Outline of Presentation to the Health Workforce Development Conference 1. The growth of wage and salary employment in the states healthcare industries.

Outline of Presentation to the Health Workforce Development

Conference

1. The growth of wage and salary employment in the state’s healthcare industries since 2001 One of the few engines of job growth in the state

over the 2001 – 2004 I period when massive payroll job losses took place

Healthcare has generated over one-fourth of the net new payroll jobs since the labor market recovery began in 2004 I in the state

Job growth in healthcare industries has been widespread across labor areas of the state

2. Job Vacancies in Healthcare Industries and Occupations of the State in Recent Years The job vacancy surveys of the Massachusetts

Department of Workforce Development; semi-annual surveys since 2002 IV

Time tends in the number of job vacancies in the state and the share of all vacancies in the healthcare industries

Job vacancy rates in selected segments of the state’s healthcare industries in 2005 II

Job vacancy rates in selected healthcare occupational groups and individual occupations; variability across these occupations

The distribution of job vacancies in selected health care occupations across industries

3. Selected Key Features of Healthcare Vacancies Percent of job vacancies that are part-time is above

average for the healthcare industry as a whole and for many health occupations (RN, nurse aide)

The geographic variations in vacancy rates for healthcare occupational groups is relatively modest especially for higher skilled positions

There is high variation in wage rates with in some of these occupations; low wages offered for some positions is a cause of retention and recruitment difficulties

4. The Demographic Composition of the Employees in Key Healthcare Occupations The gender composition of the employment

especially in technician and nursing positions; continued absence of males from most of these occupations, exception EMT’s; despite salaries that are very competitive with those of male dominant occupations

Substantial variability in minority group access to different healthcare occupations; under-representation of minorities in many semi-professional and technical positions; over-representation in the nurse aide / orderly / home healthcare aides

The immigration share of workers also varies widely across occupations, among many work levels

Employment Change in Massachusetts Healthcare Industries, 2000-2005

Absolute Percent2000 2005 Change Change

Total Non-farm 3,322.6 3,195.5 -127.1 -3.8

Health Care and Social Assistance 404.2 438.6 34.4 8.5Healthcare 347.8 377.4 29.6 8.5Ambulatory Health Care Services 120.3 125.3 5.0 4.2Hospitals 141.9 160.5 18.6 13.1Nursing and Residential Care Facilities 85.6 91.6 6.0 7.0Social Assistance 56.5 61.3 4.8 8.5

Employment Change in Massachusetts Healthcare Industries, First Quarter 2004 - 2006

Absolute Percent2004 I 2006 I Change Change

Total Non-farm 3,112.7 3,154.5 41.8 1.3

Health Care and Social Assistance 427.7 442.1 14.4 3.4Healthcare 367.1 380.1 12.9 3.5Ambulatory Health Care Services 122.4 126.2 3.7 3.0Hospitals 155.0 162.2 7.2 4.6Nursing and Residential Care Facilities 89.7 91.7 2.0 2.3Social Assistance 60.5 62.0 1.5 2.5

Employment Change in Massachusetts Healthcare Industries, First Quarter 2001 – 2004

Absolute Percent2001 I 2004 I Change Change

Total Non-farm 3,313.6 3,112.7 -200.8 -6.1

Educational and Health Services 552.3 582.1 29.8 5.4Health Care and Social Assistance 405.1 427.7 22.5 5.6Healthcare 346.7 367.1 20.4 5.9Ambulatory Health Care Services 119.9 122.4 2.5 2.1Hospitals 140.6 155.0 14.4 10.3Nursing and Residential Care Facilities 86.2 89.7 3.5 4.0Social Assistance 58.4 60.5 2.1 3.6

Number of Job Vacancies in Massachusetts in All Industries and Health Care

Industries, 4th Q 2003 to 2nd Q 2005

(A) (B) (C)

HealthAll Health Care as

Time Period Industries Care % of All

2003 IV 64,926 15,139 232004 II 59,891 13,787 232004 IV 71,934 15,695 222005 II 75,813 16,203 21

Job Vacancy Rates by Major Industries in Massachusetts, 2nd Quarter 2005

20052nd Qt

Total, all Industries 2.6Healthcare 3.8Hospitals 4.5Nursing and residential care facilities 4.4Ambulatory health care services 2.7Social assistance 2.5Administrative and Support and waste management 3.6Accommodation and Food Service 3.5Professional Technical Services 3.2Arts and Entertainment 3.1Information 3.0Finance and Insurance 2.5Retail Trade 2.5Management 2.3Other Services 2.0Agriculture 2.0Educational Services 1.8Wholesale Trade 1.7Manufacturing 1.7Construction, util, mining 1.7Transportation and Warehousing 1.7Real Estate 1.3Public Administration 1.1

Industry

Job Vacancy Rates in Massachusetts Healthcare Industries, 2005 II

4.5 4.4

2.72.5

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

Hospitals Nursing and residentialcare facilities

Ambulatory health careservices

Social assistance

Employment Growth Rates of Selected Occupational Groups in Massachusetts, 2000-

2005 (in%)

7.8 8.4 8.8

13.6 13.8

17.6

24.8

31.8 32.2

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Job Vacancy Rates by Major Occupational Sector in Massachusetts, 2005 2nd Quarter (in %)

2.6

4.8

4.1

3.53.3 3.3

2.9 2.92.7 2.6 2.5 2.4

2.2 2.1 21.8

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Percent Distribution of Registered Nurses Vacancies by Healthcare Industry, Massachusetts

2005 II

57.2

27.4

14.7

0.70

10

20

30

40

50

60

70

Hospitals Nursing andresidential care

facilities

Ambulatoryhealth care

services

Socialassistance

Percent Distribution of Physical Therapists Vacancies by Healthcare Industry, Massachusetts

2005 II

52.0

37.2

10.7

0

10

20

30

40

50

60

Hospitals Ambulatory healthcare services

Nursing andresidential care

facilities

Percent Distribution of Emergency Med Technicians & Paramedics Vacancies by Healthcare Industry, Massachusetts 2005 II

85.5

14.5

0

10

20

30

40

50

60

70

80

90

100

Ambulatory health care services Hospitals

Job Vacancy Rates in Major Occupational Groups of Massachusetts, 2003 II, 2004 II, and 2005 II (in

%)(A) (B) (C) (D)

2003 2004 2005II II II

Total, all occupations 2.1 2.0 2.6 0.5Computer and Mathematical 1.3 2.5 2.9 1.6Architecture and Engineering 1.5 2.0 2.9 1.4Education, Library, and Training 0.5 1.5 1.8 1.3Business and Financial Operations 1.2 1.8 2.4 1.2Life, Physical and Social sciences 2.9 2.5 4.1 1.2Management Occupations 1.1 1.3 2.2 1.1Sales and Related 1.6 1.8 2.6 1.0Healthcare Practitioners and Technicians 3.8 3.7 4.8 1.0Building and Grounds Cleaning and Maintenance 0.7 1.0 1.5 0.8Community and Social Service 3.0 2.5 3.5 0.5Legal 0.9 2.1 1.2 0.3Production 1.2 1.2 1.4 0.2Arts, Design, Entertainment, Sports and Media 1.5 1.7 1.6 0.1Office and Administrative Support 1.4 1.3 1.5 0.1Food Preparation and Serving Related 2.6 2.2 2.7 0.1Installation, Maintenance, and Repair Workers 1.5 1.6 1.3 -0.2Health Support 3.5 4.0 3.3 -0.2Transportation and Material Moving Occupations 2.5 2.0 2.1 -0.4Construction and extraction 2.5 1.9 2.0 -0.5Personal Care and Service 3.8 3.3 3.3 -0.5Protective Service 3.6 1.0 2.5 -1.1

Occupational Group

Change 2003-2005

A Listing of the 19 Occupations that Met Our Initial Job Vacancy and Potential Wage Screening

Criteria for Training Consideration by Major Occupational Category

Job VacancyOccupation Rate

ManagementMedical health service managers 6.8

Life/ physical sciencesMedical scientists 7.0

Health practitioner and technicalPhysical therapists 7.4Registered nurse 6.5Licensed practical nurse 4.0

Health supportNurse aides, orderlies 4.2

Clerical/ administrative supportReceptionist and information clerks 3.5Secretaries and admin. assistants 2.6Bank tellers 4.8Medical secretaries 2.5

Social and community serviceSocial service + community service specialists 4.0

Food preparation and servingShort order cooks 13.5

Personal care and serviceFitness trainers and aerobics 8.3

Production crafts/ Industrial craftsCarpenters 4.0Plumbers/ Pipe fitters 3.7Tool and die makers 8.9

Installation, maintenance/ repairAutomotive service technicians and auto body repair 2.6Heating, air conditioning, and refrigeration 3.6*

Transportation and movingBus drivers, urban transit/ intercity 3.5Heavy truck drivers 3.1

Production workersWelders, cutters, solderers 6.2

Percent of the Employed in Selected Healthcare Occupations that were 55 and Older in 2003 and

2004

(A) (B) (C)

Two YearOccupational Group 2003 2004 AverageRegistered Nurse 16.8 20.9 18.9*Licensed practical nurse 24.1 15.7 20.0*Occupational and physical therapists

5.8 4.3 5.0

Nurse aides, home healthcare 14.8 21.7 18.3*Emergency medical techs. 0.0 0.0 0.0Dentists 48.6 41.7 45.2*

Percent of the Employed in Massachusettsthat Were 55 and Older in 2003 and 2004,All Industries and Health Care Industries

(A) (B) (C)

Two YearIndustry Group 2003 2004 AverageAll Industries 16.2 17 16.6

Healthcare related 17.0 20.2 18.6*

Key Findings: Slightly higher retirement demand in healthcare industries over coming decade; need to replace 1/5th of workers over next decade; can reduce this replacement demand by extending work lives.

Source: American Community Surveys, 2003 and 2004.

Percent of the Employed in Selected Health Care Industries and Occupations in Massachusetts in

2003 and 2004 that were WomenPercentWomen

Health Care Industry / Occupation Averages

All health care industries 77Offices of physicians 76Offices of dentists 82Outpatient care 74Hospitals 74Nursing care 89

Selected occupationsRegistered nurses 92Licensed practical nurses 93Nursing, psychiatric, home health care 87Physical and occupational therapists 86Emergency medical technicians 38Dental assistants / hygienists 96Dentists 26

Percent Distribution of the Employed in Massachusetts in Health Care Industries and

Selected Health Care Occupations by Race-Ethnic Group,

2003 – 2004 Averages

(A) (B) (C) (D)

Employment Group White Black Hispanic AsianAll health care industries 78.0 10.2 6.5 4.1Health Care OccupationsRegistered nurses 90.2 4.6 2.1 2.0LPNs 91.0 7.3 1.0 0.6Nurse aides, home health care, psychiatric aides

59.0 27.5 11.3 0.5

Physical / occupational therapists 97.5 0.0 2.0 0.0Emergency medical technicians and paramedic

100.0 0.0 0.0 0.0

Physicians and surgeons 75.5 2.2 2.8 19.0Dentists 88.0 4.8 3.5 4.0

Percent of the Employed in Massachusetts in Health Care Industries and Selected Health Care Occupations that were Foreign Born, 2003 – 2004

Averages

PercentForeign

Health Care Industry / Occupation Born

All health care industries 20.4Offices of dentists 13.3Offices of physicians 13.8Hospitals 21.9Home health care services 27.5Nursing care facilities 26.8

Selected occupationsPhysicians and surgeons 32.5Dentists 14.0Registered nurses 11.1LPN's 12.7Nurse aides, orderlies, home health care 37.5Occupational and physical therapist 0.0Dental hygienists 20.0Emergency medical technicans 6.6

Earnings of Full-Time, Year Round Massachusetts Male Workers in Selected Health Care Industries and Occupations Relative to Their Counterparts

in All Occupations in Selected Educational Groups, 1999

(A) (B) (C)

High School 1-3 YearsIndustry / Occupational Group Graduate College B.A.

All health care industries 0.93 0.92 1.05Registered nurses -- 1.2 1.06LPN’s -- 0.89 --Nurse aides, orderlies, psychiatric aides 0.99 -- --Physical / occupational therapists -- 0.86 1.09Emergency medical technicians and paramedics

0.97 0.92 0.91

Percent of Vacancies that are Part-time and Temporary or Seasonal by Major

Occupational Group, Massachusetts 2005 II (In %)

Occupational GroupPercent

Part Time

Percent Temporary or

seasonalTotal Job Vacancies 32 12Personal Care and Service 79 52Food Preparation and Serving Related 68 37Building & Grounds Cleaning & Maintenance 52 33Healthcare Support 51 2Protective Service 46 35Healthcare Practitioner and Technical 44 1Community and Social Service 36 1Sales Related 36 12Office and Administrative Support 34 6Transportation and Material Moving 34 23Arts, Design, Entertainment, Sports, & Media 27 11Education, Training and Library 26 5Production 10 16Life, Physical, and Social Science 6 3Computer and Mathematical 4 1Legal 3 3Management 2 1Business and Financial Operations 1 1Construction and Extraction 1 11Installation, Maintenance, and Repair 1 3Architecture and Engineering 0 1