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Item 2016 Physician Assistant Workforce Fact Sheet(Indiana University, 2017-05-04) Maxey, H., Randolph, C.Physician assistants (PAs) are medical practitioners who work under the supervision of a licensed physician. They play a vital role in the health care system by performing physical examinations, making diagnoses, and prescribing treatment to patients. In addition to these general responsibilities, PAs order and interpret laboratory tests, including X-rays, as well as suturing, splinting, and casting injuries. The physician assistant role was created in the 1960s to reducing barriers to accessing health care that had resulted from the increasing shortage or maldistribution of physicians, particularly in rural and underserved communities. Data on the PA workforce is critical to understanding capacity of this workforce in Indiana.Item 2016 RN Workforce Fact Sheet(Indiana University, 2017-05-25) Bowen Center for Health Workforce Research & PolicyRegistered nurses (RNs) are the largest professional group within the health workforce. These professionals are a vital part of the health system, including health care delivery and public health. Demand for nurses is on the rise. The Indiana Department of Workforce Development projects a 17.7% increase in the need for RNs by 2022. Understanding the supply, distribution, and characteristics of the RN workforce is crucial to informing health workforce policy discussions. This fact sheet provides a snapshot of data that pertain to relevant policy issues in the RN workforce at the State and Federal levels and is intended to serve as a resource to inform these important policy discussions.Item A Manpower Study of Orthodontic Specialists for the State of Indiana(1992) Clark, David B.; Roberts, W. Eugene; Arbuckle, Gordon R.; Garner, LaForrest D.; Garetto, Lawrence P.; Shanks, James C.Dental manpower has been studied at national, state and local levels.2, 4, 6, 11, 14, 15, 17-19 Manpower studies of orthodontic specialists also have been conducted,1, 5, 13, 16 but there has been no recent manpower study relative to orthodontic specialists in Indiana. The purpose of this study was to evaluate the busyness and distribution of orthodontic specialists in Indiana and project the need for orthodontists. In early 1990 a survey questionnaire was mailed to Indiana orthodontists. A telephone survey of orthodontic receptionists/appointment clerks was conducted during the same time period to obtain a separate source of data relative to practice busyness and to help evaluate the reliability of the mailed survey questionnaire. The distribution of orthodontists was evaluated by comparing the state population-to-orthodontist ratio to county and regional ratios. The response rate of the mailed survey questionnaire was 91 percent. The ages of orthodontists were evenly distributed with the exceptions of the 46-50 year age group and groups approaching retirement ages. The perceived level of busyness was low with a busyness index of 1.32. A relatively short wait was necessary to examine and start new patients, and few reported a waiting list. There was a high response emphasizing no need for additional orthodontists. Seventy percent felt that they were not busy enough; 99 percent reported that they would like more patients; and many desired large numbers of additional patients (41 or more). A large number of orthodontists had satellite offices or were considering establishing satellite offices with an insufficient patient base listed as the primary reason. There was a significant difference between the number of additional patients desired based on the age of the orthodontist. More orthodontists reported that patient loads were remaining the same or declining rather than increasing. The present data did not support the premise that the number of patients started was less than that seen in previous studies, suggesting that the low perception of busyness may be related to other factors such as a more recent decline in patient load, improved efficiency, decreased profitability or a combination of these or other factors. The telephone survey differed significantly from the mailed survey questionnaire indicating a possible bias in the survey questionnaire. A geographic maldistribution of orthodontists in Indiana was found. A slight increase in the number of orthodontists over the next decade would be necessary to maintain the present population-to-orthodontist ratio. However, the declining child population, representing the majority of orthodontic patients, will require a reduction in the number of orthodontists to maintain the present adjusted population-to-orthodontist ratio or patient-to orthodontist ratio over the next two decades.Item Attacking the Drug Epidemic: Healthcare Delivery Perspective(2017) Oruche, Ukamaka M.Addiction is a chronic and recurring brain disease. Despite the associated symptoms and behaviors, prevention works, treatment is effective, and recovery is possible for everyone. Together we can attack current drug epidemic using a public health framework of integrated, comprehensive and multipronged approach appropriate to each person’s need.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 Core Competency Gaps among Governmental Public Health Employees With and Without A Formal Public Health Degree(Lippincott Williams & Wilkins, 2021) Taylor, Heather L.; Yeager, Valerie A.Objectives: To examine the role of a formal public health degree as it relates to core competency needs among governmental public health employees. Design: This cross-sectional study utilizes the 2017 Public Health Workforce Interests and Needs Survey (PH WINS). Bivariate relationships were analyzed by conducting χ tests of respondents' supervisory level and reported skill gaps. Multivariate logistic regressions of reported skill gaps were performed holding gender, age, race/ethnicity, highest degree attained, current employer, role type, tenure in current agency, and public health certificate attainment constant. Setting: Nationally representative sample of government public health employees. Participants: A total of 30 276 governmental public health employees. Main outcome measure: Self-reported competency skills gaps. Results: Among nonsupervisors, those with a public health degree had significantly lower odds of reporting a competency gap for 8 of the 21 skills assessed. Among supervisors/managers, those who had a formal public health degree had significantly lower odds of reporting a competency gap in 3 of the 22 skills assessed. Having a degree in public health was not significantly related to an executive's likelihood of reporting a skill gap across any of the 22 skills assessed. Regardless of supervisory level, having a public health degree was not associated with a reduced likelihood of reporting skill gaps in effective communication, budgeting and financial management, or change management competency domains. Conclusions: Possessing a formal public health degree appears to have greater value for skills required at the nonsupervisor and supervisor/manager levels than for skills needed at the executive level. Future work should focus on longitudinal evaluations of skill gaps reported among the public health workforce as changes in public health curricula may shift over time in response to newly revised accreditation standards. In addition, public health education should increase emphasis on communication, budgeting, systems thinking, and other management skills among their graduates.Item Data Brief: Indiana Mental Health Professionals 2012 Licensure Survey(2012) Sheff, Zachary T.; Barclay, Jonathan; Banti, SudhaUnderstanding Indiana’s healthcare workforce is critical to ensuring that Indiana residents have access to high quality care, to developing programs that train practitioners to meet future needs, and to recruiting and retaining healthcare professionals in Indiana. The mental health workforce in Indiana is composed of social workers, clinical social workers, marriage and family therapists, mental health counselors, psychologists, psychiatrists, and psychiatric/mental health advanced practice nurses. The data summarized here were collected during biennial license renewals in 2012 and 2013, and in a 2014 survey of psychiatric nurses.Item Data Brief: Indiana Physician Assistants 2012(2014-06) Banti, Sudha; Barclay, Jonathan; Sheff, Zachary T.; Allen, Deborah I.; Zollinger, Terrell W.The physician assistant (PA) workforce in Indiana is growing quickly. Since 2004, the estimated number of non‐government − employed PAs actively working in Indiana has more than doubled, from less than 400 in 2004 to nearly 900 in 2012.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 Data Report: 2014 Indiana Dentist Workforce(2015-05) Sheff, Zachary T.; Nowak, Callie L.; Maxey, Hannah L.The dentist workforce is the primary provider of oral health care to Indiana residents. In 2014, there were 3,982 dentists who held an active license in Indiana. These dentists were not surveyed during their re-licensure period, as has been done in the past, but were contacted by the Indiana Professional Licensing Agency (IPLA) via email in the fall of 2014 and asked to complete a brief survey. Despite follow-up reminders from IPLA and the Indiana Dentist Association (IDA) survey response was low (13.4%). The previous survey, which was administered during dentists’ 2012 re-licensure period, had a response rate of 80.7 percent. Of the 3,982 actively licensed dentists who were offered the survey, there were 532 respondents. Only 424 dentists were included in this analysis after filtering respondents to include only those who were actively licensed, practicing in Indiana, and currently practicing as dentists. Because of the small proportion of the actively licensed dentist workforce in Indiana that is represented in this analysis, it is unclear whether this sample is representative of the overall workforce. Comparing 2014 survey data with 2012 survey data indicated similar patterns in dental specialty and hours worked per week. However, slightly more rural dentists responded to the 2014 survey than the 2012 survey. Comparisons between responders and non-responders to the 2014 survey indicate that those who completed the survey were older than those who did not. The collection of high quality health workforce data is dependent upon reaching a large proportion of the health workforce. The low response rate to this survey suggests that this methodology is not optimal for collecting data on Indiana’s health professional workforces. Survey response fell by 67.3 percent compared to the 2012 dentist re-licensure survey. Embedding the survey instrument in the health professional re-licensure process has consistently yielded high (>80%) response rates across all health professions and should be considered as the primary method of survey administration for future data collection.