May 1, 2023

New Rural Health Voice Podcast on Advanced Nursing Degrees

The latest Rural Health Voice podcast hosted by NRHA past president Beth O’Connor of the Virginia Rural Health Association discusses why rural Virginia needs advanced degrees in nursing with Laurie Anne Ferguson of Emory and Henry, which just launched a master’s in nursing program. “We do know that while some of us have traveled and lived all over, most people tend to stay or go back to where they grew up when they establish a career or start families,” Ferguson says. “By educating nurses in this region, we would be more strategic in being able to recruit … There is (also) a nurse faculty shortage, and one of the ways to solve that shortage is to grow our own.”

Podcast Here

May 1, 2023

NRHA Webinars on Recruitment and Retention, Telehealth

NRHA Partner TRS Managed Services will host a webinar at 2 p.m. CDT May 3 on recruiting and retention for rural hospitals. Jimmie Bilby, TRS Healthcare chief growth officer, has more than 23 years of leadership experience and will share proven strategies including leveraging a hospital’s mission, vision, and values. NRHA Partner Equum Medical will host a webinar at 2 p.m. CDT May 4 on keeping care in rural communities and telehealth as a lifeline for rural health care. Panelists will share how to identify where telehealth can fit in your organization and how to get started. Your chance to discuss rural-specific strategies to enhance telehealth capacity is at NRHA’s 46th Annual Rural Health Conference May 16-19 in San Diego.

May 1, 2023

New Journal of Rural Health (JRH) Articles on OUD Treatment, supporting CAHs, More

The Journal of Rural Health, a quarterly journal published by the National Rural Health Association, serves as a medium for communication among health scientists and professionals in practice, educational, research, and policy settings.

JRH is a peer-reviewed international journal devoted to advancing professional practice, research, theory development, and public policy related to rural health.

Several new articles on the following topics were recently published online:

Access to full-text online articles is reserved for members. To access the journal, contact NRHA’s membership team with any questions about logging in.

May 1, 2023

How Midwives Can Help with Declining Rural OB Care

Some midwives say home births could help more patients in the wake of rural hospital maternity ward closures that have left many families with no obstetric care options nearby. In recent years, several rural Northeast Ohio hospital systems have closed their maternal care centers, forcing patients to drive farther and leaving some with no maternity ward at all. Instead of taking on the burden of extra travel, some rural families are looking to midwives to help fill gaps in care. Let’s share rural-specific strategies to prevent rural maternal morbidity and mortality and address disparities and shortages at NRHA’s 46th Annual Rural Health Conference May 16-19 in San Diego.

May 1, 2023

Medicaid Changes Loom as COVID-era Regulations End

Ending the COVID-19 PHE will require states to disenroll Medicaid recipients who were eligible for coverage as a result of COVID-era regulations. During a recent conference held by the Rural Health Association of Arkansas, an NRHA member, David Mantz of Dallas County Medical Center said hospitals won’t turn away patients who lose their Medicaid coverage, explaining that this would lead to more uncompensated care. It is estimated 15 to 30 percent of Arkansans will be disenrolled from Medicaid. NRHA hopes to help rural health stakeholders continue to communicate COVID-19 vaccine efficacy and safety with the Rural Vaccine Confidence Initiative toolkit.

May 1, 2023

Rural Communities Face Steep Climb in Race for Childcare

Across America, about half of the population lives somewhere with inadequate access to childcare, with that number going up to 59 percent for rural communities. Even when families can find available openings for childcare, the cost can be too high. As far back as 2017, childcare has been the single largest household expense across much of the country. Additionally, NRHA is cohosting a webinar at 2 p.m. CDT May 9 on the National Pediatric Readiness Quality Initiative, a free platform that enables EDs to measure and analyze – in real-time and at the patient level – their progress on quality metrics that improve outcomes for children.

May 1, 2023

California Finds 6% Higher Mortality After Closure

In January, Madera Community Hospital — the only hospital in all of Madera County, Calif. — was forced to close due to financial loss. Now the nearest emergency health care facilities are at least 30 miles away. A recent study found the mortality rate increased in rural California communities by 5.9 percent upon the closure of a hospital. Additionally, the American Hospital Association says persistent high costs, the end of the PHE, and the expected departure of millions of Americans from the Medicaid rolls spell trouble for hospitals. NRHA will share strategies to maintain rural health care access and keep rural hospitals open at NRHA’s 8th Rural Hospital Innovation Summit May 16-19 in San Diego.

May 1, 2023

University Launches Ambitious Effort to Reduce Disparities

Over the past two decades, life expectancy in rural areas has declined, with one major factor being the prevalence of diabetes. To improve the health and well-being of rural and minority populations, UVA School of Medicine has launched a new Center for Health Equity and Precision Public Health. Additionally, new research led by NRHA member Jan Probst of the Rural and Minority Health Research Center looks at how close some ZIP codes were to different kinds of health care and access in areas with higher proportions of racial and ethnic minorities. Your chance to explore the intersection of health equity and social determinants with the experts is at NRHA’s 46th Annual Rural Health Conference and 28th Health Equity Conference May 15-19 in San Diego.

May 1, 2023

One Month to Submit RHC, CAH Conference Presentations

NRHA is now accepting presentation proposals for our Rural Health Clinic and Critical Access Hospital Conferences. The goal of NRHA’s Rural Health Clinic and Critical Access Hospital Conferences is to share effective practices, policies, and information and provide insights and best practices addressing many of the access, quality, and patient safety issues confronted by CAHs and RHCs. Five interest tracks are available for CAH Conference submissions: innovation, financial, leadership, quality, and best practices. This year’s events will be held Sept. 26-29 in Kansas City, Mo., NRHA’s hometown. The deadline for submissions is May 31.

April 28, 2023

8 Benefits Achieved by Providing Mental Health Care in Rural Communities

People are suffering and the need to offer mental health care in every medical setting is needed. Humanity is impacted by an increase in suicide rates, substance abuse, acts of violence & depression, and rural communities are especially affected.

Small communities band together after tragedy, but problems in delivering a desperately needed service remain. Some organizations have come together and banded forces to develop creative ways about how mental health care can be better delivered in rural communities.

1. It’s the right thing to do (spiritual benefits)

  • Benefits achieved by providing this care nourishes the souls of people delivering the care and makes communities stronger by offering them. Supporting a community’s mental health is not a hard sell.

2. The opportunity to provide care to people who have gotten no care previously in incredibly rewarding

  • Supporting people with mental health issues, suicidal tendencies, substance abuse and addiction, to name a few, may seem challenging. But once you have started helping people get better, you realize the changes are transformational.

3. Invest in your future

  • Providing a service like this separates you apart from the rest, and the cost is usually low compared to for example, the purchase of an MRI machine. The trust that is built from helping someone through a mental health crisis is totally priceless.

4. Instant reputation and good standing in your community

  • Clinics that serve mental health are an instant magnet for your community partners, like schools, churches and other places of worship, shelters, and local governments. Once you can show as a proof of concept that your program works, you will forever be a trusted resource in your community.

5. Benefits to your clinic or hospital

  • Did you know that it may cost over one million dollars in lost revenue, to replace a good primary care provider working full time in your clinic? Provider burnout, or care-giver fatigue, is the number one reason why providers who wish to continue working leave a job. Primary care providers are uniquely under siege for handling every medical and emotional problem of their patients in rural communities. Why not give them a hand and support them from provider fatigue and burn-out and allow them to be continue being long-term leaders in your community. By offering psychiatric care, you are protecting your most important asset, which is your people. Rural communities have potential for programs that allow for cost benefit reimbursements and other financing sources. For example, both for-profit and non-profit organizations are eligible for unique grants specific for rural areas. Rural Health Clinics (RHCs) are uniquely positioned to provide excellent mental health care. Also, mental health care integrated in primary care, is the direction where the standard of care is heading.

6. A stronger, happier and more dependable workforce

  • Employees who know their employer is passionate about providing mental health care, are happier and more fulfilled. You gain instant respect. This separates you from the rest, instantly, as being the premier place to work in your community.

7. Why not have a partner share in the legal responsibility, accountability and liability, instead of shouldering it all on your own

  • As it stands right now, most mental health is already being delivered in primary care clinics. Most estimates are that 70- 80% of all mental health care is delivered in a primary care clinic. Unfortunately, these clinics are not getting the credit they deserve, nor are they making the most on the opportunities. Also, they are inherently liable for all the mental health care they are delivering. It would make sense for all the reasons here alone, to share in these legal liabilities and partner with mental health providers willing to share the accountability/liability and opportunity.

8. Refer back to #1

  • Rural Communities are special. They are inherently American and full of rich history. Keeping our small towns full of spirit and good mental health is of benefit to everyone, and we are grateful to your commitment to your patients, and your communities. Providing mental health care in your community not only makes sense, from a human level and spiritual level, it is the right thing to do, and you will achieve rewards that are priceless by offering this service.

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