Client(s): Pennslyvannia Primary Care Association
Service: Applied Research & Evaluation
Technical Expertise: Primary Care, Rural Health, Safety Net
Recruitment and retention of high quality providers in rural and safety-net settings has been the long term goal of the National Health Service Corp and State Loan Repayment Programs, however the question remains what are the best practices to retain providers who join a safety-net organization.
In the context of health care reform and changing models of providing primary care, the Pennsylvania Association of Community Health Centers (PACHC) funded a literature review and 41 interviews of Pennsylvania National Health Service Corp and State Loan Repayment providers to identify best practices in recruitment and retention of providers.
As part of this project JSI interviewed dentists, physician assistants, nurse practitioners, mental health counselors, licensed clinical social workers, and dental hygienists. This project provided community health centers, rural health clinics, critical access hospitals and other safety-net facilities with important information on effective practices and strategies for high levels of retention of clinicians in the changing health care environment.
Findings from the literature review and interviews include the importance of a focus on the first 90 days after hire of the clinician, and the importance of shadowing opportunities for new graduates.