1. Alaska’s SHARP Program Medical, Behavioral & Dental Practitioners Total Contracts: SHARP-I & SHARP-II As of: Feb. 3 rd, 2015 Support-for-Service in Alaska: Clinician Census To-Date: 158

2. Progress To-Date …. Clinicians: 158, & adding up to 51 now Location: All state regions; many settings Sites: CHCs, CMHCs, CAHs, & Tribals Collaboration: Interagency leadership Funding: Diversified, blended, growing SHARP-I thru 2017, & SHARP-II thru 2018 Effectiveness: Retention data Trend-3 … 2AK SHARP Program - Summary as of 2-3-15

3. Clinician Census (2/3/15) Current –158 clinicians (as of: 2/3/15) 74 = SHARP-I 84 = SHARP-II Plan - SFY’15 –51 SHARP-I applicants selected AK SHARP Program - Summary as of 2-3-15 3

4. Progress: Behavioral Health (2/3/15) OccupationSHARP-ISHARP-IITotals LCSW8412 LPC130 MFT000 NP/RN/PA Psy246 Psychologist235 Psychiatrist459 Total291645 4AK SHARP Program - Summary as of 2-3-15

5. Progress: Dental Care (2/3/15) OccupationSHARP-ISHARP-IITotals Dentist8917 Dental Hygienist257 Total101424 5AK SHARP Program - Summary as of 2-3-15

6. Progress: Medical Care (2/3/15) OccupationSHARP-ISHARP-IITotals Physician171027 Nurse Practitioner7512 Physician Assistant7310 Pharmacists279 Physical Therapists022 RN Nurses257 Total353267 6AK SHARP Program - Summary as of 2-3-15

7. Locations To-Date …Examples Anchorage Barrow Bethel Copper Center Craig Dillingham Fairbanks Glennallen Healy Homer Juneau Kenai Ketchikan Kotzebue Petersburg Sitka Skagway Talkeetna Tok Unalaska Wrangell Several others … 7 AK SHARP Program - Summary as of 2-3-15

8. Sites To-Date … Examples Alaska Psychiatric InstituteManiilaq Association Anchorage Community Mental Health SrvMat-Su Health Services Bethel Family ServicesNorth Slope Borough, Health Dept, IBH Bristol Bay Area Health CorpPeaceHealth - Ketchikan Medical Center Catholic Community ServicesPeninsula Community Health Services Central Peninsula Hospital, Behavioral Health DeptPetersburg Mental Health Services Copper River Native AssociationProvidence Physicians Service Organization Div of Juvenile Justice - Bethel Youth FacilityRailbelt Mental Health & Addictions Iliuliuk Family & Health ServicesSound Alternatives, Cordova Com. Med. Ctr. - COC Juneau Alliance for Mental Health, Inc.South East Alaska Regional Health Consortium Lynn Canal Counseling Services - HainesSouthcentral Foundation Yukon-Kuskokwim Health Corporation Tok Area Counseling Center 8 AK SHARP Program – Summary as of 2-3-15

9. Clinician Retention - (n=66) During Contract … then Post-Contract –Successful MOA completions: 98% –Practice still at Same Agency: 82%; 64% –Practice still in Safety Net: 98%; 85% –Practice still within Alaska: 98%; 91% AK SHARP Program - Summary as of 2-3-15 9

10. The Road Ahead Trend-1: Continue building effectiveness Trend-2: Connecting with other initiatives –Medicaid Expansion –Behavioral Health – Primary Care Integration –Primary Care Medical Home –Dental Mid-levels effort Trend-3: Institutionalization 10AK SHARP Program - Summary as of 2-3-15

11. Issue: Medicaid Expansion Estimate of impact on client census (19-42K) –Safety-net facilities will be impacted harder –Must continue infrastructure prep … now All SHARP clinicians & all sites MUST: o Take Medicaid, Medicare, Uninsured & Fed bens o Quarterly Work Reports: Patient & visit counts 11AK SHARP Program - Summary as of 2-3-15

12. For more information... Alaska’s SHARP Program Randi Sweet, Council Chair (United Way – Anchorage: rsweet@ak.org )rsweet@ak.org John Riley, Council Vice-Chair (University of Alaska – Medex Program: joriley@uaa.alaska.edu )joriley@uaa.alaska.edu Robert Sewell, SHARP Manager (HPSD, DPH, AK DHSS: robert.sewell@alaska.gov )robert.sewell@alaska.gov SHARP website at: http://www.hss.state.ak.us/dph/Healthplanning/sharp/ http://www.hss.state.ak.us/dph/Healthplanning/sharp/