Oct 8, 2015 - Modern Care - Improved Outcomes & Lower Costs. Changing service delivery to meet 21st century needs th
GW Health Workforce Institute Speaker Series: HRSA Bureau of Health Workforce Luis Padilla, M.D. Deputy Associate Administrator
[email protected] October 8, 2015
HRSA Mission & Goals Improving health and health equity through access to quality services, a skilled health workforce and innovative programs.
Increase Access to Quality Health Care and Services
Strengthen the Health Workforce
Build Healthy Communities
Improve Health Equity
Strengthen Program Operations
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FY 2015 HRSA Budget - $10 Billion Program
Dollars (in Millions)
Health Center Program
$5,000,633
HIV/AIDS
$2,318,781
Maternal and Child Health
$1,254,238
Health Workforce
$1,057,784
Rural Health
$147,471
Healthcare Systems
$110,693
Program Management
$154,000
Total
$10,043,600
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HRSA’s Bureaus and Offices
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Bureau of Health Workforce Mission and Values Collaboration Improve the health of underserved and vulnerable populations by strengthening the health workforce and connecting skilled professionals to communities in need.
Accountability
Innovation
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Bureau of Health Workforce Approach Workforce Supply Priorities
Program Design
Preparing a Diverse Workforce
Improving Workforce Distribution
Transforming Health Care Delivery
Academic & Community Partnerships Interprofessional Practice & Training Rapid Cycle Evaluation/Data Driven
Research and Resources 6
Preparing a Diverse Workforce Diverse Workforce - Improved Quality of Care Greater diversity among health professionals is associated with improved quality of care for underserved populations, including racial and ethnic minorities and those from disadvantaged backgrounds.
• 47% of trainees in BHW programs are minorities and/or come from disadvantaged backgrounds.
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Improving Workforce Distribution Training, Recruitment and Retention Improved Access in Underserved Communities Clinicians who receive training in community-based and underserved settings are more likely to practice in similar settings.
• 86% of NHSC clinicians continue to practice in underserved areas up to two years after they complete their service commitment.
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Transforming Health Care Delivery Modern Care - Improved Outcomes & Lower Costs Changing service delivery to meet 21st century needs through an emphasis on quality care that encourages innovative team-based and interprofessional approaches. Our programs serve as a catalyst to advance changes in health professions training that are responsive to the evolving needs of the health care system.
• In Academic Year 2013-14, 12 BHW programs had an interprofessional focus. Within those programs 1,315 clinical training sites were engaged in interprofessional team-based care.
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BHW Programs Snapshot In FY 2014, we awarded over $1 billion to more than 8,500 organizations and individuals through more than 40 workforce programs.
Collectively, our programs increase the nation’s access to quality health care by developing, distributing, and retaining a competent health workforce.
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BHW Grant Program Disciplines Mental & Behavioral Health
Diversity
Dentistry
Medicine
Public Health Interprofessional Education
Geriatrics Teaching Health Centers
Nursing Area Health Education Centers
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BHW Health Workforce Grants to GW Cumulative Award Amount
Program
Grant Period
Area Health Education Centers
9/1/2011 to 8/31/2015
Primary Care Loans – Allopathic Medicine
7/1/1965 to Indefinite
$2,593,604
Loans for Disadvantaged Students – Allopathic Medicine
7/1/1991 to Indefinite
$320,319
Geriatric Education Centers
7/1/2014 to 12/31/2015
$497,195
Advanced Nursing Education Grants
7/1/2014 to 6/30/2017
$374,838
Health Workforce Research Centers
9/1/2013 to 8/31/2017
$564,558
Nurse Education, Practice, Quality and Retention Veterans' Bachelor of Science in Nursing Program
7/1/2014 to 6/30/2017
$349,200
$102,000
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Health Workforce Research and Resources National Center for Health Workforce Analysis NCHWA research informs program planning and development, and policy-making by examining a broad range of issues that impact the nation’s health workforce. Six Health Workforce Research Centers focus on: • Long-term Care • Allied Health • Technical Assistance • Oral Health • Flexible use of workers to improve health care delivery and efficiency In 2016 NCHWA plans to redesign the National Sample Survey for Registered Nurses to include health reform issues.
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Health Workforce Research and Resources National Practitioner Databank • Improves health care quality and protects the public by sharing information with authorized health care entities about past adverse actions by providers and suppliers. • Released an updated Guidebook in April 2015 that inform the U.S. health care community and others about the NPDB.
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Health Workforce Opportunities • Diversity • Distribution • Supply • Interprofessional Education and Practice
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Distribution by Race and Ethnicity Relative to the Working-Age Population Physicians (Total 861,463)
Source: HRSA: THE U.S. HEALTH WORKFORCE CHARTBOOK Part I: Clinicians
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Source: AAMC Data Warehouse: Minority Physician Database, AMA Masterfile, and other AAMC data sources, as of 1/22/2014 17
Distribution by Race and Ethnicity Relative to the Working-Age Population Physicians Assistants (Total 99,651)
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Distribution by Race and Ethnicity Relative to the Working-Age Population Registered Nurses (Total 2,824,641)
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Distribution by Race and Ethnicity Relative to the Working-Age Population Licensed Nurse Practitioners (Total 110,042)
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Distribution by Race and Ethnicity Relative to the Working-Age Population Dentists (Total 168,299)
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Distribution by Race and Ethnicity Relative to the Working-Age Population Dental Assistants (Total 283,593)
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Distribution by Race and Ethnicity Relative to the Working-Age Population Pharmacists (Total 256,918)
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BHW Diversity Training Programs • Centers of Excellence Program • Health Careers Opportunity Program Grant Programs
• Nursing Workforce Diversity Program
Reduce Health Dipartites
Provide Culturally Competent Care
• Area Health Education Centers Program • Scholarships for Disadvantaged Students Program
Strengthen Health Workforce
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QUESTIONS?
www.bhw.hrsa.gov