Allied Health:

Download Report

Transcript Allied Health:

Texas Public Health Association, 16apr09

ALLIED HEALTH:

PROFESSIONAL SHORTAGE

Eldon L. Nelson, Ph.D.

Professor and Dean, School of Health Sciences The University of Texas at Brownsville and Texas Southmost College

Shortage: Allied Health Workforce

 AH makes up 60% of healthcare workforce  15 of the 30 fastest growing occupations are Allied Health  A need for 5.3 million AH workers through departures and new positions (2010)  1.6 to 2.5 million vacant positions (2020) HRSA, Bureau of Labor Statistics

HRSA – Report to Congress, 2002

The Allied Health Program plays a crucial role providing a rapid transition of students with a baccalaureate degree into the health-related sciences. Allied health professions encompass about 30 percent of the total health care workforce and projections are that by 2010, 5.3 million new allied health workers will be needed. Already there are shortages in critical allied health fields.

HRSA Report to Congress 2002, Allied Health Shortage

12 Nov 2006

“Laboratory sciences are just critical to our delivery of healthcare in an acute-care hospital, but they are out of sight, out of mind.” Roger E. Seaver, CEO, Henry Mayo Newhall Memorial Hospital, Valencia, CA (Los Angeles Times, July 27, 2008)

 nationally, 77% of academic health center CEO’s declared AH shortages to be a problem

Who are Allied Health Professionals ?

 More than 100 separate disciplines/occupations  AMA 2008-09 Health Careers Directory  77 Health Professional groups; 8000 training programs  Physicians, nurses, radiologic technologists…. Many others

Definition: Allied Health Professionals

 HRSA – Health Resources and Services Administration  U.S. Code 42USC Sec. 295p  Association of Colleges of Allied Health

Who are Allied Health Professionals ?

 HRSA* (2000) - Allied Health Professionals:   2,672,000 made up of:  Dental hygienists/assts/lab techs  Dieticians/dietetic technicians    EMT / Paramedic Health Information Admin / Tech Occupational Therapists  Orthotics and Prosthetics  Physical Therapists  *Health Resources and Services Administration

HRSA – Allied Health (cont.)

 Radiologic service workers  Respiratory Therapy workers  Speech Pathologist /audiologists  Other:  Dietetic assistants  Genetic assistants  Operating room technicians  Ophthalmic / optometric medical assistants  Medical transcriptionists  Vocational rehab counselors  Other rehabilitation workers  Other social and mental health workers

US Code Definition

(42 USC Sec. 295p):

Allied Health Professionals

   … a health professional ( other than a registered nurse or physician assistant ) who has received a certificate, an associate's degree, a bachelor's degree, a master's degree, a doctoral degree, or post-baccalaureate training, in a science relating to health care; who shares in the responsibility for the delivery of health care services or related services, including (i) services relating to the identification, evaluation, and prevention of disease and disorders; (ii) dietary and nutrition services; (iii) health promotion services; (iv) rehabilitation services; or (v) health systems management services…

42USC Sec. 295p (continued

)

 … and, who have NOT received a degree of:              doctor of medicine doctor of osteopathy doctor of dentistry doctor of veterinary medicine doctor of optometry doctor of podiatric medicine bachelor or doctorate of science in pharmacy graduate degree in public health doctor of chiropractic graduate degree in health administration doctoral degree in clinical psychology degree in social work degree in counseling

Allied Health Professionals

“… are involved with the delivery of health or related services pertaining to identification, evaluation and prevention of diseases and disorders; dietary and nutrition services; rehabilitation and health systems management, among others . Allied health professionals, pathologists.” to name a few , include dental hygienists, diagnostic medical sonographers, dietitians, medical technologists, occupational therapists, physical therapists, radiographers, respiratory therapist and speech language

The Association of Schools of Allied Health Professions

Summary Definition:

Allied Health Professionals

 “Allied Health” … typically excludes :  Physicians AND most doctorate level health professionals  Nurses and Physician Assistants  Public Health , Counseling and Social Workers  Healthcare Administration  All Others having credentials in the Healthcare professions:

Allied Health Professionals

Among the Most Recognized Allied Health Disciplines

Occupation Total Allied Health

Dental Hygienists Dieticians EMT - Paramedic Health Information Admin /Tech Clinical Laboratory Occupational Therapists Physical therapists Radiologic workers Speech Pathologists/audiologists

1970 750,000

40.000

17,000 36,000 52,000 135,000 6,000 30,000 87,000 19,000

1990 1,831,000

81,000 57,000 93,000 87,000 297,000 42,000 92,000 157,000 65,000

2000 (% change ) 2,672,000 (256)

112,000 (180) 90,000 (429) 125,000 (247) 101,000 (100) 337,000 (150 ) 72,000 (1100) 130,000 ( 333) 220,000 (153) 121,000 (537) HRSA, Bureau of Health Professions, National Center for Health Workforce Analysis

Allied Health Professions: Projections 2006-2016

Occupation

Graduate Degree level

Occupational therapists Physical Therapists Speech-Lang Pathologists Employment Number* 2006 2016 Total job openings Growth & net replacement 2006-16* 99 173 110 122 220 121 37 68 33

Baccalaureate Degree

Dieticians / Nutritionists Med & Clinical Lab Tech 57 319 62 362 19 92

Associate Degree

Dental Hygienists Med. Records / HIT Radiologic techs Respiratory Therapists 167 170 196 102 217 200 226 126 * thousands, Data from S.N. Collier, 2007 Health Workforce Articles, BLS projections to 2016 82 76 56 38

Causes for the Shortage?

- Demand exceeds Production      Growing population Lag of educational AH programs to meet need  Limited enrollment (small) programs     Lack of AH faculty Lack of students (many AH programs are not known) Limitation of Clinical Sites  restricted student / faculty ratio Attrition rates are high Retirement of aging AH professionals AH Programs advancing entry-level to higher degree Some occupations have limiting salary attraction (e.g., EMS, MLT)

Texas: Shortage of Allied Health Professionals

 764,000 health care workers  8.2% of total workforce  Population grew 26%, 1988-2000  Health worker employment, 51%  Population expected to increase 23%, 2000-2020  The Hispanic patient population will increase  Texas projected to have a majority Hispanic pop. 2030  Need for bilingual health care providers

Texas: Job Openings VS. Number of Graduates 2004-2014

Profession

Clin Lab Scientist Dental Hygienist EMT/Paramedic Occupational Therapy Physical Therapy

# Annual Openings (1)

610 465 560 340 480

# Graduates* Minus 10% (2)

246 322 276 131 155

#/Percent Unfilled Positions (1)

364 / 60% 143 / 31% 284 / 51% 209 / 39% 325 / 68% Physician Assist Respiratory Care Speech /Lang Pathology 270 460 445 230 363 171 40 / 97 / 274 / 15% 21% 62% [ Modified from M. Harrington, Dean, College of Health Professions UTHSCSA] 1. Texas Workforce Commission, Data Link, Future Job Growth by Occupation 2004-2014. http://www.tracer2.com/cgi/dataanalysis/AreaSelection.asp?tableName=Occprj 2. AMA. Health Professions Career and Education Directory 2007-08. Chicago, IL

Allied Health Education Programs: Texas

 In 2008:  379 AH Programs in Texas (2008)  264 programs in community/technical colleges  115 programs in universities  127 programs are CAAHEP accredited programs representing 20 of the AH disciplines  Expected AH 8,000 Graduates  Job Openings – 12,000* * Estimated based on the average shortage (52%) of the most recognized AH professions

Allied Health Data: Border Region of South Texas

Allied Health Workforce Projections - South Texas

Med. & Clinical Lab. Tech Radiology Technology Physical Therapy Dental Hygiene Respiratory Therapy Speech Path/Audio Occupational Therapists Surgical Technology

2007 Jobs

619 456 679 937 486 473

2012 Jobs

710 1068 1273 205 1348 1686 338 560 810 91 104 131 1110 173 597 111 583 110

Openings

New Replace 46 72 73 43 64 81 30 72 Total 137 277

411

147 195 254 141 182 Source: Texas Workforce Commission and Comptroller report, Texas in focus: South Texas, Aug 2008 (%) (22) (26) (30) (32) (29) (27) (29) (38)

Allied Health Programs: Border Institutions Faculty, Enrollment, and Graduation

Allied Health Programs Number of Programs Faculty FT/PT Current Needed FT/PT Enrollment Data AY 2007 AY 2008 Change Graduate Data 2007 2008 Change Cert./ Assoc.

29 73/39 40/30 974 1010 4% 386 415 8% Bachelor 8 18/11 5/1 2294 2456 7% 116 131 13% Master 7 43/7 10 123 131 7% 92 85 -8% Master/ PhD 2 3 15 16 7% pending pending

• Laredo CC, South Texas College, Texas State Technical College - Harlingen, UT-Brownsville /TSC, UT-El Paso, UT-Pan American

Programs along the Border * - 22 Allied Health Disciplines

Dental Assistant Cancer Information Management Dental Assistant Diagnostic Medical Sonography Emergency Medical Services Health Promotion Medical Laboratory Technology Occupational Therapist Asst.

Phlebotomy Physical Therapist Assisting Radiology Technology Speech – Language Pathology * Laredo CC, STC, TSTC, UTB/TSC, UTEP, UTPA 1 1 1 4 1 3 2 1 2 3 2 Dental Hygiene Clinical Laboratory Science Dental Hygiene Dietetics Health / Medical Administration Medical Assistant Occupational Therapy Pharmacy Technology Physical Therapy Polysomnography Respiratory Care/Therapy Surgical Technology 1 1 1 1 3 1 1 1 1 2 1

High Demand Allied Health Professions in LRGV*

        Laboratory Technologists /Medical Laboratory Technicians OR/Surgical Technologists Pharmacists / Pharmacy Technicians Phlebotomists Radiologic Technologists (AART certified) Respiratory Technologists (Registered or Certified) Physical Therapy / PTA Occupational Therapy / OTA *employment practices vary among hospitals; regular employment, use of PRN

Mitigation of AH Shortage

Federal Legislation



Federal:



Allied Health Reinvestment Act, 110 th 2007-08 Congress,



Title VII of the Public Health Service Act



PART G – Allied Health Professionals



AH portion of Section 799C Not passed

Funding for Allied Health Professions in the Stimulus Package (Amer. Recov. & Invest. Act) HRSA Funding : • $500M for health professions Workforce Shortage • $200 million for health professions training programs  Allied Health may take advantage of:  DOL - $4 billion – focused on training workers for high demand professions   Workforce Investment Act (WIA) - $750M – worker training WIA - $3B – Training & Employment, Displaced Worker Formula funding  Pell Grants – funding needy students into college - $15B (derived from J. Colbert, Allied Health- Moving Forward, AAHP Annual Meeting, St. Petersburg, FL, 19mar09; and S. N. Collier, Where is Allied Health in Stimulus Funding?, Trends, March 2009)

Current Texas Legislation: Allied Health Professions

 SB 706 - Incentives to Recruit and Retain Allied Health Education Program Faculty (Davis; Harris, Hinojosa, West)  Tuition exemption/reduction for children of AH Faculty  Tuition reduction for AH Clinical Preceptors  Grants for recruiting/retaining AH Faculty  SB 290 - Creation and Implementation of the Health Professional Education Grant Program (Nelson; Zaffarini)  Grant for expanding AH education programs

Current Texas Legislation: Allied Health Professions

Partnering in the Valley:

 UTB/TSC partnering with:  UTPA … to expand needed AH programs to Brownsville  OT Program  Speech Pathology Program  South Texas College... To initiate programs in Brownsville  OTA Program  PTA Program  TSTC… to initiate new programs  Vocational Nursing  Cancer Information Management

Texas Association of Public Health, 16apr09

Thank you,!...... Questions?

ALLIED HEALTH:

PROFESSIONAL SHORTAGE

Eldon L. Nelson, Ph.D.

Professor and Dean, School of Health Sciences The University of Texas at Brownsville and Texas Southmost College