Nursing & NHSC Workforce Update

National Health Service Corps

SCHOLARSHIP PROGRAM

BCRS

NHHSP

FLRP

NHSCSP

NHSCLRP

NSP

NELRP

Faculty Loan Repayment Program

Nursing Education Loan Repayment Program

Nursing Scholarship Program

Native Hawaiian Health Scholarship Program

National Health Service Corps

LOAN REPAYMENT PROGRAM

NHSC SLRP

National Health Service Corps

STATE 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.

Nursing Education Loan Repayment Program

2010 NELRP Awards: 1274NERLP Field Strength: 2042

Nursing students can receive scholarships now and work at health care facilities with a shortage of nurses later.

2010 NSP Awards: 458NSP Field Strength : 412

Nursing Scholarship Program

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)

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*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 2012Application Opens – November 2012Fund By HPSA ScoresAward Amounts – Tier Amounts

HPSA 14 & Above; HPSAs 13 & BelowNon-competitive LRP Transition for ScholarsPlanned Awards

1,500-2,000 Awards 1,800 Continuations

Loan Repayment is Tax Free

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*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

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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

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NHSC FIELD STRENGTH PROJECTIONS*

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*NHSC Field Strength Projections based on the 2012 Budget Guidance

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

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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

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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

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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

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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

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NHSC Site Portal

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NEW!

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

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• 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

Recruiting NHSC Providers

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• 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

Provider Service Requirements

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• 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

NHSC Site Application Process

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• 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

Becoming an NHSC-Approved Site

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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)

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