2012 MHA Workforce SurveyHospital Turnover and Vacancy Rates by Workforce Investment Area (WIA)2011 Calendar Year Data

Contents Overview – slides 3-9 Nursing – slides 10-19 Diagnostic Imaging – slides 20-26 Clinical Lab – slides 27-33 Therapies – slides 34-49 Pharmacy – 50-58 Surgical Tech – slides 59-61 Coding – slides 62-66

Overview The Missouri Hospital Association has

collected workforce data from member hospitals since 2001.

165 hospitals participated in this survey – 148 from Missouri, 10 from Kansas and 7 from Illinois.

The number of positions surveyed increased by one-third in this most recent survey, from 21 to 32 positions surveyed.

Overview 11 positions were added

Certified Nurse Assistant Patient Care Technician Advanced nursing positions– Nurse Anesthetist– Nurse Midwife– Nurse Practitioner– Nurse Specialist

Overview Survey additions

New sonographer categories – Cardio/Echo– Vascular– Ultrasound

Pharmacist – clinical Pharmacy Technician Medical Records Coder – Non-certified Medical Records Coder – Certified

Overview For each position, hospitals submit the

following: Total FTE on Dec. 31 Total number of employees Number of vacant FTE on Dec. 31 Total number of vacant positions on Dec.

31 FTE separations from Jan. 1 to Dec. 31 Total number of separations from Jan. 1

to Dec. 31

Overview MHA develops tables, trend charts and

graphics that include statewide and regional turnover and vacancy rates.

Trends show Missouri data only; maps include data from KS and IL.

20042005

20062007

20082009

20102011

20120.0%2.0%4.0%6.0%8.0%

10.0%12.0%14.0%16.0%18.0%

FTE VacancyEmp VacancyFTE TurnoverEmp Turnover

Overview: Calculating Turnover Hospitals report the number of full-time

equivalent (FTE) separations January 1 through Dec. 31 as well as the total number of FTE positions.

FTE Separations Jan. 1 - Dec. 31(Total FTEs on Dec. 31

+ Vacant FTEs on Dec. 31)

= FTE Turnover PercentageX

100

Replace “FTE” with “Employee” to determine Employee Turnover percentages.

Overview: Calculating Vacancy Hospitals report the number of full-time

equivalent (FTE) vacancies on Dec. 31 as well as the total number of FTE positions.

Vacant FTEs on Dec. 31(Total FTEs on Dec. 31 + Vacant FTEs on Dec. 31)

= FTE Vacancy PercentageX 100

Replace “FTE” with “Employee” to determine Employee Vacancy percentages.

Nursing LPN

3,038 Missouri employees 470 separations

RN 31,595 Missouri employees 4,703 separations

Turnover among LPNs and RNs is 14 percent

Nursing

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Trends: Licensed Practical Nurse

Perc

enta

ge

Licensed Practical Nurse Turnover (Employee)

Licensed Practical Nurse Vacancy (FTE)

Nursing

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

Trends: Registered Nurse

Perc

enta

ge

RN Vacancy (FTE)

RN Turnover (Employee)

Advanced Nursing PositionsPosition Employee Turnover FTE VacancyNurse Anesthetist 6.2% 5.1%Nurse Midwife 12.5% 0%Nurse Practitioner 6.6% 6.1%Nurse Specialist 3.8% 3.3%

Nurse Practitioner Turnover (Employee)

Nurse Practitioner Vacancy (FTE)

Diagnostic Imaging Employee counts

Radiologic Technologist – 1,878 CT Technologist – 531 MRI Technologist – 283 Nuclear Medicine Technologist – 308 Sonographer (Cardio/Echo, Ultrasound

and Vascular) - 843

Diagnostic Imaging

2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

Trends: Radiology Technologist - RTR

Perc

enta

ge

Radiologic Technologist (RTR) Turnover (Employee)

Radiologic Technologist (RTR) Vacancy (FTE)

Diagnostic Imaging

2005 2006 2007 2008 2009 2010 2011 20120.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Trends: CT Technologist RT

Perc

enta

ge

Diagnostic Imaging

2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

Trends: MRI Technologist RT

Perc

enta

ge

Diagnostic Imaging

2004 2005 2006 2007 2008 2009 2010 2011 20120.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Trends: Nuclear Medicine Technologist RT

Perc

enta

ge

Clinical Laboratory Employee counts

Medical Laboratory Technician – 639 Medical Technologist – 1,750

Clinical Laboratory

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Trends: Medical Lab Technician (MLT)

Perc

enta

ge

Medical Laboratory Technician Turnover (Employee)

Medical Laboratory Technician Vacancy (FTE)

Clinical Laboratory

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

Trends: Medical Technologist (MT)

Perc

enta

ge

Medical Technologist Turnover (Employee)

Medical Technologist Vacancy (FTE)

Therapy Vacancy in therapy positions is stable or

lower Hospitals have need for therapists but not

enough supply, especially in the following: Occupational therapy Speech-language pathology

Therapy

2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

Trends: Occupational Therapist

Perc

enta

ge

Occupational Therapist Turnover (Employee)

Occupational Therapist Vacancy (FTE)

Therapy

2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

Trends: Physical Therapist

Perc

enta

ge

Physical Therapist Turnover (Employee)

Physical Therapist Vacancy (FTE)

Therapy

2005 2006 2007 2008 2009 2010 2011 20120.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Trends: Respiratory Therapist (certified)

Perc

enta

ge

Respiratory Therapist (certified) Turnover (Employee)

Respiratory Therapist (certified) Vacancy (FTE)

Therapy

2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

Trends: Respiratory Therapist (registered)

Perc

enta

ge

Respiratory Therapist (registered) Turnover (Employee)

Respiratory Therapist (registered) Vacancy (FTE)

Therapy

2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

Trends: Speech-Language Pathologist

Perc

enta

ge

Speech-Language Pathologist Turnover (Employee)

Speech-Language Pathologist Vacancy (FTE)

Pharmacy Pharmacy schools scarce in Missouri MERIC predicted shortage of 700

pharmacists in 2012 Expanded questionnaire to include more

pharmacy categories and positions Pharmacist – Staff Pharmacist – Clinical Pharmacy Technician

NewNew

Pharmacy

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

Trends: Pharmacist - Staff

Perc

enta

ge

PharmacyPosition No.

EmployeesTurnover Vacancy

Pharmacist – Staff 831 7.9% 2.9%Pharmacist – Clinical

513 7.4% 4.4%

Pharmacy Tech 1,018 9.7% 2.9%

Pharmacist (clinical) Turnover (Employee)

Pharmacist (clinical) Vacancy (FTE)

Pharmacist (staff) Turnover (Employee)

Pharmacist (staff) Vacancy (FTE)

Pharmacy Technician Turnover (Employee)

Pharmacy Technician Vacancy (FTE)

Other Positions: Surgical Tech

2005 2006 2007 2008 2009 2010 2011 20120.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

Trends: Surgical Technician

Perc

enta

ge

Surgical Technician Turnover (Employee)

Surgical Technician Vacancy (FTE)

Other Positions: Medical CodingPosition No.

EmployeesTurnover Vacancy

Medical Coder – non-certified

185 8.9% 2.0%

Medical Coder (CCS) 453 8.9% 3.6%

New

Medical Records Coder (non-certified) Turnover (Employee)

Medical Records Coder (non-certified) Vacancy (FTE)

Medical Records Coder (certified) Turnover (Employee)

Medical Records Coder (certified) Vacancy (FTE)

More Information Maura Browning

Director of Workforce Developmentmbrowning@mail.mhanet.com 573/893-3700 ext. 1333