The Health Professions and Nursing Education Coalition (HPNEC) is an alliance of over 60 national organizations (listed on back of brochure) representing schools, programs, health professionals and students dedicated to ensuring the health care workforce is trained to meet the needs of our diverse population.

Health Professions Education Programs:Connecting students to health careers, health professionals to underserved communities, and communities to better health

FY 2015 Brochure

HPNECHealth Professions and Nursing Education

C O A L I T I O N

The Title VII Health Professions and Title VIII Nursing Workforce Development Programs

The Title VII health professions and Title VIII nursing workforce development programs, authorized under the Public Health Service Act and administered by the Health Resources and Services Administration (HRSA), provide education and training opportunities in high-need disciplines and settings, and provide financial aid to health professions students. Through loans, loan guarantees, and scholarships to students, as well as grants and contracts to academic institutions and non-profit organizations, Titles VII and VIII ensure the nation is equipped with a workforce that reflects the population it serves, while providing well-coordinated, quality care, and improving access to care for all populations.

The programs have a 50 year history of adapting to meet the nation’s health care workforce needs. Today, the nation is growing and becoming increasingly diverse and faces a rapidly growing, aging population, as millions more Americans seek access to care. Now more than ever, support for Titles VII and VIII, the only federally-funded programs that improve the supply, distribution and diversity of the workforce is needed to ensure health professionals are prepared to address the health care challenges of today and the future.

Title VII and Title VIII programs include:

n Primary Care Medicine: Expands the primary care workforce in general pediatrics; general internal medicine; family medicine; osteopathic medicine; and physician assistants through the following programs: Pre-Doctoral Training; Residency Training; Faculty Development; and Rural Physician Training.

n Primary Care Dentistry and Dental Hygiene: Expands the dental primary care workforce in general, pediatric, and public health dentistry and dental hygiene through the following programs: Pre-Doctoral Training; Residency Training; Faculty Development; and Faculty Loan Repayment.

n Minority and Disadvantaged Students: Increases minority representation in the health professions through

the following programs: Health Careers Opportunity Program (HCOP); Centers of Excellence (COE); Faculty Loan Repayment; and Scholarships for Disadvantaged Students (SDS).

n Interdisciplinary, Community-Based Linkages: Supports community-based training of health profes-sionals in rural and urban underserved areas through the following programs: Area Health Education Centers (AHECs); Geriatrics Education and Training; Teaching Health Center Development; Mental and Behavioral Health Education and Training; and Allied Health Training.

n Public Health Workforce Development: Supports education and training in public health and preventive medicine through the following programs: Public Health Training Centers; Preventive Medicine Residency Training; Public Health Traineeships; Public Health Student Loan Repayment; and Loan Repayment for Pediatric Subspecialists.

n Workforce Information and Analysis: Supports the compilation and analysis of data on the nation’s health workforce, including longitudinal evaluation of the Title VII and Title VIII programs through the National Center for Health Workforce Analysis and the Regional Centers for Health Workforce Analysis.

n Student Financial Assistance: Assists health professions students in financing their education through the following programs: Primary Care Loans (PCL); Health Professions Student Loans (HPSL); and Loans for Disadvantaged Students (LDS).

n Nursing Workforce Development: Provides federal support for the supply and distribution of qualified nurses for practice in rural and medically underserved communities through the following programs: Advanced Nursing Education; Nursing Workforce Diversity; Nurse Education, Practice, Quality, and Retention; NURSE Corps; Nurse Faculty Loan Program; and Comprehensive Geriatric Education.

To sustain and strengthen the nation’s half-century investment in these crucial health professions workforce programs, HPNEC recommends $520 million for the

Title VII and Title VIII programs in FY 2015.

Connecting students to health careers

The Title VII and Title VIII programs play an important role in improving the diversity of the health care workforce and connecting students to health careers by supporting recruitment, education, training, and mentorship opportunities throughout the educational pipeline.

n The nation is projected to become a “majority-minority” nation by 2050.1 A well-prepared, diverse, and culturally competent workforce is essential to addressing racial and ethnic health disparities, which will cost the United States $363.1 billion by 2050.2

n Diversity heightens cultural awareness and exposes individuals to backgrounds and perspectives other than their own, providing benefits for all. In academic year 2011-2012, 46% of Title VII and VIII program completers were underrepresented minorities and/or from disadvantaged backgrounds.3

n It takes years to train health professionals; Titles VII and VIII support aspiring health professions students throughout the educational pipeline, helping to ensure the health care workforce will reflect the population it serves. Studies have demonstrated the effectiveness of such pipeline programs in strengthening students’ academic records, improving test scores, and helping minority and disadvantaged students become more competitive applicants for health professions training programs.4

n The programs also provide training and continuing education opportunities for practicing professionals and faculty in new care delivery models and concepts, such as interprofessional education, cultural competency training, and metal and behavioral health issues. In academic year 2011-2012, over 380,000 trainees participated in continuing education opportunities through the Title VII Area Health Education Centers program.5

Connecting health professionals to underserved communities

Titles VII and VIII support the development of the primary care workforce, including in underserved areas and populations. By providing education and training experiences in community-based settings, students, residents and faculty work directly with vulnerable populations.

n As of January 2014, there are millions of Americans living in Health Professions Shortage Areas (HPRSA), including approximately 59 million in primary care HPSAs, 95 million in mental and behavioral health HPSAs, and 47 million in dental HPSAs.6

n Studies show that Title VII program participants are more likely to work in Community Health Centers (CHC) or serve in the National Health Service Corps (NHSC), bolstering the primary care workforce and improving access to care for rural and underserved communities.7

n In FY 2012, 83% of Title VIII NURSE Corps Loan Repayment Program and Scholarship Program participants retained service at a critical shortage facility for at least one year beyond the completion of their program commitment.8

Title VII and Title VIII work together to build a health professions workforce that will meet the nation’s urgent health care needs by:

The programs also provide training and continuing education

opportunities for practicing professionals and faculty in new care

delivery models and concepts.

Connecting communities to better health

Titles VII and VIII are structured to allow grantees to test educational innovations, respond to changing delivery systems and models of care, and address timely topics in their communities. By assessing the needs of the communities they serve, Titles VII and VIII are well positioned to fill gaps in the workforce and increase access to care for all populations. Further, the programs emphasize interprofessional education and training, bringing together knowledge and skills across disciplines to provide effective, efficient and coordinated care.

n Titles VII and VIII train professionals to meet the needs of vulnerable populations, including children and seniors. Within 20 years, one in five Americans will be over 65 and one in four Americans will be under the age of 19.9 In academic year 2011-2012 alone, Title VII supported 63 fellows in medicine, geriatrics, dentistry, and psychiatry provided care to over 23,000 older adults.10

n In the 2011-2012 academic year, Title VII dentistry programs provided sealants to over 67,000 children and 87,000 dental screenings.11 Further, studies show that graduates from Title VII dentistry programs are significantly more likely to practice as general or pediatric dentists and treat underserved populations.12

n A recent survey confirms students who receive support from Title VIII nursing programs say seeking a competitive salary becomes less of a priority, making practicing in a rural or medically underserved area a realistic opportunity and helping to increase access to care.13

1 U.S. Census 2012 2 National Urban League. State of Urban Health: Eliminating Health Disparities to Save Lives and Cut

Costs. http://iamempowered.com/sites/default/files/nul_state_of_urban_health_2012_report_.pdf. Accessed Dec. 10, 2012.

3 HRSA FY 2014 Congressional Justification 4 American Association of Colleges of Nursing. 2013-2014 Title VIII Student Recipient Survey. 5 Ibid. 6 HRSA Data Warehouse. Shortage Designation: Health Professional Shortage Areas & Medically

Underserved Areas/Populations, as of January 2014. 7 Annals of Family Medicine. Impact of Title VII Training Programs on Community Health Center

Staffing and National Health Service Corp Participation. 2008

8 HRSA FY 2014 Congressional Justification 9 Committee on the Future Health Care Workforce for Older Americans, Institute of Medicine.

Retooling for an Aging America: Building the Health Care Workforce. http://www.eldercare-workforce.org/files/documents/research/IOM-Report.pdf. Accessed Jan. 23, 2014.

10 HRSA FY 2014 Congressional Justification 11 Ibid. 12 Man Wai Ng, DDS, MPH, Paul Glassman, DDS, MA, MBA, and James Crall, DDS, ScD. “The

Impact of Title VII on General and Pediatric Dental Education and Training.” Academic Medicine, Vol. 83. November 2008.

13 American Association of Colleges of Nursing. Title VIII Student Recipient Survey (2012).

Learn more about Titles VII and VIII by visiting www.aamc.org/advocacy/hpnec

or scanning the code below.

Title VII and Title VIII work together to build a health professions workforce that will meet the nation’s urgent health care needs by:

It takes years to train health professionals; Titles VII and VIII support aspiring

health professions students throughout the educational pipeline.

Titles VII and VIII are structured to allow grantees to test educational

innovations, respond to changing delivery systems and models of care.

Source: Bureau of Health Professions, HRSA

Federal Funding for Health Professions and Nursing EducationUnder Titles VII & VIII of the Public Health Service Act

FYs 2012-2013STATE FY 2012 FY 2013 ∆ FY 12-13

Alabama $13,845,565 $12,307,609 ($1,537,956)

Alaska $943,150 $901,011 ($42,139)

Arizona $7,307,668 $5,904,934 ($1,402,734)

Arkansas $1,940,911 $1,711,594 ($229,317)

California $25,893,258 $19,782,360 ($6,110,898)

Colorado $3,726,841 $3,363,683 ($363,158)

Connecticut $3,471,391 $3,425,764 ($45,627)

Delaware $431,005 $467,562 $36,557

District of Columbia $8,067,726 $8,040,391 ($27,335)

Florida $15,726,194 $12,843,872 ($2,882,322)

Georgia $11,317,371 $5,687,084 ($5,630,287)

Guam $755,192 $630,015 ($125,177)

Hawaii $1,955,734 $2,887,334 $931,600

Idaho $536,439 $528,625 ($7,814)

Illinois $10,002,968 $8,838,867 ($1,164,101)

Indiana $5,601,630 $5,101,560 ($500,070)

Iowa $3,844,823 $2,181,196 ($1,663,627)

Kansas $3,229,186 $2,660,283 ($568,903)

Kentucky $6,074,142 $4,882,921 ($1,191,221)

Louisiana $9,247,771 $7,755,071 ($1,492,700)

Maine $1,585,475 $1,210,951 ($374,524)

Maryland $4,625,629 $3,957,793 ($667,836)

Massachusetts $11,109,000 $8,832,466 ($2,276,534)

Michigan $10,995,198 $8,180,986 ($2,814,212)

Minnesota $4,990,108 $3,751,783 ($1,238,325)

Mississippi $1,453,124 $865,747 ($587,377)

Missouri $6,217,677 $5,733,701 ($483,976)

Montana $2,474,582 $2,957,801 $483,219

Nebraska $3,524,340 $3,030,316 ($494,024)

Nevada $2,113,793 $1,791,924 ($321,869)

New Hampshire $1,395,876 $915,130 ($480,746)

New Jersey $6,649,457 $4,008,514 ($2,640,943)

New Mexico $5,120,942 $3,843,355 ($1,277,587)

New York $26,951,321 $24,834,855 ($2,116,466)

North Carolina $11,656,803 $11,680,657 $23,854

North Dakota $3,229,932 $2,619,999 ($609,933)

Ohio $11,103,462 $11,592,136 $488,674

Oklahoma $3,101,169 $1,958,855 ($1,142,314)

Oregon $2,566,601 $2,331,853 ($234,748)

Pennsylvania $19,838,351 $17,082,136 ($2,756,215)

Puerto Rico $6,970,129 $6,093,974 ($876,155)

Rhode Island $2,040,113 $2,148,865 $108,752

South Carolina $3,477,394 $2,791,765 ($685,629)

South Dakota $1,861,719 $1,970,772 $109,053

Tennessee $19,435,646 $15,951,478 ($3,484,168)

Texas $22,514,939 $17,427,704 ($5,087,235)

U.S. Virgin Islands $0 $0 $0

Utah $1,439,841 $2,039,782 $599,941

Vermont $1,661,098 $2,153,676 $492,578

Virginia $6,928,711 $6,275,340 ($653,371)

Washington $6,330,269 $6,869,064 $538,795

West Virginia $1,884,936 $1,868,097 ($16,839)

Wisconsin $5,435,193 $4,713,457 ($721,736)

Wyoming $907,751 $659,806 ($247,945)

TOTAL $355,509,544 $302,046,504 ($53,463,040)

Members of the Health Professions and Nursing Education Coalition

Academic Pediatric Association

American Academy of Family Physicians

American Academy of Pediatric Dentistry

American Academy of Pediatrics

American Academy of Physician Assistants

American Association for Dental Research

American Association for Marriage and Family Therapy

American Association of Colleges of Nursing

American Association of Colleges of Osteopathic Medicine

American Association of Colleges of Pharmacy

American Association of Colleges of Podiatric Medicine

American Association of Nurse Practitioners

American College of Osteopathic Family Physicians

American College of Osteopathic Internists

American College of Physicians

American College of Preventive Medicine

American Dental Association

American Dental Education Association

American Dental Hygienists’ Association

American Geriatrics Society

American Nurses Association

American Occupational Therapy Association

American Osteopathic Association

American Pediatric Society

American Podiatric Medical Association

American Psychological Association

American Public Health Association

American Society for Clinical Laboratory Science

American Society for Clinical Pathology

Association of Academic Health Centers

Association of American Medical Colleges

Association of American Veterinary Medical Colleges

Association of Departments of Family Medicine

Association of Family Medicine Residency Directors

Association of Medical School Pediatric Department Chairs

Association of Minority Health Professions Schools

Association of Public and Land‑grant Universities

Association of Rehabilitation Nurses

Association of Women’s Health, Obstetric and Neonatal Nurses

Coalition of Urban Serving Universities

Community‑Campus Partnerships for Health

Council on Social Work Education

Eldercare Workforce Alliance

Emergency Nurses Association

Health Professions Network

Hematology/Oncology Pharmacy Association

Movement is Life

National AHEC Organization

National Association for Geriatric Education

National Association of Clinical Nurse Specialists

National Association of Geriatric Education Centers

National Association of Hispanic‑Serving Health Professions Schools

National Association of Nurse Practitioners in Women’s Health

National Association of Pediatric Nurse Practitioners

National Council for Diversity in the Health Professions

National Hispanic Medical Association

National League for Nursing

North American Primary Care Research Group

Oncology Nursing Society

Physician Assistant Education Association

Society for Pediatric Research

Society of General Internal Medicine

Society of Teachers of Family Medicine

655 K Street, N.W., Suite 100, Washington, D.C. 20001‑2399T 202 828 0525 F 202 862 6218 www.aamc.org/advocacy/hpnec