-- recruitment/retention

2008 DHHS / Dept of Interior / Tribal

Self-Governance Annual Conference

Las Vegas, NevadaBreakout session on Tuesday, April 29, 2008 .. Panel on I/T/U recruitment and retention and IHS scholarships

Phillip L. Smith, M.D., MPHDirector, DPER

Office of Public Health SupportIndian health Service

Phillp.smith@ihs.gov

Introductions

Objectives

• IHS - general overview• Current Recruitment’s Activities and Future

Plans• Retentions activities• Overview of IHS scholarship program• Question and answer

Indian Health Service

• To raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level.

• More than 560 federally recognized tribes in 35 states.

• Indian Health Service provides a comprehensive health service delivery system for approximately 1.8 million of 3.3 million American Indians and Alaska Natives. Its FY 2006 appropriation is approximately $3.1 billion. Inpatient: 60,645; Outpatient: 9,434,282; Dental: 954,570

• Federal system – 33 hospitals, 53 health centers, 38 health stations, 34 urban Indian health projects serving 600,000 American Indians (direct, CHS)

• Tribal system – 15 hospitals, 221 health centers, 97 health stations, 176 Alaska village clinics (contract, compact).

• Indian Health Service clinical staff - 2,700 nurses, 950 physicians, 370 engineers, 500 pharmacists, 320 dentists, 150 sanitarians, and physician assistants, allied health professionals - nutritionists, health administrators, medical records administrators and other types of support staff all totally about 17,000 employees nationwide.

A QUICK LOOK ATINDIAN HEALTH

Real DiversityReal DiversityAmong the Among the

many many Native tribesNative tribes

and and communitiescommunities

I.H.S. Vacancy Crisis

• Nation-wide shortage of health care providers

• Unique nature and location of our clinical services

• Lack of funding• Disjointed

recruiting and retention services

Vacancy Rates and TotalsProfessioProfessionn

Vacancy Vacancy RateRate

1/20081/2008

Total Total VacanciesVacancies

1/20081/2008

DentistDentist 31%31% 131131

NurseNurse 18%18% 612612

PhysicianPhysician 17%17% 181 181

OptometriOptometristst

13%13% 22 22

PharmacisPharmacistt

11%11% 6565

Our Vision – All vacancies filled by qualified dedicated

professional

Specific Recruitment Improvements

• IHS marketing campaign• Improved website design• IHS job vacancy database

upgrade• Improving our ability to

assessing vacancy rates (through IT application and HR modules)

• Working more closely with HR and provide conduit for information regarding HR products (e.g., Direct Hire, Quick Hire)

Majority of health professional locate their next job through

the web

Physician

Recruitment Website

www.careers.ihs.govwww.dental.ihs.g

ov

New

Local Recruitment• Local recruitment activities are the key• Headquarters, Area Office and discipline

recruiters can provide contacts and applicants to the site

• Local staff follow-up is what makes the applicant want to go to a particular site.

• Professionals want to know what community their family are joining

All Working Together Towards a Common Goal

Loan Repayment Website and Brochure

www.loanrepayment.ihs.gov

Retention

Improvement of Retention Tools

• IHS CEO Smart People• IHS CEO Boot Camp• Improvement of salaries both commissioned

corps and civil service

Where are we also looking for health providers ?

www.scholarship.ihs.gov

INDIAN HEALTH SERVICE SCHOLARSHIP PROGRAM

OVERVIEW

HEALTH PROFESSIONS PREPARATORY SCHOLARSHIP

(103)

DESCRIPTION

Provides financial assistance for AI/AN students to enroll in courses that will prepare them for acceptance into health professions schools. Courses may be either compensatory (required to improve science, mathematics, or other basicskills and knowledge) or pre-professional (required in order to qualify for admission into a health professions program).

PRIORITY HEALTH CAREER CATEGORIESSection 103

PreNursing PrePhysical Therapy

PreMedical Technology

PreEngineering

PrePharmacy PreSanitarian

PreDietetics PreOccupational Therapy

PreSocial Work PreClinical Psychology

HEALTH PROFESSIONS PREGRADUATE SCHOLARSHIP

(103-P)

DESCRIPTION

Provides financial assistance for AI/AN students to enroll in courses leading to a Bachelor’s degree in specific pre-professional areas (premedicine and predentistry)

HEALTH PROFESSIONS SCHOLARSHIP

(104)

DESCRIPTION

Provides financial assistance for AI/AN students who are members of federally recognized tribes enrolled in health professions and allied health professions programs. For this program, there are service obligation and payback requirements that the recipient incurs upon acceptance of the scholarship funding. Priority is given to Graduate Students and Junior and Senior level students unless otherwise specified.

Today

PRIORITY HEALTH CAREER CATEGORIES (104)

PROFESSION DEGREE SUPPORTEDChemical Dependency Counseling

Baccalaureate, Master’s

Clinical Psychology PhD Program

Coding Specialist Certificate

Counseling Psychology PhD Program

Dentistry DDS or DMD

Dental Hygienist BS Degree

Diagnostic Radiology Technology Certificate, Associate, and BS

Dietitian BS Degree

Environmental Health & Engineering

BS Degree

PRIORITY HEALTH CAREER CATEGORIES (104)

PROFESSION DEGREE SUPPORTEDHealth Care Administration BS and Master’s

Health Education BS and Master’s

Health Records Administration RHIT and RHIA

Injury Prevention Specialist Certificate

Medical Technology BS Degree

Medicine MD and DO

Nurse ADN, BSN, CRNA, GER, NP, PED, PSY, WH

Occupational Therapy BS

Optician Associate

PRIORITY HEALTH CAREER CATEGORIES (104)

PROFESSION DEGREE SUPPORTEDOptometry OD

Pharmacy PharmD

Physician Assistant PAC

Physical Therapy MS and DPT

Podiatry DPM

Public Health MPH Only (with concentration in epidemiology only)

Public Health Nutrition Master’s only

Respiratory Therapist Associate

Social Work Master’s only (Direct Practice & Clinical Concentration)

Ultrasonography Diagnostic Radiology Tech first

Acknowledgments for information and slides used

robert.pittman@ihs.govsusannah.olnes@ihs.gov

dawn.kelly@ihs.gov(301) 443-4242