IOWA PHARMACIST TRACKING SYSTEM

Transcription

1 IOWA PHARMACIST TRACKING SYSTEM ADVISORY COMMITTEE MEETING December, 07 Iowa Health Professions Tracking Center Office of Statewide Clinical Education Programs The University of Iowa Carver College of Medicine

2 IOWA PHARMACISTS Annual Workforce Report Date Pharmacists December January Net Gain/Loss -5, UI Carver College of Medicine, June 07 K:Doc\Pharmacy\06YrEnd\AnnReport\.PPT

3 IOWA PHARMACISTS Entering vs. Terminating Practice Prior Ten-Year 06 Year Average Pharmacists Entering Pharmacists Terminating Net Gain/Loss UI Carver College of Medicine, June 07 K:Document\Pharmacy\YE06\.PPT

4 IOWA PHARMACISTS Pharmacy Degree 06 Pharm D = 60% (,770) BS = 0% (,80) Total =,950 UI Carver College of Medicine, June 07 K:Document\Pharmacy\YE06\08.PPT

5 IOWA PHARMACISTS Gender 06 Female = 6% (,88) Male = 6% (,067) Total =,950 UI Carver College of Medicine, June 07 K: Document\Pharmacy\YE06\8.PPT

6 IOWA PHARMACISTS Ethnic Codes % 0.% 0 0.7% 8-0.6% - 0.% White,80 96.% African American Asian or Pacific Islander American Indian Other/Unknown Hispanic Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 07 5 K:Document\Pharmacy\YE06\6.PPT

7 AGE DISTRIBUTION OF IOWA PHARMACISTS 06 Age Category Number Percent Cumulative % < 0 6..% %, % % >60.8% <0.% % 0-9.% Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 07 6 K:Document\Pharmacy\YE06\55.PPT

8 AGE DISTRIBUTION OF IOWA COMMUNITY PHARMACISTS 06 Age Category Number Percent Cumulative % < % % % >60 5.5% <0.6% % 0-9.% % Source: Iowa Health Professions Tracking Center Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 07 7 K:Document\Pharmacy\06\YrEnd\8.PPT

9 AGE DISTRIBUTION OF IOWA INDEPENDENT PHARMACISTS 06 Age Category Number Percent Cumulative % < % % % >60 6.% <0 6.0% % % 0-9.7% Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 07 8 K:Doc\Pharmacy\06YrEnd\8-IND.PPT

10 AGE DISTRIBUTION OF IOWA HOSPITAL PHARMACISTS 06 Age Category Number Percent Cumulative % < % % % % >60.% <0.% % 0-9.7% Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, June 07 9 K:Doc\Pharmacy\06YrEnd\7.PPT

11 AGE DISTRIBUTION OF IOWA PHARMACISTS Gender 06 Male Female % 06 9% 57 8% % 678 8% < >60 7% 7% % 9% % UI Carver College of Medicine, June 07 0 K:Doc\Pharmacy\06YrEnd\9.PPT

12 IOWA PHARMACISTS Full-Time vs. Part-Time Gender 06 Full-Time* Part-Time Number Percent Number Percent Male 97.0% 9.% Female 57 5.% % Total % 0.7% *FT > 0 hours/week UI Carver College of Medicine, June 07 K:Doc\Pharmacy\06YrEnd\5_.PPT

13 IOWA PHARMACISTS Part-Time by Age and Gender 06 Total Total PT Age Male % Female % Total Total % < > % % 0 00% UI Carver College of Medicine, June 07 K:\Doc\Pharmacy\06YrEnd\5_-detail.ppt

14 IOWA PHARMACISTS Retirement Summary 06 Retirements = 6 Mean Age = 67 Median Age = 66 Note: Average Retirements over last 5 years = 58 UI Carver College of Medicine, June 07 K:Doc\Pharmacy\06YrEnd\56.PPT

15 IOWA PHARMACISTS Detail of Age > Pharmacists Age # in Iowa Total number of pharmacists 50 years of age and older = 99 (%) UI Carver College of Medicine, June 07 K:Doc\Pharmacy\06YrEnd\6.PPT

16 IOWA PHARMACISTS Principal Activity 06 Activity # of Pharmacists Percent Community* % Hospital State/Federal Government** 5 5. Consultant (Long Term Care) 86.9 Academic** 7. Administrative/Management 68. Home Infusion Therapy 6. Public/Community Health Pharmaceutical Industry 0. Nuclear 0. Veterinary 8 0. Student Health 0. Other (Service Ctr-Web, Dental, Research) 8.0 Total % *Community Includes: Chain, Independent, Franchise, Hospital-Sponsored, Company-Sponsored, and Relief **Includes non-iowa-licensed pharmacists UI Carver College of Medicine, June 07 5 K:DOC\Pharmacy\06YrEnd\05.PPT

17 IOWA COMMUNITY PHARMACISTS By Activity 06 Activity # of Pharmacists Percent # of Worksites Chain % 99 Independent Franchise Hospital-Sponsored 9 5. Company-Sponsored Relief Other 7 0. Total % 655 UI Carver College of Medicine, June 07 6 K:Doc\Pharmacy\06YrEnd\06.PPT

18 IOWA PHARMACISTS Iowa Birth and UI Education Total Percent Total Percent All Iowa Pharmacists 00.0% % Iowa Birthstate % % UI Pharmacy Graduate 06.6% 8 6.8% IA Birth and UI Graduate % % UI Carver College of Medicine, June 07 7 K:Document\Pharmacy\YE06\66-UI.PPT

19 IOWA PHARMACISTS with UI Education or Graduate Training 06 % of Total Cumulative % Number % of Total Pharmacists w/ UI Educational Experience Pharmacy School (only) 68.98%.98% 8.6% Pharmacy School/Residency.8% 6.88% Residency (only) 5.80% 8.6% Subtotals 8.6% No UI Educational Experience % Totals % University of Iowa Carver College of Medicine, June 07 8 K:Doc/Pharm/YE06/UIEducation_table.ppt

20 UI PHARMACY GRADUATES NOW IN IOWA Graduate Classes '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 % 7% 9% 8% 0% 8% 6% 5% 9% 7% 8% % % 7% % 8% % % # in Iowa # of Grads Annual Average = % UI Carver College of Medicine, June 07 9 K:\DOC\PHARMACY\yearend_06\Graphics\UI-GradsinIowa.ppt

21 IOWA PHARMACISTS Iowa Birth and Drake Education Total Percent Total Percent All Iowa Pharmacists 00.0% % Iowa Birthstate % % Drake Pharmacy Graduate 69 7.% % IA Birth and Drake Graduate 7 0.% % UI Carver College of Medicine, June 07 0 K:Document\Pharmacy\YE06\67-Drake.PPT

22 IOWA PHARMACISTS with Drake Education or Graduate Training 06 % of Total Cumulative % Number % of Total Pharmacists w/ Drake Ed. Exp % Pharmacy School (only) % 7.% Pharmacy School/Residency % 8.00% Residency (only) 0.% 8.% Subtotals 89 8.% No Drake Ed. Exp. 7.56% Totals % UI Carver College of Medicine, June 07 K:DOCUMENT\PHARMACY\YE06\DrakeEducation.doc_table

23 DRAKE PHARMACY GRADUATES NOW IN IOWA Graduate Classes '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 % 7% 9% 8% % 6% 5% % 7% % % 5% 7% 5% 8% 9% % 6% # in Iowa # of Grads Annual Average = 5% UI Carver College of Medicine, June 07 K:\DOC\PHARMACY\yearend_06\Graphics\DrakeI-GradsinIowa.ppt

24 DISTRIBUTION OF PHARMACISTS By City Population Ranges 06 Population Cities in Iowa # of Cities with Pharmacists # of Pharmacists Percent Cumulative Percent < 5, (6CDP) 6 0.7%.7% 5,000-, %.% 5,000-9, % 9.% 50,000-99, % 8.% > 00, % 00% Totals % 67% of Iowa s Pharmacists are in the 6 cities with > 5,000 residents. Population Source: US Census City Population Estimates 00 UI Carver College of Medicine, June 07 K:Doc\Pharm\06YE\CityPopRanges.ppt

25 IOWA COMMUNITY PHARMACISTS Distribution by Community Size 06 Community Population Number of RPh Percent Cumulative Percent > 5, % 8.9% 5,000, ,000 9, ,000 99, > 00, % Total % UI Carver College of Medicine, June 07 K:Document\Pharmacy\06YrEnd\07.PPT

26 IOWA INDEPENDENT PHARMACISTS Distribution by Community Size 06 Community Population # of RPh Percent Cumulative Percent > 5, %.0% 5,000, ,000 9, ,000 99, > 00, % Total % 75% of independent pharmacists work in communities of <5,000 UI Carver College of Medicine, June 07 5 K:Doc\Pharmacy\06YrEnd\.PPT

27 IOWA HOSPITAL PHARMACISTS Distribution by Community Size 06 Community Population # of RPh Percent Cumulative Percent < 5, % 7.% 5,000, ,000 9, ,000 99, > 00, % Total % Note: Does not include VA pharmacists UI Carver College of Medicine, June 07 6 K:Graphics\PowerPoint\Pharmacy\06YrEnd\75.PPT

28 IOWA PHARMACISTS All Activities (,950) Lyon 8 Sioux Osceola O'Brien Dickinson 5 Clay Emmet 9 Palo Alto Kossuth 7 Winnebago 7 Hancock Worth Cerro Gordo Mitchell 7 Floyd Howard 6 Chickasaw Winneshiek Allamakee Fayette Clayton Plymouth Woodbury Cherokee Ida Pottawattamie Buena Vista Sac Audubon Pocahontas Carroll 6 Greene Guthrie Adair Humboldt Boone 7 Madison Polk 65 Franklin Monona 0 Harrison 0 8 Crawford 0 Shelby Cass Calhoun Webster Dallas 6 Wright Hamilton 0 Story 59 Warren Hardin Marshall Jasper 7 Marion Butler Grundy 0 Black Hawk Tama 9 5 Mahaska Bremer 9 Poweshiek 6 Benton Keokuk Buchanan Iowa 8 Linn 0 Johnson 75 Washington 7 Delaware 7 Dubuque Jones 8 Cedar 7 05 Muscatine Jackson 8 Clinton 8 Scott 75 Mills Fremont 5 Montgomery Adams Page Taylor 6 5 Union Clarke 8 Ringgold Decatur Lucas Monroe Wapello Jefferson Henry Louisa KEY: 00+ (6) () Wayne Appanoose Davis Van Buren 0-9 (7) 0 5 Lee Des Moines 5-9 (7) - (5) UI Carver College of Medicine, June 07 7 K:Doc\Pharm\YE06\.CDR

29 IOWA PHARMACISTS Community Pharmacists (,69*) Lyon Sioux Osceola O'Brien Dickinson Clay Emmet 7 Palo Alto Kossuth 6 Winnebago 7 Hancock Worth Cerro Gordo Mitchell 6 Floyd Howard 5 Chickasaw Winneshiek Allamakee Fayette Clayton Plymouth Woodbury Cherokee Ida Pottawattamie Buena Vista Sac Audubon Pocahontas Carroll 5 Greene Guthrie Adair Humboldt Boone Madison Polk 88 Franklin Monona 8 Harrison 8 6 Crawford 8 Shelby Cass Calhoun Webster 5 Dallas 9 Wright Hamilton 8 Story 0 Warren Hardin Marshall 0 Jasper 5 Marion Butler Grundy 6 Black Hawk Tama Bremer 6 70 Poweshiek 8 Mahaska Benton Keokuk Buchanan Iowa 7 8 Delaware Linn Johnson 65 Washington 6 9 Dubuque Jones 7 Cedar 7 68 Muscatine 9 Jackson 6 Clinton 9 Scott 77 Mills 8 Fremont 56 Montgomery 0 Page 0 Adams Taylor 0 Union 0 Ringgold Clarke 7 Decatur Lucas 5 Wayne Monroe Appanoose 8 Wapello Davis Jefferson Van Buren Louisa Henry Des Moines Lee 0 KEY: 00+ () (6) 0-9 (6) 5-9 () *57% of Iowa's,950 pharmacists UI Carver College of Medicine, June () K:DOC\PHARMACY\YE06\0.CDR

30 IOWA PHARMACISTS Independent Pharmacists (6*) Lyon Sioux Osceola O'Brien Dickinson Clay Emmet Palo Alto Kossuth Winnebago 5 Hancock Worth Cerro Gordo Mitchell Floyd Howard Chickasaw Winneshiek Allamakee Fayette Clayton Plymouth Woodbury 8 Monona 5 Harrison Cherokee Ida Crawford 7 Pottawattamie Buena Vista Sac Pocahontas Carroll Cass Calhoun Greene Shelby Audubon Guthrie Adair Humboldt Webster 8 Boone Dallas Madison Wright 6 Hamilton Story Polk 0 Warren Franklin Hardin 5 Marshall Jasper Marion Butler Grundy Mahaska Bremer 8 Black Hawk Tama 8 Poweshiek Benton 7 Buchanan Iowa 6 Keokuk Linn 6 Washington Delaware Johnson 0 Dubuque Jones Cedar Muscatine 5 Jackson Clinton Scott Louisa Mills Montgomery Adams Union Clarke Fremont Page Taylor Ringgold Decatur Lucas Wayne Monroe Appanoose Wapello Davis Jefferson Van Buren Henry Lee Des Moines KEY: 6-9 () 6-5 (9) - 5 () (6) 0 () *% of Iowa's,950 pharmacists UI Carver College of Medicine, June 07 9 K:DOC\PHARMACY\YE06\.CDR

31 Lyon Sioux Plymouth Woodbury Monona UI PHARMACY GRADUATES (,8*) Harrison Osceola O'Brien Cherokee 6 Ida Crawford 5 Pottawattamie Mills Dickinson Shelby 5 Clay Buena Vista Sac Montgomery All Professional Activities Carroll 6 Audubon Cass Emmet Palo Alto Pocahontas Calhoun Boone 7 Dallas 0 Hamilton 5 Polk 7 Cerro Gordo Hardin Fremont Page Taylor Ringgold Decatur Wayne Adams Kossuth Greene Guthrie Adair Humboldt Webster Union Madison Winnebago Hancock Wright 6 Clarke Story 9 Warren 6 Worth Mitchell Howard Franklin 5 Lucas Jasper 8 Marion Floyd 6 Marshall 7 Butler Grundy 0 Monroe Appanoose Mahaska 9 Chickasaw Bremer Black Hawk Tama 7 Poweshiek 6 Wapello Davis Winneshiek Allamakee Fayette Buchanan Benton Iowa 7 Keokuk 5 8 Jefferson 7 Van Buren Clayton Linn 58 7 Washington 5 Delaware Johnson Henry 0 Lee 6 Dubuque Jones 8 Cedar 6 Des Moines 80 Muscatine 7 Louisa Jackson 5 Clinton Scott 89 9 KEY: 00+ () 0-99 (7) 6-9 () -5 (5) 0 () *7% of Iowa's,950 pharmacists UI Carver College of Medicine, June 07 0 K:DOC\PHARM\YE07\0.CDR

32 DRAKE PHARMACY GRADUATES (86*) All Professional Activities Lyon Sioux Osceola O'Brien Dickinson Clay Emmet Palo Alto Kossuth Winnebago Hancock Worth Cerro Gordo Mitchell Floyd Howard Chickasaw Winneshiek Allamakee 5 9 Fayette Clayton Plymouth Woodbury 8 Monona Harrison Cherokee Ida Crawford Pottawattamie Shelby Buena Vista Sac Pocahontas Carroll 8 Audubon Cass Calhoun 5 Greene 9 Guthrie Adair Humboldt 5 Webster 9 Boone Dallas 8 Madison Wright Hamilton Story 5 Polk 97 Warren Franklin Hardin 5 Marshall 6 Jasper 5 Marion Butler Grundy Mahaska Bremer Black Hawk Tama Poweshiek Benton Buchanan Iowa Keokuk Linn 7 Johnson 9 Washington Delaware Dubuque Jones Cedar Muscatine Jackson Clinton Scott Mills Montgomery Adams Union Clarke Lucas 6 Fremont Page Taylor Ringgold Decatur Wayne 5 5 Monroe Appanoose Wapello 6 Davis Jefferson Van Buren 5 Louisa Henry Des Moines 6 Lee 6 KEY: 00+ () 0-99 (5) 6-9 (6) -5 (5) *8% of Iowa's,950 pharmacists 0 () UI Carver College of Medicine, June 07 K:DOC\PHARMACY\YE06\0.CDR

33 Lyon CR = SD =5 Sioux CR = SD = 8 UN = OT = Plymouth CR = SD = 5 Woodbury CR = 9 ND = SD = 8 UN = OT = 5 Monona CR = SD = UN = DISTRIBUTION OF PHARMACY GRADUATES FROM COLLEGES OTHER THAN UI AND DRAKE Harrison CR = 6 UN = Osceola SD = O'Brien CR = SD = Cherokee SD = OT = Ida Pottawattamie Mills Fremont CR = UN = Crawford CR = SD = UN = CR = SD = UN = OT = CR = 6 UN = CR = SD = UN = Dickinson Buena Vista Shelby CR = SD = 8 CR = 5 UN = OT = Clay CR = ND = SD = 8 UN = OT = CR = 7 SD = 6 UN = OT = Sac CR = Montgomery CR = 8 UN = OT = Page CR = UN = OT = Audubon Palo Alto Pocahontas Carroll Cass CR = 8 SD = UN = Emmet Kossuth SD = OT = CR = SD = CR = 7 SD = UN = OT = CR = SD = Calhoun CR = Adams CR = Taylor CR = SD = Greene CR = OT = Guthrie Adair Humboldt ND = SD = Webster CR = 5 ND = SD = OT = Union CR = SD = UN = OT = Ringgold OT = Boone CR = SD = OT = 5 Dallas CR = SD = UN = OT = Madison Winnebago Hancock SD = Wright CR = SD = Hamilton CR = ND = SD = Clarke OT = Decatur OT = Polk Worth CR = Cerro Gordo CR = ND = SD = 5 OT = Franklin Story CR = ND = SD = UN = OT = 7 CR = 7 SD = UN = 5 OT = 55 Warren CR = OT = CR = 5 SD = Hardin SD = OT = Lucas SD = Wayne Jasper Marion Mitchell Floyd Butler Marshall CR = 5 ND = SD = OT = SD = OT = CR = OT = Grundy Monroe OT = Appanoose CR = SD = OT = Howard SD = Chickasaw Black Hawk Tama UN = OT = Mahaska Bremer OT = Poweshiek CR = CR = OT = CR = 8 ND = SD = OT = 0 Wapello CR = SD = OT = Davis OT = Benton Keokuk Winneshiek Iowa CR = Fayette Jefferson Van Buren Allamakee Clayton Buchanan Delaware Dubuque OT = SD = CR = OT = SD = ot = 0 ND = CR = OT = OT = OT = Linn CR = 5 ND = 5 SD = OT = 5 Johnson CR = 8 ND = UN= 5 OT = 56 Washington OT = ND = Henry OT = Lee CR = ND = OT = 6 Louisa Jones Cedar OT = Muscatine UN = OT = Des Moines CR = UN = OT = Jackson OT = Clinton CR = ND = SD = OT = 0 CR= 6 SD= UN= OT= Scott Grad School Total CR (Creighton) = 9 SD (S. Dakota) = 8 ND (N. Dakota) = UN (U of Nebraska) = 66 OT (Other) = 77 Total = 7 5% of Iowa's,950 pharmacists UI Carver College of Medicine, June 07 K:DOC\PHARMACY\YE06\Pharmacy.cdr

34 COMMUNITIES WITH PHARMACISTS (6) Rock Rapids Sibley Spirit Lake Lake Mills Northwood St. Ansgar Estherville Cresco Rock Valley Sheldon Milford Forest City Osage Riceville Decorah Hull Spencer Hartley Clear Lake Waukon Sioux Center Mason City Emmetsburg New Hampton Monona Algona Britt Garner Orange City Charles City McGregor West Union Elkader Hawarden Laurens Sheffield Greene Paullina Belmond Sumner Akron Le Mars Fayette Pocahontas Marcus Waverly Guttenberg Cherokee Humboldt Clarion Hampton Denver Oelwein Strawberry Pt. Kingsley Storm Lake Eagle Grove Ackley Parkersburg Dubuque Manson Manchester Sioux City Moville Fort Dodge Iowa Falls Cedar Falls Jesup Sac City Dyersville Anthon Webster City Waterloo Evansdale Independence Peosta Sergent Bluff Ida Grove Rockwell City Dayton Eldora Grundy Center Cascade Lake View Mapleton Jewell La Porte City Bellevue Conrad Monticello Whiting Lake City Gowrie Stratford Reinbeck Center Point Maquoketa Ogden Traer Story City Vinton Anamosa Denison Boone Central City Ames Marshalltown Preston Onawa Carroll Van Horne Hiawatha Marion Dunlap Jefferson Nevada Toledo Atkins Cedar Rapids DeWitt Manning Mount Vernon Clinton Woodbine Tama Solon Madrid Huxley Coon Rapids Belle Plaine Perry Logan Audubon Woodward Polk City Marengo North Liberty Grinnell Amana Tipton Guthrie Center Dallas Center Ankeny Tiffin Colfax Coralville Eldridge Williamsburg Durant Harlan Panora Grimes Johnston Newton Missouri Iowa City Windsor Heights Valley Altoona Mitchelville Bettendorf Waukee Clive Pleasant Hill Davenport Elk Horn Adel Urbandale Kalona Des Moines North English Adair Riverside Stuart W Des Moines Muscatine Carlisle Pella Wellman Minden Atlantic Anita Earlham Norwalk Columbus Jct Council Bluffs Greenfield Wapello Oakland Indianola Glenwood Fontanelle Winterset Sigourney Washington Malvern Knoxville Oskaloosa Mediapolis Red Oak Villisca Chariton Ottumwa Mount Pleasant Corning Creston Osceola Tabor Corydon Albia Fairfield Lenox Keosauqua West Burlington Burlington Sidney Clarinda Leon Mount Ayr Bloomfield Shenandoah Centerville Fort Madison Hamburg Bedford Lamoni Keokuk UI Carver College of Medicine, June 07 K:DOC\PHARMACY\YE06\.CDR

35 IOWA COMMUNITIES* WITH INDEPENDENT PHARMACISTS Northwood Rock Rapids Sibley Lake Mills Riceville Estherville Forest City St. Ansgar Decorah Hartley Garner Emmetsburg Mason City Monona New Hampton Britt Orange City West Union McGregor Hawarden Fayette Sumner Belmond Elkader Akron Waverly Guttenberg Humboldt Hampton Denver Oelwein Strawberry Pt. Eagle Grove Sioux City Parkersburg Manchester Dubuque Moville Fort Dodge Iowa Falls Sac City Anthon Waterloo Dyersville Evansdale Independence Sergeant Bluff Dayton Eldora Lake City Bellevue Grundy Center Mapleton Jewell Monticello Stratford Reinbeck Center Point Maquoketa Ogden Vinton Anamosa Preston Carroll Boone Van Horne Central City Onawa Hiawatha Nevada Cedar Rapids Manning Clinton Atkins Solon DeWitt Coon Rapids Belle Plaine Logan Marengo Amana Tiffin Guthrie Center Iowa City Eldridge Missouri Harlan Ankeny Durant Valley Adel Elk Horn Davenport Urbandale Des Moines North English Kalona Adair Muscatine Wellman Minden Atlantic Earlham Sigourney Council Bluffs Oakland Fontanelle Winterset Red Oak Oskaloosa Mediapolis Villisca Ottumwa Tabor Mount Pleasant Sidney Clarinda Shenandoah Hamburg Bedford Centerville Keosauqua Fort Madison * Communities UI Carver College of Medicine, June 07 K:DOCUMENT\PHARMACY\YE06\5-Ind.CDR

36 Lyon Rock Rapids () Rock Valley Sioux Center() Hawarden Orange City() IOWA CITIES WITH HOSPITALS Hospital Pharmacists* per Community 06 Osceola Sibley Dickinson Sioux O Brien Clay Spirit Lake() Emmet Estherville() Palo Alto Kossuth Winnebago Hancock Monona Crawford Carroll Greene Boone Story Marshall Harrison Sheldon() Primghar Shelby Spencer(7) Ida Grove() Sac City() Lake City() Audubon Emmetsburg Algona() Britt() Guthrie Dallas Polk Worth Mitchell Howard Winneshiek Allamakee Osage() Cresco() Cerro Gordo Mason City(6) Jasper Floyd Charles City() Chickasaw Decorah() Tama Benton Linn Poweshiek Iowa Fayette West Union() Plymouth Elkader Cherokee Buena Vista Pocahontas Humboldt Wright Franklin Butler Bremer Humboldt() Sumner Lemars() Belmond() Oelwein() Guttenburg() Cherokee() Waverly(5) Storm Pocahontas Clarion() Hampton() Lake() Black Hawk Buchanan Webster Delaware Waterloo(8) Woodbury Ida Sac Calhoun Hamilton Hardin Grundy () Independence() Manchester() Sioux City (0) () Fort Dodge Webster Grundy Center Cedar (7) City() Iowa Falls() () Falls() Onawa() Missouri Valley() Denison() Harlan() Carroll() Manning () Audubon() Jefferson() Guthrie Center() Boone() Perry Des Moines W DesMoines (5) (00) (5) () Ames() Marshalltown (5) Nevada() Newton() New Hampton () Grinnell() Vinton Marengo() Waukon Clayton Cedar Rapids (60) () Johnson Iowa City () () Pottawattamie Cass Adair Madison Warren Marion Mahaska Keokuk Washington Pella(5) Atlantic() Greenfield() Sigourney() Washington() Council Bluffs (8) Winterset() () Knoxville () Oskaloosa() Louisa Jones Dubuque Dyersville Dubuque() () Anamosa() Cedar Muscatine Muscatine() Jackson DeWitt() Maquoketa() Clinton Clinton(8) Scott Bettendorf(0) Davenport(0) Mills Montgomery Red Oak() Adams Corning() Clarke UI Carver College of Medicine, June 07 Union Creston() Osceola() Lucas Chariton() Monroe Albia() Wapello Ottumwa() Fremont Page Taylor Ringgold Decatur Wayne Shenandoah Appanoose Davis () Hamburg() Mount Ayr() Clarinda() Corydon() Leon() Centerville() Bloomfield() INCLUDES VA PHARMACISTS: Des Moines-50; Iowa City-56 Note: Hospitals without a number do not employ a pharmacist 5 Jefferson Fairfield() Van Buren Keosauqua Henry Mount Pleasant() Lee Fort Madison(5) Des Moines West Burlington() Keokuk() Key: CAH Non CAH No Hospital Communities = 08 Hospitals = 0 *Pharmacists = 870 K:\DOC\PHARMACY\YE06\HOSPITALS-CAH.cdr

37 IOWA COUNTIES WITH 50% OF PHARMACISTS > AGE 55 All Professional Activities Lyon Osceola Dickinson Emmet Kossuth Winnebago Worth Mitchell Howard Winneshiek Allamakee / /6 Sioux O'Brien Clay Palo Alto /7 Hancock Cerro Gordo Floyd Chickasaw Fayette Clayton Plymouth Cherokee Buena Vista Pocahontas Humboldt /7 Wright Franklin Butler Bremer Webster Black Hawk Buchanan Delaware Dubuque Woodbury Ida Sac Calhoun Hamilton Hardin Grundy 5/0 Tama Benton Linn Jones Jackson Monona Crawford Carroll Greene Boone Story Marshall Clinton Cedar Harrison Shelby Audubon Guthrie Dallas Polk Jasper Poweshiek Iowa Johnson Scott Muscatine Pottawattamie Cass Adair Madison Warren Marion Mahaska Keokuk Washington /5 7/ / Louisa / Mills Montgomery 9/ Adams Union Clarke Lucas Monroe Wapello Jefferson Henry Des Moines Fremont Page Taylor Ringgold Decatur Wayne Appanoose Davis Van Buren / /5 / Lee First number is number of pharmacists > 55; second number is total number of pharmacists in county. Source: Iowa Health Professions Tracking Center, Office of Statewide Community Education Programs UI Carver College of Medicine, June 07 6 K:DOC\PHARMACY\YE06\.CDR

38 IOWA PHARMACISTS % Increase 00 '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 UI Carver College of Medicine, June 07 7 K:Doc\Pharmacy\06YrEnd\.PPT

39 IOWA COMMUNITIES WITH INDEPENDENT PHARMACISTS Communities Pharmacists % Decrease -5% Decrease '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 UI Carver College of Medicine, June 07 8 K:Doc\Pharmacy\06YrEnd\7.PPT

40 IOWA PHARMACISTS Net Gain/Loss Pharmacists '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 Entering Leaving Net Gain/Loss UI Carver College of Medicine, June 07 Average Net Gain/Loss = 8/year 5-Year Average Net Gain/Loss = 7/yr 9 K:Doc\Pharmacy\06YrEnd\68.PPT

41 ALL IOWA PHARMACISTS Entry/Exit by Gender '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 UI Carver College of Medicine, June '06 '07 '08 '09 '0 ' ' ' ' '5 '6 Females Exit Males Exit Females Enter Males Enter K:Document/Pharmacy/YE06/Entry-Exit/_.PPTX

42 IOWA PHARMACISTS BY ACTIVITY Net Increase/Decrease 996 vs Change (%) All Active Pharmacists (+6%) Community Pharmacists (+%) Hospital Pharmacists (+57%) All Other Pharmacists (+8%) UI Carver College of Medicine, June 07 K:Document\Pharmacy\06YrEnd\.PPT

43 IOWA PHARMACISTS Select Professional Activity Trends* Independent Chain Franchise Miscellanous Other Hospital '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 *Community vs hospital activities (does not include VA) UI Carver College of Medicine, June 07 K:Document\Pharmacy\06YrEnd\5_.PPT

44 IOWA PHARMACISTS Gender All Iowa Pharmacists Male Female '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 UI Carver College of Medicine, June 07 K: Document\Pharmacy\06YrEnd\5.PPT

45 IOWA COMMUNITY PHARMACISTS Gender All Community Pharmacists Male Female '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 ' UI Carver College of Medicine, June 07 K:Document\Pharmacy\06YrEnd\5.PPT

46 IOWA INDEPENDENT PHARMACISTS Gender All Independent Pharmacists Male Female '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 UI Carver College of Medicine, June 07 5 K:Document\Pharmacy\06YrEnd\5.PPT

47 IOWA HOSPITAL PHARMACISTS Gender Hospital Pharmacists Male Female '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 UI Carver College of Medicine, June 07 6 K:Document\Pharmacy\06YrEnd\76.PPT

48 IOWA PHARMACISTS Age > 55 with Population < 0, % Increase '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 UI Carver College of Medicine, June 07 7 K:Document\Pharmacy\06YrEnd\5_.PPT

49 IOWA COMMUNITIES WITH ONE OR MORE PHARMACISTS Communities % Decrease 0 00 '96 '97 '98 '99 '00 '0 '0 '0 '0 '05 '06 '07 '08 '09 '0 ' ' ' ' '5 '6 UI Carver College of Medicine, June 07 8 K:Document\Pharmacy\06YrEnd\0.PPT

50 IOWA PHARMACISTS Attrition Analysis Year Retirement Relocation Death Health Training Inactive Loss of License Military Misc. Total Total Annual Average University of Iowa Carver College of Medicine, June 07 9 K:Document\Pharmacy\YE06\Workforce

51 RELOCATION OF IOWA PHARMACISTS IN US (9) 06 9 UI College of Medicine, June K:\Document\PHARMACY\YE06\USMap7.ppt

52 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 06 Physicians 585 Pharmacists 950 Dentists 50 Nurse Practitioners 07 Physician Assistants 88, UI Carver College of Medicine, June 07 5 K:Graphics/Powerpoint/IA Workforce/ALL-HP-06/Summary

53 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce 06 Age Physicians Physician Assistants Dentists Pharmacists APNs <0 8 % 7% 98 % 79 % 78 8% % % 0 0% 7 5% 55 6% % 66 9% % 5 8% % > 60 5 % 9 0% 0 7% 08 % 88 % Total , UI Carver College of Medicine, June 07 5 K:Graphics/Powerpoint/IA Workforce/ALL-HP-06/AGE

54 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 06 Net Gain/Loss Summary Entering % Leaving % Net % Total Physicians 68 6.% 5 6.% 0.% 585 Pharmacists 5 5.% 58 5.% -5-0.% 950 Dentists 75.9.% 9 6.0% -7 -.% 50 Nurse Practitioners 7.6.% % 78.8% 07 Physician Assistants 65 7.% % % 88 UI Carver College of Medicine, June 07 5 K:Graphics/Powerpoint/IA Workforce/ALL-HP-06/Gain-Loss

55 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 06 Gender Male % Female % Total Physicians % 78 0% 585 Physician Assistants 59 9% 6 7% 88 Dentists 07 7% 8% 50 Pharmacists 067 6% 88 6% 950 APNs 7 % % 07, UI Carver College of Medicine, June 07 5 K:Graphics/Powerpoint/IA Workforce/All-HP-06/GENDER.PPT

56 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 06 Retirement Summary Average Average Retired % Leaving Age Retirement Age Physicians 86 % Pharmacists 6 9% Dentists 6% Nurse Practitioners 5 6% Physician Assistants 9 % 69 6 UI Carver College of Medicine, June K:Graphics/Powerpoint/IA Workforce/ALL-HP-06/Retirement

57 IOWA HEALTH PROFESSIONS INVENTORY Physicians % Increase Pharmacists 0% Increase APNs 89% Increase Dentists 7% Increase PAs 8% Increase UI Carver College of Medicine, June K:Graphics\Powerpoint\IA Workforce\ALL-HP-06\Trendline

58 IOWA HEALTH PROFESSIONS INVENTORY Distribution by Community Size 06 Community Population Number of Communities With Providers Number of Providers % of Providers Pharms APNs Phys PA Pharms APNs Phys PA Pharms APNs Phys PA <, %.% 0.%.5%,000-, ,000-9, ,000-9, ,000-99, > 00, Total %, UI Carver College of Medicine, June K:Graphics/Powerpoint/IA Workforce/All-HP-06/CommDist-NP-Pharm-PA-Phys