Health Resources and Services Administration HRSA

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• Health Resources and Services Administration
  (HRSA)
• Partnering With States To Serve The Health Care
  Needs Of Communities Across The Nation
• NASMD 2007 Fall Meeting
• Washington, D.C.
• November 12, 2007
• Regan Crump, DrPH, MSN

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HRSA

• Mission HRSA provides national leadership,
  program resources and services needed to improve
  access to culturally competent, quality health
  care.

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HRSA Organization Chart
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Program Components in HRSA

• Bureau of Primary Health Care
• Maternal and Child Health Bureau
• HIV/AIDS Bureau
• Bureau of Health Professions
• Healthcare Systems Bureau
• Bureau of Clinician Recruitment and Service
• Office of Rural Health Policy

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Access to Primary Health Care

• Working to improve access, improve health
  outcomes, and eliminate health disparities for
  underserved populations.
• Federally Qualified Health Centers
• Serving over 15 million low-income persons
  nationally
• 5.5 million are Medicaid enrollees
• Community Health Centers
• Migrant Health Centers
• Homeless Health Centers
• Public Housing Health Centers
• Priority Initiative - Placing new Health Centers
  in the most underserved areas and poorest
  counties.
• HRSAs primary health care programs form the
  backbone of the Nations health care safety net.

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Maternal and Child Health

• Examples of Major Programs
• Maternal and Child Health Services Block Grant
• Children with Special Health Care Needs (CSHCN)
• Pre-Post Partum care
• Immunizations
• New Born Screening
• Case Management
• Healthy Start Initiative
• Emergency Medical Services for Children Program

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Title V of the SSA Maternal and Child Health
Program

• Title V requires State MCH programs to coordinate
  with Medicaid
• (e.g. EPSDT, services for pregnant women, infants
  and children, CSHCN)
• Medicaid/Maternal and Child Health Technical
  Advisory Group (TAG) established a few years ago
• Although Medicaid may not be required to do so,
  coordination with Title V MCH Directors could
  support enrollee access to care.

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Ryan White HIV/AIDS Program

• Third largest source for Federal funding of
  health care for low-income, uninsured, and
  underinsured Americans living with HIV/AIDS
  (after Medicaid and Medicare).
• Overview
• Part A Emergency Relief for Areas with
  Substantial Need
• for Services
• Part B HIV Care Grants
• AIDS Drug Assistance
  Program
• Part C Early Intervention Services
• Part D Women, Infants, Children and Youth
• Ryan White Part B coordination with State
  Medicaid Agency.
• Although not required, Medicaid can coordinate
  services with the State HIV/AIDS Program
  Director.

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Health Professions Training

• Bureau of Health Professions
• Supports Training for health professionals from
  all segments of society in every state.
• Monitors workforce trends
• Maintains quality assurance databanks
• Provides financial assistance to schools and
  students

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Health Professions Training (cont.)

• Education and
• Training Programs
• Medicine Dentistry
• Nursing
• Public Health
• Diversity
• Interdisciplinary

• Special Programs
• Childrens Hospital Graduate Medical Education
• Practitioners Databank

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Health Professions Recruitment and Retention

• Bureau of Clinician Recruitment and Service
• Coordinates recruitment/retention of caring
  health professionals in health professions
  shortage areas of the nation.
• Places health professionals in shortage areas
  National Health Service Corps placed more than
  4,109 clinicians
• in 2006.
• Bureau programs include scholarships and loan
  repayment contracts.
• Supports community efforts to build better
  systems of care.

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Other Programs

• Rural Health Policy and Programs
• Focuses on regulatory impacts on rural providers
  including
• Rural and Critical Access Hospitals
• Rural Health Clinics
• Skilled Nursing Facilities Home Health Agencies
• Healthcare Systems Bureau
• Office of Pharmacy Affairs (340B Program)
• Organ Procurement and Transplantation Network

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Medicaid Coverage for Patients Served by HRSA
Grantees
(Data - CY 2005) Indirect
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Safety Net Providers and Medicaid

• HRSA grants pay for services to uninsured people
• Ryan White HIV/AIDS Providers
• Consolidated Centers (FQHCs)
• Maternal and Child Health Programs
• HRSA Grants are generally payer of last resort
  for beneficiaries enrolled in Third-Party Sources
  (e.g. Medicare, Medicaid, SCHIP, private
  insurance).

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Opportunities for HRSA Grantees to Help You Meet
The Need for Quality Health Care

• Improving Access to Health Care - Shortage Area
  Designation (HPSAs/MUAs)
• Comprehensive Primary Care Providers
• Mental Health/Dental Services
• Medical Homes and Referral Networks
• Participants in Clinical Quality Improvement,
  Measurement and P4P Initiatives
• Experienced in reaching populations with special
  needs (homeless, persons living with HIV/AIDS,
  disabled children, dual eligibles, people living
  in remote/rural areas)

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Opportunities for HRSA Grantees to Help You Meet
The Need Outcomes/Measurement

• Helping to implement State Medicaid
  Initiatives/Reforms
• Clinical Quality Improvement, Measurement and P4P
• Chronic Disease Management
• Care Coordination
• Key Responders-Public Health Emergencies

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Opportunities for HRSA Grantees to Help You Meet
The Need Cost Savings

• Lower Drug prices for patients seen by 340B
  covered entities.
• Clinical Quality Improvement, Measurement and
  P4P.
• Chronic Disease Management.
• Diverting beneficiaries from ERs to health care
  homes.

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Contact Information

• Regan Crump, Dr.Ph, RN
• Rcrump_at_hrsa.hhs.gov
• Tel [phone]
• Fax [phone]
• Director, Health Systems and Financing Group
• Mail Health Resources Services Administration
• Office of Planning Evaluation
• Health Systems and Financing Group
• 5600 Fishers Lane Room 10-29
• Rockville, MD 20857
• Alexander F. Ross Sc.D.
• Email Alexander.Ross_at_hrsa.hhs.gov