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2020 Health Professional Underserved Areas Report

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2020 Health Professional Underserved Areas Report HEALTH PROFESSIONAL UNDERSERVED AREAS REPORT Kansas Primary Care and Rural Health Information provided for Calendar Year 2020 Laura Kelly, Governor State of Kansas Lee Norman, M.D., Secretary Kansas Department of Health and Environment Bureau of Community Health Systems Community Health Access Office of Primary Care and Rural Health Curtis State Office Building 1000 SW Jackson, Suite 340 785-296-1200 (voice) 785-559-4247 (fax) [email protected] www.kdheks.gov/bchs This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance awards totaling $475,804.00 with 100% funded by HRSA/HHS and $690,000 and 0% funded by nongovernment source(s). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA/HHS, or the U.S. Government. Individuals and families with economic barriers to EXECUTIVE SUMMARY health care are found in almost all communities in Kansas. The Kansas Department of Health and Environment (KDHE) Bureau of Local and The SOPC-RH administers a number of Rural Health was established in 1989, to assist programs created to address these issues, communities in ensuring access to primary and such as state and federal scholarships, loan preventive health care services for all Kansas repayment or forgiveness programs, and federal residents. The office has since expanded and agency sponsorship of international medical is now housed in the Bureau of Community graduates; other programs, available directly Health Systems (BCHS), and the Community through federal agencies, include payment Health Access Section. Among the earliest enhancements for rural health clinics (RHCs) priorities was the identification of areas of the and Medicare bonus payments to make health state that had health professional shortages or care practice sites financially viable in rural populations that were medically underserved. communities. Consistent in all these programs Kansas is a state with vast rural and frontier are the eligibility requirement that a service areas that lack adequate medical care. area, usually a county, meet specific criteria to Although efforts have been successful in be designated a Health Professional Shortage increasing the total number of health care Area (HPSA) or a Medically Underserved Area professionals, the long-standing factors that (MUA). This report explains the various types of contribute to professional shortages, plus the health care professional shortage designations new pressures of a changing health care and provides data on 2020 SOPC-RH activities marketplace, perpetuate uneven distribution of toward reducing these shortages. Included at these essential health care professionals the end of this report is information about across the state. As a result, being shortage designation and program awards for underserved or having too few professionals for each of Kansas’ 105 counties. area residents continues to be a predominantly rural problem. The inability to obtain needed health care and preventive services also affects uninsured and low-income Kansas residents in all areas of the state, including the largest cities. PHOTO CREDIT Cover: So God Made a Farmer, Piper, KS, Michelle Roberts Inside Cover: Inhale Greatness, Linn, KS, Kelly Ingalsbe Page 1: Milo Pile, Navarre, KS, Carrie Shippy Page 4: Respite, Crawford County, KS, Robert Poole Page 10: Horsepower of Rural, Riley County, KS, Michelle Roberts Page 14: Sunny Day Shade, Lancaster, KS, Parker Philips Page 16: Flyover Salute, Newton, KS, Steve Richards Page 18: Rural Fuel, Newton, KS, Eli Redington Page 21: Plaque and PPE, Salina, KS, Hayley Samford Page 24: Wichita, KS, Davna Gould Page 26: Into the Fray, Crawford County, KS, Robert Poole Page 67: Wichita, KS, Davna Gould Page 71: Topeka, KS, Schwerdt Design Group Page 76: Sunrise, Osage City, KS, Kathy Issacs Table of Contents EXECUTIVE SUMMARY ..................................................................................................................................... 4 HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAs) .............................................................................. 4 Federal Programs Using Shortage Designations ................................................................................................ 5 Types of HPSA Designations .............................................................................................................................. 6 HPSA Scoring Criteria ......................................................................................................................................... 7 Data Collection .................................................................................................................................................... 8 Federal Medically Underserved Areas and Medically Underserved Populations ................................................ 8 NATIONAL SHORTAGE DESIGNATION UPDATE ......................................................................................... 10 HPSA Designations ........................................................................................................................................... 11 Health Professional Shortage Area (HPSA) Maps ............................................................................................ 15 Primary Care Geographic and Population County-Level HPSA Designations .................................................. 15 WORKFORCE RECRUITMENT AND RETENTION PROGRAMS ................................................................... 17 Kansas State Conrad 30 J-1 Visa Waiver Program .......................................................................................... 17 Kansas State Loan Repayment Program Success Stories ............................................................................... 17 National Health Service Corps Loan Repayment Program ............................................................................... 17 Nurse Corps Loan Repayment Program ...................................................................................................... 17 NHSC Loan Repayment Program ................................................................................................................ 18 NHSC Rural Community Loan Repayment Program .................................................................................... 18 NHSC Scholarship Program ......................................................................................................................... 18 NHSC Students-to-Service Loan Repayment Program ................................................................................ 18 NHSC Substance User Disorder Workforce Loan Repayment Program ...................................................... 18 Eligible NHSC Health Care Professions ............................................................................................................ 19 Eligible Health Care Professions and SLRP Award Amounts ........................................................................... 22 2020 J-1 Physicians per Specialty .................................................................................................................... 23 Kansas Charitable Health Care Provider Program ............................................................................................ 24 Eligible Charitable Health Care Professions, Listed by Licensing Board .......................................................... 24 Kansas Recruitment and Retention Center ....................................................................................................... 25 COUNTY POPULATION DENSITY .................................................................................................................. 27 PROGRAM DATA BY COUNTY ....................................................................................................................... 28 3 HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAs) A Health Professional Shortage Area (HPSA) is a group of counties, a single or partial county, or facility designation that indicates an area that lacks sufficient health care professionals in primary care, dental or mental health to meet the health care needs of the population. Thirty-six federal programs use HPSA designations to identify areas of greater need and allot resources accordingly. These shortage areas may be geographic, population or facility based. A few of the programs that utilize HPSA designations include: • National Health Service Corps (NHSC) • NHSC Sites • Scholarships • Student 2 Service • Loan Repayment Program (NHSC LRP) • Nurse Corps • Centers for Medicare and Medicaid Services (CMS) Medicare Incentive Payment • CMS Rural Health Clinic Program • Conrad 30 J-1 Visa Waiver Program • Higher “customary charges” for new physicians • Special consideration and funding priority for Area Health Education Centers (AHEC) • Kansas State Loan Repayment Program (SLRP) Each HPSA designation is assigned a numeric score. Scores range from 0 to 25 for both primary care and mental health designations, and 0 to 26 for dental health designations, based on health care need and access to care. For some programs, such as the NHSC LRP, which provides educational loan repayment to health care professionals in the highest areas of need in each state, the score is taken into consideration as part of the eligibility criteria for participation. To obtain
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