Att a and b_ omb nov 2011

Attachment A

New Measures for the HRSA Uniform Progress Reports (UPR) for Grants and Cooperative Agreements OMB No. 0915-0061

Program-specific Measures

State Primary Care Offices Performance Measures

• Number of National Health Service Corps’ (NHSC) Recruitment & Retention (R&R) Assistance Application State Recommendation Forms submitted by the State Primary Care Office to the NHSC.

• Number of Service Areas provided technical assistance in the development or expansion of safety net services by the State Primary Care Office.

The table below outlines the information that will be requested from the Primary Care Offices (in each state that participate in BHPr’s Primary Care Office program).

• Number of Obligated Health Professionals (OHP) currently serving in primary care, dental, or mental health disciplines. (table)

Columns	A	B	C	D	E	F	G	H	I	J
Discipline	# of Obligated Health Professionals currently providing care	# of Obligated Health Professionals working in National Health Service Corps’ (NHSC) Sites	# of Obligated Health Professionals Participating in State Loan Repayment Program (SLRP)	# of Obligated Health Professionals Participating in Non-SLRP State Loan Repayment Program	# of Obligated Health Professionals practicing on a J-1 Waiver	# of Obligated Health Professionals receiving other incentives or benefits	# of Obligated Health Professionals working in Community Health Centers	# of Obligated Health Professionals working in Medically Underserved Areas (MUAs)	# of Obligated Health Professionals working in Health Professional Shortage Areas (HPSAs)	# of Obligated Health Professionals Working in other settings
Allopathic Physician (MD)
Osteopathic Physician (DO)
Dentist (DDS/DMD)
Nurse Practitioner (NP)
Nurse Midwife (NM)
Physician Assistant (PA)
Dental Hygienist (DH)
Psychiatrist (MD&DO)
Clinical Psychologist (CP)
Licensed Clinical Social Worker (LCSW)
Psychiatric Nurse Specialist (PNS)
Mental Health Clinician
Licensed Professional Counselor (LPC)
Marriage and Family Therapist (MFT)
Other (Specify)
Total

STATE HEALTH CARE WORKFORCE GRANTS (NEW PROGRAM)

PLANNING GRANT PERFORMANCE BENCHMARKS

STATE: {INSERT NAME OF STATE}
Performance Benchmark	Target	Actual
1. Completion of an analysis of (STATE) health care labor market information.	DATE
2. Identification of current and projected high demand health care occupations within (STATE).	DATE
3. Identification of existing Federal, State, and private resources to recruit, educate or train, and retain a skilled health care workforce and strengthen partnerships	DATE
4. Completion of a description the academic and health care industry skill standards for high school graduation, for entry into postsecondary education, and for various credentials and licensure;	DATE
5. Completion of a description of the State secondary and postsecondary education and training policies, models, or practices for the health care sector, including career information and guidance counseling;	DATE
6. Identification of Federal or State policies or rules to developing a coherent and comprehensive health care workforce development strategy	DATE
7. Identification of barriers to developing a coherent and comprehensive health care workforce development strategy and a plan to resolve these barriers	DATE

STATE HEALTH CARE WORKFORCE GRANTS

IMPLEMENTATION GRANT PERFORMANCE BENCHMARKS

Performance Benchmark	Target	Actual
1. Completion of facilitated State partnership meetings on a regular basis, and at least on a semiannual basis.	# of meetings
2. Identification of regional leadership, to discuss opportunities to engage in statewide health care workforce development planning	Date
3. Completion of facilitated meetings with regional leadership to discuss opportunities to engage in statewide health care workforce development planning	# of meetings
Completion of distribution of regional competitive grants.	Estimated dollar amount to be awarded through regional competitions (must be equal to or greater than 60% of total award)
Develop, complete and disseminate a preliminary statewide strategy (plan) that addresses short- and long-term health care workforce development supply versus demand, including FTE baselines for Primary Care and Non-Primary Care Health Professions	Date

Attachment B

HRSA Active and New Grant Programs Using the Performance Reports for Grants and Cooperative Agreements (PRGCA)

OMB No. 0915-0061

Active Programs

1. Academic Administrative Units in Primary Care

2. Advanced Nursing Education Grants

3. Area Health Education Centers Infrastructure Development

4. Area Health Education Centers Point of Service Maintenance and Enhancement

5. Centers of Excellence

6. Chiropractic Demonstration Projects

7. Comprehensive Geriatric Education Program

8. Dental Public Health Residency Training Grants

9. Faculty Development in Primary Care

10. Faculty Development: Integrated Technology into Nursing Education and Practice Initiative

11. Geriatric Education Centers

12. Geriatric Education Centers

13. Geriatric Training Program for Physicians, Dentists, And Behavioral And Mental Health Professions

14. Graduate Psychology Education Programs

15. Grants to States to Support Oral Health Workforce Activities

16. Grow Your Own FQHC Nurse

17. Health Careers Opportunity Program

18. Minority Faculty Fellowships

19. Nurse Education Practice, Quality and Retention

20. Nurse Education, Practice and Retention: Enhancing Patient Care Delivery Systems

21. Nursing Workforce Diversity

22. Physician Assistant Training in Primary Care

23. Pre-Doctoral Training in Primary Care

24. Preventive Medicine Residencies

25. Public Health Traineeship

26. Public Health Training Centers

27. Residency Training in General, Pediatric, and Public Health Dentistry

28. Residency Training in Primary Care

NEW Programs

1. State Primary Care Offices

2. State Health Workforce Development Grants

Page 1 of 7 OMB No. 0915-0061

Expires 12/31/2010

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0915-0061. Public reporting burden for this collection of information is estimated to average 8.5 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 10-33, Rockville, Maryland, 20857.