New York State Education Department Health Occupations Education ACTEA Leadership Conference March 24, 2011.

New York State Education Department

Health Occupations Education

ACTEA Leadership Conference March 24, 2011

U.S. Health Workforce

Since 2000, employment in health sector in US has grown 30%, all other sectors 4%

In 2008-18.5 million in either health sector or in health occupations outside the health sector, representing 12% of the total US workforce

Between 2008 and 2018, health sector is expected to grow by 23%, other employment sectors 9%

Center for Health Workforce Studies, March 2010

U.S. Health Workforce Demand

Needed between 2008-2018: Over 1 million new RNs 553,000 home health aides 480,000 personal and home care

aides 422,000 nursing aides 391,000 LPNs

Center for Health Workforce Studies, March 2010

Occupations with the Largest Projected Need between 2006 and 2016

389 384264

105 90 148 91

414

13070

129

204114 51

87

587

0

200

400

600

800

1,000

1,200

RegisteredNurses

Personal &Home Care

Aids

HomeHealthAides

NursingAides,

O rderlies, &Attendants

LicensedPracticalNurses

Physicians& Surgeons

MedicalAssistants

PharmacyTechnicians

New Jobs Replacements

Sources: U.S. Department of Labor, Bureau of Labor Statistics, National Employment Matrix, employment by industry, occupation, and percent distribution, 2006 and projected 2016.

U.S. Health Workforce Demand by Setting

Between 2008 and 2018-fastest growth annually:

Home Health Care -4% Offices of Health Practitioners -3% Nursing Care Facilities -2.4% Hospitals 1.1%

Across all settings: More than 6.1 million workers in health occupations needed to fill new jobs and replacements (attrition, retirements,etc)

Center for Health Workforce Studies, March 2010

NYS Health Workforce Supply

NYS projected shortfall of 37,000 registered nurses (RNs) by 2015.

Shortages of allied health professionals including pharmacists, coders, various medical technicians, therapists, and other clinical workers are beginning to reach crisis levels.

These shortages impact health systems’ ability to offer comprehensive, and often, basic health care services.

Center for Health Workforce Studies, March 2010

New York State Health Workforce

Health sector vital to New York’s economy

Revenue shortfalls have led to staffing cuts, easing current shortages in some health professions

Economic recovery will result in job growth and increased demand

Demand for health workers may precipitate future shortages

Center for Health Workforce Studies, April 2010

New York State Health Workforce

Similar to US trends Between 2001 and 2008 health sector grew

more than 14%, other employment sectors: less than one-half of 1%

In 2008, 1 in 9 NY jobs in health care sector From 2006-2016:

Home Health Aide –jobs increase by 52,000 RNs-24,000 (5,200 av. annual openings) Nurse Aides- 2,400 av. Annual LPNs-1,900 av. Annual

Center for Health Workforce Studies, April 2010

2007 Allied Health Professionals Vacancy and Turnover Rates

HANYS, VITAL SIGNS FADING, DECEMBER 2008

Programs Requiring “Operational” SED/DOH Approval

Nurse Assisting (Certified Nurse Aide) Home Health Assisting (Home Health

Aide) Personal Care Aide

Programs are delivered in SchoolDistricts’ and BOCES’ secondary and adultprograms, colleges, proprietary schools,nursing homes, and home health agencies

Nurse Aide Program Approval

Operational Requirements:1987 OBRA LAW and NYS Department of Health Curriculum Hours Instructor and Coordinator Qualifications Clinical Contracts Site Visit-every 2 years NYS DOH Nurse Aide Registry

Nurse Aide Programs

RN-Supervised Clinical Experience –minimum 30 hours in nursing home

Secondary-216 hours (108 hours didactic, 108 clinical)

Adult – 120 hours (90 hours didactic, 30 hours clinical)

Clinical skills must be practiced and demonstrated/documented in lab prior to patient care

Nurse Assisting (Nurse Aide)Instructor/Coordinator Qualifications

NYS Registered Nurse-current license Two years working in long term care

(elderly and chronically ill) Teaching experience

Documentation: Submission of resume and current RN license Signed attestation of Instructor, Coordinator or

Administrator (Form 2 and Form 3)

Prometric www.prometric.com/nurseaide/ny

Contracted by NYS DOH to: Administer Nurse Aide Written and Skills Performance Tests and maintain Nurse Aide Registry

All SED-approved NA program Coordinators in secondary, adult, colleges, and proprietary schools have opportunities for input and receive information from Prometric.

Website postings updated regularly

Home Health Aide/Personal Care Aide

SED Operational Program Approval Valid for up to 3 years Curriculum Hours

HHA 65 didactic HHA 30 clinical (20 + 10 supervised in-home) PCA-40 total hours (no clinical)

Instructor Qualifications Registered Nurse Home Care work experience Approved by SED and entered on HCWR

NYS Home Care Worker Registry

Legislation enacted September 2008 (NY PBH Article 36)

Home Care Worker Registry developed and maintained by NYS DOH

Statute established September 25, 2009 as deadline for full implementation

NYSED–approved training programs responsible for input of student-completer data

Valid PCA or HHA Certificate is generated by Registry only

CTE Approval (Technical Endorsement)Board of Regents Policy

110 applications, 95 approved All programs include HOE Core Curriculum Supervised Clinical Experience – by health

professional (WBL) Integrated or Specialized Academics Assessments Articulation – relevance to secondary

program/pathway Tangible student benefit

Appropriate CTE Teacher Certification

Current NYS Health Occupations CTE Teacher Certifications

Practical Nursing Medical Laboratory Technology Medical Assisting Dental Lab Technology Nurse Assisting Emergency Medical Services Personal Trainer Assisting Pharmacy Assisting

Health Occupations New CTE Teacher Titles

In response to school districts and BOCES’ applications for Regents policy-CTE program approval, two new teacher titles in Health Occupations were created and have been included in the TEACH Online Services System at www.highered.nysed.gov/tcert/teach

Pharmacy Assisting Personal Trainer Assisting

HOE Advisory Committees

Key to regional program success Ideal representatives:

Hospital/Nursing Home/Home Care CEOs Facility–based Nurse educators VP Human Resources area health facilities AHEC Executive Directors College Presidents/Nursing Deans WIB/One Stop Directors Ambulatory Health Center Managers Regional Chamber of Commerce President

HEALTH OCCUPATIONS

NYSED LISTSERV List

To subscribe to the HEALTHOCC e-mail list:

Send an e-mail to [email protected], leaving the message subject blank. Just type SIGNUP HEALTHOCC command in the message body, making sure that SIGNUP is one word.

You will receive an e-mail from the New York State Education Department LISTSERV Server telling you that your command has been received. You will need to click on the link provided in this e-mail to confirm the execution of your command.

Health Career Resources

Center Health Workforce Studies Health Careers Website: http://www.healthcareersinfo.net

Bureau of Labor Statistics, Occupational Outlook Handbook: http://www.bls.gov/oco/

NYS Area Health Education Center Website: http://www.ahec.buffalo.edu/careers.htm

Upstate Health Workforce Center www.getintohealthcare.com NYS Department of Labor Career Services:

www.labor.state.ny.us/careerservices/CareerServicesIndex NY Career Zone

http://nycareerzone.org/ Local Workforce Investment Boards

www.labor.state.ny.us Local colleges and universities

HOSA Spring Leadership Conference

April 27-29, 2011 Doubletree Hotel

Syracuse, NY

For more information visitwww.newyorkhosa.org

Competitive Events to qualify students for:

HOSA National Leadership Conference

For more information visit www.hosa.org

New York State Education Department

Joanne O’Brien Associate in Health Occupations

[email protected]

(518) 486-1547