1. Retention and the NHSC Ron Yee, MD, MBA, FAAFP Chief Medical Officer
United Health Centers
Parlier, California
NACHC Winter Strategy Meeting
Delray Beach, Florida
January 24, 2013

2. Discussion Points NHSC United Health Centers’ Experience Definitions
Retention Assessment Survey
United Health Centers’ Experience
Retention Strategies
Challenges to Retention
Retention Data
NHSC Retention Strategy Summary

3. NHSC Definition of Retention
The percentage of NHSC clinicians who remain practicing in underserved areas (HPSAs) after successfully completing their service commitment to the Corps
Short-term = up to 1 year after completion
Long-term = up to 10 years after completion

4. NHSC 2012 Retention Assessment Survey
9,908 NHSC Field Strength
26% response rate
94% LRP + 6% SP
82% Short-term retention (<=1 year)
Up 28% vs rate
55% Long-term retention (>10 years)
Up 6% vs rate

5. NHSC 2012 Retention Assessment Survey
Most important factors for retention
56% Overall site experience
48% Practice hours/schedule
34% Salary
32% Alignment with personal goals
27% Community involvement
21% Proximity to family

6. United Health Centers’ Experience
Retention Strategies
Challenges to Retention
Retention Data

7. Retention Strategies from the Front Lines
Run a quality mission-driven organization
Help them find their niche
Let them focus on quality patient care
Maintain a sense of mission
Offer opportunities for input & leadership

8. Run a quality mission-driven organization
Run a quality mission-driven organization Jim Smurr, MD, LRP, Retained 15 years

9. Run a quality mission-driven organization
Run a quality mission-driven organization Jim Smurr, MD, LRP, Retained 15 years

10. Help them find their niche Lance Gault, DO, final year SP

11. Help them find their niche Lance Gault, DO, final year SP

12. Let them focus on quality patient care Rogelio Fernandez, MD, LRP, Retained 19 Years

13. Let them focus on quality patient care Rogelio Fernandez, MD, LRP, Retained 19 Years

14. Maintain a sense of mission
Rob Wageneck, DO, SP 1997
Jay Downey, MD, LRP, 1996

15. Offer opportunities for input & leadership
Offer opportunities for input & leadership Lance Gault, DO, final year SP

16. Offer opportunities for input & leadership
Offer opportunities for input & leadership Lance Gault, DO, final year SP

17. Challenges to Retention
Distance from home to site in rural areas
Productivity/Finances vs. finding niche
Trust in site leadership/supervisor
Change in life status during commitment
Competition from other entities

18. Distance from home to site Shani Muhammad, MD, SP 2011

19. Distance from home to site Shani Muhammad, MD, SP 2011

20. Challenges to Retention
Distance from home to site in rural areas
Productivity/Finances vs. finding niche
Trust in site leadership/supervisor
Change in life status during commitment
Competition from other entities

21. Retention Data UHC specific (25 total SP+LRP, since 1991)
SP: 4/5=80% ST, 1/1=100% LT
LRP: 19/20=95% ST, 6/6=100% LT
10 Active: 3SP+7LRP
43% all staff NHSC P/P
Ave. Retention all 10Y+
UDS reporting - HRSA
Table 5 additions

22. NHSC Retention Strategy Summary
Customer Service
Standardize transactions, including response times
Call Center training, scripts, monitoring
Communications and Outreach
Corps Connection – electronic newsletter
NHSC Facebook page – social media
NHSC Ambassadors – human capital
Corps Community Day – national recognition

23. NHSC Retention Strategy Summary
Business Value to Sites and Providers
NHSC Job Center - recruitment tool, cost savings, global outreach
Virtual Job Fairs – 4-5 planned for 2013
Expansion of PrimaryCareForAll.hrsa.gov
Scholars and GPS Program

24. NHSC Retention Strategy Summary
BCRS Regions – Enhanced engagement with sites and providers
Scholar placement – direct Regional assistance
Site Visits
Technical assistance, webinars, share best practices around retention
BCRS Policy Initiatives
Scholar completion – non-competitive transition to LRP at HPSA >=14
Allow contemporary clinical practice – telemedicine and home health

25. Retention and the NHSC Ron Yee, MD, MBA, FAAFP Chief Medical Officer
United Health Centers
Parlier, California
NACHC Winter Strategy Meeting
Delray Beach, Florida
January 24, 2013