MUAs and MUPs are designated based on a community or population's 'score' using an "Index of Medical Underservice."
The 'score' required for designation is 62 out of 100 points, or less. A "zero-score" represents a community totally lacking in medical services, while communities with a 100-score have very good primary care services with no apparent deficiencies. The Health Resources and Service Administration (HRSA) bases its index on composite scores from the following categories:
- The percentage of the project population that is below the Federal Poverty Level
- The percentage of the project population that is age 65 or older
- The project population's infant mortality rate
- The ratio of primary care physicians per 1,000 residents
Scores are calculated based on tables offered by the Health Resources and Services Administration.
To make a project's conclusions valid, a proposed designation needs to have defined boundaries in order to show government officials how a community is entitled to a shortage designation.
This process is called 'defining a service area'. HPSA Acumen has done this for most of the 250-plus shortage designations we've completed over the past 15 years. It requires skill and experience to do it well and consistently. It involves a review of the areas topographic landscape, population density, and road maps overlaid with demographic information, vital statistics, and client data.
Once HPSA Acumen has worked with the client and the government to define an appropriate service area, Acumen researchers collect project data from the most accurate statistics available from the U.S. Census Bureau and state health departments.
The final key component of the analysis (and one in which HPSA Acumen is nearly unique) is gathering information on physicians.
HRSA requires all information on physicians to show how many full-time equivalents or FTEs those physicians produce every week and how the FTEs fulfill, or fail to fulfill, the needs of the project community. HPSA Acumen staff research every potential physician in a community and fully survey those who are potentially offering primary care services, efficiently gathering information in the most precise manner possible.
Once the research is complete, HPSA Acumen executives review, analyze, and submit their findings to the client. If there is a documented shortage an application is created and submitted to the state and Federal Governments. Executives monitor the submission's progress and stay on top of any issues government officials may raise on a project – guiding the MUA or MUP project to a complete and successful conclusion.
If you are in need of a MUA/P for RHC or FQHC purposes, please contact us using the 'Request a Quote' button to the right. If you do have a clinician shortage we will find it, document it, and apply for a MUA/P for your medical community.