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Nebraska Loan Repayment Programs are Successful and A Good Investment

Nebraska Loan Repayment Programs are Successful and A Good Investment. Health Professions Tracking Service HPTS: History. Organized in 1995 Collaborative effort between University of Nebraska Medical Center Nebraska DHHS Office of Rural Health Goal

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Nebraska Loan Repayment Programs are Successful and A Good Investment

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  1. Nebraska Loan Repayment Programs are Successful and A Good Investment

  2. Health Professions Tracking Service HPTS: History • Organized in 1995 • Collaborative effort between University of Nebraska Medical Center Nebraska DHHS Office of Rural Health • Goal Document the current practice location and retention of physicians in the State of Nebraska

  3. Health Professions Tracking Services • Designed to provide information not available through: • Nebraska licensure • State and federal agencies • Associations • Information databases

  4. HPTS data • Enablesdecision makers, researchers, healthcare providers & businesses to focus on their mission • We utilize this information for designation of state and federal shortage areas

  5. HPTS Survey • Surveys are tailored to the profession and facility type • Keep to the basics • Information requested includes, but is not limited to: Professionals • Demographic information • Educational background • Professional status (FT, PT, retired, etc.) • Practice locations – primary & satellite • FTE - practice location hours • Primary specialty • Practice specialties • Preferred contact address (facility or residential) • National Practitioner Identification (NPI) Facilities • Location address (mapping & mailing) • Telephone number • Fax number • Professionals (primary & satellite)

  6. HPTS Professionals - 2019 • Physicians (MDs, DOs and TEPs) • Advanced Practice Registered Nurses (NPs, CRNAs, CNSs, CNMs) • Physician Assistants • Dentists • Pharmacists • Behavioral Health Professionals (Psychologists, LIMHPs, LMHPs, LADCs, CMSWs) • Physical Therapists and Occupational Therapists

  7. Diligent Persistence… Dedicated Staff… • Work closely with NE DHHS, Office of Rural Health • Surveys - professionals & facilities • Licensure comparisons (continuous) • Returned mail notifications • Articles/advertisements • Telephone verifications • “Good Will” notifications • Internet research

  8. Physicians (MD/DO/TEP) Licensed in NE August 2018

  9. Quality data does not just happen… It is the result of dedicated resources & staff and we all contribute

  10. Nebraska State Shortage Area Process • Every 3 years - State Office of Rural Health gets latest information from HPTS • FTEs are stripped of ER time and other specialty work and normalized to a 40 hour week • High needs indicators included • Maps are created and made available for public comment

  11. Example of Information shared with Critical Access Hospital Administrators

  12. Nebraska State Shortage Areas • All incentive programs require practice in a shortage area, but shortage areas are different for each specialty (and for state and federal programs) • Rural Health Advisory Commission designates state shortage areas in Nebraska and selects state Loan Repayment recipients • Available Online: http://dhhs.ne.gov/Pages/Rural-Health-Eligible-Disciplines-and-Shortage-Areas.aspx

  13. STATE of NEBRASKA Loan Repayment Programs

  14. Loan Repayment Programs For eligible licensed health professionals (do not have to be a Nebraska resident or graduate of a Nebraska college)

  15. Student Loan Debt

  16. State Managed Loan Repayment ProgramsRequirements • Providers must have an employer and local match lined up • Local entity (employer or a community foundation) must agree to provide local match and verify practice • Local entity fills out the second half of the application • Loan requirements • must be Government or Commercial educational loans • only educational loans to student in student’s name are eligible • loans to parents, consumer loans (ex: credit card), mortgage loans, and private loans are not eligible

  17. State Managed Loan Repayment ProgramsOther Requirements • 2-4 year practice obligation in a designated shortage area • Must be licensed to participate, but can apply up to 18 months in advance of being fully licensed (waiting list) • Must be a US Citizen/National (or legal resident for the state program) • Cannot participate in multiple programs simultaneously

  18. State Managed Loan Repayment ProgramsBenefits • Maximum of $100,000 - $200,000 over 2-4 years for physicians, dentists, and psychologists • Maximum of $50,000 - $100,000 over 2-4 years for all other eligible professions • Loan repayment no longer taxable income(effective January 1, 2009 as per P.L. 111-148, 3/23/10)

  19. Federal Shortage Areas are designated using the federal criteria which is more challenging to meet than Nebraska state shortage area criteria which is based on the ratio of provider to population ratios to eliminate health care provider access at the county level.

  20. What are we doing to assist rural and underserved communities in Nebraska • We work with health care providers and communities to match the resources we are given to maximize the effects of each loan repayment program. • We work with training programs, Area Health Education Centers, Rural Health Advisory Commission and others to aid the pipeline of health care providers to underserved areas.

  21. Recruitment and Retention • We can assist by approving positions openings on the Rural Recruitment and Retention Network (www.3rnet.org) • We survey and monitor the retention of obligated healthcare providers through HPTS and Retention Management System.

  22. Where to Look for a JOB These recruitment web sites are focused on serving the underserved and many times will provide assistance with student loans. • National Rural Recruitment and Retention Network https://www.3rnet.org/ • National Health Service Corps – NHSC Connector https://connector.hrsa.gov/connector/

  23. Healthcare Professional Data Rural Nebraska • 2016 vs 2017 MDs - Rural Nebraska 2016 - 992 2017 - 987 Net Change - decrease of 5 The decrease of 5 is actually made up of: - 87 MDs no longer identified as practicing in Rural NE + 82 MDs identified as newly practicing in Rural NE 169 Actual Change

  24. Healthcare Professional Data 2016 vs 2017 MDs - Rural Nebraska - 87 MDs not longer identified as practicing in Rural NE 26% retired, 5% deceased, 6% license inactive, 9% move to Urban NE, 28% left NE, 26% unknown can also identify – Age brackets, specialties, education location + 82 MDs identified as newly practicing in Rural NE Age brackets, specialties, education location

  25. Multi-State Retention Collaborative and Data Management System 2013 - 2019

  26. Questions? Contact: Tom Rauner or Rachael Wolfe 402-471-2337 Thomas.Rauner@Nebraska.gov or Rachael.Wolfe@Nebraska.gov

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