bowen center for health data report · the bowen center has a rich history of collecting,...

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101010010PHARMACIST000110100110101001100010010001PHARMACIST10001001000100011010100110010011000100100 2018 Pharmacist Licensure Survey Data Report BOWEN CENTER FOR HEALTH SCHOOL OF MEDICINE WORKFORCE RESEARCH & POLICY Published: April 2019

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Page 1: BOWEN CENTER FOR HEALTH Data Report · The Bowen Center has a rich history of collecting, analyzing, and disseminating health workforce data and research for the State of Indiana

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2018 Pharmacist Licensure Survey

Data ReportBOWEN CENTER FOR HEALTH SCHOOL OF MEDICINEWORKFORCE RESEARCH & POLICY

Published: April 2019

Page 2: BOWEN CENTER FOR HEALTH Data Report · The Bowen Center has a rich history of collecting, analyzing, and disseminating health workforce data and research for the State of Indiana

2018 Indiana Pharmacist Licensure Survey

The Bowen Center for Health Workforce Research and Policy (Bowen Center) would like to extend its gratitude to all the dedicated individuals who provided valuable and timely assistance during the development of the 2018 Indiana Pharmacist Licensure Survey Data Report. Preparing this report required the assistance, cooperation, and support of state agency staff. Survey data and additional data elements were provided by the Indiana Professional Licensing Agency (IPLA). The Bowen Center is also grateful to the Indiana Family and Social Services Administration, the Indiana State Department of Health and the Indiana Department of Workforce Development for the financial commitment which supported this health workforce data project.

Copyright:© 2019 Bowen Center for Health Workforce Research and PolicyDepartment of Family MedicineIndiana University School of Medicine1110 W. Michigan Street, Suite 200Indianapolis, IN 46202

Recommended Citation:Data Report: 2018 Indiana Pharmacist Licensure Survey (2019)Bowen Center for Health Workforce Research and Policy. Indiana University School of Medicine.Permalink: http://hdl.handle.net/1805/18812

Correspondence:Please address any correspondence regarding this document to the Bowen Center for Health Workforce Research and Policy via email at [email protected] or by phone at 317.278.4818.

Authored By:Analise Dickinson, Research CoordinatorSierra Vaughn, Health Services Research AnalystHannah Maxey, Director

Contributions by:Natalie Layfield, Data CoordinatorGreg Puetz, Health Informatics Principal

Acknowledgments

i

Page 3: BOWEN CENTER FOR HEALTH Data Report · The Bowen Center has a rich history of collecting, analyzing, and disseminating health workforce data and research for the State of Indiana

Data Report

Table of Contents

ii

Acknowledgment.................................................................................................................................i

Executive Summary.............................................................................................................................1

Section 1: Background Information..................................................................................................2

Methods ................................................................................................................................................2

Survey Administration ..................................................................................................................2

Dataset Construction ..................................................................................................................2

Figure 1.1: Sample Selection Criteria for Indiana Pharmacists............................................3

FTE Assignment.............................................................................................................................4

Table 1.1: FTE Calculation Based on Reported Hours per Week in Patient Care................4

Rurality.............................................................................................................................................4

Limitations......................................................................................................................................4

Supplemental Data Tables.............................................................................................................4

Section II: Pharmacist Workforce.....................................................................................................5

Demographic Characteristics.............................................................................................................5

Table 2.1: Pharmacist Demographic Characteristics by Gender................................................5

Educational Characteristics................................................................................................................5

Table 2.2: Pharmacist Educational Characteristics....................................................................6

Table 2.3: Pharmacist Fellowship, Training and Certifications...................................................6

Certifications........................................................................................................................................ 7

Table 2.4: Pharmacist BPS Certifications....................................................................................7

Professional and Practice Characteristics.........................................................................................7

Table 2.5: Pharmacist Employment Characteristics...................................................................7

Table 2.6: Pharmacist Practice Setting........................................................................................8

Workforce Capacity and Distribution.................................................................................................8

Table 2.7: Pharmacist Workforce Capacity..................................................................................8

Supply and Geographic Distribution Characteristics...................................................................... 9

Table 2.8: Pharmacist Workforce Capacity and Distribution............................ .........................9

Map 2.1 Pharmacist Workforce Capacity, by County................................................................ .10

Closing Summary..............................................................................................................................11

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2018 Indiana Pharmacist Licensure Survey

Identifying supply and distribution of the pharmacist workforce is crucial in understanding the capacity to meet medical needs and improve overall population health of Hoosiers. The field of pharmacy has been a longstanding profession that has changed significantly throughout its history. Data presented in this report provide a snapshot of key demographic and practice characteristics for the pharmacist workforce in Indiana.

The 2018 Indiana Pharmacist Licensure Survey Data Report presents key information derived from data collected from the pharmacist re-licensure survey administered by the Indiana Professional Licensing Agency (IPLA) during the license renewal period. In 2018, 11,354 pharmacists renewed their professional licenses. Of those who renewed their license, 5,316 pharmacists reported actively practicing and had a valid Indiana license address and were included in this report.

Data from this reports demonstrates a lack of diversity among pharmacists as less than 10% of the workforce identified as a non-white minority. Additionally, a very small percentage of pharmacists reported completing a fellowship (2.2%) or residency (10.8%), and 43.4% reported having no BPS certification. Though the majority of pharmacists are working more than 32 hours per week (73%), only around one-fifth (20.2%) reported spending around 10% of their time in direct patient care. Limited access to pharmacists is demonstrated by the significantly lower pharmacist FTE in rural counties as compared to urban (489 FTE in rural counties; 4,035.4 FTE in urban counties).

This report details important demographic and practice characteristics for the pharmacist workforce and examines these data specifically for pharmacists. The 2018 Pharmacist Licensure Survey Data Report presents a snapshot of data on the pharmacist profession to provide stakeholders with information needed to improve the quality and accessibility of pharmacist care for Indiana residents through policymaking, workforce development, and resource allocation. Additional analyses and reports may be made available upon submission of a technical assistance request at medicine.iu.edu/research/centers-institutes/bowen-health-workforce.

Executive Summary

1

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The Bowen Center for Health Workforce Research and Policy (Bowen Center) aims to improve population health by informing health workforce policy through data management, community engagement and original research. The Bowen Center has a rich history of collecting, analyzing, and disseminating health workforce data and research for the State of Indiana. Understanding the status of Indiana’s health care workforce is critical to ensuring that Indiana residents have access to high quality care, to developing programs that will train practitioners to meet future needs and to recruiting and retaining health care professionals in Indiana.

The 2018 Indiana Pharmacist Licensure Survey Data Report presents key information and data collected from the 2018 pharmacist re-licensure surveys administered by the Indiana Professional Licensing Agency (IPLA) during the biennial license renewal period. The data presented describe pharmacist’s demographic, educational and professional characteristics as well as essential supply and geographic distribution information.

The report includes data on a large sample of pharmacist that may be used to promote meaningful policy discussion and to inform evidence-based health workforce policy development

Methods Survey AdministrationIndiana’s pharmacist re-licensure survey was adapted from the Pharmacist Minimum Data Set (MDS) created by the Health Resources and Services Administration (HRSA), National Center for Health Workforce Analysis. HRSA has established MDS tools for many licensed health professionals to facilitate the establishment of national databases with consistent core data elements covering demographics, educational, credentialing, and practice characteristics. Indiana’s pharmacist re-licensure survey was administered by the IPLA during the biennial licensure renewal period. All pharmacists who renewed their license electronically (n=11,354) were invited to complete the voluntary survey.

Dataset ConstructionThe data used for this report were extracted from the pharmacist base license files and the pharmacist survey data files provided by the IPLA. The base license file contains administrative data such as license status, expiration date, license number, and date of birth. These data are important for calculating additional demographic variables such as age and applying the inclusion and exclusion criteria used for this report.

The survey file underwent cleaning and coding procedures developed by the Bowen Center. After these procedures were completed, the base license file was merged with the survey file by license number to create a Pharmacist Master File. This master files was then transferred to the department of Biostatistics to be imported into the Indiana Health Professions Database.

License address data were cleaned and geocoded by the Polis Center. This process involves standardizing addresses using 360Science software and geocoding using address locator software. These procedures returned the geographical coordinates of the license address as well as the county federal information processing standards (FIPS) code and census block ID. These values are then returned to the Indiana Health Professions Database to be used for data reporting.

Section I: Background Information

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Sample selection criteria were applied to the master file to determine the samples of pharmacists actively practicing in Indiana. The following criteria were applied:

1. Pharmacist renewed license online in 2018;2. Pharmacist responded to the 2018 re-licensure survey; 3. Pharmacist holds an active, probationary or valid to practice while reviewed license; 4. Pharmacist reported actively working as a pharmacist;5. Pharmacist reported an Indiana license address; and6. Pharmacist whose license address could be confirmed through geocoding.

Pharmacists who did not meet the inclusion criteria were excluded from the sample. The final sample includes 5,316 pharmacists who held an active, valid to practice while reviewed or probationary license; reported actively working as a pharmacist; and provided an Indiana practice location that could be geocoded. The inclusion and exclusion criteria applied to the merged datasets for pharmacists are presented below.

Figure 1.1: Sample Selection Criteria for Indiana Pharmacists

Include Exclude

11,354 pharmacist license renewals

10,980 (96.7%) ac�ve, valid to prac�ce while under review or

proba�onary licenses

10,075 (88.7%) survey respondents

8,337 (73.4%) reported ac�vely prac�cing in pharmacy

5,316 (46.8%) with a valid Indiana license address

374 non-ac�ve licenses

905 survey non-respondents

1,738 reported not ac�vely prac�cing in pharmacy

3,021 with a license address that is outside of Indiana or could not be

geocoded

SURVEY SAMPLE

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RuralityCounty rurality was determined by population. If a county had a population of at least 50,000 it was designated as “urban”. If the county population was less than 50,000 the county was designated as “rural”.

Limitations The analyses and data presented in this report have several key limitations that should be taken into account when utilizing and interpreting these data. The information in this report was collected in self-reported response format as part of a voluntary survey. As is the case with all survey research, it is likely there is some level of response bias. In this case, it is possible responses to a question do not reflect the absolute practice characteristics of a provider. Although these self-reported data may not be considered absolute, they provide a method of gauging practice characteristics. This report should only be used to inform policy discussion.

Additionally, the data presented in this report only represent a sample of the entire pharmacist workforce. Due to missing data and the voluntary nature of the survey it is likely many pharmacists are not represented in the final samples of this report. Also, many survey respondents did not answer every question, therefore the tables in this report include non-respondents to the questions represented. Although this report contains samples of the pharmacists who renewed their license, this fairly large sample (46.8%) may be valuable for informing health workforce policies.

Lastly, to meet State of Indiana needs and because of changes in the methodology for administration of the pharmacist re-licensure surveys, several updated versions have resulted over the years. Therefore, a conservative approach was taken and data trend analyses are not presented in this report.

Supplemental Data TablesThe primary purpose of the 2018 Pharmacist Licensure Survey Data Report is to provide a snapshot of key information pertaining to the pharmacist workforce in Indiana. This report only presents highlights of the re-licensure survey data. Additional data tables can be requested online through the Bowen Center website: medicine.iu.edu/research/centers-institutes/bowen-health-workforce.

FTE AssignmentA full-time equivalent (FTE) was assigned to each individual based upon the survey response indicating average number of hours per week spent in direct patient care. To accurately map the distribution and capacity of the pharmacist workforce throughout Indiana, FTEs were assigned to each individual practitioner. Geographic information system (GIS) maps present the distribution of the pharmacist workforce by FTE throughout the report. Table 1.1 outlines the FTE assignment to each hourly category.

Table 1.1: FTE Calculation Based on Reported Hours per Week in Patient Care

Reported Hours per Week in Pa�ent Care Assigned FTE0 01 – 4 0.15 – 8 0.29 – 12 0.313 – 16 0.417 – 20 0.521 – 24 0.625 – 28 0.729 – 32 0.833 – 36 0.937 – 40 141 or more 1

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Demographic CharacteristicsThe average age of pharmacists is 43.5 years. Male pharmacists have an average age of 45.4 with 28.4% under the age of 35. Similarly, their female counterparts have an average age of 42.1 with 31.1% under the age of 35. The pharmacist workforce self-reported demographic data demonstrate little diversity. The majority identified as non-Hispanic (80.1%) and white (89.2%). Asian pharmacists make up the largest minority at 5.0%. Table 2.1 provides more details on the demographic characteristics of the pharmacist’s workforce.

Section II: Pharmacist Workforce

Table 2.1: Pharmacist Demographic Characteristics by Gender

Educational CharacteristicsTables 2.2 and 2.3 on the following page provides details on the education and training characteristics of the pharmacist workforce. Self-reported educational characteristics indicate that the majority of pharmacists obtained their professional training in Indiana (4,068; 76.5%). Over half (54.6%) of pharmacists reported qualifying for their pharmacy license with a doctor of pharmacy, followed by 44.8% who reported qualifying with a bachelor’s degree. Most pharmacists (97.4%) reported not completing a fellowship, and over half (48.8%) reported not completing a residency.

Mean AgeAge Group N % N % N % N %

Under 35 1,004 31.1 569 28.4 17 20.0 1,590 29.935-44 993 30.8 490 24.5 16 18.8 1,499 28.245-54 744 23.0 384 19.2 24 28.2 1,152 21.755-64 421 13.0 378 18.9 21 24.7 820 15.465 and Older 53 1.6 170 8.5 6 7.1 229 4.3Non-Respondents 14 0.4 11 0.5 1 1.2 26 0.5

Total 3,229 100.0 2,002 100.0 85 100.0 5,316 100.0Race N % N % N % N %

White 2,880 89.2 1,802 90.0 62 72.9 4,744 89.2Asian 174 5.4 85 4.2 5 5.9 264 5.0Black or African American 111 3.4 68 3.4 7 8.2 186 3.5Na�ve Hawaiian or Pacific Islander 3 0.1 4 0.2 0 0.0 7 0.1American Indian or Alaska Na�ve 1 0.0 3 0.1 0 0.0 4 0.1Mul�racial 27 0.8 20 1.0 0 0.0 47 0.9

Non-Respondents 33 1.0 20 1.0 11 12.9 64 1.2Total 3,229 100.0 2,002 100.0 85 100.0 5,316 100.0Ethnicity N % N % N % N %

Not Hispanic or La�no 2,615 81.0 1,625 81.2 18 21.2 4,258 80.1Hispanic or La�no 62 1.9 38 1.9 0 0.0 100 1.9

Non-Respondents 552 17.1 339 16.9 67 78.8 958 18.0Total 3,229 100.0 2,002 100.0 85 100.0 5,316 100.0

42.1 45.4 48.4 43.5

Source: Indiana Pharmacist Re-Licensure Survey, 2018Notes: Gender, race and ethnicity was derived from ques�ons 1, 2 and 3. Age was calculated by measuring the difference between the survey comple�on date and the respondent's date of birth provided by IPLA. Other race was not a category in the 2018 survey.

Female Male Non-Respondent Total

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Qualifying Degree N % N % N % N % N % N %Cer�ficate 1 0.0 0 0.0 1 0.2 3 2.7 0 0.0 5 0.1Bachelors 1,843 45.3 182 33.9 191 37.4 93 83.8 71 79.8 2,380 44.8Masters 12 0.3 0 0.0 3 0.6 6 5.4 0 0.0 21 0.4Doctor of Pharmacy 2,207 54.3 355 66.1 315 61.6 9 8.1 16 18.0 2,902 54.6

Non-Respondents 5 0.1 0 0.0 1 0.2 0 0.0 2 2.2 8 0.2Total 4,068 100.0 537 100.0 511 100.0 111 100.0 89 100.0 5,316 100.0Source: Indiana Pharmacist Re-Licensure Survey, 2018Notes: Con�guous states include Illinois, Kentucky, Michigan, and Ohio. Qualifying educa�on and loca�on of degree completed were derived from ques�ons 4 and 5 on the survey.

Indiana Con�guous States Other US StateAnother Country

(not US) Non-Respondents Total

Table 2.2: Pharmacist Educational Characteristics

Table 2.3: Pharmacist Fellowship, Training and Certifications

Completed a Pharmacy Fellowship N %Yes 119 2.2No 5,176 97.4Non-Respondent 21 0.4

Total 5,316 100.0Residency N %

No Residency Completed 2,592 48.8Ambulatory Care 117 2.2Cardiology 1 0.0Cri�cal Care 47 0.9Drug Informa�on 14 0.3Emergency Medicine 5 0.1Geriatric 7 0.1Infec�ous Diseases 21 0.4Informa�cs 5 0.1Internal Medicine 115 2.2Managed Care Pharmacy Systems 6 0.1Medica�on-Use Safety 2 0.0Nuclear 2 0.0Nutri�on Support 3 0.1Oncology 27 0.5Pediatric 28 0.5Pharmacotherapy 132 2.5Health-System Pharmacy Administra�on 29 0.5Psychiatric 9 0.2Solid Organ Transplant 4 0.1Non-Respondent 2,150 40.1

Total 5,316 100.0Source: Indiana Pharmacist Re-Licensure Survey, 2018Notes: Fellowship and residency were derived from ques�ons 6 and 7 on the survey.

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Table 2.4: Pharmacist BPS Certifications

CertificationsA summary of certifications received by pharmacists are provided in Table 2.4. The highest proportion of respondents (43.4%) reported having no BPS certification, followed by 5.7% reporting having a certificate in pharmacotherapy.

BPS Cer�fica�on N %No BPS Cer�fica�on 2,308 43.4Ambulatory Care Pharmacy 83 1.6Cri�cal Care Pharmacy 33 0.6Nuclear Pharmacy 10 0.2Nutri�on Support Pharmacy 4 0.1Oncology Pharmacy 35 0.7Pediatric Pharmacy 18 0.3Pharmacotherapy 301 5.7Psychiatric Pharmacy 11 0.2Non-Respondent 2,513 47.3

Total 5,316 100.0Source: Indiana Pharmacist Re-Licensure Survey, 2018Notes: BPS cer�fica�on was derived from ques�on 8 on the survey.

Table 2.5: Pharmacist Employment Characteristics

Professional and Practice CharacteristicsDetails on employment characteristics of pharmacists can be found in Tables 2.5 and 2.6. The majority (86.5%) of pharmacists reported they have no plans to change their employment status for the next 12 months, while a small percentage reported plans to increase hours in patient care (5.5%). Most respondents reported their primary field as medication dispensing (66.2%), followed by patient care services (20.1%).

Regarding practice setting, the highest proportion of pharmacists reported their primary practice setting as pharmacy outpatient (40.4%), followed by hospital inpatient (21.8%) and another unlisted setting (16.5%).

Employment Plans N %Increase hours in the pharmacy field 291 5.5Decrease hours in the pharmacy field 165 3.1Leave employment in the field of pharmacy 30 0.6No planned change 4,598 86.5

Non-Respondents 232 4.4Total 5,316 100.0Primary Field N %

Medica�on Dispensing 3,517 66.2Pa�ent Care Services 1,067 20.1Business/Organiza�on Management 369 6.9Educa�on 49 0.9Other 227 4.3Research 27 0.5

Non-Respondents 60 1.1Total 5,316 100.0Source: Indiana Pharmacist Re-Licensure Survey, 2018Notes: Employment plans and primary field were derived from ques�ons 10 and 11 in the survey.

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Table 2.6: Pharmacist Practice Setting

Table 2.7: Pharmacist Workforce Capacity

Workforce Capacity and DistributionDetails on pharmacists’ workforce capacity can be found in Table 2.7. The majority of pharmacists work more than 33 hours per week, with 39% of pharmacists working 37 – 40 hours per week and 27% working more than 41 hours per week. Furthermore, pharmacists spend little time in direct patient care, with more than half of pharmacists spending less than 40% of their time in direct patient care (60%).

Prac�ce Se�ng N %Pharmacy (Outpa�ent) 2,149 40.4Hospital (Inpa�ent) 1,158 21.8Other 878 16.5Pharmacy (Inpa�ent) 254 4.8Retail Medicine Clinic (CVS Minute Clinic, Walgreens Healthcare Clinic, Clinic at Wal-Mart) 241 4.5Outpa�ent Clinic (Private Prac�ce or Academic) 195 3.7Community Health Center/Public Health Clinic 153 2.9Long Term Acute Care Hospital 62 1.2Emergency Room 17 0.3Rehabilita�on Hospital 9 0.2Diagnos�c Tes�ng Facility 2 0.0Outpa�ent Surgery Center 1 0.0Pain Management Clinic 1 0.0Substance Abuse Treatment Facility (Inpa�ent) 1 0.0Urgent Care Facility 1 0.0

Non-Respondents 194 3.6Total 5,316 100.0Source: Indiana Pharmacist Re-Licensure Survey, 2018Notes: Prac�ce se�ng was derived from ques�on 17 on the survey.

Hours per Week at Primary Prac�ce Loca�on N % Percent of Time in Direct Pa�ent Care N %0 hours per week 38 0.71 – 4 hours per week 86 1.6 0% 776 14.65 – 8 hours per week 117 2.2 10% 1,074 20.29 – 12 hours per week 111 2.1 20% 771 14.513 – 16 hours per week 104 2.0 30% 569 10.717 – 20 hours per week 183 3.4 40% 228 4.321 – 24 hours per week 207 3.9 50% 452 8.525 – 28 hours per week 142 2.7 60% 159 3.029 – 32 hours per week 322 6.1 70% 208 3.933 – 36 hours per week 372 7.0 80% 286 5.437 – 40 hours per week 2,073 39.0 90% 206 3.941 or more hours per week 1,437 27.0 100% 394 7.4

Non-Respondents 124 2.3 Non-Respondents 193 3.6Total 5,316 100.0 Total 5,316 100.0Source: Indiana Pharmacist Re-Licensure Survey, 2018 Notes: Practice hours and time in direct patient care were derived from question 15 and 16 on the survey.

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Supply and Geographic Distribution CharacteristicsCalculating the population-to-Provider FTE (PPR) ratios is useful for measuring workforce capacity, a key indicator of access to care. Table 2.8 provides details on Indiana’s pharmacist workforce capacity. Urban counties were found to have around nine times more pharmacist FTE than rural counties (4,035.4 total FTE in urban counties vs. 489 total FTE in rural counties). As a result, rural counties were generally found to have higher PPRs than urban counties.

Table 2.8: Pharmacist Workforce Capacity and Distribution

County Name Rurality Total FTE Residents per FTEAdams Rural 6.5 5,329Allen Urban 306.6 1,185Bartholomew Urban 51.9 1,531Benton Rural 4.0 2,188Blackford Rural 3.0 4,158Boone Urban 137.2 441Brown Urban 5.6 2,680Carroll Urban 7.2 2,779Cass Rural 7.5 5,130Clark Urban 60.9 1,858Clay Urban 17.1 1,560Clinton Rural 8.5 3,862Crawford Rural 2.6 4,073Daviess Rural 13.4 2,418DeKalb Rural 12.0 3,537Dearborn Urban 42.3 1,174Decatur Rural 16.1 1,629Delaware Urban 48.0 2,444Dubois Rural 26.0 1,626Elkhart Urban 72.4 2,771Faye�e Rural 5.1 4,661Floyd Urban 80.5 942Fountain Rural 8.8 1,919Franklin Urban 23.1 992Fulton Rural 8.0 2,565Gibson Urban 20.3 1,658Grant Rural 22.0 3,131Greene Urban 6.1 5,379Hamilton Urban 732.0 405Hancock Urban 76.5 932Harrison Urban 25.3 1,550Hendricks Urban 223.1 687Henry Rural 13.6 3,613Howard Urban 48.5 1,706Hun�ngton Rural 12.5 2,949Jackson Rural 21.7 2,003Jasper Urban 16.4 2,039Jay Rural 3.3 6,440Jefferson Rural 28.1 1,154Jennings Rural 8.5 3,307Johnson Urban 127.2 1,145Knox Rural 19.5 1,951Kosciusko Rural 29.4 2,652LaGrange Rural 5.6 6,800La Porte Urban 35.5 3,134Lake Urban 270.6 1,816

County Name Rurality Total FTE Residents per FTELawrence Rural 18.7 2,449Madison Urban 51.8 2,515Marion Urban 632.1 1,465Marshall Rural 14.8 3,173Mar�n Rural 4.2 2,443Miami Rural 5.4 6,705Monroe Urban 68.0 2,094Montgomery Rural 9.8 3,895Morgan Urban 29.2 2,376Newton Urban 1.0 14,057Noble Rural 12.3 3,865Ohio Urban 1.7 3,548Orange Rural 2.2 8,965Owen Rural 6.8 3,116Parke Rural 6.7 2,553Perry Rural 7.2 2,696Pike Rural 2.5 5,074Porter Urban 122.0 1,365Posey Urban 15.9 1,607Pulaski Rural 2.4 5,436Putnam Urban 12.1 3,111Randolph Rural 3.0 8,532Ripley Rural 15.9 1,799Rush Rural 6.5 2,614Sco� Rural 7.1 3,349Shelby Urban 16.9 2,629Spencer Rural 2.0 10,428St. Joseph Urban 189.8 1,408Starke Rural 3.8 6,083Steuben Rural 19.4 1,766Sullivan Urban 14.1 1,497Switzerland Rural 1.8 5,833Tippecanoe Urban 148.6 1,217Tipton Urban 7.0 2,224Union Rural 1.0 7,299Vanderburgh Urban 128.4 1,412Vermillion Urban 2.4 6,608Vigo Urban 50.0 2,165Wabash Rural 9.5 3,406Warren Rural 2.0 4,183Warrick Urban 78.3 778Washington Urban 6.4 4,364Wayne Rural 32.2 2,107Wells Urban 10.5 2,647White Rural 6.1 3,998Whitley Urban 14.9 2,236

Source: Indiana Pharmacist Re-Licensure Survey, 2018; ACS 5-year population estimate, 2015. Notes: Population-to-provider ratios were not calculated for counties with no reported pharmacist FTE. FTE was derived from question 16 on the survey.

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Data Report

10Map 2.1 Pharmacist Workforce Capacity, by County

Map 2.1 displays the geographic distribution of pharmacist workforce supply in Indiana. High pharmacist workforce capacity can be seen in metropolitan areas, such as greater Indianapolis and Evansville. On the other hand, areas with high PPRs clearly stand out on the map (e.g. Newton, Randolph, Orange and Spencer Counties).

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Pharmacists are a vital component in the health workforce. As presented in this report, Indiana’s pharmacist workforce practice in a diverse array of settings, specialties and locations. The data presented here can be used to inform workforce related initiatives. For example, data has shown that very few pharmacists have completed additional post-graduate training (such as a fellowship, residency or certification). Moreover, demographic data has shown a lack of racial and ethnic diversity. As the primary pipeline for Indiana’s pharmacists, Indiana’s educators can leverage these data to inform, advance, and evaluate initiatives aimed at improving workforce diversity and capacity.

This report provides a snapshot of the pharmacist workforce. The Bowen Center is committed to continuous improvement in our reporting on Indiana’s pharmacist workforce. The data presented in this report are also available through the BowenPortal.org. The Portal offers users the ability to generate interactive GIS maps, develop customized reports, and download data for customized analyses. We welcome feedback on this report and/or inquiries for customized reports through email at [email protected].

Closing Summary