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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

  1. Provider Incentive Listening Sessions HB 3396 A Preliminary Summary

  2. Five Listening Sessions Held Prineville Pendleton Roseburg Lebanon Astoria

  3. 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

  4. 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)

  5. 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.”

  6. 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”

  7. 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!”

  8. 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.”

  9. 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.”

  10. What’s next ? Final Summary completed by July 31, 2016

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