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Recruitment and Retentionof Health Care ProfessionalsNIHB 32nd Annual Consumer ConferenceSeptember 22, 2015

AgendaScholarship ProgramExtern ProgramLoan Repayment ProgramNational Health Service CorpsRecruitmentRetention

Indian Health Service — MissionTo raise the physical, mental, social and spiritual health ofAmerican Indians and Alaska Natives to the highest level.

Scholarship Program

IHS Scholarship Program — PurposeTo assist students in their efforts to achieve their healtheducation goals.To provide health services for Native people.To train future leaders of the Indian health system.

ScholarshipsPreparatory Scholarship To support recipients in their undergraduate and preparatorycourse studies in preparation for entry to health professionalschools, such as nursing, pharmacy and others, as needed.Pre-Graduate Scholarship To support recipients in undergraduate courses leading to abachelor’s (BS or BA) degree in pre-professional programs inpreparation for entry into health professional schools, such asmedicine, dentistry, podiatry and optometry, as needed. No service commitment for these scholarships

ScholarshipsHealth Professions Scholarship The Health Professions scholarship supports scholarshiprecipients in their pursuit of an undergraduate or graduatedegree in a health professions program and toward thefulfillment of a service commitment at an Indian health systemfacility. Acceptance of the Health Professions Scholarship results in a2 to 4 year service commitment to work for an Indian healthProgram.

Education ExpensesRequired tuition and feesSchool-required books, laboratory expenses,dental/medical/optometric equipment and other miscellaneouseducational expenses.Tutorial servicesMonthly stipend ( 1,500 per month for 10 or 12 months/year)

IHS Scholarship Program FY 2014Preparatory and Pre-Graduate AwardsDisciplineAwardsDisciplineAwardsPre-Clinical 44Pre-Pharmacy10Pre-Optometry2Pre-Social Work2Total54Total30

IHS Scholarship Program FY 2014Health Professions AwardsDisciplineAwardsDisciplineAwardsChemical Dependency CounselingClinical PsychologyDentistryHealth Records36416PharmacyPhysical TherapyPhysician AssistantPhysician, Allopathic4012625Medical TechnologyNurse MidwifeNurse PractitionerNurse, Associate DegreeNurse, Baccalaureate DegreeNurse, Master’s DegreeOptometry21181647212Physician, OsteopathicPodiatrySanitarianSocial WorkX-Ray TechnologyTotal81194260

IHS Scholarship Program FY 2015Budget– 13.7 MillionPreparatory and Pre-Graduate– 3.7 million Health Professions– 10 million

IHS Scholarship ProgramApplication deadline for new applicants was March 28th.School Year2014-20152015-20161,194990Complete Applications478371Scored Possible Award350282New Scholarship Awards116154*Extension Awards228184*Total Scholarship Awards344338*Online Applications* Awards offered as of 8/4/2015

IHS Scholarship Program FY 2015Scholarship Applications by Great PlainsNashvilleNavajoOklahoma CityPhoenixPortlandTucsonTotalTotal OnlineCompleteApplications 2176627101990371

IHS Scholarship Program FY 2015Preparatory and Pre-Graduate Awards Offered as of 8/3/15DisciplineAwardsDisciplineAwardsPre-Clinical e41Pre-Pharmacy10Pre-Optometry3Pre-Social Work2Total54Total31

IHS Scholarship Program FY 2015Health Professions Awards Offered as of 8/3/2015DisciplineChemical DependencyCounselingClinical PsychologyDentistryHealth RecordsMedical TechnologyNurse MidwifeNurse PractitionerNurse, Associate DegreeNurse, Baccalaureate DegreeOptometryPharmacyPhysical TherapyAwardsDisciplineAwards3103633Physician AssistantPhysician, AllopathicPhysician, OsteopathicPodiatryPublic Health Nutrition11299113151235113613Respiratory TherapySanitarianSocial WorkUltrasoundX-Ray TechnologyTotal111712253

IHS Scholarship ProgramPriority PlacementWorking with Area Scholarship Coordinators and AreaRecruiters on placement of new graduates

Extern Program

IHS Extern Program — Purpose To give IHS scholars and other health professions studentsthe opportunity to gain clinical experience with IHS, Tribal andUrban Indian program health professionals in their chosendiscipline. To allow students to the opportunity to visit potentialemployment sites.

IHS Extern ProgramPersonnel Systems Civil service — the federal civil service personnel system. Direct Tribal/Urban Indian program hire — employmentthrough Tribal/Urban Indian program facilities. Commissioned Officer Student Training and Extern Program(COSTEP) — a program of the USPHS CommissionedCorps.

IHS Extern ProgramSelection Priority Health professions scholarship recipients Health professions students (non-scholars) American Indianor Alaska Native (AI/AN) Health professions students (non-scholars) non-AI/AN Preparatory and Pre-Graduate scholarship recipientsApplication deadline is mid-February

IHS Extern Program FY 2014Health Professions ExternsDisciplineExternsChemical DependencyCounseling1Clinical ring6TotalMedical Technology2Nurse, Associate Degree4Nurse, Baccalaureate ns Allopathic1Sanitarian1Social WorkTotalExterns340864110

IHS Extern Program FY 2015Extern Funding by Great PlainsNavajoNashvilleOklahoma CityPhoenixPortlandTucsonTotalEstimatedNumber ofExterns451311714261241335126

IHS Extern ProgramEnd of summer reporting by Area Offices

Loan Repayment Program

Loan Repayment Program - PurposeTo assure an adequate supply of trained health professionalsnecessary to maintain accreditation of, and provide healthcare services to Indians through, Indian health programs.

Loan Repayment Program (LRP) The LRP funds clinicians to repay their eligible healthprofession education loans — up to 40,000 — in exchangefor an initial two-year service commitment to practice inhealth facilities serving American Indian and Alaska Nativecommunities. Opportunities are based on Indian health program facilitieswith the greatest staffing needs in specific health professiondisciplines. LRP participants are eligible to extend their contract annuallyuntil all qualified student debt is paid.

IHS Loan Repayment Program FY 2014Loan Repayment Program AwardsProfessionBehavioral HealthDental (Dentist & Dental odiatryRehabilitative ServicesOther Health 710New 1625201373710186331* Includes Dietetics/Nutrition, Engineering, Health Records, Medical Laboratory Scientist,Medical Laboratory Technology, Respiratory Therapy, Sanitation and Chiropractor.

IHS Loan Repayment Program FY 2014Loan Repayment Awards By Great PlainsNashvilleNavajoOklahoma 3108121612911710

IHS Loan Repayment Program FY 2015 Budget– 30 million

IHS Loan Repayment Program FY 2015Results as of 7/13/2015ProfessionBehavioral nPodiatryRehabilitative ServicesOther Health te391511823032141838297

IHS Loan Repayment Program FY 2015FY 2014 and FY 2015 Comparison (as of 8/3/2015)ProfessionFY 2014FY 20151,2961,135Complete Applications828955New 2-Year Contracts379449Continuation Contracts331391Total Contracts710840Serving 2nd year of Contract519379Total LRP Recipients Working1,2291,219Matched Unfunded118133Unmatched Unfunded468257Online Application

IHS Loan Repayment Program FY 2015Matched Unfunded and Matched Funded as of 8/3/2015MatchedProfessionBehavioral HealthDollarUnmatchedDollarUnfunded1Amount 51,672Unfunded38Dental8 413,37618 930,096Nurses22 1,136,784110 5,658,084Optometrists9 413,3765 258,360PA/APN23 1,188,45632 1,653,504Pharmacists55 2,816,12432 1,653,504Physicians2 103,34415 775,080Podiatry1 51,6722 103,344Rehabilitative Services5 258,3608 413,376Other Professions7 335,86815 749,244 6,769,032275 14,106,456Total133Amount 1,911,864

IHS Loan Repayment Program Other Loan Repayment Programs– Need information from recipients

National Health Service Corps Health Professional Shortage Area Site Scores NHSC Jobs Center (http://www.nhscjobs.hrsa.gov/) IHS Site Profiles NHSC scholars and loan repayment recipients serving IndianHealth programs (as of June, 2015)– 326 NHSC Loan Repayment Program recipients– 29 NHSC Scholars– 662 Eligible Sites– 319 Vacancy Announcements

RecruitmentVacancy RatesDisciplineIHS Vacancy Rate d Practice Nurse25%Dentist14%

Recruitment Conferences (7 National)– Pri-Med, Boston (Sept)– OMED Osteopathic Medical Conference (Oct) Virtual Job Fairs– February 24 focusing on Physicians, Nurses, Nurse Practitionersand Physician Assistants - 248 participants.– March 31 focusing on Dentists, Pharmacists and all healthprofession recruitment - 217 participants.– April 28 focusing on Scholarship and Loan Repayment Programparticipants and all health profession recruitment - 41 participants.

Recruitment Recruitment Budget– Line 124 – Recruitment 1.8 million (Tribal Shares: 1 million)» 100% full recruitment services» 50% IHS Jobs website for job positing only– Line 125 – USUHS 3.5 million (Tribal Shares: 1.9 million)» 100% USUHS Medical School Graduates (10 year servicecommitment)

Recruitment Recruitment Tools– ecruitmenttools/ Focus Groups (July)– Area recruiters, Area scholarship coordinators and Area HRDirectors and HR specialists– Facility leaders, hiring officials and facility HR teams(IHS/Tribal/Urban)– Tribal Leaders and Tribal Health Directors

Recruitment Placement Reports (Monthly)– Physician (http://www.ihs.gov/PPR/)– Physician Assistant (http://www.ihs.gov/PAPR/)– Nurse (http://www.ihs.gov/NPR/)

Retention Retention Website– New Hire Quick Reference Guide– Retention Best Practices– Retention Insights– Retention gies/retentiontools/

Additional 2015-16Marketing Materials

Marketing MaterialsCollateral and Digital: Ambassador Program Kit and Email

Marketing MaterialsCollateral: Facility Guide and Veterans Slipsheets

Marketing MaterialsCollateral: Transitioning Veterans Reference Guide

Marketing MaterialsCollateral: USUHS/IHS Participant Program Guide

Marketing MaterialsCollateral: Recruiter Hiring Event Kit

Marketing Materials Internal Communications Plan Co-Op Advertising Plan Lead Tracking Plan Area Lead Negotiator Kit Staff Support Videos Site Profiles Military Transition Microsite Organizational Analysis FocusGroups Intermediate Care Technician(ICT) Quick Reference Guide Grants Program Handbook andMicrosite

IHS Recruitment ProgramsScholarship Program (www.ihs.gov/scholarship/)– Robert Pittman, Phone: (301) 443-5710Extern Program (www.ihs.gov/scholarship/ihsexternprogram/)– Vickye Santiago, Phone: (301) 443-2312Loan Repayment Program (www.ihs.gov/loanrepayment/)– Jackie Santiago, Phone: (301) 443-2486Recruitment (www.ihs.gov/Careeropps)– Nan Bellini, Phone: (301) 443-4242

-February 24focusing on Physicians, Nurses, Nurse Practitioners and Physician Assistants - 248 participants. -March 31 focusing on Dentists, Pharmacists and all health profession recruitment - 217 participants. -April 28 focusing on Scholarship and Loan Repayment Program participants and all health profession recruitment - 41 participants.