2016 The Health Care Workforce in New York, 2015-2016 Trends in the Supply and Demand for Health Workers School of Public Health University at Albany, State University of New York The Health Care Workforce in New York, 2015-2016: Trends in the Supply of and Demand for Health Workers February 2017 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. The goals of this report are to assist policy makers and other stakeholders to target health workforce education and job training resources to address the most pressing health care workforce needs; to guide health workforce policies, including decisions about the capacity of health professions education programs; and to inform 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, Lauren Boyd, Randy Rosario, Jenny Gao, Yuhao Liu, Nafin Harun, Shen Wang, and Jean Moore, with editing by Rachel Carter and Leanne Keough. 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 organization, 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 the School of Public Health, University at Albany, SUNY, the New York State Education Department, the New York State Department of Health, or 1199 Hospital League Health Care Industry Planning and Placement Fund, Inc. February 2017 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, Boyd L, Rosario R, Gao J, Liu Y, Harun N, Wang S, Moore J. The Health Care Workforce in New York, 2015-2016: Trends in the Supply and Demand for Health Workers. Rensselaer, NY: Center for Health Workforce Studies, School of Public Health, SUNY Albany; February 2017. Center for Health Workforce Studies 2 Table of Contents I. EXECUTIVE SUMMARY ........................................................................................................................ 4 A. BACKGROUND ........................................................................................................................................... 4 B. KEY FINDINGS ............................................................................................................................................ 5 II. BACKGROUND ................................................................................................................................... 7 A. OVERVIEW ................................................................................................................................................. 7 B. OBJECTIVES AND GOALS ............................................................................................................................. 8 C. DATA SOURCES AND METHODS................................................................................................................... 8 D. TERMINOLOGY ......................................................................................................................................... 12 E. GEOGRAPHIC AREAS ................................................................................................................................. 13 III. THE HEALTH CARE WORKFORCE IN THE UNITED STATES ............................................................ 15 A. Total Employment .......................................................................................................................... 15 B. By Setting ........................................................................................................................................ 16 C. By Occupation................................................................................................................................. 19 IV. NEW YORK HEALTH SECTOR EMPLOYMENT ................................................................................. 21 A. TOTAL EMPLOYMENT................................................................................................................................ 21 B. HEALTH SECTOR EMPLOYMENT ................................................................................................................. 23 C. BY REGION .............................................................................................................................................. 24 1. Hospital Employment .................................................................................................................... 26 2. Ambulatory Care ............................................................................................................................ 27 3. Nursing and Personal Care Facility Employment ...................................................................... 28 4. Home Health Care .......................................................................................................................... 29 D. BY OCCUPATION ...................................................................................................................................... 29 E. PRIMARY CARE PHYSICIANS ....................................................................................................................... 32 F. TRENDS IN NEW YORK RN EDUCATION, 2005-2016 ................................................................................. 35 G. DEMAND FOR WORKERS ........................................................................................................................... 40 1. Hospitals .......................................................................................................................................... 41 2. Nursing Homes ............................................................................................................................... 41 3. Home Health Care Agencies ......................................................................................................... 43 4. Federally Qualified Health Centers .............................................................................................. 44 H. PROJECTED JOB GROWTH.......................................................................................................................... 45 V. REGIONAL PROFILES........................................................................................................................ 46 A. NEW YORK CITY ....................................................................................................................................... 46 B. CAPITAL DISTRICT .................................................................................................................................... 61 C. CENTRAL NEW YORK ................................................................................................................................ 73 D. FINGER LAKES .......................................................................................................................................... 85 E. HUDSON VALLEY ...................................................................................................................................... 97 F. LONG ISLAND ....................................................................................................................................... 109 G. MOHAWK VALLEY.................................................................................................................................. 121 H. NORTH COUNTRY ................................................................................................................................. 133 I. SOUTHERN TIER .................................................................................................................................... 145 J. WESTERN NEW YORK ............................................................................................................................ 157 Center for Health Workforce Studies 3 I. EXECUTIVE SUMMARY A. Background The health workforce is a cornerstone of the health care delivery system. Efforts to provide high-quality, accessible health care depend on the availability of an adequate supply of appropriately trained health workers. At a time when health care systems are undergoing dramatic changes, data and information on the health workforce can greatly contribute to informed decision making. The health care sector continues to grow in New York, accounting for about 12% of total employment, and continues to increase faster than