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  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 • 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. 2000 rate • 55% Long-term retention (>10 years) • Up 6% vs. 2000 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 organizationJim Smurr, MD, LRP, Retained 15 years

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

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

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

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

  13. Let them focus on quality patient careRogelio 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 & leadershipLance Gault, DO, final year SP

  16. Offer opportunities for input & leadershipLance 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 siteShani Muhammad, MD, SP 2011

  19. Distance from home to siteShani 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