Transcript Allied Health Professions

Title VII, Interdisciplinary, Community-Based
Linkages
Part D, Public Health Service Act
Section 755: Allied Health and Other Disciplines
Louis D. Coccodrilli, MPH
Acting Director, Division of Medicine and Dentistry
Acting Director, Division of State, Community & Public Health
Bureau of Health Professions
Health Resources and Services Administration
Department of Health and Human Services
Health Resources and Services
Administration (HRSA)
HRSA
Elizabeth Duke, PhD
BPHC
Practitioners
Data Bank
BHPr
A. Michelle Snyder
Nursing
Health Careers
Development
OHIT
MCHB
Medicine
and Dentistry
Lou Coccodrilli, MPH
State, Community,
and Public Health
Lou Coccodrilli, MPH
HAB
NHSC
HRSA
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Mission: HRSA provides national leadership, program resources and
services needed to improve access to culturally competent, quality health
care.
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Vision: HRSA envisions optimal health for all, supported by a health care
system that assures access to comprehensive, culturally competent, quality
care.
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HRSA programs and services target:
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44 million Americans who lack health insurance - many of whom are racial
and ethnic minorities,
Over 50 million underserved Americans who live in rural and poor urban
neighborhoods where health care services are scarce,
African American infants who still are 2.4 times as likely as white infants to
die before their first birthday,
More than l million people living with HIV/AIDS, both in and out of care,
and
Over 87,000 Americans who are waiting for an organ transplant.
HRSA: Strategic Goals
1)
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Improve access to health care
Improve health outcomes
Improve the quality of health care
Eliminate health disparities
Improve the public health and health care systems
Enhance the ability of the health care system to
respond to public health emergencies
Achieve excellence in management
Bureau of Health Professions (BHPr)
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Mission: Improve the health status of the population by providing
national leadership in the development, distribution and retention
of a diverse, culturally competent health workforce that provides
the highest quality care for all.
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Vision: A nation in which universal access and utilization of
quality health care are provided, health workforce shortages are
eliminated, health disparities are overcome, prevention is
emphasized and health outcomes are optimal for all.
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The right people, with the right skills, in the right places, to
achieve the right health outcomes.
Title VII - AHP Authorizing Legislation
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Section 755, Part D of the Public Health Service (PHS)
Act, 1998 – 2002
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Authorization currently expired
Authorized activities of AH projects include:
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1) Assisting organizations in meeting costs associated with
expanding or establishing programs that will increase the
number of individuals trained in AH professions
Such programs and/or activities include those that:
a) expand AH professional enrollment within professions of greatest
shortages or whose services are needed by the elderly
b) provide transition training programs in allied health fields to those
with a bachelor’s degree in health-related sciences
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Authorizing Legislation Cont..
c) establish community-based training linking rural clinics to academic centers
d) provide career advancement training
e) expand/establish clinical training sites in MUAs
f) develop curriculum to emphasize knowledge and practice in areas of
prevention, health promotion, geriatrics, long-term care, home health and
hospice care, and ethics
g) expand/establish interdisciplinary training programs that promote
effectiveness of AH professionals in geriatric assessment and
rehabilitation services for the elderly
h) expand/establish demonstration centers to emphasize innovative models to
link AH to clinical practice, education and research
i) provide financial assistance (traineeships) to students
j) meet costs of projects to plan, develop, and operate or maintain graduate
programs in behavioral and mental health practice.
Authorizing Legislation Cont..
2) Plan and implement projects in preventive and
primary care training for podiatric physicians
in approved residency training programs
3) Carry out demonstration projects where
chiropractors and physicians collaborate to
identify and provide effective treatment for
spinal and lower-back conditions
Allied Health Special Projects
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Podiatric Primary Care Residency Training Program
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Chiropractic Demonstration Project
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No competitive cycle in FY 2007
No awards in FY 2006
No competitive cycle in FY 2007
4 awards in FY 2006; Total Funds: $1,840,968
Graduate Psychology Education Program
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A competitive cycle is being administered in FY 2007
Application deadline: January 31, 2007
20 awards in FY 2006; Total Funds: $1,822,065
HRSA Funding for AHP
Fiscal Year
Budget
2002
$9,495,000
2003
$11,922,000
2004
$11,849,000
2005
$11,753,000
2006
$ 3,663,000
2007
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Advisory Committee on Interdisciplinary,
Community-Based Linkages (ACICBL)
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Authorized under Section 756, Part D of PHS Act
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Function:
(1) provide advice and recommendations to the Secretary concerning
policy and program development and other matters of significance
concerning activities under Section 756, Title VII, Part D of the PHS Act;
and
(2) prepare and submit to the Secretary, the Committee on Health,
Education, Labor and Pensions of the Senate, and the Committee on
Energy and Commerce of the House of Representatives, a report
describing the activities of the Advisory Committee, including findings
and recommendations made by the Committee.
ACICBL & Allied Health
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Membership
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21-member committee:
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balance of health professionals
broad geographic representation
representation of women and minorities
Are members from schools associated with
training programs described in sections 751755 of PHS Act
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AHECs, HETCs, GECs, GTPDs, GACAs, Allied Health,
Quentin N. Burdick Rural Interdisciplinary Training,
Chiropractic, Podiatry, and Graduate Psychology
Current ACICBL Members
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Allied Health:
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Stephen Wilson, PhD
Associate Dean, School of Allied Health Professions
The Ohio State University, School of Medicine Professions
Term: September 2003 - present
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Cheryl Cameron, PhD, JD
Acting Vice Provost and Professor, Dental Health Services
University of Washington
Term: September 2003 - present
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Brandy Bush
PhD Student
Creighton University
Term: September 2006 - present
Current ACICBL Members
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Graduate Psychology:
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Chiropractic:
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William Elder, PhD
Clinical Psychologist
University of Kentucky Chandler Medical Center
Term: September 2003 - present
Allan Adams, DC
Vice President Academics and Program Development
Texas Chiropractic College
Term: September 2006 - present
Podiatry:
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Karona Mason-Kemp, DPM
Chair, Dept of Biomechanics and Orthopedic Diseases
Dr. William Scholl College of Podiatric Medicine
Term: September 2003 - present
Past ACICBL Members
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Allied Health
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Ron E. Reed, PTA, MSHI
VP of Client Advocacy and Product Management
The Rehab Documentation Company, LLC
Term: September 2003 – September 2005
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Charles Spann, PhD
Acting Dean, School of Health Professions
Jackson State University
Term: 2001 – 2003
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Estela Estape, MT, PhD
Dean, College of Health Related Professions
University of Puerto Rico
Term: 2001 – 2003
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Richard Oliver, PhD
Dean, School of Health Professions
University of Missouri-Columbia
Term: 2001 - 2003
Past ACICBL Members
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Chiropractic:
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Cheryl Hawk, DC, PhD
Dean of Research
Southern California University of Health Sciences
Term: September 2003 – September 2005
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Podiatry:
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Lawrence B. Harkless, DPM
Professor, Department of Orthopedics
University of Texas Health Sciences Center at San Antonio
Term: 2001 – 2003
ACICBL Fifth Annual
Report
ACICBL Fifth Annual Report :
Allied Health Description
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Definition: “Allied health professionals are health
care practitioners with formal education and clinical
training who are credentialed through certification,
registration, and/or licensure. They collaborate with
physicians and other members of the health care
team to deliver patient care services for the
identification, prevention, and treatment of diseases,
disabilities, and disorders”
- Developed by the Health Professionals Network
ACICBL Fifth Annual Report :
Allied Health Findings
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US Bureau of Labor Statistics: health care
industry is predicted to add nearly 3.5 million
new jobs between 2002 and 2012
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Currently high vacancy rates exist in AH
professions
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Occupational therapy – 15.7%
Imaging sciences – 15.3%
Fastest Growing Health Care Occupations, 2002-2012
Rank
Occupation
% Growth Expected
1
Medical Assistants
59
3
Physician Assistants
49
4
Social and Human Service Assistants
49
5
Home Health Aides
48
6
Medical Records and Health Information Technicians
47
7
Physical Therapist Aides
46
10
Physical Therapist Assistants
45
15
Dental Hygienists
43
16
Occupational Therapist Aides
43
17
Dental Assistants
42
18
Personal and Home care Aides
40
21
Occupational Therapist Assistants
39
28
Physical Therapists
35
29
Occupational Therapists
35
30
Respiratory Therapists
35
Source: US Bureau of Labor Statistics
ACICBL Fifth Annual Report :
Allied Health Findings
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Reasons for current/anticipated shortages
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Aging workforce
High attrition
Shrinking applicant pool
Lack of career ladders
Degree creep
Barriers to the training of AH students
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Faculty shortages
Lack of clinical training sites
Cost of training
Lack of awareness of Allied Health careers
Students are unprepared for health careers curricula
Fewer training opportunities
Articulation
ACICBL Fifth Annual Report:
Recommendations
1) Congress should expand the legislative authorities in Title VII,
Section 755(b)(1) to include:
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Innovative projects designed to meet specifically defined and well
justified local and regional allied health training needs (L);
Faculty development demonstration grants to address severe faculty
shortages in allied health profession programs including
interdisciplinary, community-based faculty fellowships in allied
health (M);
Projects that establish partnerships with existing HRSA workforce
centers to collect, analyze, and report data on the allied health
workforce, access, and diversity and provide reports on workforce
issues to Congress (N);
ACICBL Fifth Annual Report:
Recommendations Cont..
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Projects that provide incentives for partnerships with local higher
education institutions such as 2-year community colleges, tribal
colleges, Historically Black Colleges and Universities (HBCUs), and
Asian/Pacific Islander and/or Hispanic-serving institutions (O);
Projects that provide rapid transition training programs in allied
health fields to individuals who have certificates and/or associate, and
baccalaureate degrees in health-related sciences (B); and
Projects that expand or establish demonstration centers to emphasize
best practices and innovative models to link allied health clinical
practice, education, and research (H).
ACICBL Fifth Annual Report:
Recommendations Cont..
2) The Secretary and Congress should appropriate funding, no
less than the previous 1972 level of $35 million, under Title
VII, Section 755 specifically for allied health programs to
support interdisciplinary, community-based education and
training projects. With this additional funding, HRSA should
consider funding traineeships as authorized under Section
755(b)(1)(i).
3) Congress should enact the Allied Health Reinvestment Act
(AHRA) with the inclusion of Title VII, Section 755 revisions
proposed by this Committee in this report.
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Introduced in the House of Representatives on January 4, 2005 and in
Senate on February 28,2005
Allied Health Professions
Reinvestment Act of 2005
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Calls for amendment to the PHS Act
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Requires the Secretary of DHHS to:
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Develop public service announcements to promote the allied health
professions
Award grants to promote AH professions by
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Supporting State and Local campaigns
Supporting scholarship programs
Supporting programs to facilitate the entry of students into relevant careers
Expanding enrollment into such programs
Developing retention strategies
Supporting AHECs to contract with AH programs to work in communities and
to expand high school mentoring programs
Developing clinical education, internship, and resident programs that
encourage mentoring and development of specialties
Allied Health Professions
Reinvestment Act of 2005 Cont..
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Provide scholarships to prospective AH students who agree to work in
rural and other MUAs
Establish faculty loan funds to increase number of qualified faculty
Develop a system for collecting and analyzing workforce data to
determine education pipeline and practitioner shortages and to project
future needs for such a workforce
Include AH schools among the schools eligible to receive grants to
support Centers of Excellence in health professions education for
underrepresented minority individuals.
Suggestions: Federal Funding
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Consider:
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Broad focus vs. narrow focus
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Numerous AH disciplines vs. a selected few
Prioritize training needs among and within AH
professions; identify top three training needs
Include performance measures with any training requests
Identify potential performance measures data to be
collected and summarized
Relate training needs and performance measures to the
needs of employers, underserved populations and safety
net providers
Loan repayment vs. scholarships
Useful Resources
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BHPr: http://bhpr.hrsa.gov/
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ACICBL: http://bhpr.hrsa.gov/interdisciplinary/acicbl/reports/
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FY 2006 information on de-funded programs:
http://www.hrsa.gov/grants/unfunded.htm
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FY 2007 Justification of Estimates for Appropriations
Committees:
http://www.hrsa.gov/about/budgetjustification07/interdiscipli
nary.htm
Contact Information
Louis D. Coccodrilli, MPH
ACICBL, Designated Federal Official
Acting Director, Division of Medicine and Dentistry
Acting Director, Division of State, Community & Public Health
Bureau of Health Professions
Health Resources and Services Administration
5600 Fishers Lane
Rockville, MD 20857
301-443-6950
[email protected]