Presentation on theme: "Title VII, Interdisciplinary, Community-Based Linkages Part D, Public Health Service Act Section 755: Allied Health and Other Disciplines Louis D. Coccodrilli,"— Presentation transcript:
1 Title VII, Interdisciplinary, Community-Based Linkages Part D, Public Health Service Act Section 755: Allied Health and Other DisciplinesLouis D. Coccodrilli, MPHActing Director, Division of Medicine and DentistryActing Director, Division of State, Community & Public HealthBureau of Health ProfessionsHealth Resources and Services AdministrationDepartment of Health and Human Services
2 Health Resources and Services Administration (HRSA)
3 HRSAMission: HRSA provides national leadership, program resources and services needed to improve access to culturally competent, quality health care.Vision: HRSA envisions optimal health for all, supported by a health care system that assures access to comprehensive, culturally competent, quality care.HRSA programs and services target: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, andOver 87,000 Americans who are waiting for an organ transplant.
4 HRSA: Strategic Goals Improve access to health care Improve health outcomesImprove the quality of health careEliminate health disparitiesImprove the public health and health care systemsEnhance the ability of the health care system to respond to public health emergenciesAchieve excellence in management
5 Bureau of Health Professions (BHPr) 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.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.The right people, with the right skills, in the right places, to achieve the right health outcomes.
6 Title VII - AHP Authorizing Legislation Section 755, Part D of the Public Health Service (PHS) Act, 1998 – 2002Authorization currently expiredAuthorized activities of AH projects include:1) Assisting organizations in meeting costs associated with expanding or establishing programs that will increase the number of individuals trained in AH professionsSuch programs and/or activities include those that:a) expand AH professional enrollment within professions of greatest shortages or whose services are needed by the elderlyb) provide transition training programs in allied health fields to those with a bachelor’s degree in health-related sciences
7 Authorizing Legislation Cont.. c) establish community-based training linking rural clinics to academic centersd) provide career advancement traininge) expand/establish clinical training sites in MUAsf) develop curriculum to emphasize knowledge and practice in areas of prevention, health promotion, geriatrics, long-term care, home health and hospice care, and ethicsg) expand/establish interdisciplinary training programs that promote effectiveness of AH professionals in geriatric assessment and rehabilitation services for the elderlyh) expand/establish demonstration centers to emphasize innovative models to link AH to clinical practice, education and researchi) provide financial assistance (traineeships) to studentsj) meet costs of projects to plan, develop, and operate or maintain graduate programs in behavioral and mental health practice.
8 Authorizing Legislation Cont.. 2) Plan and implement projects in preventive and primary care training for podiatric physicians in approved residency training programs3) Carry out demonstration projects where chiropractors and physicians collaborate to identify and provide effective treatment for spinal and lower-back conditions
9 Allied Health Special Projects Podiatric Primary Care Residency Training ProgramNo competitive cycle in FY 2007No awards in FY 2006Chiropractic Demonstration Project 4 awards in FY 2006; Total Funds: $1,840,968Graduate Psychology Education ProgramA competitive cycle is being administered in FY 2007Application deadline: January 31, 200720 awards in FY 2006; Total Funds: $1,822,065
10 HRSA Funding for AHP Fiscal Year Budget 2002 $9,495,000 2003 $11,922,0002004$11,849,0002005$11,753,0002006$ 3,663,0002007?
11 Advisory Committee on Interdisciplinary, Community-Based Linkages (ACICBL) Authorized under Section 756, Part D of PHS ActFunction:(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.
12 Membership ACICBL & Allied Health 21-member committee: balance of health professionalsbroad geographic representationrepresentation of women and minoritiesAre members from schools associated with training programs described in sections of PHS ActAHECs, HETCs, GECs, GTPDs, GACAs, Allied Health, Quentin N. Burdick Rural Interdisciplinary Training, Chiropractic, Podiatry, and Graduate Psychology
13 Current ACICBL Members Allied Health:Stephen Wilson, PhDAssociate Dean, School of Allied Health ProfessionsThe Ohio State University, School of Medicine ProfessionsTerm: September presentCheryl Cameron, PhD, JDActing Vice Provost and Professor, Dental Health ServicesUniversity of WashingtonBrandy BushPhD StudentCreighton UniversityTerm: September present
14 Current ACICBL Members Graduate Psychology:William Elder, PhDClinical PsychologistUniversity of Kentucky Chandler Medical CenterTerm: September presentChiropractic:Allan Adams, DCVice President Academics and Program DevelopmentTexas Chiropractic CollegeTerm: September presentPodiatry:Karona Mason-Kemp, DPMChair, Dept of Biomechanics and Orthopedic DiseasesDr. William Scholl College of Podiatric Medicine
15 Past ACICBL Members Allied Health Ron E. Reed, PTA, MSHI VP of Client Advocacy and Product ManagementThe Rehab Documentation Company, LLCTerm: September 2003 – September 2005Charles Spann, PhDActing Dean, School of Health ProfessionsJackson State UniversityTerm: 2001 – 2003Estela Estape, MT, PhDDean, College of Health Related ProfessionsUniversity of Puerto RicoRichard Oliver, PhDDean, School of Health ProfessionsUniversity of Missouri-ColumbiaTerm:
16 Past ACICBL Members Chiropractic: Cheryl Hawk, DC, PhD Dean of ResearchSouthern California University of Health SciencesTerm: September 2003 – September 2005Podiatry:Lawrence B. Harkless, DPMProfessor, Department of OrthopedicsUniversity of Texas Health Sciences Center at San AntonioTerm: 2001 – 2003
18 ACICBL Fifth Annual Report : Allied Health Description 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
19 ACICBL Fifth Annual Report : Allied Health Findings US Bureau of Labor Statistics: health care industry is predicted to add nearly 3.5 million new jobs between 2002 and 2012Currently high vacancy rates exist in AH professionsOccupational therapy – 15.7%Imaging sciences – 15.3%
20 Fastest Growing Health Care Occupations, 2002-2012 RankOccupation% Growth Expected1Medical Assistants593Physician Assistants494Social and Human Service Assistants5Home Health Aides486Medical Records and Health Information Technicians477Physical Therapist Aides4610Physical Therapist Assistants4515Dental Hygienists4316Occupational Therapist Aides17Dental Assistants4218Personal and Home care Aides4021Occupational Therapist Assistants3928Physical Therapists3529Occupational Therapists30Respiratory TherapistsSource: US Bureau of Labor Statistics
21 ACICBL Fifth Annual Report : Allied Health Findings Reasons for current/anticipated shortagesAging workforceHigh attritionShrinking applicant poolLack of career laddersDegree creepBarriers to the training of AH studentsFaculty shortagesLack of clinical training sitesCost of trainingLack of awareness of Allied Health careersStudents are unprepared for health careers curriculaFewer training opportunitiesArticulation
22 ACICBL Fifth Annual Report: Recommendations 1) Congress should expand the legislative authorities in Title VII, Section 755(b)(1) to include: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);
23 ACICBL Fifth Annual Report: Recommendations Cont.. 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); andProjects that expand or establish demonstration centers to emphasize best practices and innovative models to link allied health clinical practice, education, and research (H).
24 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.Introduced in the House of Representatives on January 4, 2005 and in Senate on February 28,2005
25 Allied Health Professions Reinvestment Act of 2005 Calls for amendment to the PHS ActRequires the Secretary of DHHS to:Develop public service announcements to promote the allied health professionsAward grants to promote AH professions bySupporting State and Local campaignsSupporting scholarship programsSupporting programs to facilitate the entry of students into relevant careersExpanding enrollment into such programsDeveloping retention strategiesSupporting AHECs to contract with AH programs to work in communities and to expand high school mentoring programsDeveloping clinical education, internship, and resident programs that encourage mentoring and development of specialties
26 Allied Health Professions Reinvestment Act of 2005 Cont.. Provide scholarships to prospective AH students who agree to work in rural and other MUAsEstablish faculty loan funds to increase number of qualified facultyDevelop a system for collecting and analyzing workforce data to determine education pipeline and practitioner shortages and to project future needs for such a workforceInclude AH schools among the schools eligible to receive grants to support Centers of Excellence in health professions education for underrepresented minority individuals.
27 Suggestions: Federal Funding Consider:Broad focus vs. narrow focusNumerous AH disciplines vs. a selected fewPrioritize training needs among and within AH professions; identify top three training needsInclude performance measures with any training requestsIdentify potential performance measures data to be collected and summarizedRelate training needs and performance measures to the needs of employers, underserved populations and safety net providersLoan repayment vs. scholarships
28 Useful Resources BHPr: http://bhpr.hrsa.gov/ ACICBL:FY 2006 information on de-funded programs:FY 2007 Justification of Estimates for Appropriations Committees:
29 Contact InformationLouis D. Coccodrilli, MPHACICBL, Designated Federal OfficialActing Director, Division of Medicine and DentistryActing Director, Division of State, Community & Public HealthBureau of Health ProfessionsHealth Resources and Services Administration5600 Fishers LaneRockville, MD 20857