MHA Hospital Personnel Survey Calendar Year 2005

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					MHA Hospital Personnel Survey                                                                                Page
Calendar Year 2005




                                 MHA Hospital Personnel Survey
                                     Calendar Year 2005

Introduction

MHA conducts the annual Hospital Personnel Survey to provide historical trend data about the
supply and demand for selected health care positions, and to provide benchmarking data for
individual hospitals. The survey results are also used to guide local and regional health care
workforce development activities.

The personnel survey gathers data for 41 specific positions in 11 hospital departments. The
hospital-wide data are new to the report, so no trend information is available. Other results
include vacancy and turnover rates, agency use, and days to fill vacant positions. This year, the
report also includes hospital-wide vacancy and turnover, reflecting experience with all positions
including the specific jobs covered in detail in the survey.

The calendar year (CY) 2005 survey was sent to all MHA member hospitals in January 2006;
44 hospitals and health systems (80 percent) responded. Survey results reflect respondents’
experiences over the entire calendar year.

Summary of Results

Hospital-wide turnover averaged 15.5 percent, and ranged from a low of 6.0 percent to a high of
36.1 percent.

The overall average vacancy rate for Maryland hospitals (all positions) was 9.2 percent, and
ranged from a low of 1.9 percent to a high of 28.3 percent. This is the first year hospital-wide
vacancy and turnover are reported. A total of 37 hospitals provided data.

Vacancy rates for some positions increased slightly in each department except housekeeping.
Half of the 41 positions surveyed had vacancy rates of 10 percent or more. In 2004, 15 positions
had rates higher than 10 percent. Positions with vacancy rates above 10 percent were most
highly concentrated in the imaging occupations (nuclear medicine technologist, radiation therapy
technologist, radiographer, sonographer, and special procedures technician), respiratory therapy,
(respiratory therapy technician and respiratory therapist [RRT]), and rehab (occupational
therapist, occupational therapy assistant, physical therapist, and physical therapist assistant).

The RN vacancy rate increased to 10 percent in 2005, inching back up after a low of 9.2 percent
in 2004. The 10 percent vacancy rate reflects the need for approximately 1,7401 RN FTEs
statewide.

1 This estimate is based on the number of vacant positions reported by participating hospitals. A more precise
estimate will be made when the 2006 HSCRC Wage and Salary Report becomes available later this year.
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MHA Hospital Personnel Survey                                                            Page 2
Calendar Year 2005

Turnover rates for the specific positions surveyed ranged from a low of 3.0 percent
(cytotechnologist), to a high of 40.7 percent (nurse anesthetist). Positions with turnover rates
above 10 percent increased. In 2004, 28 of the 41 positions had rates higher than 10 percent. In
2005, 32 of 41 had turnover rates higher than 10 percent. (Figure 1 and Figure 2 show Vacancy
and Turnover Rates Above 10 Percent for Selected Positions.)

The findings also show:

$   Vacancy rates for advanced practice nurses (nurse anesthetist, nurse practitioner and nurse
    midwife) all increased. The total number of budgeted positions for advanced practice
    nurses was 347.5. The majority of them (87 percent) were for nurse practitioners.

$   Agency use for nurse practitioners increased dramatically from 0.2 percent of hours paid in
    2004 to 20.2 percent in 2005. Meanwhile, the average days to fill a nurse practitioner
    position increased from 52.5 days to 86.3 days.

$   Vacancy rates for respiratory therapists (RRT) declined for the first time in five years. The
    vacancy rate fell from 17.0 percent in 2004 to 10.7 percent in 2005. At the same time,
    vacancy rates for respiratory therapy technicians more than doubled from 9.8 percent to
    22.5 percent.

$   In rehabilitation, vacancy rates for occupational therapists stayed the same as 2004
    (11.3 percent). Vacancy rates for physical therapists (18.5 percent), and physical therapist
    assistants (12.6 percent) increased for the third consecutive year. Agency use increased for
    physical therapists (7.5 percent), occupational therapists (7.1 percent), and physical
    therapist assistant (2.9 percent). Agency utilization for other rehabilitation positions
    declined.

$   Vacancy rates in the imaging department increased to 11.2 overall. Nuclear medicine
    technician showed the largest increase in vacancy rates, which jumped from 10.7 percent in
    2004 to 14 percent in 2005. Overall turnover rates also increased from 11.3 in 2004 to
    12.2 percent in 2005. Agency use slightly increased for radiographer (4.1 percent) and
    special procedures technician (1.7 percent). Days to fill positions in this department ranged
    from 53.8 days for radiographers to 68.6 days radiation therapy technicians.

$   Vacancy rates for pharmacists increased from 8.5 percent in 2004 to 10.5 percent in 2005.
    The vacancy rate for pharmacy technicians also increased from 6.0 percent in 2004 to
    8.8 percent in 2005. Overall turnover for the pharmacy department increased from
    7.4 percent in 2004 to 9.7 percent in 2005. Agency use remained the same at 1.7 percent of
    all hours paid. Days to fill vacant positions for both positions increased.

Statewide Summaries of Vacancy and Turnover (2001-2005), Percent of Agency Use, and Days
to Fill Vacant Positions, are attached for the 41 positions surveyed. A summary of results by
department and a multi-year trend analysis for selected departments (laboratory, nursing,
pharmacy, radiology, and rehabilitation) are available on-line at www.mhaonline.org.

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MHA Hospital Personnel Survey                                                                                                Page 3
Calendar Year 2005
Benchmarking

Hospitals participating in the survey are encouraged to compare their own vacancy and turnover
rates to the statewide results by printing the summary reports provided with the survey data
collection disk. Please note that survey turnover rates may differ from other rates
calculated by an individual hospital. MHA’s rates are based on separated FTEs to facilitate
statewide comparisons. Most hospitals calculate their turnover rates based on the number of
employees separated and some include transfers to float pools or other units in their measures of
turnover. Hospitals participating in MHA’s Nurse Retention Initiative will be able to use the
statewide data and their individual turnover and retention data to measure progress on retention
initiatives undertaken based on retention survey results. The HSCRC Nurse Support Program
also recognizes the MHA Hospital Personnel Survey data as an outcome measure for recruitment
and retention efforts.

Please contact Catherine Crowley (ccrowley@mhaonline.org) at 410-379-6200, if you have
questions.

Attachments




X:\CatherineC\2006 directory\Vacancy and Turnover\2005 reports\MHA Hospital Personnel SurveyCompleteSummaryCMC628 2005.doc
                                                                                                Figure 1
                                                 Vacancy Rates for Selected Hospital Positions 2005 vs. 2004


                                               Sonographer
                                      Registered Nurse
              Occupational Therapy Asst.
                                               Radiographer
                                                                                                                                                     2005
                                   Physical Therapist
                                                                                                                                                     2004
              Physical Therapy Assistant
                         Nuclear Medicine Tech
                 Respiratory Therapy Tech
                                 Physician Assistant

                                                                                  0              5             10             15           20   25




                                                                                                Figure 2
                               Turnover Rates Above 10 Percent for Selected Hospital Positions 2004 vs. 2005

                                    Registered Nurse
                Respiratory Therapy Tech
                                             Surgical Tech
                            Laboratory Assistant
                                                                                                                                                     2005
                                               Sonographer
                                                                                                                                                     2004
                                              Housekeeper
                                                Dietary Aide
                                    Nursing Assistant
                                  Physical Therapist

                                                                               0.0          5.0 10.0 15.0 20.0 25.0 30.0



X:\CatherineC\2006 directory\Vacancy and Turnover\2005 reports\MHA Hospital Personnel SurveyCompleteSummaryCMC628 2005_Revised Graph.doc
PRELIMINARY
PRELIMINARY
PRELIMINARY
PRELIMINARY
PRELIMINARY
PRELIMINARY
                       MHA HOSPITAL PERSONNEL SURVEY
                        DAYS TO FILL VACANT POSITIONS
                                  2001 - 2005

                              2001    2002     2003     2004       2005

Laboratory
Cytotechnologist              37.9      44.3     42.1     45.0        45.8
Laboratory Assistant          24.8      22.1     24.8     27.5        27.0
Lab Tech (MLT-ASCP)           35.6      40.3     39.7     41.3        44.0
Med Tech (MT-ASCP)            51.1      57.0     52.5     49.9        50.9
Phlebotomist                  35.0      33.9     26.5     25.6        28.7

Medical Records
Medical Record Coder          49.5      56.8     56.2     51.8        49.6
Med Record Tech (ART)         37.2      41.6     43.7     44.3        39.0
Medical Transcriber           48.0      41.7     35.7     34.7        35.9
Registered Record Adm         44.1      44.1     50.0     42.2        40.0

Nursing
Nurse Anesthetist             53.3      60.0     66.0     86.3        36.8
Nurse Practitioner            47.6      46.9     46.0     52.5        86.3
Nurse Midwife                 57.5      58.3     36.0     42.9        42.0
Registered Nurse (RN)         60.3      62.4     52.2     51.7        54.4
LPN                           40.2      37.9     35.1     33.5        52.3
Nursing Assistant (NA)        30.8      25.1     24.9     26.7        31.7
Nurse Extender (NE)           45.0      51.2     41.7     37.9        28.3
Specialty Tech                38.6      45.0     40.0     37.1        56.9
Unit Sec                      32.3      34.9     31.4     28.0        44.2
Surg Tech                     48.8      52.7     44.2     49.2        29.3

Nutrition Services
  Dietary Aide                31.1      28.1     29.3     22.9        28.8
  Dietitian                   39.3      41.6     37.9     38.4        42.7

Pharmacy
 Pharmacist                   60.4      63.4     56.6    58.1         63.8
 Pharmacy Technician          35.6      36.4     30.0    36.4         39.4




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                       MHA HOSPITAL PERSONNEL SURVEY
                        DAYS TO FILL VACANT POSITIONS
                                  2001 - 2005
                                      -




                              2001        2002     2003     2004       2005

Physician Services
Physician (MD)                42.9         41.1      35.6     48.6        42.7
Physicians Assistant          34.5         44.0      44.5     52.0        59.0

Radiology
Nuclear Medicine Tech         62.7         68.8     63.9     65.9         63.2
Radiation Therapy Tech        62.5         73.8     72.9     57.9         68.6
Radiographer                  59.3         61.9     59.6     49.7         53.8
Sonographer                   53.9         56.1     47.8     50.1         55.8
Special Proc Tech             51.0         62.1     53.4     54.8         57.8

Rehabilitation
Occupational Therapist        41.9         47.4     41.2     41.2         45.0
Occupational Th Asst          26.9         27.8     33.9     43.3         46.7
Physical Therapist            45.0         54.2     52.3     51.9         55.5
Physical Th Asst              35.1         31.9     34.4     32.3         43.1
Speech/Language Ther          50.3         53.8     44.6     47.9         45.4

Respiratory Therapy
Pulm Function Tech            45.0          36.2     48.5     42.0        30.0
Resp Therapist (RRT)          51.4          56.3     53.3     55.0        52.1
Resp Therapy Tech             44.5          44.5     49.0     46.5        46.4

Social Services
Social Worker (LCSW)          48.2          45.8     48.9     41.3        45.8
Social Worker (BSW)           42.1          39.4     38.1     35.2        47.0

Housekeeping
   Housekeeper                31.1          29.2     28.2     22.1        23.7




6/1/2006                                                             Page 2