Trends in Oklahoma Hospital Professions Supply, Vacancies

Trends in Oklahoma Hospital Professions Supply,
Vacancies, Turnover & Educational Capacity Expansion
April 2009
Vacancy & Supply DATA
2005 & 2008
Results of a 2005 staffing survey of Oklahoma Hospital Association
(OHA) member and non-member hospitals statewide were
incorporated into the comprehensive “Oklahoma’s Health Care
Industry Workforce: 2006 Report,” produced by the Governor’s
Council on Workforce & Economic Development (GCWED). Based on
the vacancies measured in 2005, projected shortages for Oklahoma
health care workers by 2012 were as follows: 3,000 nurses, 500 lab
technicians, 400 physical therapists, 300 surgical technologists and
200 occupational therapists. Needs were also quantified for radiology
and respiratory professionals as well as pharmacists.
Health care professional supply data were collected in 2005 by
the Oklahoma State Regents for Higher Education (OSRHE), in
collaboration with the Oklahoma Department of Career and Technology
Education (ODCTE). These results, also published in the 2006
GCWED Health Care Industry Report, indicated only 57% (5,266) of
all interested and qualified applicants (9,193) were admitted into
nursing and allied health programs. The primary reason attributed for
this was the lack of faculty available to teach in nursing and allied
health programs.
In 2008, the Oklahoma Health Care Workforce Center (OHCWC) and
OHA again surveyed hospitals in Oklahoma to determine vacancies
and turnover in high demand professions and to compare these
numbers with 2005 industry data. In 2008, emergency responders
and mental health professionals were added to the hospital survey.
While industry data were being collected, the OSRHE, in collaboration
with the ODCTE, surveyed educational institutions again to determine
trends in educational capacity and the production of high demand
health care professionals. The following is a brief summary of these
2008 surveys.
Hospital vacancies
In terms of highest vacancy rate percentages among Oklahoma
hospitals (with the number of “intend to fill” positions listed in
parentheses below), the following roles, listed in descending order,
had the most significant vacancy rates in 2005 and 2008:
1
2
3
4
5
6
7
8
9
10
2005
Occupational Therapist (38)
Physical Therapist (83)
MR Technologist (13)
Registered Nurse (1,129)
Licensed Practical Nurse (221)
Scrub Technician (44)
Ultrasound Technologist (15)
Pharmacist (39)
Vascular Interventionist (7)
CT Technologist (13)
2008
EMT- Intermediate (10)
Chemical Dependency Counselor (3)
EMT- Paramedic (37)
Physical Therapist (69)
Occupational Therapist (25)
EMT- Basic (20)
Licensed Practical Nurse (308)
Registered Nurse (1,354)
Laboratory Technologist (33)
Respiratory Therapist (89)
Those professions making the top 10 list in Oklahoma hospitals in
2005 and 2008 include: LPNs, occupational therapists, physical
therapists, and registered nurses. See Appendices 2 & 3 for further
details on the 2005 & 2008 Survey Comparisons.
2
Educational capacity
improvements
In 2008, the number of qualified applicants accepted into nursing
and allied health programs across the state increased to 63%,
from 57% in 2004. However, nearly 3,000 interested and qualified
applicants were turned away. Significant improvements were
measured within nursing programs. Qualified applicants admitted
into BSN programs in 2008 increased to 85%, from 68% in 2004,
while associate degree in nursing programs statewide admitted
71% of qualified applicants, up from 43% in 2004. Eighty-nine (89)
percent of health profession graduates stay and work in Oklahoma
(Employment Outcomes Report, 2008).
3
Educational capacity
improvements (Cont’D)
4
5-Year Trends
in Nursing
According to the 2007 Annual Report issued by the Oklahoma Board
of Nursing the number of nursing graduates from Oklahoma nursing
education programs reached a record high in FY 2007.
Between 2003 and 2007:
• Applications to nursing education programs (practical, associate and baccalaureate degree) increased 35.6%;
• Admissions to nursing education programs increased 28%;
• Student enrollment in nursing education programs increased 31.5%;
• Graduates from nursing education programs increased 43.4%;
• Individuals applying to take the RN licensure exam increased 43.5%;
• New RN and LPN licenses issued increased 29.8%; and
• Licenses to practice nursing in Oklahoma to those licensed in other states increased by 179.4%.
5
Ongoing Efforts to Increase
Educational Capacity &
Supply of Health CarE
ProFessionals
Since becoming established on Nov. 1, 2006, the OHCWC has had
as its number one priority the need to expand educational capacity
in nursing and allied health. Legislation was introduced in 2008 which
proposed that $18 million dollars over a 3-year period be allocated to: 1)
increase the number of faculty in Oklahoma’s nursing and allied health
programs; 2) provide funds to educational institutions for “innovations
in education” which would allow them to expand their pipeline through
online, distance education, the use of simulation, etc; and 3) provide
scholarships to nursing and allied health students. While legislation
passed in 2008 and was signed by Governor Henry, no funding was
attached to the bill.
In 2009, subsequent legislation was introduced (SB 310) to keep the
issue alive and to continue to make the case for the need for legislative
funding to expand Oklahoma’s educational capacity, thereby increasing
more health care professionals. A report produced by the OHCWC and
the OHA in the fall 2008 quantified hospitals’ contributions to higher
education over a 3-year period ($30 million from 2005-2007) and
stressed the need for public funding earmarked to address this critical
need. See Charts 7-8.
6
Ongoing Efforts to Increase
Educational Capacity &
Supply of Health Care
Professionals (Cont’d)
7
American Recovery &
Reinvestment act
(Stimulus package) Proposal
The OHCWC prepared a comprehensive proposal, which was shared
with the Governor and state leaders in March. The proposal outlines
priority areas for funding in order to further develop Oklahoma’s
health care workforce. The proposal, online at www.ohcwc.com under
Reports/Resources, requests the state to provide funding for the
following priorities: faculty development scholarships, innovations in
education, student scholarships, a multidisciplinary data repository
to assist with tracking the ongoing supply of health care workers, a
Web-based clinical placement portal to assist hospitals and schools
schedule student clinicals in real time, and funding to make patient
simulators more readily available to health care providers and
educational facilities at a regional level.
how You can
Help
Continue the dialogue with local college presidents and directors
of technology centers about the critical need for more health care
workers. Urge their active involvement in helping the OHCWC
secure funding for higher education capacity expansion, via
SB 310 and the ARRA/Stimulus Package.
Use the data included in this report, along with the talking points
below which were shared by the OHCWC with the Council of
(College) Presidents of the OSRHE on March 4. The entire PPT
presentation and this report can be downloaded for your use from
the OHCWC Web site, www.ohcwc.com.
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 retire in the next 5 years;
• Nursing and allied health faculty with plans to retire within five years is 117;
• Nursing faculty often leave for higher paying jobs in hospitals;
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, graduation and licensure pass rates are great for students admitted into nursing & allied health programs;
What Can You Do?
• Urge your legislator to support the appropriation of more dollars to OSRHE for health care education capacity expansion (SB 310);
• Ensure nursing and allied health faculty salaries are competitive with local health care industry rates in order to recruit and retain faculty;
• Consider shared resources with other educational programs (e.g., faculty, facilities, simulators); Encourage course and admission alignment between programs;
• Encourage and support the use of technology (e.g., simulation, online and distance education courses) to increase capacity & use scarce faculty resources more efficiently;
• Encourage and support existing partnerships with local hospital partners & let them know the impact and ROI of their contributions.
Contact
Please contact Sheryl McLain or Kammie Monarch at the OHCWC
if you would like their involvement or assistance in local or regional
meetings around this important issue, sheryl@ohcwc.com, kammie@
ohcwc.com, (405) 319-8690.
8
2008 Hospital vacancies
Appendix 1
Hospital Staff Vacancies - 2008
1354
RN
LPN
Respiratory Therapists
Lab & Medical Techs
Imaging
Mental Health
Physical Therapists
All EMTs
Scrub Techs
Occupational Therapists
Pharmacists
308
9
89
86
85
76
69
68
58
25
25
0
200
400
600
800
1000
1200
1400
2005 & 2008
Hospitals Statewide:
Vacancy Rates
Appendix 2
10
2005 & 2008
Hospitals Statewide:
Turnover Rates
Appendix 3
11
2008 Regional & Statewide:
Vacancy Rates
Appendix 4
12
2008 Regional & Statewide:
Turnover Rates
Appendix 5
13
Hospital Participants
By region
Northeast Region
Bristow Medical Center
Cleveland Area Hospital
Continuous Care Centers of Bartlesville
Creek Nation Community Hospital, Okemah Cushing Regional Hospital
Drumright Regional Hospital
INTEGRIS Baptist Regional Health Center, Miami
INTEGRIS Blackwell Regional Hospital
INTEGRIS Grove General Hospital
Jack C. Montgomery VA Medical Center, Muskogee
Jane Phillips Medical Center, Bartlesville
Memorial Hospital of Stilwell
Muskogee Regional Medical Center
Okmulgee Memorial Hospital, Inc.
Perry Memorial Hospital
Ponca City Medical Center
Prague Municipal Hospital
St. John Sapulpa
Stillwater Medical Center
Tahlequah City Hospital
Wagoner Community Hospital
Willow Crest Hospital, Inc., Miami
Northwest Region
Cimarron Memorial Hospital and Nursing Home, Boise City
Fairview Regional Medical Center
INTEGRIS Bass Baptist Health Center, Enid
Kingfisher Regional Hospital
Memorial Hospital of Texas County, Guymon Newman Memorial Hospital, Shattuck
Okeene Municipal Hospital
Seiling Municipal Hospital
Share Medical Center, Alva
St. Mary’s Regional Medical Center, Enid
Watonga Municipal Hospital
Woodward Regional Hospital
Oklahoma City Region
Bone & Joint Hospital, Oklahoma City
Community Hospital, Oklahoma City
Deaconess Hospital, Oklahoma City
Griffin Memorial Hospital, Norman
INTEGRIS Baptist Medical Center, Oklahoma City
INTEGRIS Southwest Medical Center, Oklahoma City
Lakeside Women’s Hospital, Oklahoma City City
McBride Clinic Orthopedic Hospital, LLC, Oklahoma
Mercy Health Center, Oklahoma City
Midwest Regional Medical Center, Midwest City
Norman Regional Health System
Norman Specialty Hospital
Northwest Surgical Hospital, Oklahoma City
OK Center for Orthopaedic & Multi-Specialty Hospital, Oklahoma City
OU Medical Center, Oklahoma City
Select Specialty Hospital, Oklahoma City
St. Anthony Hospital, Oklahoma City
Surgical Hospital of Oklahoma, Oklahoma City
The Children’s Center, Bethany
Veterans Affairs Medical Center, Oklahoma City
Southeast Region
Arbuckle Memorial Hospital, Sulphur
Chickasaw Nation Health System, Ada
Choctaw Memorial Hospital, Hugo
Choctaw Nation Hlth Svcs Authority, Talihina
Eastern Oklahoma Medical Center, Poteau
Haskell County Healthcare System, Stigler
Healdton Municipal Hospital
Holdenville General Hospital
INTEGRIS Marshall County Medical Center, Madill
INTEGRIS Seminole Medical Center
Johnston Memorial Hospital, Tishomingo
Mary Hurley Hospital, Colgate
McAlester Regional Health Center
McCurtain Memorial Hospital, Idabel
Medical Center of Southeastern OK, Durant
Mercy Health Love County, Marietta
Mercy Memorial Health Center, Ardmore
Pauls Valley General Hospital
Pushmataha Hospital, Antlers
Solara Hospital of Muskogee
Unity Health Center, Shawnee
Valley View Regional Hospital, Ada
Southwest Region
Comanche County Memorial Hospital, Lawton
Cordell Memorial Hospital
Duncan Regional Hospital
Elkview General Hospital, Hobart
Grady Memorial Hospital, Chickasha
Great Plains Regional Medical Center, Elk City
INTEGRIS Clinton Regional Hospital
Jackson County Memorial Hospital, Altus
Jefferson County Hospital, Waurika
Memorial Hospital & Physician Group, Frederick
Sayre Memorial Hospital
Tulsa Region
Bailey Medical Center, Owasso
Brookhaven Hospital, Tulsa
Continuous Care Centers of OK, Tulsa
Hillcrest Medical Center, Tulsa
Oklahoma NeuroSpecialty Center, Tulsa
Oklahoma State University Medical Center, Tulsa
Parkside Comm. Psychiatric Services & Hospital, Tulsa
Saint Francis Hospital, Tulsa
Select Specialty Hospital, Tulsa
SouthCrest Hospital, Tulsa
St. John Medical Center, Tulsa
14
655 Research Parkway, Suite 325
Oklahoma City, OK 73104
Phone: (405) 319-8690
Fax: (405) 319-8698
www.ohcwc.com