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Career OpportunitiesHealth Care Pathways 2010
Alysia Ordway
Boston Private Industry Council
November 18, 2010
Career Opportunities Data Projections Demographics Changing National Healthcare Reform
Primary Care Home healthcare / community-based Information technology Laboratory
Occupational ProjectionsMA 2006-2016Actual Number of Openings
Occupation 2006 Jobs New Jobs
Replacement
Net Openings
Registered Nurses
78,370 16,110 12,940 29,050
Licensed Practical Nurses
17,450 2,040 4,760 6,810
Pharmacy Technicians
5,740 1,660 1,750 3,410
Medical & Health Services Managers
8,210 1,110 1,530 2,640
Physicians & Surgeons
9,030 890 1,630 2,520
Baby Boomers January 1, 2011 which "officially" starts the
Era of the Golden Boomers
By 2030 Nearly one in five U.S. residents will be aged 65
and older The number of Medicare eligible seniors will
double
Healthcare Reform March 23, 2010 the Patient Protection and
Affordable Care Act $940 billion over ten years Expand coverage to 32 million Americans who are currently
uninsured. Individual mandate Expansion of public programs Cost containment Prevention/Wellness
ACA & National Strategy through Workforce Advisory Committee
November 2, 2010 Elections
ACA & National Strategy through Workforce Advisory Committee
Scholarships & loans Primary care training & capacity building Establish a public health workforce loan program Promote training of a diverse workforce Promote cultural competency Nursing & creating a career ladder to nursing Support development of training programs that
focus on primary care models
Why these occupations?
Data & Demographics
•Large numbers leaving the workforce•More care needs with older pop
•Primary care•Laboratory technicians & technologists•Home health services
Healthcare Reform
•Bringing more individuals into system•Need for cost containment focus on wellness & prevention, technology
•Primary care•Home Health Aides•Community-based services•Health Information Technology
Where will the opportunities be?
Primary Care
Home healthcare
Laboratory Technician and Technologists
Information Technology
Headlines Shortage of Primary Care Doctors CBS News March 25, 2010 4:06 PM The new healthcare bill will extend insurance
to 32 million Americans who do not already have it. Estimates are that the U.S. needs about 13,000 more primary care doctors to care for them.
The Doctor Won’t See You Now Newsweek February 26, 2010 A critical shortage of primary-care physicians
is yet another symptom of our ailing healthcare system.
The long path …. Undergraduate degree in pre-medical program Medical College Admission Test (MCAT),
essays, letters of reference 4 years of medical school Earn Doctor of Medicine degree Take licensing exam Post- graduate residency program (2 to 6
years)
Home Health Aides
2006 -2016 MA Projections:
2006 labor force: 17,330 2016 projected labor force:
23,150 33.6% change
New jobs: 5,830 Replacement jobs: 1,550 Total 7,380
2007 MA Average Wage & Salary: $12.16 $25,290
Education Requirements High School diploma On the Job Training from RNs, LPNs,
experienced HHAs If with employers who receive Medicare
reimbursement, must pass competency test National Association for Home Care and
Hospice (NAHC). Licensing as a Certified Nursing Assistant
(CNA)
Move on to Medical Assistants, LPNs, RNs
Where will the opportunities be?
Primary Care
Home healthcare / community-based
Laboratory
Information Technology
2006 – 2016 Projections2006 2016 %
changeNew Replac
ementTotal
Technicians
7,220 8,180 13.3% 960 1090 1,560
Technologists
7,090 7,570 6.9% 490 1070 1550
Salary ComparisonsPercentile 10% Median 90%
Technicians
Hourly $11.46 $17.32 $26.55
Annual $23,850 $36,030 $52,210
Technologists
Hourly $18.05 $26.51 $36.52
Annual $37,540 $55,140 $75,960
Laboratory
Medical & Clinical Laboratory Technicians: Assoc. Degree plus 12 semester hours biology and chemistry
Prepare specimens and operate automated analyzers Perform manual tests Work under the supervision of medical and clinical laboratory
technologists or laboratory managers.
Medical & Clinical Laboratory Technologists Bachelor’s degree plus 30 semester hours of biology and
chemistry Prepare specimens for examination, count cells, and look for
abnormal cells in blood and body fluids. Use microscopes, cell counters, and other sophisticated laboratory
equipment. Use automated equipment and computerized instruments capable of performing a number of tests simultaneously.
Analyze the results and relay them to physicians
Where will the opportunities be?
Primary Care
Home healthcare / community-based
Laboratory
Information Technology
Information Technology
Health Information Technology
Health Informatics
Health Information Management
Health Information Technology BLS: Through 2018, 20% increase in demand health information systems
internet wireless connections hardware handheld devices as well as applications for information management,
decision-support tools, communication, and transactional programs
EMRs computer software EHR security
Health Information Technology, continued Associate degree & Registered Health Information
Technicians (RHIT) credential. College Courses:
medical terminology, anatomy and physiology, health data requirements and standards, clinical classification and coding systems, data analysis, healthcare reimbursement methods, database security and management, and quality improvement methods.
High School Students: biology, math, chemistry, health, and computer science courses
Health Informaticsthe application of the computing and information technology disciplines to solving problems in the field of health care. “Because I have the vocabulary of both sides, I can serve as translator between them.”
http://www.nytimes.com/2009/04/12/jobs/12starts.html?_r=2
Health Informatics “My rough estimate is that we need about
70,000 health informaticians,” said Don E. Detmer, president and chief executive of the American Medical Informatics Association, a nonprofit industry group.
As of 2009, no educational, licensing or credential requirements for health informaticians.
Training programs are proliferating - master’s programs or certificates in health informatics
“medical” or “biomedical” informatics: data that doctors need for treating patients. “Bioinformatics” : biological or genetic data
“health informatics”: clinical data and health records
Health Information Management Interdisciplinary: medicine, management,
finance, IT, and law
Design and manage health information systems to ensure they meet medical, legal and ethical standards.
Database management, designing, generating and analyzing reports for administrators and physicians.
Roles for Health Information Managers Practice workflow and information management
redesign specialists
Clinician/practitioner consultants
Implementation support specialists
Implementation managers
Technical/software support staff
Trainers
IT Salary ComparisonsPercentile 10% Median 90%
Health Information Technology
Hourly $10.03 $15.04 $24.76
Annual $20,850 $31,290 $51,510
Health Informatics
Average salary in US is $88,750 (BA +)
the top 10% make an average of $137,800 annually
Health Information Management
More than half of new HIM graduates with a bachelor's degree start with salaries in the $30,000 to $50,000 range. By five years out, one can earn upwards of $50,000 - $75,000 annually.