The ORHPC coordinates the designation of health shortage areas, by updating existing and applying for new HPSAs and MUA/P to ensure the most up-to-date certifications and scoring possible to support both federal and state programs.
The ORHPC is currently using the defined Rational Service Areas according to the federal HPSA criteria and reported in the Application Submission and Processing System (ASAPS). Indicators entered into the system include: Census Tracts, townships and counties that are used to include population to physician ratio, infant mortality rate (IMR), low birth rate (LBR), travel time and mileage barriers to access to health care, time to nearest provider offering sliding fee scale (SFS) and Medicaid, 65+, 100% poverty, Medicaid claims by county, admitting privileges, hours worked, number of providers working at location, language interpretation migrant worker accepting new patients waiting time for appointment for new and establish patients. The ORHPC is using RSA based on mental health catchment areas.
The ORHPC also collaborates with the ADH Center for Health Statistics on the collection of provider data from state licensing boards. This includes the licensed primary care physicians from the Arkansas Medical Board, as well as dental providers from the Arkansas State Board of Dental Examiners. To update provider data, surveys are emailed or faxed to dental and physicians providers to obtain additional information such as: hours worked, percent of Medicaid patients service, use of a sliding fee scale, available languages for interpretation, number of auxiliary personnel and if new patients are accepted. Surveys also assist in the identification of relocations, retirements and out-of-state moves. This data is also used for shortage designations.
To find shortage areas, click here: http://www.hrsa.gov/shortage/find.html