Public Health Workforce Development

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Price County Health Department Early Childhood
Cavity Prevention Program
Wisconsin Seal A Smile Program
Public Health Workforce Development
Mark Chamberlain, Wisconsin Division of Public
Health inspection of flood damaged home in
Western WI
Rock County Influenza Vaccine Community Clinic
and Pharmaceutics roundup
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Working Definitions

• The public health workforce includes all those
  providing essential public health services,
  regardless of the nature of their employing
  agency.

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State Health Plan Tracking Measures

• Diversity  By 2010, the composition of
  Wisconsin's public health system workforce at all
  levels will approach the demographic profile of
  the community.
• Competency By 2010, Wisconsin's public health
  system will assure a competent public health
  workforce through a collaborative information and
  education network for workforce preparation,
  support of current practice, and continuing
  education.
• Enumeration (Sufficiency) By 2010, Wisconsin
  will have a monitoring system in place with the
  capacity to describe the current and future
  composition, distribution, and trends of
  Wisconsin's public health system workforce.

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Current Initiatives

• Examples of Current Initiatives to Advance a
  Diverse, Sufficient and Competent Workforce
• Grant-funded projects
• Wisconsin Area Health Education Centers
• Healthy Wisconsin Leadership Institute
• Three Masters in Public Health Programs (UW
  LaCrosse, Medical College of Wisconsin, UW School
  of Medicine Public Health), and the Educated
  Citizen (UW Whitewater)
• Wisconsin TainingFinder Real-time Affiliate
  Integrated Network (WITRAIN.org)
• Wisconsin Health Workforce Data Collaborative,
  subcommittee of the Department of Workforce
  Development (DWD) Governor's Select Committee on
  Health
• Healthy Wisconsin 2020

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Population Estimates by Region and Race and
Ethnicity Wisconsin, 2005
Source Wisconsin Department of Health and
Family Services, Bureau of Health Information and
Policy
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• Public Health Workforce Report 2008 Selected
  Findings
• Wisconsin Public Sector
• Projections
• Wisconsin Division of Public
• Health Workforce
• Wisconsin Local Health
• Department Workforce
• Emergency Medical Services

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Wisconsin Public Sector Employment Projections

• The total number of health care related jobs in
  public sector
• In 2004 23,160
• In 2014 25,280 (an increase of 9.2 between
  2004 and 2014)
• The total number of health care related jobs in
  public sector
• In 2006 23,220
• In 2008 23,540 (an increase of 1.4 between
  2006 and 2008)
• Excludes state and local education and
  hospitals. The occupations to be included in
  these projections were arbitrary selected
• representing the most prevailing occupations
  found within Wisconsins public health sector.
• Source Wisconsin Department of Workforce
  Development, 2007

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Demographic Profile of Wisconsin Health Care
Workers in the Public Sector

• In 2005, an estimated 31 of Wisconsins
  public-sector health care workforce was age 51
  and older.
• An additional 33 were ages 41 to 50.
• Women made up an estimated 83 of the
  public-sector health care workforce.
• Approximately 88 of Wisconsins public-sector
  health care workforce was white.
• By 2010, an estimated 39 of the public-sector
  health care workforce in Wisconsin will be
  eligible to retire.

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Health Care Workforce in Public Sector by Race
and Ethnicity, Wisconsin 2005
Source American Community Survey Public Use
Microdata Sample (ACS) , 2005 Note Data
exclude managers and all workers in education and
hospitals working in public sector
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Health Care Workforce in Public Sector by Age,
Wisconsin 2005
Source American Community Survey Public Use
Microdata Sample (ACS) , 2005 Note Data
exclude managers and all workers in education and
hospitals working in public sector
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Wisconsin Division of Public Health Occupational
Classifications

• Occupational Classification Counts
  Percent
• Administrative and clerical personal 91
  27
• Environmental health workers 50 15
• Epidemiologists 20 6
• Health educators 59 18
• Public health information system
  specialists 22 7
• Nutritionists 17 5
• Public health managers 46 14
• Public health nurses 26 8
• Public health physicians 5 1
• Total 336 100

Source Association of State and Territorial
Health Officials (ASTHO) State Public Health
Workforce Survey, 2006
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Wisconsin Division of Public Health Workforce

• In 2006 the average age of a DPH employee was 50.
• The turnover rate for DPH staff in 2006 was 25
  that is, 25 of all employees in 2006 were hired
  that year.
• The average age of a DPH new hire in 2006 was 47.
• The percent of DPH staff in 2007 eligible to
  retire within one year was 34.This is expected
  to increase to 46 by 2009 and to 54 by 2011.

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Wisconsin Division of Public HealthRace and
Ethnicity of Employees
Source Association of State and Territorial
Health Officials (ASTHO) State Public Health
Workforce Survey, 2006 Source Wisconsin
Department of Health and Family Services, Bureau
of Health Information and Policy, 2007
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Wisconsin Local Health Department Survey, 2005

• Occupational Classification Counts
  Percent
• Public health nurses 624 29
• Administrative/clerical 620
  29
• Public information specialists 10 0
• Environmental health workers 112 5
• Epidemiologists 17 1
• Registered sanitarians 98 5
• Laboratory workers 50 2
• Community Outreach Field Workers 10 0
• Health Educators 55 3
• Public health information systems specialists
  10 0
• Nutritionists 120 6
• Public health physicians 5 0
• Others 391 18
• Total 2,122
  100

Source Wisconsin Local Health Department
Survey, 2005
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Wisconsin Local Health Department Workforce

• There were 3.2 local health department full-time
  equivalent employees (FTEs) per 10,000 Wisconsin
  people in 2006.
• According to the National Association of City and
• County Health Officials, in 2005 the national
  average staffing ratio for local health
  department FTEs was 9.3 per 10,000 population for
  small-town and rural health departments and 5.7
  per 10,000 population for all other local health
  departments.
• In 2006, the Wisconsin average was 3.5 local
  health department FTEs per 10,000 population in
  rural counties, and 3.1 local health department
  FTEs per 10,000 population in metropolitan
  counties.

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Wisconsin Emergency Medical Services Providers
(EMS), 2008

• There are 17, 881 EMS providers in Wisconsin
• The average age of a Wisconsin EMS provider is
  41
• The majority are male
• Classification
• 3,748 Number of First Responders
• 8,836 Number of Emergency Medical Technician
  (EMT) Basics
• 2,478 Number of EMT Intermediate Technicians
• 267 Number of EMT Intermediates
  
• 2,552 Number of EMT Paramedics
• 32 EMS providers per 10,000 people
• Source Wisconsin Department of Health Services,
  Division of Public Health, 2008

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Conclusions and Future Research

• There is no data source that encompasses the
  entire public health workforce.
• Future reports
• educational institution graduate follow-up and
  projections
• demographic data on the broad public health
  workforce
• Gather data on the broadly public health
  workforce (governmental and non-governmental).