The U.s. Health Workforce Chartbook Part III: Health Technologists & Technicians and Aides & Assistants

THE U.S. HEALTH WORKFORCE

CHARTBOOK

PART III: HEALTH

TECHNOLOGISTS & TECHNICIANS

AND AIDES & ASSISTANTS

September 2018

U.S. Department of Health and Human Services

Health Resources and Services Administration

Bureau of Health Workforce

National Center for Health Workforce Analysis

September 2018 The U.S. Health Workforce Chartbook – Part III 1

The U.S. Health Workforce Chartbook is not copyrighted. Readers are free to duplicate and use all or part

of the information contained in this publication.

Pursuant to 42 U.S.C. § 1320b-10, this publication may not be reproduced, reprinted, or redistributed for

a fee without specific written authorization from the U.S. Department of Health and Human Services.

U.S. Department of Health and Human Services, Health Resources and Services Administration, The U.S.

Health Workforce Chartbook. Rockville, Maryland: U.S. Department of Health and Human Services,

2018.

September 2018 The U.S. Health Workforce Chartbook – Part III 2

September 2018 The U.S. Health Workforce Chartbook – Part III 3

Contents

Introduction ................................................................................................................................................... 6

Data Sources ................................................................................................................................................. 7

1.0 Health Technologists and Technicians ....................................................................................... 10

1.1 Medical and Clinical Laboratory Technologists and Technicians ................................................ 10

1.2 Diagnostic Related Technologists and Technicians ...................................................................... 14

1.3 Emergency Medical Technicians and Paramedics ........................................................................ 18

1.4 Health Practitioner Support Technologists and Technicians ........................................................ 21

1.5 Medical Records and health Information Technicians .................................................................. 25

2.0 Aides and Assistants ................................................................................................................... 28

2.1 Medical Assistants ........................................................................................................................ 28

2.2 Personal Care Aides ...................................................................................................................... 30

2.3 Nursing, Psychiatric, and Home Health Aides .............................................................................. 34

Figures

Figure 1: Medical and Clinical Laboratory Technologists and Technicians .............................................. 11

Figure 2: Number of Medical and Clinical Laboratory Technologists and Technicians, by State ............. 12

Figure 3: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Work

Setting ......................................................................................................................................................... 12

Figure 4: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by Sex and

Age .............................................................................................................................................................. 13

Figure 5: Distribution of Medical and Clinical Laboratory Technologists and Technicians, by

Race/Ethnicity, Relative to the Working-Age Population .......................................................................... 13

Figure 6: Diagnostic Related Technologists and Technicians per 100,000 Working-Age Population, by

State ............................................................................................................................................................ 15

Figure 7: Number of Diagnostic Related Technologists and Technicians, by State ................................... 16

Figure 8: Distribution of Diagnostic Related Technologists and Technicians, by Work Setting ............... 16

Figure 9: Distribution of Diagnostic Related Technologists and Technicians, by Sex and Age ................ 17

Figure 10: Distribution of Diagnostic Related Technologists and Technicians, by Race/Ethnicity, Relative

to the Working-Age Population .................................................................................................................. 17

Figure 11: EMTs and Paramedics per 100,000 Working-Age Population, by State ................................. 18

Figure 12: Number of EMTs and Paramedics, by State .............................................................................. 19

Figure 13: Distribution of EMTs and Paramedics, by Work Setting .......................................................... 19

Figure 14: Distribution of EMTs and Paramedics, by Sex and Age ........................................................... 20

Figure 15: Distribution of EMTs and Paramedics, by Race/Ethnicity, Relative to the Working-Age

Population ................................................................................................................................................... 20

Figure 16: Health Practitioner Support Technologists and Technicians per 100,000 Working-Age

Population, by State .................................................................................................................................... 22

Figure 17: Number of Health Practitioner Support Technologists and Technicians, by State .................. 23

September 2018 The U.S. Health Workforce Chartbook – Part III 4

Figure 18: Distribution of Health Practitioner Support Technologists and Technicians, by Work Setting 23

Figure 19: Distribution of Health Practitioner Support Technologists and Technicians, by Sex and Age . 24

Figure 20: Distribution of Health Practitioner Support Technologists and Technicians, by Race/Ethnicity,

Relative to the Working-Age Population .................................................................................................... 24

Figure 21: Medical Records and Health Information Technicians per 100,000 Working-Age Population,

by State ....................................................................................................................................................... 25

Figure 22: Number of Medical Records and Health Information Technicians, by State ............................ 26

Figure 23: Distribution of Medical Records and Health Information Technicians, by Work Setting ........ 26

Figure 24: Distribution of Medical Records and Health Information Technicians, by Sex and Age

.................................................................................................................................................................... 27

Figure 25: Distribution of Medical Records and Health Information Technicians, by Race/Ethnicity,

Relative to the Working-Age Population .................................................................................................... 27

Figure 26: Medical Assistants per 100,000 Working-Age Population, by State ....................................... 28

Figure 27: Number of Medical Assistants, by State ................................................................................... 29

Figure 28: Distribution of Medical Assistants, by Work Setting ................................................................ 29

Figure 29: Distribution of Medical Assistants, by Sex and Age ................................................................. 30

Figure 30: Distribution of Medical Assistants, by Race/Ethnicity, Relative to the Working-Age

Population ................................................................................................................................................... 30

Figure 31: Personal Care Aides per 100,000 Working-Age Population, by State ..................................... 31

Figure 32: Number of Personal Care Aides, by State ................................................................................. 32

Figure 33: Distribution of Personal Care Aides, by Work Setting ............................................................. 32

Figure 34: Distribution of Personal Care Aides, by Sex and Age .............................................................. 33

Figure 35: Distribution of Personal Care Aides, by Race/Ethnicity, Relative to the Working-Age

Population ................................................................................................................................................... 33

Figure 36: Nursing, Psychiatric, and Home Health Aides per 100,000 Working-Age Population, by State

.................................................................................................................................................................... 34

Figure 37: Number of Nursing, Psychiatric, and Home Health Aides, by State ......................................... 35

Figure 38: Distribution of Nursing, Psychiatric, and Home Health Aides, by Work Setting ..................... 35

Figure 39: Distribution of Nursing, Psychiatric, and Home Health Aides, by Sex and Age ...................... 36

Figure 40: Distribution of Nursing, Psychiatric, and Home Health Aides, by Race/Ethnicity, Relative to

the Working-Age Population ...................................................................................................................... 36

September 2018 The U.S. Health Workforce Chartbook – Part III 5

GENERAL LIST OF ACRONYMS

Acronym Definition

AAPA American Academy of Physician Assistants

ACNM American College of Nurse-Midwives

ACS American Community Survey

APRN Advanced Practice Registered Nurse

BHW Bureau of Health Workforce

BLS Bureau of Labor Statistics

BSN Bachelor of Science in Nursing

CDC Centers for Disease Control and Prevention

CMS

CRNA

Centers for Medicare & Medicaid Services

Certified Registered Nurse Anesthetist

EMT Emergency Medical Technician

HHS U.S. Department of Health and Human Services

HRSA Health Resources and Services Administration

IPEDS Integrated Postsecondary Education Data System

LPN Licensed Practical and Licensed Vocational Nurse

NAICS North American Industry Classification System

NCHWA National Center for Health Workforce Analysis

NCLEX-PN® National Counsel Licensure Examination for Practical Nurses

NP Nurse Practitioner

NPI National Provider Identification

OT Occupational therapy

PA Physician Assistant

PA-C Certified Physician Assistant

PUMS Public Use Microdata Sample

RN Registered Nurse

RSE Relative standard error

SOC Standard Occupational Classification

September 2018 The U.S. Health Workforce Chartbook – Part III 6

Introduction

The Health Resources and Services Administration (HRSA), U.S. Department of Health and

Human Services (HHS), provides national leadership in the development, distribution, and

retention of a diverse, culturally competent health workforce that can adapt to the population’s

changing health care needs and provide the highest-quality care for all. The agency administers a

wide range of training grants, scholarships, loans, and loan repayment programs that strengthen

the health care workforce and respond to the evolving needs of the health care system.

The National Center for Health Workforce Analysis (the National Center) informs public and

private sector decision-making on the U.S. health workforce by expanding and improving health

workforce data and its dissemination to the public, and by improving and updating projections of

supply and demand for health workers.

For more information about the National Center, please visit our website at

https://bhw.hrsa.gov/national-center-health-workforce-analysis.

The U.S. Health Workforce Chartbook provides extensive data on 34 health occupations and is

part of the Health Resources and Services Administration’s (HRSA’s) effort to assist states,

policymakers, local workforce planners, researchers, and the public in understanding the U.S.

health workforce. The Chartbook may also be used as a baseline to track changes in the health

workforce. While this Chartbook includes extensive data on supply, including comparative data

by state, it does not include data on demand and, as such, does not address the adequacy of the

supply.

The purpose of this Chartbook is to provide an update to the HRSA 2013 Chartbook. The five-

year 2011 to 2015 American Community Survey (ACS) Public Use Microdata Sample (PUMS)

file was analyzed to provide the estimated number of individuals nation-wide within selected

health occupations, along with information pertaining to workforce settings (industry), and the

demographic makeup of the occupation (i.e., sex, age, race, and ethnicity).

The 2011 to 2015

ACS data file included more than 15 million individuals and these individuals represent

approximately 10 percent of the nation’s workforce.

The 34 health occupations included in this

Chartbook are classified based on the U.S. government’s Standard Occupational Classification

(SOC) system. The occupations also represent those with the largest current employment and

those that are expected to grow substantially in the future.

The vast majority of workers are employed in what the U.S. Office of Management and Budget

defines as the “health sector,” which includes health settings such as hospitals, clinics,

physician’s offices, and nursing homes. The health sector also includes many workers in

occupations that are not considered health occupations. For example, workers such as

accountants or food service workers employed in hospitals are working in the health sector, even

though they are not working in a health occupation. Individuals in health occupations may also

HRSA Analysis of the U.S. Census Bureau, American Community Survey (ACS) Public Microdata Sample (PUMS), 2011-2015.

HRSA Analysis of the U.S. Bureau of Labor Statistics (BLS), Employment Projections, 2014-2015. Note: The “workforce” is defined as

individuals employed in the occupation and individuals whose last job was in the occupation and who are still seeking employment.

September 2018 The U.S. Health Workforce Chartbook – Part III 7

work outside the health sector in settings such as local governments, schools, or insurance

companies. The information provided in this Chartbook includes individuals in health

occupations that are both within and outside the health sector.

For most occupations, the Chartbook relies on the U.S. Census Bureau’s ACS to estimate the

total number of individuals in each occupation, their geographic distribution, the settings in

which they work, and their demographic characteristics. The ACS, which uses self-reported data,

is the most comprehensive source available for the broad range of occupations included in this

report.

This report also draws from the U.S. Department of Education’s Integrated

Postsecondary Education System (IPEDS) to include information on the number of graduates

from educational programs leading to entry into specific occupations. No graduate data are

presented for occupations in which formal educational requirements are completed in institutions

not reporting to IPEDS or vary substantially by state.

Some health occupations are not included or fully represented in the Chartbook because of data

limitations. Only occupations that have 2010 Standard Occupational Classification (SOC) codes

are included in this Chartbook. The report also does not include other health occupations because

of the small size of the occupation, such as epidemiologists and other public health-oriented

disciplines like laboratory workers (laboratorians) and environmental health professionals. In

addition, some occupations in the Chartbook are limited by ACS occupational groupings because

of the methods by which the ACS collects and reports SOC data. For example, although the SOC

has two separate groupings for “medical and clinical laboratory technologists” and “medical and

clinical laboratory technicians,” the ACS only reports on “medical and clinical laboratory

technologists and technicians” as a single occupational grouping and does not report the two

occupations separately. Finally, some health occupations in this Chartbook are not comparable to

those reported in the 2013 Chartbook because the SOC codes changed. More detailed

information is available in the U.S. Health Workforce Chartbook: Technical Documentation

which can be found at https://bhw.hrsa.gov/health-workforce-analysis/research.

The Chartbook is divided into four main parts for ease of reporting. Part I comprises clinicians.

Part II presents additional clinician categories and occupations concerned with health care

administration duties. Part III discusses health-related technologists and technicians as well as

aides and assistants. Part IV describes behavioral and allied health occupations.

Data Sources

Data for this Chartbook come primarily from two federal agencies: the U.S. Census Bureau and

the U.S. Department of Education.

The U.S. Census Bureau’s American Community Survey (ACS): The ACS, a household

survey, provides detailed self-reported data including demographic information (e.g., age, race,

Note: Self-reported data have limitations. Some individuals may report the occupation for which they are trained or licensed even when they are

not currently working the majority of their time in the occupation. For example, a physician who is spending a majority of his/her time as an

administrator may self-report as either a physician or an administrator. The ACS does not collect data on licensure or professional certification.

See the Technical documentation for additional details on ACS reporting limitations.

September 2018 The U.S. Health Workforce Chartbook – Part III 8

and sex data) on individuals working in the health occupations and is the major source of data for

this report.

The U.S. Department of Education’s Integrated Postsecondary Education System (IPEDS):

IPEDS data are used to measure the educational pipeline into the health occupations. IPEDS

provides enrollment and graduation data on an annual basis for all institutions that receive or

apply for federal funds. The number of graduates, by degree type, is presented for occupations

for which there is a specific educational pathway into the occupation. No data are reported for

those occupations without a distinct educational pathway.

Descriptions of the educational and training requirements for the various occupations have been

obtained from the BLS, Occupational Outlook Handbook, 2015 Edition.

Details on the data sources, definitions and analysis, and other information provided in the

Chartbook are available in the U.S. Health Workforce Chartbook: Technical Documentation.

Also, more detailed information on the work settings used in this report can be found on the U.S.

Census Bureau website at www.census.gov/eos/www/naics. 2

September 2018 The U.S. Health Workforce Chartbook – Part III 9

The following table lists each of the selected occupations in Part III of The U.S. Health

Workforce Chartbook along with the associated total workforce estimates from the ACS.

Part III: Technologists & Technicians and Aides & Assistants

Occupation Total

Workforce

1.0 Health Technologists and Technicians

1.1 Medical and Clinical Laboratory Technologists and Technicians 393,230

1.2 Diagnostic Related Technologists and Technicians 370,539

1.3 Emergency Medical Technicians and Paramedics 225,887

1.4 Health Practitioner Support Technologist and Technicians 674,868

1.5 Medical Records and Health Information Technicians 167,149

2.0 Aides and Assistants

2.1 Medical Assistants 574,389

2.2 Personal Care Aides 1,649,003

2.3 Nursing, Psychiatric, and Home Health Aides 2,845,496

Total Workforce from HRSA analysis of the ACS PUMS, 2011-2015. The ACS data are based on self-reported occupation.

September 2018 The U.S. Health Workforce Chartbook – Part III 10

1.0 Health Technologists and Technicians

Health Technologist and Technician occupations described in this section include:

1.1 Medical and Clinical Laboratory Technologists and Technicians;

1.2 Diagnostic Related Technologists and Technicians;

1.3 Emergency Medical Technicians and Paramedics;

1.4 Health Practitioner Support Technologists and Technicians; and

1.5 Medical Record and Health Information Technicians.

1.1 Medical and Clinical Laboratory Technologists and Technicians

• An estimated 393,230 individuals in the U.S. workforce reported their occupation as

Medical and Clinical Laboratory Technologist or Technician.

People in these

occupations are sometimes collectively referred to as laboratory workers, medical

laboratory science professionals, or laboratorians.

• To become a Medical and Clinical Laboratory Technologist, an individual must obtain a

Bachelor’s degree. To become a Technician, an individual must obtain Associate’s

degree or a postsecondary certificate.

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 11

FIGURE 1: MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS AND TECHNICIANS

PER 100,000 WORKING-AGE POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

September 2018 The U.S. Health Workforce Chartbook – Part III 12

FIGURE 2: NUMBER OF MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS AND

TECHNICIANS, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

FIGURE 3: DISTRIBUTION OF MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS AND

TECHNICIANS, BY WORK SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

54.7%

40.4%

5.0%

0% 10% 20% 30% 40% 50% 60%

Hospitals

All Other Settings

Physician Offices

September 2018 The U.S. Health Workforce Chartbook – Part III 13

FIGURE 4: DISTRIBUTION OF MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS AND

TECHNICIANS, BY SEX AND AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 5: DISTRIBUTION OF MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS AND

TECHNICIANS, BY RACE/ETHNICITY, RELATIVE TO THE WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

The total number of Medical and Clinical Laboratory Technologist and Technician graduates in

the 2014-2015 academic year was 10,284.

BLS, Occupational Outlook Handbook. 2015.

73.6%

26.4%

Female Male

31.6%

44.6%

23.8%

35.1%

40.5%

24.4%

10%

20%

30%

40%

50%

Less than 35

years

35-55 years More Than

55 years

Health Care Workforce

Medical and Clinical Laboratory Technologists

and Technicians

2.2%

0.5%

12.0%

9.4%

13.7%

62.0%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 10% 20% 30% 40% 50% 60% 70%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander (Non-

Hispanic)

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older

Medical and Clinical Laboratory Technologists and Technicians

September 2018 The U.S. Health Workforce Chartbook – Part III 14

1.2 Diagnostic Related Technologists and Technicians

The information presented below for “diagnostic related technologists and technicians”

combines data from the following individual occupations:

• Cardiovascular Technologists and Technicians;

• Diagnostic Medical Sonographers;

• Nuclear Medicine Technologists;

• Radiologic Technologists; and

• Magnetic Resonance Imaging Technologists.

• An estimated 370,539 individuals in the U.S. workforce reported their occupation as

diagnostic related technologist or technician in the U.S. workforce.

• To become a diagnostic related technologist or technician, an individual must typically

obtain an Associate’s degree and, commonly licensure.

BLS, Occupational Outlook Handbook. 2015

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 15

FIGURE 6: DIAGNOSTIC RELATED TECHNOLOGISTS AND TECHNICIANS PER 100,000

WORKING-AGE POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

September 2018 The U.S. Health Workforce Chartbook – Part III 16

FIGURE 7: NUMBER OF DIAGNOSTIC RELATED TECHNOLOGISTS AND TECHNICIANS, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

FIGURE 8: DISTRIBUTION OF DIAGNOSTIC RELATED TECHNOLOGISTS AND TECHNICIANS, BY

WORK SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

65.9%

22.7%

11.5%

Hospitals

All Other Settings

Physician Offices

0% 10% 20% 30% 40% 50% 60% 70%

September 2018 The U.S. Health Workforce Chartbook – Part III 17

FIGURE 9: DISTRIBUTION OF DIAGNOSTIC RELATED TECHNOLOGISTS AND TECHNICIANS, BY

SEX AND AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 10: DISTRIBUTION OF DIAGNOSTIC RELATED TECHNOLOGISTS AND TECHNICIANS, BY

RACE/ETHNICITY, RELATIVE TO THE WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

The total number of diagnostic related technologist and technician graduates in the 2014 to 2015

year was 22,651.

HRSA analysis of the National Center for Education Statistics IPEDS, 2014-2015.

71.2%

28.8%

Female Male

31.6%

44.6%

23.8%

31.6%

48.6%

19.8%

10%

20%

30%

40%

50%

60%

Less than 35

years

35-55 years More Than

55 years

Health Care Workforce

Diagnostic Related Technolgists and

Technicians

1.5%

0.4%

5.0%

9.6%

7.8%

75.7%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 10% 20% 30% 40% 50% 60% 70% 80%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander (Non-

Hispanic)

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older Diagnostic Related Technolgists and Technicians

September 2018 The U.S. Health Workforce Chartbook – Part III 18

1.3 Emergency Medical Technicians and Paramedics

• An estimated 225,887 individuals in the U.S. workforce reported their occupation as

emergency medical technician (EMT) or Paramedic.

• To become an EMTs or Paramedic, an individual must obtain a post-secondary non-

degree award, licensure, and meet certain additional requirements.

FIGURE 11: EMTS AND PARAMEDICS PER 100,000 WORKING-AGE POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

**Data are not reported at the state level, because the RSE > 30%; estimate does not meet standards of reliability.

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 19

FIGURE 12: NUMBER OF EMTS AND PARAMEDICS, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

**Data are not reported at the state level, because the RSE > 30%; estimate does not meet standards of reliability.

FIGURE 13: DISTRIBUTION OF EMTS AND PARAMEDICS, BY WORK SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

52.9%

19.3%

14.5%

13.2%

0% 10% 20% 30% 40% 50% 60%

Other Health Care Services

Hospitals

Justice, Public Order, and Safety Activities

All Other Settings

September 2018 The U.S. Health Workforce Chartbook – Part III 20

FIGURE 14: DISTRIBUTION OF EMTS AND PARAMEDICS, BY SEX AND AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 15: DISTRIBUTION OF EMTS AND PARAMEDICS, BY RACE/ETHNICITY, RELATIVE TO

THE WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

The total number of EMT and Paramedic graduates in the 2014 to 2015 year was 25,707.

HRSA analysis of the National Center for Education Statistics IPEDS, 2014-2015.

31.5%

68.5%

Female Male

31.6%

44.6%

23.8%

53.9%

38.7%

7.4%

10%

20%

30%

40%

50%

60%

Less than 35

years

35-55 years More Than

55 years

Health Care Workforce

EMTs and Paramedics

1.9%

0.6%

2.0%

10.3%

6.3%

78.9%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander (Non-

Hispanic)

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older EMTs and Paramedics

September 2018 The U.S. Health Workforce Chartbook – Part III 21

1.4 Health Practitioner Support Technologists and Technicians

The information presented below for ““Health Practitioner Support Technologists and Technicians”

combines data for the following individual occupations that support Health Diagnosing and Treating

Practitioners:

• Dietetic Technicians;

• Pharmacy Technicians;

• Psychiatric Technicians;

• Respiratory Therapy Technicians;

• Surgical Technologists; and

• Veterinary Technologists and Technicians.

• An estimated 674,868 individuals in the U.S. workforce reported their occupation as

Health Practitioner Support Technologist or Technician.

• To become a Technologist or Technician that supports Health Diagnosing and Treating

Practitioners, an individual must obtain a high school diploma or equivalent, a post-

secondary non-degree award, or an Associate’s degree.

Typically, both technologists

and technicians in these fields must take a credentialing exam and become registered,

licensed, or certified.

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 22

FIGURE 16: HEALTH PRACTITIONER SUPPORT TECHNOLOGISTS AND TECHNICIANS PER

100,000 WORKING-AGE POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

September 2018 The U.S. Health Workforce Chartbook – Part III 23

FIGURE 17: NUMBER OF HEALTH PRACTITIONER SUPPORT TECHNOLOGISTS AND

TECHNICIANS, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

FIGURE 18: DISTRIBUTION OF HEALTH PRACTITIONER SUPPORT TECHNOLOGISTS AND

TECHNICIANS, BY WORK SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

40.1%

25.3%

18.9%

15.7%

0% 10% 20% 30% 40% 50%

Pharmacies and Drug Stores

Hospitals

All Other Settings

Veterinary Services

September 2018 The U.S. Health Workforce Chartbook – Part III 24

FIGURE 19: DISTRIBUTION OF HEALTH SUPPORT TECHNOLOGISTS AND TECHNICIANS, BY SEX AND

AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 20: DISTRIBUTION OF HEALTH PRACTITIONER SUPPORT TECHNOLOGISTS AND

TECHNICIANS, BY RACE/ETHNICITY, RELATIVE TO THE WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

The total number of post-secondary graduates in the occupations of Health Practitioner Support

Technologists and Technicians that support Health Diagnosing and Treating Practitioners in the 2014 to

2015 year was 41,490.

HRSA analysis of the National Center for Education Statistics IPEDS, 2014-2015.

78.3%

21.7%

Female Male

31.6%

44.6%

23.8%

53.4%

34.6%

12.0%

10%

20%

30%

40%

50%

60%

Less than 35

years

35-55 years More Than

55 years

Health Care Workforce

Health Diagnosing and Treating Practitioner

Support Technologists and Technicians

1.9%

0.5%

7.1%

12.3%

12.8%

64.5%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 20% 40% 60% 80%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander…

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older

Health Diagnosing and Treating Practitioner Support Technologists and Technicians

September 2018 The U.S. Health Workforce Chartbook – Part III 25

1.5 Medical Records and Health Information Technicians

• An estimated 167,149 individuals in the U.S. workforce reported their occupation as

Medical Records and Health Information Technician.

• To become a Medical Records and Health Information Technician, an individual must

obtain a post-secondary non-degree award, and in some states, certification.

FIGURE 21: MEDICAL RECORDS AND HEALTH INFORMATION TECHNICIANS PER 100,000

WORKING-AGE POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

**Data are not reported at the state level, because the RSE > 30%; estimate does not meet standards of reliability.

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 26

FIGURE 22: NUMBER OF MEDICAL RECORDS AND HEALTH INFORMATION TECHNICIANS, BY

STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

**Data are not reported at the state level, because the RSE > 30%; estimate does not meet standards of reliability.

FIGURE 23: DISTRIBUTION OF MEDICAL RECORDS AND HEALTH INFORMATION TECHNICIANS,

BY WORK SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

43.5%

35.0%

15.7%

5.8%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Hospitals

All Other Settings

Physician Offices

Nursing Care Facilities

September 2018 The U.S. Health Workforce Chartbook – Part III 27

FIGURE 24: DISTRIBUTION OF MEDICAL RECORDS AND HEALTH INFORMATION TECHNICIANS,

BY SEX AND AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 25: DISTRIBUTION OF MEDICAL RECORDS AND HEALTH INFORMATION TECHNICIANS, BY

RACE/ETHNICITY, RELATIVE TO THE WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

The total number of post-secondary Medical Records and Health Information Technician in the 2014 to

2015 academic year was 13,954.

HRSA analysis of the National Center for Education Statistics IPEDS, 2014-2015.

89.2%

10.8%

Female Male

32%

45%

24%

27%

46%

27%

10%

20%

30%

40%

50%

Less than 35

years

35-55 years More Than 55

years

Health Care Workforce

Medical Records and Health Information Technician

1.5%

0.8%

5.3%

11.8%

15.3%

65.3%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 10% 20% 30% 40% 50% 60% 70%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander (Non-

Hispanic)

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older Medical Records and Health Information Technician

September 2018 The U.S. Health Workforce Chartbook – Part III 28

2.0 Aides and Assistants

Auxiliary health occupations and professional groups described in this section include:

2.1 Medical Assistants;

2.2 Personal Care Aides; and

2.3 Nursing, Psychiatric, and Home Health Aides.

2.1 Medical Assistants

• An estimated 574,389 individuals in the U.S. workforce reported their occupation as

Medical Assistant.

• To become a Medical Assistant, an individual must obtain a high school diploma or

equivalent.

FIGURE 26: MEDICAL ASSISTANTS PER 100,000 WORKING-AGE POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

**Data are not reported at the state level, because the RSE > 30%; estimate does not meet standards of reliability.

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 29

FIGURE 27: NUMBER OF MEDICAL ASSISTANTS, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

*Note: Estimates in states with an RSE = 20% - 29% should be considered with caution because of large sampling error.

**Data are not reported at the state level, because the RSE > 30%; estimate does not meet standards of reliability.

FIGURE 28: DISTRIBUTION OF MEDICAL ASSISTANTS, BY WORK SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

44.1%

34.4%

21.4%

0% 10% 20% 30% 40% 50%

Physician Offices

All Other Settings

Hospitals

September 2018 The U.S. Health Workforce Chartbook – Part III 30

FIGURE 29: DISTRIBUTION OF MEDICAL ASSISTANTS, BY SEX AND AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 30: DISTRIBUTION OF MEDICAL ASSISTANTS, BY RACE/ETHNICITY, RELATIVE TO THE

WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

No graduate data are presented for occupations in which formal educational requirements are

completed in institutions not reporting to IPEDS or vary substantially by state.

92.2%

7.8%

Female Male

31.6%

44.6%

23.8%

51.7%

38.4%

9.9%

10%

20%

30%

40%

50%

60%

Less than 35

years

35-55 years More Than

55 years

Health Care Workforce Medical Assistants

1.9%

0.5%

4.5%

26.1%

13.4%

53.6%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 10% 20% 30% 40% 50% 60% 70%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander (Non-

Hispanic)

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older Medical Assistants

September 2018 The U.S. Health Workforce Chartbook – Part III 31

2.2 Personal Care Aides

• An estimated 1,649,003 individuals in the U.S. workforce reported their occupation as

Personal Care Aide.

• To become a Personal Care Aide, an individual typically needs a high school diploma or

equivalent.

FIGURE 31: PERSONAL CARE AIDES PER 100,000 WORKING-AGE POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 32

FIGURE 32: NUMBER OF PERSONAL CARE AIDES, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

FIGURE 33: DISTRIBUTION OF PERSONAL CARE AIDES, BY WORK SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

26.9%

24.1%

22.1%

14.5%

12.4%

0% 10% 20% 30%

Individual and Family Services

All Other Settings

Home Health Care Servies

Residential Care Facilities, Without Nursing

Private Households

September 2018 The U.S. Health Workforce Chartbook – Part III 33

FIGURE 34: DISTRIBUTION OF PERSONAL CARE AIDES, BY SEX AND AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 35: DISTRIBUTION OF PERSONAL CARE AIDES, BY RACE/ETHNICITY, RELATIVE TO

THE WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

No graduate data are presented for occupations in which formal educational requirements are

completed in institutions not reporting to IPEDS or vary substantially by state.

84.6%

15.4%

Female Male

31.6%

44.6%

23.8%

31.3%

40.6%

28.0%

10%

20%

30%

40%

50%

Less than 35

years

35-55 years More Than

55 years

Health Care Workforce Personal Care Aides

2.2%

1.1%

7.7%

18.2%

22.1%

48.7%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 10% 20% 30% 40% 50% 60% 70%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander (Non-

Hispanic)

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older Personal Care Aides

September 2018 The U.S. Health Workforce Chartbook – Part III 34

2.3 Nursing, Psychiatric, and Home Health Aides

• An estimated 2,845,496 individuals in the U.S. workforce reported their occupation as

Nursing, Psychiatric, or Home Health Aide.

• To become a Nursing, Psychiatric, and Home Health Aide, an individual my need less

than high school, a high school diploma or equivalent, or a post-secondary non-degree

award. In some cases, certification is required.

FIGURE 36: NURSING, PSYCHIATRIC, AND HOME HEALTH AIDES PER 100,000 WORKING-AGE

POPULATION, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Total workforce from HRSA analysis of the ACS PUMS, 2011-2015.

BLS, Occupational Outlook Handbook. 2015.

September 2018 The U.S. Health Workforce Chartbook – Part III 35

FIGURE 37: NUMBER OF NURSING, PSYCHIATRIC, AND HOME HEALTH AIDES, BY STATE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

FIGURE 38: DISTRIBUTION OF NURSING, PSYCHIATRIC, AND HOME HEALTH AIDES, BY WORK

SETTING

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

30.0%

25.5%

23.7%

20.8%

0% 10% 20% 30% 40%

Nursing Care Facilities

All Other Settings

Home Health Care Servies

Hospitals

September 2018 The U.S. Health Workforce Chartbook – Part III 36

FIGURE 39: DISTRIBUTION OF NURSING, PSYCHIATRIC, AND HOME HEALTH AIDES, BY SEX

AND AGE

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: The “Health Care Workforce” in this figure refers to the health occupations in this report.

Note: Percentages may not total 100, because of rounding.

FIGURE 40: DISTRIBUTION OF NURSING, PSYCHIATRIC, AND HOME HEALTH AIDES, BY

RACE/ETHNICITY, RELATIVE TO THE WORKING-AGE POPULATION

Data Source: HRSA analysis of the ACS PUMS, 2011-2015.

Note: Percentages may not total 100, because of rounding.

Graduates

No graduate data are presented for occupations in which formal educational requirements are

completed in institutions not reporting to IPEDS or vary substantially by state.

87.2%

12.8%

Female Male

31.6%

44.6%

23.8%

38.9%

41.3%

19.8%

10%

20%

30%

40%

50%

Less than 35

years

35-55 years More Than

55 years

Health Care Workforce

Nursing, Psychiatric, and Home Health Aides

2.1%

0.8%

4.6%

13.7%

32.0%

46.8%

1.8%

0.6%

5.4%

15.2%

11.9%

65.1%

0% 10% 20% 30% 40% 50% 60% 70%

Multiple/Other Race (Non-Hispanic)

American Indian/Alaska Native (Non-Hispanic)

Asian/Native Hawaiian/Pacific Islander (Non-

Hispanic)

Hispanic/Latino

Black/African American (Non-Hispanic)

White (Non-Hispanic)

U.S. Population 16 and Older Nursing, Psychiatric, and Home Health Aides