California Corps Community Day Webinar WELCOME. Show your support in the community!

California Corps Community Day Webinar

WELCOME

WELCOME

Show your support in the community!

Additional Resources

HCTP Resourceshttp://www.oshpd.ca.gov/HWDD/HCTP.html

Subscribe!http://www.oshpd.ca.gov/SignUp.html

Health Resources and Services Administration (HRSA)

National Health Service Corps (NHSC)Scholarship and Loan Repayment Programs

for Safety Net Providers Delia Garcia and Peter Martineau

Regional AnalystsBureau of Clinician Recruitment & Service

Health Resources and Services AdministrationRegion 9, San Francisco

Scholarships to students who commit to practicing primary care in HPSAs of greatest need (HPSA score >16*)

Period of service is 2-4 years based on number of years of scholarship support

* HPSA threshold re-calculated annually, beginning July 1

NHSC Scholarship Program

Certified Nurse Midwives

Dentists

Family Nurse Practitioners

Physician Assistants

Psychiatrists

Primary Care Physicians (FP, IM, PEDS,

& OB/GYN)

NHSC Scholarship Program

Available Scholars

Repayment of educational loans for full-time primary care clinicians

Two-year service commitment with options for additional years

Maximum repayment during the required initial two-year contract is $60,000 (tax-free)

Site/vacancy must be approved and clinician must also make a separate application to the NHSC

NHSC Loan Repayment Program (LRP)

NHSC Loan Repayment Program (LRP) Eligible Disciplines

• Primary Care Physicians (FP, IM, gerontology, PED, & OB/GYN)

• Primary Care Nurse Practitioners

• Physician Assistants• Certified Nurse

Midwives• Dentists• Dental Hygienists

• Psychiatrists• Health Service

Psychologists• Clinical Social Workers• Licensed Professional

Counselors• Marriage and Family

Therapists• Psychiatric Nurse

Specialists

LRP Option for Half-Time Service (20 to 39 hours each week, at least 45 weeks each year)

• $60,000 for four-year or $30,000 for two-year initial service commitment

• Potential for additional years of support with annual contract extensions

• Same eligible disciplines as full-time Loan Repayment Program

ARRA

7500+ FY2010

10

NHSC Field Strength Growth

NHSC Site Eligibility

Types of Practice Setting• Public or private entity • Community Health Centers• Rural Health Clinics• Private practices• Indian Health Service (federal/tribal)• Prisons – State and Federal• Community Mental Health Centers• Title X (family planning)clinics that provide

comprehensive primary care• Critical Access Hospitals (< 25 beds) – new!• Does not have to be non-profit

When hiring NHSC clinicians, sites agree:– Full- or half-time clinical practice*– No reduction in salary because of NHSC– Communicate changes in employment– Only allow practice at approved site(s) – Make available personnel/practice records– Not restrict communication between clinician

and NHSC


Site Agreements with NHSC Clinicians

•Full-time defined as at least 32 hours per week in direct patient care. No more than 8 hours administration. No more than 12 hours per day. No more than 35 days a year off for any reason.

Must be located in and providing service to a federally designated Health Professional Shortage Area (HPSA)

Must be continuously approved by NHSC as an eligible site


Health Professional Shortage Area

All Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes have an automatic HPSA designation

Certified Rural Health Clinics are eligible for automatic HPSA, but must apply and meet NHSC Charges for Services requirements

Native American populations and sites also have automatic HPSAs


Automatic HPSAs

Provide comprehensive primary care, mental and behavioral health and/or dental services

Minimum of 50% of patients must come from HPSA

Ambulatory (no inpatient sites*)

Ensure access to ancillary, inpatient and specialty referrals

Ensure no financial barriers to care exist* Guidelines for Critical Access Hospitals to be announced.


Service Requirements

When hiring NHSC clinicians, sites agree:– Full-time clinical practice*– No reduction in salary because of NHSC– Communicate changes in employment– Only allow practice at approved site(s) – Make available personnel/practice records– Not restrict communication between clinician

and NHSC


Site Agreements with NHSC Clinicians

* At least 32 hours per week in direct patient care. No more than 8 hours administration. No more than 12 hours per day. No more than 35 days a year off for any reason.

The NHSC Site Administrator Portal Publically accessible webpage

– Anyone can register & create a site administrator account Beginning September 1, allows registered users to:

– View information for existing NHSC sites they administer– Submit new NHSC Site Applications– Recertify existing NHSC approved sites– Update site contact information – Post and update job openings– View clinicians currently under obligation– Ask the NHSC questions

• Additional functionality will be released in the coming months, including site recertification and six-month verification review

NHSC Site Recertification• FQHCs (Community Health Centers, Migrant Health

Centers, Public Housing Clinics, and Homeless Clinics) do not need to recertify as long as they remain funded by the Bureau of Primary Health Care as an FQHC parent or satellite site that is within scope of project for the grant and meet the NHSC site requirements.

• IHS and other federal sites such as Immigration and Bureau of Prisons no longer need to recertify.

• All other health facilities will need to recertify every three years

NHSC Site Recertification (cont.)

• The recertification application will be made available in October through the site portal.

• More detailed instructions will be sent in a second email to those sites that need to recertify.

• To ensure the timely processing of all applications by February 2012, sites will be given separate application submission time frames.

Contact Information

NHSC Scholarship and Loan Repayment– Toll-free helpline: (800) 221-9393

– Website: http://www.nhsc.hrsa.gov

HRSA Nursing Scholarship – Website: http://bhpr.hrsa.gov/nursing/scholarship/

HRSA Nursing Education Loan Repayment – Website: http://www.hrsa.gov/loanscholarships/repayment/nursing/

NHSC Regional Supervisor – Gary Hlady: [email protected]; 415-437-8014

California California State Loan Repayment ProgramState Loan Repayment Program

Liz MartinLiz MartinInterim Program AdministratorInterim Program Administrator

OverviewOverview

This presentation will provide an This presentation will provide an overview of the following:overview of the following:

Purpose of the California State Loan Purpose of the California State Loan Repayment ProgramRepayment Program

Site requirementsSite requirements Provider requirementsProvider requirements Award informationAward information

California State Loan Repayment Program 2727

Grant from the National Health Service Grant from the National Health Service CorpsCorps

Administered by the State of CaliforniaAdministered by the State of California Assists in repayment of educational Assists in repayment of educational

loans, for qualifying health loans, for qualifying health professionals, who provide healthcare professionals, who provide healthcare service in Federally designated Health service in Federally designated Health Professional Shortage Areas (HPSAs), Professional Shortage Areas (HPSAs), including Automatic Designations including Automatic Designations

What is the State Loan What is the State Loan Repayment Program (SLRP)?Repayment Program (SLRP)?

2828California State Loan Repayment Program

Public or Private not-for-profitPublic or Private not-for-profit Be located within a HPSA (primary medical, Be located within a HPSA (primary medical,

dental, or mental) or have an Automatic dental, or mental) or have an Automatic DesignationDesignation

Commit to two-year employmentCommit to two-year employment Match state awardMatch state award Pay prevailing salariesPay prevailing salaries Enter into a Memorandum of Understanding Enter into a Memorandum of Understanding

with the Statewith the State Must be on the SLRP Certified Eligible Site ListMust be on the SLRP Certified Eligible Site List

Site RequirementsSite Requirements


US CitizenUS Citizen Have a current, unrestricted license Have a current, unrestricted license

to practice in Californiato practice in California Free of judgmentsFree of judgments Free of obligationsFree of obligations Commit to providing full-time Commit to providing full-time

primary care services in a HPSAprimary care services in a HPSA

Health Provider RequirementsHealth Provider Requirements


Physicians (MD/DO)Physicians (MD/DO) Family Practice, Internal Medicine, Pediatrics, Family Practice, Internal Medicine, Pediatrics,

OB/GYN, Gerontology, and PsychiatryOB/GYN, Gerontology, and Psychiatry Dentists (DDS/DMD) and Dental HygienistsDentists (DDS/DMD) and Dental Hygienists Mid-Level ProvidersMid-Level Providers

Physician Assistants, Nurse Practitioners, and Physician Assistants, Nurse Practitioners, and Certified Nurse MidwivesCertified Nurse Midwives

Mental Health DisciplinesMental Health Disciplines Clinical Psychologists, Licensed Clinical Social Clinical Psychologists, Licensed Clinical Social

Workers, Licensed Counselors, Marriage & Workers, Licensed Counselors, Marriage & Family Therapists, and Psychiatric Nurse Family Therapists, and Psychiatric Nurse SpecialistsSpecialists

Eligible Healthcare ProvidersEligible Healthcare Providers


StateState Site Site YearlyYearlyYearYear AwardAward MatchMatch TotalsTotals

11 $ 15,000$ 15,000 $ 15,000$ 15,000 $ 30,000$ 30,000

22 $ 15,000$ 15,000 $ 15,000$ 15,000 $ 30,000 $ 30,000

33 $ 20,000$ 20,000 $ 20,000$ 20,000 $ 40,000$ 40,000

44 $ 20,000$ 20,000 $ 20,000$ 20,000 $ 40,000$ 40,000

55 $15,000$15,000 $15,000$15,000 $30,000 $30,000

AWARD TOTALAWARD TOTAL $170,000$170,000

Award AmountsAward Amounts

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Scoring CriteriaScoring Criteria Training or work experience in Training or work experience in

underserved areasunderserved areas Cultural CompetencyCultural Competency Fluency in a language other than Fluency in a language other than

EnglishEnglish

Award SelectionAward Selection

Award DistributionAward Distribution 50/50 split between urban and rural50/50 split between urban and rural Equal distribution between Northern, Central, Equal distribution between Northern, Central, and and Southern CaliforniaSouthern California Equal distribution of health disciplinesEqual distribution of health disciplines


The annual filing period for the SLRP is from The annual filing period for the SLRP is from August 1 through October 1. August 1 through October 1.

The deadline for 2011 has been extended to Dec. 31, 2011. Awards will be made on a first-come, first-serve basis until

funds are expended.

The application form is updated each year and The application form is updated each year and can be found on the SLRP website.can be found on the SLRP website.

Application CycleApplication Cycle


Liz Martin, Interim Program AdministratorLiz Martin, Interim Program Administrator(916) 326-3785(916) 326-3785

[email protected] [email protected]

Cristina Rodriguez, Program AssistantCristina Rodriguez, Program Assistant(916) 326-3746(916) 326-3746


Negar Foolad, Program AssistantNegar Foolad, Program Assistant(916) 326-3767(916) 326-3767


SLRP ContactsSLRP Contacts


presented byCal-SEARCH

www.oshpd.ca.gov/HWDD/Cal-SEARCHTelephone: (916) 326-3711

Email: [email protected]

This program is funded by U.S. Department of Health and Human Services, Health Resources and Services Administration.

Cal-SEARCH

Information Session

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What is Cal-SEARCH?What is Cal-SEARCH?Student and Resident Experiences and Rotations in Student and Resident Experiences and Rotations in

Community HealthCommunity Health• National program funded by the U.S. Department of National program funded by the U.S. Department of

Health and Human Services, Health Resources and Health and Human Services, Health Resources and Services Administration (HRSA), through the National Services Administration (HRSA), through the National Health Service Corps (NHSC) Health Service Corps (NHSC)

• 27 states and Puerto Rico currently participating in 27 states and Puerto Rico currently participating in SEARCHSEARCH

• California’s first SEARCH programCalifornia’s first SEARCH program• Mission: Increase the recruitment and retention of Mission: Increase the recruitment and retention of

culturally competent, community oriented health culturally competent, community oriented health professionals in California’s community clinics and professionals in California’s community clinics and health centers (CCHCs)health centers (CCHCs)

• Statewide Partnership (OSHPD, CPCA, AHEC)Statewide Partnership (OSHPD, CPCA, AHEC)

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Cal-SEARCH PartnersCal-SEARCH Partners Office of Statewide Health Planning and DevelopmentOffice of Statewide Health Planning and Development

o OSHPDOSHPDo www.oshpd.ca.govwww.oshpd.ca.gov

California Primary Care AssociationCalifornia Primary Care Associationo CPCACPCAo www.cpca.orgwww.cpca.org

California Area Health Education CenterCalifornia Area Health Education Centero AHECAHECo www.cal-ahec.orgwww.cal-ahec.org

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Site Program BenefitsSite Program Benefits

• • Promoting primary care choices in underserved areasPromoting primary care choices in underserved areas

• • Providing students and residents with positive Providing students and residents with positive experiences working with inter-disciplinary teams and experiences working with inter-disciplinary teams and developing skills necessary fordeveloping skills necessary for

interprofessional cooperation and growthinterprofessional cooperation and growth

• • Educating students and residents about community Educating students and residents about community clinics and health clinics and health

centers and their role in the communitycenters and their role in the community

• • Potential recruitment of future community clinic Potential recruitment of future community clinic practitionerspractitioners

• • Modest stipend awarded upon completion of rotationModest stipend awarded upon completion of rotation

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Student and Resident Program Student and Resident Program BenefitsBenefits

• Improve ambulatory care clinical skillsImprove ambulatory care clinical skills• Work with patients from diverse culturesWork with patients from diverse cultures• Serve as a valued member of an experienced health Serve as a valued member of an experienced health

care teamcare team• Work with a dedicated preceptor and mentorWork with a dedicated preceptor and mentor• Combine a clinical practice rotation and community Combine a clinical practice rotation and community

service projectservice project• Develop the necessary skills and gain exposure to Develop the necessary skills and gain exposure to

practicing in rural, frontier and urban Health Professional practicing in rural, frontier and urban Health Professional Shortage Areas (HPSA)Shortage Areas (HPSA)

• Modest stipend awarded upon completion of rotationModest stipend awarded upon completion of rotation

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COMMUNITY PROJECT: Working with their mentor, students COMMUNITY PROJECT: Working with their mentor, students and residents will and residents will

address a local population health concern and submit a post-address a local population health concern and submit a post-project report, project report,

signed by their mentor.signed by their mentor.

Examples of Cal-SEARCH Community Projects:Examples of Cal-SEARCH Community Projects: Diabetes Intervention for Low-Literacy PatientsDiabetes Intervention for Low-Literacy Patients Resurgence of PertussisResurgence of Pertussis Healthy Behaviors Questionnaire, such as ObesityHealthy Behaviors Questionnaire, such as Obesity How to Prevent Diabetes in Your ChildrenHow to Prevent Diabetes in Your Children Teen Clinic SurveyTeen Clinic Survey Smoking Cessation Aids for the HomelessSmoking Cessation Aids for the Homeless

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What makes Cal-SEARCH What makes Cal-SEARCH unique?unique?

Site EligibilitySite Eligibility

Must have one of the following designations in order to Must have one of the following designations in order to participate in participate in

Cal-SEARCH:Cal-SEARCH:

HPSAHPSAo Health Professional Shortage Area Health Professional Shortage Area

MUAMUAo Medically Underserved AreaMedically Underserved Area

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Student EligibilityStudent EligibilityStudents and residents must be enrolled in one of the following programs in Students and residents must be enrolled in one of the following programs in

order to be eligibleorder to be eligible

to apply and participate in a Cal-SEARCH rotation:to apply and participate in a Cal-SEARCH rotation: Certified Nurse MidwivesCertified Nurse Midwives Clinical PsychologistsClinical Psychologists Clinical Social Workers Clinical Social Workers Dental HygienistsDental Hygienists DentistryDentistry Marriage and Family TherapistsMarriage and Family Therapists Medical students/residents: Family Medicine; Internal Medicine; OB/GYN; Medical students/residents: Family Medicine; Internal Medicine; OB/GYN;

PediatricsPediatrics Nurse PractitionersNurse Practitioners Physician AssistantsPhysician Assistants Psychiatric Nurse SpecialistsPsychiatric Nurse Specialists PsychiatryPsychiatry

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For More Information:For More Information:

Cal-SEARCH Contact Information:Cal-SEARCH Contact Information:

www.oshpd.ca.gov/HWDD/Cal-SEARCHwww.oshpd.ca.gov/HWDD/Cal-SEARCHTelephone: (916) 326-3711Telephone: (916) 326-3711

Email: Email: [email protected]@oshpd.state.ca.us

Revised 10/13/11Revised 10/13/11

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Join us for the next Informational Webinar on October 25, 2011!

California Corps Community Day Webinar WELCOME. Show your support in the community!

Documents

halftime service

period of service

loan repayment programs

qualified health centers

scholarship support

additional years of

hours administration

direct patient care