Health Profession Opportunity Grants

The demand for health care workers is expected to grow substantially. The Health Professions Opportunity Grants (HPOG) program aims to train people for these jobs and invest in the skills and employment of low-income workers.

Specifically, HPOG grants fund education and training efforts that prepare Temporary Assistance for Needy Families (TANF) recipients and other low-income people for high-demand, high-paying jobs in the health care industry.

The Administration for Children and Families in the US Department of Health and Human Services runs the program. In 2010, it awarded 32 organizations five-year grants, followed by another round of grants in 2015. Grantees designed and implemented programs to provide eligible participants education, occupational training, and support and employment services.

Evaluation

The Urban Institute is part of a team of research organizations, led by Abt Associates, evaluating both rounds of the HPOG program. The evaluation includes four studies: a randomized controlled trial evaluation of program impacts, an implementation study, a descriptive outcomes study, and a systems study of the partnerships formed to carry out HPOG programs. 

In addition, the Urban Institute studied other critical issues, including ways to measure recipients’ career progress, challenges grantees faced in serving TANF recipients, grantees use of performance measurement data, and the context and implications of the Affordable Care Act for training programs. The Urban Institute is also developing the program’s annual report.

This report describes the first year of the second round of the Health Profession Opportunity Grants Program (“HPOG2.0”). HPOG2.0 provides education and training to Temporary Assistance for Needy Families recipients and other low-income individuals for healthcare occupations that pay well and are in high demand. The Administration for Children and Families of the U.S. Department of Health and Human Services awarded this second round of five-year grants in 2015. HPOG2.0 grants were made to 32 grantees across 21 states, including five tribal organizations. In the first year of the HPOG2.0 Program, the grantees enrolled over 5,000 participants.

Health Profession Opportunity Grants 2.0: Year One Annual Report

The Health Profession Opportunity Grants (HPOG) Program funded training programs in high-demand health care professions, targeted to Temporary Assistance for Needy Families recipients and other low-income people. This report presents findings of the Descriptive Implementation Study and Outcome Study of the National Implementation Evaluation of the HPOG Program. The report addresses how these programs were implemented across the grantee sites and what individual-level outputs and outcomes occurred. The report finds that two years after program entry, 70 percent of participants were employed and were earning $5,357 per quarter on average.

Evaluation of the Health Profession Opportunity Grants Program: Descriptive Implementation and Outcome Study Report

The Health Profession Opportunity Grants (HPOG) Program, established by the Patient Protection and Affordable Care Act of 2010, funds training programs in high-demand health care professions, targeted to Temporary Assistance for Needy Families recipients and other low-income individuals. This report presents findings from the systems change analysis, one component of the HPOG national implementation evaluation. It uses a descriptive and a formal network analysis based primarily on survey responses from HPOG program operators, partners, and stakeholders. The analysis represents one of the first efforts to comprehensively evaluate the systems that can support career pathways–based training programs for low-income adults.

Read the technical appendix.

Systems Change under the Health Profession Opportunity Grants (HPOG) Program

In 2010, the Health Profession Opportunity Grants (HPOG) Program awarded 32 grants for programs to train low-income individuals for high-demand health care professions. All 32 HPOG grantees were required to use the HPOG Performance Reporting System (PRS) to track participant characteristics, engagement in activities and services, and training and employment outcomes. This report uses evidence from grantee progress reports, a survey of program directors, and interviews with selected directors to describe how grantees used the PRS and other sources of performance information to manage their programs, identify areas in need of change, and make programmatic improvements.

Using Performance Information to Manage Health Professions Training Programs

This report focuses on TANF recipients’ engagement and experiences in the Health Profession Opportunity Grant (HPOG) Program, with the goal of helping understand how HPOG programs serve TANF recipients. The report uses HPOG Program administrative data and interviews with program staff to describe observed differences — and possible reasons for the differences — in the participation, outcomes, and experiences of two types of HPOG participants: those receiving TANF benefits when they begin an HPOG program and those who do not. The report addresses why TANF recipient participation levels vary across HPOG programs and identifies strategies programs used both to engage the TANF population and work cooperatively with local TANF agencies.

Training TANF Recipients for Careers in Healthcare: The Experience of the Health Profession Opportunity Grants (HPOG) Program

The Health Profession Opportunity Grants (HPOG) Program, established by the Affordable Care Act of 2010, funds training programs in high-demand healthcare professions, targeted to Temporary Assistance for Needy Families (TANF) recipients and other low-income individuals. In 2010, the Administration for Children and Families of the U.S. Department of Health and Human Services awarded 32 HPOG grantees in 23 states with five-year grants. This Year Four Annual Report is the final annual report. It provides an overview of HPOG grantees, characteristics of participants, training and employment outcomes, and activities in which participants were engaged from the program’s inception through the fourth year of grantee activities (September 2014).

Health Profession Opportunity Grants

This brief highlights key points from the report Literature Review: Healthcare Occupational Training and Support Programs under the ACA—Background and Implications for Evaluating HPOG regarding the structure of and employment trends in the healthcare industry, implications of the Affordable Care Act (ACA) for entry-level employment in healthcare, and resulting challenges and opportunities for training and support programs. The brief was developed as part of the HPOG Implementation, Systems and Outcome Project, which is being led by Abt Associates in partnership with the Urban Institute.

Literature Review in Brief: Healthcare Occupational Training andSupport Programs under the Affordable Care Act

The Health Profession Opportunity Grants (HPOG) Program funds training programs in high-demand healthcare professions, targeted to Temporary Assistance for Needy Families (TANF) recipients and other low-income individuals. This report is part of the HPOG National Implementation Evaluation (NIE) and provides interim results on the key outcomes of HPOG healthcare training completion and employment, as well as on participants pre-training activities and receipt of support services and employment assistance. This study includes 27 HPOG grantees and the report provides information about the first 12 months of HPOG participation for 8,634 individuals.

Interim Outcome Study Report: National Implementation Evaluation of the Health Profession Opportunity Grants (HPOG) to Serve TANF Recipients and Other Low-Income Individuals

The Health Profession Opportunity Grants (HPOG) Program, established by the Affordable Care Act of 2010, funds training programs in high-demand healthcare professions, targeted to Temporary Assistance for Needy Families (TANF) recipients and other low-income individuals. In 2010, the Administration for Children and Families of the U.S. Department of Health and Human Services awarded 32 HPOG grantees in 23 states with five-year grants. This Annual Report provides an overview of HPOG grantees, characteristics of participants, training and employment outcomes, and activities in which participants were engaged from the program’s inception through the third year of grantee activities (September 2013).

Health Profession Opportunity Grants: Year Three Annual Report 2012–2013

This report reviews the literature on the policy context of the Health Profession Opportunity Grants (HPOG) program, and the challenges and opportunities related to developing healthcare occupational training and support programs. It discusses the structure of the healthcare industry and trends in healthcare employment, implications of the Affordable Care Act (ACA) for entry-level employment in healthcare, and resulting challenges and opportunities for training programs. The report was developed as part of the HPOG Implementation, Systems and Outcome Project, which is being led by Abt Associates in partnership with the Urban Institute.

Read the full publication here

Literature Review: Healthcare Occupational Training and Support Programs under the ACA--Background and Implications for Evaluating HPOG

The Affordable Care Act established the Health Profession Opportunity Grants (HPOG) Program to provide training programs in high-demand health care professions to Temporary Assistance for Needy Families (TANF) recipients and other low-income individuals. In 2010, the Department of Health and Human Services provided five-year grants to 32 grantees in 23 states. In its first year of funding, HPOG grantees launched their programs and enrolled and trained substantial numbers of participants. This brief describes the program and the progress made by grantees in the first year of funding. It also describes efforts to evaluate the success of HPOG.

Introduction to the Health Profession Opportunity Grants (HPOG) Program and First Year Implementation and Outcomes