THE U.S. HEALTH WORKFORCE CHARTBOOK. Part III: Technologists & Technicians and Aides & Assistants

Transcription

1 THE U.S. HEALTH WORKFORCE CHARTBOOK Part III: Technologists & Technicians and Aides & Assistants U.S. Department of Health and Human Services Health Resources and Services Administration National Center for Health Workforce Analysis November 2013

2 The Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS), provides national leadership in the development, distribution, and retention of a diverse, culturally competent health workforce that can adapt to the population s changing health care needs and provide the highest-quality care for all. The agency administers a wide range of training grants, scholarships, loans, and loan repayment programs that strengthen the health care workforce and respond to the evolving needs of the health care system. The National Center for Health Workforce Analysis (the National Center) informs public and private-sector decision-making related to the health workforce by expanding and improving health workforce data, disseminating workforce data to the public, improving and updating projections of the supply and demand for health workers, and conducting analyses of issues important to the health workforce. For more information about the National Center, us at healthworkforcecenter@hrsa.gov, or visit our website at Suggested citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. The U.S. Health Workforce Chartbook, Rockville, Maryland; Copyright information: All material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation of the source, however, is appreciated. i The U.S. Health Workforce Chartbook- Part III November 2013

3 CONTENTS Introduction... 1 Data Sources Technologists and Technicians Medical and Clinical Laboratory Technologists and Technicians Diagnostic Related Technologists and Technicians Emergency Medical Technicians and Paramedics Health Diagnosing and Treating Practitioner Support Technologists and Technicians Medical Records and Health Information Technicians Aides and Assistants Medical Assistants and Other Healthcare Support Occupations Personal Care Aides Nursing, Psychiatric, and Home Health Aides FIGURES Figure 1: Medical and Clinical Laboratory Technologists and Technicians per 100,000 Working-Age Population, by State... 4 Figure 2: Number of Medical and Clinical Laboratory Technologists and Technicians,... 5 Figure 3: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Work Setting... 5 Figure 4: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Sex and Age... 6 Figure 5: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Race/Ethnicity, Relative to the Working-Age Population... 6 Figure 6: Diagnostic Related Technologists and Technicians per 100,000 Working-Age Population, by State... 7 Figure 7: Number of Diagnostic Related Technologists and Technicians, by State... 8 Figure 8: Distribution of Diagnostic Related Technologists and Technicians,... 8 Figure 9: Distribution of Diagnostic Related Technologists and Technicians,... 9 Figure 10: Distribution of Diagnostic Related Technologists and Technicians,... 9 Figure 11: EMTs and Paramedics per 100,000 Working-Age Population, by State Figure 12: Number of EMTs and Paramedics, by State Figure 13: Distribution of EMTs and Paramedics, by Work Setting Figure 14: Distribution of EMTs and Paramedics, by Sex and Age Figure 15: Distribution of EMTs and Paramedics, by Race/Ethnicity, Figure 16: Health Diagnosing and Treating Practitioner Support Technologists and Technicians per 100,000 Working-Age Population, by State Figure 17: Number of Health Diagnosing and Treating Practitioner Support Technologists and Technicians, by State Figure 18: Distribution of Health Diagnosing and Treating Practitioner Support Technologists and Technicians, by Work Setting Figure 19: Distribution of Health Diagnosing and Treating Practitioner Support Technologists November 2013 The U.S. Heath Workforce Chartbook- Part III ii

4 and Technicians, by Sex and Age Figure 20: Distribution of Health Diagnosing and Treating Practitioner Support Technologists and Technicians, by Race/Ethnicity, Relative to the Working-Age Population Figure 21: Medical Records and Health Information Technician Jobs per 100,000 Working-Age Population, by State Figure 22: Number of Medical Records and Health Information Technician Jobs, by State Figure 23: Distribution of Medical Records and Health Information Technicians, Figure 24: Distribution of Medical Records and Health Information Technicians, Figure 25: Distribution of Medical Records and Health Information Technicians, Figure 26: Medical Assistants and Other Healthcare Support Occupations per 100,000 Working- Age Population, by State Figure 27: Number of Medical Assistants and Other Healthcare Support Occupations, Figure 28: Distribution of Medical Assistants and Other Healthcare Support Occupations, by Work Setting Figure 29: Distribution of Medical Assistants and Other Healthcare Support Occupations, by Sex and Age Figure 30: Distribution of Medical Assistants and Other Healthcare Support Occupations, by Race/Ethnicity, Relative to the Working-Age Population Figure 31: Personal Care Aides per 100,000 Working-Age Population, by State Figure 32: Number of Personal Care Aides, by State Figure 33: Distribution of Personal Care Aides, by Work Setting Figure 34: Distribution of Personal Care Aides, by Sex and Age Figure 35: Distribution of Personal Care Aides, by Race/Ethnicity, Figure 36: Nursing, Psychiatric, and Home Health Aides per 100,000 Working-Age Population, by State Figure 37: Number of Nursing, Psychiatric, and Home Health Aides, by State Figure 38: Distribution of Nursing, Psychiatric, and Home Health Aides, by Work Setting Figure 39: Distribution of Nursing, Psychiatric, and Home Health Aides, by Sex and Age Figure 40: Distribution of Nursing, Psychiatric, and Home Health Aides, iii The U.S. Health Workforce Chartbook- Part III November 2013

5 GENERAL LIST OF ACRONYMS Acronym AAPA ACNM ACS APRN ARF BHPr BLS BSN CDC CMS EMT HHS HRSA IPEDS LPN NAICS NCHWA NCLEX-PN NCLEX-RN NP NPI OT PA PA-C PUMS RN RSE SOC Definition American Academy of Physician Assistants American College of Nurse-Midwives American Community Survey Advanced Practice Registered Nurse Area Resource File Bureau of Health Professions Bureau of Labor Statistics Bachelor of Science in Nursing Centers for Disease Control and Prevention Centers for Medicare & Medicaid Services Emergency Medical Technician U.S. Department of Health and Human Services Health Resources and Services Administration Integrated Postsecondary Education Data System Licensed Practical and Licensed Vocational Nurse North American Industry Classification System National Center for Health Workforce Analysis National Counsel Licensure Examination for Practical Nurses National Counsel Licensure Examination for Registered Nurses Nurse Practitioner National Provider Identification Occupational therapy Physician Assistant Certified Physician Assistant Public Use Microdata Sample Registered Nurse Relative standard error Standard Occupational Classification November 2013 The U.S. Heath Workforce Chartbook- Part III iv

6 INTRODUCTION The U.S. Health Workforce Chartbook provides extensive data on 35 health occupations and is part of the Health Resources and Services Administration s (HRSA s) effort to assist states, policymakers, local workforce planners, researchers, and the public in understanding the U.S. health workforce. The Chartbook may also be used as a baseline to track changes in the health workforce. While this Chartbook includes extensive data on supply, including comparative data by state, it does not include data on demand and, as such, does not address the adequacy of the supply. The 35 occupations included in this Chartbook are classified based on the U.S. government s Standard Occupational Classification (SOC) system and included more than 14 million individuals in These individuals represent approximately 10 percent of the nation s workforce. 2 The occupations included in this Chartbook also represent those with the largest current employment and those that are expected to grow substantially in the future. The vast majority of workers are employed in what the U.S. Office of Management and Budget defines as the health sector, which includes health settings such as hospitals, clinics, physician offices, and nursing homes. The health sector also includes many workers in occupations that are not considered health occupations. For example, workers such as accountants or food service workers employed in hospitals are working in the health sector, even though they are not working in a health occupation. Individuals in health occupations may also work outside the health sector in settings such as local governments, schools, or insurance companies. The information provided in this Chartbook includes individuals in health occupations that are both within and outside the health sector. For most occupations, the Chartbook relies on the U.S. Census Bureau s ACS to estimate the total number of individuals in each occupation, their geographic distribution, the settings in which they work, and their demographic characteristics. The ACS, which uses self-reported data, is the most comprehensive source available for the broad range of occupations included in this report. 3 This report also draws from the U.S. Department of Education s Integrated Postsecondary Education System (IPEDS) to include information on the number of graduates from educational programs leading to entry into specific occupations. No graduate data are presented for occupations in which formal educational requirements are completed in institutions not reporting to IPEDS or vary substantially by state. Some important components of the health workforce are not included or fully represented in the Chartbook because of data limitations. These components include occupations for which data are not collected or reported separately by the U.S. Census Bureau. For example, data from public health nurses are not collected separately from other types of nurses. The report also does 1 HRSA analysis of the U.S. Census Bureau, American Community Survey (ACS) Public Use Microdata Sample (PUMS), HRSA analysis of the U.S. Bureau of Labor Statistics (BLS), Employment Projections, Note: The workforce is defined as individuals employed in the occupation and individuals whose last job was in the occupation and who are still seeking employment. 3 Note: Self-reported data have limitations. Some individuals may report the occupation for which they are trained or licensed even when they are not currently working the majority of their time in that occupation. For example, a physician who is spending a majority of his/her time as an administrator may self-report as either a physician or an administrator. The ACS does not collect data on licensure or professional certification. See the Technical Documentation for additional details on ACS reporting and limitations. 1 The U.S. Health Workforce Chartbook- Part III November 2013

7 not include important health occupations, because of the small size of the occupation, such as epidemiologists and other public-health oriented disciplines like laboratorians and environmental health professionals. In addition, some occupations in the Chartbook are limited by ACS occupational groupings because of the methods by which the ACS collects and reports SOC data. For example, although the SOC has two separate groupings for medical and clinical laboratory technologists and medical and clinical laboratory technicians, the ACS only reports on medical and clinical laboratory technologists and technicians as a single occupational grouping and does not report the two occupations separately. The Chartbook is divided into four main parts for ease of reporting. Part I comprises clinicians. Part II presents additional clinician categories and occupations concerned with health care administration duties. Part III discusses health-related technologists and technicians as well as aides and assistants. Part IV describes behavioral and allied health occupations. DATA SOURCES Data for this Chartbook come primarily from two federal agencies: the U.S. Census Bureau and the U.S. Department of Education. The U.S. Census Bureau s American Community Survey (ACS): The ACS, a household survey, provides detailed self-reported data including demographic information (e.g., age, race, and sex data) on individuals working in the health occupations and is the major source of data for this report. The U.S. Department of Education s Integrated Postsecondary Education System (IPEDS): IPEDS data are used to measure the educational pipeline into the health occupations. IPEDS provides enrollment and graduation data on an annual basis for all institutions that receive or apply for federal funds. The number of graduates, by degree type, is presented for occupations for which there is a specific educational pathway into the occupation. No data are reported for those occupations without a distinct educational pathway. Descriptions of the educational and training requirements for the various occupations have been obtained from the BLS, Occupational Outlook Handbook, Edition. Also, data from HRSA s Area Resource File (ARF) are included in this Chartbook. The ARF is a comprehensive, county-level source of health workforce and other health resources data. Included in the ARF are data from the American College of Nurse-Midwives (ACNM) and the Centers for Medicare & Medicaid Services National Provider Identification (NPI) file. The NPI file contains data on health professionals that require unique identification for federal billing (e.g., Medicare and Medicaid), private insurance, and other purposes. In this report, NPI data in the ARF have been used for cases in which ACS data were not available (i.e., nurse practitioners and nurse anesthetists). Details on the data sources, definitions and analysis, and other information provided in the Chartbook are available in the The U.S. Health Workforce Chartbook: Technical Documentation, which can be found at Also, more detailed information on the work settings used in this report can be found on the U.S. Census Bureau website at November 2013 The U.S. Heath Workforce Chartbook- Part III 2

8 The following table lists each of the selected occupations in Part III of The U.S. Health Workforce Chartbook along with the associated total workforce estimates from the ACS. Part III: Technologists & Technicians and Aides & Assistants Occupation Total Workforce Technologists and Technicians 1.1 Medical and Clinical Laboratory Technologists and 354,652 Technicians 1.2 Diagnostic Related Technologists and Technicians 314, Emergency Medical Technicians and Paramedics 187, Health Diagnosing and Treating Practitioner Support Technologists and Technicians 527, Medical Records and Health Information Technicians 111, Aides and Assistants 2.1 Medical Assistants and Other Healthcare Support 845,117 Occupations 2.2 Personal Care Aides 1,022, Nursing, Psychiatric, and Home Health Aides 2,328,702 4 Total workforce from HRSA analysis of the ACS PUMS, The U.S. Health Workforce Chartbook- Part III November 2013

9 1.0 TECHNOLOGISTS AND TECHNICIANS Technologist and Technician occupations described in this section include: 1.1 Medical and Clinical Laboratory Technologists and Technicians; 1.2 Diagnostic Related Technologists and Technicians; 1.3 Emergency Medical Technicians and Paramedics; 1.4 Health Diagnosing and Treating Practitioner Support Technologists and Technicians; and 1.5 Medical Record and Health Information Technicians. 1.1 Medical and Clinical Laboratory Technologists and Technicians An estimated 354,652 individuals in the U.S. workforce reported their occupation as medical and clinical laboratory technologist or technician. 5 The typical entry-level education required for medical and clinical laboratory technologists is a bachelor s degree and for technicians it is an associate s degree. 6 Figure 1: Medical and Clinical Laboratory Technologists and Technicians per 100,000 Working-Age Population, by State * *Note: Estimated ratios in states with a relative standard error (RSE) > 20% should be used with caution because of large sampling error. 5 Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. November 2013 The U.S. Heath Workforce Chartbook- Part III 4

10 Figure 2: Number of Medical and Clinical Laboratory Technologists and Technicians, by State * *Note: Estimates in states with an RSE > 20% should be used with caution because of large sampling error. Figure 3: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Work Setting Other Health Care Services, 20.1% Physician Offices, 5.0% Outpatient Care Centers, 4.2% Hospitals, 55.7% Colleges and Universities, Including Junior Colleges, 4.1% All Other Settings, 10.9% 5 The U.S. Health Workforce Chartbook- Part III November 2013

11 Figure 4: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Sex and Age Female 73.6% Male 26.4% 100.0% 80.0% 60.0% 40.0% 20.0% Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. 50.3% 48.4% 31.7% 34.4% 18.0% 17.2% Figure 5: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Race/Ethnicity, Relative to the Working-Age Population 0.0% Less than 35 years Health Care Workforce years More than 55 years Laboratory Technologists and Technicians White Black/African American Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race 11.8% 14.6% 14.2% 8.8% 4.9% 12.3% 0.6% 0.4% 1.5% 1.8% 62.2% 66.9% U.S. Population 16 and Older Note: Percentages may not total 100, because of rounding. 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% Medical and Clinical Laboratory Technologists and Technicians Graduates The total number of post-secondary medical and clinical laboratory technologist and technician graduates at the associate s and bachelor s levels in the 2009 to 2010 academic year was 5,687. Of these, 50.2 percent of graduates received a bachelor s degree, and 49.8 percent of graduates received an associate s degree. 7 7 HRSA analysis of the National Center for Education Statistics IPEDS, November 2013 The U.S. Heath Workforce Chartbook- Part III 6

12 1.2 Diagnostic Related Technologists and Technicians The information presented below for diagnostic related technologists and technicians 8 combines data for the following individual occupations: Cardiovascular technologists and technicians; Diagnostic medical sonographers; Nuclear medicine technologists; Radiologic technologists; and Magnetic resonance imaging technologists. An estimated 314,113 individuals in the U.S. workforce reported their occupation as diagnostic related technologist or technician in the U.S. workforce. 9 The typical entry-level education for diagnostic related technologists and technicians is an associate s degree. 10 Current Distribution Figure 6: Diagnostic Related Technologists and Technicians per 100,000 Working-Age Population, by State * ** *Note: Estimated ratios in states with an RSE > 20% should be used with caution because of large sampling error. **Data are not reported at the state level because the RSE 30%; estimate does not meet standards of reliability. 8 BLS, Occupational Outlook Handbook, Edition. 9 Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. 7 The U.S. Health Workforce Chartbook- Part III November 2013

13 Figure 7: Number of Diagnostic Related Technologists and Technicians, by State * ** *Note: Estimates in states with an RSE > 20% should be used with caution because of large sampling error. **Data are not reported at the state level, because the RSE 30%; estimate does not meet standards of reliability. Figure 8: Distribution of Diagnostic Related Technologists and Technicians, by Work Setting Other Health Care Services, 14.2% Physician Offices, 11.7% Outpatient Care Centers, 5.6% Hospitals, 64.9% All Other Settings, 3.6% November 2013 The U.S. Heath Workforce Chartbook- Part III 8

14 Figure 9: Distribution of Diagnostic Related Technologists and Technicians, by Sex and Age Female 71.1% Male 28.9% 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% 31.7% 32.5% Less than 35 years Health Care Workforce 50.3% Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. 54.3% 18.0% 13.2% years More than 55 years Diagnostic Related Technologists and Technicians Figure 10: Distribution of Diagnostic Related Technologists and Technicians, by Race/Ethnicity, Relative to the Working-Age Population White 66.9% 76.3% Black/African American Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race 11.8% 7.8% 14.2% 8.8% 4.9% 5.2% 0.6% 0.3% 1.5% 1.4% U.S. Population 16 and Older Note: Percentages may not total 100, because of rounding. 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% Diagnostic Related Technologists and Technicians Graduates The total number of post-secondary diagnostic related technologist and technician graduates at the associate s and bachelor s levels in the 2009 to 2010 year was 16,066. Of these, 81.6 percent of graduates received an associate s degree, and 18.4 percent of graduates received a bachelor s degree HRSA analysis of the National Center for Education Statistics IPEDS, The U.S. Health Workforce Chartbook- Part III November 2013

15 1.3 Emergency Medical Technicians and Paramedics An estimated 187,686 individuals in the U.S. workforce reported their occupation as emergency medical technician (EMT) or paramedic. 12 The required education for EMTs and paramedics is a post-secondary non-degree award. 13 Current Distribution Figure 11: EMTs and Paramedics per 100,000 Working-Age Population, by State * ** *Note: Estimated ratios in states with an RSE > 20% should be used with caution because of large sampling error. **Data are not reported at the state level, because the RSE 30%; estimate does not meet standards of reliability. 12 Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. November 2013 The U.S. Heath Workforce Chartbook- Part III 10

16 Figure 12: Number of EMTs and Paramedics, by State * ** *Estimates in states with an RSE > 20% should be used with caution because of large sampling error. **Data are not reported at the state level, because the RSE 30%; estimate does not meet standards of reliability. Hospitals, 20.2% Figure 13: Distribution of EMTs and Paramedics, by Work Setting Justice, Public Order, and Safety Activities, 15.5% All Other Settings, 12.6% Other Health Care Services, 51.7% 11 The U.S. Health Workforce Chartbook- Part III November 2013

17 Figure 14: Distribution of EMTs and Paramedics, by Sex and Age Female 30.9% Male 69.1% 100.0% 80.0% 54.1% 60.0% 50.3% 41.7% 40.0% 31.7% 18.0% 20.0% 4.2% 0.0% Less than 35 years years More than 55 years Health Care Workforce EMTs and Paramedics Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. Figure 15: Distribution of EMTs and Paramedics, by Race/Ethnicity, Relative to the Working-Age Population White 66.9% 79.7% Black/African American Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race 11.8% 6.3% 14.2% 9.7% 4.9% 1.9% 0.6% 0.8% 1.5% 1.5% Note: Percentages may not total 100, because of rounding. 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% U.S. Population 16 and Older EMTs and Paramedics November 2013 The U.S. Heath Workforce Chartbook- Part III 12

18 1.4 Health Diagnosing and Treating Practitioner Support Technologists and Technicians The information presented below for health diagnosing and treating practitioner support technologists and technicians combines data for the following individual occupations: Dietetic technicians; Pharmacy technicians; Psychiatric technicians; Respiratory therapy technicians; Surgical technologists; and Veterinary technologists and technicians. An estimated 527,657 individuals in the U.S. workforce reported their occupation as health diagnosing and treating practitioner support technologist or technician. 14 The education entry levels for health diagnosing and treating practitioner support technologists and technicians are a high school diploma or equivalent, post-secondary nondegree award, or an associate s degree. 15 Figure 16: Health Diagnosing and Treating Practitioner Support Technologists and Technicians per 100,000 Working-Age Population, by State * *Note: Estimated ratios in states with an RSE > 20% should be used with caution because of large sampling error. 14 Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. 13 The U.S. Health Workforce Chartbook- Part III November 2013

19 Figure 17: Number of Health Diagnosing and Treating Practitioner Support Technologists and Technicians, by State * *Note: Estimated ratios in states with an RSE > 20% should be used with caution because of large sampling error. Figure 18: Distribution of Health Diagnosing and Treating Practitioner Support Technologists and Technicians, by Work Setting Hospitals, 26.6% Veterinary Services, 15.4% All Other Settings, 16.0% Pharmacies and Drug Stores, 42.0% November 2013 The U.S. Heath Workforce Chartbook- Part III 14

20 Figure 19: Distribution of Health Diagnosing and Treating Practitioner Support Technologists and Technicians, by Sex and Age Female 79.5% Male 20.5% 100.0% 80.0% 60.0% 40.0% 20.0% 31.7% 54.4% 0.0% Less than 35 years Health Care Workforce Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. 50.3% 37.3% 18.0% 8.3% years More than 55 years Technologists and Technicians Figure 20: Distribution of Health Diagnosing and Treating Practitioner Support Technologists and Technicians, by Race/Ethnicity, Relative to the Working-Age Population White 66.9% 67.5% Black/African American Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race 11.8% 12.8% 14.2% 10.8% 4.9% 6.6% 0.6% 0.6% 1.5% 1.8% U.S. Population 16 and Older Note: Percentages may not total 100, because of rounding. 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% Health Diag. and Treating Practitioner Support Technologists & Technicians Graduates The total number of post-secondary health diagnosing and treating practitioner support technologist and technician degrees in the 2009 to 2010 year was 17, Of these, 68.6 percent of graduates received an associate s degree, 25.0 percent of graduates received a bachelor s degree, and 6.4 percent of graduates received a master s degree The total number of degrees represents only a subset because IPEDS provides post-secondary education data only and does not include data on high school diplomas or the equivalent. 17 HRSA analysis of the National Center for Education Statistics IPEDS, The U.S. Health Workforce Chartbook- Part III November 2013

21 1.5 Medical Records and Health Information Technicians An estimated 111,297 individuals in the U.S. workforce reported their occupation as medical records and health information technician. 18 The typical entry-level education for medical records and health information technicians is a post-secondary non-degree award. 19 Current Distribution Figure 21: Medical Records and Health Information Technician Jobs per 100,000 Working-Age Population, by State * ** *Note: Estimated ratios in states with an RSE > 20% should be used with caution because of large sampling error. **Data are not reported at the state level, because the RSE 30%; estimate does not meet standards of reliability. 18 Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. November 2013 The U.S. Heath Workforce Chartbook- Part III 16

22 Figure 22: Number of Medical Records and Health Information Technician Jobs, by State * ** *Note: Estimates in states with an RSE > 20% should be used with caution because of large sampling error. **Data are not reported at the state level, because the RSE 30%; estimate does not meet standards of reliability. Figure 23: Distribution of Medical Records and Health Information Technicians, by Work Setting Physician Offices, 18.0% Other Health Care Services, 8.7% Outpatient Care Centers, 8.4% Hospitals, 42.4% Nursing Care Facilities, 6.5% Note: Percentages may not total 100, because of rounding. All Other Settings, 16.1% 17 The U.S. Health Workforce Chartbook- Part III November 2013

23 Figure 24: Distribution of Medical Records and Health Information Technicians, by Sex and Age Female 88.8% Male 11.2% 100.0% 80.0% 60.0% 40.0% 20.0% 31.7% 32.7% 0.0% Less than 35 years Health Care Workforce Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. 50.3% 48.6% 18.0% 18.7% years More than 55 years Medical Records and Health Information Technicians Figure 25: Distribution of Medical Records and Health Information Technicians, by Race/Ethnicity, Relative to the Working-Age Population White Black/African American Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race 11.8% 16.1% 14.2% 13.1% 4.9% 6.0% 0.6% 1.5% 1.5% 1.2% 66.9% 62.1% U.S. Population 16 and Older Note: Percentages may not total 100, because of rounding. 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% Medical Records and Health Information Technicians Graduates The total number of post-secondary medical records and health information technician graduates at the one year and less than two years and associate s levels in the 2009 to 2010 academic year was 7,028. Of these, 30.6 percent of graduates received at least one but less than two years of post-secondary education, and 69.4 percent of graduates received an associate s degree HRSA analysis of the National Center for Education Statistics IPEDS, November 2013 The U.S. Heath Workforce Chartbook- Part III 18

24 2.0 AIDES AND ASSISTANTS Auxiliary health occupations and professional groups described in this section include: 2.1 Medical Assistants and Other Healthcare Support Occupations; 2.2 Personal Care Aides; and 2.3 Nursing, Psychiatric, and Home Health Aides. 2.1 Medical Assistants and Other Healthcare Support Occupations An estimated 845,117 individuals in the U.S. workforce reported their occupation as medical assistant or other healthcare support occupation. 21 The required education for medical assistants and other healthcare support occupations is a high school diploma or equivalent. 22 Current Distribution Figure 26: Medical Assistants and Other Healthcare Support Occupations per 100,000 Working-Age Population, by State * *Note: Estimated ratios in states with an RSE > 20% should be used with caution because of large sampling error. 21 Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. 19 The U.S. Health Workforce Chartbook- Part III November 2013

25 Figure 27: Number of Medical Assistants and Other Healthcare Support Occupations, by State * *Note: Estimates in states with an RSE > 20% should be used with caution because of large sampling error. Figure 28: Distribution of Medical Assistants and Other Healthcare Support Occupations, by Work Setting Hospitals, 24.8% Other Health Care Services, 9.6% Physician Offices, 25.3% Outpatient Care Centers, 7.7% Nursing Care Facilities, 6.9% All Other Settings, 25.7% November 2013 The U.S. Heath Workforce Chartbook- Part III 20

26 Figure 29: Distribution of Medical Assistants and Other Healthcare Support Occupations, by Sex and Age Female 88.5% Male 11.5% 100.0% 80.0% 60.0% 40.0% 20.0% 31.7% 47.0% 0.0% Less than 35 years Health Care Workforce Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. 50.3% 42.2% 18.0% 10.8% years More than 55 years Medical Assistants and Other Healthcare Support Occupations Figure 30: Distribution of Medical Assistants and Other Healthcare Support Occupations, by Race/Ethnicity, Relative to the Working-Age Population White 66.9% 60.2% Black/African-American (Non- Hispanic) Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race (Non- Hispanic) 4.9% 4.5% 0.6% 0.6% 1.5% 1.6% 11.8% 14.9% 14.2% 18.2% U.S. Population 16 and Older Note: Percentages may not total 100, because of rounding. 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% Medical Assistants and Other Healthcare Support Occupations 21 The U.S. Health Workforce Chartbook- Part III November 2013

27 2.2 Personal Care Aides An estimated 1,022,998 individuals in the U.S. workforce reported their occupation as personal care aide. 23 The required education for personal care aides is less than high school. 24 Current Distribution Figure 31: Personal Care Aides per 100,000 Working-Age Population, by State * Data Source: HRSA analysis of the ACS PUMs, *Note: Estimated ratios in states with an RSE > 20% should be used with caution because of large sampling error. 23 Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. November 2013 The U.S. Heath Workforce Chartbook- Part III 22

28 Figure 32: Number of Personal Care Aides, by State * *Note: Estimates in states with an RSE > 20% should be used with caution because of large sampling error. Figure 33: Distribution of Personal Care Aides, by Work Setting Residential Care Facilities, Without Nursing, 14.8% Private Households, 14.4% Home Health Care Services, 20.1% Administration of Human Resource Programs, 5.7% Individual and Family Services, 25.7% All Other Settings, 19.4% Note: Percentages may not total 100, because of rounding. 23 The U.S. Health Workforce Chartbook- Part III November 2013

29 Figure 34: Distribution of Personal Care Aides, by Sex and Age Female 85.5% Male 14.5% 100.0% 80.0% 50.3% 60.0% 44.9% 40.0% 31.7% 31.3% 18.0% 23.8% 20.0% 0.0% Less than 35 years years More than 55 years Health Care Workforce Personal Care Aides Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. Figure 35: Distribution of Personal Care Aides, by Race/Ethnicity, Relative to the Working-Age Population White 47.6% 66.9% Black/African American 11.8% 23.4% Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race 14.2% 18.4% 4.9% 7.6% 0.6% 1.1% 1.5% 1.9% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% U.S. Population 16 and Older Note: Percentages may not total 100, because of rounding. Personal Care Aides November 2013 The U.S. Heath Workforce Chartbook- Part III 24

30 2.3 Nursing, Psychiatric, and Home Health Aides An estimated 2,328,702 individuals in the U.S. workforce reported their occupation as nursing, psychiatric, or home health aide.25 The required education for nursing, psychiatric, and home health aides is less than high school, a high school diploma or equivalent, or a post-secondary non-degree award.26 Current Distribution Figure 36: Nursing, Psychiatric, and Home Health Aides per 100,000 Working-Age Population, by State WA MT OR ME ND MN ID VTNH WI SD WY NV CA PA IA NE UT IL CO AZ KS OK NM NY MI MO OH MD WV VA NC TN AR DC SC AL GA Number per 100,000 Population LA FL AK RI NJ DE KY MS TX IN MA CT ,322 HI Total workforce from HRSA analysis of the ACS PUMS, BLS, Occupational Outlook Handbook, Edition. The U.S. Health Workforce Chartbook- Part III November 2013

31 Figure 37: Number of Nursing, Psychiatric, and Home Health Aides, by State WA OR CA NV ID UT AZ MT WY CO NM ND SD NE KS OK MN WI IA IL MO AR MI OH IN KY TN PA WV VA NC SC NY VTNH MA CT ME NJ DE MD RI DC MS AL GA AK TX LA FL Total Number 3,738-9,667 9,668-22,710 22,711-37,742 37,743-61,093 61, ,026 HI Figure 38: Distribution of Nursing, Psychiatric, and Home Health Aides, by Work Setting Hospitals, 21.6% Home Health Care Services, 19.4% Other Health Care Services, 8.2% Nursing Care Facilities, 32.8% Residential Care Facilities, Without Nursing, 3.6% All Other Settings, 14.4% November 2013 The U.S. Heath Workforce Chartbook- Part III 26

32 Figure 39: Distribution of Nursing, Psychiatric, and Home Health Aides, by Sex and Age Female 87.9% Male 12.1% 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% 50.3% 38.8% 45.9% 31.7% 18.0% Less than 35 years 15.2% years More than 55 years Health Care Workforce Nursing, Psychiatric, and Home Health Aides Note: The Health Care Workforce in this figure refers to the health occupations covered in this report. Note: Percentages may not total 100, because of rounding. Figure 40: Distribution of Nursing, Psychiatric, and Home Health Aides, by Race/Ethnicity, Relative to the Working-Age Population White 47.0% 66.9% Black/African American Hispanic/Latino Asian/Native Hawaiian/Pacific Islander American Indian/Alaska Native Multiple/Other Race 11.8% 14.2% 12.8% 4.9% 4.4% 0.6% 0.9% 1.5% 1.8% 33.1% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% U.S. Population 16 and Older Nursing, Psychiatric, and Home Health Aides Note: Percentages may not total 100, because of rounding. 27 The U.S. Health Workforce Chartbook- Part III November 2013