Report on Distribution of Health Professions. Education Programs in Georgia

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1 Board of Regents of the University System of Georgia Center for Health Workforce Planning & Analysis Report on Distribution of Health Professions Education Programs in Georgia August 2010 This report was made possible with support from the Healthcare Georgia Foundation Page 1

2 Table of Contents Table of Figures Table of Tables 5-6 Introduction. 7-8 Data Collection, Sources and Report Organization. 9 Behavioral Health Emergency Medical Technology Health Informatics Laboratory, Diagnostic Sciences and Treatment Licensed Practical Nursing Medicine Nursing Oral Health Other Health Professions Public Health Therapy Veterinary Medicine/Science Page 2

3 Table of Figures Figure 1: Georgia Behavioral Health Programs Fall Figure 2: Georgia Mental Health Technician Awards Figure 3: Georgia Master s Prepared Behavioral Health Clinician Degrees Awarded Figure 4: Georgia Psychiatric/Mental Health Master s in Nursing Degrees Awarded Figure 5: Georgia Pastoral Counseling Degrees Awarded Figure 6: Georgia Psychology Doctoral Degrees Awarded Figure 7: Georgia Psychiatry Residents Figure 8: Georgia Psychiatry Residents by Subspecialty Figure 9: Georgia s Emergency Medical Technician Programs Fall Figure 10: Georgia Emergency Medical Technician Basic and Intermediate Awards Figure 11: Georgia Emergency Medical Technician Paramedic Awards Figure 12: Georgia s Health Informatics Related/Affiliated Programs Fall Figure 13: Georgia Health Informatics Related/Affiliated Fields Awards Figure 14: Georgia s Health Informatics Programs Fall Figure 15: Georgia Health Informatics Awards Figure 16: Georgia s Laboratory, Diagnostic Sciences and Treatment Programs 55 Fall Figure 17: Georgia Related Laboratory, Diagnostic Sciences and Treatment Awards Figure 18: Georgia Medical Laboratory Sciences Awards Figure 19: Georgia Radiologic Sciences Awards Figure 20: Georgia s Licensed Practical Nursing Programs Fall Figure 21: Georgia Licensed Practical Nursing Degrees Awarded Figure 22: Georgia s Physician Assistant Programs Fall Figure 23: Georgia s Physician Assistant Degrees Awarded Figure 24: Georgia s Medicine Programs Fall Figure 25: Georgia Doctor of Medicine Degrees Awarded Figure 26: Georgia Medicine Residents (All Specialties) Figure 27: Georgia Internal Medicine Residents Figure 28: Georgia Pediatric Residents Figure 29: Georgia Primary Care Residents Figure 30: Georgia Surgery Residents Figure 31: Georgia Remaining Residents Figure 32: Georgia s Nursing Programs Fall Figure 33: Georgia Nursing Degrees Awarded Figure 34: Georgia Prelicensure Nursing Degrees Awarded Page 3

4 Figure 35: Georgia RN-BSN Nursing Degrees Awarded Figure 36: Georgia Graduate Level Nursing Degrees Awarded Figure 37: Georgia s Oral Health Programs Fall Figure 38: Georgia Direct Care Oral Health Support Degrees Awarded Figure 39: Georgia Associate s Degrees to Bachelor s Degrees in Dental Hygiene 129 Awarded Figure 40: Georgia Direct Care Oral Health Degrees Awarded Figure 41: Georgia s Other Health Professions Fall Figure 42: Georgia Allied Health Aide, Tech and Assistant Awards Figure 43: Georgia Dietician and Chiropractor Degrees Awarded Figure 44: Georgia Pharmacy and Related Fields Awards Figure 45: Georgia s Public Health Related Programs Fall Figure 46: Georgia Public Health Related Fields Bachelor s Degrees Awarded 153 Figure 47: Georgia Public Health Related Fields Graduate Level Degrees Awarded 155 Figure 48: Georgia Rehabilitation & Therapeutic Programs Fall Figure 49: Georgia Rehabilitation & Therapeutic Techs & Assistants Degrees Awarded 162 Figure 50: Georgia Rehabilitation & Therapeutic Practitioner Degrees Awarded 164 Figure 51: Georgia s Veterinary Medicine/Science Programs Fall Figure 52: Georgia Direct Care Veterinary Medicine/Science Degrees Awarded 172 Figure 53: Georgia Veterinary Medicine/Science Degrees Awarded Page 4

5 Table of Tables Table 1: List of Primary Sources. 9 Table 2: Georgia Behavioral Health Programs Fall Table 3: Georgia Mental Health Technician Awards Table 4: Georgia Master s Prepared Behavioral Health Clinician Degrees Awarded Table 5: Georgia Psychiatric/Mental Health Master s in Nursing Degrees Awarded Table 6: Georgia Pastoral Counseling Degrees Awarded Table 7: Georgia Psychology Doctoral Degrees Awarded Table 8: Georgia Psychiatry Residents Table 9: Georgia Psychiatry Residents by Subspecialty Table 10: Georgia s Emergency Medical Technician Programs Fall Table 11: Georgia Emergency Medical Technician Basic and Intermediate Awards Table 12: Georgia Emergency Medical Technician Paramedic Awards Table 13: Georgia s Health Informatics Related/Affiliated Programs Fall Table 14: Georgia Health Informatics Related/Affiliated Fields Awards Table 15: Georgia s Health Informatics Programs Fall Table 16: Georgia Health Informatics Awards Table 17: Georgia s Laboratory, Diagnostic Sciences and Treatment Programs 56 Fall Table 18: Georgia Related Laboratory, Diagnostic Sciences and Treatment Awards Table 19: Georgia Medical Laboratory Sciences Awards Table 20: Georgia Radiologic Sciences Awards Table 21: Georgia s Licensed Practical Nursing Programs Fall Table 22: Georgia Licensed Practical Nursing Degrees Awarded Table 23: Georgia s Physician Assistant Programs Fall Table 24: Georgia s Physician Assistant Degrees Awarded Table 25: Georgia s Medicine Programs Fall Table 26: Georgia Doctor of Medicine Degrees Awarded Table 27: Georgia Medicine Residents (All Specialties) Table 28: Georgia Internal Medicine Residents Table 29: Georgia Pediatric Residents Table 30: Georgia Primary Care Residents Table 31: Georgia Surgery Residents Table 32: Georgia Remaining Medicine Residents Table 33: Georgia s Nursing Programs Fall Page 5

6 Table 34: Georgia Nursing Degrees Awarded Table 35: Georgia Prelicensure Nursing Degrees Awarded Table 36: Georgia RN-BSN Nursing Degrees Awarded Table 37: Georgia Graduate Level Nursing Degrees Awarded Table 38: Georgia s Oral Health Programs Fall Table 39: Georgia Direct Care Oral Health Support Degrees Awarded Table 40: Georgia Associate s Degrees to Bachelor s Degrees in Dental Hygiene 130 Awarded Table 41: Georgia Direct Care Oral Health Degrees Awarded Table 42: Georgia s Other Health Professions Programs Fall Table 43: Georgia Allied Health Aide, Tech and Assistant Awards Table 44: Georgia Dietician and Chiropractor Degrees Awarded Table 45: Georgia Pharmacy and Related Fields Awards Table 46: Georgia s Public Health Related Programs Fall Table 47: Georgia Public Health Related Fields Bachelor s Degrees Awarded Table 48: Georgia Public Health Related Fields Graduate Level Degrees Awarded Table 49: Georgia Rehabilitation & Therapeutic Programs Fall Table 50: Georgia Rehabilitation & Therapeutic Techs & Assistants Degrees 163 Awarded Table 51: Georgia Rehabilitation & Therapeutic Practitioner Degrees Awarded Table 52: Georgia s Veterinary Medicine/Science Programs Fall Table 53: Georgia Direct Care Veterinary Medicine/Science Degrees 173 Awarded Table 54: Georgia Veterinary Medicine/Science Degrees Awarded Page 6

7 Introduction The decade just passed represents an important milestone for Georgia in how it regards its health workforce. Between 2000 and 2010 state leaders became aware of big concerns with the basic capacity of the health workforce serving Georgia. Through a combination of factors, including population growth, aging of the population, constrained capacity of the post-secondary education systems that educate the health workforce and other factors, Georgia is either in the midst of large shortages of critical health professionals or facing looming shortages in others. Concerns seen in the nursing, physician and behavioral health workforce represent specific examples of either existing or looming shortages. While the shortages are of concern for the health of the state s residents, the health workforce also offers opportunities to create high paying, stable jobs for Georgians. Given the record unemployment statistics facing the state as of the release of this report, maintaining and building the health workforce constitutes a vital economic interest of the state. Data supporting this need is reported by the U.S. Bureau of Labor Statistics (BLS), which shows employment in health professions at the national level growing by 23 percent between 2008 and This compares to employment growth of only 9 percent for the rest of the economy. 1 Given the rapid pace of growth in Georgia s population, which is growing at more than double the national rate, 2 the state s demand for health care professionals should grow in excess of the national figures. Highlighting the value of these professions from an economic standpoint is their resilience in tough economic times. Data from the Georgia Department of Labor shows that employment in health care settings actually grew slightly in 2009, even as total non-farm employment in the general economy shrank. 3 Given the direct personal impacts that health professionals have on the lives of all Georgians, and the impacts of these jobs on the state s economy, there is no doubt that this workforce is of vital interest to the state and its leaders. Further, given the concerns facing both the state s economy and the accessibility to an increasingly scarce workforce, state leaders must work to ensure that this workforce exists in sufficient numbers to meet the population s need for health services and assist in impacting the historic economic challenges facing the state. While a number of factors must be studied here, a critical piece to ensuring Georgia has the health workforce it needs is ensuring that the state has the capacity within its post secondary education systems in place to educate these health professionals in sufficient numbers to meet demand. 1 The Center for Health Workforce Studies, School of Public Health, University at Albany, Health Care Employment Projections: An Analysis of Bureau of Labor Statistics Occupational Projections, March US Census Bureau, Population Estimates Program, Population Estimates (geographies ranked by estimate), Data Set: 2009 Population Estimates. 3 Georgia Department of Labor, Dimensions: Measuring Georgia s Workforce, Annual Issue - Volume XXXV, Number 12. Page 7

8 Complex in its own right, at a minimum this requires the state to analyze and understand the outputs of the post secondary education system and the distribution of those outputs. Understanding this, the Center for Health Workforce Planning and Analysis of the University System of Georgia has prepared this report, which shows geographic location and graduation counts of many of the health professions programs across the state. It includes professions responsible for providing services that impact the health of the population. This includes the professions commonly associated with the health workforce, including physicians, nurses, psychologists, pharmacists and others, as well as some professions not commonly viewed as providing services that directly impact our health, including health informatics related professions and veterinary professions. Because of the important role played by various sectors of the post-secondary education system, and the varying pressures and possibilities impacting these systems, the report also breaks down production of health professions graduates according to which system educated the graduate. These systems include the University System of Georgia (USG), the Technical College System of Georgia (TCSG) and those institutions operating in the private sector that are not directly affiliated with the State of Georgia. With these data, we gain a picture of overall post secondary outputs of health professions graduates, the distribution of these graduates across the state and across post-secondary education systems, and we gain perspective on issues driving many of the concerns we see in the workforce. For example, considerable education capacity exists for some professions, while for some others it appears to be lacking. Further, distribution problems can readily be seen in the education program offerings for some professions, resulting in workforce distribution problems across the state for many health professions. However, the data included in this report provide only a one year snapshot for each profession. Generally, the data reported covers graduates for the academic year, although data from other dates is included for a limited number of professions which was required due to data source and availability. Because of this, only limited findings can be made at this time. Understanding this limitation, this analysis will be conducted periodically and a report issued in future years to enable us to keep track of our educational capacity and also understand how and where education capacity is changing in Georgia. Page 8

9 Data Collection, Sources and Report Organization The data for this report was collected from various sources and in some cases differing years. In order to provide a statewide picture, the most current year available was the academic year. Table 1 provides an overview of the major sources used. When individual institutions were contacted for data due to discrepancies or deficiencies in the data reporting systems, the institution is listed in the source. Table 1: List of Primary Sources Data Set Year (s) Description and Use in this Report The Accreditation Council on Graduate Medical Education, Accreditation Data System Data regarding the accredited programs and sponsoring institutions providing residency programs in the United States. Utilized for sponsoring institutions and accredited residency positions. The Commission on Dental Accreditation Integrated Postsecondary Education Data System, Awards & Degrees Conferred, U.S. Department of Education, National Center for Education Statistics The Technical College System of Georgia The University System of Georgia Data regarding the authorized enrollment of advanced specialty education. Utilized for authorized enrollment data relating to oral and maxillofacial surgery. Surveys that provide statistics on higher education institutions in the United States. Utilized for degrees and awards conferred at private institutions. Internal system data regarding awards and degrees conferred at the TCSG institutions provided to the USG through a memorandum of understanding (MOU). Internal system data regarding the awards and degrees conferred at the USG institutions. There are 12 primary areas of focus included in this report. Each section includes multiple maps and typically multiple fields of study. Within each section the fields are organized by required education level to practice, lowest to highest. For example, the behavioral health section begins with the mental health technician and ends with psychiatrists. Page 9

10 Behavioral Health The behavioral health workforce is comprised of multiple professions which are brought together to serve persons with mental illness or substance abuse diagnoses, developmental disability or a co-morbidity of these conditions. Some of the professionals included are largely providers of behavioral health care, such as psychologists and psychiatrists. This is in contrast to other components of the health workforce that work in a multitude of other settings, such as nurses. In addition, most of the professions in the behavioral health workforce are licensed, but there are a few that do not require licensure and/or a direct path to licensure is not clear. The professions included in the behavioral health workforce are described briefly here and include mental health technicians, counselors, marriage and family therapists, social workers, practitioners with a master s in psychology, Registered Nurses, pastoral counselors, psychologists, and psychiatrists. Mental health technicians perform a multitude of tasks including direct care activities, basic nursing procedures, implementation of portions of treatment plans, assist patients/consumers in learning daily living skills, participate in recreational and social activities, accompany patients/consumers to appointments and activities, and observe and document patient/consumer behavior. The educational requirement for a mental health technician in the field is a high school diploma or equivalent. However, there are currently two psychiatric technician programs providing a certificate or an associate degree in Georgia. Counselors consist of Licensed Professional Counselors (LPCs) and Licensed Marriage and Family Therapists (LMFTs). These clinicians are providers of evaluation, family, group and individual counseling and psychotherapy to children, adolescents and adults. Both professions are educated at the master s degree level and can pursue licensure through the Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists. Like LMFTs and LPCs, social workers that choose to secure a license must do so through the Georgia Composite Board of Professional Counselors, Social Workers and Marriage and Family Therapists. Social workers working in behavioral health provide both assessment and treatment. Services provided by social workers can include case management, life skills development, outreach, individual and group therapy, and crisis intervention. 4 Though a bachelor s of social work (BSW) is the entry level degree for many areas of social work practice, most health care employers require a master s degree in social work (MSW). Licensed MSWs (LMSWs) are typically the minimum expected credential in behavioral health settings, but depending on the requirements of the position and the employer, the Licensed Clinical Social Worker (LCSW) may be the preferred or required licensure level. Licensure is regulated by the Composite Board. In addition to behavioral health care, there are many avenues and settings open to social workers 4 Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Edition, Social Workers. Page 10

11 including in-home care (i.e. hospice or general health care), private counseling, policy work and others. Practitioners with a master s degree in psychology also serve an important role in the behavioral health workforce. A master s degree in psychology provides opportunities in the areas of psychological evaluation, assisting, when under the supervision of a psychologist, or research. 5 Masters level psychologists who received the requisite coursework and internship hours are also eligible to license as an professional counselor or marriage and family therapist. Nursing has two levels of education that provide registered nurses to the field of behavioral health. The first is someone who holds either an associate s degree or a bachelor s degree in nursing. These nurses receive a generalist nursing degree that includes educational content in psychiatric/mental health care and provide the opportunity to secure licensure to practice as a Registered Nurse (RN). Data relating to RNs is provided under the nursing section. The second level is a nurse who secures a master s degree in nursing and becomes an Advance Practice Registered Nurse (APRN) with the opportunity for specialization in psychiatric/mental health nursing, receiving a degree as a psychiatric clinical nurse specialist, psychiatric/mental health nurse, or a psychiatric/mental health nurse practitioner. In addition to the skills held by the RN, psychiatric APRNs can also provide assessments, diagnoses, and treatment for persons with mental illness. The Georgia Board of Nursing regulates licensure for RNs and APRNs in the state. A growing awareness is emerging of the relevance of the faith community and its ability to attract interaction with community members during times of crisis. Although informal services may be provided, there is a formal training option at both the master s and doctoral degree levels for faith-based providers through pastoral counseling. As described by the American Association of Pastoral Counselors (AAPC), Pastoral counseling moves beyond the support or encouragement a religious community can offer, by providing psychologically sound therapy that weaves in the religious and spiritual dimension. 6 Pastoral counseling is a non-sectarian interfaith practice, and the AAPC certified counselors work with more than 80 different faith groups. A pastoral counselor could work in an institutional setting, a counseling agency, or in private practice. Often, a pastoral counselor is employed by a counseling center that provides individual and family therapy, as well as educational programming. Many pastoral counselors seek certification, which is offered by the AAPC although those who pursue sufficient educational credentials can also secure licensure as an LPC or an LMFT. Psychologists in Georgia must have a doctoral degree (Psy.D or Ph.D.) to practice as a licensed psychologist. Psychologists have the capacity to practice in a multitude of areas including 5 American Psychological Association (2009). Careers in Psychology, Retrieved September 9, 2009 from 6 American Association of Pastoral Counselors (2009). About Pastoral Counseling, Retrieved September 21, 2009 from: Page 11

12 teaching, clinical practice and research. The data included here focuses on the psychologists that would be most likely to work in clinical practice and thus provide assessment, diagnosis, and treatment in a private practice, public setting or other clinical site. Psychiatrists are physicians who assess and treat mental illnesses through a combination of psychotherapy, psychoanalysis, hospitalization, and medication. 7 The required education for general psychiatry is a bachelor s degree, graduation from medical school (Doctor of Medicine, M.D. or Doctor of Osteopathic Medicine, D.O.) and a four-year residency in an approved psychiatric residency program. To practice in a sub-specialty area such as geriatric psychiatry, forensic psychiatry and child and adolescent psychiatry, up to two additional years of training are required. Licensure is required for practice and is regulated by the Georgia Composite Medical Board. Behavioral Health Maps Include: Georgia Behavioral Health Programs Fall 2009 (Figure 5 & Table 6) Portrayed on this map and table are the institutions offering a behavioral health degree program including one or more of the following: psychiatric advanced practice nursing master s degree or post-master s certificate; marriage and family therapy master s degree; mental health technician certificate or associate s degree; pastoral counseling master s or doctoral degree; psychology master s or doctoral degree; psychiatry residency; professional, school or community counseling master s degree or a social work master s degree in the Fall of Georgia Mental Health Technician Awards (Figure 6 & Table 6) Identified in this map and table are the mental health technician associate s degrees and certificates awarded in the academic year. Georgia Master s Prepared Behavioral Health Clinician Degrees Awarded (Figure 7 & Table 8) This map and table show the number of master s degrees awarded in marriage and family therapy; professional, school or community counseling; psychology 8 ; or social work in the academic year. 7 Association of American Medical Colleges (2009). Careers in Medicine, Retrieved August 26, 2009 from: 8 Selected programs include: General, Clinical, Community, Counseling, and School Psychology Page 12

13 Georgia Psychiatric/Mental Health Master s in Nursing Degrees Awarded (Figure 8 & Table 9) Provided on this map and table are the master s degrees awarded in psychiatric/mental health nursing. Post-master s certificates in psychiatric/mental health nursing would also be included but there were none awarded in the academic year. Georgia Pastoral Counseling Degrees Awarded (Figure 9 & Table 10) This map and table provide the number of master s and doctoral degrees awarded in pastoral counseling, which were solely awarded by the private sector. Georgia Psychology Doctoral Degrees Awarded (Figure 10 & Table 11) Included on this map and table are the doctoral degrees awarded in psychology during the academic year. There are two types of psychology doctoral degrees: the Doctor of Psychology (Psy.D.) or the Doctor of Philosophy (Ph.D.). Georgia Psychiatry Residents (Figure 11 & Table 12) Portrayed on this map and table are the number of approved residency positions in psychiatry in the state in the academic year. Georgia Psychiatry Residents by Subspecialty (Figure 12 & Table 13) This map and table provide data on the number of approved residency positions in psychiatry broken out by subspecialty for the academic year. Page 13

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17 Table 3 Georgia Psychiatric/Mental Health Master s in Nursing Degrees Awarded Institution Psychiatric/Mental Health Nursing Master s Degrees University System of Georgia Georgia State University 6 Total 6 Source: The University System of Georgia Page 17

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19 Table 4 Georgia Master s Prepared Behavioral Health Clinician Degrees Awarded Institution Social Work Master s Psychology Master s Marriage & Family Therapy Master s Counseling Master s Total The University System of Georgia (USG) Albany State University Augusta State University Columbus State University Georgia Southern University Georgia State University Kennesaw State University North Georgia College & State University 7 7 Savannah State University University of Georgia University of West Georgia Valdosta State University USG Total Private Institutions Argosy University Clark Atlanta University Emory University Mercer University (Main Campus) South University Troy University Private Institutions Total Total Source: The University System of Georgia, the Integrated Postsecondary Education Data System, Mercer University, and Troy University Page 19

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21 Table 5 Georgia Psychiatric/Mental Health Master s in Nursing Degrees Awarded Institution Psychiatric/Mental Health Nursing Master s Degrees University System of Georgia Georgia State University 6 Total 6 Source: The University System of Georgia Page 21

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23 Table 6 Georgia Pastoral Counseling Degrees Awarded Institution Pastoral Counselor Master s Degree Pastoral Counselor Doctoral Degree Private Institutions Beacon University Columbia Theological Seminary 2 2 Luther Rice University Total Total Source: The Integrated Postsecondary Education Data System Page 23

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25 Table 7 Georgia Psychology Doctoral Degrees Awarded Institution Psychology Doctoral Degree The University System of Georgia (USG) Georgia State University 19 University of Georgia 20 University of West Georgia 6 USG Total 45 Private Institutions Argosy University 22 Emory University 10 Private Institutions Total 32 Total 77 Source: The University System of Georgia and the Integrated Postsecondary Education Data System Page 25

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27 Table 8 Georgia Psychiatry Residents Institution Psychiatry Residents The University System of Georgia (USG) Medical College of Georgia 17 USG Total 17 Private Institutions Emory University 62 Morehouse School of Medicine 16 Private Institutions Total 78 Total 95 Source: The Accreditation Council for Graduate Medical Education Page 27

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29 Table 9 Georgia Psychiatry Residents by Subspecialty Institution General Psychiatry Addictive Psychiatry Child & Adolescent Psychiatry Forensic Psychiatry Geriatric Psychiatry Total The University System of Georgia Medical College of Georgia USG Total Private Institutions Emory University Morehouse School of Medicine Private Institutions Total Total Source: The Accreditation Council for Graduate Medical Education Page 29

30 Behavioral Health Summary Programs that provide a path to the field of behavioral health are sparsely available throughout the state. Of the eight professions included, at least one of the programs is available at 14 USG institutions, 1 TCSG institution, and 10 private institutions. Georgia appears to lack substantial educational capacity in some important areas, including mental health nursing and mental health technicians. o The mental health technician certificate and associate s degree are offered at one USG and one TCSG institution. In 2008 there were only two certificates conferred through the TCSG. This lack of capacity may reflect the fact that the positions held by persons with a mental health technician award typically require only a GED or equivalent; thus there has not historically been much of an appeal for higher education in these positions. o Psychiatric/mental health master s degrees and post-master s certificates in nursing are available at a few USG institutions, but Georgia State University was the only institutions in the academic year to confer any degrees in this area of nursing. In that year Georgia State conferred six degrees, representing the entire number of such degrees conferred across the state. Georgia may have overlooked its needs for a broad range of masters prepared clinicians, including social work, psychology, marriage and family therapy, and counseling. Including the USG and the private institutions, the number of master s degrees conferred in social work (331), psychology 9 (333) and counseling (372) were similar in scale in However, there were only 24 marriage and family therapy master s degrees awarded in the same time frame. Private sector institutions appear to play a very large role in training Georgia s behavioral health clinicians. o Private institutions account for all pastoral counseling graduates. o One private institution, Argosy, accounts for roughly 2 thirds of all the masters level psychology graduates in Georgia, graduating 207 of the total 333 the state produced in Statewide there appears to be a shortage of programs available in many of the behavioral health professions examined. In several of the professions included in behavioral health (e.g. nursing, psychology), graduates can pursue many different areas of specialization, with behavioral health being only one option. Therefore, the number of graduates 9 Selected programs include: General, Clinical, Community, Counseling, and School Psychology Page 30

31 required to fill the need for behavioral health may be much larger and difficult to quantify than other professions. The need for additional programs should be researched and further development considered. Student demand appears to be lacking in some of the behavioral health professions. Several institutions have programs on the books but do not regularly graduate students due to a lack of demand (i.e. psychiatric/mental health nursing and mental health technicians). As the maps and data shown here only look at graduate production, inactive, on the books programs are not listed. Raising awareness of the field and need for educated professionals may be needed. Behavioral health programs are not available across the state. Most of the behavioral health programs are in the Atlanta metro area with others distributed in various areas throughout the state. Particularly for the fields requiring a master s degree or above, there are very few institutions in the rural areas of the state offering these programs. An important consideration should be taken when looking at the number of psychiatry residents. The Accreditation Council for Graduate Medical Education updates the number of residents on a rolling basis, thus the count is for a point in time (November 2009). Upon review of the data, the Medical College of Georgia for example, had more psychiatry residents than were identified when the data was pulled. Page 31

32 Emergency Medical Technicians Emergency medical technicians provide acute care and transport of patients requiring urgent medical care. Skills performed by emergency medical technicians at the basic and intermediate level may include giving CPR, utilizing a defibrillator, stabilization of the spine, and management of vital signs. An emergency medical technician trained at the paramedic level can perform all of the skills of the basic or intermediate emergency medical technician as well as provide advanced skills such as intubation, establish an intravenous line and administer emergency medications. Technicians begin at the basic level and can advance to the intermediate, intermediate-advanced, and advanced levels. Each of these increased levels of education require differing amounts of additional training hours. Licensure corresponds to these categories, with increasing scopes of practice being enabled with each advanced level of education. For the purposes of this report, the professionals are simply split into two categories: emergency medical technician basic and intermediate and emergency medical technician paramedics. Emergency Medical Technician Maps Include: Georgia s Emergency Medical Technician Programs Fall 2009 Figure 13 & Table 14 Represented on this map and table are the institutions that offered an emergency medical technician program in Fall 2009 at one of the following levels: basic, intermediate, intermediate-advanced or paramedic. Georgia Emergency Medical Technician Basic and Intermediate Awards Figure 14 & Table 15 The data presented on this map and table provide information on the number of certificates awarded in emergency medical technician basic and intermediate programs in the academic year. Georgia Emergency Medical Technician Paramedic Awards Figure 15 & Table 16 This map and table provide data on the number of diplomas or associate s degrees conferred in emergency medical technician paramedic programs in the academic year. Page 32

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36 Table 11 Georgia Emergency Medical Technician Basic and Intermediate Awards Institution USG/TCSG Partnership Campuses Emergency Medical Technician Basic or Intermediate Certificate Bainbridge College 3 College of Coastal Georgia 6 Dalton State College 1 USG/TCSG Partnership Campuses Total 10 USG Institutions Darton College 24 USG Total 24 The Technical College System of Georgia (TCSG) Albany Technical College 6 Altamaha Technical College 6 Chattahoochee Technical College (Appalachian Campus) 11 Athens Technical College 54 Atlanta Technical College 35 Augusta Technical College 56 Central Georgia Technical College 19 Chattahoochee Technical College (Main Campus) 15 Dekalb Technical College 51 Griffin Technical College 33 Gwinnett Technical College 151 Lanier Technical College 92 Moultrie Technical College 10 North Georgia Technical College 30 Chattahoochee Technical College (North Metro Campus) 16 Ogeechee Technical College 7 Okefenokee Technical College 23 Savannah Technical College 19 Southwest Georgia Technical College 25 Southeastern Technical College (Swainsboro Campus) 8 West Georgia Technical College (Douglas Campus) 51 TCSG Total 718 Total 752 Source: The University System of Georgia and the Technical College System of Georgia Page 36

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38 Table 12 Georgia Emergency Medical Technician Paramedic Awards Institution Emergency Medical Technician Paramedic Diploma/Associate s Degree USG/TCSG Partnership Campuses College of Coastal Georgia 1 USG/TCSG Partnership Campuses Total 1 USG Institutions Darton College 11 Georgia Highlands College 1 USG Total 12 The Technical College System of Georgia (TCSG) Albany Technical College 14 Chattahoochee Technical College (Appalachian Campus) 3 Augusta Technical College 17 Central Georgia Technical College 6 Chattahoochee Technical College (Main Campus) 2 Georgia Northwestern Technical College (Main Campus) 7 Dekalb Technical College 3 Griffin Technical College 5 Gwinnett Technical College 10 Lanier Technical College 19 North Georgia Technical College 8 Chattahoochee Technical College (North Metro Campus) 12 Okefenokee Technical College 1 Southeastern Technical College (Main Campus) 8 Southwest Georgia Technical College 1 Valdosta Technical College 6 West Georgia Technical College (Douglas Campus) 2 TCSG Total 124 Total 137 Source: The University System of Georgia and the Technical College System of Georgia Page 38

39 Emergency Medical Technicians Summary Emergency medical technicians (EMTs) are educated at the certificate, diploma and associate s degree levels. The USG, the TCSG, TCSG/USG partnerships and the private sector are all involved in educating EMTs. Key issues emerging from the maps are discussed below. Education of emergency medical technicians (EMTs) is largely undertaken by the TCSG, with 21 institutions (plus additional satellite campuses) providing either the EMT basic, intermediate or paramedic. Georgia generally has good availability of EMT programs, with the exception of the central western portion of the state. Education for EMTs begins at the basic level, progressing to the intermediate, intermediate-advanced and paramedic levels if desired. o The number of basic and intermediate EMT certificates awarded totaled 752 in the academic year. The USG/TCSG partnership campuses awarded 10 certificates, the USG s Darton College awarded 24 certificates, and the TCSG awarded 718 certificates at the basic or intermediate EMT level. o Advancing to the paramedic EMT level, 137 total diplomas or associate s degrees were awarded in the academic year. The USG/TCSG partnership campus at the College of Coastal Georgia graduated 1 student, two USG institutions graduated 12 students, and the TCSG institutions graduated 124 students. EMT awards and associate s degrees conferred at TCSG/USG partnership campuses is currently small in number and will dwindle in future years as some of the USG institutions close the technical units on their campuses through which these professionals are trained. An important note regarding EMT education is that there are many private and public organizations that offer EMT training which are not captured on these maps. These programs do not provide credit for their courses and thus the data is not reported to the Department of Education s Integrated Postsecondary Education Data System, from which data for private institutions has been pulled for other fields. Therefore, there is no central reporting agency in which to capture data regarding this group of EMTs. Page 39

40 Health Informatics The field of health informatics is rapidly expanding and growing, primarily as the implementation of electronic health records becomes standard practice in health care. The federal government has identified electronic health records as having great potential to improve the quality of health care services and to reduce their costs. To support comprehensive adoption of health information technology, the federal government is providing resources to numerous types of health care providers and has established fiscal penalties for many health providers should they not effectively adopt health information technology into their practices. Ultimately, providers are expected to use health information technology in a meaningful way to avoid fiscal penalties in future years. 10 Implicit in the federal push to digitize the nation s health records and communications is a rapid growth in demand for professionals educated and well versed in various aspects of health informatics. As such, Georgia must begin to assess the capacity of these professionals and ensure that the state s health care providers are well positioned to meet new federal mandates and provide the best care possible through effective and meaningful use of health informatics. Professionals included in this field are persons who have training in health information, medical information, medical records administration, health information technology, health information administration, medical insurance coding, medical office technology, and medical insurance and billing. The job responsibilities of these professionals likely depends on the size of the facility where they are employed, but may include maintenance of patient records, preserving patient information confidentiality and data security, utilizing classification systems for accurate coding of diagnoses, as well as filing claims with insurance companies based on services provided. At the most advanced level of health informatics, health information administrators organize information used in evidence-based medicine, arming health care providers with evidence to support patient care, reimbursement, teaching, research, quality improvement and legal inquiries. These skills and tasks are often intertwined and many health informatics programs will provide education in multiple areas of the field. The USG, TCSG and private institutions are all active in the education of health informatics graduates. The large majority of the programs are offered at the certificate and associate s degree 10 Evidence of recent federal interest is seen in combinations of direct funding to support establishing effective use of health information technology into the health care system across the country, establishing a policy framework in which this technology will operate in the future, and implementing fiscal awards and penalties for providers to encourage meaningful use of this technology. Direct funding includes supports provided through the federal stimulus proposal: the HITECH act, the Beacon Community grants, federal supports to build broadband and health information exchange capacity in states and others. Developments of an effective policy framework to enable effective use of health information technology is seen in ongoing work by the U.S. Department of Health and Human Services Office of the National Coordinator to establish basic parameters for meaningful use of this technology. Fiscal incentives are seen in both grants awarded directly to physician practices to assist in their purchase and implementation of this technology and in Medicare payment penalties that begin in 2014 for physicians that fail to adopt and use health information technology in a meaningful way. Page 40

41 level, but there is also a developing contingent of baccalaureate degree level programs. For the purposes of analysis, the health informatics field was split into two categories: health informatics related/affiliated fields and health informatics. The health informatics maps strictly show programs which are accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIM), while the health informatics related/affiliated fields maps include additional programs that are involved in health informatics field but are not necessarily under the same accreditation standards. Health Information Technology Maps Include: Georgia s Health Informatics Related/Affiliated Programs Fall 2009 Figure 16 & Table 17 Portrayed on this map and table are the programs offered in the Fall of 2009 providing one or more of the following: health information/medical records administration, health information technology, medical information, medical insurance coding, medical office technology, and medical insurance and billing. Georgia Health Informatics Related/Affiliated Fields Awards Figure 17 & Table 18 Provided on this map and table are the awards conferred at the certificate level in medical information, certificate in medical coding, certificate or associate s degree level in medical office technology, and the certificate or associate s degree level in medical insurance billing in the academic year. Georgia s Health Informatics Programs Fall 2009 Figure 18 & Table 19 This map and table provide information on programs offered in the Fall of 2009 which are accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIM) in health information, health information administration or health information technology. Georgia Health Informatics Awards Figure 19 & Table 20 This map and table display data on the number of awards conferred during the academic year at the certificate or associate s degree level in medical records administration or at the diploma, certificate, associate s or bachelor s degree level in health informatics. Page 41

42 Figure 12 Page 42

43 Table 13 Page 43

44 Figure 13 Page 44

45 Table 14 Georgia Health Informatics Related/Affiliated Fields Awards Institution Health Information/ Medical Records Administrator Certificate Health Information Technology Diploma Medical Information Specialist Certificate Medical Office Technology Certificate Medical Office Technology Associate s Degree Medical Coding Certificate Medical Insurance Specialist/ Medical Biller Certificate Medical Insurance Specialist/ Medical Biller Associate s Degree Total The University System of Georgia (USG) Bainbridge College USG Institutions Total The Technical College System of Georgia (TCSG) Altamaha Technical College Atlanta Technical College 5 5 Augusta Technical College Central Georgia Technical College Chattahoochee Technical College (North Metro Campus) Flint River Technical College 4 4 Georgia Northwestern Technical College (Main Campus) Georgia Northwestern Technical College (Northwestern Campus) Heart of Georgia Technical College Moultrie Technical College North Georgia Technical College Ogeechee Technical College 9 9 Page 45

46 Institution Health Information/ Medical Records Administrator Certificate Health Information Technology Diploma Medical Information Specialist Certificate Medical Office Technology Certificate Medical Office Technology Associate s Degree Medical Coding Certificate Medical Insurance Specialist/ Medical Biller Certificate Medical Insurance Specialist/ Medical Biller Associate s Degree Total South Georgia Technical College 1 1 West Georgia Technical College (West Georgia Campus) TCSG Institutions Total Private Institutions Advanced Career Training Atlanta Campus American Professional Institute Everest Institute Dekalb Everest Institute Jonesboro Everest Institute Norcross High Tech Institute Atlanta Iverson Business School Javelin Technical Training Center Laurus Technical Institute Lincoln College of Technology Omnitech Institute Sanford Brown Institute Savannah River College Private Institutions Total Total Source: The University System of Georgia, the Technical College System of Georgia and the Integrated Postsecondary Education Data System Page 46

47 Figure 14 Page 47

48 Table 15 Page 48

49 Figure 15 Page 49

50 Table 16 Georgia Health Informatics Awards Institution Health Informatio n/ Medical Records Administra tor Associate s Degree Health Informatio n Technology Associate s Degree Health Informatio n Technology Bachelor s Degree Health Information Administrat ion Certificate Health Information Administrat ion Bachelor s Degree Total The University System of Georgia Darton College 9 9 Macon State College Medical College of Georgia USG Total The Technical College System of Griffin i Technical (TCSG) College 2 2 Ogeechee Technical College 6 6 TCSG Total 9 8 Private Institutions DeVry University Georgia Private Institutions Total Total Source: The University System of Georgia, the Technical College System of Georgia and the Integrated Postsecondary Education Data System Page 50

51 Health Informatics Summary With the federal government s push to modernize record keeping in health care across the nation, Georgia must anticipate growth in the demand for health informatics professionals, especially those at the higher end of the education spectrum. Analysis by some academic professionals involved with health information technology indicated as recently as 2008 that the nation needs approximately 40,000 new health informatics professionals. 11 The size of Georgia s population relative to other states suggests that Georgia will need a sizeable portion of those 40,000 new health informatics professionals. Further, this analysis could prove to be conservative due to the fact that it preceded the initiation of federal efforts to facilitate the wide-spread adoption of health information technology across the country and the passage of national health care reform which could encourage more people to access the health care system. However, there should be little doubt that the state of Georgia will need to pay attention to the demands for the various components of this workforce and ensure that the capacity exists within the state s post secondary education systems to train the number of professionals needed to meet future demand for their skills. Noteworthy issues identified in the maps are discussed below. Health informatics related/affiliated programs include six different programs: health information/medical records administration, health information technology, medical information, medical office technology, medical coding, and medical insurance specialist/medical billing. o Of the six programs included in this map, the largest by far is medical coding. In the academic year a total of 854 certificates were awarded. During this year the TCSG awarded 27.6 percent of the certificates and the private institutions awarding the remaining 72.4 percent. o Programs in medical insurance billing also produced a large number of certificates and associate s degrees in the academic year. All of the programs were provided by private institutions and awarded 178 certificates and 38 associate s degrees in that year. o Numerous institutions offer programs in the health informatics related/affiliated programs across the state, though finding a program in the student s specific area of interest may be difficult. 11 Hersch, William, MD, Wright, Adam PhD, What Workforce is Needed to Implement the Health Information Technology Agenda? Analysis from the HIMSS Analytics Database, American Medical Informatics Association 2008 Symposium Proceedings Pages Page 51

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