Health Resources and Services AdministrationOffice of Regional Operations Update

State Offices of Rural Health Regional Partnership Meeting – Region A

Annapolis, MDJune 16, 2015

Rhonda JacksonPublic Health Analyst

U.S. Department of Health and Human ServicesHealth Resources and Services Administration

Office of Regional Operations – Region III

HRSA Regional Office Locations

U.S. Department of Health and Human Services Regional Offices Presence

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About HRSA

HRSA is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.

Goal I Improve Access to Quality Care

and Services.

Goal II Strengthen the Health Workforce.

Goal III Build Healthy Communities.

Goal IV Improve Health Equity.

90+ Programs Administered by HRSA

• Ryan White HIV/AIDS• Mental/Behavioral Health and

Primary Care Integration• Rural Health Policy & Programs• Telehealth• Health Care for the Homeless• Migrant Health Centers• Vaccine Injury Compensation• Black Lung Clinics Program• 340B Drug Pricing• Organ Donation & Transplantation

And more…

• Community Health Centers• National Health Service Corps• Workforce Training for Primary Care,

Mental and Behavioral Health, Public Health, Medicine, Dentistry, Nursing, and Geriatrics

• Workforce Diversity• Children’s Hospital GME• Practitioner Databanks• Maternal and Child Health• Healthy Start• Poison Control

• 15 Bureaus/Offices• Seven External-Facing Bureaus/Offices:

• Bureau of Health Workforce (BHW)• Bureau of Primary Health Care (BPHC)• Healthcare Systems Bureau (HSB)• HIV/AIDS Bureau (HAB)• Maternal and Child Health Bureau (MCHB)• Federal Office of Rural Health Policy (FORHP)• Office of Regional Operations (ORO)

• Regional Administrator Region I – Jeffrey Beard• Regional Administrator Region II – Ronald Moss• Regional Administrator Region III – Pamela Kania

Supported by Bureaus and Offices

Regional Federal Partners

U.S. Department of Health and Human Services• Office of Intergovernmental and External Affairs (IEA)

• Regional Director (I): Rachel Kaprielian• Regional Director (II): Jackie Cornell-Bechelli • Regional Director (III): Joanne Grossi

• Office of the Assistant Secretary for Health • Administration for Children and Families• Administration for Community Living• Centers for Medicare & Medicaid Services• Indian Health Service• Substance Abuse and Mental Health Services

Administration

Housing and Urban DevelopmentEnvironmental Protection Agency

HRSA National Activities

• Nearly 22 million patients are served in 1,300 HRSA-funded health centers and 9,200 health care delivery sites

• Over 500,000 people living with HIV/AIDS receive services through more than 900 HRSA-funded Ryan White Clinics . Two-thirds are members of minority groups.

• 34 million women, infants, children, and adolescents benefit from HRSA’s maternal and child health programs.

• 9,200 National Health Service Corps clinicians are working in underserved areas in exchange for loan repayment or scholarships.

HRSA Office of Regional Operations

Strategic Stakeholder Partnerships

Engage partners and broker relationships

Regional ManagementEnsure efficacy of HRSA Resources

Regional Surveillance

Identify and report ground-level information

External Affairs & Outreach

Agency liaison and Regional leadership

• Agency liaison and Regional leadership

• Engage partners and broker relationships

• Identify and report ground-level information

• Ensure efficacy of HRSA resources

ORO FY 2015 Essential Topics

• Affordable Care Act Outreach and Enrollment

• Rural Health• Tribal Affairs• Behavioral Health• Region Specific Topics:

• Primary Care and Public Health Integration• HIV / AIDS• Maternal and Child Health• Native Hawaiians / Pacific islanders• Transgender Persons• Homelessness• Veterans

HRSA Investments

Region I• CT,ME,MA, NH,

RI,VT• $1,032,242,597

in active grants• 532 Grants• 243 Grantees

Region II• NY, NJ , PR, VI• $1,769,826,961

in active grants• 579 Grants• 267 Grantees

Region III• DE, DC, PA, MD,

VA, WV• $1,642,171,434

in active grants• 741 Grants• 320 Grantees

Source: HRSA Data Warehouse May 2015

HRSA Office of Regional Operations

When you have questions about other HRSA or HHS programs, data, policies, or resources – or when you would like to connect with other HRSA or HHS programs

When you are looking for a new type of partner or resource (including funding opportunities)

When you would like to share information with HRSA that may help make decisions or inform programming

When you would like HRSA representation or a HRSA presentation at a meeting or event

When should you contact ORO?

HRSA Office of Regional Operations

When HRSA has new information about HRSA funding opportunities, policies, resources, or priorities

When HRSA is convening HRSA stakeholders

When HRSA is brokering introductions

When HRSA is collecting information to help inform an issue

When HRSA interested in being present at a meeting or event

When HRSA is interested in getting to know you better

When might ORO contact you?

Collaboration Examples – Region I

New England Rural Health Round Table (NHRT)• Boston Regional Division participates in

the planning committee• Has served as a featured speaker during

annual conference• Information sharing opportunities for

both the Regional office and rural stakeholders

Collaboration Examples – Region II

Improving Federal Rural Health Grant Awareness • Communicating eligibility information for

rural health grants to increase application submissions from NJ areas

NY State Association of Rural Health• Regional Surveillance• Connect partners for dissemination of

resources across programs and bureaus

Collaboration Examples – Region III

PA Community Health Workers Symposium• Support PA SORH planning and execution of

statewide symposium for community health workers

ACA Outreach and Enrollment• Partnered with CMS to host a virtual meeting

for navigators and in-person assistors serving rural areas to provide information on marketplace plans

Affordable Care Act Outreach and Enrollment

Key Facts Regarding Rural Coverage in the Health Insurance Marketplace

• Nearly 20% of Americans live in rural areas.• Disproportionately older/larger Medicare population.• More prevalence of chronic disease. • More likely to be on food stamps.• Greater proportion lack coverage than urban areas.*• Lower income levels.*• In states that are expanding Medicaid, rural residents

more likely to be eligible for the coverage expansion. • By increasing competition, the Marketplace will lower

costs in rural areas, where 1 of 5 farmers face medical debt, and on average families pay nearly half of their health care costs out-of-pocket.

*source: The Uninsured: An Analysis by Income and Geography,” Barker AR, Londeree JK, McBride TD, Kemper LM, Mueller K, RUPRI Center for Rural Health Policy Analysis, Rural Policy Brief, June 2013. http://cph.uiowa.edu/rupri/publications/policybriefs/2013/Uninsured%20Analysis%202013.pdf

Consumer Assistance Roles Established to Facilitate Marketplace Outreach,

Education, and Enrollment• Navigators • Non-Navigator Assistance Personnel• Certified Application Counselors• Agents and Brokers

Thinking Ahead to the next Outreach and Enrollment Season

1. Has the framework of consumer assistance established in your State been effective in rural areas? (Navigators, Certified Application Counselors, Health Center outreach and enrollment staff)?

2. How active a role has the SORH been able to take?

3. Have you been able to coordinate with organizations providing consumer assistance in your State:• To ensure the interests of hospitals, clinics, and the

rural underserved are appropriately addressed?• To have an active role in the development of consumer

assistance policies and practices? • To take part in ongoing changes to O & E policies &

practices?

Planning for the next open enrollment season begins

now• New Partnerships• Training and Preparation• Local assistor coalitions• Ideas for enrollment

outreach and activities

Coverage To Care

https://marketplace.cms.gov

HRSA Resources

http://datawarehouse.hrsa.gov

HRSA Data Warehouse

www.Grants.Gov

HRSA Resources

Regional Contacts

Region I

Christopher J. Bersani, Psy.D., ABPPCaptain, USPHS

Senior Public Health Analyst(617) 565-1470

cbersani@hrsa.gov

HRSA Resources

HRSAwww.hrsa.gov

HRSA and the Affordable Care Actwww.hrsa.gov/affordablecareact

HRSA Resources

Thank you!