Budget
• FY 2008 Appropriation = $ 627 M
• FY 2009 Appropriation = $ 672 M
pp p
$
• FY 2010 Appropriation= $ 725 M
FY 2010 Appropriation= $ 725 M
• FY2011 Proposed = $733 M
3
President’s FY 2011 Budget
Total= $733 million
Total= $733 million
4
American Recovery and Reinvestment Act (ARRA)
• $200 million for Health Professions
$200 million for Health Professions
• $47.6 million for Training in Primary Care Medicine & Dentistry
• $10.5 million for Public Health
• $39.5 million for Nursing
• $52.4 million for Diversity Programs
• $1.5 million for Licensure Portability
• $50 million for Equipment
$50 million for Equipment
5
Current Issues
Current Issues
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Managing regular program expansion
Managing ARRA funding
Managing ARRA funding
Performance measurement/evaluation
Increased expectations for collaboration with other
Increased expectations for collaboration with other agencies
Increased demand for workforce analysis
New and reauthorized/modified programs in health reform/ACA
Implementation of programs funded through Public Health and Prevention fund of ACA
Identifying/sharing good training models
Identifying/sharing good training models
6
Health Reform and BHPr
Health Reform and BHPr
• 40 BHPr programs affected
40 BHP
ff t d
– Reauthorization/Revisions to existing programs
– New programs
• Effective immediately – had to modify and reissue a number of program guidances
Health Reform and BHPr:
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Reauthorization
First major congressional action in a decade
Expanded some programs to include “supporting”
supporting professions
professions
Updated “ceilings”
E
Expanded loan repayment opportunities
d dl
t
t iti
Significant changes to workforce analysis and evaluation provisions
Health Reform and BHPr:
New programs
• Loan repayment/shortage designations
• “Supporting” professions and “direct care” workers
• Teaching Health Centers
• Workforce Analysis
Workforce Analysis
Recent Development:
$250 M for Primary Care
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Expansion of primary care residency
Expansion of PC NP training
Expansion of PA training
Expansion of PA training
Nurse Managed Health Clinics (as training sites)
it )
• State Health Care Workforce Development Grants
Health Workforce Analysis
under Health Reform
d H l hR f
• N
National Health Care Workforce Commission ti
l H lth C
W kf
C
i i
(Section 5101)
• State Health Care Workforce Development Grants (S. State Health Care Workforce Development Grants (S
5102)
• Health Care Workforce Assessment (S. 5103)
Health Care Workforce Assessment (S 5103)
State Health Care Workforce
Development Grants
l
• Grants
Grants to States to support planning and workforce to States to support planning and workforce
development activities
• Administered by HRSA for the National Commission
y
• Two types of grants – planning (1 yr) and implementation (2‐3 yrs)
• Currently “on the street” with a focus on primary care workforce
Health Care Workforce Assessment
Health Care Workforce Assessment
• National
National Center for Health Workforce Analysis
Center for Health Workforce Analysis
• State and Regional Centers for Health Workforce Analysis
• Increases in grants for longitudinal evaluations
Increases in grants for longitudinal evaluations
National Center for Health Workforce Analysis
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Coordinate with Commission and regional and State agencies
Develop information on health care workforce
Develop information on health care workforce
Develop uniform health professions data reporting system
Annually evaluate Title VII programs
Annually evaluate Title VII programs
Establish performance measures and benchmarks for Title VII programs
• Establish a national Internet registry of Title VII grants and a database to collect data from longitudinal evaluations
Increases in grants for longitudinal evaluations
• Increase awards to Title VII grants to conduct longitudinal evaluations
• Evaluations must be capable of studying practice patterns and collecting and reporting performance measures as developed by Advisory Committees
• Advisory Committees also responsible for developing guidelines for the longitudinal evaluations
guidelines for the longitudinal evaluations
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Core Workforce Activities
of the National Center f h N i
lC
Implement a uniform health workforce data reporting system
i
Operate an open data and information dissemination portal
Conduct workforce analyses to support policy‐
y
pp p y
makers
Collect and analyze performance measures
Collect and analyze performance measures and longitudinal evaluations for Title VII programs
Uniform data reporting system
• Minimum data standards
• Multiple domains (e.g., education, supply, demand)
• Primarily administrative sources
• Collaborative model
Collaborative model
• National data repository
Information dissemination portal
• Web‐based, one‐ stop shopping for data and i f
information (HWIC +) i (HWIC )
• Comparative data available at various levels of aggregation (e.g. ARF, state profiles, national)
• Data available to all for research and analysis
y
• Collection of longitudinal evaluation data
Workforce analyses
Workforce analyses
• Descriptive information on education, supply, and distribution
d di ib i
• Supply and demand models
• Primary data collections
• Policy
Policy‐driven
driven analyses
analyses
• Research studies
Contact Information
Contact Information
Roger Stra Ph D
Roger Straw, Ph.D.
Director, OWPPM
Health Resources and Services Administration
Bureau of Health Professions
rstraw@hrsa.gov
301‐443‐0367