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The National Rural Recruitment
and Retention Network – 3R Net

    Members are state based non-profit
    agencies in 50 states, CNMI and the
             Cherokee Nation


Supported by our members and the Office of
   Rural Health Policy, HRSA, USDHHS

                                          2
3RNet Founded Because of
           Shortages
• Rural populations – less access to healthcare
• 25% of the US population lives in rural areas
• Only 10% of US physicians practice in rural
  areas
• Rural areas average 30 dentists per 100,000
  people
• Urban areas average 60 dentists per 100,000
  people
                 Source: NRHA Issue paper, February 2006
                                                           3
3R Net Concept - 1995
• Career Website - Easy to use by
  Candidates and Members
• Up to date high quality Information and job
  postings
• State organizations should know and care
  more than distant recruitment firms
• People who live locally are in touch with
  communities and are more responsive
                                            4
What Does the 3R Net do?
Serves as a clearinghouse for over 5,000
  communities across the country where medical
  professionals connect with federal, state, local
  and other medical staff recruiters
As of Dec. 31, 2011:
• 39,632 Active candidates in database
• 20,538 physicians
• PAs, NPs, Pharmacists, Social Workers, RNs
  and many other professionals develop candidate
  profiles
                                                 5
How does the 3R Net work?
• One member per state, Indian Nations and US
  Territories may join
• Members are non-profit state agencies recruiting
  physicians, dentists, nurses and other medical
  professionals for their entire state
• 3R Net provides an international presence
  where states place information and job postings
• Candidates make personal profiles and learn
  about rural and underserved communities
• Members also access the resource library,
  database and a comprehensive recruitment and
  retention manual
                                                 6
3R Net Benefits Communities
• Interactive website for medical, dental and
  health care recruitment professionals
• Too costly to develop individually (redesign)
• Able to pool resources and funds for nationwide
  ads and sourcing that could not be done
  individually
• Active server pages - Each state creates its own
  page with the ability to publish links, photos,
  practice profiles


                                                     7
3R Net Diverse Membership
•   State Offices of Rural Health
•   Primary Care Offices
•   Primary Care Associations
•   Area Health Education Centers
•   University based SORHs
•   Indian Nations
•   US Territories
•   Other Non-profit state based agencies
                                            8
Member States – Strengths
• All committed to recruitment, retention and
  community development
• All connected to HRSA programs
• Able to consult with and advise rural and
  underserved communities
• Able to advise medical professionals
  regarding practice opportunities, payback
  features, NHSC eligibility, more..
                                            9
Members Recruit for a of Variety
         Facilities
•   Rural Health Clinics
•   Community Health Centers
•   Critical Access Hospitals
•   Rural Hospitals
•   Private Practice Clinics
•   Tribal Health
•   Integrated Delivery Systems
•   Prison systems
                                  10
Members May Recruit For a
Variety or Medical Professionals
• 3RNet respects the diversity of states
• Some states require a posting or
  placement fee due to lack of state-based
  budget support
• Check with your 3RNet member at
     http://www.3rnet.org/locations/


                                             11
12
Who Accesses 3RNet?
•   Physicians – FP, IM, Peds, GS, Others
•   Dentists and Hygienists
•   Physician Assistants
•   Nurse Practitioners
•   Pharmacists
•   Registered Nurses
•   Psychologists
•   Social Workers
•   Other Professionals – long list

                                            13
Evaluation: 3RNet
National Research Center survey FY2007 - FY2010:
• 2007 there were 5,700 postings, 15,382 applications and
  681 placements
• 2008, there were 5,894 postings, 16,513 applications
  and 1,023 placements
• 2009, there were 5,449 postings, 22,227 applications
  and 1,253 placements
• 2010, there were 5,418 postings, 23,597 applications
  and 1,256 placements
• Since 2004, 90% of all placements were in
  designated shortage areas

                                                       14
The Numbers
• 601 physicians placed by members in 2010
• Estimate for-profit recruitment firm fees at
  $30,000 per placement
• Estimated collective savings of $18,030,000 to
  rural and underserved community facilities
• Those commercial recruitment firm fee savings
  can be used for patient access or other health
  services that would not have been funded
  otherwise

                                                   15
16

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3RNet Brief Description 2011

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  • 2. The National Rural Recruitment and Retention Network – 3R Net Members are state based non-profit agencies in 50 states, CNMI and the Cherokee Nation Supported by our members and the Office of Rural Health Policy, HRSA, USDHHS 2
  • 3. 3RNet Founded Because of Shortages • Rural populations – less access to healthcare • 25% of the US population lives in rural areas • Only 10% of US physicians practice in rural areas • Rural areas average 30 dentists per 100,000 people • Urban areas average 60 dentists per 100,000 people Source: NRHA Issue paper, February 2006 3
  • 4. 3R Net Concept - 1995 • Career Website - Easy to use by Candidates and Members • Up to date high quality Information and job postings • State organizations should know and care more than distant recruitment firms • People who live locally are in touch with communities and are more responsive 4
  • 5. What Does the 3R Net do? Serves as a clearinghouse for over 5,000 communities across the country where medical professionals connect with federal, state, local and other medical staff recruiters As of Dec. 31, 2011: • 39,632 Active candidates in database • 20,538 physicians • PAs, NPs, Pharmacists, Social Workers, RNs and many other professionals develop candidate profiles 5
  • 6. How does the 3R Net work? • One member per state, Indian Nations and US Territories may join • Members are non-profit state agencies recruiting physicians, dentists, nurses and other medical professionals for their entire state • 3R Net provides an international presence where states place information and job postings • Candidates make personal profiles and learn about rural and underserved communities • Members also access the resource library, database and a comprehensive recruitment and retention manual 6
  • 7. 3R Net Benefits Communities • Interactive website for medical, dental and health care recruitment professionals • Too costly to develop individually (redesign) • Able to pool resources and funds for nationwide ads and sourcing that could not be done individually • Active server pages - Each state creates its own page with the ability to publish links, photos, practice profiles 7
  • 8. 3R Net Diverse Membership • State Offices of Rural Health • Primary Care Offices • Primary Care Associations • Area Health Education Centers • University based SORHs • Indian Nations • US Territories • Other Non-profit state based agencies 8
  • 9. Member States – Strengths • All committed to recruitment, retention and community development • All connected to HRSA programs • Able to consult with and advise rural and underserved communities • Able to advise medical professionals regarding practice opportunities, payback features, NHSC eligibility, more.. 9
  • 10. Members Recruit for a of Variety Facilities • Rural Health Clinics • Community Health Centers • Critical Access Hospitals • Rural Hospitals • Private Practice Clinics • Tribal Health • Integrated Delivery Systems • Prison systems 10
  • 11. Members May Recruit For a Variety or Medical Professionals • 3RNet respects the diversity of states • Some states require a posting or placement fee due to lack of state-based budget support • Check with your 3RNet member at http://www.3rnet.org/locations/ 11
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  • 13. Who Accesses 3RNet? • Physicians – FP, IM, Peds, GS, Others • Dentists and Hygienists • Physician Assistants • Nurse Practitioners • Pharmacists • Registered Nurses • Psychologists • Social Workers • Other Professionals – long list 13
  • 14. Evaluation: 3RNet National Research Center survey FY2007 - FY2010: • 2007 there were 5,700 postings, 15,382 applications and 681 placements • 2008, there were 5,894 postings, 16,513 applications and 1,023 placements • 2009, there were 5,449 postings, 22,227 applications and 1,253 placements • 2010, there were 5,418 postings, 23,597 applications and 1,256 placements • Since 2004, 90% of all placements were in designated shortage areas 14
  • 15. The Numbers • 601 physicians placed by members in 2010 • Estimate for-profit recruitment firm fees at $30,000 per placement • Estimated collective savings of $18,030,000 to rural and underserved community facilities • Those commercial recruitment firm fee savings can be used for patient access or other health services that would not have been funded otherwise 15
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