Edward Salsberg Director, National Center for Health Workforce Analysis

1. Technical Assistance Conference for State Health Care Workforce Development GranteesFebruary 8, 2011 Edward Salsberg Director, National Center for Health Workforce Analysis Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professions

2. Key Workforce Questions • Will there be enough physicians, nurses and other health workers? If not: • What can we do to increase the supply? • What can we do to get them to the highest need areas? • What can we do to make better use of physicians and other health professionals? • What can we do to assure access? • What can be done to slow the increase in costs?

3. Challenges • Reliance on market forces in a marketplace with inadequate data and information and perverse incentives • Lack of reliable data on supply and distribution • Limited understanding of factors influencing use, demand and supply • Mal-distribution • Lack of diversity • Inadequate research assessing the relationship between workforce and outcomes

4. Overview of the Health Workforce Infrastructure • National Health Care Workforce Commission • National Center for Health Workforce Analysis • State Health Workforce Development Grants • Health Care Workforce Assessment

5. Overview of the Approach • Focus on data collection, analysis, studies and incentives and dissemination of data and information • Added attention to evaluation and longitudinal tracking • Federal-state partnership • Inter-professional planning and strategies

6. National Center for Health Workforce Analysis: Goals • To inform national and state policy making, the private sector and the public on current and future workforce needs • To promote a supply and distribution of well prepared health workers • To assure access to high quality care • To become a trusted source of data and information on the health workforce

7. National Center for Health Workforce Analysis: Activities • Develop data, information and projections on health care workforce • Support research to better understand current and future workforce needs • Widely disseminate the data, information and findings on the health workforce • Assist State Health Care Workforce Development Grantees

8. The National Center’s Approach • Build on existing sources of data including from professional associations, states, and federal agencies • Build national capacity for data collection and analysis • Develop and promote a national uniform minimum data set • Encourage professional associations and states to develop data collection and analytic expertise • Conduct studies internal and through contracts

9. Some Areas of Focus • Primary care workforce • General shortages of health personnel including physicians and nurses • The workforce caring for the elderly • Behavioral health workforce • Data to inform designation of shortage areas • Use of inter-professional teams

10. Center Deliverables • Descriptive information on education, supply, and distribution • Supply and demand models • Analysis of factors that drive supply, distribution, demand and need • Analyses of workforce trends • Research studies

11. Federal Workforce Roles • National data collection and analysis and development of data collection guidelines • Identification of national trends and needs • Projections of national supply and demand and needs • Support for health workforce research • Development of comparative state data • Federal programs to fill gaps, i.e. Title VII

12. State Health Workforce Roles • State supported education and training • Licensure and regulation of practitioners • Scholarships and loan repayment • State labor department-tracking employment and workforce needs • State and local public health services • Regulation of service delivery

13. A Federal – State Partnership • The National Center for Health Workforce Analysis will provide data, information and guidance on the health workforce • States are in the best position to identify their priority needs and understand their local resources • The National Center and State Health Workforce Development Grantees can build an effective partnership

14. Federal-State Partnership: Uniform Minimum Health Professions Data Set • Systematic collection of data at state level • Reduce or eliminate current variation • Provides basic data for local, state, national planning • Supply, distribution, and adequacy of health professionals

15. Planning Grants:Support assessment of health workforce needs in State by gathering and analyzing data, examining current resources, policies and practices that influence the supply and demand of the health care workforce, and identifying ways to remove barriers. One year, $150,000 maximum. Implementation Grants: Convene stakeholders at the State and regional levels to develop and implement a health care workforce development plan that will include strategies to address the health workforce needs of the State. Two years of funding. Federal-State Partnership: State Health Care Workforce Development Grants

16. State Care Health Workforce Development Grants APPROVED AND FUNDED (26) *Implementation grant

17. APPROVED & FUNDED SHCWD GRANTS WA VT ME MT ND MN NH • OR ID WI NY MA SD MI RI WY CT PA IA NJ NE OH NV IL IN DE UT WV MO MD CA CO VA KS KY DC NC TN OK NM AR SC AZ GA AL MS LA TX FL AK HI PR =Planning grant =Implementation grant

18. SHCWD Planning Grants • Approved and funded applicants will: • Enhance current health care workforce initiatives by fostering relationships and formally convening partnerships. • Develop comprehensive and coherent Statewide strategies by examining and bringing together key stakeholders. • Assess health workforce supply and demand. Use the gap analysis to inform next steps. • Use universities and other health workforce data oriented organizations to help with data gathering and analysis. • Develop a standard health workforce data set and method for collecting data.

19. What Data? For What? • Measuring supply: practitioners and the pipeline • Measuring demand • Projecting supply and demand • Understanding your workforce • Assessing statewide needs • Assessing local area needs: priority shortage areas

20. The Organization of the Meeting • Information on HRSA supported resources at the state level: AHECs, PCOs and ORHP • Understanding successful models for state health workforce data collection to inform state policies and strategies to build support • National sources of health workforce data: BLS, HWIC and the ARF • The health professions Minimum Data Set (education, demographics and practitioners) • Time for collaboration with peers

21. Contact Information Edward Salsberg Director, National Center for Health Workforce Analysis Bureau of Health Professions Health Resources and Services Administration esalsberg@hrsa.gov 301-443-9355