Changes to Medical Underservice Designations What it Could Mean to Virginia
Presenter <ul><li>Ken Cook, Director of Technical Assistance </li></ul><ul><li>Virginia Rural Health Resource Center </li>...
Current Designations <ul><li>HPSA </li></ul><ul><ul><li>Based primarily on physician-to-population ratio, including availa...
Current Designations <ul><li>MUA </li></ul><ul><ul><li>Based on weighted score for four criteria </li></ul></ul><ul><ul><l...
Previous Attempts to Change <ul><li>Attempts have been made to change to a single system </li></ul><ul><li>Proposed system...
Negotiated Rule Making Committee <ul><li>Formed to bring biggest users together to try to solve the problem </li></ul><ul>...
What’s Being Done in Virginia <ul><li>Designations are applied for through the Office of Minority Health and Health Equity...
What’s Being Done in Virginia <ul><li>Designations completed this year will be grandfathered for several years </li></ul><...
What’s Being Done in Virginia <ul><li>We are fielding requests for review of areas not designated </li></ul><ul><li>Only o...
<ul><li>Questions </li></ul>
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HPSA Change Implications

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2011 Virginia Rural Health Summit presentation

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HPSA Change Implications

  1. 1. Changes to Medical Underservice Designations What it Could Mean to Virginia
  2. 2. Presenter <ul><li>Ken Cook, Director of Technical Assistance </li></ul><ul><li>Virginia Rural Health Resource Center </li></ul><ul><li>1314 Peters Creek Road, Suite 230 </li></ul><ul><li>Roanoke, Virginia 24017 </li></ul><ul><li>(540) 904-2509 </li></ul><ul><li>[email_address] </li></ul><ul><li>www.vrhrc.org </li></ul>
  3. 3. Current Designations <ul><li>HPSA </li></ul><ul><ul><li>Based primarily on physician-to-population ratio, including availability of physicians in surrounding areas </li></ul></ul><ul><ul><li>Variations for areas with high needs, specific populations that do not have adequate access to primary care physicians </li></ul></ul>
  4. 4. Current Designations <ul><li>MUA </li></ul><ul><ul><li>Based on weighted score for four criteria </li></ul></ul><ul><ul><li>Considers area only, no contiguous area analysis </li></ul></ul><ul><ul><li>Never expires </li></ul></ul><ul><ul><li>Variations for specific population groups </li></ul></ul>
  5. 5. Previous Attempts to Change <ul><li>Attempts have been made to change to a single system </li></ul><ul><li>Proposed systems have attempted to minimize impact (i.e., loss of designated areas) </li></ul><ul><ul><li>In most recent attempt, better than 96% would have remained </li></ul></ul><ul><ul><li>Proposal still rejected </li></ul></ul>
  6. 6. Negotiated Rule Making Committee <ul><li>Formed to bring biggest users together to try to solve the problem </li></ul><ul><li>Decision have been made to keep two existing designations </li></ul><ul><li>Decision has also been made to include non-physician practitioners into the mix </li></ul><ul><ul><li>Complicates the Provider:Population ratio </li></ul></ul>
  7. 7. What’s Being Done in Virginia <ul><li>Designations are applied for through the Office of Minority Health and Health Equity </li></ul><ul><li>Contracting with VRHRC for assistance </li></ul><ul><li>Ken Studer – MUAs, Dental and Mental HPSAs </li></ul><ul><li>Ken Cook (VRHRC) – Primary Care HPSAs, facilities </li></ul>
  8. 8. What’s Being Done in Virginia <ul><li>Designations completed this year will be grandfathered for several years </li></ul><ul><li>Therefore, efforts are being made to update ALL HPSA and MUA designations </li></ul><ul><li>Currently have 23 HPSA applications in to HRSA for updates, have had 9 approvals, 20 more awaiting additional data </li></ul><ul><li>Over 20 MUAs have been updated, another 7 applications filed with HRSA </li></ul>
  9. 9. What’s Being Done in Virginia <ul><li>We are fielding requests for review of areas not designated </li></ul><ul><li>Only one HPSA is up for renewal next year </li></ul><ul><ul><li>Should be sufficient time to renew others ahead of schedule </li></ul></ul><ul><li>Goal is to everything we can designated before the new regulations go into effect </li></ul><ul><li>As new regs are released, we will begin to study impact on existing areas </li></ul>
  10. 10. <ul><li>Questions </li></ul>

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