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The North Carolina Health Professions Data System
The North Carolina Health Professions Data System
North Carolina Health Professions Data Book
North Carolina Health Professions Data Book
North Carolina Health Professions Data Book
North Carolina Health Professions Data Book
Trends in the Supply of Dentists in North Carolina, 1996-2005
Trends in the Supply of Dentists in North Carolina, 1996-2005
The Supply and Distribution of Psychiatrists in North Carolina:
The Supply and Distribution of Psychiatrists in North Carolina:
The North Carolina Health Professions Data System
The North Carolina Health Professions Data System
The North Carolina Health Professions Data System
The North Carolina Health Professions Data System
HPDS Website http://www
HPDS Website http://www
The State of Allied Health in NC
The State of Allied Health in NC
Job Vacancy Tracking Reports
Job Vacancy Tracking Reports
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The North Carolina Health Professions Data System

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1The North Carolina Health Professions 41procedures on these types of patients per
Data System. Katie Gaul, Erin Fraher, year, and has shifted from doing general
Thomas C. Ricketts, Jessica Carpenter surgery to more specialized surgical
University of North Carolina at Chapel procedures.
Hill. 42Recommendations. Start small and make
2Overview of Today’s Presentation. The a big impact Expand later Get a good team
North Carolina Health Professions Data together - people with different skill
System Mission Background Data Collection, sets who work well together and can learn
Cleaning, Reporting Organizational Issues from each other What you’re looking to do
External Data Sources WHY? Examples and will inform state policy = look for some
Value of Work Wrapping Up. state money to fund this (don’t depend
3Our Mission. To provide timely, useful solely on federal funding sources) Stay
data and analysis to support decision objective and maintain credibility.
making for health professions policy in 43Contact Us. Katie Gaul k_gaul@unc.edu
North Carolina and the United States To (919) 966-6529. Erin Fraher, Director
support research into health workforce erin_fraher@unc.edu (919) 966-5012. Tom
issues and problems To train others in how Ricketts tom_ricketts@unc.edu (919)
to develop and maintain data systems in 966-5541. Jessica Carpenter
health workforce. jmcarpen@unc.edu (919) 843-3402. Cecil G.
4HPDS: 3 Main Product Lines. Sheps Center for Health Services Research
Maintenance of Licensure Data Files for University of North Carolina at Chapel
HPDS. Special Projects: Service to the Hill 725 Martin Luther King Jr. Blvd, CB
State and the Institution. Allied Health 7590 Chapel Hill, NC 27599 HPDS Main Line:
Workforce Studies. This function is the (919) 966-7112, nchp@unc.edu.
backbone of our work. It takes substantial 44HPDS Website
time and staff effort to collect, clean, http://www.shepscenter.unc.edu/hp. County-
edit, and disseminate licensure data. and region-level data Historical health
Sustaining & maintaining this professions trends (1979-2006)
infrastructure is challenging. The HPDS Practitioner per 10,000 population ratios
often undertakes special research projects and maps Data definitions HPDS
at the request of the NC AHEC, UNC Board publications, press releases Powerpoint
of Governors (respond to legislation, make presentations Data request instructions
presentations), licensure boards etc. This General information about the HPDS;
service has increased the visibility of frequently asked questions Sign-up for
the Sheps Center to important local HPDS listserv Links to NC licensing
sponsors and policymakers. Funded by the boards, other national and state health
Duke Endowment and the NC AHEC, research workforce sites, other useful statistics
has focused on quantifying the supply of, sources.
and demand for, allied health workers. 45Extra Slides.
Findings highlighting the growth of allied 46Overview. The North Carolina Health
health employment have gained the Professions Data System Background
attention of policy makers. Staff in the Organizational Issues Data Sources Special
Governor’s office, the legislature, and Reports and Projects Allied Health WHY?
other state agencies are working to Examples and Value of Work Wrapping Up
develop innovative ways to transition Contact Information.
unemployed individuals into allied health 47The Cecil G. Sheps Center for Health
jobs. Services Research. Founded in 1968; is one
5North Carolina HPDS. A collaboration of the oldest and largest health services
between the Cecil G. Sheps Center for research centers in the nation Is an
Health Services Research at UNC-CH and the organizational unit of the University of
health professions licensing boards. Data North Carolina at Chapel Hill in the
are provided voluntarily by the Health Affairs Division $14 million annual
boards—there is no legislation that budget (2006) Employs or houses 170 staff
requires this, there is no appropriation. including senior faculty, research
Core funding provided by: NC AHEC Program fellows, analytic staff, fellows and
Office, data request fees, project graduate students Over 130 research
cross-subsidies, and the UNC-CH Office of fellows based in other academic
the Provost. departments, state and federal government,
6The System is Unique in the U.S. 30 private industry and other countries are
years of continuous, complete data affiliated with the Sheps Center.
Comprehensive and voluntary collaboration 48Data Request Process. Receive requests
with 12 licensing bodies in North Carolina by Email Fax Phone Informational Requests
Data remain property of licensing board, Non-Sheps Data – refer to appropriate
permission sought for each “new” use source (if possible) HPDS Data request
System is independent of government or procedures HPDS General Information
health care professionals. Requests tracked in contact database (MS
7Categories of Health Professionals in Access) Requestor’s name & contact
Data System. Certified Nurse Midwives information Detailed description of
(1985) Chiropractors Dental Hygienists request Output type Due date – date sent.
Dentists Licensed Practical Nurses Nurse 49Data Request Process. Two types of
Practitioners Occupational Therapists data requests: Off the shelf data and
(2006) Occupational Therapy Assistants publications Aggregate statistics found on
(2006) Optometrists. Pharmacists Physical HPDS website or Data Book (e.g. How many
Therapists Physical Therapist Assistants RNs are active in Durham County?) Requests
Physician Assistants Physicians (MDs and for Publications (Data Book, fact sheets)
DOs) Podiatrists Psychological Associates Requests requiring data processing
Psychologists Registered Nurses Aggregate statistics not found in HPDS
Respiratory Therapists (2004). publications (e.g. How many family
8HPDS Data Collected from Boards. practice physicians in the state provide
“Base” data from initial obstetric deliveries?) Individual level
licensure/approval forms Updated data from data Mailing lists (e.g. Regional MS
renewals of licensure and approvals to Society sending educational fliers to
practice Includes 100% of active local physicians; Companies advertising CE
professionals because licensure is programs to psychologists) Analysis files
required by law We develop a ‘Snapshot’ of for research. Permission sought from board
files as of October of each year (Orange to release individual level data.
Book). 50Data Requests Requiring Processing.
9Data Items Collected. Demographic Requests tracked in contact database (MS
data: Data elements that usually don’t Access) Requestor’s name & contact
change Unique identifier Name Date and information Detailed description of
place of birth Race/ethnicity Gender Basic request Output type Due date – date sent
professional degree (degree conferred, Fees Health Professions Data Book $20.00
name and location of institution attended, per book, plus postage Mailing lists
practice qualifications). (name, address, county, specialty) $4.50
10Data Items Updated. Data elements that per 100 names for electronic files $100
may change: Home address Employment minimum, non-profit organizations; $200
address Type of position Employment minimum, for-profit organizations $600
setting Clinical practice area/specialty maximum Analysis files (including the
Activity status (retired, active practice, above plus additional demographic and
not employed in profession) Average hours practice characteristics) $7.00 per 100
per week/employment status Highest degree names for electronic files $200 minimum,
Foreign language ability (available from non-profit organizations; $300 minimum,
select boards). for-profit organizations $700 maximum,
11Additional Data Items Collected for non-profit organizations; $800 maximum,
Physicians and PAs. Primary, Secondary and for-profit organizations Requests
Other practice location ZIP Code location requiring programming $50.00 per hour for
Facility type Hours in clinical care (by substantial requests (else free).
location) Hours in primary care (by Discounts given for AHECs, students, UNC
location) Provide prenatal care? Deliver System, North Carolina State Agencies, and
babies? Hospital Privileges (2007) at the Director’s discretion.
Licenses ever held in other 51Organizational Issues: Personnel.
states/countries (2007). Deputy Director Policy Analysis Tom
12Licensure File Creation and Ricketts, PhD. Director Health Professions
Maintenance (continued). The entire Erin Fraher, MPP. Research Associate. Data
process takes nearly a year from start to Coordinator. Research Associate.
finish. October. August. News Release. Programmer. Programmer. Center Director.
Review for changes. Trial Posts to web. Deputy Director Research. Deputy Director
Data come in. Edits, cleaning. Formatted Operations. Director Program on Primary
initial analysis file. Data Book released. Care & Health Professions. Associate
13North Carolina Health Professions Data Director Health Policy Information.
Book. Annual Health Professions Data Book, Director NC Rural Health Policy Analysis.
produced since 1979, details state and Associate Director Policy Analysis. 50%.
county level health professions data; Associate Director Data Mgmt &
current issue: October 2007 data Information Services. Programmer. 100%.
Publications and research widely used by Programmer. 100%. Research Assoc. 50%.
policymakers, educators, researchers, the 10%. Graduate RA 10hrs. Graduate RA 20
media and health professionals as the hrs.
official source of health professions 52HPDS Benefits from Sheps Center
statistics in NC Supported by the North Infrastructure. Health Professions Data
Carolina Area Health Education Centers System. Computer and Data Management
Program and the University of North Support. Executive. Other Research Areas.
Carolina at Chapel Hill Office of the Administrative Support. Business and
Provost. Financial Support. Programming. Media and
14North Carolina Health Professions Data Communications. Information and Library
Book. Counts of active, licensed health Services.
professionals Population by age group and 53Infrastructure: Cartography and
race Employment and income data Vital Geographic Analysis Capabilities. Maps
statistics (births, deaths, pregnancies) with HPDS data are prepared using
Infant mortality rates Hospital and cartographic software that provides a
facility data. Aggregated by state, county Geographic Information System (GIS)
and regions (AHEC, DHHS, Perinatal). interface such as ESRI’s Arc Suite
15HPDS: Organizational Issues. (ArcView®, ArcInfo®, ArcGIS®, ArcIMS®),
16Infrastructure: Hardware/Software. and MapInfo® MapInfo / ArcView - Data
Hardware High end personal computers which System has benefited from availability of
are regularly upgraded (every 2-3 years) cartographic software and expertise
Connected to Sheps Center servers allowing through the NC Rural Health Policy
file sharing, storage of large files, Research and Analysis Program. There are
automatic back-up Label writer for mailing three licenses for MapInfo in the Center.
data requests Cleaning and processing of The Center may shift over to ArcView
licensure files is done on local desktop because UNC has an unlimited number of
computer using SAS® Archive licensure licenses. Rural program buys Claritas
files kept on UNC mainframe. Software products for ZIP to county coding and
Microsoft Access - track data requests, do address matching. Other GIS products are
file audits, invoicing, data book pages used as needed.
Microsoft Excel/Powerpoint - graphically 54Infrastructure: Library Services.
present data Macromedia Dreamweaver® - web Sheps employs two full-time librarians who
development Adobe Acrobat® - create PDF oversee the Center’s library holdings
documents for website Quark® or Adobe Librarians conduct customized
InDesign® - desktop publishing Adobe bibliographic research from electronic
Illustrator® - format maps and graphics sources for researchers Librarians manage
MapInfo® or ArcGIS® - create maps and do a Rural Policy collection, which includes
spatial analysis SAS® or Stata® - over 11,000 items related to rural health,
statistical analysis and programming. primary care, health policy dated back to
17Dissemination. State-Level (examples) 1978 Rural policy collection regularly
State Legislators, Governor’s office, deposits and cross-references items from
State Policy Makers Health Professions the Federal Office of Rural Health Policy
Schools All regional AHECs and their (OFRHP), General Accounting Office (GAO),
libraries North Carolina State Library the Office of Management and Budget (OMB),
North Carolina DHHS, Commerce North the Congressional Budgeting Office (CBO),
Carolina Hospital Association and other Medicare Advisory Payment Commission
employers Professional Associations Duke (MedPAC) and the Bureau of Health
Endowment and Kate B. Reynolds Charitable Professions (BHPr).
Trust North Carolina Institute of Medicine 55Infrastructure: Dissemination. Center
National-Level AAMC, other workforce normally employs two full-time Information
centers, AHECs, and researchers Federal and Communication Specialists, who assist
Bureau of Health Professions, HRSA, NAO in the development written and published
Library of Congress Email listserv: 2,298 material; these positions are currently
members, sign-up available on website. vacant Provide copy editing, prepare fact
18Basic Cost Estimates. Stage. Funding sheets, and respond to short term queries
type. Tasks. Estimate *This may vary*. for information Center employs two
Design the System. One-Time. Implement the full-time web masters with distributed
System. One-Time. Operations. Ongoing. responsibilities Press releases and Press
Special Projects. Occasional. $117,000 events are managed in collaboration with
(North Carolina). Explore available data, the UNC Office of Public Affairs.
infrastructure, personnel, expectations; 56Electronic Dissemination. Email
design database and data collection & listserv Updates to website New
analysis procedures. Wide range; depends publications and news items Sent to key
on quality of data and current database policy makers, educators, researchers,
format; personnel. Wide range; depends on employers, etc. Sign-up available on the
quality of data and current database HPDS website 2,298 people on the list.
format; personnel. Hire; purchase 57HPDS: 3 Main Product Lines.
infrastructure; collect and audit data; Maintenance of Licensure Data Files for
populate database; identify and repair HPDS. Special Projects: Service to the
glitches; launch website. Maintain files State and the Institution. Allied Health
and collect new data; publish Data Book Workforce Studies. This function is the
and aggregate stats; maintain website; backbone of our work. It takes substantial
respond to requests for data. Undertake time and staff effort to collect, clean,
special projects at the request of General edit, and disseminate licensure data.
Assembly and others; tasks determined by Sustaining & maintaining this
nature of project. Depends on scope of infrastructure is challenging. The HPDS
work and budget. often undertakes special research projects
19Cost Estimate for Producing the Annual at the request of the NC AHEC, UNC Board
Data Book: Operating Costs. Fiscal Year of Governors (respond to legislation, make
2007-2008. Personnel Time (salaries and presentations), licensure boards etc. This
benefits) excludes project service has increased the visibility of
cross-subsidies. ~$113,300. Administrative the Sheps Center to important local
(copying, postage, phone, supplies). $600. sponsors and policymakers. Funded by the
Publications (printing, dissemination). Duke Endowment and the NC AHEC, research
$2,900. Total. ~$116,849. This is a has focused on quantifying the supply of,
general estimate of the costs to produce and demand for, allied health workers.
the Data Book each year; This does not Findings highlighting the growth of allied
include funds necessary for infrastructure health employment have gained the
or additional functions. *These estimates attention of policy makers. Staff in the
cover the production of the annual HPDS Governor’s office, the legislature, and
Data Book and don’t take into account other state agencies are working to
other projects that we design with the NC develop innovative ways to transition
AHEC Program and others. unemployed individuals into allied health
20Examples of Sources of Funding for jobs.
Workforce Research. Maintenance of 58The Basics: Benchmarking. Benchmark to
Licensure Data Files for HPDS. Allied US practitioner-to-population ratio
Health Workforce Studies. Special Benchmark to neighboring states Problems:
Projects: Service to the State and the What is an active practitioner? Counting
Institution. Annual Contract Current Year, bodies vs. calculating FTEs Dealing with
$116,849 NC AHEC Program. State, Federal missing data? Allocating individuals with
& Foundation Funding Development of more than one practice location and
Dental HPSA process (HRSA, $450,000) out-of-state locations Allocating
Evaluation of the National AHEC Program individuals based on % in primary care
(BHPR, $239,467) Physician Workforce Study Difficulty in quantifying a shortage, how
with NC IOM (Kate B. Reynolds $44,491) many practitioners is too few?
Rural Pharmacist Workforce Study (ORHP, 59Health Professions Data System Recent
$78,808) Supply of Psychiatrists in NC (NC Products. Special reports Trends in
AHEC, $30,000) Need for Assistance (NFA) Licensed Health Professions in North
process (BPHC, $90,000) SE Regional Center Carolina, 1979-2005 Fact Sheets Physician
for Health Workforce Studies (HRSA, Medical and Residency Training Fact Sheet,
$1,000,000). Multi Year Contract Total 2005, 2003, 2001,1999,1997,1995 Allied
2001-2007 $262,476 (Duke Endowment and NC Health Job Vacancy Tracking Reports (Apr.
AHEC). 2007, Aug. 2006, Apr. 2005) Trends in the
21Data Request Revenue. July 1, 2006 – Supply of Dentists in NC, 1996-2005 The
August 30, 2007 253 total data requests Supply and Distribution of Psychiatrists
$6,536.29 Encumbered Average 5-10 contacts in North Carolina: Pressing Issues in the
regarding requests per week (including all Context of Mental Health Reform Trends in
types and follow-ups on requests in the Supply of NPs and PAs in NC,
process) Revenue supports publication of 1990-2001.
the annual Data Book and other 60Trends in Physicians Delivering
publications, helps cover programming and Babies. 2000. 2001. 2002. 2003. 2004.
administrative time, and helps purchase OB/GYNs. 919. 937. 954. 960. 981. OB/GYNs
miscellaneous supplies & software This Delivering. 651. 701. 742. 750. 748. %
is not typically a self-sustaining method OBs. 70.8%. 74.8%. 77.8%. 78.1%. 76.2%.
to fund a data system. FPs. 2,173. 2,224. 2,293. 2,327. 2,040.
22Data Sources. FPs Delivering. 212. 227. 228. 232. 205. %
23Examples of Secondary Data Sources. FPs. 9.8%. 10.2%. 9.9%. 9.9%. 10%.
Supply and distribution of pharmacists in 61Osteopaths, relatively few, but
North Carolina: HPDS data Number, type and growing fast in numbers. Growth rate of
location of pharmacies in NC: NC Board of >10% per year. Number of DOs. 400. 350.
Pharmacy Population data: Census, 300. 250. 200. 150. 100. 50. 0. 1994.
Claritas, State Demographer Volume and 1995. 1996. 1997. 1998. 1999. 2000. 2001.
payer type for prescriptions dispensed in 2002. 2003. 2004.
NC: IMS Health Enrollments and graduations 62Evaluation.
from NC pharmacy schools: UNC-CH, Campbell 63Medical Student Tracking (Class of
Informal interviews Literature and 1996). North Carolina Medical
internet searches National workforce data: Students-Retention in Primary Care* 1996
BHPr, AMA, APA, AANP. Graduates. *Primary Care = Family
24HPDS benefits from other data sets at Medicine, General Pediatric Medicine,
Sheps. Area Resource File (1994-present, General Internal Medicine, Internal
intermittent files for previous years) Medicine/Pediatrics, and
HPSA/MUA file Claritas (1998-2000, 2003, obstetrics/gynecology. Sources:
2005) AMA Masterfile (1981, 1986, 1991, 64Medical Student Tracking (Class of
1996, 2000, 2001, 2004, 2005, 2006) ADA 2002). North Carolina Medical
Data (various) NC Hospital Discharge Data Students-Initial Choice of Primary Care*
(1989-2005, except 1995) NC Ambulatory 2002 Graduates. *Primary Care = Family
Surgery Data (1997-2005). Medicine, General Pediatric Medicine,
25Why? Examples and Value of Work. General Internal Medicine, Internal
26The Data System Can Help Answer Medicine/Pediatrics, and
Questions Like: How many dentists are obstetrics/gynecology. Sources:
there in North Carolina? Where are they 65Informing Policy Makers NC AHEC –
practicing? Are there too few Special Requests. Provide research support
psychiatrists in the state? Are we to Central NC AHEC office Rural Curve
retaining health professionals trained in Retention of physicians who do NC/AHEC
North Carolina? Will NC’s supply of residency Other miscellaneous requests.
physicians keep pace with expected 66Allied Health Studies.
population growth? Does the ethnic and 67HPDS: 3 Main Product Lines.
racial distribution of health Maintenance of Licensure Data Files for
professionals match the population? How HPDS. Special Projects: Service to the
well do the linguistic capabilities of State and the Institution. Allied Health
practitioners match the language needs of Workforce Studies. This function is the
North Carolina’s citizens? backbone of our work. It takes substantial
27BUT it can’t answer some types of time and staff effort to collect, clean,
questions for lack of appropriate data: edit, and disseminate licensure data.
When do physicians actually retire? Are Sustaining & maintaining this
fewer physicians delivering babies because infrastructure is challenging. The HPDS
of malpractice issues? Are we facing a often undertakes special research projects
psychiatrist shortage because at the request of the NC AHEC, UNC Board
reimbursement rates are too low? Where of Governors (respond to legislation, make
should we put the new (dentistry, presentations), licensure boards etc. This
pharmacy, satellite medical) school? Goal: service has increased the visibility of
to provide data-driven, timely and the Sheps Center to important local
objective analyses to inform the policy sponsors and policymakers. Funded by the
debate. Duke Endowment and the NC AHEC, research
28The Basics: Describing the Workforce. has focused on quantifying the supply of,
For example… Supply of physicians is and demand for, allied health workers.
growing, but growth has slowed Average age Findings highlighting the growth of allied
of physicians is increasing slightly health employment have gained the
Gender is converging slowly for new attention of policy makers. Staff in the
physicians Newly licensed physicians were Governor’s office, the legislature, and
more likely to be female, be minority or other state agencies are working to
be younger Of the physicians that left the develop innovative ways to transition
file between 2002-2003, 143 retired from unemployed individuals into allied health
practice and the average retirement age jobs.
was 66 27% of active physicians in 2003 68The State of Allied Health in NC.
completed medical school in NC; 35% Policy Issue: Making link between allied
completed NC residencies. health workforce vacancies and economic
29Makes analysis “simple”. Ongoing development in rural NC Key Findings:
tracking stimulate attention and policy Between 1999-2005, overall employment in
change Having the trend data readily NC grew by 0.2% compared to 20.2% growth
available makes it unnecessary to do in health care jobs and 45.8% increase in
complex studies The data speak for allied health employment Allied health
themselves, and allows the stakeholders to comprises 37% of all health care jobs 8 of
feel some ownership in the data top 10 fastest growing professions (across
Stakeholders can “do their own analysis” all employment sectors in are in allied
by asking us questions of the data which health) Policy Response: Pending We have
we can answer Our data help people avoid requested funding for continued monitoring
doing large and complex (time-consuming) of allied health workforce. May 2005.
studies that cost a lot of money In some 69Manufacturing and Health Care &
cases, the Medical Board will include Social Assistance Employment, NC,
“survey” questions on their licensure and 1995-2005. 822, 995. Manufacturing.
renewal forms, making it easier to collect 568,835. Employment (thousands). 491,637.
data with broad interest. Health Care & Social Assistance.
30Informing Policy Makers. North 332,446. Year. 900. 800. 700. 600. 500.
Carolina General Assembly, 2003-2006 400. 300. 200. 100. 0. 1995. 1996. 1997.
Planning for potential new schools of: 1998. 1999. 2000. 2001. 2002. 2003. 2004.
Dentistry Pharmacy Optometry Plans for 2005. Source: North Carolina Employment
expansion of medical, dental schools Security Commission, 2006.
Effects of malpractice insurance rate 70Healthcare and Allied Health Jobs
increases Effects of changes in license Grew, Overall Employment Remained
rules. Stagnant. 1999. 2005. % Growth
31Trends in the Supply of Dentists in (1999-2005). Total N.C. Employment.
North Carolina, 1996-2005. Policy Issue : 3,801,670. 3,809,690. 0.2%. Healthcare
Dental access in rural NC Key Findings: NC Jobs. 251,550. 302,270. 20.2%. Allied
lags behind national supply Between Health Jobs. 76,590. 111,630. 45.8%. Total
1996-2005, 33% of counties experienced State, Healthcare and Allied Health
decline in dentists per 10K pop, 26 of 33 Employment, North Carolina, 1999-2005.
were rural counties Aging dental Source: Bureau of Labor Statistics.
workforce, especially in rural counties Occupational Employment Statistics. State
87% of dentists are white Policy Response Cross-Industry Estimates: 1999-2005. URL:
Legislature appropriated $89.6 million for http://www.bls.gov/oes/. Accessed
new dental school at ECU and $96 million 06/28/2006.
For expansion at UNC-CH. February 2007. 71North Carolina’s Fastest Growing
32The Supply and Distribution of Occupations Percent Change in Employment,
Psychiatrists in North Carolina: Pressing 2002-2012. Rank. Occupation. Projected
Issues in the Context of Mental Health Openings. % Change. 1. Medical Assistants.
Reform. Policy Issue: State decentralizing 4,950. 60.9. 2. Occupational Therapy
mental health services—will there be an Aides. 30. 60.0. 3. Dental Hygienists.
adequate supply of psychiatrists? Key 2,590. 53.9. 4. Dental Assistants. 3,120.
Findings: Overall supply adequate, 53.0. 5. Social and Human Services
distribution is a problem 44 counties Assistants. 5,110. 48.4. 6. Medical Record
qualify as mental health professional Tech. 2,620. 48.3. 7. Physical Therapist
shortage areas Of 19 counties that qualify Assist. 720. 47.7. 8. Fitness Trainers.
as primary care HPSAs, 11 have shortage of 2,780. 47.6. 9. Respiratory Therapy Tech.
psychiatrists 43 counties have no child 330. 47.1. 10. Respiratory Therapists.
psychiatrists Policy Response: Legislature 1,170. 46.8.
gave $500,000 of recurring funding to AHEC http://eslmi23.esc.state.nc.us/projections
to address maldistribution and supply. EmploymentOutlook.asp?version=aopengp&
Pilot efforts focus on mid-levels, reaType=01&Area=000037&PeriodID=06
residents and tele-psychiatry, 72Health Care Jobs in North Carolina,
consultation models. January 2006. 2005. Allied Health Professions, 37%.
33 Total Health Care Jobs = 302,270. Other,
34NC AHEC, Sheps, NC IOM: The Primary 3%. Physicians, 5%. LPNs, 5%. RNs, 24%.
Care and Specialty Physician Taskforce. Nurse aides, orderlies and attendants,
HPDS data revealed in 2003 that rate of 26%. Note: "Other healthcare
growth of physicians per10,000 population occupations" includes: chiropractors,
slowed At same time, supply of primary dentists, optometrists, and pharmacists.
care physicians did not keep pace with Source: U.S. Bureau of Labor Statistics,
population in many rural counties With Occupational Employment Statistics (2005).
funding from Kate B. Reynolds, NC IOM URL: http://www.bls.gov/oes/.
convened taskforce to examine issue Nurse 73Job Vacancy Tracking Reports. Purpose:
practitioners, physician assistants and Estimate workforce demand for selected
certified nurse midwives included. allied health professions Method: Monitor
35The Primary Care and Specialty weekly job listings in newspaper and
Physician Taskforce: Supply Projections. online sources Data: Latest data collected
Key Findings: Despite rapid growth of NPs for twelve professions during 10 week
and PAs, NC provider supply will not keep period (September 24-November 26, 2006)
pace with population NC IOM made 32 Results: Number of vacancies Distribution
recommendations to the legislature to of vacancies by region and profession
address supply, diversity and Types of employers advertising vacancies.
maldistribution Final report released June April 2007 August 2006 April 2005.
2007; available at http://www.nciom.org. 74Medical Assistants Employed in North
.75 FTE, faster growth. .5 FTE, slower Carolina, 2002-2006. Medical assistants
growth. Ratio Relative to 2004 Level. are growing at nearly double the projected
Year. 105%. 100%. 95%. 90%. 85%. 80%. growth rate. Source: North Carolina Health
2004. 2006. 2008. 2010. 2012. 2014. 2016. Professions Data System with data from the
2018. 2020. 2022. 2024. 2026. 2028. 2030. Employment Security Commission.
36 75Licensure File Creation and
37Wrapping Up. Maintenance. Files are received annually
38“Giving Back” to the Boards. Health from Boards, effective Oct. 31
Professions Licensing Boards Consult on Applications analyst programmers clean and
new or modified questions on licensing edit files Compare new files to previous
forms Language ability (Pharmacy, Nursing, year to look for changes in variables Code
Medicine) Race (Pharmacy) Activity status individuals to counties based on ZIP code
(Physical Therapy) Help evaluate online data There are checks in place to flag
registration (Medical Board, Nursing). inconsistencies which we then investigate,
39Lessons Learned. Data driven workforce but otherwise we do not verify the
analyses necessary to: Monitor accuracy of each record Generate tables of
longitudinal trends in supply and summary statistics for review by Data Book
distribution—establish benchmarks. Are we Coordinator.
worse or better off? Identify emerging 76Licensure File Creation and
workforce issues Challenge anecdotal Maintenance (continued). File audit
evidence Be perceived as objective in Aggregated totals by variable are compared
politically charged policy debates Justify to previous years by state and county
funding requests Tackle discrete Programmers scrutinize files where strange
policy-relevant and manageable size patterns are detected Final review by HPDS
projects Disseminate results in short staff and approval for release Feedback to
policy briefs with lots of pictures (maps Boards Tables of aggregate statistics by
are good…). geographic region are returned to boards
40Health Workforce Planning: The Future. for their reference HPDS sends feedback to
Workforce issues are not going away boards on potential data collection
Federal workforce research funds have been issues, trends in the data.
cut and there are limited national data 77Licensure File Creation and
Responsibility falls on individuals Maintenance. October. The entire process
states—most policy levers are at takes nearly a year from start to finish.
state-level. August. Files received from Boards,
41Moving Forward. We (HPDS) are starting effective Oct. 31. Compare variables
to shift from “classic” workforce studies received to previous year’s variables.
(assign physician to place, counts by Applications analyst programmers clean and
county, look at distribution, etc.) to edit files. Code individuals to county
more in-depth analyses Involves merging based on ZIP code. Release Data Book, Post
administrative and other databases onto data to web. Feedback to Boards. Generate
our licensure files to capture more tables of summary stats for review. File
detailed information Dr. John Doe is not Audit: compare, investigate. Final review,
just a surgeon at ABC Hospital; Dr. Doe approval for release.
does this many of these particular
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