The Association of State and Territorial Health Officials
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Primary Care Network News
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Volume 3; Number 22 Friday, October 22, 1999

In this issue:

* ASTHO Welcomes Dr. George Hardy as New Executive Director
* BPHC Highlights Strategic Funding Opportunities for State PCOs and PCAs
* HRSA/HCFA/PCA Outreach Project Shows Results
* BPHC Publishes List of Current Health Professional Shortage Areas
* NCSL Provides Strategies for Health Needs of Children With Special Health Care Needs Under CHIP
* Child Health USA 1999 Now Available Online
* Abstracts Requested for Oral Health Conference
* Study Shows CHCs Depend on International Medical Graduates


ASTHO WELCOMES DR. GEORGE HARDY AS NEW EXECUTIVE DIRECTOR
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ASTHO this week welcomed George E. Hardy, Jr., M.D., M.P.H. as its new
Executive Director. Dr. Hardy is a physician-administrator trained in
epidemiology and public health administration and board certified in general
preventive medicine and public health. Former long-time assistant director
of the Centers for Disease Control and Prevention in Washington, D.C., and
Assistant Surgeon General, U. S. Public Health Service, he most recently
served as executive director of the International Life Sciences Institute in
Washington, DC. We are glad to have him on board and look forward to his
leadership.


BPHC HIGHLIGHTS STRATEGIC FUNDING OPPORTUNITIES FOR STATE PCOs AND PCAs
=======================================================================
The Bureau of Primary Health Care's Office of State and National
Partnerships and the National Health Service Corps last week sponsored a
pre-application meeting to highlight strategic funding opportunities for
state Primary Care Office (PCO) and Primary Care Association (PCA)
cooperative agreements. In addition to the base activities of developing
state health policy updates, unmet needs data, marketplace analyses, and
health disparities data, the BPHC is offering resources to support
"Community Development Partnerships" and "Outreach and Enrollment
Partnerships" in support of the vision of 100% Access and 0 Health
Disparities. Application guidance was sent to state PCOs and PCAs on
October 8th and applications are due December 1st. More information on the
"Community Development Partnerships" is available at
http://158.72.105.163/bphc/stintel/CDPartnership.htm and information on the
"Outreach and Enrollment Partnerships" is at
http://158.72.105.163/bphc/stintel/O&E%20Highlights%20by%20State.doc.


HRSA/HCFA/PCA OUTREACH PROJECT SHOWS RESULTS
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Highlights of results achieved by state Primary Care Associations (PCAs)
through the "HRSA/HCFA Outstationing Demonstration Project" are available
on-line at
http://158.72.105.163/bphc/stintel/o%26e%20highlights%20by%20state.doc.
Initiated by the Bureau of Primary Health Care's Office of State and
National Partnerships in April 1998, this pilot has demonstrated success in
outreach and enrollment for CHIP and Medicaid, and is planning to expand for
greater focus on multiple means of increasing access to health care for
various populations.


BPHC PUBLISHES LIST OF CURRENT HEALTH PROFESSIONAL SHORTAGE AREAS
=================================================================
The September 20, 1999 Federal Register includes a list of all areas,
population groups, and facilities designated as primary medical care, mental
health, and dental health professional shortage areas (HPSAs) as of July 30,
1999. The listing is available at
http://www.bphc.hrsa.gov/blacklung/fedreg/fedregHPSA1.pdf. The BPHC
published a proposed rule to revise the methodology to determine

designations in September 1998, but implementation was delayed in light of
over 800 public comments. ASTHO staff will continue to monitor and report
on the designation process revision. General information on shortage
designations is available at http://www.bphc.hrsa.gov/dsd/dsd11.htm.


STRATEGIES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS UNDER CHIP
===================================================================
Although states have utilized diverse methods to enroll over one million
children in the State Children's Health Insurance Plan (CHIP), many
strategies have not upon the needs of children with special health care
needs, but upon the needs of children in general. This is the premise of
"CHIP and Children With Special Health Care Needs," an issue brief from the
National Conference of State Legislatures (NCSL) that provides background
information about children with special health care needs, state options for
addressing those needs under CHIP, factors state legislatures may wish to
consider in CHIP program design, and examples of state strategies used to
address the needs of these children. To order, please call NCSL at
303-830-2054.


CHILD HEALTH USA 1999 NOW AVAILABLE ONLINE
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The 1999 edition of "Child Health USA," the Maternal and Child Health
Bureau's annual compilation of national and state-level MCH data, is out and
available for downloading over the Internet at http://www.mchirc.net. This
is the MCHB's tenth annual report on the health status and service needs of
America's children. The book compiles secondary data for 54 indicators,
providing textual and graphical summaries of the most recent data and
long-term trends. It also tracks our progress toward the Healthy People
2000 targets for 24 indicators. Paper copies are available from the
National Maternal and Child Health Clearinghouse by calling (703) 821-8955.


ABSTRACTS REQUESTED FOR ORAL HEALTH CONFERENCE
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"Face of a Child: The Surgeon General's Conference on Children and Oral
Health" will be held June 12-13, 2000 in Washington, DC. Visit the Surgeon
General's Web site at http://www.nidcr.nih.gov/sgr/children/children.htm for
guidelines and abstract submission form. The submission deadline for
abstracts is December 1, 1999.


STUDY SHOWS CHCs DEPEND ON INTERNATIONAL MEDICAL GRADUATES
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According to a study by researchers from the University of North Carolina's
Cecil G. Sheps Center, as many as one quarter of community health centers
depend on international medical graduates (IMGs) to fill physician
vacancies. The study, published in the October 1999 edition of the American
Journal of Public Health, was based on surveys sent to a sample of 70 health
center administrators.

Based on this sample, 15.7% of all current full-time equivalent physician
staff positions would go unfilled if IMGs were no longer available.
Furthermore, administrators reported that IMGs were easier to recruit than
U.S. medical graduates and National Health Service Corps clinicians, and
that IMGs were likely to accept lower salaries. Due to the increase in IMGs
over the past decade (from 14% in 1988/89 to 25.6% in 1995/96) and the
perception by some that IMGs are contributing to an oversupply of physician,
some policymakers have called for tighter immigration constraints and new
restrictions on Medicare funding of residencies. This study suggests that
"a major cutback could harm community health center staffing" and
"potentially endanger the ability of many community health centers to
provide care for the underserved."

**************************************
"Health Advocates' Guide to the Internet"

A new publication from the National Health Law Program
Free online at http://www.healthlaw.org

"Health Advocates' Guide to the Internet"
Francis Cheng
National Health Law Program
September 1999

This easy-to-read guide provides an introduction to the Internet,
gives a detailed explanation of search engines and group e-mail
lists, and directs the reader to a wealth of Internet resources for
health advocates.

Hard copies are available for $10 from NHeLP's Los Angeles office:

2639 S. La Cienega Blvd
Los Angeles, CA 90034
ph: 310-204-6010
fx: 310-204-0891
e-mail: nhelp@healthlaw.org


Brendan McTaggart
Communications Director
National Health Law Program
2639 S La Cienega Blvd
Los Angeles, CA 90034
Ph (310) 204-6010
Fx (310) 204-0891
brendan@healthlaw.org
http://www.healthlaw.org


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YOU DON'T WANT TO MISS THIS...

The Second National Conference on Genetics and Disease Prevention

Integrating Genetics into Public Health Policy, Research, and Practice

December 6-8, 1999

Hyatt Regency Baltimore * Baltimore, MD

This seminal conference by ASTHO, CDC, HRSA, NIH, the Johns Hopkins School
of Public Health, and the Maryland Department of Health and Mental Hygiene
will present the public health opportunities and challenges presented by the
rapidly advancing field of genetic knowledge.

Check out the conference web site
http://www.astho.org/access/genetics/genconf99/genconf99.html
for
registration materials and additional information.

Make your hotel reservations now! The room block closes November 10, 1999.

****************************
Heather M. Pierce, MPH
Senior Analyst, Genetics Policy
Association of State and Territorial Health Officials (ASTHO)
1275 K Street, NW Suite 800
Washington, DC 20005-4006
(202) 371-9090
(202) 371-9797 fax
hpierce@astho.org
www.astho.org