1

Up to 168,000 hospital positions are unfilled today.

Up to 168,000 hospital positions are unfilled

Up to 126,000 RNs Needed Today

Registered Nurses

75%

Other Hospital Professions

25%

Hospital positions included in survey:Registered NursesPharmacistsRadiological Technologists Laboratory TechnologistsBilling / CodersHousekeeping / MaintenanceSource: AHA Special Workforce Survey

2

In hospitals, a large share of positions remain unfilled. Vacancy Rates — the Percent of Unfilled, Budgeted Positions — for Selected Hospital Personnel

11%

12%

18%

18%

21%

9%

0% 13% 25%

Housekeeping/Maintenance

Registered Nurses

Laboratory Technologists

Billing/Coders

Radiological Technologists

Pharmacists

Source: AHA Special Workforce Survey

3

While a problem in rural and urban areas, rural hospitals have a larger percent unfilled positions for most positions.Urban/Rural Vacancy Rates for Selected Hospital Personnel

7%

17%

10%

16%15%

12%

10%

19%

15%

21%

29%

10%

0%

15%

30%

RegisteredNurses

Pharmacists RadiologicalTechnologists

LaboratoryTechnologists

Billing/Coders Housekeeping/Maintenance

Urban Rural

Source: AHA Special Workforce Survey

4

The reported shortage of hospital staff is widespread. Percent of Hospitals that Perceive there are More Job Openings than Available People

89%

76%

67%

54%48%

27%

0%

20%

40%

60%

80%

100%

RegisteredNurses

RadiologicalTechnologists

Pharmacists LaboratoryTechnologists

Billing/Coders Housekeeping/Maintenance

Source: AHA Special Workforce Survey

5

75% of hospitals report more difficulty in recruiting nurses than last year.Hospitals reporting more Difficulty in Recruiting than Last Year by Selected Hospital Personnel

24%

35%

43%

50%

63%

75%

0% 20% 40% 60% 80%

Housekeeping/Maintenance

Billing/Coders

Laboratory Technologists

Pharmacists

Radiological Technologists

Registered Nurses

Source: AHA Special Workforce Survey

6

Today’s staffing shortages are causing access problems for many hospitals.Percent of Hospitals Reporting Occurrences as a Result of Workforce Shortage Impacts

42%

41%

28%

26%

22%

15%

14%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

Reduced Outpatient Capacity

Cancelled Inpatient/Outpatient Surgeries

Increased Waiting Time to Surgery

Gone on ED Diversion

Reduced Number of Beds Staffed

Experienced ED Overcrowding

Exceeded 90% Census At Peak

Source: AHA Special Workforce Survey

7

Shortages have an impact on all hospitals, but especially in urban hospitals that have higher numbers of patients Hospitals Reporting Workforce Shortage Impacts

19%

21%

30%

39%

43%

55%

57%

10%

11%

16%

21%

14%

35%

31%

0% 10% 20% 30% 40% 50% 60%

Reduced Outpatient Capacity

Cancelled Inpatient/Outpatient Surgeries

Increased Waiting Time to Surgery

Reduced Number of Beds Staffed

Gone on ED Diversion

Exceeded 90% Census At Peak

Experienced ED Overcrowding

Rural Urban

Source: AHA Special Workforce Survey

8

The workforce shortage is getting worse, and affecting access to care.Hospitals Reporting Increased Frequency of Workforce Shortage Impacts Compared to Last Year

30%

24%

18%

18%

16%

11%

9%

0% 5% 10% 15% 20% 25% 30% 35%

Reduced Outpatient Capacity

Cancelled Inpatient/Outpatient Surgeries

Increased Waiting Time to Surgery

Reduced Number of Beds Staffed

Gone on ED Diversion

Exceeded 90% Census At Peak

Experienced ED Overcrowding

Source: AHA Special Workforce Survey