May 24-31, 2010

In this Issue...


Mark your calendar...

Resources...
Funding Opportunities...

Click the logo for the Joint Commission on Health Care newsletter or click here to visit their newly designed website.

VRHA News
Members in the News

By Candi Helseth - Rural Monitor

How do you encourage medical students to consider a career as a physician serving rural and underserved areas? By plunging them into the depths of people’s needs and giving them tools to make a difference in people’s lives. At least, that’s the philosophy of Edward Via Virginia College of Osteopathic Medicine (VCOM), a four-year osteopathic medical school at Virginia Tech in Blacksburg, Va., which sponsors nine student medical mission trips every year and staffs and maintains year-round clinics in El Salvador, Honduras and the Dominican Republic. Students also volunteer at clinics and do medical rotations in the Appalachians.

Read the full article.

More Members in the News

By Lindsey Ward - WSLS 10

At UVA Medical Center, Doctor Green is sitting down for one of her morning appointments. Her examination room looks a little different than most.  It includes a computer and a web camera. Her patient, James Carty, sits more than 300 miles away from her office in Dickenson County. This type of appointment is called telemedicine.
   
It’s not a new practice, but a growing answer to a growing problem ... medical workforce shortages.
“Most of the time you have to drive an hour from here to the doctor anywhere you go.  I mean, you have general doctors here, but no specialists really,” explained Carty.

“It has been predicted that we will have a shortage of 200,000 physicians by 2020,” said Dr. Karen Rheuban, Medical Director of Office of Telemedicine. Dr. Rheuban and her colleagues have been connecting from Charlottesville with patients through telemedicine since the mid 90s and have a presence in dozens of communities in Virginia. She says it is only going to grow since health care reform is a reality.

Click here to read the full transcript or view the video.


Virginia Rural Health News

Rural Health Plan Highlighted

The Association of State and Territortial Health Officials (ASTHO) has developed ten case studies that continue ASTHO’s work in identifying leading state-based strategies to address health equity. The case studies are an in-depth examination of the data from ASTHO’s 2007 Minority Health Survey and State Snapshots.  Based on interviews with directors of minority health, health disparities offices, state public health officials, community leaders, and local health officials the case studies describe health equity strategies and programs in depth in ten states: Arizona, California, Georgia, Massachusetts, Michigan, Montana, North Carolina, Ohio, Oklahoma and Virginia.

Click here to review the case studies or click the logo below to visit the Virginia Rural Health Plan website.



Virginia Health Reform Initiative

Virginia Secretary of Health and Human Resources Dr. Bill Hazel announced the establishment of a statewide health reform initiative.  The intent of the Health Care Reform Initiative, which will be within the Health and Human Resources Secretariat, is to prepare Virginia for the implementation of federal health reform by planning for the expansion of Medicaid eligibility. 

It is estimated that this expansion will increase the number of Medicaid enrollees in Virginia from 270,000 to 425,000, at a cost of $1.5 billion dollars between 2017 and 2022. There exists a pressing need for the Commonwealth to begin planning for the implementation of federal Health Care Reform, while also implementing other innovative healthcare solutions. 

Read the full press release.


Close to Home

Pandemic Disaster Response Study Eager to Include Rural and Immigrant Health Center Experiences

The University of Kentucky is conducting a study examining psychosocial responses to pandemic.  Researchers are particularly interested in the experiences and observations of health care, behavioral health and social service workers who worked in rural and immigrant communities during H1N1 or SARS.  The study is focused on the psychosocial effects of pandemic on children and families, how pandemic affected the lives of health care workers and their families, and lessons learned or suggestions for improved planning, preparedness and response to future health emergencies to develop best practice guidelines and training modules.  It is imperative that the range of experiences among different populations based on geography, economics, ethnicity and other sociodemographic factors be explored. 
 
YOUR EXPERIENCE IS VALUABLE!

We need to hear about your experiences and observations!  You may participate by taking an online survey, volunteering for an interview, or participating in a focus group.  All participants will receive an incentive for their participation.  Researchers would like to conduct focus groups of health care providers in your community.  If you would be interested in participating in a focus group or interview, please contact the study.

Click here to take the online Health Care Provider Survey,

or click here to take the online Behavioral Health Provider Survey

To volunteer for a focus group or interview, please contact Miriam Silman: 606-454-4715

Pandemic Disaster Response Study
Center for the Study of Violence Against Children
University of Kentucky
3470 Blazer Parkway, Suite 100
Lexington, KY  40509


National Rural Health News
Filling Health Care Gaps in Rural Areas

By Candi Helseth - Rural Monitor

These days, Laura Thiem is the only “doc” in Adrian, Mo. But Thiem isn’t a physician—she’s a certified family nurse practitioner. Four years ago, after the local rural health clinic where she worked had closed, Thiem opened a primary care clinic on Main Street in Adrian, a town of 1,500 that she has called home for many years. Now Thiem sees and treats approximately 4,000 patients a year.

Ninety-three miles away, Marti Cowherd, who is certified as both a family and pediatric nurse practitioner, owns and operates the Family Practice of Ray County, a rural health clinic in Richmond, Mo., a city of about 6,000. When the physician who owned the clinic decided to leave Richmond in 2004, Cowherd purchased the practice.

“We serve a population of patients that probably wouldn’t have health care if I weren’t here,” Cowherd said. “On average, we see about 25 patients a day. Most of them are on Medicaid or Medicare. Or they have no insurance.”

Read the full article.



Healthy Students Are Better Students

By Saba Bireda - Center for American Progress

The recently passed Patient Protection and Affordable Care Act, P.L.111-148, promises to make far-reaching changes to our current health care system. But the law’s benefits may go well beyond improvements to care and savings to consumers. At least one provision in the law could help improve academic outcomes for low-income students by providing much-needed health services at school.

The law for the first time creates federal grant programs to fund the expansion and support of school-based health centers, or SBHCs. School-based health centers provide free, comprehensive health services to students during school hours, including primary care, mental health, dental, vision, and nutrition services. The centers are typically located in medically underserved communities—almost a third in rural areas—and the grant program would give preference to SBHCs that serve large populations of children eligible for state Medicaid or children’s health insurance plans. Students in most schools have sporadic access to a school nurse, but students at or near SHBC schools can use the center for most of their health care needs.

Read the full article.


Students Solve EMS Shortage

By Zach Tecklenburg -  KTIV.com

In small towns, services like emergency response are often limited. That's why it's important for volunteers to step up and take on duties in the fire department, or as EMTs. Rounding up people to respond is a challenge in rural towns, but in Akron, Iowa, they're looking to teenagers to be first on the scene. Monday night, they received their EMS certification.

"We have a problem with volunteerism in the community and this is a way to maybe get some more volunteers," says program instructor John Jorgensen.

Read the full article.


Mark your calendar


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

June 2-5: National Association for Rural Mental Health Annual Conference - Denver, CO
June 9 - December 15: NOSORH Grant Writing Institute: Rural Health Grant Writing
June 16-18: Medication Use in Rural America Conference - Kansas City, MO
July 21-23: NRHA's Quality and Clinical Conference - Portland, ME

Resources

New Brief Details How Health Reform Law Affects Medicare 
Medicare is the largest health insurance program in the country, and since Congress passed the Patient Protection and Affordable Care Act to reform the nation’s health care delivery system, many Americans have wondered what effect the new law will have on the popular program that covers seniors and people with disabilities.

The new law lays out significant changes to Medicare, including new benefits for enrollees, new taxes to shore up Medicare’s financing, and cutbacks in the growth of payments to hospitals and other providers. Due to the size and scope of Medicare, these changes will have a significant impact on the rest of the health care delivery system, as providers respond to the financial incentives inherent in the way that Medicare pays them.

A new brief from Health Affairs and the Robert Wood Johnson Foundation explores the reform provisions related to Medicare that will take effect beginning in 2010. The brief also notes that the CMS is expected to issue regulations that will guide how these provisions will be implemented in the coming weeks and months.

Statehealthfacts.org Goes Mobile
Statehealthfacts.org is now optimized for use on your mobile device. Now, when you are on the road or in a meeting and need to know how many California residents are uninsured, or how many children in Florida are covered through Medicaid, just goto www.statehealthfacts.org on your mobile device and easily find the answer. Data for more than 700 indicators are accessible on the mobile site.


HRSA Publishes New Strategic Plan
The Health Resources and Services Administration has released their new strategic plan, which includes goals and sub-goals on improving access to quality health care and services and strengthening the health workforce.


Funding Opportunities

2010 Mary Kay Ash Shelter Grant Program
Application deadline: Jun 30, 2010
Grants to women's shelters for victims of domestic violence.

MultiPlan's Rural Health Outreach Grant Program

Application deadline: Jun 30, 2010
This program seeks to help rural hospitals develop creative community outreach programs that encourage new services or reach new populations.

Building Healthy Communities Grant Program

Application deadline: Jul 1, 2010
Grants for community improvement projects.

Community Access to Child Health (CATCH) Planning Funds Program

Application deadline: Jul 30, 2010
Grants for pediatricians to develop innovative, community-based initiatives that increase children's access to medical homes or to specific health services not otherwise available.

HeartRescue Grant Program

Application deadline: Oct 15, 2010
Grants to increase awareness and education of sudden cardiac death, early defibrillation, and the need for early intervention among community leaders, first responder organizations and the public.

Family Respite Care Grant
Application deadline: Nov 1, 2010
Funding to help alleviate the cost of respite care for families caring for loved ones with Alzheimer’s disease or a related dementia.

 
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.
VRHA logo
2265 Kraft Drive
Blacksburg Virginia 24060
Ph: 540-231-7923 www.vrha.org