Healthy Communities, Healthy People Health Resources and Services Administration

The Programs We Deliver Community Health Centers National Health Service Corps Workforce Training for Primary Care, Public Health, Medicine, Dentistry, Nursing, and Geriatrics Workforce Diversity Children’s Hospital GME Practitioner Databanks Maternal and Child Health Healthy Start Stop Bullying Now! Poison Control Ryan White HIV/AIDS Rural Health Policy & Programs Telehealth Health Care for the Homeless Migrant Health Centers Native Hawaiian Health Vaccine Injury Compensation Hansen’s Disease (Leprosy) 340B Drug Pricing Organ Donation & Transplantation And more…

The People We Serve Nearly 19 million patients are served through HRSA- funded health centers, including 1 in 3 people with incomes below the poverty level. Over 500,000 people living with HIV/AIDS receive HRSA’s Ryan White services. Two-thirds are members of minority groups. 34 million women, infants, children, and adolescents benefit from HRSA’s maternal and child health programs. About 14,000 safety net providers participate in HRSA’s 340B program that provides access to discount drug purchases. Currently more than 7,000 National Health Service Corps clinicians are (or will be) working in underserved areas in exchange for loan repayment or scholarships.

HRSA and the Affordable Care Act (ACA) Increasing Access to Primary Care Services Investing in the Health Care Workforce Supporting Maternal and Child Health Broadening Access to 340B Drug Discounts Prevention and Public Health Fund

HRSA and the ACA (cont.) Expands access to health care by investing $12.5 billion in Community Health Centers and the National Health Service Corps over the next 5 years, enabling us to serve 20 million more patients in the Community Health Center program Invests in primary care training and development to make sure we have the providers we need

The Affordable Care Act Builds on HRSA Recovery Act Funding $2 billion: Community Health Centers $300 million: National Health Service Corps $200 million: Health Professions

Bureau of Health Professions (BHPr) BHPr’s mission is to increase the population's access to health care by providing national leadership in the development, distribution and retention of a diverse, culturally competent health workforce that can adapt to the population's changing health care needs and provide the highest quality of care for all. BHPr strives to improve the: distribution of health professionals to rural and urban areas quality of health professions practice and education health professions research and analysis diversity of the healthcare workforce to better reflect the populations served

What does BHPr do? Through grants, loans, and scholarships, BHPr works to… Encourage health providers to go into underserved (shortage) areas Identify where these shortage areas are Strengthen primary care and provide incentives for practicing primary care

What does BHPr do? (cont.) Increase diversity by supporting underrepresented individuals’ entry into health professions Ensure practitioners have current and appropriate skills Support residency training for physicians and dentists Improve the distribution of health professionals

What does BHPr do? (cont.) Analyze and provide information about the health professions to inform policy-makers Maintain data banks for reporting unsafe practitioners Manage four health professions advisory committees that make recommendations to the Secretary and the Congress about health workforce concerns

Challenges for BHPr Reliance on market forces Distribution Diversity Evolving knowledge and skill requirements for those entering and practicing the professions Provider quality and patient safety

BHPr and the ACA The ACA reauthorized existing BHPr programs: Increased funding for the Public Health Training Centers (PHTC) Program PHTC helps improve the public health system by enhancing skills of the current and future public health workforce 27 PHTC grants were awarded in 2010, totaling $16.8 million Area Health Education Centers (AHEC) programs address workforce development Establishes a Young Public Health Program, designed to expose and recruit high school students into health careers, with a focus on careers in public health Addresses the health care workforce needs of the communities served in coordination with the public workforce investment system

BHPr and the ACA The ACA created new BHPr programs: State Health Care Workforce Development (SHCWD) grant program Personal and Home Care Aide State Training (PHCAST) program Nursing Assistant and Home Health Aide grant (NAHHA) program Teaching Health Centers grant program (THC)

APPROVED & FUNDED SHCWD GRANTS ME WA OR CA NV MT ID AZ UT WY CO NM ND SD NE KS OK TX MN IA MO AR LA WI IL MS TN AL KY IN OH FL GA SC NC WV VA MD PA NY VT NH MA CT NJ DE DC RI AK HI PR MI =Planning grant =Implementation grant

Personal and Home Care Aide State Training (PHCAST) program Three-year demonstration program designed to develop core competencies, pilot training curricula, and develop certification programs for personal and home care aides Ensures a competent personal and home care aide workforce by providing standardized training, transportable to any job market in the nation, thus strengthening the direct care worker workforce Total funding for these demonstrations is $5 million per year for three years An estimated number of 5,170 students will be trained through PHCAST with awards given in California, Massachusetts, Iowa, Michigan, North Carolina and Maine BHPr and the ACA

Nursing Assistant and Home Health Aide grant (NAHHA) program Supports the development, demonstration, and evaluation of a competency based uniform-curriculum to train qualified nursing assistants and home health aide Strengthens the direct care workforce by providing nursing assistants and home health care aides with the necessary skills that can be transportable to any job market in the Nation Total funding for this program is $2.5 million, with 10 grantees Applicants were able to request funding of up to $250,000 per year BHPr and the ACA

Teaching Health Centers (THC) grant program Creates development grants to establish or expand primary care residency training programs in health centers, which are community-based ambulatory patient care centers such as Federally Qualified Health Centers and Rural Health Clinics Addresses workforce shortages Physicians trained in health centers are more than 3 times as likely to work in a health center and more than twice as likely to work in an underserved area than those not trained at health centers 5-year, $230 million program BHPr and the ACA

BHPr and Pipeline Programs Health Careers Opportunity Program (HCOP) Nursing Workforce Diversity (NWD) Program Nurse Education, Practice and Retention (NEPR) Program The programs below provide opportunities and assist individuals from disadvantaged backgrounds to undertake education by entering and graduating from a health professions program

Health Workforce Information Center (HWIC) “ Your first stop for useful health workforce resources online” Operated by the Center for Rural Health at the University of North Dakota School of Medicine and Health Sciences The Health Workforce Information Center (HWIC) provides free access to the most recent resources on the nation’s health workforce in one easy-to-use online location Resources

Resources (cont.) National Center for Workforce Analysis (NCWA) NCWA supports health workforce data collection, analysis and the development of information describing the health professions workforce Provides the necessary information for decision-making regarding future directions in health professions and nursing programs

Public Health Training Centers (PHTC) “Preparing Public Health Professionals in a Changing World” HRSA funded Public Health Training Centers (PHTC) are partnerships between accredited schools of public health, related academic institutions and public health agencies and organizations The PHTC Program is designed to improve the Nation's public health system by strengthening the technical, scientific, managerial and leadership competence of current and future public health professionals Resources (cont.)

Public Health Training Centers (PHTC) “Preparing Public Health Professionals in a Changing World” Current Public Health Training Center Locations

HealthReform.gov and the Affordable Care Act (ACA) “Take health care into your own hands” Official government site providing information on finding insurance options, prevention, comparing care quality and understanding the new law Health Resources and Services Administration (HRSA) As an agency of the U.S. Department of Health and Human Services, HRSA is the primary Federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable Bureau of Health Professions (BHPr) Provide policy leadership and grant support for health professions workforce development - making sure the U.S. has the right clinicians, with the right skills, working where they are needed Resources (cont.)

BHPr and Pipeline Programs Health Careers Opportunity Program (HCOP) Nursing Workforce Diversity (NWD) Program Nurse Education, Practice and Retention (NEPR) Program The programs below provide opportunities and assist individuals from disadvantaged backgrounds to undertake education by entering and graduating from a health professions program

Contact Information Jennifer Riggle, J.D. Senior Advisor HRSA/Bureau of Health Professions 5600 Fishers Lane Room 9-05 Rockville, MD Virginia Sutton, MPH Public Health Analyst HRSA/Bureau of Health Professions 5600 Fishers Lane Room 9-36 Rockville, MD

Questions