Health Resources and Services Administration HRSA Policy Overview and UDS Updates. November 15, 2016

Transcription

1 Health Resources and Services Administration HRSA Policy Overview and UDS Updates 2016 Health Center and Public Housing Regional Symposium November 15, 2016 Tamara Cox, MPA Deputy Regional Administrator Office of Regional Operations Health Resources and Services Administration (HRSA) Region V Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin

2 Health Resources and Services Administration Improving health and health equity through access to quality services, a skilled health workforce and innovative programs

3 3 Overview FY 16 Funding Recap and FY 17 Budget Proposal General Overview and Updates Increasing Health Center Value and Access BPHC Program Updates and UDS HRSA Investments in Region V Resources

4 Agency Goals Increase Access to Quality Health Care and Services Strengthen the Health Workforce Build Healthy Communities Improve Health Equity Strengthen Program Operations

5 HRSA Programs 5

6 HRSA Major Program Areas Health Workforce Healthcare Systems HIV/AIDS Care Maternal and Child Health Rural Health Primary Health Care 6

7 HRSA FY 2017 Budget Request

8 FY 2017 President s Budget Request Includes $5.1 billion to Primary Health Care: Support quality improvement and performance management activities Ensure that current health centers can continue to provide essential health care services to their patient populations Serve approximately 27 million patients Proposes to extend current mandatory funding at $3.6 billion annually for FY 2018 and FY

9 9 BPHC FY 2016 Funding Priority Funding Amount Awards Outreach and Enrollment $7 M 93 Access Substance Abuse Service Expansion $94 M 271 Modernize Oral Health Service Expansion $155.9 M 420 Zika Response $5.7 M 23 Health Infrastructure Investment Program Delivery System Health Information Investment $262.4 M 290 $87.4 M 1,310 Improve Quality Improvement Awards $100.2 M 1,304 Promote Health Center Controlled Networks $36.3 M 50 PCMH Recognition for New Grantees $8.6 M 246

10 10 Increasing Health Center Value Access Cost Quality VALUE Patients & Communities Providers Payers

11 11 Health Center Program Strategy Increase Access Increase Program Goals Increase number of patients served Increase percent of patients served in existing service areas Increase percent of low income communities served by health centers 42 percent increase in patients served since 2008 Over 1,100 New Access Points since 2009, including $270 million in FY 2015 for 430 awards 68 percent of health centers increased patients from 2014 to 2015 Over 18 million assisted under Outreach and Enrollment

12 Increase Access National Presence 12

13 Increase Access National Impact % 80% Health Centers Serve a High Proportion of Low-Income, Minority and Uninsured Patients 92.2% 60% 62.4% 40% 33.9% 37.0% 24.4% 20% 13.4% 0% At or Below 200% of Poverty Racial/Ethnic Minority Uninsured U.S.Population (2014) Health Center Patient Population (2015) Source: Uniform Data System, National Data: U.S. Census Bureau, 2014 Current Population Survey Annual Social and Economic Supplement; Health Insurance Coverage in the United States: 2013.

14 Uniform Data System (UDS) Starting in 2014, UDS requires all HRSA Health Center Program Grantees/Look-Alike Health Centers to report the total number of patients known to reside in public housing or immediately accessible to public housing (report to line 26, table 4). Location-Based approach means counting those served at a health center that is located in or immediately accessible to a public housing site. The National Center for Health in Public Housing provides TA on UDS. Community Health Partners for Sustainability, another BPHCsupported TA provider, has many TA offerings for this Location-Based reporting on line 26, table 4 (Webinar, FAQ, 1-pager). 14

15 15 BPHC Program Updates Delivery System Health Information Investment Funding- $87 Million -September 15, 2016 Health Center Compliance Manual -Open now for 90 days of public comment- accepted until November 22, 2016 Change in Scope (CIS) Process Update -BPHC is making improvements to streamline the CIS process -Change in Scope (CIS) checklist target date is November 2016 New Access Point Funding Opportunity -Anticipated award date on or about January 1, 2017

16 HRSA Investments in Region V

17 HRSA Investments in Region V Primary Care/Health Centers Region V total active grants $1,334,083,258 to 195 grantees, through 282 grants Region V has: 1,322 health center sites 196 health center grantees 11 are PHPC grantees Source: HRSA Data Warehouse November 1,

18 HRSA Investments in Region V Ryan White HIV/AIDS Program Region total active grants $239,347,545 to 49 grantees, through 75 grants Maternal and Child Health Region total active grants $334,314,384 to 74 grantees, through 143 grants Health Workforce Region total active grants $204,963,630 to 121 grantees, through 315 grants National Health Service Corps Currently there are 1,427 primary care/oral health/behavioral health providers serving in Health Professional Shortage Areas (HPSAs) 925 are those working in urban communities 510 of those are working in rural communities Source: HRSA Data Warehouse November 1,

19 HRSA Office of Regional Operations 19

20 Health Center Program Technical Assistance Resources 20 Website General program information Sign up for the weekly Primary Health Care Digest e-newsletter to receive up-to-date information BPHC Helpline BPHC EHB questions/issues FTCA inquiries BPHC Project Officer to address specific questions about your health center s grant or designation National Cooperative Agreements and Primary Care Associations /index.html

21 21 Contact Information Commander Kent Forde Public Health Analyst Bureau of Primary Health Care (BPHC) Health Resources and Services Administration (HRSA) Phone: Web:

22 Contact Information Tamara Cox, MPA Deputy Regional Administrator Office of Regional Operations, Region V Health Resources and Services Administration (HRSA) tcox@hrsa.gov Phone: Web: Twitter: twitter.com/hrsagov Facebook: facebook.com/hhs.hrsa 22