Retention and the NHSC
description
Transcript of Retention and the NHSC
![Page 1: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/1.jpg)
Retention and the NHSC
Ron Yee, MD, MBA, FAAFP
Chief Medical Officer
United Health Centers
Parlier, California
NACHC Winter Strategy Meeting
Delray Beach, Florida
January 24, 2013
![Page 2: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/2.jpg)
Discussion Points
• NHSC– Definitions– Retention Assessment Survey
• United Health Centers’ Experience– Retention Strategies– Challenges to Retention– Retention Data– NHSC Retention Strategy Summary
![Page 3: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/3.jpg)
NHSC Definition of Retention• The percentage of NHSC clinicians who
remain practicing in underserved areas (HPSAs) after successfully completing their service commitment to the Corps
• Short-term = up to 1 year after completion• Long-term = up to 10 years after completion
![Page 4: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/4.jpg)
NHSC 2012 Retention Assessment Survey• 9,908 NHSC Field Strength• 26% response rate• 94% LRP + 6% SP• 82% Short-term retention (<=1 year)
– Up 28% vs. 2000 rate
• 55% Long-term retention (>10 years)– Up 6% vs. 2000 rate
![Page 5: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/5.jpg)
NHSC 2012 Retention Assessment Survey• Most important factors for retention
– 56% Overall site experience – 48% Practice hours/schedule– 34% Salary– 32% Alignment with personal goals– 27% Community involvement– 21% Proximity to family
![Page 6: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/6.jpg)
United Health Centers’ Experience
• Retention Strategies• Challenges to Retention• Retention Data
![Page 7: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/7.jpg)
Retention Strategies from the Front Lines
• Run a quality mission-driven organization• Help them find their niche• Let them focus on quality patient care• Maintain a sense of mission• Offer opportunities for input & leadership
![Page 8: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/8.jpg)
Run a quality mission-driven organizationJim Smurr, MD, LRP, Retained 15 years
![Page 9: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/9.jpg)
Run a quality mission-driven organizationJim Smurr, MD, LRP, Retained 15 years
![Page 10: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/10.jpg)
Help them find their nicheLance Gault, DO, final year SP
![Page 11: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/11.jpg)
Help them find their nicheLance Gault, DO, final year SP
![Page 12: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/12.jpg)
Let them focus on quality patient care Rogelio Fernandez, MD, LRP, Retained 19 Years
![Page 13: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/13.jpg)
Let them focus on quality patient care Rogelio Fernandez, MD, LRP, Retained 19 Years
![Page 14: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/14.jpg)
Maintain a sense of mission
Rob Wageneck, DO, SP 1997
Jay Downey, MD, LRP, 1996
![Page 15: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/15.jpg)
Offer opportunities for input & leadershipLance Gault, DO, final year SP
![Page 16: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/16.jpg)
Offer opportunities for input & leadershipLance Gault, DO, final year SP
![Page 17: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/17.jpg)
Challenges to Retention
• Distance from home to site in rural areas• Productivity/Finances vs. finding niche• Trust in site leadership/supervisor• Change in life status during commitment • Competition from other entities
![Page 18: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/18.jpg)
Distance from home to siteShani Muhammad, MD, SP 2011
![Page 19: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/19.jpg)
Distance from home to siteShani Muhammad, MD, SP 2011
![Page 20: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/20.jpg)
Challenges to Retention
• Distance from home to site in rural areas• Productivity/Finances vs. finding niche• Trust in site leadership/supervisor• Change in life status during commitment • Competition from other entities
![Page 21: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/21.jpg)
Retention Data
• UHC specific (25 total SP+LRP, since 1991)– SP: 4/5=80% ST, 1/1=100% LT– LRP: 19/20=95% ST, 6/6=100% LT– 10 Active: 3SP+7LRP– 43% all staff NHSC P/P– Ave. Retention all 10Y+
• UDS reporting - HRSA– Table 5 additions
![Page 22: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/22.jpg)
NHSC Retention Strategy Summary
• Customer Service– Standardize transactions, including response times
– Call Center training, scripts, monitoring
• Communications and Outreach– Corps Connection – electronic newsletter
– NHSC Facebook page – social media
– NHSC Ambassadors – human capital
– Corps Community Day – national recognition
![Page 23: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/23.jpg)
NHSC Retention Strategy Summary
• Business Value to Sites and Providers– NHSC Job Center - recruitment tool, cost
savings, global outreach
– Virtual Job Fairs – 4-5 planned for 2013
– Expansion of PrimaryCareForAll.hrsa.gov
– Scholars and GPS Program
![Page 24: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/24.jpg)
NHSC Retention Strategy Summary
• BCRS Regions – Enhanced engagement with sites and providers– Scholar placement – direct Regional assistance
– Site Visits
– Technical assistance, webinars, share best practices around retention
• BCRS Policy Initiatives– Scholar completion – non-competitive transition to LRP at
HPSA >=14
– Allow contemporary clinical practice – telemedicine and home health
![Page 25: Retention and the NHSC](https://reader035.fdocuments.us/reader035/viewer/2022062310/56816558550346895dd7d88b/html5/thumbnails/25.jpg)
Retention and the NHSC
Ron Yee, MD, MBA, FAAFP
Chief Medical Officer
United Health Centers
Parlier, California
NACHC Winter Strategy Meeting
Delray Beach, Florida
January 24, 2013