RECRUITMENT, RETENTION
& HPSA
2013 NC PRIMARY CARE CONFERENCE
CHARLOTTE, NORTH CAROLINA
JUNE 20-22, 2013
JERRY BOYLAN
NC OFFICE OF RURAL HEALTH &
COMMUNITY CARE
PLACEMENT SPECIALIST
PURPOSE OF HEALTH PROFESSIONAL
SHORTAGE AREAS (HPSA) AND MEDICALLY
UNDERSERVED AREAS (MUA)
DESIGNATIONS
To identify areas of greatest need of health
services
To ensure limited resources can be prioritized
and directed to the people in those areas
Bureau of Clinician Recruitment and Service
Division of Policy and Shortage Designation
Shortage Designation Branch
Division of National Health Service Corps
HRSA
SHORTAGE DESIGNATION BRANCH
Develops and implements criteria and
procedures for designations of areas and
populations of the underserved
Works closely with the PCO (Primary Care
Office) from each state to identify these areas
and populations
Shortage Designation
Option
National Health
Service Corps
Primary Care HPSA
X
Dental Care HPSA
X
Mental Health HPSA
X
Geographic HPSA
X
Population HPSA
X
Facility HPSA
X
Federally
Qualified
Health Ctr
Program
CMS
Rural Health
Clinic
Program
X
J-1 Visa
Waiver
X
X
X
X
X
X
X
X
Exceptional MUP
X
Medically Underserved
Area
X
Medically Underserved
Population
X
State Governor’s
Certified Shortage Area
CMS
Medicare
Incentive
Payment
X
X
X
X
X
X
HPSA CRITERIA
For: Primary Care, Dental and Mental Health
Rational Service Area
Population-to-Provider Ratio
Percent of population ≤ 100% Poverty
Percent Population ≥ 65
Primary Care Physicians per 1,000 population
Infant Mortality Rate
Index of Medical Underservice (weighted sum of
above components)
Population groups also designatable
HPSAS OF GREATEST NEED AND HPSA SCORES
HPSA scores determine HPSA’s of greatest need. A
higher score = greater need.
HPSA scores determine priority for National Health
Service Corps (NHSC) scholarship vacancies
Cut off scores are determined by NHSC for each
discipline/specialty; no more then 2 scholar
vacancies.
HPSA scores determine priority for NHSC loan
repayment funding and J1s
NC Office of Rural Health and Community Care
Director: Dr. Robin G. Cummings
Asst. Director: Chris Collins
Placement and Designations
Wanda Greene
Keshia Bailey
Jerry Boylan
Mark Snuggs
Shauna Ortiz
PCO role in designation process:
Development
Technical Assistance
Oversight
Database Development
Recruitment:
Job Fairs
State and national conferences
Residency visits
Mailing lists
ORHCC Facebook page
Placement:
Across entire state
CHCs, FQHCs, Health Depts, State facilities
FP, PED, IM/PED, PSY, DENTISTS
Midlevels, CNM
Retention:
Surveys
Coordination with the Cecil B. Sheps Center at UNC