The presentation slides will be available on the Bureau’s Strategic Initiative webpage athttps://bphc.hrsa.gov/programopportunities/strategic-initiatives

In terms of polling results - how many people are participating today?

To identify potential fraud, waste and abuse.

Scope change requests to add/remove sites could have SAS information to justify/explain request

Or scope changes for 5A to add specialties

Since the HCP penetration rate has been removed, might this still be used in determining service area overlap, need for additional HCPs (LALs and NAPs)?

Help address issues with Service Area Overlap

SAC Application, needs assessments for OSVs

Scope request - justify unmet need in service area for 5B or 5A

Use some of the SAS information in applying for grant funding from other federal agencies and foundations

Re-imagining and re-invigorating the local public health infrastructure to address challenges on an ongoing basis, informing State governments.

Hello - I answered "yes" to other use cases keeping in mind its potential to inform analytics and risk adjustment, which is only covered from a clinical perspective

To advocate locally and perhaps statewide for community.

scope request

Heartily agree with the use for Changes in Scope - - make the process more data driven

Could apply internally to QI/QA efforts.

Providing coaching and resources to organizations that are prime to apply common strategies to address the most common health disparities and are yet not doing it as part of their organizational strategies

funding

Why zip codes and not census tracts?

Has there been consideration in applying score at a tract-level as opposed to zip code?

Will we receive a copy of slides?

HRSA's materials do speak to the census tract question; they state that they researched that possibility and didn't find enough variance between zip code and census tract data

The presentation slides will be available on the Bureau’s Strategic Initiative webpage athttps://bphc.hrsa.gov/programopportunities/strategic-initiatives

Have you considered asking for unique medical patients by zip code in UDS, so the HCP penetration and weighted measures would exclude BH- and dental-only patients? When there are multiple HCPs the # of patients gets skewed when patients go to one for medical and one for dental.

Is the SAS being proposed to replace the UNS? Or is a proposed additional measure?

Regrettably I have another meeting; however, thank you for the time and information, I will look for the slides to be posted via the above link.

I have always understood that zip codes change boundaries faster and more often than census tracts. I assume this was taken into consideration - what was the finding?

ah - sorry - finding was that because there wasn't enough variance, they were not going to pursue census tract level reporting/analysis

What about variance over time due to shifting boundaries? Was that addressed?

How and when do we establish our SAS score?

What are the data sources in coming up with UNS numbers?

We have large zip codes with significant variance in census tract clusters - so the zip code overall averages out in a way that "hides" the need in our vulnerable population area. Will we be able to submit additional data for funding consideration if SAS is used as a scoring criteria? In NAP we were not able to.

When might HRSA ask for a SAS versus a UNS?

Another use would be for local planning purposes around social determinants of health

If/when the SAS is finalized, if it is used for the Needs Assessment, would the health center compliance manual also change?

Why are UDS Mapper data tables not enough information to discern need, penetration, etc.?

For other uses it would be helpful to also be able to calculate on county or other local geographic area which uses data from all CHCs in that area

What data source do you use for broadband access?

Did I hear the panel correctly that it will be site-reported data (a la UDS) that will identify "patients" for the SAS zip code weighting?

It will be important as Matt Kozar is saying for applicants to always be able to tell their story and for the SAS (or UNS) to be only a component. I would recommend "phasing in" the use of SAS. The UNS counted for a full 20 points the first time it was used in the 2019 NAP. Maybe the SAS could be used for a smaller number of points the first time it is used with a funding opportunity.

Thanks for the clarification re: ZCTA. :)

Some of the weights are a little surprising . Can you talk a little about how it was developed?

I agree with Kate. We have quantified high need in census tract clusters but a low UNS score and missed out on 20 full points in NAP; if we used census tracts, it would have been higher.

The census tract clusters are contiguous and a large population, but are each a small part of their respective ZTCAs because of the way the maps are drawn

For the patientweighted method, do you consider age distribution in the population or patients?