Transcript Health Center Program - National Indian Health Board

Grant Opportunities for Tribes and
Tribal Organizations
National Indian Health Board
National Tribal Health Reform Implementation Summit
April 19, 2011
Marcia K. Brand, PhD
Health Resources and Services Administration
Department of Health and Human Services
Overview of Today’s Topics
• HRSA’s programs
• HRSA and the Affordable Care Act
• HRSA’s opportunities
• Applying for grants
HRSA - America’s Health Care Safety Net
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Health centers
HIV/AIDS programs
Maternal and child health programs
National Health Service Corps
Health care workforce training
Rural health programs
Organ and blood stem cell transplantation
340B drug pricing program
HRSA and the Affordable Care Act
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Increasing Access to Primary Care Services
Investing in the Health Care Workforce
Supporting Maternal and Child Health
Broadening Access to 340B Drug Discounts
Encouraging Prevention and Wellness
Bureau of Primary Health Care (BPHC)
• Types of Health Centers Administered by HRSA
– Sec. 330 health centers –Public and private non-profit health
care organizations that meet certain criteria and receive funds
under the Health Center Program.
– FQHC look-alikes – Health centers that have been identified by
HRSA and certified by the Centers for Medicare and Medicaid
Services as meeting the definitions of “health center” under
Section 330, although they do not receive grant funding under
Section 330.
Health Center Program
• FY 2010 appropriation of $2.19 billion.
• HRSA provides Federal grant funding to almost 1,200
health center grantees in every State, the District of
Columbia, Puerto Rico, the Virgin Islands, and the
Pacific Basin that deliver primary and preventive care
through almost 8,500 comprehensive service sites.
• Health centers serve nearly 19 million patients, about
40% of whom have no health insurance.
• In FY 2009 $50.5 million was awarded to HRSA funded
and IHS funded health centers.
Benefits of Becoming an FQHC
• Access to Federal grant funds to support the costs of uncompensated
care (Health Center Program only)
• Eligible for
- Enhanced reimbursement under Prospective Payment System
(PPS) or other state-approved alternative payment methodology for
services provided under Medicaid
- Cost-based reimbursement for services provided under Medicare
• Participation in the 340B (discounted) Drug Pricing Program
• Health Professional Shortage Area Designation and participation in
National Health Service Corps
• Federal Tort Claims Act (FTCA) malpractice coverage (Health Center
Program only)
• Federal Loan Guarantee Program (Health Center Program only)
Health Centers and the Affordable Care Act
• The Affordable Care Act provides $11 billion in funding over the
next 5 years for the operation, expansion, and construction of
health centers throughout the Nation.
• $9.5 billion is targeted to:
– Create new health center sites in medically underserved areas.
– Expand preventive and primary health care services, including oral health,
behavioral health, pharmacy, and/or enabling services, at existing health
center sites.
• $1.5 billion will support major construction and renovation
projects at community health centers nationwide.
Other Challenges
• Data collection
– Integration of HRSA’s Uniformed Data System (UDS)
requirements in the Resource and Patient Management System
(RPMS).
• Populations served
– A section 330 grantee must target services to meet the primary
care needs of the entire community including all age groups,
genders and ethnicities.
Health Workforce
• Health workforce strategy that:
– Expands the capacity and improves distribution of the primary
care workforce;
– Encourages team-based care;
– Focuses on elder care;
– Reduces disparities in the health workforce; and
– Develops the capacity to track and analyze health workforce
data.
• Expands the nation’s capacity to train new primary care providers
(physicians, nurse practitioners, physicians assistants) over five
years.
Additional Investments in the Health
Workforce
• Improve access to quality health care for the elderly by
educating students and practitioners in geriatric patient
care.
• Improve the diversity of the nation’s health workforce and
reduce disparities.
• Improve our analytic capacity.
– National Center for Health Workforce Analysis
Health Professions and the Affordable
Care Act
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With $250 million from the Affordable Care Act’s Prevention and Public
Health Fund:
– Train new primary care providers: 500 residents; 600 nurse practitioners
and mid-wives; 600 physician assistants. Fully trained by 2015.
– Initiated the State Health Care Workforce Development Program.
– Funded 10 Nurse Managed Health Clinics to provide access to primary care
and increase community-based clinical training sites for APNs.
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Made an initial 11 Teaching Health Center GME awards in January.
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Launched the National Center for Health Workforce Analysis, a national
resource on health workforce supply, demand and needs.
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Under the Affordable Car Act HRSA has established the Negotiated
Rule Making Committee that will develop criteria for designation
Medically Underserved Populations and Health Professional Shortage
Areas.
Bureau of Clinician Recruitment and
Service (BCRS)
• National Health Service Corps Loan Repayment
Program
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$50,000 toward repayment of student loans
Potential for additional years of support
• National Health Service Corps Scholarship
Program
- Tuition, fees and other educational costs
- Living stipend
The National Health Service Corps
(NHSC)
Site Eligibility
• Provide comprehensive primary medical, oral, or mental health care
services
Site Development
• Be located in a Health Professional Shortage Area
NHSC Application Process
• www.nhsc.hrsa.gov
Recruitment and Retention
• FY 2010 loan repayment award goals of 4,000 NHSC clinicians
Additional BCRS Programs
• Nursing Education Loan Repayment Program
• Nurse Scholarship Program
• Faculty Loan Repayment Program
• Native Hawaiian Health Scholarship Program
NHSC Resources
NHSC Job Opportunities List http://nhscjobs.hrsa.gov/
HRSA’s Geospatial Data Warehouse (HGDW)
http://datawarehouse.hrsa.gov
NHSC Call Center: 1-800-222-9393
RTSC: 1-877-313-1823
www.nhsc.hrsa.gov
BCRS main line: 301-594-4165
The Maternal and Child Health Bureau
(MCHB)
MCHB administers programs that serve more than
40 million women, infants and children each year.
• Title V Block Grants
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$662 million in FY 2010
State Formula Block Grants
Special Projects of Regional and National Significance (SPRANS)
Community Integrated Service Systems (CISS)
• Healthy Start
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101 Healthy Start sites in 38 states, the District of Columbia and Puerto
Rico
There are 6 Healthy Start sites that serve a predominately AI/AN
population.
Maternal and Child Health and the
Affordable Care Act
Maternal, Infant, and Early Childhood Home Visiting Program
• The Affordable Care Act authorizes and appropriates $1.5 billion for home
visitation through 2014.
• In FY 2010 49 States, the District of Columbia, and five territories received
funding through the program totaling approximately $88 million.
Family-to-Family Health Information Centers
• The Affordable Care Act authorizes and appropriates $5 million per year
through FY 2010.
 $4.9 million in funding was announced in continued support to 50 states and the
District of Columbia.
 The funding announcement was released on October 26, 2010, with applications
due on December 15, 2010. Awards anticipated by May 1, 2011.
Additional MCH Programs
• Universal Newborn Hearing Screening
• Traumatic Brain Injury
• Emergency Medical Services for Children
• Children with Autism and Epilepsy
HIV/AIDS Bureau
• Ryan White HIV/AIDS Program
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Funds primary health care
Provides support services and medications
• The AIDS Drug Assistance Program (ADAP)
- State-run ADAPs provide antiretroviral medications to patients who
cannot afford them
• The Global HIV/AIDS Program
- Part of the President’s Emergency Plan for AIDS Relief (PEPFAR);
funds HIV care and treatment, health manpower and organizational
capacity
The Ryan White Program
Part A
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Heavily Impacted Cities
Part B
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AIDS Drug Assistance Program (ADAP)
Part C
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HIV Primary Care
Part D
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Funding for women, infants, children, youth and families
Part F
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Special Projects of National Significance
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AIDS Education and Training Centers Program
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Dental Reimbursement and Community-based Dental program
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Minority AIDS Initiative
Office of Rural Health Policy (ORHP)
• Supports and funds State Offices of Rural Health
• Administers various grant programs
• Conducts research
• Provides technical assistance
• Oversees the University of North Dakota’s Rural
Assistance Center
ORHP Funding Opportunities
• Telehealth Resource Center
• Rural Health Outreach Program
• Rural Health Network Planning Grant
• Rural Health Network Development Grant
• Rural Health Quality Improvement Grant
• Rural Health Network HIT Program
Healthcare Systems Bureau (HSB)
• Organ and Blood Stem Cell Transplantation Programs
• Poison Control Program
• 340B Drug Pricing Program
• National Vaccine Injury Compensation Program
The Grant Process
• Overview of the competitive grant making
process
– What makes a successful application?
– What makes a successful grantee?
• Process for becoming a grant reviewer
Office of Regional Operations
• Develop a partnership between HRSA regional offices,
IHS Area Offices and tribes/urban Indian entities.
• Support HHS Regional Director in meaningful
collaboration with tribal/urban Indian partners.
• Increase the culturally competent health professional
workforce serving tribal/urban Indian communities
(pipeline, scholarships & loans repayment, R&R).
• Support HRSA initiatives that reduce the burden of
disease and improve the health of AI/AN people.
HRSA Office of Regional Operations (ORO)
and IHS Area Offices & Urban Indian (UI) Health Programs
by Location
Bemidji Area
Seattle
Portland Area
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Bos
Billings Area
New Yo
Aberdeen Area
San Francisco
Philadelphi
Denver
Navajo Area
California
Area
Chicago
Kansas City
Nashville Area
Phoenix Area
Oklahoma Area
Albuquerque Area
Atlanta
Tucson Area
Dallas
HRSA’s Regional Offices
IHS Area Offices
IHS UI Area Urban Coordinators
Puerto Ri
Key Resources
HRSA
www.hrsa.gov
Health Information Workforce Center
http://www.healthworkforceinfo.org/
Rural Assistance Center
http://www.raconline.org/
Grants.gov
www.grants.gov
Contact Information
Marcia K.Brand, PhD
Deputy Administrator, HRSA
[email protected]
301-443-2216
Tonya Bowers
Director, Office of Policy and Program Development
Bureau of Primary Health Care
[email protected]
301-594-4300
[email protected]