hpsa presentation for bod meeting 11-2014

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Government of the District of Columbia

For Official Government Use Only

Department of Health

Health Professional Shortage Area (HPSA) Designations

November 2014

Lauren Ratner, MPH, MSWPrimary Care Bureau

Community Health AdministrationDC Department of Health

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Government of the District of Columbia

For Official Government Use Only

Department of Health

Presentation Purpose

To orient the membership of the Board of Dentistry to HPSAs

To discuss collaboration on the BoD’s workforce survey

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Government of the District of Columbia

For Official Government Use Only

Department of Health

What is a HPSA?Health Professional Shortage Area (HPSA): federal designation that indicates

a shortage of personal health services in a defined area.

3 designation disciplines

– Primary Care

– Mental Health

– Dental

2 types of designations

– Geographic: Insufficient number of providers to serve the total population in a defined area

– Population: Insufficient number of providers to serve a specific population (e.g. low-income, homeless, etc.) in a defined area

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Government of the District of Columbia

For Official Government Use Only

Department of Health

What is a HPSA?Standard for eligibility or priority for over 32 federal

programsShortage Designation

Option National Health Service Corps

Health Professional

Loan Repayment Program

Federally Qualified Health Center Program

CMS Medicare

Incentive Payment

J-1 Visa Waiver

Primary Care HPSA X X X X

Dental Care HPSA X X

Mental Health HPSA X X X

Geographic HPSA X X X X

Population HPSA X X X

Facility HPSA X X X

Exceptional MUP X X

Medically Underserved Area

X X X

Medically Underserved Population

X X X

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Government of the District of Columbia

For Official Government Use Only

Department of Health

DC’s HPSAs

Nine (9) HPSAs:• 6 primary care; • 1 mental health; • 2 dental• Low-Income Anacostia• Homeless Downtown

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Government of the District of Columbia

For Official Government Use Only

Department of Health

Dental HPSA Calculations

Dental HPSA calculations based on:Population-to-Provider Ratios (>5,000:1 or

>4,000:1 if special needs)

Poverty Rates

Flouridated Water

Travel time to nearest available dentist

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Government of the District of Columbia

For Official Government Use Only

Department of Health

Designation Process

Presently, HPSAs must be reviewed and renewed every 3-5 years.

Dental HPSAs renewals planned for 2016

Renewal and designation of new HPSAs requires detailed data on all dentists practicing in the District.

541 Dentists in DC (according to NPI)

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Government of the District of Columbia

For Official Government Use Only

Department of Health

Dental Provider Data

CMS’s National Provider Identifier (NPI)

DOH must augment NPI data by collecting information on: – Clinical vs. Non-Clinical Activities

– Practice Locations and Hours

– Medicaid Participation

– Number of Auxiliaries (e.g. Dental Assistants)

– Dentist’s Age

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Government of the District of Columbia

For Official Government Use Only

Department of Health

DOH Data Collection

Claims data from DHCF

Licensure data from HRLA

Surveys

– BoD Workforce Survey

– Primary Care Bureau Survey

– Phone Follow-Up

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Government of the District of Columbia

For Official Government Use Only

Department of Health

2011 and 2013 Board of Dentistry Workforce Surveys

Included Key HPSA Data Points:

Primary/Secondary Practice Area and Hours (e.g. clinical, academics, administration, etc.)

Specialty (e.g. General, Pediatric, Orthodontics, etc.)

Primary/Secondary Clinical Practice Addresses and Hours

Patient Demographics:– Medicaid (% - 2011; Y/N - 2013)– Homeless % (2011)– Language % (2011)

Practice Characteristics:– Auxiliaries (2013)– Sliding fee (2011)– Wait Time (new and existing patients) (2011)

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Government of the District of Columbia

For Official Government Use Only

Department of Health

Collaboration with Board of Dentistry

2015 BoD Workforce Survey development/deployment– Questions– Question Structure– Response Rates

Workforce Survey Data Analysis– Cleaning– Linkage

Findings and Action– HPSA Designations– Workforce Reports

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Government of the District of Columbia

For Official Government Use Only

Department of Health

Questions?

Contact Information:Lauren Ratner, Primary Care Bureau Chief202-442-9350Lauren.Ratner@dc.gov

Additional Resources:

–http://doh.dc.gov/service/shortage-designation

–http://www.hrsa.gov/shortage/

–HPSAFind.hrsa.gov