Nursing & NHSC Workforce Update

BCRS NHHSP NHSC NSP SP NHSC LRP NHSC SLRP FLRP NELRP Native Hawaiian Health Scholarship Program Nursing Scholarship Program NSP NHSC SP National Health Service Corps SCHOLARSHIP PROGRAM BCRS NELRP NHSC LRP National Health Service Corps LOAN REPAYMENT PROGRAM Nursing Education Loan Repayment Program FLRP NHSC SLRP National Health Service Corps STATE LOAN REPAYMENT PROGRAM Faculty Loan Repayment Program

Nursing Education Loan Repayment Program An opportunity for registered nurses, nurse practitioners and nurse faculty working in health facilities with a shortage of nurses to pay off student loans while providing care to communities in need. 2010 NELRP Awards: 1274 NERLP Field Strength: 2042

Nursing Scholarship Program 2010 NSP Awards: 458 NSP Field Strength : 412 Nursing students can receive scholarships now and work at health care facilities with a shortage of nurses later.

NHSC Today More than 37,000 clinicians have served as NHSC Members: Expanding access to health care; Improving the health of people who live in urban and rural areas, where health care is often scarce NHSC consists of more than 9,000* clinicians currently working in underserved communities Loan Repayment (NHSC LRP) 2012 Hybrid Student Loan Repayment Program Pilot Scholarships (NHSC SP) State Loan Repayment (SLRP) *As of June 30, 2011

NHSC Loan Repayment Program FY 2011 – Total Awards To-date* New Awards – 3,370 (2,310 + 1,060 ARRA) Continuations – 1,250 FY 2012 Application Opens – November 2012 Fund By HPSA Scores Award Amounts – Tier Amounts HPSA 14 & Above; HPSAs 13 & Below Non-competitive LRP Transition for Scholars Planned Awards 1,500-2,000 Awards 1,800 Continuations Loan Repayment is Tax Free *As of August 15, 2011

Hybrid Loan Repayment Program for Students (HLPS) Pilot Program Requirements/Eligibility Physicians in 4th Year of Training Must Match to Primary Care Residency Placement in a HPSA of 14 or Higher Placement Assistance Provided $120,000 for a 3 Year Commitment Timelines Application Opens October/November 2011 Awards – January 2012 100 Awards Planned

NHSC Scholarship Program Program Opens – March/April 2012 180 Awards Planned Competitive Program for eligible disciplines Primary Care Physicians (MD/DO); Nurse Practitioners; Physician Assistants; and Certified Nurse Midwives Dentists Pays tuitions, fees and other education expenses Service Obligation between 2 and 4 years Taxable Monthly Living Stipend - $1,289 (FY 2011) Students must be enrolled in an accredited health professional program 8

NHSC Field Strength Projections* *NHSC Field Strength Projections based on the 2012 Budget Guidance 9

2011 NHSC Clinician Retention & Customer Service Survey Results Customer Satisfaction Score – 78 (Up 2 points) 94% - LRPs; 6% - Scholars (29% Response Rate) Retention - Fulfilled Obligation 67% in Same Site; 76% another NHSC Site; 82% Underserved Area Retention - In-Service 85% Plan to Stay at Current Site; 69% for 2 or more years Factors that Influence Retention Decision Relationship with Current Employer – 53% Commitment to Underserved Communities – 57% Current Site Experience – 50% Becoming Part of the Communities; Putting Down Roots – 31% Key Finding Information & communication needs to be more timely – Monthly/Email 10 10

Outreach & Communication Ambassador Re-launch – August 2011 Updated Ambassador Toolkit Ambassador Tutorial – Fall 2011 Release State-my- State Guide – Fall 2011 Release Defined Participation & Reporting Requirements http://nhsc.hrsa.gov/ambassadors/ Website Redesign – September 2011 Expansion of In Service Info Regional NHSC Networking Events NHSC Facebook – New Look Stories from the Field 11 11

Corps Community Day United to Increase Access to Health Care When – Thursday, October 13, 2011;Primary Care Week Why – Raise Awareness of the Corps Recruit Potential NHSC Members Provide a sense of community & connectedness Underscore the importance of NHSC & primary care services to the nation’s neediest communities Where – Grassroot Activities Across the Nation Health Fairs, Screenings, Flu Clinics, etc. Breakfast with Health Profession Students Highlight NHSC Clinician Stories & Community Efforts Health Profession Students tour NHSC Facilities

Site Partnership Initiative Launched @ Scholar Placement Conference – June 2011 NHSC Signage Available NHSC Service Site Reference Guide Online Site Application for New Sites – July 2011 Regional Offices Handle Site Approval – March 2011 Site Visits – Over 1,000 conducted in 2011 Eliminated Site Application Process Indian Health Service Sites – May 2011 Over 350 sites added Community Health Centers – September 2011 Almost 5,000 sites will be added Eliminated Recertification Requirement for CHCs 14 14

NHSC Site Customer Service Portal Web-based Portal Launch – September 2011 Site Profile Vacancy Management NHSC Members Rosters Recertification – October 2011 6-Month Verification – Jan/Feb 2012 Technical assistance tools and resources – Fall/Winter 2011 Updated Job Opportunity Listing – Spring 2012

NEW! NHSC Site Portal 16 16

CAH Site Eligibility Be located in a designated Health Professional Shortage Area (HPSA) Call State Primary Care Office for assistance getting a HPSA designation Demonstrate an affiliation with an outpatient, ambulatory care clinic Provide comprehensive primary care and related inpatient services See all patients, regardless of ability to pay Accept Medicare, Medicaid & Children’s Health Insurance Program beneficiaries Utilize a sliding fee scale for low-income patients Full discount for those below 100% of poverty Schedule of discounts for those between 100% and 200% of poverty The NHSC can provide you with examples

Recruiting NHSC Providers May only recruit the following disciplines under pilot program: Physicians Physician Assistants Nurse Practitioners Certified Nurse Midwives Specialties include: family practice, general internal medicine, pediatrics, geriatrics, obstetrics/gynecology, and psychiatry Allowed maximum of 10 NHSC providers over 3-year pilot period

Provider Service Requirements Full-time providers serving at CAH (40 hrs/wk) Minimum of 16 hrs/wk must be spent in outpatient clinic 24 hrs/wk can be spent in the inpatient setting, including the swing bed unit, ER or SNF, teaching, or doing administrative tasks No more than 8 hrs/wk spent teaching No more than 8 hrs/wk spent on administrative tasks Half-time providers serving at CAH (20-39 hrs/wk) Minimum of 8 hrs/wk must be spent in outpatient clinic 12 hrs/wk can be spent in the inpatient setting, teaching, or doing administrative tasks No more than 4 hrs/wk spent teaching No more than 4 hrs/wk spent on administrative tasks

NHSC Site Application Process Applicant submits a site application online Visit www.nhsc.hrsa.gov/communities and review the Service Site Guide Determine if you are in a HPSA Go to the “Apply” tab on the web site to begin the online application Primary Care Offices (PCOs) review applications and make a recommendation BCRS Regional Offices review and provide final recommendation

Becoming an NHSC-Approved Site Online application available for CAHs early October 2011 To be approved CAH sites will need to: Meet all NHSC site eligibility requirements Demonstrate affiliation (either through direct ownership or affiliation agreements) with an outpatient, ambulatory care clinic Demonstrate that site provides comprehensive primary care and related inpatient services

Site Recertifications All sites, including satellite sites, are required to submit a new or recertification application. If you have a satellite site or additional site in your network that would like to become a member site, the application can be accessed online at www.nhsc.hrsa.gov/communitites. Update contact information in the portal. Red (October 1st – November 3rd) Green (November 4th – December 7th) Blue (December 8th – January 15th) Yellow (January 16th – February 18th)