TABLE OF CONTENTS

CHAPTER 5.0: Workforce

Chart 5.1: Total Number of Active Physicians per 1,000 Persons, 1980 – 2004

Chart 5.2: Total Number of Active Physicians per 1,000 Persons by State, 2004

Chart 5.3: Medical and Dental Residents in Training in Community Hospitals, 1981 – 2005

Chart 5.4: Total Full-time Equivalent Employees Working in Hospitals, 1981 – 2005

Chart 5.5: Full-time Equivalent Employees per Adjusted Admission, 1981 – 2005

Chart 5.6: Number of RN Full-time Equivalent Employees and RN FTEs per Adjusted Admission, 1987 – 2005

Chart 5.7: RN Full-time Equivalents as a Percentage of Total Hospital Full-time Equivalents, 1987 – 2005

Chart 5.8: Number of Physicians by Age, 1980, 1990, and 2005

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 – 2006

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 – 2004

1.92.1

2.22.4 2.5 2.6 2.5 2.6 2.6 2.5

2.7 2.6

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

Phy

sici

ans

per T

hous

and

Source: CDC, NCHS Health United States, 1982, 1996-97, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006.(1) 1980 does not include doctors of osteopathy.(2) 2004 includes 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, 2004

2 – 2.99

< 2

3 – 3.99

> 4

Source: CDC, NCHS, Health United States, 2006.(1) Includes active federal and non-federal doctors of medicine and active doctors of osteopathy.

RI 3.46DE 2.59DC 7.42

Chart 5.3: Medical and Dental Residents in Training in Community Hospitals, 1981 – 2005

0

15,000

30,000

45,000

60,000

75,000

90,000

81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

Res

iden

ts

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2005, for community hospitals.

Chart 5.4: Total Full-time Equivalent Employees Working in Hospitals, 1981 – 2005

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

Mill

ions

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2005, for community hospitals.

Chart 5.5: Full-time Equivalent Employees per Adjusted Admission,(1) 1981 – 2005

0.00

0.01

0.02

0.03

0.04

0.05

0.06

0.07

0.08

0.09

81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

FTE

s pe

r Adj

uste

d A

dmis

sion

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2005, 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 – 2005

0

200

400

600

800

1,000

1,200

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

Thou

sand

s of

RN

FTE

s

0.010

0.012

0.014

0.016

0.018

0.020

0.022

0.024

RN

FTE

s pe

r Adj

uste

d A

dmis

sion

RN FTEs RN FTEs per Adjusted Admission

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2005, for community hospitals.

Chart 5.7: RN Full-time Equivalents as a Percentage of Total Hospital Full-time Equivalents, 1987 – 2005

20%

21%

22%

23%

24%

25%

26%

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

Per

cent

age

of H

ospi

tal F

TEs

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2005, for community hospitals.

Chart 5.8: Number of Physicians by Age, 1980, 1990, and 2005

Source: American Medical Association, Physician Characteristics and Distribution in the US, 2007 Edition.

350300

250200

15010050

050

100150

200250300

350400

450500

1980 1990 2005

Under 35

35-44

45-54

55-64

65 & OverA

ge 4

5 an

d ov

erA

ge u

nder

44

Num

ber o

f Phy

sici

ans

(Tho

usan

ds)

Age Group

400

550

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

Source: 2000 & 2004 preliminary findings from The Registered Nurse Population: National Sample Survey of Registered Nurses March 2004. Link: http://bhpr.hrsa.gov/healthworkforce/reports/rnpopulation/chart6-dlink.htm.

1980-1996 findings from the National Sample Survey of Registered Nurses, 1980-2000, National Center for Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration.

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)

Source: 2010 & 2020 projections derived from The Lewin Group analysis of National Sample Survey of Registered Nurses, 2000; 1980, 1990, and 2000 estimates from National Sample Survey of Registered Nurses, National Center for Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration. Data released March 2004. Link: http://bhpr.hrsa.gov/healthworkforce/rnsurvey04/.

0

Num

ber o

f RN

s (T

hous

ands

)

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

Chart 5.11: Annual Percentage Change in Entry Level Baccalaureate Nursing Enrollment, 1990 – 2006

2.6%

-2.6%

-6.2% -5.5%

-2.1%

3.7%

8.1%

16.6%

5.0%

-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

Source: Berlin LE et al. Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC: American Association of Colleges of Nursing, 1990-1991 – 1996-1997. American Association of Colleges of Nursing, 1994 - 2006. Link: http://bhpr.hrsa.gov/healthworkforce/reports/rnpopulation/preliminaryfindings.htm.Note: 2006 data are preliminary as of December 2006.

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. Link: http://bhpr.hrsa.gov/healthworkforce/reports/rnpopulation/preliminaryfindings.htm.

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

FTE

s (T

hous

ands

)

Shortage of over 1,000,000 nurses in 2020