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.
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.
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.
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.