Transcript Document

Page 0
The Structure of the Healthcare Sector and
Healthcare Occupations
in Massachusetts
Navjeet Singh
Vice President, Research and Evaluation
617-727-8158
[email protected]
Page 1
What is included in the “Healthcare” sector?
Massachusetts
2004 Employment, 2004 Avg. Salary
3,138,738, $48,916.09
Healthcare and Social Assistance
451,262, $41,601
Ambulatory Healthcare
126,996, $49,600
Hospitals
168,775, $48,755
Nursing and residential care facilities
91,345, $28,419
Social assistance
62,357, $24,985
Offices of physicians
46,518, $69,042
General medical and surgical hospitals
145,390, $49,567
Nursing care facilities
57,366, $30,474
Individual and family services
26,076, $27,579
Offices of Dentists
19,833, $43,695.02
Other hospitals
14,998, $44,844.41
Residential mental health facilities
15,129, $23,727
Child day care services
21,917, $21,177
Home health care services
19,189, $29,516
Psychiatric and substance abuse hospitals
8,387, $41,666
Community care facilities for the elderly
12,322, $24,138.04
Vocational rehabilitation services
8,503, $25,687
Other residential care facilities
5,695, $27,793
Emergency and other relief services
5,552, $25,547
Outpatient care centers
15,850, $41,952
Offices of other health practitioners
11,524, $34,314.16
Other ambulatory health care services
6,610, $37,570
Medical and diagnostic laboratories
4,238, $49,634.39
Source: BLS
Quarterly Census of Employment & Wage
Page 2
14% Mass. workers in Healthcare Sector
Hospitals employ 5%
Sector
2004 Employment (‘000)
Share of Mass. Employment
Nursing and
re side ntial care
facilitie s
91
3%
All othe rs
1,718
55%
He althcare & Social
Assistance
451
14%
Educational
Se rv ice s
300
10%
Source: Bureau of Labor Statistics
Quarterly Census of Employment & Wage
M anufacturing
313
10%
Re tail Trade
356
11%
Ambulatory he alth
care se rv ice s
127
4%
Hospitals
169
5%
Social
Assistance
62
2%
Page 3
Healthcare added 93,000 jobs 1990 to 2005 growing
from 12% to 14% of employment
Massachusetts employment up by 230,000
Massachusetts Employment (‘000)
4,000
3,280
3,000
3,165
3,183
2,953
2,000
1,000
0
366
12%
421
13%
451
14%
459
14%
Q2, 1990
Q2, 2000
Q2, 2004
Q2, 2005
Source: Bureau of Labor Statistics
Quarterly Census of Employment & Wage
Page 4
Healthcare was the largest employer (2004)
300
200
R
100
6
35
l,
ai
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et
31
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ur
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./W
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400
Page 5
Source: Bureau of Labor Statistics
Quarterly Census of Employment & Wage
Health Care, 451
Employment (‘000)
500
0
….and the fastest growing
During 2000-2004 Healthcare added 29,000 jobs
100
Change in Employment 2000-2004(‘000)
H
Arts, Enter, 11
Real Estate 0
Other Services 9
ot
el
s,
Fo
od
Construction 7
Se
rv
Ed
uc
at
ic
io
es
n
17
10
Health Care 29
0
Retail -7
In
fo
M
an
gt
.
of
C
rm
os
.
at
Tr
-1
io
an
1
n
sp
-2
./W
4
ar
eh
ou
si
ng
Pu
-5
bl
ic
A
dm
in
.W
11
h
A
ol
dm
es
al
in
e
./W
-4
as
te
Fi
Sv
na
cs
nc
e
-1
&
9
I
n
Pr
s
ur
of
./
an
Te
ce
ch
-7
.S
vc
s.
-1
4
Other -1
Manufacturing -95
-100
Source: Bureau of Labor Statistics
Quarterly Census of Employment & Wage
Page 6
In Healthcare Hospitals employ the most
And added the most jobs during 2000-2004
2004 Employment (‘000)
Change from 2000 (‘000)
145
Gen. medical hospitals
Nursing care facilities
57
Child day care
Offices of dentists
Home health care
Outpatient care centers
Res. mental health facilities
Other hospitals
Community care for elderly
Offices other health practs.
Other ambulatory health
Other res. care facilities
Emergency/relief svcs.
Med./ diagnostic labs.
2
26
22
20
19
16
15
15
12
12
Individual/ family svcs.
Psych. hospitals
-1
47
Offices of physicians
Voc. rehab. svcs.
15
2
0
2
0
-5
3
1
2
1
9
8
7
6
6
4
Source: Bureau of Labor Statistics
0
Quarterly Census of Employment & Wage
1
1
0
0
1
1
50
100
150
Page 7
Regional distribution of employment
Hospital employment predominantly in Boston
Gen. m edical hospitals
Nursing care facilities
Offices of physicians
Individual/ fam ily svcs.
Child day care
Offices of dentists
Hom e health care
Boston
2004 Employment (‘000)
Outpatient care centers
Metro
NorthEast
Res. m ental health facilities
SouthEast+ Cape
Other hospitals
Com m unity care for elderly
Central
Offices other health practs.
West Ma
Voc. rehab. svcs.
Psych. hospitals
Other am bulatory health
Other res. care facilities
Em ergency/relief svcs.
Med./ diagnostic labs.
0
Source: Bureau of Labor Statistics
Quarterly Census of Employment & Wage
50
100
150
Page 8
Location Quotient: HCare vs. All employment
Hospitals in Boston; Nursing Homes away from Boston; Metro
N+SW generally underserved
3.0
3.0
to
Hospitals
n
2.0
2.0
Pi
y
re
a.
e
ap
ro
et
t
as
C
M
le
al
rV
al
tr
+
hi
ks
er
B
en
C
st
e
th
or
N
M
W
S
th
or
N
y
ro
et
a
he
ut
M
n
le
al
V
to
r
a.
re
M
e
ap
1.0
ee
on
So
os
B
e
ne
C
al
tr
+
ro
et
th
or
N
st
ea
ro
et
hi
ks
er
B
st
en
C
ea
th
io
P
ou
S
th
or
N
M
M
1.0
os
B
Healthcare & Social Assistance
SW
0.0
0.0
3.0
3.0
Ambulatory Care
ee
on
y
a.
e
ap
M
C
os
B
n
to
th
or
N
os
B
SW
ro
et
st
ea
M
ro
et
y
M
le
al
V
M
th
or
N
W
S
re
hi
ks
er
B
a.
le
al
rV
+
al
tr
st
re
a
he
en
C
ut
r
+
al
tr
en
C ape
C
th
or
N
e
ne
st
st
ea
ro
et
ro
et
1.0
Pi
hi
ks
er
B
So
io
ea
th
th
or
N
M
M
1.0
2.0
P
ou
S
2.0
Nursing Homes & Residential Care
to
n
0.0
Source: Mass. Department of Workforce Development
Quarterly Census of Employment & Wage
0.0
Page 9
Industry Sectors and Occupations!
86% of Healthcare professionals and 81% of Healthcare support
occupations work in the Healthcare sector
10%
13%
9%
11%
9%
8%
4%
19%
Education
9%
86%
81%
1%
4%
1%
Govt.
4%
10%
Admin.
Svcs.
2%
4%
100%
100%
Total
Source: Mass. Department of Workforce Development
Industry-Occupation Crosswalk
13%
83%
Office &
Admin
Manfg.
54%
Personal
Care / Svcs.
12%
Building
Grounds
Life, Phy.
Soc. Science
5%
Healthcare
Support
Business
Fin. Ops.
9%
Healthcare
Pract./Tech.
Management
14%
Education
All
Occupations
Healthcare
Community
Social Svcs
Industry
11%
22%
12%
1%
2%
7%
12%
7%
7%
Page 10
What is the share of Healthcare occupations?
About 50% in Healthcare Sector and in Ambulatory Care,
over 55% in Nursing Facilities, over 60% in Hospitals
100%
Other
Other
80%
Mgmt.
Comm. Soc. Svc.
Other
Mgmt.
Admin
60%
Admin
40%
HC
Support
HC
Support
Other
HC Pro.
Other
HC Pro.
20%
RN
Other
Comm. Soc. Svc.
Mgmt.
Admin
Source: Mass. Department of Workforce Development
Industry – Occupation Crosswalk
Mgmt.
Maint.
HC
Support
Food Prep
Other
HC Pro.
HC
Support
Education
Training
RN
Other
HC Pro.
Com m .
Soc/
Svc.
RN
Am bulatory Health
Care Services
Admin
Admin
RN
0%
Healthcare & Social
Assistance
Other
Hospitals
Nursing & Residential
Care Facilities
Personal
Care
HC
Social Assistance
Page 11
9% workers are in Healthcare occupations
6% are Professionals, 3 % Support workers
Major Occupational Group
2004 Employment (‘000)
% Share of Mass. Employment
All other Occupations
1232
Production
184
Office &
Admin.
Support
539
Healthcare
Support
92
3%
Healthcare
281
9%
Healthcare
Practitioners and
Technical
189
6%
Management
2,086
Sales
318
Food Preparation and
Serving
255
Source: Bureau of Labor Statistics
Occupational Employment Statistics
Education, Training,
and Library
204
Page 12
om
m
un
ity
-20
Ar
ts
,
M
ie
n
ce
l
s
ga
/ S edi
a
oc
i
a
Pr
lS
vc
Pe ote
ct
.
rs
ive
on
al
S
Ca vc
re
/S
E
H
vc
n
gi
ea
n
lth
ee
ca
rin
In
re
st
g
al
Su
l.,
pp
M
or
ai
t
nt
Bl
.
dg
R
ep
s
+
ai
G
r
C
r
om
ou
nd
pu
s
te
r/
M
C
at
h
Bu ons
tru .
s/
Fi
Tr
na ctio
an
n
n
ns
. + cial
O
M
ps
at
l.
M
H
ov
ea
Pr
i
lth
od ng
ca
uc
re
tio
Pr
n
ac
t./
Te
ch
Ed
.
uc
a
M
Fo
an tion
od
ag
Pr
em
ep
. + ent
Se
O
rv
ffi
in
ce
g
,A
S
dm
al
e
in
.S s
up
po
rt
C
Sc
Le
Healthcare occupations are growing
Most growth after Business/Financial Operations & Personal Care
and Services
20
Change in Employment 2000-2004(‘000)
0
-40
-60
-80
Source: Bureau of Labor Statistics
Occupational Employment Statistics
Page 13
Half of Healthcare professionals are nurses
76,00 RNs, 17,000 LPNs, Large no. of therapists, technologists,
and technicians
Registered nurses
LPNs
Med/lab technicians
Dental hygienists
Pharmacy techs
Physical therapists
Physicians/surgeons, other
Med info techs
Med/lab technologists
Radiology techs
EMTs
Pharmacists
Occupational therapists
Speech-lang pathologists
Health practs, all other
Resp therapists
Dentists
Veterinary techs
Dietitians
Internists
Surgeons
Surgical techs
Physician assist.
Opticians
GPs
Cardiovascular techs
Occupat. Health/safety specs
Pediatricians
Diagnostic sonographers
0
Source: Bureau of Labor Statistics
Occupational Employment Statistics
10,000
20,000
Page 14
Who are Healthcare Support workers?
Almost half are nursing aides- 42,000
Nursing aides
Home health aides
Psychiatric aides
Medical assistants
Dental assistants
H-care support, other
Med. transcriptionists
Vet. Assts.
Phys. therapy assts
Pharmacy aides
Medical equip.
preparers
0
10,000
Source: Bureau of Labor Statistics
Occupational Employment Statistics
20,000
30,000
40,000
50,000
Page 15
Where do key occupations work?
General Medical Hospitals are major employers
2003 Share of Occupation working in specific ‘Industry’
employer (4-digit NAICS)
RN
Gen. Med. Hospitals
LPN
Nursing Facilities
Radiology Tech
Gen Med Hosp
Gen. Med. Hosp.
Resp Therapist
NF
20%
Source: Massachusetts Department of Workforce
Development, Industry-Occupation Crosswalk
Other HC
Med. Labs Other HC
NF
Spec.
Hosp.
Other HC - 820
Other HC
Other HC
Education
Govt.
Education
Other HC
Government
Spec.
Other HC
Hosp.
Gen. Med. Hospitals
0%
Admin Govt.
Physicians'
Home Health
Gen Med. Hosp.
Speech Pathologist Ind. /FamilySvc
EMT
Other HC
Gen. Med. Hospitals
Phy Therapist
Occ Therapist
GMH
Gen. Med. Hospitals
Med Tech
Other
Other HC
40%
60%
80%
100%
Page 16
Where are all the registered RNs?
67,217 work in the Healthcare Sector
RNs Registered in MA =
103,222
RNs working in MA=?
RNs working as RNs= 75,780
RNs in Health Care Sector= 67,217
RNs in Hospitals=42,285
RNs in Gen. Medical and
Surgical Hospitals=38,300
Page 17
Over a quarter of all nurses are over 55
28% RNs, 31% LPNs, 25% of Nurses Aides were over 50 in 2006
Age Breakdown 2000 EEO Census Data
100%
50%
60+, 6%
60 +, 6%
60+, 8%
50-59
22%
50-59
25%
50-59
17%
40-49
37%
40-49
33%
16-39
35%
16-39
36%
RN
LPN
40-49
25%
16-39
51%
0%
Source: 2000 Census
Equal Employment Opportunity Tabulation
Nurses & Home Health Aides
Page 18
Diversity among nurses goes down as you go
up the professional ladder!
White
African-American
Hispanic
Other
100%
4%
9%
8%
80%
20%
60%
92%
40%
85%
65%
20%
0%
RN
Source: 2000 Census
Equal Employment Opportunity Tabulation
LPN
Nurses & Home Health
Aides
Page 19