HRSA’s Primary Care HRSA’s Primary Care Workforce SummitWorkforce Summit

Office of Rural Health Policy Grantee Office of Rural Health Policy Grantee Partnership MeetingPartnership Meeting

Michelle Goodman, MAAMichelle Goodman, MAAU.S. Department of Health & Human Services (HHS)U.S. Department of Health & Human Services (HHS)Health Resources & Services Administration (HRSA)Health Resources & Services Administration (HRSA)

Office of Rural Health Policy (ORHP)Office of Rural Health Policy (ORHP)

August 31, 2009August 31, 2009

BackgroundBackground

HRSA held a national meeting on August 10-HRSA held a national meeting on August 10-12, 2009 in Washington, DC focusing on the 12, 2009 in Washington, DC focusing on the challenges rural and urban underserved challenges rural and urban underserved communities face in attracting and retaining communities face in attracting and retaining an adequate number of primary care an adequate number of primary care providers. providers.

The meeting was sponsored by:The meeting was sponsored by: Office of Rural Health Policy (ORHP)Office of Rural Health Policy (ORHP) Bureau of Health Professions (BHPr)Bureau of Health Professions (BHPr) Bureau of Clinician Recruitment and Service (BCRS)Bureau of Clinician Recruitment and Service (BCRS) Bureau of Primary Health Care (BPHC)Bureau of Primary Health Care (BPHC)

Why the need for this Why the need for this Summit?Summit?

Demand for primary care services continue to increase.Demand for primary care services continue to increase.

Unequal distribution of health care professionals to Unequal distribution of health care professionals to rural and inner-city urban areas. rural and inner-city urban areas.

Rural and inner-city communities continue to struggle Rural and inner-city communities continue to struggle to recruit and retain an adequate number of primary to recruit and retain an adequate number of primary care health professionals to provide high-quality care.care health professionals to provide high-quality care.

ParticipantsParticipants

This meeting brought together over 500 This meeting brought together over 500 participantsparticipants

Some of the participants included: Some of the participants included: – HRSA Grantees (i.e. SORHs, FQHCs, AHECs)HRSA Grantees (i.e. SORHs, FQHCs, AHECs)– ResearchersResearchers– National Associations and OrganizationsNational Associations and Organizations– FoundationsFoundations– Academic Health CentersAcademic Health Centers– CliniciansClinicians– StudentsStudents

Highlights from some Highlights from some of the Sessionsof the Sessions Dr. Edward O’Neil- UCSF:Dr. Edward O’Neil- UCSF:

– Current Health Care system is Current Health Care system is unsustainable, over-managed and under-unsustainable, over-managed and under-ledled

– Focusing on the number of providers is in Focusing on the number of providers is in itself a trapitself a trap

Dr. Lloyd Michener- Duke: Dr. Lloyd Michener- Duke: – Importance of team and community based Importance of team and community based

approaches to careapproaches to care

Highlights from some Highlights from some of the Sessionsof the Sessions Role of Foundations:Role of Foundations:

– Presentations from Dr. Marc Nivet from Josiah Presentations from Dr. Marc Nivet from Josiah Macy, Jr. Foundation and Dr. Sue Hassmiller Macy, Jr. Foundation and Dr. Sue Hassmiller from Robert Wood Johnson Foundation.from Robert Wood Johnson Foundation.

– Foundations have the opportunity to support Foundations have the opportunity to support riskier innovations and modelsriskier innovations and models

Massachusetts Model for Health Reform:Massachusetts Model for Health Reform:– Secretary Bigby presented the promises and Secretary Bigby presented the promises and

challenges of health care reformchallenges of health care reform

Highlights from some Highlights from some of the Sessionsof the Sessions Payment Reform and GME:Payment Reform and GME:

– There are many different approaches and There are many different approaches and models being considered.models being considered.

Diversity:Diversity:

– Dr. Elena Rios from the National Hispanic Dr. Elena Rios from the National Hispanic Medical Association and Dr. Eve Medical Association and Dr. Eve Higginbotham from Morehouse School of Higginbotham from Morehouse School of Medicine reminded participants of the Medicine reminded participants of the importance of diversity in the primary care importance of diversity in the primary care workforce.workforce.

Highlights from some Highlights from some of the Sessionsof the Sessions Breakout SessionsBreakout Sessions

– NHSC Feedback sessionNHSC Feedback session– Community Driven Medical Community Driven Medical

Education, AT StillsEducation, AT Stills– Recruitment and RetentionRecruitment and Retention– Integration of Oral and Mental Integration of Oral and Mental

Health Services into a Primary Care Health Services into a Primary Care Setting Setting

Key take-awaysKey take-aways

Coordinated models of care and primary care Coordinated models of care and primary care teamsteams could improve quality, access and could improve quality, access and flexibility.flexibility.

Explore opportunities to make HRSA funding Explore opportunities to make HRSA funding more flexible within existing legislation.more flexible within existing legislation.

Strengthen the relationship between HRSA Strengthen the relationship between HRSA and States to improve coordination and data and States to improve coordination and data sharing.sharing.

Expand NHSC and the SEARCH program.Expand NHSC and the SEARCH program.

Key take-awaysKey take-aways

Importance of training future providers at the Importance of training future providers at the community level --- FQHC, RHCs and CAHscommunity level --- FQHC, RHCs and CAHs

Examine reimbursement levels for all primary Examine reimbursement levels for all primary care providerscare providers

Increased collaboration among Federal Increased collaboration among Federal programs and initiatives (DOL, DOE and HHS)programs and initiatives (DOL, DOE and HHS)

Participant FeedbackParticipant Feedback

HRSA asked all participants for HRSA asked all participants for feedback and comments on what we feedback and comments on what we should be doing now and in the future should be doing now and in the future to address primary care workforce to address primary care workforce shortages.shortages.

Email: Workforcesummit@hrsa.gov Email: Workforcesummit@hrsa.gov – Email address will be active until Email address will be active until

September 30, 2009September 30, 2009

Next StepsNext Steps

Presentations are posted at: Presentations are posted at:

www.team-psa.com/workforcesummit2009www.team-psa.com/workforcesummit2009

Videos of the Plenary SessionsVideos of the Plenary Sessions

Meeting ReportMeeting Report

Contact InformationContact Information

Michelle Goodman, MAAMichelle Goodman, MAA

Public Health AnalystPublic Health Analyst

Office of Rural Health PolicyOffice of Rural Health Policy

mgoodman@hrsa.govmgoodman@hrsa.gov

ORHP Web site:ORHP Web site:

http://www.ruralhealth.hrsa.gov http://www.ruralhealth.hrsa.gov

ORHP Phone Number: (301) 443-0835 ORHP Phone Number: (301) 443-0835