Nursing & NHSC Workforce Update

1. Nursing & NHSC Workforce Update

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

3. Nursing Education Loan Repayment Program 2010 NELRP Awards: 1274 NERLP Field Strength: 2042 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.

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

5. 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

6. 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

7. 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

8. 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

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

10. 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

11. 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

13. Corps Community DayUnited 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

14. 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

15. 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

16. NEW! NHSC Site Portal 16

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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)