April 12-18, 2010

In this Issue...


Mark your calendar...

Resources...
Funding Opportunities...

April Newsletter

VRHA News
New Board Officers

At the April 11th board reatreat, the VRHA Board of Directors elected the 2010 officers. The new officers are:

President - Janice Wilkins
Vice President - Maggie Bassett
Treasurer - James Tyler
Secretary - Sheena Mackenzie

Thanks to all of the VRHA board members for their hard work and dedication to the mission of VRHA!

Virginia Rural Health News
McDonnell Signs Telemedicine Bill

NBC29.com

Governor Bob McDonnell is also looking at where healthcare is going in Virginia. At issue today, telemedicine, and helping doctors see patients, even if they're hundreds of miles apart. The governor put his signature on a bill which requires most insurance companies to cover telemedicine care. McDonnell says it will help keep Virginians healthier all while saving money.

It's a concept that's getting rave reviews from doctors including those at the University of Virginia Medical Center. The idea is that a doctor in Richmond could hold a video conference with a patient in far southwest Virginia, a good six or seven hours away. Doctors say this could be especially helpful for stroke patients who need early diagnosis and for people who need to see a specialist who might be too far away to make the drive.

Read the full article.


Maternity Units to Close at Two Hospitals

By Rosalind Helderman - Washington Post

Two small Virginia hospitals announced this week that they will be closing their maternity wards. When the General Assembly was debating the state budget, we talked some about the struggles of hospitals across the state to make ends meet with state funds shrinking, particularly smaller rural hospitals that serve large numbers of patients on Medicaid. In the past eight years, six Virginia hospitals had closed their maternity wings.

Now, add Carilion Stonewall Jackson Hospital in Lexington and Bedford Memorial Hospital to the list. CSJH has announced that it will close its unit April 30; Bedford will close its practice Oct. 1.

Birthing units are often the wings most hurtful to a hospital's bottom line -- more patients on Medicaid (which reimburses less than the cost of care) combined with the need for 24/7 coverage, even if the hospital only delivers a few babies a week or less.

Both hospitals cited declining numbers of births at their hospitals, noting that many women in their communities have been choosing larger facilities. But, of course, they are choosing larger facilities that are also farther away -- with their closure, pregnant women will not have the choice of a close-to-home birth.

"We held on as long as we could," said Thomas McNamara, president of the Lexington hospital, in a statement. "We are the last Critical Access hospital in the state to offer OB services, but we simply don't have enough patients and physician participation to continue."


In Search of Board Members

Prevention Connections seeks potential candidates with a diverse range of professional and volunteer expertise.  Candidate attributes can include but are not limited to previous service on a nonprofit board, fundraising and development experience, and community service.

Prevention Connections is the nonprofit 501(c)3 sister organization of the Virginia Foundation for Healthy Youth. PC is committed to prevention and reduction of tobacco use and childhood obesity through education, intervention, policy development and community outreach to improve the health of individuals and communities

Click here to download the nomination form.


National Rural Health News
Rural Drug Use

By Andrew Clevenger - Charleston Gazette

The Senate Judiciary Committee hit the road to hold a hearing on drug-related crime in rural areas in Chairman Patrick Leahy’s home state of Vermont. There was some pretty compelling testimony, which I’ve excerpted and linked to below.

In 2008, Americans living in rural areas used illicit drugs at lower overall levels of current use (approximately 6 percent) than their counterparts in suburban and metropolitan areas (8-9 percent). Rural Americans also show lower rates of diagnosable drug abuse and dependence. However, closer inspection of the data reveals some concerns about rural drug use.

One of the most alarming issues in rural areas is the rate of overdose deaths. Rural communities have experienced significant increases in overdose death rates, rapidly outpacing the rate increases in urban and suburban communities. These deaths are largely attributed to the rise in misuse of prescription painkillers. The latest study available from the Centers for Disease Control and Prevention (CDC) examining data from 1999-2004 shows that overdose death rates in predominantly rural states are higher than in more metropolitan states. Vermont, Maine and West Virginia all experienced significant increases in overdose death rates during this time: 164 percent, 210 percent and 550 percent respectively.

Read the full article.


Don't Take CAHs for Granted

By Cheryl Clark - HealthLeaders Media

In all the drama and uncertainty about how healthcare reform will impact the nation, let me share a surprising gem that helps keep perspective about medicine for rural America.

More than one in every four hospitals in the United States is not a large fancy building with lots of doctors and nurses and the latest diagnostic equipment, and a big donor's name on the front door. On the contrary, at least 25% are small structures with no more than 25 beds and usually low profiles. One facility was recently described to me as "little more than a large closet." He was joking, of course.

They're almost always located in remote, very rural parts of the country or at least 35 miles away from any other acute care facility. Often, they are nonprofit, government or quasi-government owned.

They are called critical access hospitals, or CAHs. They provide just as their name implies, critical access, often for patients with pneumonia or a broken leg who must be seen right away. Moreover, their patients must average a length of stay of no longer than four days.

Read the full article.


Myths on Rural Health Care

By Tim Size - Tomah Journal

For quite a few years, I have been recording myths about rural health care. I think of myths as something easily proven false but too often assumed to be true. My list started when an urban-based executive told me, with a straight face, “Pay them less, they grow their own vegetables.” But it has been over half a century since most rural Wisconsinites lived on a farm.

I have come to recognize “they grow their own vegetables” as “rural as Lake Wobegone” myth. For my friends who never stray off of Fox News to National Public Radio, Lake Wobegone is Garrison Keillor’s fictional hometown where “all the women are strong, all the men are good looking, and all the children are above average.”

Not anywhere I’ve seen. The opposite of an overly idealized version of rural America is the equally extreme view of “rural as backwater.” Unfortunately, I hear a lot more of these myths than the possibly less harmful Wobegone variety.

Read the full article.


Mark your calendar


For more information about these and other events, visit http://www.vrha.org/events.html

April 13 & 14: Virginia Small Rural Hospital Conference - Williamsburg
April 23: Health Impact Assessment - Health Equity webinar
April 30: STDs: Your Top 3 in Southwest Virginia - webinar
May 11 & 12: Southern Regional Rural Convening - Charlotte
May 12 & 13: VaCHA Leadership and Education Conference - Richmond
May 14: Strong Roots for a Healthy Future: Treatments that Work for Youth - Richmond
May 17 & 18: Statewide Summit on Childhood Obesity - Richmond

May 19 - 21: NRHA's Annual Rural Health Conference - Savannah, GA
June 16-18: Medication Use in Rural America Conference - Kansas City, MO

Resources

New Web Address
On Friday, April 2, 2010, the Centers for Medicare & Medicaid Services (CMS) will be changing our website address from www.cms.hhs.gov to www.cms.gov. Existing bookmarks and links from other websites will continue to work following this address change.

Summary Captures Key Provisions of New Health Reform Law
The Kaiser Family Foundation has prepared a detailed summary of the new health reform law, breaking out its key provisions by topic. The summary reflects the provisions of the Patient Protection and Affordable Care Act, which President Obama signed March 23, as well as provisions of the Health Care & Education Reconciliation Act, which the President signed March 30. A separate timeline highlights the implementation dates for various elements of the new law, including more than a dozen key provisions scheduled to take effect this year. These resources are available through the Foundations' health reform gateway which also includes the Foundation’s other research, analysis and polling on health reform; columns by Kaiser President and CEO Drew Altman; and news summaries from Kaiser Health News, an editorially independent news service established by the Foundation
.

Ag and Arthritis

National AgrAbility now has an Agriculture and Arthritis web page
.

Fundraising Tips: A Snapshot of Rural Donors
Although people from rural communities are less likely to donate to charity, those that do give donate a higher percentage of their income than urban donors, according to a recent study by the Center on Philanthropy at Indiana University.
Read more.

Funding Opportunities

 

Brookdale Foundation: National Group Respite Program
The Brookdale Foundation works to advance the fields of geriatrics and gerontology and to improve the lives of senior citizens. The Brookdale National Group Respite Program assists community-based efforts throughout the country in the development of social model Group Respite and Early Memory Loss (EML) programs for elders with Alzheimer's disease or related dementia, and their families. This initiative awards seed grants to service providers to develop and implement new, dementia-specific Group Respite or specialized EML programs. Up to 40 agencies will receive grants for $7,500 in the first year. Grants are renewable at $3,000 in the second year, based upon evaluation of the first year’s activities and potential for future continuity of the program. The application deadline is July 1, 2010. Visit the Foundation’s website to download the 2010 RFP application form and guidelines.

The Wachovia Wells Fargo Foundation
The mission of The Wachovia Wells Fargo Foundation is to build strong and vibrant communities, improve the quality of life, and make a positive difference in locations served by the bank throughout the United States. Grants are provided to nonprofit organizations in bank communities as well as selected national organizations. The Foundation’s areas of interest include education, community development, health and human services, arts and culture, the environment, and civic affairs. Requests may be submitted throughout the year. Visit the bank’s website to take the required eligibility quiz and submit an online application.

Pioneer Hi-Bred International: Community Investment Program
Pioneer Hi-Bred International's Community Investment Program supports efforts to improve the quality of life in the communities where the company's customers and employees live and work. The company focuses its grantmaking in the following areas: education, with an emphasis on science; agriculture; and farm safety. Priority is given to nonprofit organizations located in Pioneer facility communities or rural agricultural regions. Organizations with active Pioneer management/employee participation receive priority consideration. Requests may be submitted at any time and are reviewed quarterly. Visit the company’s website listed above to download the grant application. 

 
Do you have exciting rural health news that needs to be shared?
Do you know of an upcoming health-related event which should be on our calendar?
E-mail Beth O'Connor at: boconnor@vcom.vt.edu
Disclaimer: The VRHA circulates state and national news as an information service only. Inclusion of information is not intended as an endorsement. If you prefer to receive email in plain text or rtf format instead of html or if you receive this email more than once, email VRHA.
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