Presentation re Clearinghouse 08-31-2012 (SC edits)

Healthcare Workforce
California Health Professions
Consortium/California Health
Workforce Alliance
September 6, 2012
Need for Central Repository of Health Workforce Data
Statutory Mandate (SB 139)
Stakeholder Engagement
Other States Workforce Analysis
June 2012 Release
Data Gaps
Clearinghouse Next Steps
Advisory Team
Contact Information
Need for Central Repository of
Health Workforce Data
Multiple sources of health workforce
and education data (i.e. licensing
boards, educational institutions, etc.)
 Need to centralize collection of health
workforce and education data
 Multiple data sources challenge
understanding of shortages,
distribution, diversity, etc.
 Federal and state health care reform
efforts compound need for data
Statutory Mandate (SB 139)
Chapter 522, Statutes of 2007 (SB 139 Alquist)
Mandates OSHPD to create and implement Clearinghouse
Central source of healthcare workforce and educational
data in the State
Responsible for collection, analysis and distribution of
information on educational and employment trends for
healthcare occupations in California
Funded by the California Health Data and Planning Fund
Statutory Mandate (SB 139)
OSHPD will retrieve records from the Employment Development
Department’s Labor Market Information Division, state health licensing
boards, and state higher education entities to collect data on the
following as it relates to healthcare workers:
 Current supply of healthcare workers by specialty.
 Geographical distribution of healthcare workers, by specialty.
 Diversity of healthcare workforce, by specialty, including, but not
necessarily limited to, data on race, ethnicity and languages spoken.
 Current and forecasted demand for healthcare workers, by specialty.
 Educational capacity to produce trained, certified and licensed
healthcare workers, by specialty and by geographical distribution,
including, but not limited to, number of educational slots, the
number of enrollments, the attrition rate and wait time to enter the
program of study
Statutory Mandate (SB 139)
OSHPD is mandated to provide the State Legislature annual reports
that do the following:
Identify education and employment trends in the health care
 Report on the current supply and demand for health care workers
in California and gaps in the educational pipeline producing
workers in specific occupations and geographic areas.
 Recommend state policy needed to address issues of workforce
shortage and distribution
Stakeholder Engagement
A 2008 grant from The California Endowment funded the
following activities:
o Feasibility Study Report (2008)
o Five Focus Group meetings throughout the State (2008)
 A 35-member Advisory Committee was developed to support
and guide the development of the Clearinghouse (2008present)
 Pilot Testing provided 19 data providers and/or other
stakeholders opportunity to give OSHPD feedback regarding
initial release of the data (June 2012)
Other States Workforce
16 states contacted; focus on Michigan, Texas, S. Dakota,
Tennessee, N. Carolina, Wyoming, and Minnesota
o Research included surveys, e-mail, phone calls, reviewing websites,
and contacting Primary Care Offices
States encountered challenges with collection and analysis of
Getting support for detailed workforce data collection
No mandatory reporting
Low survey participation/response rate
Quality of data, few to no validity checks on field entries, too much
staff time is required to clean up data fields, must enter data manually
o Database not fully functional for specific purposes
Other States Workforce
As a result, following recommendations for Clearinghouse:
Identify master list of data elements
Set expectations for what types of information would be most useful
Establish contractual agreements with data providers
Utilize e-mail surveys
Evaluate need for mandatory reporting
Advisory Committee (March 2008 – onward)
Focus Group Meetings (April – May 2008)
Feasibility Study Report (Approved 2009)
Budget Change Proposal (Approved 09/10)
Other States Analysis (June 2009)
Phase I Collection and Validation (July 2009)
Phase II Website and Report Development (September 2011)
Go Live (June 28, 2012)
June 2012 Release
Data Providers:
Board of Registered Nursing, Board of Vocational
Nursing and Psychiatric Technicians, CA Department of Public Health:
Licensing and Certification Branch and Laboratory Field Services Branch;
Dental Board of CA, Dental Hygiene Committee, Medical Board of CA,
Naturopathic Medicine Committee, Osteopathic Medical Board, Physician
Assistant Committee and Respiratory Care Board
Interactive Reports:
 Supply of active status health
care workers by specialty
 Geographical distribution by
county of record
 Diversity by specialty:
race/ethnicity, age, gender,
languages spoken
June 2012 Release
Data Provider:
Employment Development Department
Interactive Reports:
 Employment Projections
 Wage Estimates
 Staffing Patterns
June 2012 Release
Data Providers:
California Post Secondary Education Commission, California
Community Colleges, California State University and
University of California
Interactive Reports:
 Aggregate data on students (i.e. enrollments, gender,
race/ethnicity degrees awarded)
 Unitary data on public and private institutions by location
Health profession education training programs and
June 2012 Release
Data Gaps
Cross Cutting Data Challenges
Unable to collect SSNs, employment locations and
residential addresses
Data collected is not uniform
There is no mandate requiring entities to collect
and/or provide data needed to populate the
Data Gaps
Licensing Authorities
 No mandate requiring all 22 licensing
authorities to conduct surveys
o Surveys allow collection of data not available
through licensing forms (race/ethnicity, languages
spoken, employment status and hours, practice
 Lack of data standardization across data
o Surveys vs. licensing forms
o Not all licensing authorities collect the same
 Limited diversity data for race/ethnicity and
languages spoken
o Only collected through surveys, most licensing
authorities do not collect surveys
Data Gaps
Employment Development
Department Labor Market
Information Division (EDDLMID)
 Limited response rate from the
health care industry
 EDD-LMID’s physicians data does
not include all specialties
 Demand estimates for most health
personnel categories in California
pre-date the Affordable Care Act
and do not take into account
service delivery models of the
Data Gaps
State-Level Education
 Inability for OSHPD to collect
numbers of educational slots,
attrition rate, wait time to enter a
program and unitary data
because data is collected by
individual campuses, not the
Presidents and Chancellors’
 Lack data on high school health
training and academy programs
 Inability to collect private
institutions’ data from a central
Enhance California’s ability to understand and manage its
complex healthcare delivery infrastructure and growing and aging
 Formulate coherent policy and planning strategies based on data
 Improve workforce recruitment and
 Conduct trend analysis and reporting
Clearinghouse Next Steps
Continue efforts to release more data
o Upcoming Interactive Reports include data from the Dental Board,
Dental Hygiene Committee and Osteopathic Medicine Board
o Upcoming Fact Sheets include:
 Physician Assistants
 Vocational Nurses
 Psychiatric Technicians
 Respiratory Therapists
 Osteopathic Physicians
Continue efforts to partner with more data providers
o Targeted engagements include Board of Podiatric Medicine, Board of
Behavioral Sciences, Board of Psychology, Radiologic Health Branch of
California Department of Public Health
Improve and enhance Clearinghouse products and design
Advisory Team
 Purpose: Provide guidance and
advise to Clearinghouse
development and implementation
 Next Meeting: November 2012
Advisory Team
 Debra Kurtti, California Association
of Health Facilities
 Robert Puleo, California Board of
Chiropractic Examiners
 Patrick Perry, California Community
Colleges Chancellor’s Office
 Katherine Flores M.D., California
Health Professions Consortium
 William Ing, The California
 Kevin Barnett, California Health
Workforce Alliance
 Jimmy Hara, California Healthcare
Workforce Policy Commission
 Cathy Martin, California Hospital
 Jamie Fall, California Labor and
Workforce Development Agency
 Ellen Wu, California Pan-Ethnic
Health Network
 Carmella Castellano-Garcia,
California Primary Care Association
 Michelle Baass, California Senate
Office of Research
 Steve Barrow, California State
Rural Health Association
 Marsha Hirano-Nakanishi,
California State University Office of
the Chancellor
 TBD, The California Wellness
Advisory Team
Members (continued)
 Steve Saxton, Employment
Development Department Labor
Market Information Division
 Beth Abbott, Health Access
 Carolyn Lee, Health Occupations
Students of America
 Stephen Robinson, M.D., Health
 Lupe Alonzo-Diaz, Health
Professions Education Foundation
 Chad Silva, Latino Coalition for a
Healthy California
 Bob David, Office of Statewide
Planning and Development
 Sabina Ohri, Public Policy Institute
of California
 Diane Littlefield, Sierra Health
 Andrea Gerstenberger, University
of California Office of the President
 Moreen Lane, California Workforce
Investment Board
 Nancy Rose-Anton, Rona Sherriff,
Consumer Representatives
 Linda Davis-Alldritt, Department of
 Robert Stroud, Department of
Health Care Services
 Hattie Rees-Hanley, Department of
Managed Health Care
 Kim DeWeese, Department of
Public Health
Office of Statewide Health Planning and Development
400 R Street, Suite 330
Sacramento, CA 95811-6213
(916) 326-3600 (tel)
Stephanie Clendenin, Chief Deputy Director
Lupe Alonzo-Diaz, Acting Deputy Director
Dorian Rodriguez, Acting Manager

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