hpsa presentation for bod meeting 11-2014
TRANSCRIPT
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Government of the District of Columbia
For Official Government Use Only
Department of Health
Health Professional Shortage Area (HPSA) Designations
November 2014
Lauren Ratner, MPH, MSWPrimary Care Bureau
Community Health AdministrationDC Department of Health
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Government of the District of Columbia
For Official Government Use Only
Department of Health
Presentation Purpose
To orient the membership of the Board of Dentistry to HPSAs
To discuss collaboration on the BoD’s workforce survey
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Government of the District of Columbia
For Official Government Use Only
Department of Health
What is a HPSA?Health Professional Shortage Area (HPSA): federal designation that indicates
a shortage of personal health services in a defined area.
3 designation disciplines
– Primary Care
– Mental Health
– Dental
2 types of designations
– Geographic: Insufficient number of providers to serve the total population in a defined area
– Population: Insufficient number of providers to serve a specific population (e.g. low-income, homeless, etc.) in a defined area
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Government of the District of Columbia
For Official Government Use Only
Department of Health
What is a HPSA?Standard for eligibility or priority for over 32 federal
programsShortage Designation
Option National Health Service Corps
Health Professional
Loan Repayment Program
Federally Qualified Health Center Program
CMS Medicare
Incentive Payment
J-1 Visa Waiver
Primary Care HPSA X X X X
Dental Care HPSA X X
Mental Health HPSA X X X
Geographic HPSA X X X X
Population HPSA X X X
Facility HPSA X X X
Exceptional MUP X X
Medically Underserved Area
X X X
Medically Underserved Population
X X X
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Government of the District of Columbia
For Official Government Use Only
Department of Health
DC’s HPSAs
Nine (9) HPSAs:• 6 primary care; • 1 mental health; • 2 dental• Low-Income Anacostia• Homeless Downtown
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Government of the District of Columbia
For Official Government Use Only
Department of Health
Dental HPSA Calculations
Dental HPSA calculations based on:Population-to-Provider Ratios (>5,000:1 or
>4,000:1 if special needs)
Poverty Rates
Flouridated Water
Travel time to nearest available dentist
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Government of the District of Columbia
For Official Government Use Only
Department of Health
Designation Process
Presently, HPSAs must be reviewed and renewed every 3-5 years.
Dental HPSAs renewals planned for 2016
Renewal and designation of new HPSAs requires detailed data on all dentists practicing in the District.
541 Dentists in DC (according to NPI)
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Government of the District of Columbia
For Official Government Use Only
Department of Health
Dental Provider Data
CMS’s National Provider Identifier (NPI)
DOH must augment NPI data by collecting information on: – Clinical vs. Non-Clinical Activities
– Practice Locations and Hours
– Medicaid Participation
– Number of Auxiliaries (e.g. Dental Assistants)
– Dentist’s Age
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Government of the District of Columbia
For Official Government Use Only
Department of Health
DOH Data Collection
Claims data from DHCF
Licensure data from HRLA
Surveys
– BoD Workforce Survey
– Primary Care Bureau Survey
– Phone Follow-Up
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Government of the District of Columbia
For Official Government Use Only
Department of Health
2011 and 2013 Board of Dentistry Workforce Surveys
Included Key HPSA Data Points:
Primary/Secondary Practice Area and Hours (e.g. clinical, academics, administration, etc.)
Specialty (e.g. General, Pediatric, Orthodontics, etc.)
Primary/Secondary Clinical Practice Addresses and Hours
Patient Demographics:– Medicaid (% - 2011; Y/N - 2013)– Homeless % (2011)– Language % (2011)
Practice Characteristics:– Auxiliaries (2013)– Sliding fee (2011)– Wait Time (new and existing patients) (2011)
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Government of the District of Columbia
For Official Government Use Only
Department of Health
Collaboration with Board of Dentistry
2015 BoD Workforce Survey development/deployment– Questions– Question Structure– Response Rates
Workforce Survey Data Analysis– Cleaning– Linkage
Findings and Action– HPSA Designations– Workforce Reports
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Government of the District of Columbia
For Official Government Use Only
Department of Health
Questions?
Contact Information:Lauren Ratner, Primary Care Bureau [email protected]
Additional Resources:
–http://doh.dc.gov/service/shortage-designation
–http://www.hrsa.gov/shortage/
–HPSAFind.hrsa.gov