1. WELCOME to the RHAT/NHSC Middle Tennessee Regional Meeting March 8, 2011 1

2. What can this mean for Middle TN? Opportunities for more folks to have access to primary care services 2

3. TRP Who/What is TRP? 3

4. 4 Who/What is Each of the TN Medical Schools – UT Memphis – Health Sciences Center – East TN State University – James H. Quillen College of Medicine – Vanderbilt University – College of Medicine – Meharry College of Medicine

5. 5 TRP Who/What is TRP? The Rural Health Association of TN – RHAT TN Hospital Association The TN Primary Care Association The TN Department of Health TennCare Bureau

6. TRP TRP – Specifically serves the Safety Net Health Departments Community Health Centers Rural Health Clinics Critical Access Hospitals Rural and underserved 6

7. TRP TRP role with Healthcare Workforce Development in TN?  Placement/R & R services including administering the State Primary Care Residents’ Stipend Program  Workforce Partners with the TNPCA for the SEARCH program  Partners with TN Dept of Health to relay information about SLRP with Tresea Donelson 7

8. TRP TRP ROLE WITH RHAT/NHSC IN TN?  Mission: To improve and enhance the accessibility, availability, and affordability of quality health care in Tennessee by creating a central focus and coordination of rural health care resources.  including working through partner agencies such as the RHAT  To accomplish in the most cost effective manner - TRP  PATRICK LIPFORD, Director TN Office of Rural Health patrick.lipford@tn.gov (615) 741-0388 more 8

9. NHSC? What is the NHSC?  A division of the Public Health Service  Service oriented – mission driven  Site eligibility process 9

10. NHSC? What is the NHSC?  The NHSC has 3,800 clinicians in service  About 4 million people receive health care from NHSC clinicians  There are more than 9,000 job vacancies for NHSC primary care medical, dental and mental health clinicians 10

11. NHSC? WHO is the NHSC?  Anyone in the room?  Jamal in Unicoi County TN  U.S. Surgeon General  Shana and  Darryl 11

12. National Health Service Corps Overview of the most current information Scholarship Program  Students who commit to HPSAs  2-4 years based on the scholarship support  Disciplines: Certified Nurse Midwives, Dentists, Family Nurse Practitioners, PAs, primary care physicians, Psychiatrists 12

13. NHSC New NHSC Join the Corps & Pay Back Your Loans $60,000 2 Years of Service $170,000 5 Years of Service Total Debt 6 or More Years of Service 6 or More Years of Service

14. Initial Contract Full-Time 2 Years $60,000 Half-Time 4 Years $60,000 Half-Time 2 Years $30,000 3 rd year$40,000initial contract$15,000 4 th year$40,000initial contract$15,000 5 th year$30,000$20,000 6 th year$30,000$20,000 Total After 6 Years of Service $200,000$100,000 NHSC New NHSC

15. NHSC Loan Repayment Program Mental & Behavioral Health Professionals Clinical Psychologists Clinical Social Workers Licensed Clinical Counselors Marriage & Family Counselors Psychiatric Nurse Practitioners/specialists Psychiatrists  Primary Care Physicians – FP, IM,PED,OB/GYN  Primary Care Nurse Practitioners  Physician Assistants  Certified Nurse Midwives  Dentists 15

16. NHSC? WHO is the NHSC? Testimonials usually tell the story best: Jamal! More? 16

17. NHSC? WHO is the NHSC? 17

18. WEST & EAST REGIONAL MEETINGS 18 Peter Bockhorst, D.O. Assistant Professor Joe Florence, M.D. Director of Rural Programs

19. Go to video now Regina M. Benjamin, M.D., M.B.A. Surgeon General of the United States Public Health Service 19

20. Shana Kaplan works as a Family Nurse Practitioner at Community Health of East Tennessee (formerly REACHS) and is originally from Massachusetts. She holds a BA in Journalism from New York University. She received her Registered Nurse degree from Middlesex School in Concord, MA, and earned her Master of Science in Nursing from MGH Institute of Health Professions in Boston, MA in 2009. During this time she was selected for an NHSC Search program and was placed at Community Health of East Tennessee. Ms. Kaplan decided to return to Tennessee following completion of her studies. She was selected as a National Health Service Corps Loan Repayor in 2010 and is currently participating in the program. She volunteers as a mentor with Amachi Knoxville.

21. Darryl Adams works as an Advanced Practice Nurse at the Grundy County Health Department and is originally from Albany, LA. She earned her Bachelor of Science in Nursing in 1998 and her Master of Science in Nursing in 2005 at Southeastern Louisiana University. Ms. Adams was selected as a National Health Service Corps Loan Repayor and has participated in the program from 2009 to present. For the past 4 ½ years, Ms. Adams has been a provider for primary care, family planning, the STD program, and the Tennessee Breast and Cervical Cancer Screening Program for the communities in and around Grundy County. She is a member of the Tennessee Public Health Association, Tennessee State Employee’s Association, and is the representative for the Southeast Region on the APN Practice Committee.

22. National Health Service Corps  Ambassador Program – please look on the website o COMMUNITY INFORMATION Eligibility What to do Who to contact 22

23. National Health Service Corps o COMMUNITY INFORMATION Eligibility – HPSA Designation What to do – apply on line Who to contact PATRICK LIPFORD, Director TN Office of Rural Health patrick.lipford@tn.gov (615) 741-0388 23

24. Communities NHSC Eligible Located in a HPSAHPSA Provides services on a discount fee schedule discount fee schedule Accepts patients covered by Medicare, Medicaid, and the Children's Health Insurance Program Can document sound fiscal management Has capacity to maintain a competitive salary, benefits, and malpractice coverage package for clinicians 24

25. National Health Service Corps ELIGIBLE? Federally Qualified Health Center Center or Look-Alike Certified Rural Health Clinic Indian Health Service Site (Federal or Tribal) Solo or Group Partnership or Practice Hospital-Affiliated Primary Care Practice Managed Care Network State or Federal Prison U.S. Immigration, Customs and Enforcement Site Public Health Department 25

26. National Health Service Corps o COMMUNITY INFORMATIONEligibility 34/40 counties in the Middle Region are eligible Has your entity already been approved? 26

27. RHAT, TRP & NHSC Summary – What do you do next? – How can we help you? 27

28. THANKS SO MUCH!!! REMINDERS: – We will stay to answer specific ?s – RHAT MEMBERSHIP TODAY! – Great Annual conference Nov. 2011 – Evaluation forms – DOOR PRIZE 28