TABLE OF CONTENTS

CHAPTER 5.0: Workforce

Chart 5.1: Total Number of Active Physicians per 1,000 Persons, 1980 – 2006

Chart 5.2: Total Number of Active Physicians per 1,000 Persons by State, 2006

Chart 5.3: Medical and Dental Residents in Training in Community Hospitals, 1987 – 2007

Chart 5.4: Total Full-time Equivalent Employees Working in Hospitals, 1987 – 2007

Chart 5.5: Full-time Equivalent Employees per Adjusted Admission, 1987 – 2007

Chart 5.6: Number of RN Full-time Equivalent Employees and RN FTEs per Adjusted Admission, 1987 – 2007

Chart 5.7: RN Full-time Equivalents as a Percentage of Total Hospital Full-time Equivalents, 1987 – 2007

Chart 5.8: Number of Physicians by Age, 1980, 1990, and 2007

Chart 5.9: RN Employment by Type of Provider, 1980 – 2004

Chart 5.10: Distribution of RN Workforce by Age Group, 1980 – 2020 (Projected)

Chart 5.11: Annual Percentage Change in Entry Level Baccalaureate Nursing Enrollment, 1990 – 2008

Chart 5.12: National Supply and Demand Projections for FTE RNs, 2000 – 2020

Chart 5.1: Total Number of Active Physicians per 1,000 Persons,1980 – 2006

1.92.1

2.22.4

2.5 2.6 2.5 2.6 2.6 2.52.7 2.6 2.7 2.7

0.0

0.5

1.0

1.5

2.0

2.5

3.0

80 85 90 95 97 98 99 00 01 02 03 04 05 06

Phy

sici

ans

per

Tho

usan

d

Source: National Center for Health Statistics. Health, United States, 1982, 1996-97, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008 with Chartbook on Trends in the Health of Americans. Hyattsville, MD.(1) 1980 does not include doctors of osteopathy.(2) 2004 and later years include both federal and non-federal physicians. Prior to 2003, data included non-federal

physicians only.

(1) (2)

Chart 5.2: Total Number of Active Physicians(1) per 1,000 Persons by State, 2006

Source: National Center for Health Statistics. (2008). Health, United States, 2008 with Chartbook on Trends in theHealth of Americans. Hyattsville, MD.(1) Includes active federal and non-federal doctors of medicine and active doctors of osteopathy.

2 – 2.50

< 2

3 – 3.99

> 4

RI 3.62DE 2.63DC 7.36

2.51 – 2.99

Chart 5.3: Medical and Dental Residents in Training in Community Hospitals, 1987 – 2007

0

15,000

30,000

45,000

60,000

75,000

90,000

105,000

87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07

Res

iden

ts

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals.

Chart 5.4: Total Full-time Equivalent Employees Working in Hospitals, 1987 – 2007

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07

Mill

ions

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals.

Chart 5.5: Full-time Equivalent Employees per Adjusted Admission,(1) 1987 – 2007

0.00

0.01

0.02

0.03

0.04

0.05

0.06

0.07

0.08

0.09

87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07

FT

Es

per

Adj

uste

d A

dmis

sion

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals. (1) An aggregate measure of workload reflecting the number of inpatient admissions, plus an estimate of the volume of

outpatient services, expressed in units equivalent to an inpatient admission in terms of level of effort.

Chart 5.6: Number of RN Full-time Equivalent Employees and RN FTEs per Adjusted Admission, 1987 – 2007

0

200

400

600

800

1,000

1,200

1,400

87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07

Tho

usan

ds o

f R

N F

TE

s

0.010

0.012

0.014

0.016

0.018

0.020

0.022

0.024

RN

FT

Es

per

Adj

uste

d A

dmis

sion

RN FTEs RN FTEs per Adjusted Admission

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals.

Chart 5.7: RN Full-time Equivalents as a Percentage of Total Hospital Full-time Equivalents, 1987 – 2007

20%

21%

22%

23%

24%

25%

26%

27%

87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07

Per

cent

age

of H

ospi

tal F

TE

s

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals.

Chart 5.8: Number of Physicians by Age, 1980, 1990, and 2007

Source: American Medical Association. (2009 Edition). Physician Characteristics and Distribution in the US.

350

300

250

200

150

100

50

0

50

100

150

200

250

300

350

400

450

500

1980 1990 2007

Under 35

35-44

45-54

55-64

65 & OverA

ge 4

5 an

d ov

erA

ge u

nder

44

Nu

mb

er

of

Ph

ysic

ian

s (T

ho

usa

nd

s)Age Group

400

550600

Chart 5.9: RN Employment by Type of Provider, 1980 – 2004

Source: Bureau of Health Professions, Health Resources and Services Administration. (1980-2004). Findings from the National Survey of Registered Nurses. Link: https://bhpr.hrsa.gov/healthworkforce/nursing.htm.

Hospitals

Nursing Home/Extended Care Facilities

Public/Community Health

All Other

0%

20%

40%

60%

80%

100%

1980 1984 1988 1992 1996 2000 2004

Per

cent

age

of R

Ns

Chart 5.10: Distribution of RN Workforce by Age Group, 1980 – 2020 (Projected)

0

Nu

mb

er

of

RN

s (T

ho

usa

nd

s)

Age

und

er 4

0A

ge 4

0 an

d ov

erAge

Group

20s

30s

40s

50s

60s

1,000

500

500

1,000

1,500

2,000

1980 1990 2000 2010 (proj.) 2020 (proj.)2004

2,500

Source: Bureau of Health Professions, Health Resources and Services Administration. (1980-2004). Findings from the National Survey of Registered Nurses. Link: https://bhpr.hrsa.gov/healthworkforce/nursing.htm. 2010 and 2020 projections derived from The Lewin Group analysis of the National Sample Survey of Registered Nurses, 2000.

Chart 5.11: Annual Percentage Change in Entry Level Baccalaureate Nursing Enrollment, 1990 – 2008

2.6%

-2.6%

-6.2% -5.5%

-2.1%

3.7%

8.1%

16.6%

7.6%5.4%

2.2%

-4.6%

9.6%

14.1%

10.2%12.4%

-6.6%

14.3%

-10%

-5%

0%

5%

10%

15%

20%

90 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08

Source: American Association of Colleges of Nursing. (1994-2008). Percent Change in Enrollments in Entry-Level Baccalaureate Nursing Programs: 1994-2008. Link: http://www.aacn.nche.edu/Media/pdf/EnrollChanges.pdf, and Berlin, L.E. et al. Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC: AACN.

Chart 5.12: National Supply and Demand Projections for FTE RNs,2000 – 2020

Source: National Center For Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration. (2004). What Is Behind HRSA’s Projected Supply, Demand, and Shortage of Registered Nurses? Link: ftp://ftp.hrsa.gov/bhpr/workforce/behindshortage.pdf.

RN FTE Supply

RN FTE Demand

1,500

1,700

1,900

2,100

2,300

2,500

2,700

2,900

2000 2005 2010 2015 2020

FT

Es

(Tho

usan

ds)

Shortage of over 1,000,000 nurses in 2020