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Montana’s Health Care Workforce Projections Amy Watson Economist MT Dept. of Labor and Industry Presented to the Montana Healthcare Workforce Advisory Committee May 4 th , 2015

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Montana’s Health Care Workforce Projections

Amy WatsonEconomist

MT Dept. of Labor and Industry

Presented to the Montana Healthcare Workforce Advisory Committee May 4th, 2015

About MT DLI Employment Projections

• Two-Year Projections 2014 to 2016• Ten-Year Projections 2014 to 2024• Projections by Industry, Occupation and Region• Projection of Employment Demand• Data Sources:– Quarterly Census of Employment and Wages– Occupational Employment Statistics

Montana Recession (2007 to 2010) and Recovery (2010-2013) by Industry

Source: Quarterly Census of Employment and Wages, MT DLI.

Construction

Trade and Transportation

Manufacturing

Leisure Activities

Business Services

Financial Activities

Mining and Utilities

Other

Agriculture

Health and Education

-10,000 -8,000 -6,000 -4,000 -2,000 0 2,000 4,000 6,000

Number of Jobs

Recession LossRecovery GainLast Year

Government

Steady Employment Growth in Health Care Industry, 1990-2024

2.8%

1.9%

1.8%

Source: Montana Department of Labor and Industry 2024 Employment Projections .

Regional Distribution of Health Care Annual Employment Growth, 2014-2024

Source: Montana Department of Labor and Industry 2024 Employment Projections .

Employment Growth in Health Care Industry by Region, 1990-2024

Source: Montana Department of Labor and Industry 2024 Employment Projections .

Top 15 Health Care Jobs with the Most Annual Openings, 2014 – 2024

Occupation

Minimum Requirement Annual Openings2014 MT Average Annual WageEducation

Work Experience

Openings Due to New Jobs

Openings Due to Workers Leaving

Total Annual Openings

1 Registered Nurses Associate’s 199 177 376 $61,8142 Nursing Assistants PS Award 107 111 218 $24,8903 LPNs and LVNs PS Award 50 69 119 $38,7624 Home Health Aides < HS ST-OJT 59 34 93 $22,3685 Medical Records and HIT PS Award 24 34 57 $34,7276 Physical Therapists Prof 27 25 52 $69,5877 Pharmacists Prof 16 27 43 $106,6678 Dental Assistants PS Award 13 25 37 $33,2029 Physicians and Surgeons, All Other Prof Int/Res 13 22 35 $228,88210 EMTs and Paramedics PS Award 13 21 34 $29,59111 Dental Hygienists Associate’s 14 19 33 $68,59112 Medical Assistants PS Award 15 16 31 $31,26313 Pharmacy Technicians HS or GED MT-OJT 17 11 28 $33,40814 Radiologic Technicians Associate’s 15 12 26 $53,37715 Medical and Clinical Lab Techs Associate’s 12 13 26 $38,356<HS =Less than high school diploma, HS or GED = high school diploma or GED, PS= postsecondary non-degree award, Prof= Doctoral or Professional degree, ST-OJT=Short-term on the job training, MT-OJT=Medium-tem OJT, Int/Res = Internship or Residency

Source: Montana Department of Labor and Industry 2024 Employment Projections .

Health Care Occupations by AHEC Region

Healthcare Practitioners and Technical Occupations

AHEC Region EmploymentMean Annual Wage

Entry-Level Wage

1 Western Montana AHEC Region 9,115 $70,132 $33,262 2 South Central Montana AHEC Region 7,471 $70,034 $32,767 3 North Central Montana AHEC Region 3,896 $64,912 $34,320 4 Eastern Montana AHEC Region 7,158 $75,184 $35,362 5 North Eastern Montana AHEC Region 1,613 $63,851 $32,421

Healthcare Support Occupations

AHEC Region EmploymentMean Annual Wage

Entry-Level Wage

1 Western Montana AHEC Region 2,997 $27,318 $ 20,748 2 South Central Montana AHEC Region 3,443 $26,484 $20,244 3 North Central Montana AHEC Region 1,502 $26,628 $20,725 4 Eastern Montana AHEC Region 2,245 $28,999 $21,510 5 North Eastern Montana AHEC Region 990 $27,148 $ 21,653

Source: Occupational Employment Statistics May 2014, Bureau of Labor Statistics and MT Dept. of Labor and Industry

Top 15 Non-Health Care Jobs within the Health Care Industry, 2014 – 2024

Occupation

Minimum Requirement Annual Openings across all Industries

2014 MT Average Annual WageEducation

Work Experience

Openings Due to New Jobs

Openings Due to Workers Leaving

Total Annual Openings

1 Personal Care Aides < HS ST-OJT 156 46 201 $21,7752 Medical Secretaries HS or GED MT-OJT 58 27 84 $30,9543 Social & Human Service Assistants HS or GED ST-OJT 28 41 69 $26,2724 Maids and Housekeeping Cleaners < HS ST-OJT 90 132 222 $20,9085 Childcare Workers HS or GED ST-OJT 40 99 139 $20,7586 Cooks, Institution & Cafeteria < HS ST-OJT 24 41 64 $25,2157 Receptionists & Information Clerks HS or GED ST-OJT 23 80 103 $26,3398 Bookkeeping, Accounting, & Auditing Clerks HS or GED MT-OJT 170 109 280 $33,0519 Billing and Posting Clerks HS or GED ST-OJT 29 32 61 $32,57410 Medical & Health Services Managers Bachelor's 18 23 42 $81,14311 Secretaries and Admin Assistants HS or GED ST-OJT 150 129 278 $29,93112 Food Servers, Non restaurant < HS ST-OJT 18 29 47 $19,47313 Mental Health Counselors Master's Int/Res 14 19 33 $31,31914 Substance Abuse & Behavioral Disorder Counselors HS or GED MT-OJT 14 12 26 $40,30815 Child, Family, & School Social Workers Bachelor's 18 24 42 $34,917<HS =Less than high school diploma, HS or GED = high school diploma or GED, PS= postsecondary non-degree award, Prof= Doctoral or Professional degree, ST-OJT=Short-term on the job training, MT-OJT=Medium-tem OJT, Int/Res = Internship or Residency

Source: Montana Department of Labor and Industry 2024 Employment Projections .

Health Professionals and Related Programs Graduates from 2011 to 2013

Health Professionals and Related Programs• Total Graduates: 3,438

• Gender Distribution– 17.7% Male– 82.3% Female

• Mean Age: 32

• One Year Post Graduation– Mean Wage $35,486– 75% Employed in Montana– 1.3 Average Quarters Employed

All Fields of Study

• Total Graduates: 9,532

• Gender Distribution– 45.2% Male– 54.8% Female

• Mean Age: 28

• One Year Post Graduation– Mean Wage $24,267– 68% Employed in Montana– 2.6 Average Quarters Employed

Source: Montana University System Micro Data from the Office of Commissioner of Higher Education. Does not include FVCC or tribal colleges.

Health Professions and Related Programs Graduates from 2011 to 2013

0

500

1000

1500

2000

2500

3000

3500

4000

2%5%

43%

24%

16%

10%

<1%

Num

ber o

f Hea

lthc

are

Gra

duat

es

PhD and OtherMasters Degree

First Professional Degree

Baccalaureate Degree

Associate Degree

Certificate of Applied Science

Certificate of Technical Studies

Univer-sity of

Montana

Missoul

a21%

Montana

State

Univeristy Bozeman

19%

Great Falls College MSU13%

Missoul

a Col-lege UM11%

City Col-lege

at MSUB9%

MT Tec

h7%

Montana

State

University North-ern7%

Montana

State

University Billings5%

Other4%

Helena College UM3%

Source: Montana University System Micro Data from the Office of Commissioner of Higher Education. Does not include FVCC or tribal colleges.

Nursing Occupational Projections

Nursing Occupation Projections, 2014-2024

Occupation

Minimum Requirements Before Entering

Profession Employment LevelsAnnual Openings

2014 MT Average Annual WageEducation Work

ExperienceBase

Employment 2014

Projected Employment

2024

Openings Due to

New Jobs

Openings Due to

Workers Leaving

Total Annual

Openings

Nurse Practitioners Master's None 385 484 10 8 18 $92,797Registered Nurses Associate's None 9,126 11,118 199 177 376 $61,814Licensed Practical and Licensed Vocational Nurses PS Award None 2,825 3,325 50 69 119 $38,762

Nursing Assistants PS Award None 5,821 6,888 107 111 218 $24,890Abbreviations: PS Award=Postsecondary Award; Master's= Masters Degree; Associate's=Associates Degree Source: Montana Department of Labor and Industry Employment Projections, 2014 wages from Occupational Employment Statistics

Source: Montana Department of Labor and Industry 2024 Employment Projections .

Nursing Employment and Wages by AHEC Region

Registered Nurses Employment and Wages by AHEC Region

AHEC Region EmploymentMean Annual Wage

Entry-Level Wage

1 Western Montana AHEC Region 2,791 $63,501 $51,9432 South Central Montana AHEC Region 2,333 $60,413 $48,1393 North Central Montana AHEC Region 1,371 $59,212 $49,8604 Eastern Montana AHEC Region 2,337 $63,754 $51,8605 North Eastern Montana AHEC Region 626 $58,181 $47,228Source: Occupational Employment Statistics May 2015

Source: Occupational Employment Statistics May 2014, Bureau of Labor Statistics and MT Dept. of Labor and Industry

Registered Nursing Graduates by School and Degree from 2011 to 2013

2011 2012 20130

100

200

300

400

500

600

39%48% 47%

55%

45%48%6%

6%

5%

Num

ber o

f Gra

duat

es

Associates DegreeBachelors DegreeMasters Degree

Montana State Univeristy Bozeman48%

Montana State University Northern20%

MT Tech9%

City College at MSUB9%

Missoula College UM7%

Miles CC5%

Helena College UM1%

Source: Montana University System Micro Data from the Office of Commissioner of Higher Education. Does not include FVCC or tribal colleges.

Primary Care Physician Projections

Primary Care Physicians Projections, 2014-2024

Occupation

Minimum Requirements Before Entering

Profession Employment LevelsAnnual Openings

2014 MT Average Annual WageEducation Work

ExperienceBase

Employment 2014

Projected Employment

2024

Openings Due to

New Jobs

Openings Due to

Workers Leaving

Total Annual

Openings

Family and General Practitioners PhD or Prof Int/Res 412 439 3 10 13 $191,730

Internists PhD or Prof Int/Res ND ND ND ND ND $220,880Obstetricians and Gynecologists PhD or Prof Int/Res 79 84 1 2 3 $241,100

Pediatricians PhD or Prof Int/Res 130 141 1 3 4 $236,690Abbreviations: ND= Not Disclosable, Prof= Doctoral or Professional degree, Int/Res = Internship or Residency Source: Montana Department of Labor and Industry Employment Projections, 2014 wages from Occupational Employment Statistics

Source: Montana Department of Labor and Industry 2024 Employment Projections .

CONTACT INFORMATION:AMY WATSON, [email protected]

MORE INFORMATION AVAILABLE:WWW.LMI.MT.GOV