Michigan Health Professional Shortage Areas (HPSAs) … Annual... · 4/26/2017 2 What is a HPSA?...
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4/26/2017 1 Michigan Health Professional Shortage Areas (HPSAs) and Loan Repayment Programs Update 2017 Michigan Rural Health Conference May 5, 2017 Introduction Joe Tran – Michigan Primary Care Association ◦ Assist and Maintain Shortage Designations in Michigan Rachel Ruddock – Michigan Center for Rural Health ◦ Rural workforce development.Technical assistance on loan repayment and immigration issues.
Transcript of Michigan Health Professional Shortage Areas (HPSAs) … Annual... · 4/26/2017 2 What is a HPSA?...
4/26/2017
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Michigan Health Professional
Shortage Areas (HPSAs) and Loan
Repayment Programs Update
2017 Michigan Rural Health
Conference
May 5, 2017
Introduction
Joe Tran – Michigan Primary Care
Association
◦ Assist and Maintain Shortage Designations in
Michigan
Rachel Ruddock – Michigan Center for
Rural Health
◦ Rural workforce development. Technical
assistance on loan repayment and immigration
issues.
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What is a HPSA?
Health Professional Shortage Areas
Health Professional Shortage Areas
(HPSAs) are designated by HRSA as
having shortages of primary care, dental
care, or mental health providers and may
be geographic (a county or service area),
population (e.g., low income or Medicaid
eligible) or facilities (e.g., federally
qualified health centers, or state or
federal prisons).
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Importance of RHC Auto/Facility
HPSA Designation Certified Rural Health Clinics (RHCs)
Auto-HPSA designations does not go
away even if the service area is no longer
a HPSA designation as long as you meet
program requirements.
RHCs must apply for Auto/Facility HPSAs
through HRSA.
Need to apply for an Auto/Facility HPSA?
Contact Rachel!
Upcoming HPSA Changes
Why is HRSA making the changes?
◦ Standardization of data sets
What does this mean for RHCs?
◦ Potential Score Changes
◦ Withdrawal of Designations
If you have a certified RHC and it does NOT have
an Auto-Facility HPSA, apply now!
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Current HPSA Timeline
HPSA Designation and Score Overview1 157 of Michigan’s geographic, population, and OFAC primary care,
dental, and mental health HPSA designations are included in this
report.2
74 HPSA scores would increase
47 HPSA scores would decrease
12 HPSA scores would remain the same
24 HPSAs would be proposed for withdrawal because they would no
longer meet the federal criteria for a HPSA.
Possible Changes in HPSA Scores by Rural Classification3
Possible HPSA Score Changes – Primary Care, Dental & Mental Health (n=133)
Classification Increase Decrease No Change
Rural 55 28 8
Non-rural 11 11 2
Partially Rural4 8 8 2
Unknown5 0 0 0
Total 74 47 12
The 24 HPSAs that would be proposed for withdrawal are not included in these totals because they do not receive
a HPSA score.
1 Analysis based on SDMS data as of March 31, 2017.
2 For the total number of HPSA designations nationwide, please visit the HRSA Data Warehouse at
https://datawarehouse.hrsa.gov/tools/analyzers/hpsafind.aspx. 3 As defined by the Federal Office of Rural Health Policy.
4 Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
5 Designations of unknown rural status may include 1) OFAC HPSAs whose precise location could not be located on a map (i.e., geocoded) or 2) geographic
or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
For planning and
informational
purposes only. No
HPSA changes
have been made.
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HPSA Scores by Discipline1
157 of Michigan’s geographic, population, and OFAC primary care, dental,
and mental health HPSA designations are included in this report.
Possible Changes in HPSA Scores by Discipline, Type, and Rural Classification: Primary Care
Primary Care HPSA Scores (n=45)
Classification Increase Decrease No Change
Geographic Population OFAC Geographic Population OFAC Geographic Population OFAC
Rural 2 14 0 8 4 0 1 0 0
Non-rural 1 2 0 4 3 0 0 0 0
Partially
Rural 0 2 NA 2 1 NA 1 0 NA
Unknown 0 0 0 0 0 0 0 0 0
Totals 3 18 0 14 8 0 2 0 0
The 8 primary care HPSAs that would be proposed for withdrawal are not included in these totals.
Possible Changes in HPSA Scores by Discipline, Type, and Rural Classification: Dental
Dental HPSA Scores (n=60)
Classification Increase Decrease No Change
Geographic Population OFAC Geographic Population OFAC Geographic Population OFAC
Rural 0 35 0 0 9 0 0 3 0
Non-rural 0 6 0 1 0 0 0 1 0
Partially
Rural 0 4 NA 0 1 NA 0 0 NA
Unknown 0 0 0 0 0 0 0 0 0
Totals 0 45 0 1 10 0 0 4 0
The 1 dental HPSAs that would be proposed for withdrawal are not included in these totals.
1 Analysis based on SDMS data as of March 31, 2017.
For planning and
informational purposes
only. No HPSA changes
have been made.
Possible Changes in HPSA Scores by Discipline, Type, and Rural Classification: Mental Health
Mental Health HPSA Scores (n=28)
Classification Increase Decrease No Change
Geographic Population OFAC Geographic Population OFAC Geographic Population OFAC
Rural 3 1 0 7 0 0 4 0 0
Non-rural 1 1 0 3 0 0 0 1 0
Partially
Rural 2 0 0 4 0 0 1 0 0
Unknown 0 0 0 0 0 0 0 0 0
Totals 6 2 0 14 0 0 5 1 0
The 15 mental health HPSAs that would be proposed for withdrawal are not included in these totals.
Possible HPSA Designation Withdrawals by Discipline, Type, and Rural Classification
Possible HPSA Designation Withdrawals (n=24)
Disc. Rural Non-rural Partially Rural Unknown
Geo. Pop. OFAC Totals Geo. Pop. OFAC Totals Geo. Pop. OFAC Totals Geo. Pop. OFAC Totals
Primary
Care 2 4 0 6 1 0 0 1 1 0 NA 1 0 0 0 0
Dental 0 1 0 1 0 0 0 0 0 0 NA 0 0 0 0 0
Mental
Health 11 0 0 11 3 0 0 3 1 0 NA 1 0 0 0 0
Totals 13 5 0 18 4 0 0 4 2 0 NA 2 0 0 0 0
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Impact Analysis Results – Primary
Care Counties Losing
HPSAs
Counties That Will
Still be Designated
Counties to be
Determined
Gratiot Antrim (12) Berrien
Cheboygan Barry (8) Mackinac
Gogebic Charlevoix (12) Emmett
Manistee Clare (11) Ionia
Hillsdale (7)
Mecosta (15)
Montmorency (8)
Oceana (12)
Osceola (15)
Presque Isle (12)
Van Buren (Hartford
Service Area) (9)
Impact Analysis Results – Mental
Health Care Counties Losing
HPSAs
Counties That Will
Still be Designated
Counties to be
Determined
Gogebic (13) Alpena
Sanilac (12) Delta
Lenawee
St. Joseph
Manistee
Clare, Gladwin, Isabella,
Mecosta, Midland, and
Osceola
Chippewa, Mackinac
Huron
Montcalm
Houghton/Keweenaw
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Michigan State Loan Repayment
Program (MSLRP)
Requires provider to be practicing in
ambulatory primary care within a HPSA
with no HPSA score tier requirement.
2017 application cycle closed one month
early due to volume of applications
Expect changes to the program in 2018
Need more information? Contact
Rachel!
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Links
HPSA Find
HRSA Data Warehouse
NHSC
Michigan State Loan Repayment Program
Michigan Center for Rural Health
Michigan Primary Care Association
Questions?
For more information, please contact:
Rachel Ruddock
Recruitment and Retention Services Manager
(517) 355-7758
www.mcrh.msu.edu
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Questions?
For more information, please contact:
Joe Tran
Program Consultant, Operations and Enabling
Services
(517) 827-0472
www.mpca.net
Questions?
For more information, please contact:
Hannah McKone
Program Coordinator, Operations and Enabling
Services
(517) 827-0480
www.mpca.net
