Physician Workforce Advisory Council Meeting Orlando, Florida Sunday, May 15, 2016 Florida Health Professional Shortage Areas - HPSAs

Types, Disciplines and Calculation Methods Florida Department of Health Division of Public Health Statistics and Performance Management Bureau of Community Health Assessment and Health Resources and Services Administration-HRSA Bureau of Health Workforce Shortage Designation Branch Public Health Service Act, Title III Section 333D Public Health Service Act as amended, Title 3 Section 330(l), 330(m), 333(d) Cooperative Agreement U68HP11453 Health Professional Shortage Areas –HPSAs

HPSAs Designation Purpose and Use National Health Service Corps Foreign Physician Waivers Programs Rural Health Clinics Federally Qualified Community Health Centers Florida’s Area of Critical Need Facility Designation

Health Professional Shortage Areas –HPSAs Types Disciplines Facility Primary Care Population Groups Dental Care Geographic Areas Mental Health S F Florida HPSAs Total = 625 S F

Health Professional Shortage Areas –HPSAs Facility HPSAs Federal and/or State correctional institutions Federally Qualified Health Centers Rural Health Clinics Florida’s Facility Designations Correctional Facilities -127 (14 Federal Facilities; 113 State Facilities) Federal Qualified Health Centers- 150 Rural Health Clinics-58 CC HE S

Health Professional Shortage Areas –HPSAs Population HPSAs A geographic area will be designated as having a shortage of primary medical care physicians for population type HPSAs if three criteria are met. County Level Census Tract Level

Health Professional Shortage Areas –HPSAs Population HPSAs Criteria 1 The area must be rational for the delivery of primary medical care services. A Rational Service Area is defined as an area that is socio economically, ethnically homogeneous, and defined by contiguous census tracks, or within a whole county for whole county designations.

Population HPSAs Criteria 2 The Following Conditions must prevail: 1.Reside in an area in that is rational for the delivery of primary medical care services as defined in the Federal code of regulations 2. Have a ratio of persons in the population group to number of primary care physicians* practicing in the area and serving the population group ratio of at least 3,000:1 * Primary Care Providers accepting Medicaid and SFS Family Medicine, OB/GYN, Internal Medicine and Pediatrics Health Professional Shortage Areas –HPSAs

Population HPSAs Criteria 3 Primary medical care professionals in contiguous areas are over utilized, excessively distant, or inaccessible to the population of the area under consideration Health Professional Shortage Areas –HPSAs

Health Professional Shortage Areas –HPSAs Population Group HPSAs Florida’s Low Income Population HPSAs Primary Care- 123 Dental Care Mental Health – 24 Total LI Population HPSAs =251 Other Types of Population Group HPSAS -Homeless -Migrant Farmworker -Native American

Health Professional Shortage Areas –HPSAs Geographic HPSAs Whole County For the whole population regardless of income All primary care physicians are counted. Geographic Low Income Whole County HPSA based on the Low Income - Population and Providers to serve that population. Have a population to full-time-equivalent primary care physician ratio of at least 3,500:1 Florida’s Geographic HPSAs-Whole County Primary Care = 17 Dental Care= 0 Mental Health= 17

Total of all types = + + Florida’s Primary Care HPSAs Calculation Criteria Population-to- Provider Ratio % of Population at 200% FPL Infant Health Index Travel Time t o NND HPSA Score Out of 25 Health Professional Shortage Areas –HPSAs +

Resources HPSA Criteria HRSA Health Workforce Primary Medical Care HPSA Designation Criteria HPSA Find HRSA Data Warehouse Florida Department of Health Division of Public Health Statistics and Performance Management Bureau of Community Health Assessment and Health Resources and Services Administration-HRSA Bureau of Health Workforce Shortage Designation Branch Grant # Public Health Service Act, Title III Section 333D Public Health Service Act as amended, Title 3 Section 330(l), 330(m), 333(d) Cooperative Agreement U68HP11453