1 MSC Workforce Survey Key Findings For CCO

1 MSC Workforce Survey: Key Findings For CCO Design February 27, 2017

2 Survey Purpose • OPWDD conducted this survey to help the agency attain a better understanding of the MSC workforce especially in relation to its qualifications, educational levels, and professional experience. • This survey was intended to yield information to inform agency decisions and help to ensure a seamless transition to conflict-free care coordination.

3 Summary of Responses • Sent to 384 MSC providers • 277 Completed Responses (72%) Response Percentage Count DDRO 1 - Western NY and Finger Lakes 17. 7% 49 DDRO 2 - Central NY, Broome, & Sunmount DDRO 3 - Capital District, Taconic, and Hudson Valley DDR 0 4 - Metro, Brooklyn, Staten Island, and Bernard Fineson DDRO 5 - Long Island 17. 7% 49 32. 1% 89 15. 9% 44 * The Total Count is a duplicated number as some agencies provide MSC services across multiple regions. For example, an agency may provide services in both Region 1 & Region 2. Total Count Total # of Responses 320* 277

0 1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101 106 111 116 121 126 131 136 141 146 151 156 161 166 171 176 181 186 191 196 201 206 211 216 221 226 231 236 241 246 251 256 261 266 271 276 # of FT MSCs 90 Full-Time MSC’s n = 2, 517 (98%) 80 70 60 50 40 30 20 10 Agency Response # 4

0 1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101 106 111 116 121 126 131 136 141 146 151 156 161 166 171 176 181 186 191 196 201 206 211 216 221 226 231 236 241 246 251 256 261 266 271 276 # of PT MSCs Part-Time MSC’s n = 330 (2%) 16 14 12 10 8 6 4 2 Agency Response # 5

6 MSC Education Level • The MSC workforce, as a whole, are well educated. – More than two thirds have a bachelor’s degree, plus an additional 20% with a Master’s degree. Totals: • Less than an Associate's degree but college credits in health and human services: 36 (1%) • Associate's degree: 296 (11%) • Bachelor's degree: 1, 792 (67%) • Master's degree: 536 (20%) • No college credits or degree: 21 (1%)

7 MSC Education Level 2000 67% 1800 1600 1400 1200 1000 800 20% 600 400 11% 200 1% 1% 0 a) Less than an Associate's degree but has college credits in health and human services b) Associate's degree c) Bachelor's degree d) Master's degree e) No college credits or degree

8 MSC Years of Experience • The MSC workforce, as a whole, is not an experienced workforce. – Two thirds of MSC’s have worked in the field for 5 years or less. Totals: • 0 - 2 years: 1, 134 (42%) • 2+ years & up to 5 years: 631 (24%) • More than 5 years: 914 (34%)

9 MSC Years of Experience 1 200 42% 1 000 34% 800 24% 600 400 200 0 a) 0 - 2 years b) More than 2 years and up to 5 years c) More than 5 years

90 0 1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101 106 111 116 121 126 131 136 141 146 151 156 161 166 171 176 181 186 191 196 201 206 211 216 221 226 231 236 241 246 251 256 261 266 271 276 # of QIDPs 10 MSC’s Qualified as a QIDP n = 2, 007 (79%) 80 70 60 50 40 30 20 10 Agency Response #

11 MSC Salary Response Chart Percentage Count Less than $25, 000 3. 6% 10 $25, 000 to $34, 999 40. 8% 113 $35, 000 to $39, 999 37. 5% 104 $40, 000 to $44, 999 14. 4% 40 Over $45, 000 3. 6% 10 Total Responses 277

0 1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101 106 111 116 121 126 131 136 141 146 151 156 161 166 171 176 181 186 191 196 201 206 211 216 221 226 231 236 241 246 251 256 261 266 271 276 # of Supervisors 12 Full-Time MSC Supervisors n = 540 (88%) 14 12 10 8 6 4 2 Agency Response #

13 MSC Supervisor Salary Response Chart Percentage Count Less than $25, 000 3. 2% 9 $25, 000 to $34, 999 3. 6% 10 $35, 000 to $39, 999 13. 4% 37 $40, 000 to $44, 999 26. 4% 73 Over $45, 000 53. 4% 148 Total Responses 277

1 8 15 22 29 36 43 50 57 64 71 78 85 92 99 106 113 120 127 134 141 148 155 162 169 176 183 190 197 204 211 218 225 232 239 246 253 260 267 274 Ave. Turnover Rate 120 MSC Vacancy Rate 7% Statewide 100 80 60 40 20 0 Agency Response # 14

15 Other Findings • At this time, there is an estimated 7% vacancy rate for full-time MSC positions and a 1% vacancy rate for part-time MSC positions. • A MSC supervisor oversees less than six MSC’s, on average. • Typical monthly MSC caseloads for full-time employees, on average, was 34 individuals. • 62% of respondents have a RN, LCSW, or other clinician on staff to provide consultation, as may be needed.

16 Questions/Discussion