questionnaire a five-page questionnaire see appendix a was developed and revised based on the 2001 2002-3 and 2004 questionnaires the questionnaire asked for descriptive information about the hospital s employment and contracting statistics for 22 occupational staff categories information about the hospital s level of difficulty recruiting these staff and a set of questions about the hospital s level of difficulty recruiting physicians to practice in their facility the 2005 questionnaire also included a question about hospital patient diversion due to nurse shortages that was included in the 2001 and 2004 questionnaires imputing values for non-respondents to estimate the total number of employed staff and full-time equivalents ftes and the number of staff vacancies in the state and within wdas it was necessary to impute values for non-responding hospitals all hospitals in the sample respondents and non-respondents were grouped into one of four hospital size categories based on the num
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figure 2 cont 0 10 20 30 40 44 49 43 35 31 41 54 62 63 71 87 38 57 37 29 22 14 16 23 14 10 32 24 82 62 47 30 67 58 46 33 28 38 38 29 24 23 31 38 55 51 56 58 49 29 52 43 57 45 46 44 46 29 43 35 31 47 10 46 44 43 53 48 59 45 50 48 52 48 28 29 33 29 10 40 50 60 70 80 90 100 medical records technicians 2005 6 12 2004 13 2002-3 22 2001 medical records coders 2005 2004 2002-3 2001 licensed pharmacists 2005 2004 2002-3 2001 pharmacy technicians 2005 6 2004 5 2002-3 10 2001 physician assistants 2005 2004 2002-3 2001 dieticians 2005 2004 2002-3 2001 physical therapists 2005 2004 2002-3 2001 occupational therapists 2005 2004 2002-3 2001 respiratory therapists 2005 2004 2002-3 2001 surgical technologists 2005 2004 2002-3 nurse managers/clinical directors 2005 2004 very difficult somewhat difficult 8
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the longest more than half of hospitals reported that they recruited six months or longer for physical therapist 57 and approximately half 48 for staff nurse positions use of contract employees in addition to hiring regular employees most hospitals also contract for some of their workforce this can involve hiring staff through agencies or through direct contracts with professionals it is difficult to measure the extent of use of these staff because not all hospitals track hours or dollars for these services at the individual occupation level and often the total amount spent includes expenses other than direct compensation such as housing supplies etc hospitals were asked to indicate whether or not for each of the 21 occupations they had used contract employees in the past year and whether that amount of contracting was more less or the same as the previous year table 9 shows the rates of hospital contracting as reported in the 2005 survey compared with the 2004 and 2002-3 surveys the
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14 table 6 cont persons needed est 1 2 3 4 5 6 7 8 9 10 11 12 1 1 1 0 1 3 0 1 3 8 3 3 3 1 2 1 0 0 0 1 0 0 0 1 4 2 3 4 0 0 1 1 0 8 10 8 27 25 7 4 22 19 6 7 12 6 2 4 0 4 5 3 15 11 3 3 5 2 5 4 2 0 14 8 3 2 4 5 3 4 1 1 1 1 18 11 4 4 3 8 3 5 2 3 0 0 0 0 4 6 0 2 0 3 0 1 1 2 2 3 1 1 5 3 1 3 3 1 6 1 1 3 1 1 0 1 5 3 5 3 0 1 0 0 2 1 10 5 3 4 1 1 4 1 11 15 11 4 41 16 18 14 5 3 5 2 47 42 45 28 1 1 4 3 5 3 0 1 3 1 5 10 10 5 8 5 1 1 4 4 0 4 0 1 1 1 16 12 0 8 1 8 1 6 1 2 9 4 3 5 0 0 4 1 12 11 5 5 6 6 6 6 3 1 8 2 4 3 1 1 1 0 11 8 9 4 3 4 4 3 2 4 2 1 9 6 6 3 1 0 1 0 8 6 11 4 3 10 6 7 medical records technicians 2005 2004 medical records coders 2005 2004 licensed pharmacists 2005 2004 pharmacy technicians 2005 2004 physician assistants 2005 2004 dieticians 2005 2004 physical therapists 2005 2004 occupational therapists 2005 2004 respiratory therapists 2005 2004 surgical technologists 2005 2004 using estimated ftes needed to fill vacancies multiplied by the ratio of persons per ftes employed for each
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figure 4 cont ultrasound technologist vacancy rates 20 18 16 14.3 14 12 10.3 10 8 6 4 2 0 2002-3 2004 2005 0 5.5 20 10 30 40 50 60 ultrasound technologist persons and ftes needed 52 46 36 33 31 22 persons 2003 2004 ftes 2005 nuclear medicine technologist vacancy rates 20 18 16 14 12 10 8 6 4 2 0 2002-3 2004 2005 3.4 10.9 9.6 nuclear medicine technologist persons and ftes needed 30 25 20 20 15 10 5 persons 0 2003 2004 18 24 22 7 6 ftes 2005 radiation therapy technologist vacancy rates 20 18 16 14 12 10 8 6 4 2 0 2002-3 2004 2005 4.7 3.0 4.0 radiation therapy technologist persons and ftes needed 20 15 11 10 6 5 5 persons 0 2002-3 2004 ftes 2005 9 10 8 medical records technician vacancy rates 20 18 16 14 12 10 8 6 4 2 0 2.0 2002-3 2.3 1.9 2005 medical records technician persons and ftes needed 30 25 20 15 10 5 persons ftes 2005 0 13 12 23 21 17 15 2004 2002-3 2004 17
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figure 4 cont surgical technologist vacancy rates 20 18 16 14 12 10 8 6 4 2 0 2002-3 2004 2005 5.9 4.6 4.4 100 90 80 70 60 50 40 30 20 10 0 surgical technologist persons and ftes needed 75 68 46 44 36 61 persons 2002-3 2004 ftes 2005 figure 5 staff nurses rns number employed and vacancies in washington s hospitals from 2001 to 2005 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 2005 30,137 1,858 31,995 2004 25,412 1,772 27,184 2002-3 22,454 1,869 24,323 2001 20,686 1,987 22,673 persons employed needed to fill vacancies on payroll may include per diem and on-call 20
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table 11 level of use of contract employees in washington hospitals 2005 compared with one year ago percentage of hospitals whose use of contract employees since one year ago was occupation n more the same less staff nurses rns advanced practice nurses licensed practical nurses lpns nursing assistants medical technicians/clinical lab scientists medical/clinical lab technologists radiographers/radiology technologists specialized radiology technologists ct mri ultrasound technologists nuclear medicine technologists radiation therapy technologists medical records technicians medical records coders licensed pharmacists pharmacy technicians physician assistants dieticians physical therapists occupational therapists respiratory therapists surgical technologists totals may not equal 100 because of rounding number of hospitals responding to this question 53 17 21 28 21 18 33 32 31 26 18 17 23 34 17 16 23 33 25 32 27 23 0 5 21 24 33 12 22 16 23 6 6 22 15 6 0 9 33 20 6 15 32 76 62 32 67 61 42 4
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references morrill r cromartie j hart lg 1999 metropolitan urban and rural commuting areas toward a better depiction of the u.s settlement system urban geography 208 727-748 skillman sm andrilla cha hutson t deacon h praseuth t 2004 washington state hospitals results of 2003/04 workforce survey working paper #98 seattle wa wwami center for health workforce studies university of washington skillman sm hutson t andrilla cha 2003 washington state hospitals results of 2002 workforce survey working paper #79 seattle wa wwami center for health workforce studies university of washington skillman sm hutson t andrilla cha berkowitz b hart lg 2002 how are washington state hospitals affected by the nursing shortage results of a 2001 survey working paper #68 seattle wa wwami center for health workforce studies university of washington state of washington office of financial management 2004 forecast of the state population http www.ofm.wa.gov/pop/stfc accessed 10/31/05 washington state depar
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b2 regular/on-payroll employee statistics please answer the following questions only as they relate to support of your hospital s acute care functions full time equivalent position fte total number of hours per year considered an fte varies by institution and contract the range is usually between 1860 and 2080 hours per year 30-40 hours per week one fte is indicated 1.0 fte indicate part-time positions as follows a half-time position 0.5 fte a quarter-time position 0.25 fte employee statistics for each job category indicate the requested statistic for regular/on-payroll staff not applicable we do not employ job category persons currently 1 employed ftes currently employed ftes vacant for which you re currently recruiting if you have a vacancy how many months have you been recruiting for the position that has been vacant longest acute care hospital staff nursing staff a staff nurses rns b advanced practice nurses c lpns d nursing assistants laboratory staff e mt/cls f mlt/clt
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