Upload
karah
View
81
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Shortage Designation Update. State Office of Rural Health Orientation Meeting . Rockville, Maryland September 11, 2013. Objectives. Become familiar Shortage Designation Branch Gain an understanding of Shortage Designation Types - PowerPoint PPT Presentation
Citation preview
Shortage Designation Update
State Office of Rural Health Orientation Meeting
Rockville, Maryland September 11, 2013
Become familiar Shortage Designation Branch
Gain an understanding of Shortage Designation Types
Gain an understanding of Shortage Partners and Stakeholders
Objectives
2
3
Organizational Structure October 2012, Shortage Designation Function Transferred to BCRS
Increased alignment with National Health Service Corps and NURSE Corps Scholarship and Loan Repayment Programs
Office of the Associate Administrator
Associate AdministratorDeputy Associate Administrator
Administrative Management Services
Office of Legal and
Compliance
Division of National Health Service Corps
Division of Nursing and
Public Health
Division of External Affairs
Division of Policy and Shortage
Designation
Division of Program
Operations
Division of Regional
Operations
Office of Business
Operations
Improve access to health care services for individuals and communities that are underserved by designating and addressing health professional shortages areas (HPSAs) and Medically Underserved Areas and Populations (MUA/Ps)
State Primary Care Offices
Public Health Service Act, Title III, Sections 330 and 333
Division of Policy and Shortage Designation
4
Health Professional Shortage Area (HPSA) designations are used to identify areas and population groups within the United States that are experiencing a shortage of health professionals
There are three categories of HPSAs based on health discipline:1. primary medical care2. dental3. mental health
For each discipline category, there are three types of HPSAs1. geographic area2. population group3. facility
The primary factor used to determine a HPSA designation is the number of health professionals relative to the population with consideration of high need.
These HPSA Designations are required to be updated on a regular basis
HPSA Designations:Health Discipline Shortages
5
Legislation in 2002 created a separate type of HPSA designation, not based on geographic or population data but based on status as a certain type of facility
This legislation created “Automatic Facility (Auto) HPSAs”
Auto HPSAs are automatically designated by statute
Auto HPSAs are manually scored by the BCRS Shortage Designation Branch
Automatic Health Professional Shortage Area (HPSA) Statute
6
Federal Indian Health Service Clinics
Tribally-run Health Clinics
Urban Indian Health Clinics
Dual-funded Community Health Centers/Tribal Health Clinics
Entities Covered under Auto HPSA Statute
7
Certified Rural Health Clinics (RHCs) meeting NHSC-Site Requirement
Federally Qualified Health Centers/Community Health Centers
FQHC Look-A-Likes (LALs)
Primary Care Medical Geographic HPSA
Primary Care Medical Population-Group HPSA
Medically Underserved Area
Governor-designated and Secretary-certified shortage area
Shortage Designations and Medicare Certification as a Rural Health Clinic
8
9
What is as HPSA Score?
HPSA Scores are developed for use by the National Health Service Corps in determining priorities for assignment of clinicians.
Scores range from 1 to 25 for primary care and mental health, 1 to 26 for dental.
The higher the score, the greater the chance of obtaining a provider.
A score of “0” can mean two different things:• Data was provided and
calculated score is “0”• Or, the site has not been
scored, that is no data has been presented and thus not scored
• “0” means “null” in the latter case
Auto HPSA Scores are not required to be updated and only updated on request
Auto HPSA Scores
10
MUAs may be a whole county, a group of contiguous counties, a group of county or civil divisions, or a group of urban census tracts in which residents have a shortage of personal health services
MUPs may include groups of persons who face economic, cultural or linguistic barriers leading to a shortage of personal health services
MUA/Ps use an Index of Medical Underservice (IMU) with a scale of 0 to 100
The IMU involves four variables which are summed and weighted to obtain an area’s score:• ratio of primary medical care physicians per 1,000 population• infant mortality rate• percentage of the population with incomes below the poverty level• percentage of the population age 65 or over
An IMU of 62.0 or less qualifies for designation as an MUA/P
MUAs/PsHealth Services Shortages
11
HPSA Find Website
12
HPSA Find Website
13
HPSA Find Website
14
HPSA Find Website
15
HRSA-PCO Cooperative Agreement addresses the needs of underserved areas and populations
Coordinate and oversee HPSA and MUA/P needs assessment and application process
Pending FY 14 Competing Continuation Funding Opportunity Announcement
Retain its historic focus to support states and territories in:1. their statewide primary care needs assessments2. shortage designation coordination3. technical assistance and collaborations that seek expand access to primary care
FOA will strongly encourage needs assessments be based on pre-defined Rational Service Area plans or Primary Care Service Areas (PCSAs) and serve as the basis for shortage designation applications
Discussion of past and/or future plans to coordinate the collection of provider data with all licensing boards for health professionals in the state or other appropriate organizations
State Primary Care Offices: PCOs
16
17
How Shortage Designations are used
Shortage Designation Option National Health Service Corps
Federally Qualified Health Center Program
CMS Medicare Incentive Payment
CMS Rural Health Clinic
ProgramJ-1 Visa Waiver
Primary Care HPSA X X X X
Dental Care HPSA X
Mental Health HPSA X X X
Geographic HPSA X X X X
Population HPSA X X X
Facility HPSA X X
Exceptional MUP X X
Medically Underserved Area X X XMedically Underserved
Population X XState Governor's Certified
Shortage Area X
Division of Policy and Shortage Designation
CAPT Phil Budashewitz, Director: [email protected]
Q&A