A General Timeline for Orchestrating HPSA Designations Preliminary Study Determination of Rational Service Area (RSA) Survey of all physicians practicing within the RSA Survey of contiguous areas Completion and Submission Physicians' supply of primary care is further analyzed Comprehensive project review carried out by the CEO, the Senior Statistical Analyst, and the Senior Medical Information Analyst Application submitted to the relevant state government State Review Client report delivered State inquiries about data Supplemental information provided, if necessary Serve as client's liaison to the government Continual client updates are provided to prepare and facilitate the implementation of HPSA-related administrative issues Federal Review State government's uploaded data reviewed Federal data cross-checked against submitted data Final approval Notify and congratulate the client