National health service corp presentation to mo rhit may 27 2010
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  • Open to students enrolled in US accredited allopathic and osteopathic medical schools; family nurse practitioner or nurse midwifery programs; and bachelor’s or master’s degree physician assistant programs Two year minimum, a year for every year of assistance… Kind of clinicians this is open to… Requirements…

National health service corp presentation to mo rhit may 27 2010 National health service corp presentation to mo rhit may 27 2010 Presentation Transcript

  • National Health Service Corps Dedication, Caring, Commitment: A Call to Service for Primary Care Clinicians HRSA Office of Regional Operations NHSC May 27, 2010 Clark Conover Kansas City Regional Division
  • National Health Service Corps (NHSC)
    • About the NHSC
    • NHSC Site Eligibility Requirements
    • NHSC Site and Clinician Data
    • NHSC Recruitment Programs
    • American Recovery and Reinvestment Act
    • State-based Programs and Resources
  • National Health Service Corps (NHSC)
    • NHSC is administered by the Health Resources and Services Administration (HRSA), the U.S. Government agency that provides access to health care for the underserved.
    • NHSC clinicians are a unique group of dedicated and caring primary care providers who care for millions of people who live in communities where health care is scarce.
    • Must be located in and providing service to a federally designated Health Professional Shortage Area (HPSA)
    • Must be continuously approved by NHSC as an eligible site (R ecruitment & R etention Application)
    • HPSAs are designated by the Office of Shortage Designation in HRSA’s Bureau of Health Professions (BHPr)
    Site Eligibility: Health Professional Shortage Area (HPSA)
    • HPSAs can be:
      • Primary care – shortage of primary care providers
      • Mental health – shortage of mental health providers
      • Dental – shortage of oral health providers
    • NHSC clinicians must work in a HPSA appropriate for their discipline
    Site Eligibility-Health Professional Shortage Area (HPSA)
    • HPSA Score – the higher the score, the greater the need
    • NHSC uses HPSA score to determine which communities have the greatest need
    • Other programs, such as the Centers for Medicare and Medicaid Services (CMS), also use HPSA designation as an eligibility criteria
    Site Eligibility-Health Professional Shortage Area (HPSA)
  • http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesignationAdvisor.aspx
    • All Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes have an Automatic HPSA designation
    • Certified Rural Health Clinics are eligible for Automatic HPSA but must apply and meet NHSC Charges for Services Requirements
    • Native American populations and sites also have Automatic HPSA opportunities
    Site Eligibility-Health Professional Shortage Area (HPSA)
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    • Provide comprehensive primary care, mental and behavioral health and/or dental services
    • Ambulatory (no inpatient sites)
    • Ensure access to ancillary, inpatient and specialty referrals
    Site Eligibility-Services Provided
    • Ensure no financial barriers to care exist
      • Fees for service consistent with prevailing rates in area
      • Discounts or waives fees for individuals at or below 200% of the Federal poverty level
      • Accepts assignments for Medicare beneficiaries; and enters into agreements with Medicaid and State Children’s Health Insurance programs
      • Prominently posts signage
    Site Eligibility-Charges for Services
    • When hiring NHSC Clinicians sites agree :
      • Full-time clinical
      • No reduction in salary because of NHSC
      • Communicate changes in employment
      • Only allow practice at approved site(s)
      • Make available personnel/practice records
      • Not restrict communication between clinician and NHSC
    Site Eligibility-Hiring NHSC Clinicians
    • Must be in compliance at time of application
    • Must agree to maintain compliance throughout term of NHSC clinician’s service commitment
    • Requirements pertain to entire site, not just NHSC clinician
    • Each location must apply and be approved
    Site Eligibility-Compliance
    • NHSC Opportunities List
    • http://nhscjobs.hrsa.gov
    • Only unfilled vacancies will be listed on the NHSC opportunities list
    • Sites are also being encouraged to develop a site profile to assist in marketing themselves
    • Changes/updates can be made by contacting the Recruitment Training and Support Center (RTSC) 1-877-313-1823
    NHSC Clinician Data
    • Scholarships to students who commit to practicing primary care in HPSAs of greatest need upon completion of education or training.
    • Period of service is 2-4 years based on number of years of scholarship support
    • Students choose their practice site from a list of approved sites located in areas of greatest need across the country.
    NHSC Scholarship Program
    • Scholars Available:
    • Certified Nurse Midwives
    • Dentists
    • Family Nurse Practitioners
    • Physician Assistants
    • Psychiatrists
    • Primary Care Physicians (FP, IM, PEDS, & OB/GYN)
    NHSC Scholarship Program
    • Repayment of educational loans for clinicians who are providing full-time clinical services
    • 2-year service commitment with options for additional years
    • Maximum repayment during the required initial 2-year contract is $50,000
    • Site/vacancy must be approved and clinician must also make a separate application to the NHSC
    NHSC Loan Repayment Program (LRP)
    • Recruit These Disciplines
    • Primary Care Physicians (FP, IM, PED, & OB/GYN)
    • Primary Care Nurse Practitioners
    • Physician Assistants
    • Certified Nurse Midwives
    • Dentists
    • Dental Hygienists
    NHSC Loan Repayment Program (LRP)
    • Recruit These Disciplines for Mental and
    • Behavioral Health Professionals
    • Health Service Psychologists
    • Clinical Social Workers
    • Licensed Professional Counselors
    • Marriage and Family Therapists
    • Psychiatric Nurse Specialists
    • Psychiatrists
    NHSC Loan Repayment Program (LRP)
  • Learn more or sign up to be an Ambassador on the NHSC Web site http://nhsc.hrsa.gov/ambassadors / NHSC Ambassador Program
    • NHSC Appropriations for Recruitment = $240 million
    • Recruitment Line (in millions)
    • NHSC SP (10% statutory requirement) $ 24
    • NHSC LRP $196
    • SLRP (Administered by BHPr) $ 20
    NHSC ARRA Budget for Recruitment
    • Strong heath care workforce is the lynchpin to an effective health care system
    • Primary care clinicians are the first line of defense to prevent disease and disability; the base of the health care system
    • Facilitate work opportunities and provide incentives to primary care clinicians to work in the Nation’s underserved communities
    • Educate and train the next generation of clinicians
    • One-time investment will:
      • Stimulate creation of primary care clinician and other jobs
      • Increase health care services to the Nation’s underserved populations
    NHSC Principles under ARRA
    • Expend $Millions to Save $Billion
    • Challenge:
    • Recruit an additional 4,200 primary care clinicians
    • Result:
    • 8,722 years of service
    • 4,519,200 patients with access to primary care services
    • 18,076,800 patient visits
    ARRA NHSC Recruitment Challenge
  • NHSC ARRA – New Features
    • More Application Flexibility
    • For the first time, primary health care clinicians interested in NHSC’s loan repayment program do not need to be employed at the site at the time of application
  • NHSC ARRA – New Features
    • More Efficient Application Process
    • Most applications will be processed within 8 weeks of receipt of a complete application (i.e., all application supporting documentation received)
  • State Primary Care Offices (PCOs)
    • Grants from HRSA to States. PCOs by State: http://bhpr.hrsa.gov/shortage/pcos.htm
    • HRSA coordinates resources from within the Agency to work with the PCOs in order to improve primary care service delivery and workforce availability to meet the needs of underserved populations
  • State Primary Care Associations (PCAs)
    • Member based organizations
    • Members include Federally Qualified Health Centers (FQHCs)
    • Many organizations also have non-FQHC members
    • Provide advocacy, technical assistance and other support to their members
  • Area Health Education Centers
    • Academic-community partnerships that train health care providers in sites and programs that are responsive to State and local needs
    • Health career enhancement and recruitment programs for K-12 students are emphasized
  • Rural Recruitment & Retention Network
    • 3R Net members are not-for-profit organizations made up of State Offices of Rural Health, AHECs, PCOs, PCAs, etc. that assist health professionals locate practice opportunities in rural areas through the country
    • Some charge sites a fee to assist them in their recruitment efforts, but not for recruitment of NHSC clinicians
  • State Loan Repayment Programs
    • The NHSC provides grants to states to operate their own State Loan Repayment Programs
    • Some States also have non-NHSC funded State Loan Repayment Programs
    • Cannot participate in both Federal and State LRPs
    • Benefits and requirements vary state-to-state
  • How to Contact NHSC
    • Call the toll-free helpline at
    • 1-800-221-9393
    • Visit the Web site at http://www.nhsc.hrsa.gov