Provider Retention in High Need Areas. Retention Measures

12/22/2014

Using the first analytic dataset we constructed four retention measures at the provider level:

  • Serving in the same HPSA and in the same county. This variable takes the value of 1 if the NHSC provider remains in the same county as the one where he or she served in NHSC, and 0 otherwise.

  • Serving in a HPSA in another county. This variable takes the value of 1 if the NHSC provider remains in a HPSA that is located in a different county than the one in which he or she served while in NHSC service, and 0 otherwise.

  • Serving in a non-HPSA from the same county. This variable takes the value of 1 if the NHSC provider moves to a non-HPSA area from the county where he or she served while in NHSC, and 0 otherwise.

  • Serving in a non-HPSA in another county. This variable takes the value of 1 if the NHSC provider moves to a non-HPSA area from another county than the county he or she served while in NHSC, and 0 otherwise.

To ensure comparability across all providers, we defined these measures for non-participants as well. While in the case of participants, the reference point in time was the end of the NHSC service, for non-participants we chose the first year (“start year”) that the non-participants appear in Medicare data as their reference point-in-time. Calculating these measures for each cohort, we were able to construct retention rates one year after separation from NHSC, two years after separation from NHSC and so on. In the case of non-participants the annual retention rates were calculated as one year since start year, two years since start year and so on for each cohort.

View full report

Preview
Download

"NHSC Final Report 508 compliance July_21_2015.pdf" (pdf, 3.12Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®