Minnesota’s Health Care
Workforce
January 21, 2014
Office of Rural Health and Primary Care
Minnesota Department of Health
About Us
Our Mission
To promote access to quality health care for rural and underserved
urban Minnesotans. From our unique position within state government,
we work as partners with communities, providers, policymakers and
other organizations. Together, we develop innovative approaches and
tailor our tools and resources to the diverse populations we serve.
How do we do it?
Workforce Analysis/Supply
Collect & analyze the data on Minnesota’s licensed health care
workforce in partnership with state health licensing boards
Financial & Technical Assistance
Support existing and emerging workforce through grants, loans, and
technical assistance to rural providers and facilities
Shortage Designation
Identify current resource and service gaps
.
Workforce Analysis – How/What?
• A lens to look at the incumbent workforce
• Statutory authority (MS 144.051) to collect info on
number, distribution & characteristics of licensed health
professionals
• MDH surveys at license renewal time
• Currently approx. ~10 different occupations surveyed
• Information on
• Licensed headcounts
• Gender/Age/Race/Ethnicity
• Geographic distribution
• Primary work settings
• Future practice plans
Diversity of Minnesota’s Healthcare
Workforce
Diversity of Minnesota's Health Care Workforce
2009-2010
Non-White
14%
5%
3%
2010 MN
Population
Physicians
White (non-Hispanic)
7% 5%
Licensed
Practical Nurses
*Includes Hispanics who may also be of any race.
Source: ORHPC Health Professional Workforce Surveys 2009-2010
95%
94%
93%
86%
85%
15%
Hispanic*
6% 2%
Dentists
5% 1%
Registered
Nurses
(excluding
APRNs)
96%
94%
5% 2%
Physician
Assistants
4% 1%
Advanced
Practice
Registered
Nurses
Primary Care Physician Mix
N = 5,063 primary care
physicians
Source: MDH ORHPC/MN Board of Medical Practice, 2012 (DRAFT – Forthcoming report on the State of Primary Care in Minnesota)
Physician Mix by Gender
Source: MDH ORHPC/MN Board of Medical Practice, 2012 (DRAFT – Forthcoming report on the State of Primary Care in Minnesota)
Physician Mix by Age Distribution
General Family Medicine (N=2,540)
30%
29%
General Internal Medicine (N=1,703)
General Pediatrics (N=820)
30%
28%
27%
23% 24%
20%
20%
21%
16%
10%
9%
8%
6%
< 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Source: MDH ORHPC/MN Board of Medical Practice, 2012 (DRAFT – Forthcoming report on the State of Primary Care in Minnesota)
Physician Mix by Regional Distribution
Source: MDH ORHPC/MN Board of Medical Practice, 2012 (DRAFT – Forthcoming report on the State of Primary Care in Minnesota)
Physician Mix by Race
Source: MDH ORHPC/MN Board of Medical Practice, 2012 (DRAFT – Forthcoming report on the State of Primary Care in Minnesota)
Headcounts
658 psychiatrists licensed in MN (as of 2012)
474 – general psychiatrists
53 years – median age
77% MN-based
184 – subspecialist certifications
54 years - median age
70% MN-based
Geographic Distribution
How do we stack up nationally?
Urban/Rural
Geography
Family
Physicians
General
Internists
General
Pediatrics
Population
MN
US
MN
US
MN
US
MN
US
Urban
66%
78%
88%
90%
90%
91%
70%
80%
Large Rural
16%
11%
9%
7%
8%
6%
13%
10%
Small Rural
11%
7%
2%
2%
1%
2%
7%
5%
Isolated
Rural
7%
4%
1%
1%
1%
1%
10%
5%
Total
100%
100%
100%
100%
100%
100%
100%
100%
12
Registered Nurses by Age
Physician Assistants by Age & Location
Physician assistants in Minnesota by age and
geographic location, 2011
34 and younger
10%
35 to 44
45 to 54
55 and older
15%
15%
28%
26%
25%
28%
15%
32%
24%
24%
46%
43%
23%
Urban
(n=1255)
29%
Large Rural
(n=158)
Source: MDH ORHPC/MN Board of Medical Practice
Small Rural
(n=87)
17%
Isolated Rural
(n=65)
Marriage & Family Therapists – Future
Practice Plans
Keeping an Eye on Rural Trends
•
Workforce
• Aging
• Less diverse than population
• Unevenly distributed (regionally/specialties)
•
Population
• Aging
• Increasingly diverse
• Needs varied levels of services
•
Healthcare system
• MN state reform laws, 2008
• Affordable Care Act, 2012
• Financing
• Newer delivery models – ACOs
16
Workforce Strategies
What’s Coming in 2014
• Dental Therapists
• Minnesota’s Mental Health
Workforce
• Minnesota’s Social Workers
18
Partners with RHAC
• Provide you research support to
meet your rural workforce data
needs/RHAC workplan
• Tools
• Reports/Issue briefs
• Maps/Charts
• Presentations
19
THANK YOU!
Mark Schoenbaum
Director, ORHPC
[email protected]
Nitika Moibi
Supervisor, Workforce Analysis
Program
[email protected]
http://www.health.state.mn.us/divs/orhpc/
[email protected]
651-201-3838