NEW DIRECTORS ORIENTATION JUNE 20, 2010 LAS VEGAS, NV MICHAEL FRENCH AHEC History and Structure

Area Health Education Centers AHEC Mission Statement The mission of the AHEC program is to enhance access to quality health care, particularly primary and preventive care, by improving the supply and distribution of health care professionals through community/ academic educational partnerships.

Authorizing Legislation,  Infrastructure Development Funding  Point of Service Funding AHEC Structures (Systems and Centers) Federal Offices National AHEC Organization (NAO) History & Structure of AHEC

AHEC Legislation Authorizing Legislation:  Definitions – Section 799B (12) and (13) of Public Health Service Act Title VII  Requirements - Section 751 of the Public Health Service Act Title VII (42 U.S.C. 294a) Created in 1972  Periodic reauthorizations  Reauthorized in 2010 Patient Protection and Affordable Care Act (PPACA) – 5 year authorization Community-Based, Interdisciplinary Program

AHEC Program Types Infrastructure Development (New programs)  New Programs - 12 years  New Centers - 6 years Point of Service Maintenance and Enhancement  Existing programs  Continuation and Modification  No limit on duration

AHEC Legislation Recipients:  Schools of Medicine/Osteopathic Medicine; Parent Institutions; Incorporated Consortia  Nursing Schools Funding:  Federal cooperative agreements  Matching State and local funds (1:1 match)  Current authorization ($125 million) – Current appropriation ($34 million)  Funding shared between recipient school and centers (75% rule)  Minimum $250,000 per center (if sufficient appropriation)

AHEC Today 56 AHEC Programs 235 AHEC Centers 48 States and the District of Columbia

AHEC Programs & Centers

AHEC Organizational Structure local fed state Stakeholders Program Office Centers Communities Universities

AHEC Today Types of Systems:  Single State/Single Medical School (Most Programs)  Multiple State (WWAMI, Morehouse)  Multiple Medical Schools (Kentucky, Florida, Missouri)  Multiple Health Professions Schools  Others – creative applicants (non-medical school, etc.)

Administration & Governance Program offices and centers Federal, state, local, institutional funding Local and statewide consortium participation (with legislative participation/impact) Performance data system--longitudinal data/tracking of participants and programs Linkages with other state/local initiatives Needs assessment, evaluation, and self- sufficiency planning and implementation

AHEC Program Program Office and at least 1 affiliated Center Requirements  Recruitment of underrepresented populations – coordinate with public workforce system  Foster community-based training and education  Prepare individuals to provide health care to the underserved  Conduct and participate in interdisciplinary training  Deliver continuing education and disseminate information  Propose and implement effective evaluation strategies  Recruitment to public health careers  10% requirement for clinical education

AHEC Program Office Resides in the Academic Health Center/Recipient school Serves as the connection between the academic health center/recipient school through its scope of work, cooperative agreements, and fiscal responsibilities Links to other health professions schools Administers Federal and State AHEC “contracts” Convenes a Program Advisory Commit

Connect the community and health professions training programs. Types  Independent Corporation 501(c)3 non- profit/ not-for-profit  Hosted  Consortium Model AHEC Centers

Requirements  Operation independent from awardee  Not a school of medicine  Designated non-duplicated service area – underserved with workforce need  Maintain an Advisory/Governing Board reflecting the diversity of the communities involved  Collaborates with academic health center, public workforce system, etc. AHEC Centers

Federal AHEC Structure Department of Health and Human Services Health Resources and Services Administration Bureau of Health Professions Division of Diversity and Interdisciplinary Education AHEC Branch

Dept. of Health & Human Services

Health Resources & Services Administration

Bureau of Health Professions

Federal AHEC Offices Federal AHEC Office – Is the liaison and technical assistance for programs. Responsibilities include review of:  plans, contracts and/or agreements  funding projections  evaluation design Federal Grants Management Office - oversight of fiscal issues related to grant implementation

Federal AHEC Office The National AHEC Program Office AHEC Branch Division of Diversity and Interdisciplinary Education Bureau of Health Professions Health Resources and Services Administration Parklawn Building, Room 9 – Fishers Lane Rockville, MD PHONE: FAX: Louis Coccodrilli, MPH, Branch Chief

Federal AHEC Staff Louis D. Coccodrilli, MPH Branch Chief Capt. Norma Hatot