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Work Force Recruitment in BPHC-Funded Health Centers

Welcome

Dear Health Center Colleagues,

Thank you for your participation in this brief survey regarding veterans in the health center workforce. This data collection will enable us to provide the training and technical assistance needed to support health centers in their hiring efforts.

Your participation in this survey is voluntary but we encourage all health centers to actively participate. Thank you,

BPHC

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0915­0353. Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 10­29, Rockville, Maryland, 20857.

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

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Work Force Recruitment in BPHC-Funded Health Centers

_*1. Please provide the name of your organization, state and your Bureau of Primary Health Care Management Information System (BHCMIS) identification in the space provided below.

Organization Name: State:

BHCMIS ID (refer to your Notice of Award/Designation):

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

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Work Force Recruitment in BPHC-Funded Health Centers

_*2. Next to the employment categories provided below, please identify the number of current vacancies at your organization. (These are the same categories found in Table 5 of the Uniform Data System ­ UDS. http://bphc.hrsa.gov/healthcenterdatastatistics/reporting/)

# of Current Vacancies

Family physician, general practitioner internists, obstetrician/gynecologists, pediatricians, or other specialty physicians

Nurse practitioner, physician assistant, certified nurse midwife

Nurse, laboratory personnel, x­ray personnel or other medical personnel Dentist, dental hygienist, dental assistant, dental aide, dental tech

Psychiatrist, licensed clinical psychologist, licensed clinical social worker or other mental health staff Ophthalmologist, optometrist or other vision care staff

Pharmacy personnel

Case manager, health education specialist, outreach worker, transportation staff, eligibility assistance worker, interpretation staff

Management and support staff, fiscal and billing staff, IT staff, facility staff, patient support staff

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

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Work Force Recruitment in BPHC-Funded Health Centers

The next set of questions (3, 4, 5 & 6) will ask about new employees hi...

_*3. Please identify the number of employment vacancies filled by new employees hired since March 2013 January 2011.

# of Current VacanciesNe w Employees

Family physician, general practitioner internists, obstetrician/gynecologists, pediatricians, or other specialty physicians

Nurse practitioner, physician assistant, certified nurse midwife

Nurse, laboratory personnel, x­ray personnel or other medical personnel Dentist, dental hygienist, dental assistant, dental aide, dental tech

Psychiatrist, licensed clinical psychologist, licensed clinical social worker or other mental health staff Ophthalmologist, optometrist or other vision care staff

Pharmacy personnel

Case manager, health education specialist, outreach worker, transportation staff, eligibility assistance worker, interpretation staff

Management and support staff, fiscal and billing staff, IT staff, facility staff, patient support staff

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

Work Force Recruitment in BPHC-Funded Health Centers

_*4. Please approximate how long each employment vacancy was open for until being filled by new employees hired since March 2013. (Provide an average if there was more than one position open within an employment category)

Less than 6 More than 12

6 to 12 months Not applicable months months

Family physician, general practitioner internists, _{nmlkj nmlkj nmlkj nmlkj}

obstetrician/gynecologists, pediatricians, or other specialty physicians

^{Nurse practitioner, physician assistant, certified nurse midwife} mlkj mlkj mlkj mlkj ^{Nurse, laboratory personnel, x­ray personnel or other medical personnel} nmlkj nmlkj nmlkj nmlkj ^{Dentist, dental hygienist, dental assistant, dental aide, dental tech} mlkj mlkj mlkj mlkj Psychiatrist, licensed clinical psychologist, licensed clinical social worker _{nmlkj nmlkj nmlkj nmlkj}

or other mental health staff

^{Ophthalmologist, optometrist or other vision care staff} mlkj mlkj mlkj mlkj

^{Pharmacy personnel} nmlkj nmlkj nmlkj nmlkj

Case manager, health education specialist, outreach worker, _{mlkj mlkj mlkj mlkj}

transportation staff, eligibility assistance worker, interpretation staff

Management and support staff, fiscal and billing staff, IT staff, facility _{nmlkj nmlkj nmlkj nmlkj}

staff, patient support staff

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

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_*5. Please specify the number of any new civilian or military veteran employees hired by your organization since March 2013January 2011.

# of Current VacanciesNew Employees

Civilian (No military service history) Military Veteran

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

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Work Force Recruitment in BPHC-Funded Health Centers

6. If you hired any veterans since March 2013, in general what were their years of service in the military? (Check all that apply)

1960­1969 1990­1999 Currently active

1970­1979 2000­2009

1980­1989 2010­2012

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

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_*7. Please identify the number of employment vacancies filled by military veterans hired since March 2013 January 2011.

# of Current VacanciesNew Military Veteran Employees

Family physician, general practitioner internists, obstetrician/gynecologists, pediatricians, or other specialty physicians

Nurse practitioner, physician assistant, certified nurse midwife

Nurse, laboratory personnel, x­ray personnel or other medical personnel Dentist, dental hygienist, dental assistant, dental aide, dental tech

Psychiatrist, licensed clinical psychologist, licensed clinical social worker or other mental health staff Ophthalmologist, optometrist or other vision care staff

Pharmacy personnel

Case manager, health education specialist, outreach worker, transportation staff, eligibility assistance worker, interpretation staff

Management and support staff, fiscal and billing staff, IT staff, facility staff, patient support staff

Thank you for your participation in this effort. Please visit our website for helpful recruitment and retention resources (http://bphc.hrsa.gov/technicalassistance/index.html) as well as information specific to hiring veterans (http://bphc.hrsa.gov/veterans/index.html).

OMB Number (0915­0353) ­ Expiration date (2/29/2016)

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