The Structure of the Healthcare Sector and Healthcare …ncmwib.org/docs/HealthcareTrends.pdf ·...

The Structure of the Healthcare Sector and Healthcare Occupations

in Massachusetts

June 26th, 2007

Jonathan LatnerResearch and Evaluation Analyst

Commonwealth Corporation617-727-8158

[email protected]

mailto:[email protected]

Table of Contents

1. Massachusetts Employment Trends

2. Healthcare Industry

3. Healthcare Occupations

4. Vacancies

5. Connecting Career Centers to Healthcare

Massachusetts Employment TrendsEmployment is recovering from recession, but has not equaled its Peak: Feb, 2001MA is 1 of 6 states that has not reached pre-recessionary employment numbers*

Source: Department of Labor and Workforce DevelopmentCES Data, Seasonally Adjusted Data*Massachusetts Budget and Policy Center, State of Working Massachusetts, 9/3/06

January, 2001 – March, 2007

February, 20013,372,900

March, 20073,273,100

December, 20033,167,100

3,000,000

3,100,000

3,200,000

3,300,000

3,400,000

3,500,000

2001 2002 2003 2004 2005 2006 2007

Do We Have Enough Workers Now?Many people are still seeking work

In May ’07, 101,300 fewer jobs than at peak Feb ’01From 2000 to 2006, virtually no population growthFrom Q1 ’01 to Q1 ’07:

• 71,790 more “unemployed”

From 2000 to 200621,100 more working part- time

15,200 more marginally attached –stopped looking for jobs recently:3,000 more “discouraged”

12,200 more stopped due to family or transportation reasons

From 2000 to 200447,500 more “non-employer” businesses in 2004 compared to 2000

Note: Based on 12 month averages from Current Population Survey (CPS)

Source: BLS (CPS) & Census (Non-employer)

Source: Census American Community Survey (ACS)

+74,763 (Census-Estimates)

27

134547

669393

120131133

151164

177234

246303306

356459

Mining AFF

Utilities Real Estate

Arts, Entert. Mgt. of Cos.

Trans./Warehous.Information

Other ServicesPublic Admin.

WholesaleConstruction

Admin./Waste Svcs.Finance-Insurance Prof./ Tech. Svcs.

Hotels, Food Services Education

ManufacturingRetail

Health Care

Source: Bureau of Labor StatisticsQuarterly Census of Employment & Wages

Number of Massachusetts Workers Employed by Sector, 2005

Employment (‘000)

What is included in the “Healthcare” sector?


Ambulatory Care(Outpatient Treatment)

•Doctor’s Offices•Dentist’s Offices•Home Care Services•Outpatient Care Centers•Other Health Practitioners•Other Ambulatory Care Services•Medical laboratories

Hospitals(Inpatient Treatment)

•General Hospitals•Other Hospitals•Psychiatric Hospitals

Nursing Care Facilities(Care for the Elderly)

•Nursing Homes•Residential Mental Health Facilities•Community Care Facilities for the Elderly•Other Residential Care Facilities

Social Assistance(Social Services)

•Individual & Family Services•Child Day Care Services•Vocational Rehabilitation Services•Emergency & Other Relief Services

Hospitals172

Ambulatory health care

services129

Nursing and residential care

facilities93

Social assistance

63


Sector2005 Employment (‘000)Share of Mass. Employment

Proportion of Total Massachusetts Workforce Employed by Healthcare Sub-Sector, 2005

Slide 4: Sector Level Employment Trends (2000 – 2003)

324682

-1,290146

10,221-10,550-10,784

-19,9558,497

-6,557-4,299

6,237-23,720

-3,111-18,861

7,67213,318

-82,643-7,921

23,805

MiningAFF

UtilitiesReal Estate

Arts & EntertainmentMgmt. Of Co.

TransportationInformation

Other ServicesGovernment

Wholesale TradeConstruction

AdministrationFinance

Prof, Sci., & Tech. Svcs.Hotels & Food Services

EducationManufacturing

RetailHealthcare

Source: DWDQuarterly Census of Employment & Wages

Change in Employment 2001 - 2003

Slide 5: Sector Level Employment Trends (2003 – 2005)

126104

-802598

-3,877820

-3,887-4,001

2,958-3,829-2,419

2,1597,514

-5713,202

3,9226,664

-20,371937

13,281

MiningAFF

UtilitiesReal Estate

Arts & EntertainmentMgmt. Of Co.

TransportationInformation

Other ServicesGovernment

Wholesale TradeConstruction

AdministrationFinance

Prof, Sci., & Tech. Svcs.Hotels & Food Services

EducationManufacturing

RetailHealthcare

Source: DWDQuarterly Census of Employment & Wages

Change in Employment 2003 - 2005

01

00

101

31

3-1

12

023

-216

4666891114151719202022

2748

57151

LaboratoriesRelief Services

Other Res. Care facilitiesOther Ambulatory Health

Psychiatric HospitalsVocational Rehab. Services

Offices of Other Health Practs.Community Care for the

Other HospitalsRes. Mental Health Facilites

Outpatient Care CentersHome Health Care

Dentist's OfficesChild Day Care Services

Individual and Family ServicesDoctor's offices

Nursing Care FacilitiesGeneral Hospitals

HospitalsAmbulatory Care

Nursing Care

Social Assistance


Healthcare Industry Group Level Employment (2005) and Trends (2001 – 2005)

2005 Employment (‘000) Change from 2001 (‘000)

Regional Employment in the Healthcare Industry

Source: Mass. Department of Workforce DevelopmentQuarterly Census of Employment & Wages

2005 Employment

16.7% 16.4%15.1%

10.2%

14.2%

16.4%14.8% 14.6% 14.5%

Berkshire Boston Central Metro SW North East PioneerValley

South East Cape Cod MA

Regional Structure of the Healthcare Industry

Source: Mass. Department of Workforce DevelopmentQuarterly Census of Employment & Wages

38%59%

28%

19%20%

10%14%13%

0%

25%

50%

75%

100%

Berkshire Boston Central Metro SW North East PioneerValley

South East Cape MA

Hospitals Ambulatory Health Care Services Nursing and Residential Care Facilities Social Assistance

Healthcare Occupations Comprise 50% of Healthcare & Social Assistance Sector

Source: Mass. Department of Workforce DevelopmentIndustry – Occupation Crosswalk

34%

17% 16%

8%

4% 4% 3%

13%

HealthcareProfessionals

Admin. Support HealthcareSupport Workers

Social Services Education Management Food Prep. Other

Healthcare Related Occupations

Non-Healthcare Related Occupations

Industry Sectors and Occupations86% of Healthcare professionals and 81% of Healthcare support

occupations work in the Healthcare sector

Source: Mass. Department of Workforce DevelopmentIndustry-Occupation Crosswalk

Share (%) of Employees from Major Occupational Groups Working in Healthcare

100%

Healthcare

Professionals79%

5%

4%

2%

Industry

All

Occupations

Managem

ent

Business

Fin. Ops .

Life, Phy. Soc. Science

Com

munity

Social Svcs

Education

Healthcare

Support Workers

Building

Grounds

Food Prep.

Office &

A

dmin

Healthcare 14% 9% 4% 9% 60% 9% 81% 11% 6% 14%

Retail

Education 2%

Govt. 8%Admin. Svcs. 4%

Total 100%

1%5%

Prof. Tech.Svcs. 3% 2%

2001 2006

% of MA

% of MA

% Increase

MedianSalary

MedianSalary

All Occupations$32,210 100% $37,350 100%

140% $60,320

$27,48070%

161%

74%

16%

Healthcare Professionals

$45,250 33%

$22,590 22%Healthcare Support Workers

2001 - 2006 Occupational Pay Structure

Source: Bureau of Labor StatisticsOccupational Employment Statistics1

9% workers are in Healthcare occupations 6% are Professionals, 3 % Support workers

Source: Bureau of Labor StatisticsOccupational Employment Statistics

Major Occupational Group2006 Employment (‘000)

547,190327,560261,150

213,600197,320

185,530177,060

169,230165,900

115,860113,890

105,840101,130

94,70074,13070,32070,080

58,50047,63046,750

24,2102,900

AdministrativeSales

Food Prep.Education

Healthcare PractitionerManagement

ProductionFinancial

TransportationConstruction

Comp. & MathMaintenance

RepairHealthcare Support

EngineeringPersonal Care

Protective ServiceSocial Services

ArtsLife, Physical, and

LegalFFF

Healthcare occupations are growing

Change in Employment 2001-2006


860-2,430

7,1307,740

6,090-1,720

2,340-2,500

5,510-7,530

-4,5503,580

-2,150-9,470

40,060-54,750-55,090

14,5006,270

11,010630

-25,210

FFFLegal

SciencesArts

Social ServicesProtective Service

Personal CareEngineering

Healthcare SupportMaintenance

Buildings & GroundsComp. & Math

ConstructionTransportation

FinanceProduction

ManagementHealthcareEducation

Food Prep.Sales

Administrative

Social Assistance & Nursing Care exhibit a much more diversified workforce

Source: Mass. Department of Workforce DevelopmentIndustry – Occupation Crosswalk, 2005

HealthcarePractitioners

39%


50%


19%

HealthcareSupport Workers

17%


12%


34%

Administration8%

Administration - 5%

Administration17%

Administration28%

Social Services24%

Social Services - 7%

Social Services - 6%

Education27%

Management8%

Food Prep11%

Other10% Other

21%Other24% Other

32%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Ambulatory Care Hospitals Nursing Care Social Assistance

Half of Healthcare professionals are nurses77,000 RNs, 17,000 LPNs, Large no. of therapists, technologists, and

technicians


10,4102,0602,390

4,8605,4805,5305,930

8,44011,540

13,85016,09016,91017,330

76,350

Other Healthcare ProfessionalsPhysician Assistants

DentistsEMT's and Paramedics

Dental HygienistsHealth Information Technicians

PharmacistsDiagnostic Related Technicians

Health Diagnosing Support TechniciansClinical Laboratory Technicians

Physicians and SurgeonsLicensed Practical Nurses

TherapistsRegistered Nurses

Who are Healthcare Support workers?Almost half are nursing aides- 41,000


3,3602607609701,1201,1401,3401,7601,8301,980

6,3707,260

9,49016,750

40,330

Healthcare support workers, all otherOccupational therapist aides

Massage therapistsOccupational therapist assistants

Medical equipment preparersPhysical therapist aides

Pharmacy aidesMedical transcriptionists

Veterinary assistantsPhysical therapist assistants

Dental assistantsPsychiatric aides

Medical assistantsHome health aides

Nursing aides

Where are all the registered RNs?

Source: Massachusetts Department of Workforce Development, Industry-Occupation Crosswalk

RNs working as RNs= 76,350

RNs in Health Care Sector= 65,190

RNs in Hospitals=44,400

RNs Registered in MA = 103,222

RNs in Gen. Medical andSurgical Hospitals=40,070

RNs working in MA=?

16 - 3950%

16-3951%

16-3936%

16-3935%

40-4925%

40-4925%

40-4933%

40-4937%

50-5917%

50-5917%50-59

25%50-5922%

60+, 7%60+, 8%60 +, 6%60+, 6%

0%

50%

100%

RN LPN Nurses & HomeHealth Aides

All Occupations

Age of Nursing Professionals & Paraprofessionals

Source: 2000 CensusEqual Employment Opportunity Tabulation

86%92%

85%

65%

4%

20%

9%4% 2%1%

5%8%

8%4%3% 6%

0%

50%

100%

RN LPN Nurses & HomeHealth Aides

All Occupations

White African-American Hispanic Other

Source: 2000 CensusEqual Employment Opportunity Tabulation

Diversity of Nursing Professionals & Paraprofessionals

13,361 12,530 15,139 13,787 15,695 16,203 15,774 19,150

70,146

58,53156,61056,239

45,10449,787

42,01832,250

4th Qtr,2002

2nd Qtr,2003

4th Qtr,2003

2nd Qtr,2004

4th Qtr,2004

2nd Qtr,2005

4th Qtr,2005

2nd Qtr,2006

Healthcare Industry Vacancies All Other Industrial Vacancies

Source: Massachusetts Job Vacancy Survey, 2nd Quarter 2006,

Department of Workforce Development

Source 2: LAUS, DWD

Job Openings Since 2002 Vacancies have increased as the Economy has begun its recovery

Critical Healthcare Occupations

Source: CommCorp analysis of Massachusetts Job Vacancy Survey dataSource 2: Commonwealth Corporation analysis of Integrated Post-Secondary Educational Data Systems (IPEDS) data from the National Center for Educational Statistics.

Occupations Vacancies 2005 Degree/Certificates Granted2,689

5215879181983

1776642039

Medical Assistants 292 1949Veterinary Assistants 97 78

Registered Nurses 4,581Physical Therapists 381Respiratory Therapists 210Veterinarians 70Medical and Clinical Laboratory Technologists 314Medical and Clinical Laboratory Technicians 301Diagnostic Medical Sonographers 94Radiologic Technologists and Technicians 244Licensed Practical Nurses 470Nursing Aides, Orderlies, and Attendants 1,994Physical Therapist Assistants 107Physical Therapist Aides 60

Employment ChangeQ2, 2005 – Q2, 2006

What Industries are Growing?Where are the Openings?

Education & Health

Leisure & Hospitality

Other Services

Construction

Financial Activities

Government

Trade, Transp., & Utilities

Information

Professional & Business

Manufacturing

Source: ES-202, Quarterly Data, 2005 & 2006

Source 2: JVS, Q2, 2006

Source 3: MOSES, DWD Healthcare Jobs

-6,552

10,077

-110

-2,845

2,157

2,731

1,821

1,370

234

10,801 18,381

6,552

10,077

-110

-2,845

2,157

2,731

1,821

1,370

234

10,801 18,381





Source 3: MOSES, DWD

Job VacanciesQ2, 2006

Education & Health


Other Services

Construction


Government


Information


Manufacturing

Healthcare Jobs

6,34012,850

2,296

15,1521,418

5,0712,3302,066

13,031

19,150 24,759







Education & Health


Other Services

Construction


Government


Information


Manufacturing

152

691138

197891

176226

123125

164192

Employer ServicesProvided by Career

Center Staff: FY, 2006

Healthcare Jobs

6,34012,850

2,296

15,1521,418

5,0712,3302,066

13,031

19,150 24,759

-6,552

10,077

-110

-2,845

2,157

2,731

1,821

1,370

234

10,801 18,381

Employment Trends2001 - 2006

What Occupations are Growing?Where are the Openings?

Source: OES, 2001 & 2005




Transp. & Material Moving

Production

Installation, Maintenance

Construction & Repair

Administrative Support

Sales & Related

Service

Professional

Management

Career Centers Job Postings

FY, 2006

Healthcare Jobs

-9,470

-54,750

-7,530

-2,150

-25,210

630

5,510

14,500

-55,090

7,940

65,940

9,470

-54,750

-7,530

-2,150

-25,210

630

5,510

14,500

-55,090

7,940

65,940

5,848

10,848

9,090

1,592

1,916

3,303

3,826

8,574

4,050 15,886

21,363



Source: OES, 2001 & 2005





Production




Sales & Related

Service

Professional

Management

Healthcare Jobs

5,848

10,848

9,090

1,592

1,916

3,303

3,826

8,574

4,050 15,886

21,363



Source: OES, 2001 & 2005





Production




Sales & Related

Service

Professional

Management

14,722

32,603

7,791

7,235

34,782

15,895

3,140

5,140

7,464

39,844

28,187

Career Centers Job Postings

FY, 2006

Healthcare Jobs

-9,470

-54,750

-7,530

-2,150

-25,210

630

5,510

14,500

-55,090

7,940

65,940

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