Presentation of the Health Care Committee meeting April 11, 2012.

1. Healthy Pathways
A Tulare County Office of Ed and Tulare WIB Collaboration Series
Kristy Fairfax, Consultant

2. Agenda
April 11, 2012 8:00am – 10:00am
✓ Wecome and Introduction
✓ Public Comments
Health Care Career Day Update
TCOE Health Pathways
Overview
5
Employer Presentation
6
Health Care Workforce Outlook
7
Healthy Pathways Strategy

3. Health Care Career Conference
Update from Regina
• Date: Saturday May 5th, 2012 9:00 am – 2:00 pm
• Students from around Tulare County and Kings County interested
in Health Care Careers will attend.
• Venue Change
• College Fair
Some of the schools and programs that have been invited to provide
informational booths:
-San Joaquin Valley College (Visalia campus)
-Fresno State Health Careers Opportunity Program
-UCSF Fresno
-UEI College

4. Health Care Career Conference
Update from Regina
Student Registration Process
2.Students will complete an initial assessment to gauge their interest at Health Jobs Start
Here prior to registration :http://www.healthjobsstarthere.com
3.After obtaining their results, students will identify two healthcare professions they are
interested in (i.e. MD, PA, RN). Students will rank their first and second choice.
4.Teachers will enter student information into the Google Doc registration tool.
5.The following information should be entered for each student:
• First and last name
• Grade
• First and second career choice
• Gender
• Race
• Age
• Any specific dietary needs for lunch (if applicable)

5. Health Pathways
A TCOE Project to unify health career pathways in Tulare County
• Introduce the Health Care academy, pathway and/or ROP programs
in Tulare-Kings County Schools
• Establish and solidify relationships between health care employers
and school programs
• Inform schools on employer needs and reality of working in the
Industry
• Identify health career learning opportunities
• Identify county-wide long term goals for career pathway
development
• Develop 3 -5 year strategy for industry-school partnership based on
identified outcomes

6. Healthy Pathways
Meeting Series
1. Career Pathways in TC 2. LMI & Employers in TC 3. Strategy Discussion 4. Implementation
Introduction to We will go over During the third How will this work?
Career Pathway Health Care Labor meeting we will do We will recap the
Programs around Market information a re-cap of the strategy and decide
Tulare County. and employers will Career Day and get how to make it most
Meeting Minutes present information feedback on the effective and useful
can be found at about their event. Additionally in Tulare County.
www.tularewib.org organizations and we will begin to
•Presentation workforce needs. shape county wide
career pathways We will also discuss strategy for
•Overview of HS the affect the ACA enhancing career
Career Pathways in will have on the labor pathway programs
TC market. in the county.
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7. Employer Presentations:
Family Health Care Network
Kaweah Delta Health Care District
Sierra View District Hospital

8. Health Care Workforce Outlook
Labor Market Information

9. Estimated Top Health Care Occupations
2011-2020 Ranked by Percent Increase
Total Annual
Description 2011 Jobs 2020 Jobs % Change
Annual
Openings Openings
SOC Code Description 2011 Jobs 2020 Jobs % Change Openings
Openings
1 Physician assistants 29-1024 Prosthodontists 937
<10 <10 1,333
-- +42%
-- 549 61
29-1071 Physician assistants 937 1,333 42% 549 61
Emergency medical technicians and technicians and 1,739
29-2041
Emergency medical
2,380 37% 974 108
2 paramedics
1,739 2,380 +37% 974 108
paramedics 29-2055
29-2052
Surgical technologists
Pharmacy technicians
800
3,123
1,094
4,252
37%
36%
476
1,838
53
204
31-1011 Home health aides 7,098 9,587 35% 3,125 347
3 Surgical technologists 29-1124 Radiation therapists and technicians, 800
Healthcare technologists
154 206 1,094
34% 77 +37%
9 476 53
29-2099 1,027 1,367 33% 529 59
4 Pharmacy technicians 31-2022 all other therapist aides
Physical 3,123
542 715 4,252
32% 244 +36%
27 1,838 204
29-9091 Athletic trainers 82 108 32% 51 6
5 Home health aides 31-9092 Medical assistants and laboratory 7,098
Veterinary assistants
8,497 11,139 9,587
31% 3,494 +35%
388 3,125 347
31-9096 625 817 31% 254 28
6 Radiation therapists 29-1111 animal caretakers
Registered nurses 154
19,976 25,718 206
29% 8,883 +34%
987 77 9
Cardiovascular technologists and
Healthcare technologists and technicians,
29-2031
technicians
315 405 29% 131 15
7 29-1126 Respiratory therapists 1,027
1,213 1,555 1,367
28% 540 +33%
60 529 59
all other 29-1131
31-2021
Veterinarians
Physical therapist assistants
651
364
834
466
28%
28%
286
149
32
17
8 Physical therapist aides
29-2021
29-2071
Medical records and health information 542
Dental hygienists 1,355
1,266
1,705
1,599
715
26%
26%
601
566
+32%
67
63
244 27
technicians
9 Athletic trainers 29-1123
29-2051
Physical therapists
Dietetic technicians
82
1,391
504
1,753
634
108
26%
26%
513
244
+32%
57
27
51 6
10 Medical assistants 31-9091
29-1051
Dental assistants
Pharmacists 8,497
4,017
2,390
5,020
2,998 11,139
25%
25%
1,688
1,086 +31%
188
121 3,494 388
11 Registered nurses 29-2012
19,976
Medical and clinical laboratory technicians 1,008 1,261
25,718
25% 425
+29%
47
8,883 987
Cardiovascular technologists and
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12 315 405 +29% 131 15
technicians

10. Estimated Top Health Care Occupations Cont’d
2011-2020 Ranked by Percent Increase
Total Annual
Description 2011 Jobs 2020 Jobs % Change
Annual
Openings Openings
SOC Code Description 2011 Jobs 2020 Jobs % Change Openings
Openings
13 Respiratory Therapists 29-1024 Prosthodontists
29-1071 Physician assistants
1,213
<10
937
<10
1,333
1,555
--
42% 549
+28%
--
61
540 60
14 Veterinarians 29-2041
Emergency medical technicians and
paramedics 651
1,739 2,380 834
37% 974 +28%
108 286 32
29-2055 Surgical technologists 800 1,094 37% 476 53
15 Physical Therapist Assistants Pharmacy technicians
29-2052
31-1011 Home health aides
364
3,123
7,098
4,252
9,587
466
36%
35%
1,838
3,125
+28%
204
347
149 17
29-1124 Radiation therapists 154 206 34% 77 9
16 Dental Hygienists 29-2099
1,355
Healthcare technologists and technicians,
1,027 1,367
1,705
33% 529
+26%
59
601 67
all other
Medical Records and Health Information
31-2022 Physical therapist aides 542 715 32% 244 27
17 29-9091 Athletic trainers
1,266
82 108
1,599
32% 51
+26%
6
566 63
Technicians
31-9092 Medical assistants 8,497 11,139 31% 3,494 388
Veterinary assistants and laboratory
31-9096 625 817 31% 254 28
animal caretakers
18 Physical Therapists 29-2031 Cardiovascular technologists and 1,391
29-1111 Registered nurses 19,976
315
25,718
405
1,753
29%
29%
8,883
131
+26%
987
15
513 57
technicians
19 Dietetic Technicians 29-1126 Respiratory therapists
29-1131 Veterinarians
504
1,213
651
1,555
834
634
28%
28%
540
286
+26%
60
32
244 27
20 Dental Assistants 31-2021
29-2021
Physical therapist assistants
Dental hygienists 4,017
364
1,355
466
1,705 5,020
28%
26%
149
601 +25%
17
67 1,688 188
Medical records and health information
21 Pharmacists 29-2071
29-1123
technicians
Physical therapists
2,390
1,266
1,391
1,599
1,753
2,998
26%
26%
566
513
+25%
63
57
1,086 121
22 Medical and clinical laboratory technicians 1,008
29-2051
31-9091
Dietetic technicians
Dental assistants
504
4,017
634
5,020 1,261
26%
25%
244
1,688 +25%
27
188 425 47
29-1051 Pharmacists 2,390 2,998 25% 1,086 121
23 Occupational therapist29-2012 Medical and clinical laboratory technicians140
assistants 1,008 1,261 175
25% 425 +25%
47 54 6
24 Occupational therapist aides
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25 Healthcare support workers, all other 2,211 2,732 +24% 743 83

11. Estimated Top Health Care Ocupations
2011-2020 Ranked by Annual Openings

12. Regional Completions
Health Care Training Programs
Ratio of Supply v. Demand

13. Outliers from Completion Data
Medical Assistants: Over 4,000 completions annually with only 500 annual job
1 openings.
Audiologists: 48 completions annually, 4 openings. The disconnect is probably
2 from there being 2 audiology programs in the Central Valley accounting for 15% of
graduates and only 7% of employed audiologists in the state.
Clinical Laboratory Scientists: There are several academic programs that can
3 lead to this occupation in the region but there is still a shortage of this occupation.
This may be a marketing problem or a shortage of degrees completed.
Psych Techs: There are 239 regional completions and only 39 annual openings
4 according to the LMI. Is this accurate? The annual openings predictions are
likely not taking into account new facilities that are being built in the north valley.
EMT: The database shows 1 annual completion but there are several training
5 programs for EMTs.

14. The Patient Protection & Affordable Care Act
(PPACA)
What does it mean for the workforce?
"Administrative positions"
includes management,
business, and financial
operations and office and
administrative support
(including med record &
Health IT)). "Health care
professionals" includes
physicians & nurses.
"Patient care support"
includes therapists,
technicians, & aides. "All
other non-administrative
positions" includes all other
occupations outside the
administrative categories,
primarily food service,
security, and janitorial
personnel.
Data from a Rand Corporation research brief based on Staiger DO, Auerbach DI, and Buerhaus PI, "Health Care
Reform and the Health Care Workforce — The Massachusetts Experience," New England Journal of Medicine, Vol.
365, No. 12, pp. e24(1)–e24(3), September 22, 2011 (EP-201100-185).

15. Conclusions from the LMI and PPACA
What is it showing? What is unknown or missing?
Too Many Medical Assistants being trained
There are a lot more assistants being trained than
are getting hired. The One Stop staff have noticed
this on the ground with clients who have trouble
The data offers an
finding jobs. incomplete picture but it
Chronic shortages may not stand out
does offer a good
starting point. From
2
The data model is based on past trends of actual here a local
employment. As a result, chronic shortages such
as Occupational Therapist or Physicians may not conversation can begin
stand out if the demand has never fully been met. about the real time
regional and local
The Impact of the Affordable Care Act demand.
3
Again, the data model is based on past trends,
not on future unknowns. A clear example is the
predicted increase for physicians. Workforce
analysis for the act predict that areas of high
uninsured populations will see a more significant
increase in demand for health services.

16. Healthy Pathways

17. The Problem Statement
Why are we here? How can we make an impact?
• There is a lack of professional level health care workers in the
region that require MA or Doctorate level studies
– Shortage of MDs, PA, Pharmacists, OT/PTs, NP, specialty nurses, Medical Lab
Scientist
• Supply for “first rung” careers exceeds demand.
– Need to elevate the skill level of the workforce as a whole.
• Lack of communication framework between secondary schools,
post-secondary schools and employers
– No real time/real world labor market information
– Little connection between HS students and employers (an everyone in-between)
• Limited resources in region to support career pathway programs
and work based learning.
This is what this project can most easily impact

18. Problem: No real time, real world labor market information
Soution: Feedback Loop
Patient
Students
Needs
High
HC Schools
Providers
Post-
New Hires Secondary
Schools

19. Problem: Little Connection
Solution: Connect key stakeholders!
• Annual Career Conference and Doc Band
• Work Based Learning
• Quarterly Stakeholder meetings
• Information sharing
– Tulare WIB website
– Other

20. Problem: Limited Resources
Solution: Building a Foundation
• Have ready and waiting partnerships and
information sharing structure to better be
able to take advantage of funding and
other resource opportunities as they come
along.
– For Example the WIB’s Promotores Grant

21. Next Meeting
Healthy Pathways at 8:00 a.m.- 10:00 a.m.
Wednesday May 9
Meeting Series
1. Career Pathways in TC 2. LMI & Employers in TC 3. Strategy Discussion 4. Implementation
Introduction to We will go over During the third How will this work?
Career Pathway Health Care Labor meeting we will do We will recap the
Programs around Market information a re-cap of the strategy and decide
Tulare County. and employers will Career Day and get how to make it most
Meeting Minutes present information feedback on the effective and useful
can be found at about their event. Additionally in Tulare County.
www.tularewib.org organizations and we will begin to
•Presentation workforce needs. shape county wide
career pathways We will also discuss strategy for
•Overview of HS the affect the ACA enhancing career
Career Pathways in will have on the labor pathway programs
TC market. in the county.
Your own footer Your Logo

22. THANK YOU!