Category Archives: Health Care
April 12, 2017
Perspectives on Rural Health. The April 6th edition of the New England Journal of Medicine takes a deep dive into rural health with four articles, free to all readers, in the Perspective section. Out of Sight, Out of Mind, is a commentary that was paired with the CDC’s recent report on mental and behavioral health for children in rural areas and suggests intervention in alternative settings such as school-based health centers. The Maternal Health Compact looks at high rates of morbidity and mortality for childbirth in rural areas and considers ways that telehealth can improve outcomes. A doctor explains how personal and professional benefits outweigh the challenges of her rural practice in How Long Will You Be Staying Doctor? And in Thirty Miles at Sea, solutions for staffing the ED department on remote Nantucket Island involve much more than simply hiring doctors.
Commonwealth Fund: Findings on Rural Health. One Critical Access Hospital in Wisconsin used advance practice nurses to address a shortage in primary care physicians. The innovative approach led to shorter stays, better quality of care, and greater patient satisfaction. This and other new models of care are outlined in a new report from The Commonwealth Fund, Transforming Care: Reporting on Health System Improvement. States like Pennsylvania use global payments to help rural hospitals struggling from loss of inpatient revenue, and rural providers are partnering more with community leaders to address social determinants of health.
CMS Selects Accountable Health Communities (AHCs). The AHC Model is moving forward with identification of 32 local-level organizations that will bridge the gap between clinical and social need providers to address housing instability, food insecurity, utility needs, interpersonal violence, and transportation. One example of how this can work in rural areas is offered by the Oregon Health & Science University, which plans to collaborate with more than 50 clinical sites across nine counties to coordinate services for residents.
April 11, 2017
Have you heard about Show-Me ECHO? Join our webinar tomorrow, April 12th, from Noon to 1:00 p.m. and learn about it!
What is ECHO you may ask? ECHO creates ongoing learning communities where primary care clinicians receive support and develop the skills they need to treat a specific condition. Specialists serve as mentors and colleagues, sharing their medical knowledge and expertise with primary care clinicians. As a result, they can provide comprehensive, best-practice care to patients with complex health conditions, right where they live.
Our Show-Me ECHO Clinics include: Autism, Chronic Pain, Dermatology, Hepatitis C, and Childhood Asthma. In May we will be adding a Child Psych ECHO!
To register for the webinar please email Wendy Hough at firstname.lastname@example.org or call our office at 573-884-7958.
April 7, 2017
2017 County Health Rankings. This year’s assessment of health in every country in the U.S. concludes that more Americans are dying prematurely across rural and urban communities and racial/ethnic groups. For the years studied, premature death increased most among those ages 15-44. Drug overdose was by far the single leading cause of premature death by injury in 2015 but, for those aged 15-24, more deaths due to motor vehicle crashes and firearm fatalities also played a role in the accelerated rise. A new measurement this year, disconnected youth, looks at young adults aged 16-24 who are not in school and not working and finds the issue more prevalent in rural counties than urban counties. An interactive map on the County Health Rankings site breaks down the data by county and state.
CDC and Rural Health. To promote their ongoing work around rural health issues, the Centers for Disease Control and Prevention recently launched a website that provides an overview of the significant gap in health between rural and urban Americans, links to the Morbidity and Mortality Weekly Report rural health series, and resources on key health topics impacting rural Americans. The site also shares The Community Guide, a collection of findings – on topics such as diabetes, mental health, nutrition, obesity and oral health – to help resource-limited communities identify the best evidence-based interventions for improved health and disease prevention. To learn more about the FORHP and CDC collaboration around rural health topics, please see the RHIhub resource page on the CDC MMWR Rural Health Series and check back frequently for details about upcoming webinars on specific topics.