Bowen Center for Health Workforce Research and Policy
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Item Indiana Primary Health Care: Description, Distribution, Challenges, and Strategic Recommendation to Empowered Decision Making(2012-12) Maxey, Hannah L.; Malcolm, Amber; Norwood, Connor W.; Sheff, Zachary; Walters, Staci JoItem Data Report: 2012 Indiana Mental Health Professional Licensure Survey(2014-10) Sheff, Zachary T.; Maxey, Hannah L.; Barclay, Jonathan C.; Banti, SudhaItem Policy Report: 2012 Indiana Mental Health Workforce(2014-11) Maxey, Hannah L.; Norwood, Connor W.Item Policy Report: 2013 Indiana Physician Workforce(2015-02) Norwood, Connor W.; Maxey, Hannah L.; Kelley, Tracie M.The healthcare workforce represents the intersection of medical science, health care delivery, and patient health. Therefore ensuring an adequate supply of this workforce is critical to ensuring access to health care services across the population. Unfortunately, across the United States, including Indiana, an inequitable distribution of the health workforce threatens access and health. In order to secure the health and well-being of Hoosiers, health policy discussions focused on health care must consider the health workforce as part of the agenda. The physician workforce may be regarded as the “backbone” of the healthcare system. Based on their extensive training, physicians are positioned as leaders within the health system. Therefore, information on the supply and distribution of Indiana’s physician workforce is critical to informing any health workforce policy or planning efforts. This policy report provides a ‘snapshot’ from the most recent data on Indiana’s physician workforce, and presents information pertinent to workforce planning and policy in Indiana. Comprehensive data are available in the Data Report: 2013 Indiana Physician Workforce.Item Data Report: 2013 Indiana Physician Workforce(2014-11) Sheff, Zachary T.; Nowak, Callie L.; Maxey, Hannah L.; Kelley, Tracie M.Indiana’s physician workforce is comprised of many skilled health care providers that work in a range of settings and specialties. Information on the supply and distribution of this workforce are critical to Indiana’s health system for planning and policy development. Supply data on Indiana’s physician workforce are routinely collected in the form of surveys administered in conjunction with the biennial medical license renewal process. As of the 2013, 25, 800 physicians were licensed to practice in the State of Indiana. Of these, 9,460 physicians indicated a n Indiana practice address , of which 2 ,939 reported a primary care specialty as defined by the Health Resource s and Service s Administration (HRSA) at Department of Health and Human Services (DHHS), including: general or family practice, general internal medicine, pediatrics, and obstetrics and gynecology. Practice characteristics and geographic distribution of this workforce are critical to determining capacity at the community level. The majority of Indiana physicians reported having only one practice location in Indiana and indicated that they worked at least 33 hours per week in direct patient care. Approximately one - third of physicians reported working with an advanced practice nurse (APN), but very few worked with physician assistants. The physician workforce, including primary care, is concentrated in populous, urban areas. In fact there are two rural Indiana counties, Benton and Switzerland, in which no physician reported practicing. Currently, all or parts of 63 counties are designated as primary care health professional shortage areas (HPSAs). However, 11 Indiana Counties not currently designated qualify as a geographic HPSA based population to primary care physician ratio as calculated with the most recent supply data. This report presents detailed information on Indiana’s physician workforce. This includes information on the demographic and practice characteristics of the workforce, supply data aggregated to the county - level, and federal shortage designations. These data provide stakeholders with information needed to improve the quality and accessibility of health care for Indiana residents through policymaking, workforce development, and resource allocation.Item Data Report: 2013 Indiana Nursing Workforce(2015-02) Sheff, Zachary T.; Nowak, Callie L.; Maxey, Hannah L.; Norwood, Connor W.; Randolph, Courtney; Kelley, Tracie M.Indiana’s registered nurse workforce is comprised of health care providers working in a range of settings and specialties. Information on the supply and distribution of this workforce is critical to Indiana’s health system for planning and policy development. Supply data on Indiana’s registered nurse workforce are routinely collected in the form of surveys administered in conjunction with the biennial nursing license renewal process. During the 2013 re-licensure period, 99,545 registered nurses renewed their license in Indiana. After filtering out individuals who did not respond to the survey, did not hold an active or probationary license, and did not practice in Indiana, 53,135 registered nurses were included in the report for analysis. The survey had a 93.1 percent response rate. In 2013, the majority of registered nurses were white (92.8%) and female (93.8%). The mean age of registered nurses was 45.7 years of age. Advanced practice nurses (APNs) were slightly older with a mean age of 48.5 years old. Registered nurses were primarily employed in staff nurse positions. Hospitals were the most common work setting. In 2013, the majority of RNs held a Bachelor’s degree or higher (56.7%). This is the first time since data has been collected (1997) in which a greater proportion of RNs held a Bachelor’s or higher than did not. Marion County had the highest percent of RNs with a Bachelor’s degree or higher (65.1%). Since 1997 the total number of actively practicing Indiana RNs has increased from 38,721 to 53,135 in 2013. From 2005 to 2013 the number of RNs working in a nursing faculty position has increased from 733 to 1,114. There were 49,033.6 total RN FTEs and 2,723.8 APN FTEs in Indiana in 2013. Statewide, there was an average of 122 Indiana residents per RN FTE and 2,380 residents per APN FTE. Marion County had the highest number of RN and APN FTEs of any county.Item Indiana Mental Health Professionals 2010 Re-Licensure Survey Report(2012-01) Lewis, Cynthia K.; Sheff, Zachary T.; Richard, Amy E.; Brandt, Amy J.; Zollinger, Terrell W.The 2010 Indiana Mental Health Professionals Re-Licensure Survey, the 2010 Clinical Psychologists Re-Licensure Survey, and the 2011 Physician Re-Licensure Survey were administered by the Indiana Professional Licensing Agency under a contract with the Indiana State Department of Health. The 2011 Psychiatric Advanced Practice Nurse Survey was administered by the Indiana Nursing Association. This report summarizes the responses to these four surveys. The purpose of this report is to provide a comprehensive description of the mental health workforce in Indiana.Item Behavioral and Mental Health Professionals 2004 and 2006 Re-Licensure Survey Report(2010-05) Zollinger, Terrell W.; Kochhar, Komal; West, Jessica M.; Varma, Ram A.The Indiana State Department of Health (ISDH) and the Indiana Professional Licensing Agency (IPLA) collaborated in implementing the 2004 and 2006 Indiana mental health professional re-licensure surveys. All behavioral and mental health professionals who renewed their license electronically during the 2004 and 2006 re-licensure periods under the Behavioral Health and Human Services Licensing Board were asked to complete an electronic survey instrument. The results of the special Psychiatric/Mental Health Nurse Survey conducted in 2010 are also included in this report.Item Indiana Licensed Practical Nurse 2012 Licensure Survey Report(2013-08) Sheff, Zachary T.; Zollinger, Terrell W.; Harper, Kimberly; Crawford, Elizabeth K.; Buente, BryceThis is the first technical report describing the licensed practical nurse (LPN) workforce in Indiana. In addition to describing the LPN workforce, this report compared LPNs to Indiana’s registered nurse (RN) workforce. The data in this report will serve as a baseline for future analyses of the LPN workforce in Indiana. In the 201 2 LPN licensure period, there were 26,755 total LPNs currently licensed in Indiana. The overall response rate for the 2012 Indiana LPN Licensure Survey was 94.2 percent. Of the 26,755 licensed LPN’s, individuals included for analysis: (1) actively working in nursing; (2) responded to the electronic survey, and (3) gave an Indiana practice address on their survey. A total of 16,937 LPN s included in the sample for analysis met these three criteria. Therefore, the sample analyzed (16,937 LPNs) in this report represents 63.3 percent of the total number of active LPN licensure in Indiana (26,755 LPNs). When the mean age and length of license was compared between LPN s included in the sample and those who listed an Indiana address on their license but did not respond to the survey it was found that individuals in the sample were younger (p < 0.001) and had been licensed for a shorter period of time (p < 0.001).Item Indiana Registered Nurse 2011 Licensure Survey Report(2013-02) Sheff, Zachary T.; Kochhar, Komal; Zollinger, Terrell W.A total of 98,235 registered nurse licenses were issued or renewed in 2011. The survey on which this report is based was offered to licensees during the licensure process and received a response rate of 90.7 percent. Of the 80,429 registered nurses who responded to the survey 54,588 were actively practicing in Indiana and 53,591 met the criteria for inclusion in analysis.