HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) SCORING
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GPCA WORKFORCE DEVELOPMENT WORKSHOP HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) SCORING Patsy Whaley, Executive Director Dorothy Bryant, Health Professional Shortage Area Analyst Georgia Primary Care Office September 19, 2018
Transcript of HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) SCORING
GPCA WORKFORCE DEVELOPMENT WORKSHOP
HEALTH PROFESSIONAL SHORTAGE AREAS
(HPSA) SCORING
Patsy Whaley, Executive DirectorDorothy Bryant, Health Professional Shortage Area AnalystGeorgia Primary Care Office
September 19, 2018
What is a Health Professional Shortage Area
(HPSA)?
• A HPSA is a geographic area, population group, or health care facility that has been
designated by the Federal government as having a shortage of health
professionals. There are three categories of HPSAs: primary care (shortage of
primary care clinicians), dental (shortage of oral health professionals), and mental
health (shortage of mental health professionals).
• An Urban or Rural Area ( county or sub-county area defined by census tracts or
divisions)
• A Population Group
• A Public or Non-Profit Private Medical Facility
Ass
Types of HPSAs
Primary
Care
Mental
Health
Dental
Health
Population
Group
Facility
A shortage of:
providers in a:
Geographic
Area
Medically Underserved Areas and Populations (MUA/P)
Primary Care
services in a:
Limited access to:
PopulationGeographic Area
119
Designation Criteria
Designationsare a
representation of an area’s or population’s
need based onseveral factors
Health Professional Presence
Socio-Economic and Demographic Data
Language Barriers
Health Indicators
Population’s Access to Health Care
Travel Time to Nearest Available Provider
HPSA Designation Criteria
• A Geographic area includes the whole county
• A Geographic area with unusually high needs and more than 20% of the population
that has incomes at or below the 100% of the Federal poverty level
• A Low-Income area must have > 30% of the population in the service area with
incomes at or below 200% of the Federal poverty level (Medicaid and Sliding Fee)
• A Census Tract is a small subdivision of a county that has the same characteristics
• A Facility designation must serve an area or population HPSA, must be reasonably
accessible to an area or population HPSA (the facility is within 40 minutes of the
population to be served)
HPSA Scoring Criteria
HPSA scores are based on a variety of factors and range from 0 to 25 in the case of Primary
Care and Mental Health, and 0 to 26 in the case of Dental Health
Primary Care0-25
Dental Health0-26
Mental Health0-25
MUA/P Designation Criteria
• Percent of population at 100% Poverty
• Percent population > 65
• Infant Mortality Rate (IMR)
• Primary care physicians per 1,000 Population
• Index of Medical Underservice
– Score of < 62.0
Computing the Index of Medical Underservice
▪ IMU ≤62.0: Qualifies for designation
▪ IMU >62.0: Does NOT qualify for designation
Primary Care0-100
% of Population
at 100% FPLPoint Value
% of Population over age 65
Infant Mortality
Rate (IMR)
PC physicians per 1,000
population
71.2Primary Care0-100 12.6 21 24.812.8
126
IMUScore
Auto-HPSA Scoring
• Designation & scoring currently done manually
• No application process necessary
• Same criteria used to determine HPSA score as other HPSAs
• Same scoring range used
• HRSA has not historically required Auto-HPSA scores to be
reviewed regularly; updates are requested by facility
HPSAs impact:
✓ NHSC Loan Repayment
✓ Medicare Bonus Payment
✓ FQHC / Health Centers
✓ Rural Health Clinics
✓ Conrad State 30 Program
✓ State LRP Programs
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Carroll
Catoosa
Charlton
Chatham
●
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
●
Decatur
DeKalb
●
Dodge
●
Dooly
●
Dougherty
●
Douglas
Early
●
Echols
Effingham
Elbert
Emanuel
●
Evans
Fannin
FloydForsyth
Franklin
Fulton
●
Gilmer
Glynn
Gordon
Grady
Greene
Gwinnett
Hall
Hancock
●
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
●
Jackson
Jasper
Jefferson
Jenkins
Johnson
●
JonesLamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
McIntosh
Macon
●
Madison
Marion
Meriwether
MillerMitchell
Monroe
Morgan
Murray
Muscogee
Newton
OglethorpePaulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
●
Putnam
Quitman
Rabun
Randolph
Richmond
●
Schley
Screven
Seminole
Spalding
Stewart
●
Talbot
Taliaferro
Tattnall
●
Taylor
Telfair
Terrell
Thomas
Tift
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
●
Wilkes
Wilkinson
Worth
Dawson
Fayette
Jeff Davis
Oconee
Stephens
Sumter
Toombs
PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA
(HPSA)
Geographic - Single County (52)
Population Group - Low Income (90)
Partial County - Census Tract Group (7)
Designated Facility Only (29)(Other/ C.T./FQHC/RHC/Corr. Inst.)
Geographic - Single County (46)
Population Group - Low Income (73)
Partial County - Census Tract Group (3)
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Carroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Decatur
DeKalb
DodgeDooly
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanuel
Evans
Fannin
Floyd Forsyth
Franklin
Fulton
Gilmer
Glynn
Gordon
Grady
Greene
Gwinnett
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jefferson
Jenkins
Johnson
JonesLamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
McIntosh
Macon
Madison
Marion
Meriwether
MillerMitchell
Monroe
Morgan
Murray
Muscogee
Newton
OglethorpePaulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Schley
Screven
Seminole
Spalding
Stewart
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
Dawson
Fayette
Jeff Davis
Oconee
Stephens
Sumter
Toombs
DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (DHPSA)
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Carroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Decatur
DeKalb
DodgeDooly
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanuel
Evans
Fannin
Floyd Forsyth
Franklin
Fulton
Gilmer
Glynn
Gordon
Grady
Greene
Gwinnett
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jefferson
Jenkins
Johnson
JonesLamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
McIntosh
Macon
Madison
Marion
Meriwether
MillerMitchell
Monroe
Morgan
Murray
Muscogee
Newton
OglethorpePaulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Schley
Screven
Seminole
Spalding
Stewart
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
Dawson
Fayette
Jeff Davis
Oconee
Stephens
Sumter
Toombs
MENTAL HEALTH PROFESSIONAL SHORTAGE AREA (MHPSA)
Geographic - Single County &
Catchment Area (137)
Partial County - Census Tract Group (1)
Designated Facility Only (8)(FQHC, RHC, etc.)
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Carroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Decatur
DeKalb
DodgeDooly
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanuel
Evans
Fannin
Floyd Forsyth
Franklin
Fulton
Gilmer
Glynn
Gordon
Grady
Greene
Gwinnett
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jefferson
Jenkins
Johnson
JonesLamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
McIntosh
Macon
Madison
Marion
Meriwether
MillerMitchell
Monroe
Morgan
Murray
Muscogee
Newton
OglethorpePaulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Schley
Screven
Seminole
Spalding
Stewart
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
Dawson
Fayette
Jeff Davis
Oconee
Stephens
Sumter
Toombs
MEDICALLY UNDERSERVED AREAS/POPULATIONS (MUA/P)
Medically Underserved Areas (141)
Medically Underserved Populations (8)
Medically Underserved Populations (1)
Federally Qualified Health Centers (FQHC)
HRSA Data Warehouse
• HPSA Link
http://hpsafind.hrsa.gov/
To find out if an address or county is located in a Geographic or Population
Group HPSA, please check the HPSA website above at the HRSA Data
Warehouse
To request a score or rescore of an Auto-HPSA, please email the
Shortage Designation Branch (SDB) at HRSA, or you may contact
Dorothy Bryant at [email protected].
