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

    1. 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. 2. National Health Service Corps (NHSC) <ul><li>About the NHSC </li></ul><ul><li>NHSC Site Eligibility Requirements </li></ul><ul><li>NHSC Site and Clinician Data </li></ul><ul><li>NHSC Recruitment Programs </li></ul><ul><li>American Recovery and Reinvestment Act </li></ul><ul><li>State-based Programs and Resources </li></ul>
    3. 3. National Health Service Corps (NHSC) <ul><li>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. </li></ul><ul><li>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. </li></ul>
    4. 4. <ul><li>Must be located in and providing service to a federally designated Health Professional Shortage Area (HPSA) </li></ul><ul><li>Must be continuously approved by NHSC as an eligible site (R ecruitment & R etention Application) </li></ul><ul><li>HPSAs are designated by the Office of Shortage Designation in HRSA’s Bureau of Health Professions (BHPr) </li></ul>Site Eligibility: Health Professional Shortage Area (HPSA)
    5. 5. <ul><li>HPSAs can be: </li></ul><ul><ul><li>Primary care – shortage of primary care providers </li></ul></ul><ul><ul><li>Mental health – shortage of mental health providers </li></ul></ul><ul><ul><li>Dental – shortage of oral health providers </li></ul></ul><ul><li>NHSC clinicians must work in a HPSA appropriate for their discipline </li></ul>Site Eligibility-Health Professional Shortage Area (HPSA)
    6. 6. <ul><li>HPSA Score – the higher the score, the greater the need </li></ul><ul><li>NHSC uses HPSA score to determine which communities have the greatest need </li></ul><ul><li>Other programs, such as the Centers for Medicare and Medicaid Services (CMS), also use HPSA designation as an eligibility criteria </li></ul>Site Eligibility-Health Professional Shortage Area (HPSA)
    7. 7.
    8. 8. <ul><li>All Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes have an Automatic HPSA designation </li></ul><ul><li>Certified Rural Health Clinics are eligible for Automatic HPSA but must apply and meet NHSC Charges for Services Requirements </li></ul><ul><li>Native American populations and sites also have Automatic HPSA opportunities </li></ul>Site Eligibility-Health Professional Shortage Area (HPSA)
    9. 12. <ul><li>Provide comprehensive primary care, mental and behavioral health and/or dental services </li></ul><ul><li>Ambulatory (no inpatient sites) </li></ul><ul><li>Ensure access to ancillary, inpatient and specialty referrals </li></ul>Site Eligibility-Services Provided
    10. 13. <ul><li>Ensure no financial barriers to care exist </li></ul><ul><ul><li>Fees for service consistent with prevailing rates in area </li></ul></ul><ul><ul><li>Discounts or waives fees for individuals at or below 200% of the Federal poverty level </li></ul></ul><ul><ul><li>Accepts assignments for Medicare beneficiaries; and enters into agreements with Medicaid and State Children’s Health Insurance programs </li></ul></ul><ul><ul><li>Prominently posts signage </li></ul></ul>Site Eligibility-Charges for Services
    11. 14. <ul><li>When hiring NHSC Clinicians sites agree : </li></ul><ul><ul><li>Full-time clinical </li></ul></ul><ul><ul><li>No reduction in salary because of NHSC </li></ul></ul><ul><ul><li>Communicate changes in employment </li></ul></ul><ul><ul><li>Only allow practice at approved site(s) </li></ul></ul><ul><ul><li>Make available personnel/practice records </li></ul></ul><ul><ul><li>Not restrict communication between clinician and NHSC </li></ul></ul>Site Eligibility-Hiring NHSC Clinicians
    12. 15. <ul><li>Must be in compliance at time of application </li></ul><ul><li>Must agree to maintain compliance throughout term of NHSC clinician’s service commitment </li></ul><ul><li>Requirements pertain to entire site, not just NHSC clinician </li></ul><ul><li>Each location must apply and be approved </li></ul>Site Eligibility-Compliance
    13. 16. <ul><li>NHSC Opportunities List </li></ul><ul><li> </li></ul><ul><li>Only unfilled vacancies will be listed on the NHSC opportunities list </li></ul><ul><li>Sites are also being encouraged to develop a site profile to assist in marketing themselves </li></ul><ul><li>Changes/updates can be made by contacting the Recruitment Training and Support Center (RTSC) 1-877-313-1823 </li></ul>NHSC Clinician Data
    14. 17. <ul><li>Scholarships to students who commit to practicing primary care in HPSAs of greatest need upon completion of education or training. </li></ul><ul><li>Period of service is 2-4 years based on number of years of scholarship support </li></ul><ul><li>Students choose their practice site from a list of approved sites located in areas of greatest need across the country. </li></ul>NHSC Scholarship Program
    15. 18. <ul><li>Scholars Available: </li></ul><ul><li>Certified Nurse Midwives </li></ul><ul><li>Dentists </li></ul><ul><li>Family Nurse Practitioners </li></ul><ul><li>Physician Assistants </li></ul><ul><li>Psychiatrists </li></ul><ul><li>Primary Care Physicians (FP, IM, PEDS, & OB/GYN) </li></ul>NHSC Scholarship Program
    16. 19. <ul><li>Repayment of educational loans for clinicians who are providing full-time clinical services </li></ul><ul><li>2-year service commitment with options for additional years </li></ul><ul><li>Maximum repayment during the required initial 2-year contract is $50,000 </li></ul><ul><li>Site/vacancy must be approved and clinician must also make a separate application to the NHSC </li></ul>NHSC Loan Repayment Program (LRP)
    17. 20. <ul><li>Recruit These Disciplines </li></ul><ul><li>Primary Care Physicians (FP, IM, PED, & OB/GYN) </li></ul><ul><li>Primary Care Nurse Practitioners </li></ul><ul><li>Physician Assistants </li></ul><ul><li>Certified Nurse Midwives </li></ul><ul><li>Dentists </li></ul><ul><li>Dental Hygienists </li></ul>NHSC Loan Repayment Program (LRP)
    18. 21. <ul><li>Recruit These Disciplines for Mental and </li></ul><ul><li>Behavioral Health Professionals </li></ul><ul><li>Health Service Psychologists </li></ul><ul><li>Clinical Social Workers </li></ul><ul><li>Licensed Professional Counselors </li></ul><ul><li>Marriage and Family Therapists </li></ul><ul><li>Psychiatric Nurse Specialists </li></ul><ul><li>Psychiatrists </li></ul>NHSC Loan Repayment Program (LRP)
    19. 22. Learn more or sign up to be an Ambassador on the NHSC Web site / NHSC Ambassador Program
    20. 23. <ul><li>NHSC Appropriations for Recruitment = $240 million </li></ul><ul><li>Recruitment Line (in millions) </li></ul><ul><li>NHSC SP (10% statutory requirement) $ 24 </li></ul><ul><li>NHSC LRP $196 </li></ul><ul><li>SLRP (Administered by BHPr) $ 20 </li></ul>NHSC ARRA Budget for Recruitment
    21. 24. <ul><li>Strong heath care workforce is the lynchpin to an effective health care system </li></ul><ul><li>Primary care clinicians are the first line of defense to prevent disease and disability; the base of the health care system </li></ul><ul><li>Facilitate work opportunities and provide incentives to primary care clinicians to work in the Nation’s underserved communities </li></ul><ul><li>Educate and train the next generation of clinicians </li></ul><ul><li>One-time investment will: </li></ul><ul><ul><li>Stimulate creation of primary care clinician and other jobs </li></ul></ul><ul><ul><li>Increase health care services to the Nation’s underserved populations </li></ul></ul>NHSC Principles under ARRA
    22. 25. <ul><li>Expend $Millions to Save $Billion </li></ul><ul><li>Challenge: </li></ul><ul><li>Recruit an additional 4,200 primary care clinicians </li></ul><ul><li>Result: </li></ul><ul><li>8,722 years of service </li></ul><ul><li>4,519,200 patients with access to primary care services </li></ul><ul><li>18,076,800 patient visits </li></ul>ARRA NHSC Recruitment Challenge
    23. 26. NHSC ARRA – New Features <ul><li>More Application Flexibility </li></ul><ul><li>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 </li></ul>
    24. 27. NHSC ARRA – New Features <ul><li>More Efficient Application Process </li></ul><ul><li>Most applications will be processed within 8 weeks of receipt of a complete application (i.e., all application supporting documentation received) </li></ul>
    25. 28. State Primary Care Offices (PCOs) <ul><li>Grants from HRSA to States. PCOs by State: </li></ul><ul><li>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 </li></ul>
    26. 29. State Primary Care Associations (PCAs) <ul><li>Member based organizations </li></ul><ul><li>Members include Federally Qualified Health Centers (FQHCs) </li></ul><ul><li>Many organizations also have non-FQHC members </li></ul><ul><li>Provide advocacy, technical assistance and other support to their members </li></ul>
    27. 30. Area Health Education Centers <ul><li>Academic-community partnerships that train health care providers in sites and programs that are responsive to State and local needs </li></ul><ul><li>Health career enhancement and recruitment programs for K-12 students are emphasized </li></ul>
    28. 31. Rural Recruitment & Retention Network <ul><li>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 </li></ul><ul><li>Some charge sites a fee to assist them in their recruitment efforts, but not for recruitment of NHSC clinicians </li></ul>
    29. 32. State Loan Repayment Programs <ul><li>The NHSC provides grants to states to operate their own State Loan Repayment Programs </li></ul><ul><li>Some States also have non-NHSC funded State Loan Repayment Programs </li></ul><ul><li>Cannot participate in both Federal and State LRPs </li></ul><ul><li>Benefits and requirements vary state-to-state </li></ul>
    30. 33. How to Contact NHSC <ul><li>Call the toll-free helpline at </li></ul><ul><li>1-800-221-9393 </li></ul><ul><li>Visit the Web site at </li></ul>