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Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox Deputy Regional Administrator, Region V- Chicago Office of Regional Operations

Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

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Page 1: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Health Resources and Services Administration

State Office of Rural HealthRegional Partnership Meeting/Region C

Lansing, MIAugust 12, 2015

Tamara J. CoxDeputy Regional Administrator, Region V- Chicago

Office of Regional Operations

Page 2: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

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Improving health and health equity

through access to quality

services, a skilled health workforce and

innovative programs

Page 3: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

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HRSA.gov

Page 4: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

FY 2015 HRSA Budget: $10 Billion

Program Dollars (in Millions)Health Center Program $5,000,633HIV/AIDS $2,318,781Maternal and Child Health $1,254,238Health Workforce $1,057,784Rural Health $147,471Healthcare Systems $110,693Program Management $154,000Total $10,043,600

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Page 5: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

FY 2016 HRSA Budget

• President’s FY 2016 HRSA budget request totals $10.1 billion• Supports 90-plus programs that HRSA administers• Provides services to tens of millions of individuals

• Medicare Access and CHIP Reauthorization Act of 2015 provides mandatory funding that expires at the end of the fiscal year for the following HRSA programs: • Health Centers Program• National Health Service Corps• Teaching Health Centers Graduate Medical Education• Home Visiting Program • Family-to-Family Health Information Centers

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Page 6: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Agency Objectives

Increase Access to

Quality Health Care and Services

Strengthen the Health Workforce

Build Healthy

Communities

Improve Health Equity

Strengthen Program

Operations

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Page 7: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Increase Access to Quality Health Care and Services

One in 3 people living at or below the poverty level relies on a HRSA-supported health center for primary medical care

One in 2 people diagnosed with HIV receives care through the Ryan White HIV/AIDS Program

9.7 million people living in health professional shortage areas receive primary medical, dental or mental health care from a National Health Service Corps clinician

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Page 8: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Increase Access to Quality Health Care and Services

More than half of pregnant women and a more than a third of infants and children benefit from maternal and child health block grants

More than 700,000 rural Americans receive health services thanks to rural community-based grants

About 115,500 parents and children participate in the national Home Visiting Program

About 6,000 life-saving unrelated blood stem cell transplants facilitated annually

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Page 9: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Strengthen the Health Workforce

11,400 medical, dental, and mental and behavioral health care providers in the National Health Service Corps and NURSE Corps work in health professional shortage areas

1,100 students, residents, and health providers in training receive NHSC scholarships to work in underserved communities upon graduation and licensure

Support for targeted health professions training programs focused on inter-professional care, geriatrics and autism, among others, as well as programs that increase workforce diversity

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Page 10: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Strengthen the Health Workforce

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Support health centers that employ multi-disciplinary teams – 10,700+ physicians and 8,000+ nurse practitioners, physician assistants, and certified nurse midwives

Support primary care residency programs in 60 Teaching Health Centers to help train more than 550 residents annually

Trained 4,000 new mental health providers to increase access to mental health services, and make schools safer

Page 11: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Build Healthy Communities

Coordinate health care activities for 57 million rural Americans

Support providers in rural and isolated areas improve patient care with the use of telehealth, telemedicine and health IT

Improve perinatal health outcomes and reduce racial and ethnic disparities by using community-based service delivery through Healthy Start

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Page 12: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Improve Health Equity

Provide linguistically appropriate enabling services (e.g., housing, food, and job support) to more than two million patients through community health centers

Ryan White HIV/AIDS clients’ viral suppression rates improved nine percent in three years – from 70% to 79% from 2010 to 2013. Viral suppression rates improved the most within disproportionally affected demographic groups, decreasing health disparities

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Save qualified safety net organizations about $3.8 billion annually through the 340B Drug Pricing Program

Page 13: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Strengthen Management and Operations

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• Customer Satisfaction• Innovation• Results-Oriented • Employee Recruitment and Retention

Page 14: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Regional Office Locations

Page 15: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

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

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Page 17: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Office of Regional Operations (ORO)ORO Core Functions

External Affairs and Outreach Foster greater alignment and collaboration between HRSA programs and other public and private programs working in communities to pursue common goals and integrated systems of care.

Strategic Stakeholder PartnershipsGenerate collaborative efforts between state health care leaders and HRSA improve public health and health care systems.

Regional SurveillanceConduct surveillance and analysis of regional / state health care environmental trends and recommends ways to improve policies and programs.

Regional Management Provides leadership on HRSA's mission, goals, priorities and initiatives in regions, states and territories.

Technical Assistance Provide technical assistance to HRSA grantees.

Page 18: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

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

Page 19: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Affordable Care Act Outreach and Enrollment

Page 20: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Consumer Assistance Roles Established to Facilitate Marketplace Outreach, Education, and Enrollment

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

Page 21: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Planning for the next open enrollment season begins now

• New Partnerships• Training and Preparation• Local assistor coalitions• Ideas for enrollment outreach and activitiesOpen Enrollment is November 1, 2015 – January 31, 2016

Healthcare.gov1-800 318-2596

TTY: 1-855 889-4325

Page 22: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Coverage To Care

https://marketplace.cms.gov

Page 23: Health Resources and Services Administration State Office of Rural Health Regional Partnership Meeting/Region C Lansing, MI August 12, 2015 Tamara J. Cox

Resources

TAMARA J. [email protected](312) 353-8121

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