Public Health Emergency Preparedness

Appendix D. Region VIII Medical Staffing Resources

Table D1. Primary Medical Surge Staffing Resources, Federal Region VIII¹

Medical Staff	CO	Per 100,000	MT	Per 100,000	ND	Per 100,000	SD	Per 100,000	UT	Per 100,000	WY	Per 100,000	Region Total	Per 100,000	U.S. Per 100,000
Physicians (MDs and DOs)	7,983	201	1,594	181	1,202	189	1,204	165	3,280	156	720	150	15,983	182	198
Nurse Practitioner	1,900	48	252	29	153	24	274	38	694	33	112	23	3,385	39	26
Physician Assistants (1999)	665	16	131	15	154	24	198	27	260	12	82	17	1,490	17	10
Respiratory Therapists	1,260	32	220	25	280	44	260	36	360	17	160	33	2,540	29	31
RNs (1996)	30,827	803	6,774	764	6,902	1,069	7,752	1,049	12,641	631	3,784	773	68,680	798	798
LPNs	6,350	160	2,630	268	277	434	1,860	255	3,280	156	880	183	15,277	199	249
Clinical Laboratory	3,150	79	810	92	920	144	950	130	2,700	129	310	65	8,840	101	105
Social Workers	9,430	238	2,480	282	1,720	270	2,030	278	5,210	248	1,200	250	22,070	251	216
Nurse Aides, Orderlies & Attendants	13,400	338	4,620	525	6,070	952	5,750	787	5,470	260	1,940	404	37,250	423	466

¹ Data are based on 1998 data unless otherwise noted and was provided by the Health Resources and Services Administration (HRSA) State Health Workforce Profiles, December 2000.

A region's surge planning efforts can involve supplementing the traditional medical workforce with secondary alternative medical staff. Table D2 profiles potential alternative medical staffing resources available in Federal Region VIII.

Table D2. Secondary Medical Surge Staffing Resources, Federal Region VIII²

Medical Staff	CO	Per 100,000	MT	Per 100,000	ND	Per 100,000	SD	Per 100,000	UT	Per 100,000	WY	Per 100,000	Region Total	Per 100,000	U.S. Per 100,000
Dentists	2,242	57	422	48	272	43	294	40	1,090	52	220	46	4,540	52	48
Podiatrists	116	3	40	5	16	3	24	3	102	5	10	2	308	4	5
Pharmacists	2,430	61	640	73	560	88	510	70	1,140	54	250	52	5,530	63	66

² Data are based on 1998 data unless otherwise noted and was provided by the HRSA State Health Workforce Profiles, December 2000.

Table D3. Primary Medical Surge Staffing Resources, Federal Region VIII

Medical Staff	Status	Colorado	Montana	North Dakota	South Dakota	Utah	Wyoming	Regional Total
Medical Doctors and Doctors of Osteopathy	Active	14,033	3,114	2,636	2,482	7,192	2,222	31,679
	Active In-state	10,695	2,112	1,380	1,484	a	900	16,571
	Active Out-of-state	3,338	1,002	1,256	998	a	1,322	7,916
	% Active Out-of-state	24%	32%	48%	40%	NA	60%	25%
	Inactive	2,669	620	1,503	182	5,120	2,452	12,546
	Inactive In-state	a	22	305	152	a	0	479
	Inactive Out-of-state	a	523	1,198	30	a	2,352	4,103
	Inactive Retired	b	75	b	b	b	100	175
Physician Assistants	Active	1,090	242	187	290	431	170	2,410
	Active In-state	1,061	216	a	278	a	170	1,725
	Active Out-of-state	29	26	a	12	a	0	67
	% Active Out-of-state	3%	11%	NA	4%	NA	0%	3%
	Inactive	109	79	b	b	b	b	188
Registered Nurses	Active RN Total	51,282	10,000	8,313	10,456	16,864	4,800	101,715
	Inactive RN Total	b	b	NA	10,944	4	b	10,948
Licensed Practical Nurses	Active LPN Total	10,264	5,000	3,157	2,149	3,491	982	25,043
	Inactive LPN Total	b	b	NA	3,178	1	b	3,179
RN and LPN Total	Active Total	61,546	15,000	11,470	12,605	20,355	5,782	126,758
	Active In-state	a	a	9,754	a	a	5,056	14,810
	Active Out-of-state	a	a	1,716	a	a	726	2,442
	% Active Out-of-state	NA	NA	15%	NA	NA	13%	2%
	Inactive Total	b	b	27,732	14,172	5	b	41,909
	Inactive In-state	b	b	a	a	a	b
	Inactive Out-of-state	b	b	a	a	a	b
Nurse Practitioners	Active	2,167	300	254	299	811	215	4,046
Certified Nurse Assistants	Active	24,900	9,488	10,300	22,614 d	c	4,083	71,385
	Active In-state	c	8,875	9,270			3,988	22,133
	Active Out-of-state	c	613	1,030			95	1,738
	% Active Out-of-state	NA	7%	10%			2%	2%
	Inactive	12,400	13,748	15,570			d	41,718
Respiratory Therapists	Active	1,800	470	380	347	914	c	3,911

^aThe board cannot filter data by State of residency.
^bNo inactive or retirement status.
^cUnable to contact/no response from board.
^dUnable to tell activity status of license.

Source: State licensing boards, April and May 2003.

Table D4. Secondary Medical Surge Staffing Resources, Federal Region VIII

Medical Staff	Status	Colorado	Montana	North Dakota	South Dakota	Utah	Wyoming	Regional Total
Dentists	Active	3,843	620	358	451	2,313	421	8,006
	In-state	3,843	500	299	358	2,313	253	7,566
	Out-of-state	0	120	59	93	0	168	440
	% Out-of-state	0%	19%	17%	21%	0%	40%	6%
Veterinarians	Active	3,500	1,000	437	760	557	560	6,814
	In-state	3,500	468	205	337	557	240	5,307
	Out-of-state	0	532	232	423	0	320	1,507
	% Out-of-state	0%	53%	53%	56%	0%	57%	22%
Podiatrists	Active	f	70	28	66	180	34	378
	In-state	f	44	e	35	e	6	85
	Out-of-state	f	26	e	31	e	28	85
	% Out-of-state	NA	37%	NA	47%	NA	82%	23%
Pharmacists	Active	5,491	1,481	700	1,400	1,574	1,000	11,646
	In-state	3,700	883	650	760	e	450	6,443
	Out-of-state	1,791	598	50	640	e	550	3,629
	% Out-of-state	33%	40%	7%	46%	NA	55%	31%

^eThe State board of medical examiners or equivalent cannot filter data by state of residency.
^fUnable to contact/no response from board.

Source: State licensing boards, April and May 2003.

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