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Title VII, Interdisciplinary, Community-Based Linkages Part D, Public Health Service Act Section 755: Allied Health and Other Disciplines

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Title: Title VII, Interdisciplinary, Community-Based Linkages Part D, Public Health Service Act Section 755: Allied Health and Other Disciplines


1
Title VII, Interdisciplinary, Community-Based
LinkagesPart D, Public Health Service Act
Section 755 Allied Health and Other Disciplines
  • Louis D. Coccodrilli, MPH
  • Acting Director, Division of Medicine and
    Dentistry
  • Acting Director, Division of State, Community
    Public Health
  • Bureau of Health Professions
  • Health Resources and Services Administration
  • Department of Health and Human Services

2
Health Resources and Services Administration
(HRSA)
3
HRSA
  • Mission HRSA provides national leadership,
    program resources and services needed to improve
    access to culturally competent, quality health
    care.
  • Vision HRSA envisions optimal health for all,
    supported by a health care system that assures
    access to comprehensive, culturally competent,
    quality care.
  • HRSA programs and services target
  • 44 million Americans who lack health insurance -
    many of whom are racial and ethnic minorities,
  • Over 50 million underserved Americans who live in
    rural and poor urban neighborhoods where health
    care services are scarce,
  • African American infants who still are 2.4 times
    as likely as white infants to die before their
    first birthday,
  • More than l million people living with HIV/AIDS,
    both in and out of care, and
  • Over 87,000 Americans who are waiting for an
    organ transplant.

4
HRSA Strategic Goals
  1. Improve access to health care
  2. Improve health outcomes
  3. Improve the quality of health care
  4. Eliminate health disparities
  5. Improve the public health and health care systems
  6. Enhance the ability of the health care system to
    respond to public health emergencies
  7. Achieve excellence in management

5
Bureau of Health Professions (BHPr)
  • Mission Improve the health status of the
    population by providing national leadership in
    the development, distribution and retention of a
    diverse, culturally competent health workforce
    that provides the highest quality care for all.
  • Vision A nation in which universal access and
    utilization of quality health care are provided,
    health workforce shortages are eliminated, health
    disparities are overcome, prevention is
    emphasized and health outcomes are optimal for
    all.
  • The right people, with the right skills, in the
    right places, to achieve the right health
    outcomes.

6
Title VII - AHP Authorizing Legislation
  • Section 755, Part D of the Public Health Service
    (PHS) Act, 1998 2002
  • Authorization currently expired
  • Authorized activities of AH projects include
  • 1) Assisting organizations in meeting costs
    associated with expanding or establishing
    programs that will increase the number of
    individuals trained in AH professions
  • Such programs and/or activities include those
    that
  • a) expand AH professional enrollment within
    professions of greatest shortages or whose
    services are needed by the elderly
  • b) provide transition training programs in
    allied health fields to those with a bachelors
    degree in health-related sciences

7
Authorizing Legislation Cont..
  • c) establish community-based training linking
    rural clinics to academic centers
  • d) provide career advancement training
  • e) expand/establish clinical training sites in
    MUAs
  • f) develop curriculum to emphasize knowledge and
    practice in areas of prevention, health
    promotion, geriatrics, long-term care, home
    health and hospice care, and ethics
  • g) expand/establish interdisciplinary training
    programs that promote effectiveness of AH
    professionals in geriatric assessment and
    rehabilitation services for the elderly
  • h) expand/establish demonstration centers to
    emphasize innovative models to link AH to
    clinical practice, education and research
  • i) provide financial assistance (traineeships) to
    students
  • j) meet costs of projects to plan, develop, and
    operate or maintain graduate programs in
    behavioral and mental health practice.

8
Authorizing Legislation Cont..
  • 2) Plan and implement projects in preventive and
    primary care training for podiatric physicians in
    approved residency training programs
  • 3) Carry out demonstration projects where
    chiropractors and physicians collaborate to
    identify and provide effective treatment for
    spinal and lower-back conditions

9
Allied Health Special Projects
  • Podiatric Primary Care Residency Training Program
  • No competitive cycle in FY 2007
  • No awards in FY 2006
  • Chiropractic Demonstration Project  
  • No competitive cycle in FY 2007
  • 4 awards in FY 2006 Total Funds 1,840,968
  • Graduate Psychology Education Program
  • A competitive cycle is being administered in FY
    2007
  • Application deadline January 31, 2007
  • 20 awards in FY 2006 Total Funds 1,822,065

10
HRSA Funding for AHP
Fiscal Year Budget
2002 9,495,000
2003 11,922,000
2004 11,849,000
2005 11,753,000
2006 3,663,000
2007 ?
11
Advisory Committee on Interdisciplinary,
Community-Based Linkages (ACICBL)
  • Authorized under Section 756, Part D of PHS Act
  • Function
  • (1) provide advice and recommendations to the
    Secretary concerning policy and program
    development and other matters of significance
    concerning activities under Section 756, Title
    VII, Part D of the PHS Act and
  • (2) prepare and submit to the Secretary, the
    Committee on Health, Education, Labor and
    Pensions of the Senate, and the Committee on
    Energy and Commerce of the House of
    Representatives, a report describing the
    activities of the Advisory Committee, including
    findings and recommendations made by the
    Committee.

12
ACICBL Allied Health
  • Membership
  • 21-member committee
  • balance of health professionals
  • broad geographic representation
  • representation of women and minorities
  • Are members from schools associated with training
    programs described in sections 751-755 of PHS Act
  • AHECs, HETCs, GECs, GTPDs, GACAs, Allied Health,
    Quentin N. Burdick Rural Interdisciplinary
    Training, Chiropractic, Podiatry, and Graduate
    Psychology

13
Current ACICBL Members
  • Allied Health
  • Stephen Wilson, PhD
  • Associate Dean, School of Allied Health
    Professions
  • The Ohio State University, School of Medicine
    Professions
  • Term September 2003 - present
  • Cheryl Cameron, PhD, JD
  • Acting Vice Provost and Professor, Dental Health
    Services
  • University of Washington
  • Term September 2003 - present
  • Brandy Bush
  • PhD Student
  • Creighton University
  • Term September 2006 - present

14
Current ACICBL Members
  • Graduate Psychology
  • William Elder, PhD
  • Clinical Psychologist
  • University of Kentucky Chandler Medical Center
  • Term September 2003 - present
  • Chiropractic
  • Allan Adams, DC
  • Vice President Academics and Program Development
  • Texas Chiropractic College
  • Term September 2006 - present
  • Podiatry
  • Karona Mason-Kemp, DPM
  • Chair, Dept of Biomechanics and Orthopedic
    Diseases
  • Dr. William Scholl College of Podiatric Medicine
  • Term September 2003 - present

15
Past ACICBL Members
  • Allied Health
  • Ron E. Reed, PTA, MSHI
  • VP of Client Advocacy and Product Management
  • The Rehab Documentation Company, LLC
  • Term September 2003 September 2005
  • Charles Spann, PhD
  • Acting Dean, School of Health Professions
  • Jackson State University
  • Term 2001 2003
  • Estela Estape, MT, PhD
  • Dean, College of Health Related Professions
  • University of Puerto Rico
  • Term 2001 2003
  • Richard Oliver, PhD
  • Dean, School of Health Professions
  • University of Missouri-Columbia

16
Past ACICBL Members
  • Chiropractic
  • Cheryl Hawk, DC, PhD
  • Dean of Research
  • Southern California University of Health
    Sciences
  • Term September 2003 September 2005
  • Podiatry
  • Lawrence B. Harkless, DPM
  • Professor, Department of Orthopedics
  • University of Texas Health Sciences Center at
    San Antonio
  • Term 2001 2003

17
ACICBL Fifth Annual Report
18
ACICBL Fifth Annual Report Allied Health
Description
  • Definition Allied health professionals are
    health care practitioners with formal education
    and clinical training who are credentialed
    through certification, registration, and/or
    licensure. They collaborate with physicians and
    other members of the health care team to deliver
    patient care services for the identification,
    prevention, and treatment of diseases,
    disabilities, and disorders
  • - Developed by the Health Professionals Network

19
ACICBL Fifth Annual Report Allied Health
Findings
  • US Bureau of Labor Statistics health care
    industry is predicted to add nearly 3.5 million
    new jobs between 2002 and 2012
  • Currently high vacancy rates exist in AH
    professions
  • Occupational therapy 15.7
  • Imaging sciences 15.3

20
Fastest Growing Health Care Occupations, 2002-2012 Fastest Growing Health Care Occupations, 2002-2012 Fastest Growing Health Care Occupations, 2002-2012
Rank Occupation Growth Expected
1 Medical Assistants 59
3 Physician Assistants 49
4 Social and Human Service Assistants 49
5 Home Health Aides 48
6 Medical Records and Health Information Technicians 47
7 Physical Therapist Aides 46
10 Physical Therapist Assistants 45
15 Dental Hygienists 43
16 Occupational Therapist Aides 43
17 Dental Assistants 42
18 Personal and Home care Aides 40
21 Occupational Therapist Assistants 39
28 Physical Therapists 35
29 Occupational Therapists 35
30 Respiratory Therapists 35
Source US Bureau of Labor Statistics
21
ACICBL Fifth Annual Report Allied Health
Findings
  • Reasons for current/anticipated shortages
  • Aging workforce
  • High attrition
  • Shrinking applicant pool
  • Lack of career ladders
  • Degree creep
  • Barriers to the training of AH students
  • Faculty shortages
  • Lack of clinical training sites
  • Cost of training
  • Lack of awareness of Allied Health careers
  • Students are unprepared for health careers
    curricula
  • Fewer training opportunities
  • Articulation

22
ACICBL Fifth Annual Report Recommendations
  • 1) Congress should expand the legislative
    authorities in Title VII, Section 755(b)(1) to
    include
  • Innovative projects designed to meet specifically
    defined and well justified local and regional
    allied health training needs (L)
  • Faculty development demonstration grants to
    address severe faculty shortages in allied health
    profession programs including interdisciplinary,
    community-based faculty fellowships in allied
    health (M)
  • Projects that establish partnerships with
    existing HRSA workforce centers to collect,
    analyze, and report data on the allied health
    workforce, access, and diversity and provide
    reports on workforce issues to Congress (N)

23
ACICBL Fifth Annual Report Recommendations Cont..
  • Projects that provide incentives for partnerships
    with local higher education institutions such as
    2-year community colleges, tribal colleges,
    Historically Black Colleges and Universities
    (HBCUs), and Asian/Pacific Islander and/or
    Hispanic-serving institutions (O)
  • Projects that provide rapid transition training
    programs in allied health fields to individuals
    who have certificates and/or associate, and
    baccalaureate degrees in health-related sciences
    (B) and
  • Projects that expand or establish demonstration
    centers to emphasize best practices and
    innovative models to link allied health clinical
    practice, education, and research (H).

24
ACICBL Fifth Annual Report Recommendations Cont..
  • 2) The Secretary and Congress should appropriate
    funding, no less than the previous 1972 level of
    35 million, under Title VII, Section 755
    specifically for allied health programs to
    support interdisciplinary, community-based
    education and training projects. With this
    additional funding, HRSA should consider funding
    traineeships as authorized under Section
    755(b)(1)(i).
  • 3) Congress should enact the Allied Health
    Reinvestment Act (AHRA) with the inclusion of
    Title VII, Section 755 revisions proposed by this
    Committee in this report.
  • Introduced in the House of Representatives on
    January 4, 2005 and in Senate on February 28,2005

25
Allied Health Professions Reinvestment Act of
2005
  • Calls for amendment to the PHS Act
  • Requires the Secretary of DHHS to
  • Develop public service announcements to promote
    the allied health professions
  • Award grants to promote AH professions by
  • Supporting State and Local campaigns
  • Supporting scholarship programs
  • Supporting programs to facilitate the entry of
    students into relevant careers
  • Expanding enrollment into such programs
  • Developing retention strategies
  • Supporting AHECs to contract with AH programs to
    work in communities and to expand high school
    mentoring programs
  • Developing clinical education, internship, and
    resident programs that encourage mentoring and
    development of specialties

26
Allied Health Professions Reinvestment Act of
2005 Cont..
  • Provide scholarships to prospective AH students
    who agree to work in rural and other MUAs
  • Establish faculty loan funds to increase number
    of qualified faculty
  • Develop a system for collecting and analyzing
    workforce data to determine education pipeline
    and practitioner shortages and to project future
    needs for such a workforce
  • Include AH schools among the schools eligible to
    receive grants to support Centers of Excellence
    in health professions education for
    underrepresented minority individuals.

27
Suggestions Federal Funding
  • Consider
  • Broad focus vs. narrow focus
  • Numerous AH disciplines vs. a selected few
  • Prioritize training needs among and within AH
    professions identify top three training needs
  • Include performance measures with any training
    requests
  • Identify potential performance measures data to
    be collected and summarized
  • Relate training needs and performance measures to
    the needs of employers, underserved populations
    and safety net providers
  • Loan repayment vs. scholarships

28
Useful Resources
  • BHPr http//bhpr.hrsa.gov/
  • ACICBL http//bhpr.hrsa.gov/interdisciplinary/aci
    cbl/reports/
  • FY 2006 information on de-funded programs
    http//www.hrsa.gov/grants/unfunded.htm
  • FY 2007 Justification of Estimates for
    Appropriations Committees http//www.hrsa.gov/abo
    ut/budgetjustification07/interdisciplinary.htm

29
Contact Information
  • Louis D. Coccodrilli, MPH
  • ACICBL, Designated Federal Official
  • Acting Director, Division of Medicine and
    Dentistry
  • Acting Director, Division of State, Community
    Public Health
  • Bureau of Health Professions
  • Health Resources and Services Administration
  • 5600 Fishers Lane
  • Rockville, MD 20857
  • 301-443-6950
  • lcoccodrilli_at_hrsa.gov
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