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http://www.chcworkforce.org
PCA/HCCN PROFESSIONAL DEVELOPMENT SERIES
NHSC, HPSAS AND OTHER FEDERAL RESOURCES
MARCH 7, 2019
3 P.M. EASTERN
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Allison Abayasekara | [email protected]
703-562-8820
Mariah Blake | [email protected]
703-562-8819
Suzanne Speer | [email protected]
703-577-1260
2
ACU FACULTY
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GOALS OF SERIES
3
Connect you with others
Share PCA & HCCN Successes
Help build your workforce expertise
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WEBINAR HOUSEKEEPING
We are Recording
Ask Questions Have Fun
4
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Questions?
Raise your hand
Use the chat & questions boxes
Email [email protected]
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GOALS FOR TODAY
6
Understand the HPSA designation process
Understand the history and future of the NHSC
Hear from a PCA on the subject
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TODAY’S SPEAKER
Craig A. Kennedy, MPHExecutive Director, ACU
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POLL QUESTION 1
Do you have a NHSC State Loan Repayment Program
funded in your state?
A. Yes
B. No
C. I Don’t Know
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http://www.chcworkforce.org
NHSC AND OTHER FEDERAL RESOURCES
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OVERVIEW & HISTORY OF NHSC
Started in 1970
Over 10,000 clinicians in the field today are supported by the NHSC
Four Programs within NHSC
Loan Repayment Program (81%)
Scholarship Program (4%)
Students-to-Service Program (3%)
State Loan Repayment Program (12%)
• 36 States/Terr have SLRPs
Automatically Eligible Entities
FQHCs (62.7%)
Tribal facilities
Rural Health Clinics
Eligible Professionals
MD/DO (20%)
DD/RDH (16%)
NP/PA/CNW (35%)
Mental Health Professionals (29%)
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HEALTH PROFESSIONAL SHORTAGE AREAS
11
Primary Care Mental Health Dental Health
Population GroupFacility
A shortage of:
providers in a:
Geographic Area
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PrimaryCare
DentalHealth
MentalHealth
Criteria Max PtsAwarded Multiplier Total Points
PossibleMax PtsAwarded Multiplier Total Points
PossibleMax PtsAwarded
Population:Provider Ratio 5 x 2 = 10 5 x 2 = 10 7
% of Population below FPL 5 x 1 = 5 5 x 2 = 10 5
Travel distance/time to NSC 5 x 1 = 5 5 x 1 = 5 5
Infant Mortality Rate or Low Birth Weight 5 X 1 = 5
Water Fluoridation 1 x1 = 1
Ratio of children under 18 to adults 18-64 3
Ratio of adults 65 and older to adults 18-64 3
Substance abuse prevalence 1
Alcohol abuse prevalence 1
Max Score: = 25 = 26 = 25
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SHORTAGE DESIGNATION MANAGEMENT SYSTEM
Background BHW initiated a new system for HPSA
designations
No change in criteria
Just changing the platform and data
Status
Updates to all HPSAs will occur!
Non-auto facility HPSA scores are done
Geographic, population, facility
Auto-facility HPSAs are in progress
Direct FQHC impact
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SHORTAGE DESIGNATION MANAGEMENT SYSTEM
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No changes to HPSA scores have occurred at this time.
Current NHSC participants will not be impacted.
National update is tentatively planned for spring/summer 2019.
Before the update takes place:
o Collect supplemental data
o Work with State Primary Care Offices on the provider data
Visit https://bhw.hrsa.gov/sdmp for information and resources.
Contact [email protected] with questions or requests for briefings.
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NHSC RESOURCES
HRSA Data Warehouse – Data PortalAll NHSC sites and # of placements
https://data.hrsa.gov/hdw/tools/dataportal.aspx
PCO listing by stateHPSA Scoring Lead by State
https://bhw.hrsa.gov/shortage-designation/hpsa/primary-care-offices
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NHSC CURRENT FUNDING
Total NHSC Funding = $415 million
Mandatory Funding
$310m provided through FY2019 (Sept. 30, 2019)
Discretionary Funding
$105m for NHSC program
• $15m for Rural Communities Opioid Response Initiative
• $15m for IHS sites
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$-
$50,000,000
$100,000,000
$150,000,000
$200,000,000
$250,000,000
$300,000,000
$350,000,000
$400,000,000
$450,000,000
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
National Health Service Corps Funding HistoryBy Source
Appropriations ARRA ACA MACRA BBA2018
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http://www.chcworkforce.org
HEAR FROM A PCA
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http://www.chcworkforce.org
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GUEST EXPERTLourdes Montéz,Health Center Enrollment & Workforce Lead Coordinator
My scope of work includes facilitating and developingcoalitions and networks that include academic and healthcare organizations to help recruit and retain primary careproviders in rural and underserved communities in Arizona. Ialso work with Arizona’s Community Health Center’seligibility and enrollment staff to help improve access to care.I have been working with, and for, rural and underservedcommunities for over 20 years.
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ARIZONA ALLIANCE FOR COMMUNITY HEALTH CENTERS
MissionAACHC has served as Arizona’s Primary CareAssociation since 1985 and continuously strives tofulfill its mission of promoting and facilitating thedevelopment and delivery of affordable and accessiblecommunity-oriented, high quality, culturally effectiveprimary healthcare for everyone in the state ofArizona through advocacy, education, and technicalassistance.AACHC is committed to serving as a resource fororganizations providing primary health care to theunderserved, including Health Center ProgramGrantees/Federally Qualified Health Centers, RuralHealth Clinics,Tribal organizations, and others.
22 Community Health Centers, with 11 additional members.
Our Community Health Centers are located in 74 cities with over 175 sites.
All our membership extends that number to 78cities with over 200 sites.
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USING NHSC AS A RECRUITMENT TOOL
National NHSC Conference Discontinued.
Continued TA Provided to Scholars Via Email & Phone Calls
First AZ NHSC Scholars Conference Held in 2012 during the AACHC Annual Meeting, in Partnership with the Arizona Primary Care Office (PCO) Arizona Department of Health Services, Bureau of Women’s and Children’s Health
AZ NHSC Scholars Planning Committee Formed in 2015
The 2019 AZ NHSC Scholars Meeting Marks the 7th Annual Conference for Arizona
AZ NHSC Scholars Evaluations & Feedback: “The contacts I have made at the conference have led
to job offers and employment options for my repayment time. I have also felt more connected to the NHSC program by connecting with and forming friendships with other scholars.”
“ The conference provided me with the opportunity to network with peers and future employers, learn about navigating the job search, and making invaluable connections with others who are dedicated to serving the underserved in Arizona.”
“I want to thank you again for another great NHSC Scholars Conference. I really value living in a state with this resource.”
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http://www.chcworkforce.org
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CONFERENCE CHALLENGES
Scholars Unable To Attend Due To Clinical Rotations
Class Schedule Conflicts
Out of State Rotations
Travel
Medical Residents- Patient Schedule
Funding
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FUTURE PLANS
2020 AZ NHSC Scholars Conference
2020 Scholars Planning Committee
AZ Scholars Facebook Page for Scholars to Connect & Ask Questions
Schedule On Site Visits for Scholars
Schedule Rural Rotation for Scholars
Ongoing TA
HPSA Updates & Information
Placement Assistance For Scholars As Requested
AZ NHSC Scholars Conference Data:
40 AZ NHSC Scholars Participated in the Conferences Since 2015
25 Of Those Scholars Are Now In Practice
18 Are Practicing In Arizona:
14 At a Federally Qualified Health Center
1 At a Rural Tribal Clinic
3 At a Non-Profit Healthcare Setting
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FOR MORE INFORMATION
WWW.AACHC.ORG
WWW.ACFC.ORG
Twitter, Instagram, Facebook: @AZAllianceCHCs
LinkedIn: Arizona Alliance for Community Health Centers
YouTube: AACHCvideos
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QUESTIONS?
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MOVING FORWARD
Send us your questions/needsConnect with each other via
email and IWS platform Join us next time: Understanding HR Metrics
Thursday, April 4, 2019
3pm Eastern
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http://www.chcworkforce.org
THANK YOU!
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