ICD-10 – Now what? NC SORH Dedicated to Supporting Rural Providers ICD-10 became a reality for all providers on October 1, 2015. It is too early to fully assess the impact from the transition. Over the next 6 months, the needs of rural providers will be better understood. If providers in your state still require assistance, look to the North Carolina Office of Rural Health (NCORH) for resources.
Nevada SORH Uses Public Health Column to Bring Attention to Important Rural Health Issues Frustrated with the lack of media coverage on public health issues, John Packham of the Nevada SORH approached the local Nevada Gazette to establish a bi-monthly column devoted to public health issues. The newspaper was very interested in this idea since they had recently reduced staff and were eager for anyone to provide local content. Since 2008, John has written over 100 articles with topics ranging from health reform to tobacco tax.
The SORH Role in Advancing Telehealth Policy in Arizona Arizona is already seeing the benefits of SB 1353 that went into effect this past January. SB 1353 requires health care insurers to cover services provided through telemedicine, if those services would be covered if provided in-person. The AZ SORH helped make this bill a reality by providing information and data to underscore the need especially in rural areas.
Simple Approach to Convening Important Partners The Louisiana Office of Rural Health gets together with rural health partners every quarter for an informal luncheon to discuss the latest issues and to identify areas of collaboration. Tracie Ingram, SORH Director, says, “We communicate so often anyway that we decided we needed a day set on the calendar to all get together.” Invited are those with a statewide rural interest.
Free and Secure Incident Reporting Systems for all Emergency Medical Services Safety advances have been broadly implemented in many healthcare settings, similar to aviation and other high-consequence fields. Aviation, with its long history of reporting systems, has shown that event reporting systems can yield previously unknown, but safety-critical information for developing a proactive approach to managing human error. Despite many similarities between health care and aviation, event-reporting systems have not been well received in health care.
Using Technology to Reach New Audiences Americans are watching increasing numbers of videos online. According to comScore, this number has jumped over 43% to 100 million daily views (that’s roughly one-third of the U.S. population watching a video online each day). The CO SORH has embraced this technology and uses video and digital media in a number of ways to reach constituents.
Implementing Community Paramedicine: One Community at a Time Community Paramedicine (CP) is an evolving model of community-based health care in which paramedics function outside their customary emergency response and transport roles in ways that facilitate more appropriate use of emergency care resources and/or enhance access to primary care for medically underserved populations. Taking a closer look at how Maine implemented their CP program across the state provides examples of best practices and the role of the State Office of Rural Health.
South Carolina Reaches Out to Uninsured Residents Through the Healthy Outcomes Plan (HOP) In an effort to provide consistent medical care to thousands of underserved residents, South Carolina’s “Medicaid System” has implemented a statewide program designed to coordinate care and provide a medical home for some of its most at-risk residents. Now in its second year, the Healthy Outcomes Plan (HOP) asked every hospital in the state to identify a predetermined number of low-income, uninsured residents who visited the emergency department at least five times in the last year, and who suffered from a chronic condition such as diabetes, cardiovascular disease, hypertension, sickle cell or HIV/AIDS.
Florida State Office of Rural Health Helps Rural Hospital Modernize With its leaking roof, numerous building code violations and lack of modern technology, everyone agreed that Madison County Florida’s 60 year old hospital desperately needed to be replaced. Thanks to a sales tax referendum passed by Madison County residents, and financial assistance from Florida’s State Office of Rural Health, the brand new, state-of-the-art Madison County Memorial Hospital is proof of what can be achieved when residents and local and state officials work together.
Minnesota Awarded State Innovation Model (SIM) Grant The future just got healthier for millions of Minnesotans, thanks to being one of seven states to receive a $45 million State Innovation Model (SIM) testing grant through the Center for Medicare and Medicaid Innovation. “We are very excited to receive this grant,” said Mark Schoenbaum, Director of the Minnesota Office of Rural Health and Primary Care. “It’s a great opportunity for rural communities to get new support and build on the kinds of innovations that already take place in rural areas.”
Promising Practices: Georgia It was a big loss to the state of Georgia when four rural hospitals closed over the course of two years. The closures gained state and national attention, and started a much needed conversation among rural health care leaders: How to help a rural community after a hospital closure. “Four hospitals is a lot to lose in our rural communities,” said Charles Owens, Executive Director of the Georgia State Office of Rural Health. In May 2014 Georgia enacted regulations that would allow a closed rural hospital to be reopened as a freestanding ER department within 12 months of the initial closure.
Hawaii SORH Addresses Rural Oral Health with Hawaii Smiles Program With funding from a Centers for Disease Control and Prevention (CDC) Oral Health Infrastructure Grant, the Hawaii SORH has partnered with the Hawaii State Department of Health (DOH), Family Health Services Division to assist in rebuilding its oral public health program.
New York SORH Plays Active Role in State’s North Country Commission The New York Office of Rural Health is playing an essential role in a new commission that is looking at how to develop an effective, integrated health care delivery system that will serve all communities in New York’s North Country. (The North Country is composed of nine counties in the northern part of the state, encompassing 13,100 square miles.)
Project in Massachusetts Helps Rural Hospitals Prevent Medication Errors A project sponsored by the Massachusetts State Office of Rural Health (MA SORH) is helping rural hospitals in the state learn how to reduce the possibility of medication-related patient harm. With the Medication Safety Performance Improvement Project, the MA SORH has contracted with the Institute for Safe Medication Practices (ISMP) to perform one-day targeted medication safety risk assessments at the hospitals.
New Hampshire SORH Participates in State Workforce Commission Given its emphasis on access to care and workforce development, it was a natural fit for the New Hampshire State Office of Rural Health to be a part of the NH Legislative Commission on Primary Care Workforce Issues. The five-year commission is working to coordinate workforce as a part of Affordable Care Act (ACA) activities in the state.
Michigan RHC Network Puts Emphasis on Quality Peer-to-peer sharing is one of the benefits of the Michigan Rural Health Clinic Quality Network, sponsored by the Michigan Center for Rural Health. What started as a small, informal quality network with only 15 active members in June 2011 has continued to grow and gain enthusiastic members. Today, representatives from over 50 of Michigan’s 170 clinics participate in the network and attend its quarterly meetings held in Mt. Pleasant, Mich.
Iowa SORH Works for Rural Veterans Through Collaboration with VHA If rural veterans are going to get more access to good care, there must be more collaboration between the Veterans Administration and non-VA providers, according to Gloria Vermie, Director of the Iowa State Office of Rural Health (IA SORH). To aid in that effort, Vermie has worked to develop a collaborative relationship between her Office and the Veterans Rural Health Resource Center-Central Region, (VRHRC-CR) located in Iowa City.
Delaware Partnership Yields New Mental Health Service An ongoing partnership between the Delaware State Office of Rural Health and the Delaware Rural Health Initiative, which serves as the state rural health association, has helped forge new ways of helping the mentally ill and those experiencing psychiatric crises in rural areas of the state.
Arizona SORH Pushing to Make Logic Model Use More Widespread Lynda Bergsma, SORH Program Director at the Arizona State Office of Rural Health, believes that rural programs must learn to prove their worth, especially in today’s funding climate. “Many people in health and public health are starting to understand that they will no longer get money to fund programs for which they cannot show specific impacts and outcomes,” Bergsma explained. “There’s no way of knowing if a program is effective without evaluating it.”
New Mexico Hosts Provider Retention Summit A Health Professional Workforce Summit, held on April 12 in Albuquerque, NM, gave participants an opportunity to meet in person and develop strategies for retention of clinicians in the state. The one-day event sparked discussions based upon real data, as opposed to supposition and/or anecdote.