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

    • 1. 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
    • 2. 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
    • 3. 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.
    • 4.
      • 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)
    • 5.
      • 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)
    • 6.
      • 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)
    • 7.
    • 8.
      • 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)
    • 9.  
    • 10.  
    • 11.  
    • 12.
      • 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
    • 13.
      • 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
    • 14.
      • 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
    • 15.
      • 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
    • 16.
      • NHSC Opportunities List
      • 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
    • 17.
      • 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
    • 18.
      • Scholars Available:
      • Certified Nurse Midwives
      • Dentists
      • Family Nurse Practitioners
      • Physician Assistants
      • Psychiatrists
      • Primary Care Physicians (FP, IM, PEDS, & OB/GYN)
      NHSC Scholarship Program
    • 19.
      • 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)
    • 20.
      • 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)
    • 21.
      • 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)
    • 22. Learn more or sign up to be an Ambassador on the NHSC Web site / NHSC Ambassador Program
    • 23.
      • 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
    • 24.
      • 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
    • 25.
      • 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
    • 26. 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
    • 27. 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)
    • 28. State Primary Care Offices (PCOs)
      • Grants from HRSA to States. PCOs by State:
      • 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
    • 29. 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
    • 30. 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
    • 31. 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
    • 32. 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
    • 33. How to Contact NHSC
      • Call the toll-free helpline at
      • 1-800-221-9393
      • Visit the Web site at