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Trends in the Supply of and Demand for Health Workers 2018 The Health Care Workforce in New York Trends in the Supply of and Demand for Health Workers School of Public Health University at Albany, State University of New York The Health Care Workforce in New York: Trends in the Supply of and Demand for Health Workers March 2018 School of Public Health, University at Albany State University of New York 1 University Place, Suite 220 Rensselaer, NY 12144-3445 Phone: (518) 402-0250 Web: www.chwsny.org Email: [email protected] PREFACE This report summarizes data and information about New York’s health workforce to describe supply of and demand for workers and to provide projections for future demand. A key goal of this report is to assist policy makers and other stakeholders in: • making informed decisions on health workforce education and job training investments; • addressing the most pressing health care workforce needs; • guide health workforce policies, including decisions about the capacity of health professions education programs; and • informing current and prospective students about health care employment prospects and opportunities. This report was prepared by Center for Health Workforce Studies (CHWS) staff, including Robert Martiniano, R. Ashley Krohmal, Lauren Boyd, Yuhao Liu, Nafin Harun, Evan Harasta, Shen Wang, and Jean Moore, with editing by Matt Allegretti. Funding for this report was provided by the 1199 Hospital League Health Care Industry Planning and Placement Fund, Inc. Established in 1996, CHWS is an academic research center, based at the School of Public Health, University at Albany, State University of New York (SUNY). The mission of CHWS is to provide timely, accurate data and conduct policy relevant research about the health workforce. The research conducted by CHWS supports and promotes health workforce planning and policymaking at local, regional, state, and national levels. Today, CHWS has established itself as a national leader in the field of health workforce studies. The views expressed in this report are those of CHWS and do not necessarily represent positions or policies of SUNY or 1199 Hospital League Health Care Industry Planning and Placement Fund, Inc. March 2018 Center for Health Workforce Studies 1 ACKNOWLEDGEMENTS Special appreciation is extended to the participating provider associations as well as the human resources staff who provided valuable information about health workforce recruitment and retention issues. SUGGESTED CITATION Martiniano R, Krohmal R, Boyd L, Liu Y, Harun N, Harasta E, Wang S, Moore J. The Health Care Workforce in New York: Trends in the Supply of and Demand for Health Workers. Rensselaer, NY: Center for Health Workforce Studies, School of Public Health, SUNY Albany; March 2018. Center for Health Workforce Studies 2 Table of Contents I. EXECUTIVE SUMMARY ......................................................................................................................... 4 A. BACKGROUND.......................................................................................................................................... 4 B. KEY FINDINGS ............................................................................................................................................5 II. BACKGROUND .................................................................................................................................... 6 A. OVERVIEW .................................................................................................................................................6 B. OBJECTIVES AND GOALS..............................................................................................................................7 C. DATA SOURCES AND METHODS ...................................................................................................................7 D. TERMINOLOGY ........................................................................................................................................ 10 E. GEOGRAPHIC AREAS ................................................................................................................................ 12 III. THE HEALTH CARE WORKFORCE IN THE UNITED STATES............................................................. 14 A. Total Employment ......................................................................................................................... 14 B. By Setting ........................................................................................................................................ 15 C. By Occupation ................................................................................................................................ 18 IV. NEW YORK HEALTH SECTOR EMPLOYMENT ................................................................................. 20 A. TOTAL EMPLOYMENT ............................................................................................................................... 20 B. HEALTH SECTOR EMPLOYMENT .............................................................................................................. 245 C. BY REGION ............................................................................................................................................. 26 1. Hospital Employment ................................................................................................................... 28 2. Ambulatory Care ........................................................................................................................... 29 3. Nursing and Personal Care Facility Employment ...................................................................... 30 4. Home Health Care ......................................................................................................................... 31 D. BY OCCUPATION ..................................................................................................................................... 32 E. PRIMARY CARE PHYSICIANS ...................................................................................................................... 36 F. TRENDS IN NEW YORK RN EDUCATION, 2005-2016 ................................................................................ 40 G. DEMAND FOR WORKERS .......................................................................................................................... 42 1. Hospitals ......................................................................................................................................... 43 2. Performing Provider Systems……………………………………………………………………………………………44 3. Nursing Homes .............................................................................................................................. 47 4. Home Health Care Agencies......................................................................................................... 48 5. Federally Qualified Health Centers ............................................................................................. 49 H. PROJECTED JOB GROWTH ......................................................................................................................... 50 V. REGIONAL PROFILES ........................................................................................................................ 51 A. NEW YORK CITY ...................................................................................................................................... 51 B. CAPITAL DISTRICT .................................................................................................................................... 67 C. CENTRAL NEW YORK ............................................................................................................................... 80 D. FINGER LAKES ......................................................................................................................................... 93 E. HUDSON VALLEY ................................................................................................................................... 106 F. LONG ISLAND ....................................................................................................................................... 119 G. MOHAWK VALLEY .................................................................................................................................. 132 H. NORTH COUNTRY.................................................................................................................................. 145 I. SOUTHERN TIER .................................................................................................................................... 158 J. WESTERN NEW YORK .............................................................................................................................. 17 Center for Health Workforce Studies 3 I. EXECUTIVE SUMMARY A. Background The health workforce is a vital part of New York State’s health care delivery system. Efforts to improve the quality of health services and expand access to care depends on the availability of an adequate supply of appropriately prepared health workers. With the rapid pace of change in health care, it has become more important and more challenging to assess current and future health workforce needs. Among the most significant changes that affect the demand for health workers include: • The shifting focus of the health care delivery system to primary care and prevention; • Increasing use of team-based service delivery
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