HB 3396 A Preliminary Summary Five Listening Sessions Held - - PowerPoint PPT Presentation

Provider Incentive Listening Sessions HB 3396

A Preliminary Summary

Five Listening Sessions Held Prineville Pendleton Roseburg Lebanon Astoria

Purpose

 Hear from community members, providers, clinics, hospitals on

what works and doesn’t work

 Get some response to data and preliminary findings from Lewin  Get input on what is needed and what else should be explored

Summary

 Heard from more than 100 Oregonians  24 counties represented  13 of 16 CCOs covered  Range in number of people participating from 12 to more than 60  HCWF Committee members attending:

 Jeff Papke (Prineville)  Dan Saucy (Roseburg)  David Pollack (Lebanon and Astoria)  Jeff Clark (Astoria—by phone)

What was heard—Some samples

 Prineville

 We need to do a better job of “grow your own”  Need more primary care residency programs/slots  Retirement options needed  Need bigger packages/solutions than just “loan repayment”  Compensation important, but fit in the community important as well  Need to distinguish between short-term and long-term solutions; need

both

 Quote: “If loan repayment is it, you will simply have a revolving

door—no retention…and it’s more than compensation. It's family, quality of life and having a rewarding career.”

What was heard—Some samples

 Pendleton

 Pharmacists are missing from eligibility for many programs and there’s

a need

 Loan repayment amounts are too low, tax credits too low. Better than

nothing but need larger amounts to provide a bigger enticement

 Need more training, rural rotations, residency slots  Workforce is aging; there’s a crisis that is almost her  J-1 program is working; tax credit helpful (although low); need to

expand SLRP

 Quote: “There’s a very aging workforce among primary care docs,

which is only going to exacerbate the shortage we’re already facing”

What was heard—Some samples

 Roseburg

 Federal resources are not enough  Preceptors and mentoring is costly  Too much uncertainty with whether the programs will keep providing

awards

 Offer a new kind of scholarship program for people willing to go rural  Lots of burn-out in rural practices  Recruitment and retention a full-time job  Quote: “If we didn’t have J-1 we wouldn’t be in business…J-1 is a

lifesaver!”

What was heard—Some samples

 Lebanon

 Not enough residency slots—need to invest lots more in GME  Rural tax credit very important  Compensation a bigger challenge in rural Oregon  Programs should be available to all, regardless of institution  Bidding wars within local communities a real problem  Retirement an issue  Quote: “The real question is what’s the impact if we don’t invest in

these incentive programs.”

What was heard—Some samples

 Astoria

 Not enough housing in the community for training or locating doctors  Big lack of behavioral health providers  HPSA scores too volatile  Allow people to request longer-term service commitments than just 2-3

years.

 Provide paid continuing education for those in the incentive programs

to deal with burnout and help inspire providers

 Quote: “Administrative simplification of the programs would be a

huge value-add.”

What’s next ?

Final Summary completed by July 31, 2016