MINNESOTA’S HEALTH CARE WORKFORCE: AN OVERVIEW€¦ · Establish infrastructure for coordinated health workforce data, planning, and development and develop strategies for immediate
22
MINNESOTA’S HEALTH CARE WORKFORCE: AN OVERVIEW February 2015
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Renewed Focus on the Health Care Workforce
Current Health Care Employment Projected Growth in MN
Carnivale AP Smith N Gulish A Beach BH Health Care Georgetown University Center on Education and the Workforce 2012
Health Professional Shortage Area ndash Mental(Geographic)June 2014
Minnesota RegionNumber of Minnesota
Licenses
Central 30Northeast 16Northwest 17MinneapolisSt Paul 337Southeast 75Southwest 22Statewide 497
Table 1d Number of Psychiatrists who are Licensed by Region and Statewide (March 2012)
Minnesota RegionNumber of Minnesota Licenses
NumberEmployed
Central 265 200Northeast 182 240Northwest 182 130MinneapolisSt Paul 2495 1500Southeast 250 240Southwest 144 160Statewide 3518 2420
Table 2a Number of Clinical Counseling and School Psychologists who are Licensed by Region and Statewide (2014)
Minnesota Region
Total Number of Minnesota Licenses
Central 451Northeast 349Northwest 306MinneapolisSt Paul
4563Southeast 471Southwest 255Statewide 6395
Table 3d Number of Social Workers who are Licensed by Region and Statewide (2014)
Minnesotarsquos Mental Health Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Table 4d Number of Marriage amp Family therapists Licensed by Region and Statewide (June 2013)
Minnesota RegionNumber of Minnesota
Licenses
Central 146Northeast 50Northwest 57MinneapolisSt Paul 1112Southeast 59Southwest 65Statewide 1489
Minnesota RegionNumber of Minnesota Licenses
(LPCs and LPCCs)
Central 120Northeast 59Northwest 60MinneapolisSt Paul 666Southeast 99Southwest 62Statewide 1066
Table 5c Number of Mental Health Counselors who are Licensed and Employed by Region and Statewide (2014)
Minnesota RegionNumber of Minnesota
APRNsCentral 32Northeast 33Northwest 34MinneapolisSt Paul 153Southeast 35Southwest 16Statewide 303
Table 6d Number of Licensed Advanced Practice PsychiatricNurses (2011-2012)
Health Professional Shortage Area ndashPrimary (June 2014)
Minnesotarsquos Primary Care Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Current Health Care Employment Projected Growth in MN
Carnivale AP Smith N Gulish A Beach BH Health Care Georgetown University Center on Education and the Workforce 2012
Health Professional Shortage Area ndash Mental(Geographic)June 2014
Minnesota RegionNumber of Minnesota
Licenses
Central 30Northeast 16Northwest 17MinneapolisSt Paul 337Southeast 75Southwest 22Statewide 497
Table 1d Number of Psychiatrists who are Licensed by Region and Statewide (March 2012)
Minnesota RegionNumber of Minnesota Licenses
NumberEmployed
Central 265 200Northeast 182 240Northwest 182 130MinneapolisSt Paul 2495 1500Southeast 250 240Southwest 144 160Statewide 3518 2420
Table 2a Number of Clinical Counseling and School Psychologists who are Licensed by Region and Statewide (2014)
Minnesota Region
Total Number of Minnesota Licenses
Central 451Northeast 349Northwest 306MinneapolisSt Paul
4563Southeast 471Southwest 255Statewide 6395
Table 3d Number of Social Workers who are Licensed by Region and Statewide (2014)
Minnesotarsquos Mental Health Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Table 4d Number of Marriage amp Family therapists Licensed by Region and Statewide (June 2013)
Minnesota RegionNumber of Minnesota
Licenses
Central 146Northeast 50Northwest 57MinneapolisSt Paul 1112Southeast 59Southwest 65Statewide 1489
Minnesota RegionNumber of Minnesota Licenses
(LPCs and LPCCs)
Central 120Northeast 59Northwest 60MinneapolisSt Paul 666Southeast 99Southwest 62Statewide 1066
Table 5c Number of Mental Health Counselors who are Licensed and Employed by Region and Statewide (2014)
Minnesota RegionNumber of Minnesota
APRNsCentral 32Northeast 33Northwest 34MinneapolisSt Paul 153Southeast 35Southwest 16Statewide 303
Table 6d Number of Licensed Advanced Practice PsychiatricNurses (2011-2012)
Health Professional Shortage Area ndashPrimary (June 2014)
Minnesotarsquos Primary Care Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Health Professional Shortage Area ndash Mental(Geographic)June 2014
Minnesota RegionNumber of Minnesota
Licenses
Central 30Northeast 16Northwest 17MinneapolisSt Paul 337Southeast 75Southwest 22Statewide 497
Table 1d Number of Psychiatrists who are Licensed by Region and Statewide (March 2012)
Minnesota RegionNumber of Minnesota Licenses
NumberEmployed
Central 265 200Northeast 182 240Northwest 182 130MinneapolisSt Paul 2495 1500Southeast 250 240Southwest 144 160Statewide 3518 2420
Table 2a Number of Clinical Counseling and School Psychologists who are Licensed by Region and Statewide (2014)
Minnesota Region
Total Number of Minnesota Licenses
Central 451Northeast 349Northwest 306MinneapolisSt Paul
4563Southeast 471Southwest 255Statewide 6395
Table 3d Number of Social Workers who are Licensed by Region and Statewide (2014)
Minnesotarsquos Mental Health Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Table 4d Number of Marriage amp Family therapists Licensed by Region and Statewide (June 2013)
Minnesota RegionNumber of Minnesota
Licenses
Central 146Northeast 50Northwest 57MinneapolisSt Paul 1112Southeast 59Southwest 65Statewide 1489
Minnesota RegionNumber of Minnesota Licenses
(LPCs and LPCCs)
Central 120Northeast 59Northwest 60MinneapolisSt Paul 666Southeast 99Southwest 62Statewide 1066
Table 5c Number of Mental Health Counselors who are Licensed and Employed by Region and Statewide (2014)
Minnesota RegionNumber of Minnesota
APRNsCentral 32Northeast 33Northwest 34MinneapolisSt Paul 153Southeast 35Southwest 16Statewide 303
Table 6d Number of Licensed Advanced Practice PsychiatricNurses (2011-2012)
Health Professional Shortage Area ndashPrimary (June 2014)
Minnesotarsquos Primary Care Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Minnesota RegionNumber of Minnesota
Licenses
Central 30Northeast 16Northwest 17MinneapolisSt Paul 337Southeast 75Southwest 22Statewide 497
Table 1d Number of Psychiatrists who are Licensed by Region and Statewide (March 2012)
Minnesota RegionNumber of Minnesota Licenses
NumberEmployed
Central 265 200Northeast 182 240Northwest 182 130MinneapolisSt Paul 2495 1500Southeast 250 240Southwest 144 160Statewide 3518 2420
Table 2a Number of Clinical Counseling and School Psychologists who are Licensed by Region and Statewide (2014)
Minnesota Region
Total Number of Minnesota Licenses
Central 451Northeast 349Northwest 306MinneapolisSt Paul
4563Southeast 471Southwest 255Statewide 6395
Table 3d Number of Social Workers who are Licensed by Region and Statewide (2014)
Minnesotarsquos Mental Health Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Table 4d Number of Marriage amp Family therapists Licensed by Region and Statewide (June 2013)
Minnesota RegionNumber of Minnesota
Licenses
Central 146Northeast 50Northwest 57MinneapolisSt Paul 1112Southeast 59Southwest 65Statewide 1489
Minnesota RegionNumber of Minnesota Licenses
(LPCs and LPCCs)
Central 120Northeast 59Northwest 60MinneapolisSt Paul 666Southeast 99Southwest 62Statewide 1066
Table 5c Number of Mental Health Counselors who are Licensed and Employed by Region and Statewide (2014)
Minnesota RegionNumber of Minnesota
APRNsCentral 32Northeast 33Northwest 34MinneapolisSt Paul 153Southeast 35Southwest 16Statewide 303
Table 6d Number of Licensed Advanced Practice PsychiatricNurses (2011-2012)
Health Professional Shortage Area ndashPrimary (June 2014)
Minnesotarsquos Primary Care Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Table 4d Number of Marriage amp Family therapists Licensed by Region and Statewide (June 2013)
Minnesota RegionNumber of Minnesota
Licenses
Central 146Northeast 50Northwest 57MinneapolisSt Paul 1112Southeast 59Southwest 65Statewide 1489
Minnesota RegionNumber of Minnesota Licenses
(LPCs and LPCCs)
Central 120Northeast 59Northwest 60MinneapolisSt Paul 666Southeast 99Southwest 62Statewide 1066
Table 5c Number of Mental Health Counselors who are Licensed and Employed by Region and Statewide (2014)
Minnesota RegionNumber of Minnesota
APRNsCentral 32Northeast 33Northwest 34MinneapolisSt Paul 153Southeast 35Southwest 16Statewide 303
Table 6d Number of Licensed Advanced Practice PsychiatricNurses (2011-2012)
Health Professional Shortage Area ndashPrimary (June 2014)
Minnesotarsquos Primary Care Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Health Professional Shortage Area ndashPrimary (June 2014)
Minnesotarsquos Primary Care Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Minnesotarsquos Primary Care Providers
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Figure 2-9 Regional Distribution of Minnesotarsquos Primary Care Physicians
Source Minnesotarsquos Primary Care Workforce Report 2011-2012Data MDH amp BMP
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
Chart1
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
FM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
09976340694
05406976744
01598837209
02034883721
00959302326
04331983806
04858299595
0020242915
00607287449
04316239316
01923076923
02222222222
01538461538
00448979592
03551020408
03918367347
02081632653
00445544554
0495049505
03069306931
01534653465
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Twin Cities (N=1268)
Central (N=344)
Central (N=344)
Central (N=344)
Central (N=344)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Southeast (N=247)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northeast (N=234)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Northwest (N=245)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
Southwest (N=202)
IM_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
09119804401
00831295844
001
07816091954
01379310345
00804597701
07789473684
00947368421
00947368421
00315789474
06543209877
02345679012
01111111111
09
01
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Twin Cities (N=992)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Southeast (N=409)
Central (N=87)
Central (N=87)
Central (N=87)
Central (N=87)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northeast (N=95)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Northwest (N=81)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Southwest (N=40)
Peds_Fig
Urban
Large Rural
Small Rural
Isolated Rural
1
08148148148
01111111111
00740740741
07578947368
02315789474
00105263158
07333333333
01333333333
01
00333333333
07916666667
0125
00833333333
1
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Twin Cities (N=600)
Central (N=54)
Central (N=54)
Central (N=54)
Central (N=54)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Southeast (N=95)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northeast (N=30)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Northwest (N=24)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
Southwest (n=17)
region_ruca
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
Broad Physician General Certification Groups
Frequency
Percent
General Family Medicine
2917
497
General Internal Medicine
2050
349
General Pediatrics
904
154
Total
5871
100
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
1679
410
285
166
2540
661
161
112
65
100
General Internal Medicine
1507
144
37
16
1704
884
85
22
09
100
General Pediatrics
738
68
10
4
820
900
83
12
05
100
Total
3924
622
332
186
5064
775
123
66
37
100
Broad Physician General Certification Groups Plan Region Crosstabulation
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
General Family Medicine
377
344
234
245
247
202
1268
2917
General Internal Medicine
346
87
95
81
409
40
992
2050
General Pediatrics
84
54
30
24
95
17
600
904
Total
807
485
359
350
751
259
2860
5871
Plan Region Census Tract RUCAs Broad Physician General Certification Groups Crosstabulation
Count
Census Tract RUCAs
Broad Physician General Certification Groups
Urban
Large Rural
Small Rural
Isolated Rural
Total
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Family Medicine
Twin Cities
1265
3
0
0
1268
Twin Cities (N=1268)
100
100
Central
186
55
70
33
344
Central (N=344)
54
16
20
10
100
Southeast
107
120
5
15
247
Southeast (N=247)
43
49
2
6
100
Northeast
101
45
52
36
234
Northeast (N=234)
43
19
22
15
100
Northwest
11
87
96
51
245
Northwest (N=245)
4
36
39
21
100
Southwest
9
100
62
31
202
Southwest (N=202)
4
50
31
15
100
Total
1679
410
285
166
2540
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Internal Medicine
Twin Cities
992
0
0
0
992
Twin Cities (N=992)
100
100
Southeast
373
34
2
0
409
Southeast (N=409)
91
8
1
100
Central
68
12
7
0
87
Central (N=87)
78
14
8
100
Northeast
74
9
9
3
95
Northeast (N=95)
78
9
9
3
100
Northwest
0
53
19
9
81
Northwest (N=81)
65
23
11
100
Southwest
0
36
0
4
40
Southwest (N=40)
90
10
100
Total
1507
144
37
16
1704
Urban
Large Rural
Small Rural
Isolated Rural
Total
General Pediatrics
Twin Cities
600
0
0
0
600
Twin Cities (N=600)
100
100
Central
44
6
4
0
54
Central (N=54)
81
11
7
100
Southeast
72
22
0
1
95
Southeast (N=95)
76
23
1
100
Northeast
22
4
3
1
30
Northeast (N=30)
73
13
10
3
100
Northwest
0
19
3
2
24
Northwest (N=24)
79
13
8
100
Southwest
0
17
0
0
17
Southwest (n=17)
100
100
Total
738
68
10
4
820
Total
Central
298
73
81
33
485
Northeast
197
58
64
40
359
Northwest
11
159
118
62
350
Southeast
552
176
7
16
751
Southwest
9
153
62
35
259
Twin Cities
2857
3
0
0
2860
Total
3924
622
332
186
5064
Census Tract RUCAs
Frequency
Percent
Urban
13635
86
Large Rural
1433
9
Small Rural
551
3
Isolated Rural
288
2
Total
15907
100
survey_flag
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
MN Physicians
New License Flag
No Survey
Yes Survey
Total
License Renewal
Broad Physician General Certification Groups
No Certification
1189
1422
2611
General Family Medicine
876
1645
2521
General Internal Medicine
707
936
1643
General Pediatrics
341
455
796
General OBGYN
202
285
487
General Surgery
140
189
329
General Psychiatry
141
224
365
General Facility-based
806
827
1633
General Other
251
307
558
Subspecialties amp Mixed Specialties
2016
2250
4266
Total
6669
8540
15209
New License
Broad Physician General Certification Groups
No Certification
506
506
General Family Medicine
19
19
General Internal Medicine
61
61
General Pediatrics
24
24
General OBGYN
3
3
General Surgery
7
7
General Psychiatry
3
3
General Facility-based
20
20
General Other
6
6
Subspecialties amp Mixed Specialties
49
49
Total
698
698
Total
Broad Physician General Certification Groups
No Certification
1695
1422
3117
General Family Medicine
895
1645
2540
General Internal Medicine
768
936
1704
General Pediatrics
365
455
820
General OBGYN
205
285
490
General Surgery
147
189
336
General Psychiatry
144
224
368
General Facility-based
826
827
1653
General Other
257
307
564
Subspecialties amp Mixed Specialties
2065
2250
4315
Total
7367
8540
15907
practice_site
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
Physician Practice State
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Unknown
4144
204
204
204
MN Only
12813
631
631
835
MN amp Other State
252
12
12
848
Other State Only
3095
152
152
100
Total
20304
100
100
All
Physician Mailing and Practice Location combinations
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
MN mail + MN practice
12679
624
624
624
MN mail + MN and Other State practices
101
05
05
629
MN mail + Other State practice
101
05
05
634
Other State mail + MN practice
134
07
07
641
Other State mail + MN and Other State practices
151
07
07
648
Other State mail + Other State practice
2994
147
147
796
MN mail + No practice
3010
148
148
944
No mail + No practice
1134
56
56
100
Total
20304
100
100
MN Mail Only
Broad Physician General Certification Groups Number of MN Practice Locations Crosstabulation
Count
Number of MN Practice Locations
0
1
2
Total
Broad Physician General Certification Groups
No Certification
1499
1269
349
3117
General Family Medicine
200
1841
499
2540
General Internal Medicine
383
1127
194
1704
General Pediatrics
136
549
135
820
General OBGYN
55
271
164
490
General Surgery
53
215
68
336
General Psychiatry
37
225
106
368
General Facility-based
264
1147
242
1653
General Other
60
377
127
564
Subspecialties amp Mixed Specialties
438
3008
869
4315
Total
3125
10029
2753
15907
MN Mail Only
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1483
1602
16
16
3117
General Family Medicine
183
2331
9
17
2540
General Internal Medicine
376
1313
8
7
1704
General Pediatrics
134
679
5
2
820
General OBGYN
50
431
4
5
490
General Surgery
49
282
1
4
336
General Psychiatry
35
328
3
2
368
General Facility-based
236
1376
13
28
1653
General Other
55
502
2
5
564
Subspecialties amp Mixed Specialties
415
3837
40
23
4315
Total
3016
12681
101
109
15907
All Docs
Broad Physician General Certification Groups Physician Practice State Crosstabulation
Count
Physician Practice State
Unknown
MN Only
MN amp Other State
Other State Only
Total
Broad Physician General Certification Groups
No Certification
1871
1630
37
574
4112
General Family Medicine
266
2344
29
278
2917
General Internal Medicine
471
1333
23
223
2050
General Pediatrics
159
680
9
56
904
General OBGYN
76
433
4
52
565
General Surgery
89
284
6
95
474
General Psychiatry
57
336
7
74
474
General Facility-based
414
1393
27
540
2374
General Other
95
504
11
145
755
Subspecialties amp Mixed Specialties
646
3876
99
1058
5679
Total
4144
12813
252
3095
20304
gen-specXmail-prac
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
All MN Licensed Docs March 2012
Broad Physician General Certification Groups
Physician Mailing amp Practice Location combinations
No Certification
General Family Medicine
General Internal Medicine
General Pediatrics
General OBGYN
General Surgery
General Psychiatry
General Facility-based
General Other
Subspecialties amp Mixed Specialties
Total
MN mail + MN practice
1602
2331
1313
678
431
282
328
1376
502
3836
12679
MN mail + MN amp Other State practices
16
9
8
5
4
1
3
13
2
40
101
MN mail + Other State practice
15
17
6
2
4
3
2
27
5
20
101
Other State mail + MN practice
28
13
20
2
2
2
8
17
2
40
134
Other State mail + MN amp Other State practices
21
20
15
4
0
5
4
14
9
59
151
Other State mail + Other State practice
559
261
217
54
48
92
72
513
140
1038
2994
MN mail + No practice
1482
183
373
134
50
49
35
235
55
414
3010
No MN mail + No practice
389
83
98
25
26
40
22
179
40
232
1134
Total
4112
2917
2050
904
565
474
474
2374
755
5679
20304
survey_stuff
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Broad Physician General Certification Groups HOSPITALIST_EMPLOYED Crosstabulation
HOSPITALIST_EMPLOYED
N
Y
Total
General Family Medicine
1220
1599
98
2917
General Internal Medicine
1087
674
289
2050
General Pediatrics
458
412
34
904
Total
2765
2685
421
5871
WORK_STATUS Broad Physician General Certification Groups Crosstabulation
Broad Physician General Certification Groups
General Family Medicine
General Internal Medicine
General Pediatrics
Total
No Response
1048
925
396
2369
1) Employed in a paid position requiring a physician license
1785
1020
453
3258
3) Employed in another field but seeking work as physician
11
1
3
15
4) Employed in another field and not seeking work as a physician
8
19
9
36
5) Not currently working due to family or medical reasons
18
12
9
39
6) Retired
25
52
23
100
7) Unemployed seeking work as a physician
13
12
3
28
8) Unemployed NOT seeking work as a physician
7
3
5
15
9) Student
2
6
3
11
Total
2917
2050
904
5871
Broad Physician General Certification Groups MULTIPLE_SITES Crosstabulation
MULTIPLE_SITES
N
Y
Total
General Family Medicine
1224
1107
586
2917
General Internal Medicine
1077
689
284
2050
General Pediatrics
460
294
150
904
2761
2090
1020
5871
Broad Physician General Certification Groups Census Tract RUCAs MULTIPLE_SITES Crosstabulation
Count
Census Tract RUCAs
MULTIPLE_SITES
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
660
188
123
74
1045
General Internal Medicine
795
71
21
8
895
General Pediatrics
364
40
8
4
416
Total
1819
299
152
86
2356
N
Broad Physician General Certification Groups
General Family Medicine
667
165
101
50
983
General Internal Medicine
518
51
12
4
585
General Pediatrics
237
22
2
0
261
Total
1422
238
115
54
1829
Y
Broad Physician General Certification Groups
General Family Medicine
352
57
61
42
512
General Internal Medicine
194
22
4
4
224
General Pediatrics
137
6
0
0
143
Total
683
85
65
46
879
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Fig_pcdocs_age
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
00791338583
01972988843
0156097561
02948818898
02795067528
02975609756
02964566929
02337052261
02353658537
02732283465
02014092777
02073170732
00562992126
00880798591
01036585366
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
lt 35yrs
lt 35yrs
lt 35yrs
35 - 44 yrs
35 - 44 yrs
35 - 44 yrs
45 - 54 yrs
45 - 54 yrs
45 - 54 yrs
55 - 64 yrs
55 - 64 yrs
55 - 64 yrs
65 yrs +
65 yrs +
65 yrs +
Fig_PC-Sex
Female
Male
03972440945
06027559055
03585680751
06414319249
06024390244
03975609756
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
General Family Medicine (N=2540)
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
General Pediatrics (N=820)
board_basics-all
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
Primary Care Docs Only - Eds Method - All Licenses including out-of-state
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2875
42
2917
General Internal Medicine
1967
83
2050
General Pediatrics
876
28
904
Total
Total
5718
153
5871
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
Pie
Female
Male
Total
Female
Male
Total
Total
Broad Physician General Certification Groups
General Family Medicine (N=2917)
1
1124
1792
2917
39
61
100
50
General Internal Medicine (N=2050)
0
716
1334
2050
35
65
100
35
General Pediatrics (N=904)
0
537
367
904
59
41
100
15
Total
Total
1
2377
3493
5871
40
59
100
100
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
225
836
875
807
174
2917
General Family Medicine (N=2917)
8
29
30
28
6
100
General Internal Medicine
377
558
494
436
184
2049
General Internal Medicine (N=2050)
18
27
24
21
9
100
General Pediatrics
139
262
206
198
99
904
General Pediatrics (N=904)
15
29
23
22
11
100
Total
Total
741
1656
1575
1441
457
5870
Total
13
28
27
25
8
100
Broad Physician General Certification Groups GENDER N_AGEGRP Crosstabulation
Count
GENDER
N_AGEGRP
F
M
Total
lt 35yrs
Broad Physician General Certification Groups
General Family Medicine
135
90
225
General Internal Medicine
173
204
377
General Pediatrics
109
30
139
Total
417
324
741
35 - 44 yrs
Broad Physician General Certification Groups
General Family Medicine
1
437
398
836
General Internal Medicine
0
235
323
558
General Pediatrics
0
192
70
262
Total
1
864
791
1656
45 - 54 yrs
Broad Physician General Certification Groups
General Family Medicine
334
541
875
General Internal Medicine
183
311
494
General Pediatrics
126
80
206
Total
643
932
1575
55 - 64 yrs
Broad Physician General Certification Groups
General Family Medicine
206
601
807
General Internal Medicine
107
329
436
General Pediatrics
87
111
198
Total
400
1041
1441
65 yrs +
Broad Physician General Certification Groups
General Family Medicine
12
162
174
General Internal Medicine
18
166
184
General Pediatrics
23
76
99
Total
53
404
457
Total
Broad Physician General Certification Groups
General Family Medicine
1
1124
1792
2917
General Internal Medicine
0
716
1333
2049
General Pediatrics
0
537
367
904
Total
1
2377
3492
5870
age_region
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Plan Region N_AGEGRP Broad Physician General Certification Groups Crosstabulation
Count
N_AGEGRP
Broad Physician General Certification Groups
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
General Family Medicine
Plan Region
24
87
122
113
31
377
Central
32
104
102
86
20
344
Northeast
19
65
73
67
10
234
Northwest
16
54
85
76
14
245
Southeast
17
74
82
66
8
247
Southwest
21
62
58
50
11
202
Twin Cities
96
390
353
349
80
1268
Total
225
836
875
807
174
2917
General Internal Medicine
Plan Region
41
82
96
93
34
346
Central
13
25
21
16
12
87
Northeast
10
26
27
22
9
94
Northwest
12
17
20
24
8
81
Southeast
144
105
72
61
27
409
Southwest
5
14
9
7
5
40
Twin Cities
152
289
249
213
89
992
Total
377
558
494
436
184
2049
General Pediatrics
Plan Region
11
18
13
28
14
84
Central
5
23
18
5
3
54
Northeast
2
9
5
5
9
30
Northwest
1
11
6
6
0
24
Southeast
26
36
16
8
9
95
Southwest
1
5
4
5
2
17
Twin Cities
93
160
144
141
62
600
Total
139
262
206
198
99
904
Total
Plan Region
76
187
231
234
79
807
Central
50
152
141
107
35
485
Northeast
31
100
105
94
28
358
Northwest
29
82
111
106
22
350
Southeast
187
215
170
135
44
751
Southwest
27
81
71
62
18
259
Twin Cities
341
839
746
703
231
2860
Total
741
1656
1575
1441
457
5870
Northeast Region Only March 2012
Broad Physician General Certification Groups N_AGEGRP GENDER Crosstabulation
Count
N_AGEGRP
GENDER
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
Broad Physician General Certification Groups
General Family Medicine
9
37
31
19
1
97
General Internal Medicine
4
11
3
4
2
24
General Pediatrics
2
7
3
3
2
17
Total
15
55
37
26
5
138
M
Broad Physician General Certification Groups
General Family Medicine
10
28
42
48
9
137
General Internal Medicine
6
15
24
18
7
70
General Pediatrics
0
2
2
2
7
13
Total
16
45
68
68
23
220
Total
Broad Physician General Certification Groups
General Family Medicine
19
65
73
67
10
234
General Internal Medicine
10
26
27
22
9
94
General Pediatrics
2
9
5
5
9
30
Total
31
100
105
94
28
358
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
F
General Family Medicine
9
37
31
19
1
97
9
38
32
20
1
100
47
57
42
28
10
41
M
General Family Medicine
10
28
42
48
9
137
7
20
31
35
7
100
53
43
58
72
90
59
Total FM
19
65
73
67
10
234
100
100
100
100
100
100
F
General Internal Medicine
4
11
3
4
2
24
17
46
13
17
8
100
40
42
11
18
22
26
M
General Internal Medicine
6
15
24
18
7
70
9
21
34
26
10
100
60
58
89
82
78
74
Total IM
10
26
27
22
9
94
100
100
100
100
100
100
F
General Pediatrics
2
7
3
3
2
17
12
41
18
18
12
100
100
78
60
60
22
57
M
General Pediatrics
0
2
2
2
7
13
0
15
15
15
54
100
0
22
40
40
78
43
Total Peds
2
9
5
5
9
30
100
100
100
100
100
100
hrs_sex_ruca
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Minnesota docs only responding to MDH survey 2011
Report
WEEK_TOTAL_HOURS
GENDER
Broad Physician General Certification Groups
Census Tract RUCAs
Mean
N
Std Deviation
F
General Family Medicine
Urban
3743
479
17604
Large Rural
4071
76
187
Small Rural
4385
59
20047
Isolated Rural
4693
30
18
Total
3885
644
18146
General Internal Medicine
Urban
415
304
23176
Large Rural
4567
24
24178
Small Rural
30
3
26458
Isolated Rural
355
4
2635
Total
4162
335
23256
General Pediatrics
Urban
3657
259
16887
Large Rural
3463
19
2131
Small Rural
45
2
7071
Total
365
280
17145
Total
Urban
384
1042
19323
Large Rural
4074
119
20407
Small Rural
4323
64
20045
Isolated Rural
4559
34
19022
Total
3907
1259
19501
M
General Family Medicine
Urban
4402
625
17696
Large Rural
4343
188
21183
Small Rural
4683
120
21578
Isolated Rural
4759
68
21676
Total
4449
1001
1918
General Internal Medicine
Urban
4286
515
22883
Large Rural
4235
63
27216
Small Rural
42
17
28417
Isolated Rural
475
6
27884
Total
4283
601
23524
General Pediatrics
Urban
3899
159
21386
Large Rural
3413
15
2148
Isolated Rural
0
1
Total
3835
175
21513
Total
Urban
4295
1299
20397
Large Rural
4265
266
22779
Small Rural
4623
137
22472
Isolated Rural
4695
75
22542
Total
4332
1777
21041
Total
General Family Medicine
Urban
4116
1104
17948
Large Rural
4265
264
20501
Small Rural
4585
179
21076
Isolated Rural
4739
98
2053
Total
4228
1645
18977
General Internal Medicine
Urban
4236
819
22988
Large Rural
4326
87
26317
Small Rural
402
20
27803
Isolated Rural
427
10
26491
Total
424
936
23423
General Pediatrics
Urban
3749
418
18738
Large Rural
3441
34
2106
Small Rural
45
2
7071
Isolated Rural
0
1
Total
3721
455
18943
Total
Urban
4093
2341
2005
Large Rural
4206
385
22064
Small Rural
4528
201
21724
Isolated Rural
4652
109
21427
Total
4156
3036
20521
Fig_pcdoc_mix
General Family Medicine (N=2540) 50
General Pediatrics(N=820) 16
05015797788
0336492891
01619273302
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
General Family Medicine N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
Fig_pcdocs-region
General Family Medicine (N=2540)
General Internal Medicine (N=1703)
General Pediatrics (N=820)
01354330709
0051056338
00658536585
00921259843
00557511737
00365853659
00964566929
00475352113
00292682927
00972440945
02400234742
01158536585
00795275591
00234741784
00207317073
04992125984
05821596244
07317073171
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
Central
Central
Central
Northeast
Northeast
Northeast
Northwest
Northwest
Northwest
Southeast
Southeast
Southeast
Southwest
Southwest
Southwest
Twin Cities
Twin Cities
Twin Cities
demogs_mn
figure
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Primary Care Docs Only - Eds Method - MN Licenses Only
Broad Physician General Certification Groups New License Flag Crosstabulation
Count
New License Flag
License Renewal
New License
Total
Broad Physician General Certification Groups
General Family Medicine
2521
19
2540
General Family Medicine N=2540)
50
General Internal Medicine
1643
61
1704
General Internal Medicine (N=1703)
34
General Pediatrics
796
24
820
General Pediatrics (N=820)
16
Total
4960
104
5064
Broad Physician General Certification Groups N_AGEGRP Crosstabulation
Count
N_AGEGRP
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
lt 35yrs
35 - 44 yrs
45 - 54 yrs
55 - 64 yrs
65 yrs +
Total
Broad Physician General Certification Groups
General Family Medicine
201
749
753
694
143
2540
General Family Medicine (N=2540)
8
29
30
27
6
100
General Internal Medicine
336
476
398
343
150
1703
General Internal Medicine (N=1703)
20
28
23
20
9
100
General Pediatrics
128
244
193
170
85
820
General Pediatrics (N=820)
16
30
24
21
10
100
Total
665
1469
1344
1207
378
5063
13
29
27
24
7
100
Broad Physician General Certification Groups GENDER Crosstabulation
Count
GENDER
F
M
Total
Female
Male
Broad Physician General Certification Groups
General Family Medicine
1009
1531
2540
General Family Medicine (N=2540)
40
60
General Internal Medicine
611
1093
1704
General Internal Medicine (N=1703)
36
64
General Pediatrics
494
326
820
General Pediatrics (N=820)
60
40
Total
2114
2950
5064
Broad Physician General Certification Groups Plan Region Crosstabulation
Count
Plan Region
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Central
Northeast
Northwest
Southeast
Southwest
Twin Cities
Total
Broad Physician General Certification Groups
General Family Medicine
344
234
245
247
202
1268
2540
General Family Medicine (N=2540)
14
9
10
10
8
50
100
General Internal Medicine
87
95
81
409
40
992
1704
General Internal Medicine (N=1703)
5
6
5
24
2
58
100
General Pediatrics
54
30
24
95
17
600
820
General Pediatrics (N=820)
7
4
3
12
2
73
100
Total
485
359
350
751
259
2860
5064
Broad Physician General Certification Groups Census Tract RUCAs Crosstabulation
Count
Census Tract RUCAs
Urban
Large Rural
Small Rural
Isolated Rural
Total
Broad Physician General Certification Groups
General Family Medicine
1679
410
285
166
2540
General Internal Medicine
1507
144
37
16
1704
General Pediatrics
738
68
10
4
820
Total
3924
622
332
186
5064
How big a shortage in MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Health Professional Shortage Area ndashLow Income Dental (Nov 2014)
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Minnesotarsquos Oral Health Providers
Figure 2 Distribution of dental therapists (N=22)
Figure 3 Primary work settings for MN dental therapists (N=22)
Source MDH Health Care Workforce Survey
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Chart1
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities metro 73
Greater MN27
073
027
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Twin Cities
Greater MN
Sheet1
figure
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Graph B Distribution of Dental Therapists by Rural-Urban Commuting Areas Minnesota 2013
Twin Cities
73
Greater MN
27
To resize chart data range drag lower right corner of range
Chart1
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
05
019
013
013
006
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Federally Qualified Health Centers and Nonprofit Clinics
Solo Private Practice
Small Group Private Practice
Hospitals
CollegeUniversity
Sheet1
figure
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Graph B Dental Therapists by Primary Work Setting Minnesota 2013
Federally Qualified Health Centers and Nonprofit Clinics
50
Solo Private Practice
19
Small Group Private Practice
13
Hospitals
13
CollegeUniversity
6
To resize chart data range drag lower right corner of range
Location of Dental Therapists by CountyJan 2015
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Workforce Development ToolsPrepare
students in mathscienceamp expose to
health careers
Recruit traditional amp non -traditional students
Provide education and
clinical training programs in high-need settings
Encourage grads to seek employment in high-need
settings
Redesign health care system
delivery amp health care jobs
Retain the health care workforce
Select Current
Healthcare Workforce Strategies
K ndash 12 Careeramp Technical Education STEM etc (MNDept of Ed)
Team care approaches Health Care Homes Program Medicaid ACO demonstration
Emerging professions support (MDH licensing boards Medicaid)
Telehealth (rural providers and systems DHS MDH)
State Innovation Model (SIM) grant (MDHDHS)
Scope of Practice changes (Health Licensing Boards)
Community retention strategies (MDH rural health programs)
Long-term care wage issues (DHSLegislature)
Safe Work Environment Safe Patient Handling (MN Dept of Labor and Industry)
Telehealth (rural providers and systems DHS MDH)
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
2014 State Healthcare Workforce InitiativesOrigin ChargeGoals Timeframe
1 Blue Ribbon Commission on the University of Minnesota Medical School
Executive Order 14-13
Led by Minnesota Office of Higher Education
Advise the Governor and Legislature on future strategies investments and actions to strengthen the position of the Universitys Medical School
Recommendations and findings to the Governors Office the Legislature and the public by 12152014
2 Foreign-trained Physician Task Force
2014 DHS Licensing bill
Led by Minnesota Department of Health (MDH)
Develop strategies to integrate refugee and asyleephysicians into the Minnesota health care delivery system
Recommendations to legislature by 12312014
3 Legislative Health Care Workforce Commission
2014 Omnibus appropriations bill HHS article
Study and make recommendations to the legislature on how to achieve the goal of strengthening the workforce in health care Includes charge to identify causes and solutions to barriers related to the primary care workforce
Preliminary report making recommendations to the legislature by 12312014
4 Mental Health Workforce Summit
2013 Higher Ed bill
Led by Minnesota State Colleges amp Universities system
Develop a comprehensive plan to increase the number of qualified people working at all levels of our mental health system ensure appropriate coursework and training and create a more culturally diverse mental health workforce
Recommendations due to legislature by 1152015
5 National Governorsrsquo Association Health Workforce Policy Academy
Governorrsquos Office submitted successful proposal to NGA
Led by interagency and stakeholder core team coordinated by MDH
Establish infrastructure for coordinated health workforce data planning and development and develop strategies for immediate action to address health workforce challenges such as primary care dental and mental health shortages
18-month planning andimplementation periodending October 2015
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Emerging Health Professions in MN
bull Community Health Workers (2007)bull Dental Therapists (2008 - 09)bull Community Paramedics (2011 -12)bull Doulas (2013)
Licensed or certified by the stateReimbursed by Medicaid
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Scope of Practice amp Emerging ProfessionsChange factors1 Body of Knowledge Curriculum Education Programs2 Acceptance by related professions3 Scope of Practice amp Regulatory
bull Legislature licensing boards4 Practice redesignintegration models Health care homes
disease management ER diversion EHRs etc5 Reimbursement6 Help for prospective employers implementation guides
templates best practices for hiring and integration start-up funds
7 Acceptance by patients
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Oral Health Needbull ~70 MN counties ndash full or partial dental HPSAs =
656184 MN residents live in dental HPSAs
bull MN dentists aging ndash 45 of licensed DDS are 55years+(as of 2012)
bull 75 of dentists enrolled as state public program providersbut 26 see 3-20 MA patientsyr 10 see 1-2 MAyr
bull 13rd of all dentists surveyed do not treat any MA
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Oral Health Needbull Enter ndash Dental TherapistsAdvanced Dental Therapists
(2009)bull 54 countries worldwidebull US - Alaska Native Tribal Health Consortium (2005 tribal authority)bull MN - Serve low-income underserveduninsuredHPSA regions
bull 1st licensed DT ndash July 2011 ADT ndash Feb 2013bull DHS enrolls DTs as public program providers ndash Sept 2011bull DHS established DT reimbursed at same rate as dentistsbull Preliminary results show overall increase in oral health access
bull Reduced patient travel times wait timesbull DT clinics see more patientsbull Increased productivity of oral health team as all working at top of license (DDS
open to perform complex procedures)bull Potential to reduce ER usage for non-emergency procedures
bull Incentives in place for employers to integrate this provider (Kay)
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Workforce Analysis ndash HowWhatbull A lens to look at the incumbent workforcebull Statutory authority (MS 144051) to collect info on
number distribution amp characteristics of licensed healthprofessionals
bull MDH surveys at license renewal timebull Currently approx ~10 different occupations surveyedbull Information on
bull Licensed headcountsbull GenderAgeRaceEthnicitybull Geographic distributionbull Primary work settingsbull Future practice plans
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
Oral Health Need
Oral Health Need
Workforce Analysis ndash HowWhat
Slide Number 22
Support existing and emerging workforce through grants loans and technical assistance to rural providers and facilities
Collect amp analyze the data on Minnesotarsquos licensed health care workforce in partnership with state health licensing boards
Identify current resource and service gaps
About Us
How do we do it
To promote access to quality health care for rural and underserved urban Minnesotans From our unique position within state government we work as partners with communities providers policymakers and other organizations Together we develop innovative approaches and tailor our tools and resources to the diverse populations we serve
Our Mission
Workforce AnalysisSupply
Shortage Designation
Financial amp Technical Assistance
Minnesotarsquos HEALTH care WorkforceAN OVERVIEW
Agenda
Slide Number 3
Slide Number 4
Slide Number 5
Slide Number 6
Slide Number 7
Slide Number 8
Slide Number 9
Slide Number 10
How big a shortage in MN
Slide Number 12
Slide Number 13
Slide Number 14
Workforce Development Tools
2014 State Healthcare Workforce Initiatives
Emerging Health Professions in MN
Scope of Practice amp Emerging ProfessionsChange factors
