South Carolina

December 2017

i Feb 23rd No Comments by
Melinda Merrell
South Carolina Office of Rural Health
Senior Program Director

NOSORH Member Since: 2010

What I’m working on right now: My dissertation! If all goes as planned, I will graduate with my PhD in Public Health from the University of South Carolina in the next year.

My Top 3 Goals for 2018: I love setting New Year’s Resolutions! For 2018, I’m going to have one big personal goal, which is to complete a 52 Hike Challenge (one hike per week for the whole year).

Favorite thing about working at a SORH: Hands down the people we work with in our rural communities. As a bonus, we have a great state and national partners and friends too!

Favorite quote: “Far and away the best prize that life offers is the chance to work hard at work worth doing.” -Theodore Roosevelt

People would be surprised if they knew: I got a tattoo this past summer honoring my grandmothers, both of whom gave me a love of rural (among other things).

3 great things about rural health in South Carolina:

  1. The diversity of people and places which make for a rich culture
  2. The ability to leave my house in Columbia and drive to any rural community in the state in 3 hours or less
  3. The food (seriously!)

Melinda Merrell March 2015

i Nov 16th No Comments by

Want/need to read: With school there is a never ending pile of research articles, books, and general geeky reading that I need/want to do. Also, Quint Studer spoke at our conference in November and we all got a copy of “A Culture of High Performance” which I haven’t gotten to yet. I want to finish BJ Novak’s “One More Thing” when I have time for a lighter read.

Favorite blogs: I read the Daily Yonder and The Health Care Blog when I can; my favorites though are always from The New Yorker.

Twitter: I am new to Twitter so I am still learning a lot (and open to suggestions). Mostly I follow news sites or our partners in the state. I definitely enjoy catching odd news on Slate or odd places on Atlas Obscura.

  1. What are you doing to ensure you continue to grow and develop as a SORH leader?

I am doing 3 things to develop as a SORH leader.

I attended the ORHP Rural Voices meeting that brought grantees from a wide variety of backgrounds to work on leadership development.

I am working on my PhD in health services, policy and management at the School of Public Health, which is one of 7 rural research centers across the nation

I also serve on the NOSORH board and just transitioned to the Region B Representative.

What skill sets do you think SORH staff need—and how did you achieve them?
I feel strongly that SORH leaders need to have passion for what you do. You need to be committed in an intrinsic way with a positive outlook with lots of patience and flexibility. We worked on community paramedicine project recently. We worked with a community and worked at the state level to help program.  We would make one step forward and then one or two steps back.  You have to stay committed and be an advocate.  You have to see things through to the end with perseverance and positive attitude.  Our communities see us as committed leaders.

What are three great things about rural health in your state? What are the current challenges?

Our state office is a leader in our state.  We have to credit Graham for creating a place for us at the table.  There is a lot of innovation in our state.  Rural communities are test beds of innovation.  We really get to do a lot of face-to-face work in our rural communities, which helps spur innovations since we get to do one-on-one work.  The people that we work with are a true inspiration.  I love going out to the communities and helping providers making sure their communities have healthcare.  We get to be their coach, extra pair of hands, or shoulder to cry on.  This is what gets me out of bed each day.


Educational Exchange: South Carolina and Colorado

i Jun 1st No Comments by

NOSORH’s Educational Exchange Program offers support for SORH staff to meet with another SORH to develop or enhance their expertise or knowledge, leadership skills, adopt a promising practice, or improve effectiveness of program management, strategy planning and implementation.  This is an excellent opportunity for SORHs to learn from each other and enhance their ability to better serve their rural constituents.

In continuation of the Educational Exchange that happened in the Fall of 2014 between the 3 non-profit SORHs (MI, SC, and CO), Sherri Cox visited the Colorado Rural Health Center to learn new communications and marketing skills.  She learned how to produce story telling marketing videos, improve social medial skills, event planning tips, and how to develop a communications plan. She also learned some integrated marketing best practices, how to utilize data and produce infographics, email marketing campaign tips and website design. They discussed SCORH’s future goals and how to practically apply all of the educational resources learned over the two day period.

Sherri feels the trip was very beneficial and says, “The staff at the Colorado Rural Health Research Center went to great lengths to make sure I made the most of my trip and their mentorship was invaluable to me. I am extremely grateful to NOSORH for letting me have this opportunity to visit with them and am already applying many of these new skills here at the SC Office of Rural Health.

Do you want to learn more about an activity another SORH is working on? Are you interested in the NOSORH Educational Exchange program?  Travel scholarships may be used by NOSORH members to visit another SORH in order to:

  • Develop or enhance their rural health expertise or knowledge;
  • Cultivate their leadership skills;
  • Adopt a promising practice; or
  • Improve their program management and/or strategic planning and implementation effectiveness

Click here to access the application.


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Promising Practices: South Carolina Reaches Out to Uninsured Residents Through the Healthy Outcomes Plan (HOP)

i Nov 6th No Comments by

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.  The size of the hospital determined the number of residents they were required to identify, with 50 being the minimum for the state’s smallest hospitals.  All of South Carolina’s hospitals are participating in the program.  The state’s three largest metropolitan hospitals had to identify at least 750 residents.  “Activity always follows the dollar,” said Graham Adams, Ph.D, CEO of the South Carolina Office of Rural Health (SCORH).  “The hospitals were incentivized to get on board or they would lose the Disproportionate Share Hospital (DSH) money they were already receiving.  Plus, the state gave additional money to every hospital involved in the program.  Our 19 rural hospitals received 100% of their DSH money.”

Dr. Adams went on to say that HOP is particularly important in the rural areas, where residents are less likely to have a medical home and often wait until they are very ill before visiting an emergency department for care.  SCORH provided technical assistance to rural hospitals in the development of the program.  “Rural providers have a close relationship with their patients and as a result were more successful in identifying and bringing new patients into the program.”  The goal for the first year of HOP was to enroll 8,500 residents.

Now in its second year, Dr. Adams said the program has been beneficial because it provides a medical home and a system of care for people who really need it.  “It gives incentives for medical providers to work together for these folks well-being.  Controlling the chronic illnesses of our residents is one of the biggest benefits so far,” he said.  “Overall, it’s been a very positive thing.”


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Rural Mental Health Panel (E. Spencer)

i Feb 13th No Comments by

Rural Mental Health Panel (E. Spencer)

Graham Adams South Carolina August 2013

i Aug 4th No Comments by

Graham Adams is the CEO of the South Carolina Office of Rural Health (SC SORH). He has been with the SC SORH since 1995.

You’ve said that SORHs should do all they can to improve their “brand.” Why is it important that you market your Office?

I have a different perspective as a not-for-profit State Office. I am a small employer, with 42 employees, but no state appropriation. Every dime we have, we bring in–we always have to work for that next dime. We’ve grown the office over the years through trying to be a good partner. I think every SORH director can work to carve out a position of respect and power within their states regardless of whether their SORH is nonprofit, university or state government-based. We all should be striving to provide great value–it maximizes the influence of the office.

You may be an office of only three people, but if you brand the office, and position yourself to be an advocate for rural health issues in your state, it brings more value to those you serve. It can be more than just administering the Flex and SORH grants. You’re a resource and a player at the table at the state-level discussions. We work hard to show that we’re an organization that is advocating on behalf of rural providers and for rural providers.

How you market the office, the things you produce, how you talk about it–all can have a big impact. If you perceive yourself as being a small fish in a big pond, that’s how others will perceive you. Positioning the office as an advocate for rural providers in state level discussions eventually makes you a bigger fish. Look at other SORHs and what they’re doing to increase their brand… a
lot of what we do in South Carolina we’ve learned from fellow State Offices.

What are the best ways to market a SORH?

Being a good partner, and doing what you say you’ll do. Being knowledgeable. Not saying ‘I can’t help you with that,’ and that being the end of the discussion-successful offices will help you find the solution. Our office tries to do a lot of social media marketing, with Twitter, Facebook, Hubspot, SalesForce and a blog. We’re also trying to ensure the consistency of the brand. Making
sure that every piece of printed material, every PowerPoint, portrays the office in a consistent manner. We’ve worked very hard at this.