MINNESOTA S ORAL HEALTH WORKFORCE October 2015

Transcription

1 MINNESOTA S ORAL HEALTH WORKFORCE October 2015

2 2 Index Background Info 4-12 About this data Reference Maps Additional Professional Information All Oral Health Professions Overall data by profession Regional Distributions Demographics Key employment data Summary of Findings Policy prescriptions Dentists Education Certification/Specialty Population to Dentist Ratio Future Plans Employment and hours worked Type of establishment Rural/urban by age Expanded staff roles Time spent

3 3 Index Dental Therapists Education 54 Licensure time 55 Future Plans 56 Employment and hours worked Type of establishment 60 DT activities Dual licensure and dental assistant supervision 63 Dental Hygienists Education Dental Assistants Education Future Plans Employment and hours worked Type of establishment Time spent Future Plans Employment and hours worked Type of establishment Hygienist activities Collaborative agreement/restorative function 78-79

4 4 About this data This report is funded by a Health Resources and Services Administration (HRSA) grant to the Minnesota Oral Health Program (number T12HP14659 "Grants to States to Support Oral Health Workforce"). The Minnesota Department of Health (MDH) is authorized to collect workforce information from licensed health professionals at the time of license renewal as directed in Minnesota Statues section MDH s Workforce Analysis Program collects workforce data in partnership with the Minnesota Board of Dentistry. The data presented here are from the Board s administrative data and MDH s workforce survey. Dentist, dental hygienist and dental assistant surveys were administered during 2012 and 2013 as providers renewed their licenses. Dental therapists, a newly licensed provider in Minnesota, were surveyed between October and November 2014 through an online process separate from their license renewal and received reminders to complete the survey.

5 5 About this data Survey response rates are based on the total number of active licenses for each profession compared to the number of survey respondents. Anyone who is renewing their license is eligible to complete the survey and new applicants are excluded. Dentist: 34% Dental Therapists: 83% Dental Hygienists: 41% Dental Assistants: 43% Data presented is based on those responding to each question. The number and percent of respondents who skipped questions are noted throughout the document. Some questions were also only asked if respondents met certain criteria so the totals may differ across questions. These counts are also noted.

6 Reference maps 6

7 Minnesota rural-urban commuting areas (RUCAs) 7

8 Minnesota rural-urban commuting areas (RUCAs) cont. 8 Rural-Urban Commuting Areas (RUCAs) are the main way this report looks at data by geographic region. RUCAs measure the rurality of a location based on population size, commuting distance, and driving time to larger population centers. More information about RUCAs can be found on the MDH website at:

9 Minnesota planning regions 9

10 10 Additional profession information For more information on oral health professions see: Minnesota law informs roles, responsibilities and scope of practice. See Minnesota Dentistry Practice Statutes for details: For information on licensing and other requirements for all oral health professions, see the Minnesota Board of Dentistry: Dental Therapist: In 2009, the Minnesota legislature authorized a new oral health profession called dental therapists (DT) that practice as part of a dental team to provide educational, clinical and therapeutic services, including non-complicated restorations and extractions. Dental therapists are designed to be mid-level practitioners. They can operate more independently than other oral health professionals to do simple extractions and treatment of patients. They can also supervise up to four dental assistants. An advanced dental therapist (ADT) certification can be obtained to allow for additional complex and independent work. Dental therapists primarily practice in settings serving low-income, uninsured and underserved patients, or in areas designated as Health Professional Shortage Areas (HPSAs) for dental care to help expand care to the underserved.

11 11 Additional professional information Dental Hygienist: Minnesota has two different efforts supported by legislation to help expand the scope of work of hygienists to fill more gaps in the oral health needs of Minnesotans. One is a collaborative agreement which allows them to work off site and provide services in locations such as schools, nursing homes, and other clinics that may not have dental services. Additionally, they may obtain a Restorative Procedures credential allowing them perform any restorative procedures as authorized under Minnesota law (M.S. 150A.10, Subd. 4). This may include: place, contour, and adjust amalgam restorations, glass ionomers, class I and V supragingival composite restorations, and adapt and cement stainless steel crowns). Dental Assistant: Dental assistants may also obtain a Restorative Procedures credential allowing them perform any restorative procedures as authorized under Minnesota law (M.S. 150A.10, Subd. 4). This may include: place, contour, and adjust amalgam restorations, glass ionomers, class I and V supragingival composite restorations, and adapt and cement stainless steel crowns).

12 12 MINNESOTA S ORAL HEALTH WORKFORCE

13 13 Minnesota s oral health workforce Source: Board of Dentistry, December Includes all professionals who have an active license and report practicing in Minnesota ( Active Practice In State. N=12,961). Of these, 5,819 were dental assistants; 4,101 were dental hygienists; 3,013 were dentists, and 27 were dental therapists.

14 14 Practice status of all oral health providers Profession Actively Licensed and Practicing- In State Actively Licensed and Practicing- Out of State Actively Licensed but Not Practicing- In State* Note: 51 Dental Therapists were licensed in Minnesota as of 10/1/2015. Actively Licensed and Not Practicing- Out of State* Total Dental Assistants 5, , ,326 Dental Hygienists 4, ,541 Dental Therapists Dentists 3, ,027 All Professions 12,960 1,021 2, ,923 Source: Minnesota Board of Dentistry, December 2013 for dentists, dental hygienist and dental assistants. Dental Therapists as of October 2014 and * Actively licensed and not practicing professionals include those oral health providers that opt to maintain their professional license but are not practicing for a variety of reasons (e.g., retirement; working in another field; or temporarily out of the labor market for various reasons).

15 Rural-urban distribution of all oral health providers in MN 15 Type of Area Isolated Small Rural Large Rural Urban Dental Assistants (N=5,594) Dental Hygienists (N=3,864) Dental Therapists (N=26) Dentists (N=2,885) Minnesota Population, 2010 U.S. Population, % 6% 8% 4% 10% 5% 6% 6% 4% 6% 7% 5% 11% 10% 4% 10% 13% 10% 76% 78% 85% 80% 70% 80% Source: Minnesota Board of Dentistry, December Includes all providers who have an active license and report practicing in Minnesota and had a valid Minnesota mailing address. Does not include providers who report active practice in Minnesota with an out of state mailing address. Population distribution information for Minnesota and the U.S. comes from MDH calculations, and Agency for Healthcare Research and Quality, AHRQ Pub No. 12-P001-4-EF, respectively.

16 16 Regional distribution of oral health professionals Minnesota Region Dental Assistants (N=5,594) Dental Hygienists (N=3,864) Dental Therapists (N=26) Dentists (N=2,885) Minnesota Population, 2013 Northeast 5.3% 6.0% 0.0% 6.3% 6% Northwest 9.1% 8.0% 7.7% 7.8% 10% Central 16.8% 13.1% 7.7% 9.7% 13% Minneapolis/St. Paul 53.7% 56.7% 69.2% 61.7% 54% Southeast 8.4% 9.7% 7.7% 8.7% 9% Southwest 6.8% 6.4% 7.7% 5.4% 7% Minnesota 100% 100% 100% 100% 100% Source: Minnesota Board of Dentistry, December Includes all providers who have an active license and report practicing in Minnesota and had a valid Minnesota mailing address. Does not include providers who report active practice in Minnesota with an out of state mailing address. Population distribution information for Minnesota comes from MDH calculations and the Minnesota State Demographer s Office 2013 Population Estimates:

17 17 Age distribution of oral health providers Source: Minnesota Board of Dentistry, December Includes all professionals who have an active license and report practicing in Minnesota.

18 Gender of oral health providers, by profession 18 Source: Minnesota Board of Dentistry, December Includes all professionals who have an active license and report actively practicing in Minnesota.

19 19 Female dentists by age Source: Minnesota Board of Dentistry, December Includes all dentists who have an active license and report actively practicing in Minnesota (N=3,013).

20 20 Race of oral health providers Source: Minnesota Department of Health Workforce Survey, Includes all providers who have an active license, report actively practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal. Between 5 and 8 percent of survey respondents (depending on profession) did not answer the survey question on race.

21 21 Ethnicity of oral health providers Source: Minnesota Department of Health Workforce Survey, Includes all providers who have an active license, report actively practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal. Anywhere from 5 to 8 percent of survey respondents (depending on profession) did not answer the survey question on ethnicity.

22 22 Average hours worked per week Source: Minnesota Department of Health Workforce Survey, Includes all providers who have an active license, report actively practicing in Minnesota, who are currently employed in the oral health field and who responded to the MDH workforce survey during their license renewal. Anywhere from 0 to 34 percent of survey respondents (depending on profession) did not answer the survey question on hours worked, with dentists having the highest percent missing.

23 23 Future plans to practice in Minnesota Source: Minnesota Department of Health Workforce Survey, Includes all providers who have an active license, report actively practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal. Anywhere from zero to three percent didn t respond to the question.

24 Planning to work 5 years or less in Minnesota: reasons by profession 24 Source: Minnesota Department of Health Workforce Survey, Includes all providers who have an active license, report actively practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal. Anywhere from 0 to 17 percent of survey respondents (depending on profession) did not answer the survey question on reasons planning to work 0 to 5 years.

25 25 Pipeline data: Minnesota education programs graduates by program type Over 1 and under 4 years 4 years Graduate Level Total Dental Assistant Dental Hygienist Dentist Dental Therapy Graduates University of Minnesota Metropolitan State/Normandale Annual Total Cumulative Total (est.) Source: Table 1: Minnesota State Colleges and Universities, LMI Wise, Dashes indicate education level doesn t apply to profession. Table 2: University of Minnesota School of Dentistry, Karl Self 2015.

26 26 Summary of Findings Numbers of providers. There were 2,894 dentists, 26 dental therapists, 3,866 dental hygienists, and 5,598 dental assistants actively licensed and practicing in Minnesota during the time frame this report covers ( ). (Note that 13 percent of dentists reported earning a specialty certification in orthodontics, oral surgery, and other fields.) Geographic distribution. Minnesota s oral health professionals are concentrated in the metropolitan areas of the state. Seventy-six percent of dentists are working in areas classified as urban (compared to 70 percent of the state s population). In urban areas, there is one dentist for every 1,676 people, while in isolated rural areas (the least populated areas of the state), the ratio is one dentist for every 3,853 people. Trends are similar for dental therapists: 85 percent are employed in urban areas, compared to just eight percent in isolated rural areas. Age. Among all oral health providers, dentists are the oldest group. Nearly half 43 percent of actively practicing dentists are 55 or older. Rural dentists are slightly older than dentists in urban areas of the state. Dental hygienists and assistants are a significantly younger group, but dental therapists are the youngest of the four, with more than half age 34 or younger.

27 27 Summary of Findings Gender. The majority of dental assistants, hygienists and therapists are female. Dentistry, on the other hand, is still a male-dominated occupation, with nearly three of every four dentists a male. However, dentistry is among the fastest-feminizing professions in healthcare. With each successively younger age group the share of female dentists has grown, and among dentists 34 years and under, females outnumber males. Depending on gender differences in career trajectories, this demographic shift could have significant implications on the field as a whole. Race and ethnicity. In general, the oral health professions remain overwhelmingly white and non-hispanic in Minnesota. Dental therapists are a slightly more diverse group of professionals, with over ten percent of providers indicating that they were more than one race, and just under five percent indicating that they were Hispanic. Education. The oral health workforce primarily operates in a state, not a national, labor market. Three out of four practicing Minnesota dentists earned their dental degree from the University of Minnesota; likewise, 100 percent of dental therapists, 85 percent of dental hygienists, and 98 percent of dental assistants were trained in Minnesota.

28 28 Summary of Findings Work hours. Dentists work an average of 34 hours per week. The other professions working with them have similar work weeks. The majority of oral health providers report that they are working their desired number of hours, but approximately one in five oral health professionals (excluding dentists) say they would like to work more hours than they currently do. This indicates underutilized provider capacity to meet the oral health needs of the state. Establishment types. The majority of oral health providers work in small establishments either a solo private practice or a small group private practice. Fortysix percent of male dentists work in their own solo practice compared to 26 percent of female dentists a trend worth watching as the share of female dentists grow. Additionally, younger dentists are practicing more in small or large group private practices than dentists 55 and older who tend to practice in solo private practices. It is also worth nothing that more than one out of every three dental therapists is employed in a non-profit clinic.

29 29 Summary of Findings Future plans. When asked about their future employment, only 55 percent of dentists indicated that they planned to continue working more than 10 years, compared to 64 percent of dental hygienists, 65 percent of dental assistants, and 74 percent of dental therapists. This is almost certainly a reflection of the age of the dentist workforce. The majority who planned to leave the field within five years indicated that they were leaving to retire. Rural Dentists. Rural areas of the state are at the greatest risk of serious future shortages of dentists: approximately one-third of rural dentists indicated that they planned to leave the profession within five years or less (to retire, most indicated). Interestingly, however, rural dental hygienists may have greater longevity in the field: just six percent indicate they plan to practice less than five years.

30 30 Policy Prescriptions Oral health professional shortage concerns are concentrated in isolated and small rural areas. Focusing efforts on new ways of better serving people in these areas could bring benefits. As younger dentists are working less in solo private practice, efforts to support or transition solo practices as dentists retire, especially in rural areas, could be of value. When considering solutions to a rural dentistry shortage, it is worth noting the expanded roles that hygienists may play in providing oral health care. Hygienists working under collaborative agreements with dentists can provide care with less oversight from dentists, work from non-traditional settings or have other expanded responsibilities. This can widen dental services settings and increase services available. Efforts to support the dental therapy profession could be worthwhile. As the dental therapist profession grows, they can help fill gaps for the underserved (as intended by legislation) and support the long term oral health needs of Minnesotans.

31 Dentists 31

32 Education: earned degree from the University of Minnesota 32 Source: Minnesota Department of Health Workforce Survey, Data includes all dentists who have an active license, report actively practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal (N=1,381). Just under three percent of dentists who completed the survey did not respond to the question about where they earned their dental degree (N=39).

33 Certification/specialty of Minnesota dentists 33 Source: Minnesota Department of Health Workforce Survey, All dentists who have an active license, report actively practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal (N=1,381). Just over three percent of dentists did not respond to the survey question about certifications (N=43).

34 Population-to-dentist ratio by rural-urban regions 34 Population to practitioner ratio is one indicator of oral health care access. Isolated areas of the state have the highest population to dentist ratio, which decreases as the population size of an area grows. Large and small rural areas have very similar population to dentist ratios. These ratios do not necessarily indicate shortages. They do not take into account the other professional (such as dental hygienists and assistants) that dentists work with to provide patient care. There are also official shortage areas designated in the state. These areas have a number of different calculations used and relate to specific federal government programs. Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and report practicing in Minnesota and who reported a valid Minnesota mailing address (N=2,885).

35 National trends: dentists per 100,000 population 35 Source: American Dental Association Supply of Dentists. Reported data are based on the American Dental Association (ADA) Masterfile, 2015.

36 36 Dentists per 100,000 population Comparing overall trends to Minnesota data indicates possible concern in the more rural populations of Minnesota, especially in the isolated areas. Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and report practicing in Minnesota and who reported a valid Minnesota mailing address (N=2,885).

37 Dentist s future plans to practice in Minnesota 37 Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and report practicing in Minnesota (N=1,381). Just over three percent of dentists did not respond to the survey question about future plans (N=45). Survey question: If you are currently practicing as a dentist in Minnesota, how many more years do you plan to practice in Minnesota?

38 Future plans of dentists in Minnesota by gender 38 Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and report practicing in Minnesota (N=1,381). Just over three percent of dentists did not respond to the survey question about future plans (N=45). Survey question: If you are currently practicing as a dentist in Minnesota, how many more years do you plan to practice in Minnesota?

39 Future plans of dentists in Minnesota by region 39 Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license, report a Minnesota mailing address, and who responded to the MDH workforce survey during their license renewal (N=1,342). Just over three percent of dentists did not respond to the survey question about future plans (N=52). Survey question: If you are currently practicing as a dentist in Minnesota, how many more years do you plan to practice in Minnesota?

40 Reason planning to work 5 years or less as a dentist in Minnesota 40 Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and report practicing in Minnesota and answered the future plans question with 5 years or less (N=305). Just over five percent did not respond to the reasons question (N=17).

41 41 Current employment status of dentists Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license, report a Minnesota mailing address, and who responded to the MDH workforce survey during their license renewal (N=1,381).

42 42 Employment status of dentists by region Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and report practicing in Minnesota and who reported a valid Minnesota mailing address (N=1,342).

43 43 Average weekly hours worked Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist (N=1,335). A total of 453 dentists (34 percent) who completed the survey did not respond to the question about weekly hours worked.

44 Average weekly hours worked: age 65 and older 44 Source: Minnesota Department of Health Workforce Survey, Includes all dentists 65 and older who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist (N=114). A total of 105 dentists 65 and older (52 percent) who completed the survey did not respond to the question about weekly hours worked.

45 45 Type of establishment where dentists work Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist (N=1,335). A total of 80 dentists (6 percent) who completed the survey did not respond to this question. Survey question: What type of practice setting is this site?

46 46 Type of establishment by age group Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist (N=1,335). A total of 80 dentists (6 percent) who completed the survey did not respond to this question. Small group is 2-4 dentists and large group is 5 or more. Survey question: What type of practice setting is this site? Less than 1 percent have an unknown age.

47 47 Type of establishment by gender Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist (N=1,335). A total of 80 dentists (6 percent) who completed the survey did not respond to this question. Small group is 2-4 dentists and large group is 5 or more. Survey question: What type of practice setting is this site?

48 48 Type of establishment by region Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist and have a valid Minnesota address (N=1,299). A total of 80 dentists (6 percent) who completed the survey did not respond to this question. Small group is 2-4 dentists and large group is 5 or more. Survey question: What type of practice setting is this site?

49 49 Rural-urban location by age group Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist and have a valid Minnesota address (N=1,299).

50 50 Expanded roles as reported by dentists Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license, report practicing in Minnesota ( active practicing in state ), who responded to the MDH workforce survey during their license renewal, and who report a Minnesota mailing address (N=1,342). Three percent of dentists are missing (N=39).

51 51 Percent of time spent on patient care Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist (N=1,335). A total of 157 dentists (12 percent) who completed the survey did not respond to this question.

52 Percent of time spent on administrative work 52 Source: Minnesota Department of Health Workforce Survey, Includes all dentists who have an active license and who responded to the MDH workforce survey during their license renewal and are working in a paid position as a dentist (N=1,335). A total of 157 dentists (12 percent) who completed the survey did not respond to this question.

53 Dental Therapists 53

54 54 Educational attainment of dental therapists Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal (N=23).

55 Amount of time dental therapists have been licensed 55 Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal. Based on original license date compared to survey launch date (N=23).

56 56 Dental therapists future plans to practice Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal (N=23). Survey question: If you are currently practicing as a DT or ADT, how many more years do you plan to practice?

57 Current employment status of dental therapists 57 Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, and who responded to the MDH workforce survey during their license renewal (N=23).

58 58 Hours dental therapists work per week Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, who responded to the MDH workforce survey and were working in a paid position as a dental therapist (N=19).

59 Comparison of actual hours to wanted hours 59 Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, who responded to the MDH workforce survey during their license renewal, and working in a paid position as a dental therapist (N=19).

60 Type of establishment where dental therapists work 60 Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, and working in a paid position as a dental therapist (N=19). Survey question: Which of the following categories best describes the location where you work the most hours?

61 Dental therapists activities in a typical week 61 Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, and working in a paid position as a dental therapist (N=19).

62 62 Percent of time spent on restorative work Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, who responded to the MDH workforce survey during their license renewal, and working in a paid position as a dental therapist (N=19).

63 Dental therapist dual licensure and dental assistant supervision 63 Source: Minnesota Department of Health Workforce Survey, Includes all dental therapists who have an active license, report practicing in Minnesota, who responded to the MDH workforce survey during their license renewal, and working in a paid position as a dental therapist (N=19).

64 Dental Hygienists 64

65 Education: earned degree from a program in Minnesota 65 Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal (N=2,248). A total of 53 hygienists who completed the survey did not respond to this question (or approximately 2.4 percent of all survey respondents).

66 66 Educational attainment of dental hygienists Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal (N=2,248). A total of 51 hygienists who completed the survey did not respond to this question (or approximately 2.3 percent of all survey respondents).

67 67 Dental hygienist s future plans to practice in Minnesota Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal (N=2,248). A total of 50 hygienists who completed the survey did not respond to this question (or approximately 2.2 percent of all survey respondents). Survey question: If you are currently practicing as a dental hygienist in Minnesota, how many more years do you plan to practice in Minnesota?

68 Plans for future practice as a dental hygienist by region 68 Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal and have a valid Minnesota address (N=2,146). Of those with a valid Minnesota address, 50 did not answer the question on future plans (2 percent). If you are currently practicing as a dental hygienist in Minnesota, how many more years do you plan to practice in Minnesota?

69 Reason planning to work 5 years or less in Minnesota as a dental hygienist 69 Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal and plan to work 0 to 5 years (N=2,248). A total of 17 hygienists who completed the survey did not respond to this question (or approximately 5.6 percent of all respondents to the previous question).

70 Plans for future practice as a dental hygienist by plans to enroll in a dental therapy program 70 Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal (N=2,248). A total of 50 hygienists who completed the survey did not respond to their future plans (2 percent of all survey respondents). A total of 48 hygienists who completed the survey did not respond to plans to train as a dental therapist (2 percent of all survey respondents). If you are currently practicing as a dental hygienist in Minnesota, how many more years do you plan to practice in Minnesota?

71 71 Current employment status of dental hygienists Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license, who responded to the MDH workforce survey during their license renewal (N=2,248).

72 72 Hours dental hygienists worked per week Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal and are currently employed as a hygienist (N=2,093). A total of 118 hygienists did not respond to the hours worked questions (6 percent).

73 Comparison of actual hours to wanted hours 73 Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal and are currently employed as a hygienist (N=2,093). A total of 118 hygienists did not respond to the hours worked questions (6 percent).

74 Type of establishment where dental hygienists work 74 Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license, who responded to the MDH workforce survey during their license renewal, and who are currently working as a dental hygienist (N=2,093). A total of 181 hygienists did not respond to the work location question (8 percent). Survey question: Which of the following categories best describes the location where you work the most hours?

75 75 Type of establishment by region Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license, who responded to the MDH workforce survey during their license renewal, and who are currently working as a dental hygienist (N=2,093). A total of 181 hygienists did not respond to the work location question (8 percent) and 94 (4 percent) don t have a valid Minnesota address. Survey question: Which of the following categories best describes the location where you work the most hours?

76 76 Dental hygienist activities in a typical week Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license, who responded to the MDH workforce survey during their license renewal, and who are currently working as a dental hygienist (N=2,093). A total of 298 hygienists did not respond to the time spent on work tasks question (14 percent).

77 77 Percent of time spent on patient care Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license, who responded to the MDH workforce survey during their license renewal, and who are currently working as a dental hygienist (N=2,093). A total of 298 hygienists did not respond to the time spent on work tasks question (14 percent).

78 Dental hygienists who perform expanded restorative functions 78 See slide 11 for more information on expanded restorative functions. Additionally, see these websites: and Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal, and who are currently working as a dental hygienist (N=2,093). A total of 120 hygienists did not respond to the expanded restorative function question (6 percent). A total of 154 hygienists did not respond to the collaborative agreement question (7 percent).

79 79 Dental hygienists working under collaborative agreements See slide 11 for more information on collaborative agreements. Additionally, see these websites: and Source: Minnesota Department of Health Workforce Survey, Includes all hygienists who have an active license and who responded to the MDH workforce survey during their license renewal, and who are currently working as a dental hygienist (N=2,093). A total of 154 hygienists did not respond to the collaborative agreement question (7 percent).

80 Dental Assistants 80

81 Education: earned degree from a program in Minnesota 81 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal (N=3,130). A total of 61 dental assistants did not respond to the question (2 percent).

82 82 Educational attainment of dental assistants Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal (N=3,130). A total of 82 dental assistants did not respond to the question (3 percent).

83 Dental assistants future plans to practice in Minnesota 83 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal (N=3,130). A total of 106 dental assistants did not respond to the question (3 percent). Survey question: If you are currently practicing as a dental assistant in Minnesota, how many more years do you plan to practice in Minnesota?

84 Reason planning to work 5 years or less in Minnesota as a dental assistant 84 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and selecting 0 to 5 years more work in field (N=329). A total of 24 dental assistants did not respond to the question (7 percent).

85 Future plans to enroll in a dental therapy program 85 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal (N=3,130). A total of 72 dental assistants did not respond to the question (2 percent).

86 Dental assistants: If likely to change jobs, plans to enroll in a dental therapy program 86 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal (N=3,130). A total of 72 dental assistants did not respond to the question (2 percent).

87 Current employment status of dental assistants 87 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal (N=3,130).

88 88 Hours dental assistants worked per week Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and are employed in a paid position (N=2,893). A total of 78 dental assistants did not respond to the question (3 percent).

89 Comparison of actual hours to wanted hours 89 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and employed in a paid position (N=2,893). A total of 207 dental assistants did not respond to the questions (7 percent).

90 Type of establishment where dental assistants work 90 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and employed in a paid position (N=2,893). A total of 257 dental assistants did not respond to the questions (9 percent). Survey question: Which of the following best describes the location where you work the most hours?

91 Dental assistants activities in a typical week 91 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and employed in a paid position (N=2,893). A total of 500 dental assistants did not respond to the questions (17 percent).

92 92 Percent of time spent on patient care Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and employed in a paid position(n=2,893). A total of 500 dental assistants did not respond to the questions (17 percent).

93 Percent of time spent on administrative work 93 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and employed in a paid position(n=2,893). A total of 500 dental assistants did not respond to the questions (17 percent).

94 Seventy-six percent or more of time on administrative work: establishment type 94 Source: Minnesota Department of Health Workforce Survey, Includes all dental assistants who have an active license and who responded to the MDH workforce survey during their license renewal and employed in a paid position (N=220).One dental assistant in the 76+ category did not respond to the establishment type question.