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Interdisciplinary,
Community-Based Linkages:
Geriatric Programs
| |
FY 2007
Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
| BA |
$31,548,000
|
$30,997,000
|
|
($30,997,000) |
| FTE |
|
2 |
|
-2 |
Authorizing
Legislation: Section 753 of the Public Health Service
Act.
| FY
2009 Authorization |
Expired
|
| Allocation
Method |
Competitive
Grants/Contracts |
Program Description and Accomplishments
Geriatric programs include three activities: 1) Geriatric
Education Centers; 2) the Geriatric Training Program
for Physicians, Dentists, and Behavioral/Mental Health
Professionals Program; and 3) the Geriatric Academic
Career Awards Program. The goal of the three geriatric
programs is to improve access to health care for America's
elderly by training health professionals in the care
of the geriatric patient who may come from a variety
of disciplines in geriatrics.
Geriatric Education Centers Program (GEC)
The GEC Program was established in 1983. The purpose
of this program is to improve the training of health
professionals in geriatrics. The GEC Program serves
accredited schools of: allopathic medicine, osteopathic
medicine, chiropractic, veterinary medicine, dentistry,
public health, pharmacy, optometry, allied health,
podiatric medicine, nursing, and physician assistant
programs. In addition, the following accredited graduate
programs are served by the GEC Program: clinical psychology,
clinical social work, health administration, and behavioral
health and mental health practice. The GEC Program
operates by awarding grants to eligible institutions
for the establishment or operation of GECs.
In FY 2007, the GEC Program grantees developed 1,491
educational and training offerings related to care
of the older adult. Interdisciplinary education and
training was provided to 2,334 interdisciplinary teams.
The GECs provided education and training to 10,641
health professions students, faculty, and practitioners
from underrepresented minority backgrounds, 10,375
from disadvantaged white backgrounds, and 21,819 in
underserved areas. The GECs developed curricular materials
on topics relating to health care problems of older
adults including, but not limited to, as adverse drug
reactions, bioterrorism and emergency preparedness,
cultural competence, dementias and Alzheimer disease,
depression, incontinence, elder abuse, ethics, interdisciplinary
team care, rural access, teleconferencing, web-based
modules, ethnogeriatrics, and improvement of quality
care. Also in FY 2007, 48 GEC Program grants were
funded.
Geriatric Training for Physicians, Dentists,
and Behavioral and Mental Health Professionals (GTPD)
The GTPD Program was established in 1989. In 1998,
Behavioral and Mental Health Professionals were added.
The purpose of this program is to provide intensive
one and two-year fellowship training in geriatrics.
The GTPD Program serves accredited schools of medicine,
schools of osteopathic medicine, teaching hospitals
and graduate medical education programs.
The GTPD Program operates by awarding grants to eligible
institutions to support fellowships and other training
efforts that assist physicians, dentists, and behavioral
and mental health professionals who teach or plan
to teach geriatric medicine, geriatric dentistry,
or geriatric behavioral and mental health.
In FY 2007, 11 programs were supported.
Geriatric Academic Career Awards Program (GACA)
The GACA Program was established in 1998. The purpose
of this program is to increase the number of junior
faculty at accredited schools of allopathic and osteopathic
medicine and to promote the development of their careers
as academic geriatricians. The GACA Program operates
by providing a financial incentive for junior faculty
to pursue an academic career in geriatrics. In FY
2007, 88 awards were made.
Most of the Health Professions' Title VII and Title
VIII, PHS Act programs were reviewed as a unit in
2002 using the Program Assessment Rating Tool (PART).
This program was included in that assessment. These
programs, in the aggregate, received a rating of Ineffective.
See Summary of the Request.
Funding includes costs associated with grant reviews,
processing of grants through the Grants Administration
Tracking and Evaluation System (GATES) and HRSA’s
electronic handbook, and follow-up performance reviews.
Funding History
| FY
2004 |
$31,805,000
|
| FY
2005 |
$31,548,000 |
| FY
2006 |
$
--- |
| FY
2007 |
$31,548,000 |
| FY
2008 |
$30,997,000
|
Budget Request
No funding is requested in FY 2009 for the Geriatric
Programs. The budget focuses on activities that fund
the placement of more doctors, nurses, and other health
care professionals in regions of the country that
face shortages. In addition, evaluations have not
linked the Health Professions training grants to changes
in supply, distribution, and minority representation
of physicians and other health professionals.
| #
|
Key
Outputs |
FY
2004 Actual |
FY
2005 Actual |
FY
2006 |
FY
2007 |
FY
2008 Enacted |
FY
2009 Est |
Out-Year
Target |
| Target
|
Actual
|
Target
|
Actual
|
| |
Number
of health care providers receiving training in
geriatrics |
61,530 |
46,800 |
NA
|
|
NA
|
79,807 |
78,211 |
|
NA
|
| |
Number
of GECs |
47 |
45 |
NA
|
|
NA
|
48 |
48 |
|
NA
|
| |
Number
of geriatric fellowship trainees |
66 |
66 |
NA
|
|
NA
|
33 |
66 |
|
NA
|
| |
Number
of GACAs |
90 |
104 |
NA
|
|
NA
|
88 |
88 |
|
NA
|
| |
Number
of Patient Encounters |
*
|
2,410,478 |
NA
|
|
NA
|
5,532,498 |
5,089,899 |
|
NA
|
| |
Appropriated
Amount ($ Million) |
$31.81
|
$31.55
|
|
|
|
$31.55
|
$31.00
|
|
|
*Did not collect this information in FY 2004.
NA – Not Applicable
|
