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Michigan Department of Community Health Bureau of Health Professions. Prevention Regulatory Disciplinary Workforce Excellence. Health Licensing Division . 26 Licensed Health Professions Over 400,000 Health Care Professionals

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Michigan department of community health bureau of health professions

Michigan Department of Community HealthBureau of Health Professions

Prevention

Regulatory

Disciplinary

Workforce Excellence


Health licensing division
Health Licensing Division

  • 26 Licensed Health Professions

  • Over 400,000 Health Care Professionals

  • 19,713 Dentistry Licenses Granted (7,637 Dentists; 9,623 Dental Hygienists; 1,263 Dental Assistants


Health regulatory division
Health Regulatory Division

  • Receives Allegations of Misconduct from the public or health professionals

  • 3,121 Allegations of Misconduct in FY 2006

  • 27,859 Allegations 1994 through 2006


Top five in fy 2006
Top Five in FY 2006:

  • Negligence/Incompetence: 1080 (35%)

  • Criminal Conviction: 345 (11%)

  • Substance Abuse: 291 (9%)

  • Drug Diversion: 157 (5%)

  • Continuing Education: 111 (4%)


Top four professions
Top Four Professions:

  • Nursing: 1,002/157,193 (.6%)

  • Medicine: 828/33,528 (2.5%)

  • Dentistry: 254/19,713 (1.3%)

  • Osteopathic: 239/7,001 (3.4%)


Health investigation division
Health Investigation Division

  • Investigates factual allegations that represent true violations

  • 832 investigations authorized from 3,121 allegations in FY 2006 (27%)

  • 519 disciplined health professionals (from 832 investigations) in FY 2006


Top four disciplinary actions in fy 2006
Top Four Disciplinary Actions in FY 2006:

  • Probation: 238 (46%)

  • Suspended License: 205 (39%)

  • Fine Imposed: 52 (10%)

  • Voluntary Surrender: 27 (5%)


Workforce development research evaluation section wdre
Workforce Development, Research, & Evaluation Section (WDRE)

  • WDRE Section formed in August 2006

  • WDRE staffs the Michigan Healthcare Workforce Center

  • MHWC major functions:

    • Serves as a clearinghouse for workforce data

    • Administers surveys to licensed health professionals

    • Convenes and/or participates with groups to address workforce issues

    • Conducts research and publishes papers on workforce related issues


Wdre section cont d
(WDRE) Section (cont’d)

  • MDCH/MDE/MDLEG/MDHS/MHC/OCNE Serve as Advisory Body to MHWC

  • Professional Licensee Workforce Surveys (Phys/Dental/Nurs/Pharm/PA)

  • Professional Scope of Practice/Corporate Structure for Professional Practice


Healthcare information for professionals and health consumers
Healthcare Information for Professionals and Health Consumers

  • Two Newsletters

  • Six Websites

  • Board Support: Over 1,600 Professional Practice Inquiries from Professionals or the public responded to annually


Professional practice issues currently being investigated
Professional Practice Issues Currently Being Investigated Consumers

  • Continuous Professional Development

  • E-Health

  • Pain & Symptom Management

  • Sexual Boundary Violations

  • Patient Safety


Fy 2007 dental survey findings
FY 2007 Dental Survey Findings Consumers

  • Two-page (21-22 questions) survey available online and through mail

  • Collects demographic, employment, practice, and patient information

  • One-third of all Michigan dentists and hygienists received the survey

  • 697/2,777 renewing dentists (25%) and 2,062/3,433 renewing DYHGs (60%) completed the survey


Fy 2007 dental survey findings cont d
FY 2007 Dental Survey Findings (cont’d) Consumers

  • 43% Dentists and 38% DHYGs plan to work only one to ten more years (compared to nurses and physicians at 33% and 34% respectively)

  • 7% of dentists plan to reduce patient care hours within three years


Fy 2007 dental survey findings cont d1
FY 2007 Dental Survey Findings (cont’d) Consumers

  • 7% of dentists plan to retire in the next three years

  • 80% of dentists who plan to retire or reduce patient hours cite age as a factor in their decision.

  • 37% of dentists are 55 years of age or older

  • 81% of dentists are male; 99% of DHYGs are female


Fy 2007 dental survey findings cont d2
FY 2007 Dental Survey Findings (cont’d) Consumers

  • 85% of dentists and 95% of DHYGs are white

  • 64% of dentists report seeing no Medicaid or MIChild children in a typical month. Only 1% of dentists report seeing an average of 250 or more of these patients each month.

  • 86% of dentists report that none of their patients in a typical month are covered by Medicaid. Only 1% report seeing an average of 60 or more of these patients each month.


Fy 2007 dental survey findings cont d3
FY 2007 Dental Survey Findings (cont’d) Consumers

  • 75% of dentists report seeing 20 or fewer uninsured children in a typical month. Only 1% report seeing an average of 300 or more of these patients each month.

  • 75% of dentists report 30 or fewer uninsured adults each month. Only 1% report seeing an average of 500 or more of these patients each month.

  • 82% of dentists renewing their license in Michigan attended a Michigan Dental School.


Findings of the fy 2007 dental surveys reflect national findings
Findings of the FY 2007 Dental Surveys Reflect National Findings:

  • The aging healthcare workforce is likely to result in a worsening shortage of dental health care in Michigan.

  • Few Michigan dentist are seeing low income, uninsured or underinsured children and adults.

  • Ethnic minorities are underrepresented among dental health professionals.

  • There is a gender bias toward male dentists and female dental hygienists.

  • The greatest predictor of what state a dentist practices in is where s/he attended dental school.



Michigan dental hpsa severity among 83 counties
Michigan Dental HPSA Severity Among 83 Counties Midwest States*

  • 2 Full County Geographic HPSAs (2%)

  • 54 Full County Population Group HPSAs (66%)

  • 9 Partial County Population Group HPSAs (11%)

  • 65 Michigan HPSA Counties (79%)

  • 18 Non-HPSA Counties (21%)



Dental recruitment retention challenges opportunities
Dental Recruitment & Retention Challenges/Opportunities Midwest States*

  • Weakness/Challenges:

    • Low number of dentists serving uninsured/Medicaid population

    • High percentage of at risk (uninsured and Medicaid enrolled) population

      • Michigan = 11% and 15.1%

      • Ohio = 11.7% and 16.7%

      • Illinois = 14% and 16.3%

      • Indiana = 12.9% and 14.5%

      • Wisconsin = 9.5% and 15.9%


Dental recruitment retention challenges opportunities cont d
Dental Recruitment & Retention Midwest States*Challenges/Opportunities (cont’d)

  • Aging dental workforce

  • Poor Michigan economy (lure of states with better weather & better economies)

  • Increased demand for dentists in other Midwest states due to closure of 2 Chicago dental schools

  • Low Medicaid reimbursement rates

  • Michigan’s State Loan Repayment Program (SLRP) places relatively few dentists in southeast Michigan.

  • There are only 3-6 dentist applicants to SLRP each year.


Dental recruitment retention challenges opportunities cont d1
Dental Recruitment & Retention Challenges/Opportunities (cont’d)

  • Strengths/Opportunities

    • Michigan’s beauty and low-cost housing

    • High percentage of underserved provides opportunity for new dentists

    • High percentage of underserved provides opportunity for federal & state loan repayment reimbursement and scholarship opportunity

    • Michigan has the largest State Loan Repayment Program in the nation

    • Michigan has a disproportionately larger share of federal (NHSC) loan repayment recipients


Dental recruitment retention challenges opportunities cont d2
Dental Recruitment & Retention Challenges/ (cont’d)Opportunities (cont’d)

  • Michigan SLRP and NHSC could target Detroit and other metro areas for dental placements

  • The SLRP and NHSC could be marketed to Michigan dental schools

  • Establish another Michigan dental school and increase admissions to current schools

  • Legislation for increased Medicaid reimbursement for practicing in a dental HPSA

  • Develop and national Practice in Michigan campaign that targets or includes dental professionals

  • Increase Medicaid reimbursement rates and reduce reimbursement processing time


Healthcare workforce websites
Healthcare Workforce Websites (cont’d)

Michigan Healthcare Workforce Center

www.michigan.gov/mhwc

Michigan Health Careers

www.michigan.gov/healthcareers

Michigan Center for Health Professions

www.mhc.org

Michigan Center for Nursing

www.michigancenterfornursing.org

Pain and Symptom Management

www.michigan.gov/pm

Patient Safety

www.michigan.gov/ps


Bureau of health professions

Bureau of Health Professions (cont’d)

Steven Creamer, Manager

Workforce Development, Research, and Evaluation Section

517-335-3294

[email protected]


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