1
Funding & In Kind Support Worker Shortage Trends United States Oklahoma Hospital Associa5on Oklahoma Hospitals Tulsa Hospital Council Oklahoma Department of Commerce OSRHE ODCTE Oklahoma State Department of Health Con5nue Pursuing Support from Other Stakeholders 116,000 RN vacancies in hospitals 500,000 RN shortages by 2025 Sources: 2007 AHA Survey of Hospital Leaders; Blowing Open the Bottleneck: Designing New Approaches to Increase Nurse Education Capacity : White Paper, May 2008. Vacancy Rates for Key Personnel United States Shortage Projections Oklahoma 11.4% 116,000 RN Vacancies Occupation Projected Shortage in 2012 Percentage of Projected Total Employment in 2012 8.1% 8.1% 8.0% 6.6% 5.9% 5.9% Registered Nurses 3,135 12% Medical and Lab Technicians and Technologists 606 15% Occupational Therapists 171 16% Physical Therapists 432 20% Surgical Technicians 303 21% Therapists (ST, OT, PT) Registered Nurses Pharmacists Nursing Assistants LPNs Lab Techs Imaging Techs Source: Governor s Council On Workforce & Economic Development, Oklahoma s Health Care Industry Workforce: 2006 Report. Source: 2007 AHA Survey of Hospital Leaders; ST: Speech Therapist, OT: Occupational Therapist, PT: Physical Therapist. 2
Oklahoma Ranks Lower than the National Average 100K Population Occupation High U.S. Oklahoma RNs 69.9 48.3 44.2 Medical and Lab Techs and Technologists Occupational Therapists 281.8 101.3 92.8 59.2 29.5 21 Physical Therapists 87.1 49.5 47.4 Respiratory Therapists Radiologic Technologists 56 32.1 28.4 99.9 62 55.3 Health Care A Major Economic Engine for Oklahoma Second Largest Employing Industry 198,636 direct jobs 14% of Oklahoma s total employment 141,032 indirect jobs created in other industries $6.5 billion in direct contributions to Oklahoma s Gross State Product Source: Governor s Council On Workforce & Economic Development, Oklahoma s Health Care Industry Workforce: 2006 Report. Source: The U.S. Health Workforce Profile, The New York Center for Health Workforce Studies, October 2006. Survey Respondents 158 surveys sent to Oklahoma hospitals 72 hospitals responded 73% of all licensed hospital beds 3
Total amount hospitals spent supporting health care education from 2005-2007. Total amount hospitals spent supporting health care education from 2005-2007. Total amount hospitals spent supporting health care education from 2005-2007, by OHA region. Resources contributed providing hospital staff as adjunct faculty, 2005-2007. OKC Metro 14 Facilities $14,179,375 Tulsa Metro 6 Facilities $7,064,249 Northwest Region 9 Facilities $625,876 Northeast Region 11 Facilities $1,185,284 Southwest Region 11 Facilities $5,626,202 Southeast Region 14 Facilities $1,438,815 4
Total hospital funding for faculty positions, 2005-2007. Total number of hospital-funded faculty positions, 2005-2007. Qualified Applicants Admitted 2008 2004 OSRHE/CT Survey Nursing & Allied Health Pipeline (all Post-Secondary) All Nursing & Allied Health Bachelor's Degree Nursing 63 % 57 % 68 % 85 % Associate Degree Nursing 43 % 71 % 0% 100% 5
All Nursing & Allied Health Bachelor's Degree Nursing Associate Degree Nursing Nursing & Allied Health Pipeline (all Post Secondary) Qualified Applicants 2008 2004 2008 1413 2004 1195 2008 1599 2004 1128 Admitted 5151 0 4000 8000 8146 Nursing & Allied Health Pipeline (all Postsecondary) Qualified Applicants Admitted applicants Grads who got a job within 6 month Grads who got a job in Oklahoma Grads who planned to continue their education Grads who got a job OUTSIDE Oklahoma 211 2008 Health Care Survey, 135 programs 2,214 1,287 2,659 5,151 8,146 Of qualified applicants, 63% are admitted into programs 0 7000 14000 Registered Nursing Pipeline Public and Private Colleges & Universi5es Health Care Survey 2008 Changes in Nursing & Allied Health Programs Post-Secondary Institutions Reporting Health Care Survey - 2004 and 2008 Associate Baccalaureate Qualified Applicants Admitted applicants Grads who got a job within 6 month Grads who got a job in Oklahoma Grads who planned to continue their education Grads who got a job OUTSIDE Oklahoma Qualified Applicants Admitted applicants Grads who got a job within 6 month Grads who got a job in Oklahoma Grads who planned to continue their education Grads who got a job OUTSIDE Oklahoma 508 452 181 60 660 400 138 57 1195 1128 1413 85% of BSN qualified applicants are admitted into programs 1599 71% of qualified ADN applicants are admitted into programs 7000 6000 5000 4000 3000 2000 1000 0 5420 Qualified Applicants 6045 3130 3546 2266 2088 1696 1871 Admitted Graduated Job within 6 months 2004 2008 1503 1463 Job in Oklahoma 0 1000 2000 6
Changes in Higher Education Nursing Programs Higher Education Institutions Reporting Health Care Survey - 2004 and 2008 Hospital Staff Vacancies - 2008 3500 3000 2500 2000 1500 1000 500 2591 3100 1370 2054 935 1163 754 2004 2008 1053 679 740 RN LPN Respiratory Therapists Lab & Medical Techs Imaging Mental Health Physical Therapists All EMTs Scrub Techs Occupational Therapists Pharmacists 89 86 85 76 69 68 58 25 25 308 1354 0 Qualified Applicants Admitted Graduated Job within 6 months Job in Oklahoma 0 200 400 600 800 1000 1200 1400 Higher Ed Survey Findings Students: There is a large number of qualified applicants being turned away from Nursing & Allied Health programs Oklahoma needs to admit more applicants into its programs In general, Gradua5on and Licensure pass rates are great for students admihed into Nursing & Allied Health programs 89% of health profession graduates stay and work in Oklahoma (Employment Outcomes Report, 2008) Higher Ed Survey Findings Faculty There is a shortage in nursing and allied health faculty (84) The shortage is largest in RN faculty (60) Another 52 RN faculty plan to re5re in the next 5 years All nursing and allied health faculty with plans to re5re within 5 years = 117 Nursing faculty oken leave for higher paying jobs in hospitals 7
Resource Issues Adequate clinical space not available in all parts of the state Addi5onal funds for hiring nursing and allied health faculty needed Faculty salaries need to be raised to compete with the local health care industry rates to maintain faculty What Can You Do? Urge your legislator to support the appropria5on of more dollars to OSRHE for capacity expansion (SB310) Ensure nursing and allied health faculty salaries are compe55ve with local health care industry rates in order to recruit and retain faculty Consider shared resources with other programs (e.g., faculty, facili5es, simulators) What Can You Do? Encourage course and admission alignment between programs Encourage and support the use of technology (e.g., simula5on, online and distance educa5on courses) to increase capacity & use scarce faculty resources more efficiently Encourage and support exis5ng partnerships with local hospital partners & let them know the impact and ROI of their contribu5ons Thank you! Sheryl McLain, MS Execu5ve Director 655 Research Parkway, Suite 325 Oklahoma City, OK 73104 (405) 319 8690 sheryl@ohcwc.com www.ohcwc.com 8