IOWA PHARMACIST TRACKING SYSTEM

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1 IOWA PHARMACIST TRACKING SYSTEM ADVISORY COMMITTEE MEETING November 8, 06 Iowa Health Professions Tracking Center Office of Statewide Clinical Education Programs The University of Iowa Carver College of Medicine

2 Iowa Pharmacist Tracking System Advisory Committee Friday, November 8, 06 :0 P.M. :00 P.M. Carver College of Medicine 8 MERF Agenda I. Welcome and Introductions II. Meeting Agenda and Participant List III. 0 Annual Report - Annual Benchmarks - Geographic Distribution - Access Summary - Trends - Workforce Summary IV. Open Discussion Items

3 Iowa Pharmacist Tracking System Advisory Committee Friday, December, 0 :0 P.M. :00 P.M. 8 Medical Education Research Facility Advisory Committee Michael Andreski, RPh, PhD Assistant Professor of Social and Administrative Pharmacy Drake University College of Pharmacy and Health Sciences Jay D. Currie, BS Pharm, PharmD, FCCP, FAPhA Clinical Professor, Applied Clinical Sciences Chair, Department of Pharmacy Practice and Science University of Iowa College of Pharmacy Barbara Kelley, BBA, BA Strategic Communications Director University of Iowa College of Pharmacy Michael W. Kelly, PharmD Associate Dean, Academic Affairs Clinical Professor, Applied Clinical Sciences Associate Dean for Professional Education University of Iowa College of Pharmacy Anthony Pudlo, PharmD, MBA Vice President of Professional Affairs Iowa Pharmacy Association Therese (Terry) Witkowski Executive Officer Iowa Board of Pharmacy Examiners Office of Statewide Clinical Education Program Iowa Health Professions Tracking Center Theresa Dunkin Program Manager/Assistant Director Carole Kron Data Analyst/Assistant Manager Greg Nelson, MA, RN Assistant Dean for Clinical Education Programs Linda Thiesen Data Analyst/Assistant Manager

4 IOWA PHARMACISTS Annual Workforce Report Date Pharmacists December 0 97 January 0-96 Net Gain/Loss +, UI Carver College of Medicine, April 06 K:Doc\Pharmacy\0YrEnd\AnnReport\.PPT

5 IOWA PHARMACISTS Entering vs. Terminating Practice Prior Ten-Year 0 Year Average Pharmacists Entering Pharmacists Terminating Net Gain/Loss UI Carver College of Medicine, April 06 K:Document\Pharmacy\YE0\4.PPT

6 IOWA PHARMACISTS Pharmacy Degree 0 Pharm D = 7% (,674) BS = 4% (,) Total =,97 UI Carver College of Medicine, April 06 K:Document\Pharmacy\YE0\08.PPT

7 IOWA PHARMACISTS Gender 0 Female = 6% (,80) Male = 7% (,077) Total =,97 UI Carver College of Medicine, April 06 4 K: Document\Pharmacy\YE0\48.PPT

8 IOWA PHARMACISTS Ethnic Codes 0.8% 0.% 7 0.9% 9-0.6% - 0.4% White,8 96.% African American Asian or Pacific Islander American Indian Other Hispanic Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 06 K:Document\Pharmacy\YE0\64.PPT

AGE DISTRIBUTION OF IOWA PHARMACISTS 0 Age Category Number Percent Cumulative % < 0 49.9.9 % 0-9 94. 4. 40-49 76 4.8 67.9 0-9 40 8. 86.4 60 98.6 00.0%,97 00.0% 0-9 8.% >60.6% <0.

9 AGE DISTRIBUTION OF IOWA PHARMACISTS 0 Age Category Number Percent Cumulative % < % %, % % >60.6% <0.9% % 0-9.% Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 06 6 K:Document\Pharmacy\YE0\.PPT

0 % Source: Iowa Health Professions Tracking Center Office of Statewide Clinical

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

11 AGE DISTRIBUTION OF IOWA INDEPENDENT PHARMACISTS 0 Age Category Number Percent Cumulative % < % % 00.0 % >60.% <0.4% 0-9.4% 0-9.% % Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 06 8 K:Doc\Pharmacy\0YrEnd\8-IND.PPT

12 AGE DISTRIBUTION OF IOWA HOSPITAL PHARMACISTS 0 Age Category Number Percent Cumulative % < 0 9..% % % % >60.% <0.% % 0-9.4% Source: Iowa Health Professions Tracking Center, Office of Statewide Clinical Education Programs UI Carver College of Medicine, April 06 9 K:Doc\Pharmacy\0YrEnd\7.PPT

$479 8 47 8 84 <0 0-9 40-49 0-9 >60 6% 8% % 0% 4% 4 UI Carver College of Medicine, April 06 0 K:Doc\Pharmacy\0YrEnd\9.$

13 AGE DISTRIBUTION OF IOWA PHARMACISTS Gender 0 Male Female % 96 9% 8% % 686 8% < >60 6% 8% % 0% 4% 4 UI Carver College of Medicine, April 06 0 K:Doc\Pharmacy\0YrEnd\9.PPT

14 IOWA PHARMACISTS Full-Time vs. Part-Time Gender 0 Full-Time* Part-Time Number Percent Number Percent Male 98.7% 9.% Female 7.%.0% Total 8.9% 4 4.% *FT > 0 hours/week UI Carver College of Medicine, April 06 K:Doc\Pharmacy\0YrEnd\_.PPT

15 IOWA PHARMACISTS Part-Time by Age and Gender 0 Total Total PT Age Male % Female % Total Total % < > % 77.8% 4 00% UI Carver College of Medicine, April 06 K:\Doc\Pharmacy\0YrEnd\_-detail.ppt

16 IOWA PHARMACISTS Retirement Summary 0 Retirements = 4 Mean Age = 67 Median Age = 66 Note: Average Retirements over last years = 4 UI Carver College of Medicine, April 06 K:Doc\Pharmacy\0YrEnd\6.PPT

17 IOWA PHARMACISTS Detail of Age > 0 0 Pharmacists Age # in Iowa Total number of pharmacists 0 years of age and older = 98 (%) UI Carver College of Medicine, April 06 4 K:Doc\Pharmacy\0YrEnd\6.PPT

18 IOWA PHARMACISTS Principal Activity 0 Activity # of Pharmacists Percent Community* % Hospital State/Federal Government** 0. Consultant (Long Term Care) 9. Academic** 74. Administrative/Management 66. Home Infusion Therapy. Public/Community Health 0.4 Pharmaceutical Industry 0.4 Nuclear 0.4 Veterinary 7 0. Student Health 4 0. Other (Service Ctr-Web, Dental, Research) 0.7 Total % *Community Includes: Chain, Independent, Franchise, Hospital-Sponsored, Company-Sponsored, and Relief **Includes non-iowa-licensed pharmacists UI Carver College of Medicine, April 06 K:DOC\Pharmacy\0YrEnd\0.PPT

19 IOWA COMMUNITY PHARMACISTS By Activity 0 Activity # of Pharmacists Percent # of Worksites Chain % 97 Independent 9.6 Franchise Hospital-Sponsored Company-Sponsored 0.7 Relief Other 0. Total % 66 UI Carver College of Medicine, April 06 6 K:Doc\Pharmacy\0YrEnd\06.PPT

20 IOWA PHARMACISTS Iowa Birth and UI Education Total Percent Total Percent All Iowa Pharmacists % % Iowa Birthstate % % UI Pharmacy Graduate % 6 46.% IA Birth and UI Graduate 86 6.% 7 8.8% UI Carver College of Medicine, April 06 7 K:Document\Pharmacy\YE0\66-UI.PPT

21 IOWA PHARMACISTS with UI Education or Graduate Training 0 % of Total Cumulative % Number % of Total Pharmacists w/ UI Educational Experience Pharmacy School (only) 6 4.9% 4.9% % Pharmacy School/Residency 06.6% 46.% Residency (only) 48.64% 48.7% Subtotals % No UI Educational Experience 7.8% Totals % University of Iowa Carver College of Medicine, April 06 8 K:Doc/Pharm/YE0UIEducation_table.ppt

22 IOWA PHARMACISTS Iowa Birth and Drake Education Total Percent Total Percent All Iowa Pharmacists % % Iowa Birthstate % % Drake Pharmacy Graduate 69 7.% % IA Birth and Drake Graduate 47 0.% 0 9.% UI Carver College of Medicine, April 06 9 K:Document\Pharmacy\YE0\67-Drake.PPT

23 IOWA PHARMACISTS with Drake Education or Graduate Training 0 % of Total Cumulative % Number % of Total Pharmacists w/ Drake Ed. Exp % Pharmacy School (only) % 7.6% Pharmacy School/Residency 8 0.6% 7.88% Residency (only) 0.44% 8.% Subtotals 89 8.% No Drake Ed. Exp % Totals % UI Carver College of Medicine, April 06 0 K:DOCUMENT\PHARMACY\YE0\DrakeEducation.doc_table

24 DISTRIBUTION OF PHARMACISTS By City Population Ranges 0 Population <,000 Cities in Iowa # of Cities with Pharmacists # of Pharmacists Percent Cumulative Percent 867 (6CDP) %.9%,000-4, %.%,000-49, % 49.% 0,000-99, % 80.7% > 00, % 00% Totals % 66% of Iowa s Pharmacists are in the 6 cities with >,000 residents. Population Source: US Census City Population Estimates 00 UI Carver College of Medicine, April 06 K:Doc\Pharm\0YE\CityPopRanges.ppt

25 IOWA COMMUNITY PHARMACISTS Distribution by Community Size 0 Community Population Number of RPh Percent Cumulative Percent <, % 9.0%,000 4, ,000 49, ,000 99, > 00, % Total % UI Carver College of Medicine, April 06 K:Document\Pharmacy\0YrEnd\07.PPT

26 IOWA INDEPENDENT PHARMACISTS Distribution by Community Size 0 Community Population # of RPh Percent Cumulative Percent <, % 44.0%,000 4, ,000 49, ,000 99, > 00, % Total 00.0% 7% of independent pharmacists work in communities of <,000 UI Carver College of Medicine, April 06 K:Doc\Pharmacy\0YrEnd\4.PPT

27 IOWA HOSPITAL PHARMACISTS Distribution by Community Size 0 Community Population # of RPh Percent Cumulative Percent <, % 7.%,000 4, ,000 49, ,000 99, > 00, % Total % Note: Does not include VA pharmacists UI Carver College of Medicine, April 06 4 K:Graphics\PowerPoint\Pharmacy\0YrEnd\7.PPT

28 IOWA PHARMACISTS All Activities (,97) Lyon 8 Sioux Osceola O'Brien Dickinson Clay Emmet 8 Palo Alto Kossuth 7 Winnebago 7 Hancock Worth Cerro Gordo Mitchell 6 Floyd Howard 6 Chickasaw Winneshiek Allamakee Fayette Clayton Plymouth Woodbury Cherokee Ida Pottawattamie Buena Vista Sac Audubon Pocahontas Carroll 7 Greene Guthrie Adair Humboldt Boone 6 Madison Polk 64 Franklin Monona 9 Harrison 7 Crawford 0 Shelby 4 Cass Calhoun Webster Dallas 49 Wright Hamilton 0 Story 60 Warren Hardin Marshall 4 Jasper 6 Marion Butler Grundy 9 Black Hawk Tama 7 Mahaska Bremer 0 Poweshiek 7 Benton Keokuk Buchanan Iowa 8 Linn 04 Johnson Washington 7 Delaware 8 Dubuque Jones 8 Cedar 7 0 Muscatine Jackson 8 Clinton Scott Mills 4 Fremont 6 Montgomery Adams Page Taylor 4 0 Union Clarke 7 Ringgold Decatur Lucas Monroe Wapello Jefferson Henry 7 4 Louisa KEY: 00+ (6) 0-99 (4) Wayne Appanoose Davis Van Buren 0-49 (46) 0 Lee Des Moines -9 (8) -4 () UI Carver College of Medicine, April 06 K:Doc\Pharm\YE0\.CDR

29 IOWA PHARMACISTS Community Pharmacists (,697*) Lyon 4 Sioux Osceola O'Brien Dickinson Clay Emmet 6 Palo Alto Kossuth 6 Winnebago 7 Hancock Worth Cerro Gordo Mitchell Floyd Howard Chickasaw Winneshiek Allamakee Fayette Clayton Plymouth Woodbury Cherokee Ida Pottawattamie Buena Vista Sac Audubon Pocahontas Carroll Greene Guthrie Adair Humboldt Boone Madison Polk 94 Franklin Monona 7 Harrison 9 Crawford 8 Shelby 0 Cass Calhoun Webster 4 Dallas 4 Wright Hamilton 8 Story 40 Warren Hardin 0 Marshall Jasper 4 Marion Butler Grundy 6 Black Hawk Tama 6 Bremer 7 7 Poweshiek 8 Mahaska Benton Keokuk Buchanan Iowa 6 8 Delaware Linn 9 Johnson 6 Washington Dubuque Jones 7 Cedar 7 67 Muscatine 0 Jackson 6 Clinton Scott 80 Mills Fremont Montgomery 9 Page 0 Adams Taylor Union 0 Ringgold 9 Clarke 6 Decatur Lucas Wayne Monroe Appanoose 8 Wapello 0 Davis 4 Jefferson 8 Van Buren Louisa Henry Des Moines 0 Lee KEY: 00+ () 0-99 (6) 0-49 () -9 (8) *8% of Iowa's,97 pharmacists UI Carver College of Medicine, April (8) K:DOC\PHARMACY\YE0\0.CDR

30 IOWA PHARMACISTS Independent Pharmacists (*) Lyon Sioux Osceola O'Brien Dickinson Clay Emmet Palo Alto Kossuth Winnebago Hancock Worth Cerro Gordo Mitchell Floyd Howard Chickasaw Winneshiek Allamakee 7 Fayette Clayton Plymouth Woodbury 8 Monona Harrison Cherokee Ida Crawford 6 7 Pottawattamie Buena Vista Sac Pocahontas Carroll Cass Calhoun Greene Shelby Audubon Guthrie Adair Humboldt Webster 8 Boone 4 Dallas Madison Wright 4 Hamilton Story Polk 7 Warren Franklin Hardin Marshall Jasper Marion Butler Grundy 4 Mahaska Bremer 8 Black Hawk Tama 8 Poweshiek Benton 6 Buchanan Iowa Keokuk Linn Washington Delaware Johnson 9 4 Dubuque Jones Cedar Muscatine 4 Jackson Clinton Scott Louisa Mills Montgomery Adams Union Clarke Fremont 4 Page 4 Taylor Ringgold Decatur Lucas Wayne Monroe Appanoose Wapello 4 Davis Jefferson Van Buren Henry Lee Des Moines KEY: 6-9 () 6- (7) - (4) (7) 0 (8) *% of Iowa's,97 pharmacists UI Carver College of Medicine, April 06 7 K:DOC\PHARMACY\YE0\4.CDR

31 UI PHARMACY GRADUATES (,6*) All Professional Activities Lyon Sioux Plymouth Woodbury 8 Monona Harrison Osceola O'Brien Cherokee Ida Crawford 4 Pottawattamie Mills Dickinson Shelby 4 Clay Buena Vista Sac Montgomery Carroll 7 Audubon 4 Cass Emmet 4 Palo Alto Fremont Page Taylor Ringgold Pocahontas Calhoun Adams Kossuth Greene Guthrie Adair Humboldt Webster Union 0 Boone Dallas 0 Madison 4 Winnebago 4 Hancock Wright 7 Hamilton 6 Clarke Decatur Story Polk 9 4 Warren 6 Worth Mitchell Howard Cerro Gordo 4 Franklin Hardin Lucas Wayne Jasper 6 Marion Floyd 6 Marshall 9 Butler Grundy 9 Monroe Appanoose 4 Mahaska 0 Chickasaw Bremer Black Hawk Tama 76 Poweshiek 7 4 Wapello Davis Winneshiek Allamakee Fayette Buchanan Benton Iowa 6 Keokuk 6 8 Jefferson 7 Van Buren Clayton Linn 9 Washington Delaware Johnson Henry 0 0 Lee Dubuque Jones 8 Cedar 6 Des Moines 79 Muscatine 7 Louisa Jackson Clinton Scott 9 0 KEY: 00+ () 0-99 (8) 6-9 (0) - (6) 0 () *47% of Iowa's,97 pharmacists UI Carver College of Medicine, April 06 8 K:DOC\PHARM\YE0\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 Fayette Clayton Plymouth Woodbury 8 Monona Harrison Cherokee Ida Crawford Pottawattamie Shelby Buena Vista Sac Pocahontas Carroll 7 Audubon Cass Calhoun 4 Greene 8 Guthrie Adair Humboldt 4 Webster 9 Boone Dallas 7 Madison Wright Hamilton Story 6 Polk 40 Warren Franklin Hardin 4 Marshall 6 Jasper 6 Marion Butler Grundy Mahaska Bremer 4 Black Hawk Tama 8 Poweshiek Benton Buchanan Iowa Keokuk Linn 7 Johnson 8 Washington Delaware Dubuque Jones Cedar 9 Muscatine Jackson Clinton Scott Mills Montgomery Adams Union Clarke Lucas 6 Fremont Page Taylor Ringgold Decatur Wayne 4 Monroe Appanoose Wapello 6 Davis Jefferson Van Buren Louisa Henry Des Moines 6 Lee 6 KEY: 00+ () 0-99 (4) 6-9 (8) - (4) *8% of Iowa's,97 pharmacists 0 () UI Carver College of Medicine, April 06 9 K:DOC\PHARMACY\YE0\04.CDR

33 Lyon CR = SD = Sioux CR = SD = UN = OT = Plymouth CR = SD = 6 Woodbury CR = SD = 9 ND = UN = OT = Monona CR = SD = UN = DISTRIBUTION OF PHARMACY GRADUATES FROM COLLEGES OTHER THAN UI AND DRAKE Harrison CR = 7 SD = UN = Osceola SD = O'Brien CR = SD = 4 Cherokee SD = OT = Ida Pottawattamie Mills SD = Fremont CR = OT = UN = Crawford CR = 4 SD = UN = CR = 9 SD = UN = OT = CR = 8 UN = 4 Dickinson Buena Vista Shelby CR = SD = 8 CR = UN = OT = Clay CR = ND = SD = 7 UN = OT = CR = 8 SD = 6 UN = OT = Sac CR = UN = Montgomery CR = 7 UN = OT = Page CR = UN = 4 OT = Audubon Palo Alto Pocahontas Carroll Cass CR = 7 SD = UN = Emmet CR = 7 SD = UN = OT = CR = UN = Adams Taylor Greene Guthrie Adair Kossuth SD = CR = SD = SD = OT = SD = Calhoun CR = CR = CR = SD = CR = OT = Humboldt ND = SD = Webster CR = SD = ND = UN = OT = Union CR = SD = UN = OT = Ringgold Boone CR = SD = OT = Dallas CR = SD = UN = OT = 7 Madison Winnebago Hancock SD = Wright SD = Hamilton CR = ND = Clarke OT = Decatur OT = 4 Polk Worth CR = Cerro Gordo CR = 4 SD = 7 OT = Franklin Story CR = ND = SD = 4 UN = OT = 7 CR = SD = ND = UN = 7 OT = 8 Warren OT = CR = Hardin CR = OT = Lucas SD = Wayne Jasper Marion Mitchell Floyd Butler Marshall CR = SD = ND = OT = SD = OT = CR = ND = OT = Grundy Monroe OT = Appanoose CR = OT = Howard SD = Chickasaw Black Hawk Tama UN = OT = Mahaska Bremer OT = 4 Poweshiek CR = UN = OT = CR = 9 SD = ND = OT = 9 Wapello CR = SD = OT = Davis OT = Benton Keokuk Winneshiek CR = Iowa CR = Fayette Jefferson Van Buren Allamakee Clayton Buchanan Delaware Dubuque OT = CR = CR = SD = OT = 9 OT = SD = ND = CR = OT = OT = OT = Linn CR = 6 ND = SD = OT = 4 Johnson CR = ND = 4 SD = UN= OT = Washington OT = ND = Henry OT = Lee CR = ND = OT = 9 Louisa Jones Cedar OT = Muscatine UN = OT = Des Moines CR = UN = OT = Jackson OT = CR= 7 ND= SD= UN= OT= Clinton CR = SD = OT = 8 Scott Grad School Total CR (Creighton) = 8 SD (S. Dakota) = 47 ND (N. Dakota) = 6 UN (U of Nebraska) = 7 OT (Other) = 77 Total = 749 % of Iowa's,97 pharmacists UI Carver College of Medicine, April 06 0 K:DOC\PHARMACY\YE0\Pharmacy.cdr

34 COMMUNITIES WITH PHARMACISTS () 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 Algona Britt Garner Orange City Charles City McGregor West Union Elkader Hawarden Laurens Sheffield Greene Paullina Belmond Sumner Akron Le Mars Fayette Pocahontas 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 Cascade Lake View Grundy Center Mapleton Jewell La Porte City Bellevue Monticello Whiting Lake City Gowrie Stratford Reinbeck Ogden Conrad Center Point Maquoketa Traer Story City Vinton Anamosa Denison Boone Marshalltown Central City Preston Onawa Carroll Ames Van Horne Hiawatha Marion Dunlap Jefferson Nevada Toledo Atkins Cedar Rapids DeWitt Manning Mount Vernon Clinton Woodbine Tama Solon Madrid Huxley Belle Plaine Coon Rapids Perry Logan Audubon Woodward Polk City Marengo North Liberty Grinnell Amana Tipton Guthrie Center Dallas Center Ankeny Colfax Newton Coralville Eldridge Williamsburg Durant Harlan Panora Missouri Grimes Johnston Iowa City Windsor Heights Altoona Mitchelville Valley Bettendorf Waukee Clive Pleasant Hill Wilton Davenport Elk Horn Adel Urbandale Kalona Des Moines North English Avoca 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, April 06 K:DOC\PHARMACY\YE0\.CDR

35 IOWA COMMUNITIES* WITH INDEPENDENT PHARMACISTS Northwood Rock Rapids Sibley Lake Mills Riceville Estherville Forest City St. Ansgar Hull Decorah Hartley Garner Emmetsburg Mason City 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 Ida Grove 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 Solon DeWitt Woodbine Coon Rapids Belle Plaine Logan Marengo Amana Guthrie Center Polk City Iowa City Eldridge Missouri Harlan Ankeny Durant Valley Adel Elk Horn Colfax Wilton Davenport Urbandale Avoca 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 * 6 Communities UI Carver College of Medicine, April 06 K:DOCUMENT\PHARMACY\YE0\4-Ind.CDR

36 Lyon Rock Rapids () Rock Valley Sioux Center() Hawarden Orange City() IOWA CITIES WITH HOSPITALS Hospital Pharmacists* per Community 0 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(6) 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(4) Tama Benton Linn Poweshiek Iowa Fayette West Union() Plymouth Cherokee Buena Vista Pocahontas Humboldt Wright Franklin Butler Bremer Humboldt() Sumner Elkader() Lemars() Belmond() Oelwein() Guttenburg() Cherokee() Storm Pocahontas Clarion Waverly() Hampton() Lake() Black Hawk Buchanan Webster Delaware Waterloo(8) Woodbury Ida Sac Calhoun Hamilton Hardin Grundy () Independence() Manchester(4) Sioux City (0) () Ida Fort Dodge Webster Grundy Center Cedar Grove() Sac City() Lake City() (6) City() Iowa Falls() Falls() Onawa() Missouri Valley() Denison() Harlan() Carroll(4) Manning () Audubon() Jefferson() Guthrie Center() Boone() Perry Des Moines W DesMoines () (0) () () Ames() Marshalltown (6) Nevada() Newton() New Hampton () Grinnell() Vinton Marengo() Waukon Clayton Cedar Rapids (8) () Johnson Iowa City () (08) Pottawattamie Cass Adair Madison Warren Marion Mahaska Keokuk Washington Pella(4) Atlantic() Greenfield() Sigourney() Washington() Council Bluffs (8) Winterset() () Knoxville () Oskaloosa() Louisa Jones Dubuque Dyersville Dubuque() () Anamosa() Cedar Muscatine Muscatine() Jackson DeWitt() Clinton Clinton(8) Scott Maquoketa() Bettendorf(8) Davenport(4) Mills Montgomery Red Oak() Adams Corning() Clarke UI Carver College of Medicine, April 06 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-0; Iowa City-6 Note: Hospitals without a number do not employ a pharmacist Jefferson Fairfield() Van Buren Keosauqua Henry Mount Pleasant() Lee Fort Madison() Des Moines West Burlington() Keokuk() Key: CAH Non CAH No Hospital Communities = 08 Hospitals = 0 *Pharmacists = 8 K:\DOC\PHARMACY\YE0\HOSPITALS-CAH.cdr

37 IOWA COUNTIES WITH 0% OF PHARMACISTS > AGE All Professional Activities Lyon Osceola Dickinson Emmet Kossuth Winnebago Worth Mitchell Howard Winneshiek Allamakee / /6 /6 Sioux O'Brien Clay Palo Alto 4/7 Hancock Cerro Gordo Floyd Chickasaw Fayette Clayton Plymouth Cherokee Buena Vista Pocahontas Humboldt Wright Franklin Butler Bremer 6/ Webster Black Hawk Buchanan Delaware Dubuque Woodbury Ida Sac Calhoun Hamilton Hardin Grundy Tama Benton Linn Jones Jackson Monona Crawford Carroll Greene Boone Story Marshall 6/0 /7 Clinton Cedar Harrison Shelby Audubon Guthrie Dallas Polk Jasper Poweshiek Iowa Johnson Scott Muscatine Pottawattamie Cass Adair Madison Warren Marion Mahaska Keokuk Washington /4 / Louisa / Mills Montgomery 9/ Adams Union Clarke Lucas Monroe Wapello Jefferson Henry Des Moines Fremont Page Taylor Ringgold Decatur Wayne Appanoose Davis Van Buren / /6 / Lee First number is number of pharmacists > ; 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, April 06 4 K:DOC\PHARMACY\YE0\.CDR

38 IOWA PHARMACISTS % Increase 00 '96 '97 '98 '99 '00 '0 '0 '0 '04 '0 '06 '07 '08 '09 '0 ' ' ' '4 ' UI Carver College of Medicine, April 06 K:Doc\Pharmacy\0YrEnd\.PPT

39 IOWA COMMUNITIES WITH INDEPENDENT PHARMACISTS Communities Pharmacists % Decrease % Decrease '96 '97 '98 '99 '00 '0 '0 '0 '04 '0 '06 '07 '08 '09 '0 ' ' ' '4 ' UI Carver College of Medicine, April 06 6 K:Doc\Pharmacy\0YrEnd\7.PPT

40 IOWA PHARMACISTS Net Gain/Loss Pharmacists '96 '97 '98 '99 '00 '0 '0 '0 '04 '0 '06 '07 '08 '09 '0 ' ' ' '4 ' Entering Leaving Net Gain/Loss UI Carver College of Medicine, April 06 Average Net Gain/Loss = 8/year -Year Average Net Gain/Loss = /yr 7 K:Doc\Pharmacy\0YrEnd\68.PPT

41 ALL IOWA PHARMACISTS Entry/Exit by Gender '96 '97 '98 '99 '00 '0 '0 '0 UI Carver College of Medicine, April 06 '04 '0 '06 '07 '08 ' '0 ' ' ' '4 ' Females Exit Males Exit Females Enter Males Enter K:Document/Pharmacy/YE0/Entry-Exit/_.PPTX

42 IOWA PHARMACISTS BY ACTIVITY Net Increase/Decrease 996 vs Change (%) All Active Pharmacists (+%) Community Pharmacists (+%) Hospital Pharmacists (+%) All Other Pharmacists (+8%) UI Carver College of Medicine, April 06 9 K:Document\Pharmacy\0YrEnd\4.PPT

43 IOWA PHARMACISTS Select Professional Activity Trends* Independent Chain Franchise Miscellanous Other Hospital '96 '97 '98 '99 '00 '0 '0 '0 '04 '0 '06 '07 '08 '09 '0 ' ' ' '4 ' *Community vs hospital activities (does not include VA) UI Carver College of Medicine, April K:Document\Pharmacy\0YrEnd\_.PPT

44 IOWA PHARMACISTS Gender All Iowa Pharmacists Male Female '96 '97 '98 '99 '00 '0 '0 '0 '04 '0 '06 '07 '08 '09 '0 ' ' ' '4 ' UI Carver College of Medicine, April 06 4 K: Document\Pharmacy\0YrEnd\.PPT

45 IOWA COMMUNITY PHARMACISTS Gender All Community Pharmacists Male Female '96 '97 '98 '99 '00 '0 '0 '0 '04 '0 '06 '07 '08 '09 '0 ' ' ' '4 ' 607 UI Carver College of Medicine, April 06 4 K:Document\Pharmacy\0YrEnd\4.PPT

46 IOWA INDEPENDENT PHARMACISTS Gender All Independent Pharmacists Male Female '96'97'98'99'00'0'0'0'04'0'06'07'08'09'0''''4' UI Carver College of Medicine, April 06 4 K:Document\Pharmacy\0YrEnd\.PPT

47 IOWA HOSPITAL PHARMACISTS Gender Hospital Pharmacists Male Female '97 '99 '0 '0 '0 '07 '09 ' ' ' UI Carver College of Medicine, April K:Document\Pharmacy\0YrEnd\76.PPT

48 IOWA PHARMACISTS Age > with Population < 0, '96 '97 '98 '99 '00 '0 '0 ' UI Carver College of Medicine, April 06 '04 '0 '06 ' % Increase '08 '09 '0 ' 0 47 ' ' '4 ' K:Document\Pharmacy\0YrEnd\_.PPT 47

49 IOWA COMMUNITIES WITH ONE OR MORE PHARMACISTS Communities '96 '97 '98 '99 '00 '0 '0 '0 '04 '0 '06 UI Carver College of Medicine, April '07 '08 '09 '0 ' ' % Decrease ' '4 ' K:Document\Pharmacy\04YrEnd\40.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, April K:Document\Pharmacy\YE0\Workforce4

51 RELOCATION OF IOWA PHARMACISTS IN US (48)* * relocation outside US UI College of Medicine, April K:\Document\PHARMACY\YE0\USMap7.ppt

52 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 0 Physicians 8 Pharmacists 97 Dentists 6 Nurse Practitioners 96 Physician Assistants 874, UI Carver College of Medicine, April K:Graphics/Powerpoint/IA Workforce/ALL-HP-0/Summary

53 IOWA HEALTH PROFESSIONS INVENTORY '0 '0 '0 '07 '09 ' ' ' Physicians % Increase Pharmacists 8% Increase APNs 40% Increase Dentists 0% Increase PAs 8% Increase UI Carver College of Medicine, April 06 0 K:Graphics\Powerpoint\IA Workforce\ALL-HP-0\Trendline

54 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 0 Net Gain/Loss Summary Entering % Leaving % Net % Total Physicians % 6.0% 0.9% 8 Pharmacists % 7 6.0% 0.0% 97 Dentists 70 4.% 6 4.0% 9 0.6% 6 Nurse Practitioners 9.0% % 6.% 96 Physician Assistants 9 0.9% 7 8.4%.% 87 UI Carver College of Medicine, April 06 K:Graphics/Powerpoint/IA Workforce/ALL-HP-0/Gain-Loss

55 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 0 Retirement Summary Average Average Retired % Leaving Age Retirement Age Physicians 9 % 67 Pharmacists 4 6% Dentists 4% Nurse Practitioners 0 8% Physician Assistants 8 % UI Carver College of Medicine, April 06 K:Graphics/Powerpoint/IA Workforce/ALL-HP-0/Retirement

56 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce - 0 Gender Male % Female % Total Physicians % 76 0% 8 Physician Assistants 9% 6 7% 87 Dentists 40 7% 46 7% 6 Pharmacists 077 7% 80 6% 97 APNs 6 % % 96, UI Carver College of Medicine, April 06 K:Graphics/Powerpoint/IA Workforce/All-HP-0/GENDER.PPT

57 IOWA HEALTH PROFESSIONS INVENTORY Composition of Workforce 0 Age Physicians Physician Assistants Dentists Pharmacists APNs < % 49 48% 04 % 6 4% 78 8% % 98 % 9 9% 76 % 47 4% % 69 9% % 40 8% 46 4% > % 87 0% 4 7% 98 4% 69 4% Total , UI Carver College of Medicine, April 06 4 K:Graphics/Powerpoint/IA Workforce/ALL-HP-0/AGE

58 IOWA HEALTH PROFESSIONS INVENTORY Distribution by Community Size 0 Community Population Number of Communities With Providers Number of Providers % of Providers Pharms APNs Phys PA Pharms APNs Phys PA Pharms APNs Phys PA <, %.% 0.4%.%,000-4, ,000-9, ,000-49, ,000-99, > 00, Total %, UI Carver College of Medicine, April 06 K:Doc/NP/0YrEnd/IA Workforce/CommDist-NP-Pharm-PA-Phys

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