Logo

Service Area Status Webinar - Shared screen with speaker view
HLee
33:42
The presentation slides will be available on the Bureau’s Strategic Initiative webpage athttps://bphc.hrsa.gov/programopportunities/strategic-initiatives
Rebecca Johnson (she/her), Health Center Solutions, Inc.
45:52
In terms of polling results - how many people are participating today?
Connie Faniel HRSA
49:53
To identify potential fraud, waste and abuse.
Amanda Maedgen - CommUnityCare (she/her)
49:54
Scope change requests to add/remove sites could have SAS information to justify/explain request
Amanda Maedgen - CommUnityCare (she/her)
50:09
Or scope changes for 5A to add specialties
Rebecca Johnson (she/her), Health Center Solutions, Inc.
50:14
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)?
Jing Xu
50:15
Help address issues with Service Area Overlap
Naureen Khan
50:17
SAC Application, needs assessments for OSVs
Michelle Foose - Penobscot Community Health Care
50:18
Scope request - justify unmet need in service area for 5B or 5A
Gloria Rodriguez
50:21
Use some of the SAS information in applying for grant funding from other federal agencies and foundations
Jim Davis, Tri-Cities Community Health, Pasco, WA
50:24
Re-imagining and re-invigorating the local public health infrastructure to address challenges on an ongoing basis, informing State governments.
Blackstone Valley CHC
50:25
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
Mary Bufwack United Neighborhood Health Services
50:35
To advocate locally and perhaps statewide for community.
Michael Farrell- Katahdin Valley Health Center
50:40
scope request
Jim Davis, Tri-Cities Community Health, Pasco, WA
50:50
Heartily agree with the use for Changes in Scope - - make the process more data driven
Rebecca Johnson (she/her), Health Center Solutions, Inc.
51:01
Could apply internally to QI/QA efforts.
Thomasena E Coates, MPH, CPHQ, CCE
51:12
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
DM
51:23
funding
Amanda Maedgen - CommUnityCare (she/her)
52:56
Why zip codes and not census tracts?
Blackstone Valley CHC
53:14
Has there been consideration in applying score at a tract-level as opposed to zip code?
Jolene Joseph
53:50
Will we receive a copy of slides?
Angie Moeller, Santa Rosa Community Health
54:01
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
Christina Gilligan (MITRE)
54:09
The presentation slides will be available on the Bureau’s Strategic Initiative webpage athttps://bphc.hrsa.gov/programopportunities/strategic-initiatives
Rebecca Johnson (she/her), Health Center Solutions, Inc.
56:36
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.
Madi Knaub, Cascadia BHC
58:06
Is the SAS being proposed to replace the UNS? Or is a proposed additional measure?
Michelle Foose - Penobscot Community Health Care
59:50
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.
Amanda Maedgen - CommUnityCare (she/her)
01:00:41
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?
Angie Moeller, Santa Rosa Community Health
01:01:14
ah - sorry - finding was that because there wasn't enough variance, they were not going to pursue census tract level reporting/analysis
Amanda Maedgen - CommUnityCare (she/her)
01:01:52
What about variance over time due to shifting boundaries? Was that addressed?
Christine Bianchi
01:02:05
How and when do we establish our SAS score?
Julie Dobrick
01:02:16
What are the data sources in coming up with UNS numbers?
Amanda Maedgen - CommUnityCare (she/her)
01:03:42
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.
Katie Cameron
01:03:53
When might HRSA ask for a SAS versus a UNS?
Gloria Rodriguez
01:04:16
Another use would be for local planning purposes around social determinants of health
Pam Choice, Family Health Centers of San Diego
01:04:32
If/when the SAS is finalized, if it is used for the Needs Assessment, would the health center compliance manual also change?
Julie Dobrick
01:04:32
Why are UDS Mapper data tables not enough information to discern need, penetration, etc.?
Gloria Rodriguez
01:06:23
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
Katie Cameron
01:12:50
What data source do you use for broadband access?
Thomasena E Coates, MPH, CPHQ, CCE
01:16:56
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?
Kate Simmons, Bi-State PCA - VT
01:18:13
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.
Amanda Maedgen - CommUnityCare (she/her)
01:19:29
Thanks for the clarification re: ZCTA. :)
Steven Fass, MHHC
01:21:39
Some of the weights are a little surprising . Can you talk a little about how it was developed?
Amanda Maedgen - CommUnityCare (she/her)
01:21:45
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.
Amanda Maedgen - CommUnityCare (she/her)
01:24:01
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
Chiu-Fang Chou/BPHC
01:24:38
For the patientweighted method, do you consider age distribution in the population or patients?