2016 health services category discipline analysis report1) inform hs officers and partners on who we...

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1 2016 Health Services Category Discipline Analysis Report Prepared by: LCDR Roberto Garza LCDR Joel Richardson CDR Dorinda Ball CDR Bobby Rasulnia CAPT Jeanean Willis Marsh December 11, 2016 Health Services Professional Advisory Committee Analytic Subcommittee (proposed) Multidisciplinary in Approach, Connected by Service, Advancing Public Health #WeAreCorpsSTRONG

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Page 1: 2016 Health Services Category Discipline Analysis Report1) Inform HS officers and partners on who we are and our value add to the USPHS; 2) Emphasize the HS PAC moto: Multidisciplinary

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2016 Health Services Category Discipline Analysis Report

Prepared by:

LCDR Roberto Garza

LCDR Joel Richardson CDR Dorinda Ball

CDR Bobby Rasulnia CAPT Jeanean Willis Marsh

December 11, 2016

Health Services Professional Advisory Committee

Analytic Subcommittee (proposed) Multidisciplinary in Approach, Connected by Service, Advancing Public Health

#WeAreCorpsSTRONG

Page 2: 2016 Health Services Category Discipline Analysis Report1) Inform HS officers and partners on who we are and our value add to the USPHS; 2) Emphasize the HS PAC moto: Multidisciplinary

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Background In 2016, the Health Services Professional Advisory Committee (HS PAC) embarked on an initiative to enhance its analytic capabilities and use data to support officer career progression and strategic planning for the Health Services (HS) Category. Data to support HS PAC office career progression programs already exist in the form of the HS Officer Career Progression Profile and Trend Analysis reports as well as those collected through the mentoring program and discipline-specific Professional Advisory Groups (PAGs). However, there has been a gap in data use at the Category level to support organizational assessments in structure, streamlining functions and processing, value-add, strengths, areas for improvement and recruitment of HS officers into the U.S. Public Health Service. Such uses can also support strategic planning of programs and policies within the PAGs and PAC, as well as a tool to ensure Category alignment with and support of the mission of the USPHS. To this end, in 2016, the Category conducted an analysis to examine who we are, where we are, what we do, and how we can use data to plan for the future of the Category. The report reflects HS Category information as of July 2016. We hope to use this data to:

1) Inform HS officers and partners on who we are and our value add to the USPHS; 2) Emphasize the HS PAC moto: Multidisciplinary in Approach, Connected by Service,

Advancing Public Health;

3) Highlight our role in the USPHS, agencies, and communities; 4) Partner with agency PHS liaisons and PAGs to identify and anticipate discipline-specific

need for recruitment of HS officer; 5) Partner with DCCPR to strategically identify HS officer recruitment needs on an annual

basis; 6) Engage PAGs in promoting their disciplines; and 7) Use as a tool to recruit HS mentors and engage more senior officer in the PAC.

Page 3: 2016 Health Services Category Discipline Analysis Report1) Inform HS officers and partners on who we are and our value add to the USPHS; 2) Emphasize the HS PAC moto: Multidisciplinary

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Results

I. Health Services Officers by HHS Region Figure 1 depicts the distribution of officers across the 10 HHS Regions.

This figure indicates:

Close to two-thirds of all HS officers are stationed in states on the Eastern U.S. This includes 40% of officers in the Washington, D.C., Maryland, and Virginia metropolitan area.

Regions 5-8 combine to account for 20% of all HS officers.

Figure 1. Health Service Officers by HHS Region

Page 4: 2016 Health Services Category Discipline Analysis Report1) Inform HS officers and partners on who we are and our value add to the USPHS; 2) Emphasize the HS PAC moto: Multidisciplinary

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II. Distribution of Health Services Officers by HHS Region & by Discipline Table 1 describes the distribution of Health Services officers across the 10 HHS Regions by major category disciplines. The category disciplines, in alphabetical order are:

Anthropology Bacteriology Biochemistry Biological Immunology Biology, General Biostatistics Biotechnology Research Business Statistics Chemistry, General Clinical Psychology Computer and Information

Sciences, General Computer Systems Analysis Dental Hygienist Entomology Environmental Health Environmental Science/Studies Epidemiology Experimental Psychology Exercise Physiology Foods and Nutrition Science Forensic Science Genetics, Plant and Animal Health Professions and Related

Sciences, Other

Hospital/Health Facilities Administration

International Health Mathematics Medical Clinical Sciences Medical Records and Health

Information Management Medical Technology Microbiology Occupational Safety Optometry Physical Sciences, General Physician Assistant Physiology, Human and Animal Podiatry Psychology, General Public Health Public Health Administration Public Health Education &

Promotion Public Health, General Public Health, Other Speech and Rhetorical Studies Social Work Toxicology

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Table 1: Distribution of Health Services Officers by HHS Region & by Discipline

Region 1

Physician Assistant 7 (33%)

Social Work 6 (29%)

Medical Technology 3 (14%)

Clinical Psychology 3 (14%)

Other (2 disciplines) 2 (10%)

Region 2

Physician Assistant 11 (23%)

Public Health, General 10 (21%)

Dental Hygienist 4 (9%)

Biology, General 3 (6%)

Chemistry, General 3 (6%)

Clinical Psychology 3 (6%)

Medical Technology 3 (6%)

Other (7 disciplines) 10 (21%)

Region 3

Public Health, General 99 (20%)

Social Work 83 (17%)

Computer and Info Sciences, General 55 (11%)

Physician Assistant 46 (9%)

Hospital/Health Facilities Admin 37 (8%)

Medical Technology 31 (6%)

Public Health Admin 29 (6%)

Other (26 disciplines) 116 (23%)

Region 4

Public Health, General 76 (31%)

Physician Assistant 36 (15%)

Medical Technology 28 (11%)

Social Work 21 (9%)

Dental Hygienist 18 (7%)

Epidemiology 11 (5%)

Other (23 disciplines) 57 (23%)

Region 5

Physician Assistant 7 (21%)

Public Health, General 6 (18%)

Optometry (O.D.) 3 (9%)

Other (12 disciplines) 17 (52%)

Region 6

Physician Assistant 25 (17%)

Social Work 22 (15%)

Dental Hygienist 22 (15%)

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Optometry (O.D.) 19 (13%)

Medical Technology 19 (13%)

Public Health, General 11 (8%)

Other (13 discipline) 26 (18%)

Region 7

Social Work 6 (27%)

Physician Assistant 5 (23%)

Medical Technology 3 (14%)

Dental Hygienist 2 (9%)

Other (6 disciplines) 6 (27%)

Region 8

Optometry (O.D.) 12 (23%)

Dental Hygienist 8 (15%)

Public Health, General 5 (10%)

Physician Assistant 5 (10%)

Medical Technology 5 (10%)

Other (8 disciplines) 17 (33%

Region 9

Physician Assistant 21 (17%)

Public Health, General 17 (14%)

Social Work 16 (13%)

Medical Technology 14 (11%)

Computer and Info Sciences, General 13 (11%)

Optometry (O.D.) 10 (8%)

Dental Hygienist 10 (8%)

Other (9 disciplines) 22 (18%)

Region 10

Physician Assistant 17 (25%)

Social Work 11 (16%)

Dental Hygienist 11 (16%)

Optometry (O.D.) 7 (10%)

Medical Technology 7 (10%)

Clinical Psychology 5 (7%)

Public Health, General 4 (6%)

Other (5 disciplines) 6 (10%)

This table indicates:

The three most prevalent Health Services officer disciplines are Physician Assistant, Public Health, General, and Social Work, in that order.

Other top disciplines include dental hygienist, medical technology, and optometry (O.D.).

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III. Health Service Officers by Agency Table 2 describes the distribution of Health Services officers across Federal agencies, including agencies within HHS, within DHS, and in other federal departments. Table 2: Distribution of Health Services Officers by Federal Agency

Agency Count by Agency Indian Health Service (IHS) 226 (18%) Food & Drug Administration (FDA) 193 (15%) Bureau of Prisons (BOP) 190 (15%) Centers for Disease Control and Prevention (CDC), & Agency for Toxic Substances and Disease Registry (ATSDR)

160 (13%)

Health Resources and Services Administration (HRSA)

101 (8%)

Office of the Secretary (OS) 79 (6%) Department of Homeland Security (DHS) 76 (6%) Department of Defense TRICARE Management Activity (DoD TMA)

71 (6%)

Centers for Medicare and Medicaid Services (CMS) 63 (5%) Substance Abuse and Mental Health Services Administration (SAMHSA)

32 (3%)

National Institutes of Health (NIH) 26 (2%) Department of Commerce (DOC) 10 (1%) U.S. Department of Agriculture (USDA) 8 (1%) Environmental Protection Agency (EPA) 7 (1%) Department of Interior (DOI) 7 (<1%) Administration for Children and Families (ACF) 5 (<1%) Agency for Healthcare Research Quality (AHRQ) 2 (<1%) Program Support Center (PSC) 2 (<1%) Department of Justice (DOJ) 1 (<1%)

This table indicates:

Over 33% of HS officers are assigned to IHS and BOP, where they work in agencies that have missions to provide direct care to individuals.

Outside of the BOP, 14% of HS officers are assigned to agencies outside of HHS, including DHS, DoD, DOC, USDA, EPA, DOI, and DOJ.

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IV. Health Services Officers by U.S. State Table 3 describes the distribution of Health Services officers by state. Table 3: Distribution of Health Services Officers by state

State No. of HSOs State No. of HSOs State No. of HSOs MD 350 CO 16 AL 4 GA 139 WV 14 PR 4 DC 87 SD 13 CT 4 AZ 63 MT 13 LA 4 TX 54 MO 12 AR 3 CA 51 IL 11 WI 3 NC 50 OR 11 MS 3 OK 42 MN 10 IN 3 NM 39 KY 9 WY 3 NY 35 NJ 8 ID 3 AK 33 HI 8 NE 2 FL 30 KS 8 UT 2 VA 26 SC 7 NV 1 WA 23 OH 6 ME 1 PA 19 TN 5 MA 16 ND 5

This table indicates:

Over 36% of HS officers are stationed in the Washington, D.C., Maryland, and Virginia metropolitan area.

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V. Health Services Officers by Professional Advisory Group Table 4 describes the distribution of Health Services officers by each officer’s corresponding Professional Advisory Group (PAG). Table 4: Distribution of Health Services Officers by PAG

Agency Count by PAG Public Health PAG (PHPAG) 359 (29%) Physician Assistant PAG (PAPAG) 180 (14%) Social Work PAG (SWPAG) 175 (14%) Medical Laboratory Science PAG (MLSPAG) 121 (10%) Health Informatics Technology PAG (HITPAG) 101 (8%) Dental Hygiene PAG (DHPAG) 96 (8%) Basic & Applied Science PAG (BASPAG) 77 (6%) Healthcare Administration PAG (HAPAG) 54 (4%) Optometry PAG (OPAG) 53 (4%) Psychology PAG (PSYPAG) 43 (3%)

This table indicates:

The top three categories, PHPAG, PAPAG, and SWPAG, correspond with findings from Table 1 on the most prevalent professional disciplines in the Health Services category.

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Health Services Officer Ranks by Category Discipline Figures 2a & 2b describe the distribution of HS officer ranks across the different Health Services PAGs. Figure 2a. Health Services Officer Ranks for BASPAG, DHPAG, HAPAG, HITPAG, & MLSPAG

Figure 2b. Health Service Officer Ranks for OPAG, PAPAG, PHPAG, PSYPAG, & SWPAG

Page 11: 2016 Health Services Category Discipline Analysis Report1) Inform HS officers and partners on who we are and our value add to the USPHS; 2) Emphasize the HS PAC moto: Multidisciplinary

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Health Services Officer by Agency by Rank The following Figures describe the distribution of HS officer ranks across 20 different Agencies.

Figure 3a-f. Health Service Officer across Agencies

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These figures indicate: There is a wide distribution of HS officers across 18 agencies. These agencies not only include many

HHS Operational and Staff Divisions, but also agencies in sister departments, including the Department of Defense, Department of Homeland Security, the Environmental Protection Agency, and other federal agencies.