Division of Nursing and Public Health

1. Division of Nursing and Public Health CDR Jacqueline Rodrigue, MSW U.S. Department of Health and Human Services Health Resources and Services Administration April 13, 2011 Arlington, VA

2. Health Resources and Services Administration (HRSA) • Vision • Healthy Communities, Healthy People • Mission • To improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs.

3. Legislative Authority • Public Health Services Act, Title VIII of 1964 • Title VIII programs focus on training advanced practice nurses, increasing the number of minority and disadvantaged students enrolling in nursing programs, and improving nurse retention through career development and improved patient care systems. • In 1998, Title VIII was amended to authorize student loan repayment and scholarships programs to fund education and training for public health nurses, registered nurses, nurse midwives, and other nurse specialties.

4. Legislative Authority cont’d • Nursing Reinvestment Act of 2002 • Addressed the current nursing shortage. • Provides scholarships for nursing students and loan repayment programs.

5. Legislative Authority cont’d • Patient Protection and Affordable Care Act of 2010 (‘‘PPACA”, Public Law Public Law 111–148) • The Faculty Loan Repayment Program Bulletin (Section 5310) expanded eligibility to include schools offering physician assistant education programs. • The Nursing Education Loan Repayment Program for Nurse Faculty (Section 10501(d)) extended loan repayments to nurse faculty up to twenty percent of the total loan amount.

6. Challenges Facing Nursing • Growing population of hospitalized patients who are older and more acutely ill • Increasing healthcare costs • Need to stay current with rapid advances in medical knowledge and technology • Existing shortage of nurses • Aging nurse workforce • Prospects of a worsening nurse shortage Source: Addressing New Challenges Facing Nursing Education, Solutions for a Transforming Healthcare Environment, 8th Annual Report, National Advisory Council on Nurse Education and Practice, March 2010.

7. BCRS’ Division of Nursing and Public Health The Bureau of Clinician Recruitment and Service (BCRS), through the Division of Nursing and Public Health (DNPH), addresses the nationwide shortage of nurse professionals through scholarship and loan repayment programs that help underserved communities and critical shortage facilities recruit and retain qualified nurse professionals.

8. DNPH’s Programs • Nursing Scholarship Program (NSP) • Nursing Education Loan Repayment Program (NELRP) • Faculty Loan Repayment Program (FLRP) • Native Hawaiian Health Scholarship Program (NHHSP)

9. DNPH’s Programs At-A-Glance

10. DNPH’s Programs At-A-Glance

11. DNPH’s Programs At-A-Glance

12. Scholarship Selection Availability of Funds Financial Need-Based Other Selection Factors Strong Academic Background Strong and passionate commitment to providing care in an underserved community Leader/Advocate in their community Engaged in civic activism/volunteerism/ research

13. NSP Funding Preferences First Funding Preference Given to qualified application who have a zero expected family contribution (EFC) and are enrolled or accepted for enrollment in an accredited undergraduate nursing program as a full-time student Second Funding Preference Given to qualified applicants who have a zero EFC and are enrolled or accepted for enrollment in an accredited graduate nursing program as a full-time student Third Funding Preference Given to qualified applicants who have a zero EFC and are enrolled or accepted for enrollment in an accredited undergraduate or graduate nursing program as a part time student 2010 Awards Made 458 initial awards plus 18 continuation awards

14. NELRP Funding Preferences Greatest Financial Need - Debt/Salary Ratio Facility Preference Type Nurse Faculty – accredited educational institution Base (Preference 1): DSH; Critical Access Hospital; Nursing Home; State or Local Public Health or Human Services; Federally Designated Health Center (and Look-Alike); Indian Health Service Health Center; Native Hawaiian Health Center; Rural Health Clinic 2010 Awards Made 1139 initial awards plus 135 continuation awards

15. FLRP Funding Preferences First Funding Preference Qualified applicants working full-time Second Funding Preference Qualified applicants working part-time will be funded at a reduced level 2010 Awards Received 265 eligible applications, made 23 awards

16. Native Hawaiian Health Scholarship Program Purpose Provides Federal financial support for Native Hawaiians who are students of health professions school, in return for a commitment to provide primary health services to the Native Hawaiian population in the State of Hawaii Service Commitment Any one of the five Native Hawaiian Health Care Systems, or Medically Underserved Area ( MUA) or a Health Professional Shortage Area (HPSA) located in the State of Hawaii, or a geographic area or facility in the State of Hawaii that is similarly federally designated

17. DNPH Awards Expected FY ‘11

18. Creating Partnerships DNPH seeks to develop and foster partnerships to attract high quality applicants and target geographical areas with low numbers of NSPs, NELRPs, and FLRPs. Partners include: Area Health Education Centers Nursing Organizations and Associations State Primary Care Offices State and Regional Primary Care Associations

19. Dates to Remember • April 2011 (Release) – NSP Application Program & Guidance • May 4, 2011 – NSP Technical Assistance Webcast for application process.

21. Contact Us: • Jacqueline Rodrigue, MSW • CDR, USPHS • Deputy Director • Division of Nursing & Public Health • HRSA/Bureau of Clinician Recruitment and Services • jrodrigue@hrsa.gov • (301) 443-0176 • Angela Sheffie, MPA • Public Health Analyst • Division of Nursing & Public Health • asheffie@hrsa.gov • (301) 443-0813 • Parklawn Building, Room 8-30 • 5600 Fishers Lane • Rockville, MD 20857 • PH: (301) 594-4098 Main Line • FX: (301) 451-5629 NSP • FX: (301) 443-1627 NELRP/FLRP