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Central Minnesota Area Health Education Center

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Central Minnesota Area Health Education Center Central Minnesota Area Health Education Center Central Minnesota Health Professional Workforce and Community Health Analysis August 2007 Prepared by: Rural Health Resource Center Minnesota Center for Rural Health 600 E. Superior Street, Suite 404 Duluth, MN 55802 218-727-9390 www.ruralcenter.org/mcrh Table of Contents Introduction…………………………………………………………………………1-2 Section 1. Current Supply of Health Care Professionals in Central MN A. Physicians in Central MN…………………………………………........3 Figure 1. 2006 Active Physicians Breakdown in Central MN ……………………..3 Table 1. 2006 Active, Licensed Physicians by County in Central MN……………4 Table 2. 2006 Active, Licensed Primary Care Physicians by County in Central MN………………………………………………...5 Table 3. 2006 Active Specialty Physicians by County in Central MN…………….6 Figure 2. 2006 Physician Practice Settings in Central MN…………………………7 B. Advanced Nursing in Central MN Table 4. 2004-2006 Active Advanced Nursing Professions by County in Central MN……………………………………………………………..8 Table 5. 2004-2006 Active Nurse Practitioner Specialties by County in Central MN……………………………………………………………..9 Figure 3. 2004-2006 Active Nurse Practitioners by Practice Setting in Central MN………………………………………………………………10 C. Occupational Therapists in Central MN Table 6. 2006 Active Occupational Therapists by County in Central MN………..11 D. Pharmacists in Central MN Table 7. 2005 Active Pharmacists by County in Central MN…………………….12 E. Dentists in Central MN Table 8. 2005 Active Dentists by County in Central MN……………………….. 13 Figure 4. 2002-2004 Dental Practice Settings in Central MN……………………..14 F. Dental Hygienists in Central MN Table 9. 2005 Active Dental Hygienists by County in Central MN……………...15 G. Physician Assistants in Central MN Table 10. 2006 Active Physician Assistants by County in Central MN…………...16 H. Veterinarians in Central MN Table 11. 2006 Active Veterinarians by County in Central MN…………………..17 I. Physical Therapists in Central MN Table 12. 2006 Active Physical Therapists by County in Central MN……………18 J. Occupational Therapists in Central MN Table 13. 2006 Active Occupational Therapists by County in Central MN………19 K. Potential Supply of Health Care Professionals in Central MN…….20 Table 14. Health Care Professionals in Central MN Compared to the State of MN Overall…………………………………………………………………..20 Section 2. Health Professional Compensation Table 15. Physician Compensation, Midwest vs. St. Cloud, MN………………...21 Table 16. Advanced Practice Nursing Compensation…………………………….22 Table 17. Other Health Professions Compensation……………………………….23 Section 3. Potential Supply of Health Care Professionals in Central MN…….24 Table 18. Number of Health Care Professional Graduates in Central MN Health Professional Programs, 2007…………………………………………...24 Table 19. Central MN Graduate Medical Education………………………………25 L. Projected Supply of Health Care Professionals in Central MN……26 Table 20. Number of Health Care Providers Age 55 and Older in Central MN…..26 Figure 9. Percent of Health Care Processionals Age 55 and Older in Central MN 27 Section 4. Current Demand for Health Care Professionals in Central MN…..28 Table 21. Central MN Physician-to-Population Ratios……………………………28 M. Other Health Care Professional Demand in Central MN…………..29 Table 22. Central MN Care Professional-to-Population Ratios……………………29 Table 23. U.S. and MN Health Care Professional-to-Population Ratios………….30 N. Health Care Professional Vacancies in the Region………………….30 Table 24. Health Care Professional Vacancy Rates in Northwest MN……………30 O. Minnesota Health Care Professional Shortage Areas……………….31 Figure 10. Health Professional Shortage Areas Map: Primary Care……………….32 Figure 11. MN Rational Service Areas – Mental Health HPSA Designations Map 33 Figure 12. Health Professional Shortage Areas Map: Dental Designations………..34 Figure 13. Medically Underserved Areas (MUAs) and Medically Underserved Populations (MUPs)…………………………………………………….35 Section 5. Projected Demand for Health Care Professionals in Central MN….36 Table 25. MN* Population Projections by Region………………………………...36 Table 26. Central MN Populations by County……………………………………. .37 Table 27. Ration of Health Care Professionals per 100,000 Individuals 2000-2020 in Central MN………………………………………………………………38 Section 6. Community Health Analysis for Central MN………………………..39 P. MN Public Health Goals……………………………………………….39 Table 28. MN Public Health Improvement Goals – 2004………………………….41 Table 29. Regional Public Health Priorities by County, 2005-2009……………….43 Q. Behavioral Risk Factors in Central MN………………………………44 Table 30. MN Behavioral Risk Factors of Adults – County Synthetic Estimates and State Estimates, 2005…………………………………………………….45 R. Infant Mortality in Central MN……………………………………….46 Table 31. Minnesota Infant Mortality by State and County………………………..46 S. Unintentional Injury, Homicide and Suicide Fatalities in MN………47 Table 32. Number of Fatal Unintentional Injuries, Homicides and Suicides in MN by County, 2005……………………………………………………………..47 T. Cancer Deaths in MN………………………………………………….48 Table 33. Number and Percent of Cancer Deaths by Type of Cancer Site and Sex in Minnesota by State and County, 2001-2003**………………………….48 Table 34. Number and Percent of Cancer Deaths by Type of Cancer Site and Sex in Minnesota by State and County, 2001-2003**………………………….49 Table 35. Number and Percent of Cancer Deaths by Type of Cancer Site and Sex in Minnesota by State and County, 2001-2003**………………………….50 Table 36. State of Minnesota Leading Causes of Death by Age Group, 2005……..51 Table 37. Central Minnesota – Leading Causes of Death by Age Group, 2005…...52 U. Health Care Facilities in Central MN………………………………..53 Table 38. Regional Health Care Facilities, 2007…………………………………..53 V. Health Care Utilization in Central MN……………….……………...55 Table 39. Health Care Utilization* - Minnesota county Synthetic Estimates and State Estimates, 2002……………………………………………………….….55 Section 7. K – 12 and Community College Inventory of Health Professional Career Activities in Central MN………………………………………56 Figure 14. Target Population for Health Careers Information and Courses in Central MN………………………………………………………………………56 Table 40. Health Career Information/Courses Offered by K-12 Schools in Central MN……………………………………………………………………….57 Table 41. Health Care Professionals Courses Offered by Organizations in Central MN……………………………………………………………………….58 Summary………………………………………………………………………….59-60 References……………………………………………………………………………61 Appendix A. Health Professional Shortage Areas (HPSA)…………….………..62 Primary Care…………………………………………………………………………62 Mental Health………………………………………………………………………...63 Dental………………………………………………………………………………...64 Appendix B. Medically Underserved Areas (MUA)……………………….…....65 Appendix C. Leading Causes of Death in Central MN………………………….66 Big Stone County – Leading Causes of Death by Age Group, 2005………………..66 Clay County – Leading Causes of Death by Age Group, 2005……………………..67 Crow Wing County – Leading Causes of Death by Age Group, 2005……………...68 Douglas County – Leading Causes of Death by Age Group, 2005………………....69 Grant County – Leading Causes of Death by Age Group, 2005……………………70 Morrison County – Leading Causes of Death by Age Group, 2005………………..71 Otter Tail County – Leading Causes of Death by Age Group, 2005……………….72 Pope County – Leading Causes of Death by Age Group, 2005…………………….73 Stearns County – Leading Causes of Death by Age Group, 2005………………….74 Todd County – Leading Causes of Death by Age Group, 2005……………………75 Traverse County – Leading Causes of Death by Age Group, 2005………………...76 Wadena County – Leading Causes of Death by Age Group, 2005………………....77 Wilkin County – Leading Causes of Death by Age Group, 2005…………………..78 Appendix D. K-12 Health Careers Information and Courses Survey for Central MN…………………………..……………………………..79 Introduction In May 2007, the Central Minnesota Area Health Education Center (AHEC) contracted with the Rural Health Resource Center to conduct a comprehensive Health Professional Workforce and Community Health Analysis for Central Minnesota. AHEC is a national program to improve the accessibility and quality of primary health care. The Central Minnesota AHEC promotes rural health education opportunities and addresses health care workforce challenges unique to the region. The central region of Minnesota as defined by AHEC, includes the counties of: Big Stone, Clay, Crow Wing, Douglas, Grant, Morrison, Otter Tail, Pope, Stearns, Stevens, Todd, Traverse, Wadena and Wilkin. The total population of the Central Minnesota AHEC region was 443,995 in 2000. The population of the 14 counties located in the Central Minnesota AHEC region follows: • Big Stone 5,820 • Clay 51,229 • Crow Wing 55,099 • Douglas 32,821 • Grant 6,289 • Morrison 31,712 • Otter Tail 57,159 • Pope 11,236 • Stearns 133,166 • Stevens 10,053 • Todd 24,426 • Traverse 4,134 • Wadena 13,713 • Wilkin 7,138 Focusing on health professional shortage areas and medically underserved populations, AHEC’s develop and support community-based education for medical, dental, nursing, pharmacy, allied health and other health profession students; recruit under-represented and disadvantaged persons into health care careers; conduct health promotion and disease prevention activities; assist communities in recruiting and retaining health professionals; and provide continuing education for health care professionals. The current and future status of health care employment in Central Minnesota was determined by gathering information and conducting an analysis to make projections in demand based on current employment,
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