Title VII, Interdisciplinary, Community-Based LinkagesPart D, Public Health Service Act Section 755: Allied Health and Other Disciplines
Louis D. Coccodrilli, MPHActing Director, Division of Medicine and Dentistry Acting Director, Division of State, Community & Public HealthBureau of Health ProfessionsHealth Resources and Services AdministrationDepartment of Health and Human Services
Health Resources and Services Administration (HRSA)
HRSAElizabeth Duke, PhD
BPHC BHPrA. Michelle Snyder
MCHB HAB
PractitionersData Bank
NursingHealth CareersDevelopment
Medicine and Dentistry
Lou Coccodrilli, MPH
State, Community,and Public Health
Lou Coccodrilli, MPHNHSC
OHIT
HRSA Mission: HRSA provides national leadership, program resources and
services needed to improve access to culturally competent, quality health care.
Vision: HRSA envisions optimal health for all, supported by a health care system that assures access to comprehensive, culturally competent, quality care.
HRSA programs and services target: 44 million Americans who lack health insurance - many of whom are racial
and ethnic minorities, Over 50 million underserved Americans who live in rural and poor urban
neighborhoods where health care services are scarce, African American infants who still are 2.4 times as likely as white infants to
die before their first birthday, More than l million people living with HIV/AIDS, both in and out of care,
and Over 87,000 Americans who are waiting for an organ transplant.
HRSA: Strategic Goals1) Improve access to health care
2) Improve health outcomes
3) Improve the quality of health care
4) Eliminate health disparities
5) Improve the public health and health care systems
6) Enhance the ability of the health care system to respond to public health emergencies
7) Achieve excellence in management
Bureau of Health Professions (BHPr) Mission: Improve the health status of the population by providing
national leadership in the development, distribution and retention of a diverse, culturally competent health workforce that provides the highest quality care for all.
Vision: A nation in which universal access and utilization of quality health care are provided, health workforce shortages are eliminated, health disparities are overcome, prevention is emphasized and health outcomes are optimal for all.
The right people, with the right skills, in the right places, to achieve the right health outcomes.
Title VII - AHP Authorizing Legislation Section 755, Part D of the Public Health Service (PHS)
Act, 1998 – 2002 Authorization currently expired
Authorized activities of AH projects include: 1) Assisting organizations in meeting costs associated with
expanding or establishing programs that will increase the number of individuals trained in AH professions
Such programs and/or activities include those that:a) expand AH professional enrollment within professions of greatest shortages or whose services are needed by the elderlyb) provide transition training programs in allied health fields to those with a bachelor’s degree in health-related sciences
Authorizing Legislation Cont..
c) establish community-based training linking rural clinics to academic centers d) provide career advancement traininge) expand/establish clinical training sites in MUAsf) develop curriculum to emphasize knowledge and practice in areas of
prevention, health promotion, geriatrics, long-term care, home health and hospice care, and ethics
g) expand/establish interdisciplinary training programs that promote effectiveness of AH professionals in geriatric assessment and rehabilitation services for the elderly
h) expand/establish demonstration centers to emphasize innovative models to link AH to clinical practice, education and research
i) provide financial assistance (traineeships) to studentsj) meet costs of projects to plan, develop, and operate or maintain graduate
programs in behavioral and mental health practice.
Authorizing Legislation Cont..
2) Plan and implement projects in preventive and primary care training for podiatric physicians in approved residency training programs
3) Carry out demonstration projects where chiropractors and physicians collaborate to identify and provide effective treatment for spinal and lower-back conditions
Allied Health Special Projects Podiatric Primary Care Residency Training Program
No competitive cycle in FY 2007 No awards in FY 2006
Chiropractic Demonstration Project No competitive cycle in FY 2007 4 awards in FY 2006; Total Funds: $1,840,968
Graduate Psychology Education Program A competitive cycle is being administered in FY 2007 Application deadline: January 31, 2007 20 awards in FY 2006; Total Funds: $1,822,065
HRSA Funding for AHPFiscal Year Budget
2002 $9,495,000
2003 $11,922,000
2004 $11,849,000
2005 $11,753,000
2006 $ 3,663,000
2007 ?
Advisory Committee on Interdisciplinary, Community-Based Linkages (ACICBL) Authorized under Section 756, Part D of PHS Act
Function:
(1) provide advice and recommendations to the Secretary concerning policy and program development and other matters of significance concerning activities under Section 756, Title VII, Part D of the PHS Act; and
(2) prepare and submit to the Secretary, the Committee on Health, Education, Labor and Pensions of the Senate, and the Committee on Energy and Commerce of the House of Representatives, a report describing the activities of the Advisory Committee, including findings and recommendations made by the Committee.
ACICBL & Allied Health Membership
21-member committee: balance of health professionals broad geographic representation representation of women and minorities Are members from schools associated with
training programs described in sections 751-755 of PHS Act AHECs, HETCs, GECs, GTPDs, GACAs, Allied Health,
Quentin N. Burdick Rural Interdisciplinary Training, Chiropractic, Podiatry, and Graduate Psychology
Current ACICBL Members Allied Health:
Stephen Wilson, PhDAssociate Dean, School of Allied Health ProfessionsThe Ohio State University, School of Medicine ProfessionsTerm: September 2003 - present
Cheryl Cameron, PhD, JDActing Vice Provost and Professor, Dental Health ServicesUniversity of WashingtonTerm: September 2003 - present
Brandy Bush PhD StudentCreighton UniversityTerm: September 2006 - present
Current ACICBL Members Graduate Psychology:
William Elder, PhDClinical PsychologistUniversity of Kentucky Chandler Medical CenterTerm: September 2003 - present
Chiropractic: Allan Adams, DC
Vice President Academics and Program Development Texas Chiropractic CollegeTerm: September 2006 - present
Podiatry: Karona Mason-Kemp, DPM
Chair, Dept of Biomechanics and Orthopedic DiseasesDr. William Scholl College of Podiatric MedicineTerm: September 2003 - present
Past ACICBL Members Allied Health
Ron E. Reed, PTA, MSHIVP of Client Advocacy and Product ManagementThe Rehab Documentation Company, LLC Term: September 2003 – September 2005
Charles Spann, PhDActing Dean, School of Health ProfessionsJackson State University Term: 2001 – 2003
Estela Estape, MT, PhDDean, College of Health Related ProfessionsUniversity of Puerto RicoTerm: 2001 – 2003
Richard Oliver, PhDDean, School of Health ProfessionsUniversity of Missouri-ColumbiaTerm: 2001 - 2003
Past ACICBL Members Chiropractic:
Cheryl Hawk, DC, PhD
Dean of Research
Southern California University of Health Sciences
Term: September 2003 – September 2005
Podiatry: Lawrence B. Harkless, DPM
Professor, Department of Orthopedics
University of Texas Health Sciences Center at San Antonio
Term: 2001 – 2003
ACICBL Fifth Annual Report
ACICBL Fifth Annual Report :Allied Health Description Definition: “Allied health professionals are health
care practitioners with formal education and clinical training who are credentialed through certification, registration, and/or licensure. They collaborate with physicians and other members of the health care team to deliver patient care services for the identification, prevention, and treatment of diseases, disabilities, and disorders”
- Developed by the Health Professionals Network
ACICBL Fifth Annual Report : Allied Health Findings US Bureau of Labor Statistics: health care
industry is predicted to add nearly 3.5 million new jobs between 2002 and 2012
Currently high vacancy rates exist in AH professions
Occupational therapy – 15.7% Imaging sciences – 15.3%
Fastest Growing Health Care Occupations, 2002-2012
Rank Occupation % Growth Expected
1 Medical Assistants 59
3 Physician Assistants 49
4 Social and Human Service Assistants 49
5 Home Health Aides 48
6 Medical Records and Health Information Technicians 47
7 Physical Therapist Aides 46
10 Physical Therapist Assistants 45
15 Dental Hygienists 43
16 Occupational Therapist Aides 43
17 Dental Assistants 42
18 Personal and Home care Aides 40
21 Occupational Therapist Assistants 39
28 Physical Therapists 35
29 Occupational Therapists 35
30 Respiratory Therapists 35
Source: US Bureau of Labor Statistics
ACICBL Fifth Annual Report : Allied Health Findings Reasons for current/anticipated shortages
Aging workforce High attrition Shrinking applicant pool Lack of career ladders Degree creep
Barriers to the training of AH students Faculty shortages Lack of clinical training sites Cost of training Lack of awareness of Allied Health careers Students are unprepared for health careers curricula Fewer training opportunities Articulation
ACICBL Fifth Annual Report: Recommendations 1) Congress should expand the legislative authorities in Title VII,
Section 755(b)(1) to include:
Innovative projects designed to meet specifically defined and well justified local and regional allied health training needs (L);
Faculty development demonstration grants to address severe faculty shortages in allied health profession programs including interdisciplinary, community-based faculty fellowships in allied health (M);
Projects that establish partnerships with existing HRSA workforce centers to collect, analyze, and report data on the allied health workforce, access, and diversity and provide reports on workforce issues to Congress (N);
ACICBL Fifth Annual Report: Recommendations Cont..
Projects that provide incentives for partnerships with local higher education institutions such as 2-year community colleges, tribal colleges, Historically Black Colleges and Universities (HBCUs), and Asian/Pacific Islander and/or Hispanic-serving institutions (O);
Projects that provide rapid transition training programs in allied health fields to individuals who have certificates and/or associate, and baccalaureate degrees in health-related sciences (B); and
Projects that expand or establish demonstration centers to emphasize best practices and innovative models to link allied health clinical practice, education, and research (H).
ACICBL Fifth Annual Report: Recommendations Cont..
2) The Secretary and Congress should appropriate funding, no less than the previous 1972 level of $35 million, under Title VII, Section 755 specifically for allied health programs to support interdisciplinary, community-based education and training projects. With this additional funding, HRSA should consider funding traineeships as authorized under Section 755(b)(1)(i).
3) Congress should enact the Allied Health Reinvestment Act (AHRA) with the inclusion of Title VII, Section 755 revisions proposed by this Committee in this report. Introduced in the House of Representatives on January 4, 2005 and in
Senate on February 28,2005
Allied Health Professions Reinvestment Act of 2005
Calls for amendment to the PHS Act
Requires the Secretary of DHHS to: Develop public service announcements to promote the allied health
professions Award grants to promote AH professions by
Supporting State and Local campaigns Supporting scholarship programs Supporting programs to facilitate the entry of students into relevant careers Expanding enrollment into such programs Developing retention strategies Supporting AHECs to contract with AH programs to work in communities
and to expand high school mentoring programs Developing clinical education, internship, and resident programs that
encourage mentoring and development of specialties
Allied Health Professions Reinvestment Act of 2005 Cont..
Provide scholarships to prospective AH students who agree to work in rural and other MUAs
Establish faculty loan funds to increase number of qualified faculty Develop a system for collecting and analyzing workforce data to
determine education pipeline and practitioner shortages and to project future needs for such a workforce
Include AH schools among the schools eligible to receive grants to support Centers of Excellence in health professions education for underrepresented minority individuals.
Suggestions: Federal Funding Consider:
Broad focus vs. narrow focus Numerous AH disciplines vs. a selected few
Prioritize training needs among and within AH professions; identify top three training needs
Include performance measures with any training requests Identify potential performance measures data to be
collected and summarized Relate training needs and performance measures to the
needs of employers, underserved populations and safety net providers
Loan repayment vs. scholarships
Useful Resources BHPr: http://bhpr.hrsa.gov/
ACICBL: http://bhpr.hrsa.gov/interdisciplinary/acicbl/reports/
FY 2006 information on de-funded programs: http://www.hrsa.gov/grants/unfunded.htm
FY 2007 Justification of Estimates for Appropriations
Committees: http://www.hrsa.gov/about/budgetjustification07/interdisciplinary.htm
Contact InformationLouis D. Coccodrilli, MPH
ACICBL, Designated Federal Official Acting Director, Division of Medicine and Dentistry
Acting Director, Division of State, Community & Public HealthBureau of Health Professions
Health Resources and Services Administration 5600 Fishers Lane
Rockville, MD 20857301-443-6950