Understanding Minnesota’s
Primary Care Workforce
April 17, 2013
Nitika Moibi
Supervisor, Office of Rural Health and Primary Care
Minnesota Department of Health
Who We Are: MDH Workforce Analysis
Program
• Quantifying Minnesota’s health care workforce
• Identifying current resource and service gaps
• Ensuring adequate number and distribution of health care
professionals for the future
• Informing stakeholders of emerging health care workforce
issues
What We Do: Health Care Workforce
Data
In coordination with Minnesota’s licensing boards, practice data on the
following professions is regularly collected, analyzed and reported:
1. Physicians
9. Physical Therapists
2. Physician Assistants
10. Physical Therapist Assistants
3. APRNs
11. Marriage & Family Therapists
4. Dentists
12. Respiratory Therapists
5. Dental Assistants
13. Social Workers
6. Dental Hygienists
14. LPNs/RNs
7. Dental Therapists
Additional professions likely in future:
8. Advanced Dental Therapists*
•
Behavioral Health Therapists
•
Pharmacists
*not currently licensed
Developing our Workforce Pipeline
Prepare
K-12
students
in basic
science &
expose to
health
careers
and role
models
Recruit
traditional
& non traditional
students
Locate
education
and
training
programs
in high
need
settings
and use
relevant
curricula
Redesign
health
care
delivery
& health
care
jobs
Encoura
-ge
grads to
seek
employ
ment in
high
need
settings
Retain
the
safety
net
workforce
A Renewed Focus on Primary Care
• Physicians – General Family Medicine; General Internal
Medicine; General Pediatrics (per Minn. Stat. 137.38)
• Physician Assistants
• APRNs
Workforce Supply – Graduates
• # APRN awards conferred (2009-2010) = 343
Source: Integrated Postsecondary Educational Data
Systems (IPEDS) conducted by National Center for
Education Statistics @ US Dept. of Education
Workforce Supply – Licensed Incumbents
• # primary care physicians (2011) = 5,063
• # PAs (2011) = 1,512
• # APRNs (2008-2010) = 4,686
Source: Minnesota Boards of Medical Practice and Nursing/MDH
ORHPC.
Note: Counts include board certified MN-based professionals
MN Primary Care Physician Mix
Source: MDH ORHPC/MN Board of Medical Practice, 2011 (MDH ORHPC’s forthcoming report)
MN Primary Care Physician Mix – Regional
Distribution
Source: MDH ORHPC/MN Board of Medical Practice, 2011 (forthcoming report)
MN Family Medicine Physicians – Age by
Gender
Source: MDH ORHPC/MN Board of Medical Practice, 2011 (forthcoming report)
MN Physician Assistants – Age
Figure 1. Age Distribution of Minnesota physician assistants, 2011
34 and younger
1%
11%
35 to 44
41%
16%
45 to 54
55 to 64
31%
65 and older
Source: MDH ORHPC/MN Board of Medical Practice, 2011
MN Physician Assistants – Age by RUCAs
Figure 3. Geographic distribution of Minnesota physician assistants
by age group, 2011
Urban
34 and younger (n=645)
35 to 44
Large Rural
(n=479)
Source: MDH ORHPC/MN Board of Medical Practice, 2011
Small Rural
45 to 54
Isolated Rural
(n=251)
55 and older (n=190)
APRNs – by Age
Figure 2 - Age Distribution for Renewing Licensed APRNs
With a Minnesota Mailing Address (N=4,103)
31%
28%
22%
14%
5%
Less than 35 yrs
35 - 44 yrs
Source: MDH ORHPC/MN Board of Nursing , 2010
45 - 54 yrs
55 - 64 yrs
65 yrs or more
13
APRNs – Age & Profession
Figure 3: Minnesota APRN Age Distribution by Profession
Less than 35 yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs or more
40%
37%
34%
32%
31%
26%
25%
27% 27%
22%
18%
15%
15%
14%
7%
8%
8%
6%
4%
Nurse Practitioners (N=2,180)
3%
Clinical Nurse Specialists (N=412)
Source: MDH ORHPC/MN Board of Nursing , 2010
Nurse Anesthetists (N=1,332)
Nurse Midwives (N=179)
14
APRNs – by Profession & RUCAs
Figure 4: APRN Mailing Addresses by Rural-Urban Commuting
Area
Urban
Large Rural
Small Rural
Isolated Rural
88%
84%
83%
79%
10%
5%
6%
Nurse Practitioners (N=2,180)
9%
8%
4%
4%
Clinical Nurse Specialists (N=412)
Source: MDH ORHPC/MN Board of Nursing , 2010
5%
7%
3%
Nurse Anesthetists (N=1,332)
4%
1%
Nurse Midwives (N=179)
15
Some Trends
•
Workforce
• Aging
• Unevenly distributed (regionally/specialties)
•
Population
• Aging
• Diverse
• Needs varied levels of services
•
Healthcare system
• Affordable Care Act, 2012
• Financing
• Newer delivery models – ACOs
16
So What??
• Workforce entry point: do we have the right
mix? number/diversity/competency…
• Training: are educational institutions producing
the right healthcare workers? curriculum &
faculty/clinicals/licensure/student financing/
interprofessional competency…
• Policy: how can MERC/you help us achieve the
right workforce mix with the right skills at the
right places? Other policy instruments…
17
Thank You
Nitika Moibi, Supervisor - Office of Rural Health and Primary Care
[email protected] 651-201-3853
Mark Schoenbaum, Director – Office of Rural Health and Primary Care
[email protected] 651-201-3859
Office of Rural Health and Primary Care
Minnesota Department of Health
www.health.state.mn.us/divs/orhpc/
651-201-3838