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Figure 4.5 shows the average number of full-time equivalents, salary range, and employee and fringe benefits as a percentage of salary for common state health agency occupational classifications. Salary range is the average of the minimum and maximum salary reported. In 2010 and 2007, administrative and clerical personnel comprised the largest portion of the state health agency workforce followed by public health nurses. On average, public health managers, dentists, and physicians are the highest paid agency employees; they also have the widest salary range. Employee and fringe benefits measured by percentage of salary are similar across all occupational classifications.

State health agencies report that the average employee is 47 years old and the median is 49 years old; the average years of service is 12. These findings are consistent with findings from the 2007 ASTHO State Public Health Workforce Survey. Employees

Figure 4.5: Average number of full-time equivalents, salary range, and employee and fringe benefits as a percentage of salary for common state health agency occupational classifications.

in New England generally have longer tenure compared to those in other regions. On average, new employees are slightly younger; for fiscal years 2007–09, the average age of new employees was 40. Based on findings from the state health agencies that responded to both the 2010 survey and the 2007 ASTHO State Public Health Workforce Survey (n=25), the average age of new employees has decreased since 2004. Employees at state health agencies that serve medium-sized populations typically have younger employees than those serving small and large-sized populations. Union membership varies across state health agencies: from a low of 3 percent of the current state health agency workforce to a high of 98 percent. The mean is 68 percent. State health agencies in New England and the western regions have higher union membership compared to agencies in other regions.

Descriptions and Examples of Occupational Classifications from the 2010 ASTHO Profile Survey

Administrative or clerical personnel. Support staff providing assistance in agency programs or operations.

Public health nurse. Registered nurse conducting public health nursing (e.g. school nurse, community health nurse, nurse practitioner).

Environmental health worker. Environmental health specialists, scientists and technicians, including registered and other sanitarians.

Laboratory worker. Laboratorians; laboratory scientists; laboratory technicians; and microbiologists planning, designing and implementing laboratory procedures.

Public health manager. Health service managers, administrators, and health directors overseeing the operations of a department/division.

Social worker. Behavioral health professional (e.g. community organizers, HIV/AIDS counselors and public health social workers).

Epidemiologist/Statistician. Conducts ongoing surveillance, field investigations, analytic studies and evaluation of disease occurrence and disease potential, and makes recommendations on appropriate interventions.

Health educator. Designs, implements; evaluates; and provides consultation on educational programs and strategies to support and modify health-related behaviors of individuals, families, organizations and communities and to promote the effective use of health programs and services.

Public health informatics specialist. Also known as public health information systems specialists or public health informaticists.

Nutritionist. Dietitian developing, implementing and evaluating population-based strategies to assure

effective interventions related to nutrition and physical activity behaviors, the nutrition environment and food and nutrition policy. May directly provide nutrition services.

Public health dentist. Dentist who identifies persons or groups at risk of illness or disability and develops, implements and evaluates programs or interventions designed to prevent, treat or improve such risks. May provide direct dental services.

Public health physician. Physician who identifies persons or groups at risk of illness or disability and develops, implements and evaluates programs or interventions designed to prevent, treat or improve such risks. May provide direct medical services.

Public information specialist. Also known as public information officer.

Preparedness director. Oversees all planning and development of protocols, trainings and exercises to further the public health system’s emergency response capabilities in the areas of biologic, chemical, radiological, explosive and environmental emergencies; assesses the public health needs of the population in a variety of large-scale public health emergencies; and serves as a subject-matter expert.

Primary care office director. Identifies health professional shortage areas and medically

underserved areas/populations which allow primary care providers to receive federal funding, recruit National Health Corps providers and receive enhanced reimbursement from Medicare and Medicaid; addresses recruitment and retention issues of primary care providers to increase access to care; works with HRSAs bureaus to address primary care provider shortages; works with or is the state/ territorial office of rural health; works with the state office of minority health.

Occupational

Classifications # Average Salary Range

Average Employee and Fringe Benefits

Senior Deputy 41 $88,835 - $130,069 36.0% Chief Medical Officer 26 $138,545 - $199,613 36.9% Chief Financial Officer 39 $84,839 - $112,459 36.4% Chief Information Officer 38 $67,522 - $106,513 36.6% State/Territorial Epidemiologist 37 $97,581 - $148,413 34.8% State/Territorial Laboratory Director 37 $78,346 - $113,175 35.8% Local Health Department Liaison 23 $67,871 - $110,069 36.4%

Figure 4.6: Average salary range and employee and fringe benefits as a percentage of salary for state health agency leadership.

State health agencies were also asked to provide compensation information about their leadership other than the state health official. Average salary range and employee and fringe benefits as a percentage of salary for state health agency leadership are shown in

figure 4.6. On average, the chief medical officer is the highest paid member of agency leadership, while the chief information officer and local health department liaison are the lowest paid. Average employee and fringe benefits are similar across all state health agency leadership categories.

The total number of full-time equivalents for all states and the