National Health Service Corps (NHSC) HEALTH CARE HEROES.
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Transcript of National Health Service Corps (NHSC) HEALTH CARE HEROES.
National Health Service Corps (NHSC)
HEALTH CARE HEROES
History In the ‘50s &‘60s a health care crises
emerged in the U.S.
Thus, National Health Service Corps was established through the Emergency Health Personnel Act
Purpose of NHSC
Recruit health professionals to serve health professional shortage areas (HPSAs)
What are HPSAs?
Areas designated by the Secretary of the Department of Health and Human Services as having a shortage of health professionals.
Search HPSAs by state, county and discipline at http://hpsafind.hrsa.gov/
Health Professional Shortage Areas
Health Professional Shortage Areas
50 million Americans live in health professional shortage areas (HPSAs)
More than 3,000 federally designated HPSAs exist across the U.S. and its territories
Workforce Shortages Over 4,600 active NHSC clinicians serve
nearly 5 million Americans
HRSA estimates that an additional 26,657 practitioners are needed to meet the target HPSA practitioner to population ratio.
PCP Shortage NHSC has over 4,000 open positions at
member clinics across the country
There is a vacancy rate of 13% in Community Health Centers (CHCs) that are frequently staffed through NHSC; as high as 16% in rural areas
PCPs in Metropolitan and Rural Areas
Nonmetropolitan primary care health professional shortage area designations, 1980–2001
Note. FTE = full-time equivalent
Disparity Between Rural and Urban Areas
Rural-urban gap increased over time.
Active physicians per 100 000 population, by year and location (urban or rural)
PCP Retention in HPSAsRetention curves for PCPs in rural HPSA (n = 300)
and non-HPSA (n = 195) settings
Where Do NHSC Clinicians Serve? NHSC clinicians serve in communities in
every State the District of Columbia Puerto Rico the Pacific Basin the U.S. Virgins Islands
Opportunities in NHSC Student/Resident Experiences and
Rotations in Community Health (SEARCH) Scholarship Program Loan Repayment Program State Loan Repayment Program
SEARCH Program
Provides health professions students and residents opportunity to serve in underserved areas
Scholarship Program
A highly competitive program in which selected applicants receive payment of tuition and fees, books, supplies and equipment for up to 4 years in addition to a monthly stipend.
Who Qualifies for Scholarship Program?
Full-time students enrolled or attending fully accredited U.S.:
Allopathic or osteopathic medical schools Family nurse practitioner programs Nurse-midwifery programs Physician assistant programs Dental schools
Loan Repayment Program
A highly competitive program in which selected applicants agree to provide full-time primary care services in HPSA
Who Qualifies for Loan Repayment Program?
Allopathic or osteopathic primary care physicians
Primary care certified nurse practitioners
Primary care physician assistants
Certified nurse-midwives General practice
dentists
Registered clinical dental hygienists
Health service psychologists
Clinical social workers Licensed professional
counselors Marriage and family
therapists Psychiatric nurse specialists
State Loan Repayment Program
NHSC provides matching funds directly to States to operate their own loan repayment programs
Decrease in Appropriations Over the past 5 years, funding for NHSC
has been cut by $47 million.
This is over 27% of 2003 budget that was already insufficient in FY 2003.
NHSC Appropriations (2003, 2008, 2009)
FY 2003 FY 2008 ∆ (03-08)FY 2009
President’s Budget
NHSC Stakeholders
Recommendation
$171 $124 -27.5 percent $121 $235
NHSC Appropriations ($ in millions)*
*Combined NHSC Field and Recruitment appropriations
Recommendation for FY 2010
For FY 2010, we recommend NHSC Field and Recruitment appropriations of $235 million.