Transcript Slide 1

Michigan Center for Rural Health
Report of 2011 Activities
MCRH
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Our Vision: “The Michigan Center for Rural
Health will be universally recognized as the
center for expertise for rural health in
Michigan through creative and visionary
education, service, and research.”
Our Mission: “To coordinate, plan, and
advocate for improved health for Michigan’s
rural residents and communities.”
MCRH History
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Formed in 1991 as part of a nation-wide federal and
state initiative to recognize importance of rural
health care.
Granted 501(c)(3) not-for-profit status by Internal
Revenue Service in 1994.
Offices located on Michigan State University
campus.
Governed by Board of Directors with representatives
from state-wide organizations and state government
departments.
MCRH Staffing
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Six full-time employees
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Executive Director
Recruitment & Retention
Services Coordinator
Hospital Programs
Manager
Education &
Communication
Coordinator
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Program Assistant
Two Administrative
Assistants (both MSU
students)
MCRH Program Areas
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Communication and Education
Hospital Programs
Recruitment and Retention Services
Emergency Medical Services
Communication and Education
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Conferences
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Workshops, Newsletters and Listservs
Grand Rounds
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Annual Rural Health
CAH conference
In 2011, there were 39 one-hour videoconferenced topics
in arthritis, geriatric, psychiatry, nursing, pharmacy, EMS,
and social work broadcast to a total of 3,345 providers.
Michigan Health Alert Network (MIHAN)
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A web-based health alert network system for hospitals,
local public health agencies, and certified rural health
clinics.
Grand Rounds: 2008 & 2009 Participant Comparison
2008 = 1,797
900
2009=2,593
835
800
700
600
492
500
301
300
200
200
100
406
356
400
246 243
222
221
156
255
184
93 91
0
0
Arthritis
EMS
Geriatric
Nursing
Pharm.
Psy.
SW
Sp.
Topics
Increase in G.R. Participant Numbers
1,444
2007
1,797
2008
2,593
2009
2,700+
2010
Growing Education Opportunities Throughout Rural Michigan
Increase in # of G.R. Sessions Offered
30
2007
31
2008
39
2009
42+
2010
Growing Education Opportunities Throughout Rural Michigan
Video-conferencing Sites
Videoconference
process for
presentation of
program from
MSU to
REMEC
Telehealth
Network,
UPTN, and SW
Telehealth
Network.
Marquette
Traverse City
MSU
Grand Rounds
1 of 2 videoconference rooms we use. Room 204 CAS.
Hospital Programs
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Michigan Medicare Rural Hospital Flexibility
Program
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Provides services to Critical Access Hospitals and
their communities (Quality Network, Financial
Benchmarking Project, Board of Directors
Education, HIT readiness analysis).
There are 35 Critical Access Hospitals in
Michigan.
Michigan CAHs
Performance/Quality Improvement
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34 CAHs received Michigan Rural Health
Quality Improvement Award for calendar year
2008. Partnered with MPRO.
Inpatient Clinical Performance.
Emergency Room Transfers (7 measures).
Quality/Performance Improvement
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CAH - CFO Financial Benchmarking Group.
22 CAHs participating.
Collect & compare relevant CAH financial
data.
Acute Care, OR, Lab, Radiology and ED.
8.
9%
.8
%
6.
9%
-1
-1
-20.0%
6.
5%
-2
-2
8.
0%
-2
$400.00
-30.0%
-3
$200.00
$-
-10.0%
4.
3%
2.
1%
-1
$600.00
-1
6.
7%
4.
8%
$800.00
0.0%
2.
7%
-6
.9
%
-5
.4
%
-0
$1,000.00
20.0%
10.0%
4.
1%
$1,200.00
3.
3%
7.
1%
$1,400.00
11
.1
%
13
.5
%
Acute Care Cost/Day
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
1Q 09
$510.56 $525.48 $953.83 $584.63 $838.46 $441.67 $460.44 $701.03 $383.75 $380.86 $539.78 $379.49 $614.87 $1,043.07 $458.65 $464.66 $437.59
2Q 09
$632.81 $495.03 $1,012.31 $589.98 $849.16 $529.92 $481.92 $1,037.50 $412.68
$478.81 $620.67 $351.08 $694.53 $1,169.82 $515.68 $505.74 $417.07
% days
-16.7%
-36.5%
7.1%
13.5%
-0.8%
-6.9%
-22.1%
8.9%
-28.0%
1Q 09
-14.8%
2Q 09
-24.3%
% days
3.3%
-5.4%
4.1%
-12.7%
-16.9%
11.1%
-40.0%
Recruitment and Retention Services
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Objective: “To be a single point of contact to rural facilities
with questions regarding recruitment, retention, medical staff
development, loan repayment and visa or contract issues.
Advocates for recruitment initiatives to improve access to care
in rural Michigan.
Assists rural communities by offering:
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Physician recruitment assistance to place physicians in rural Michigan.
Primary Care Community Medical Staff Needs Analysis.
Presentations of rural health care opportunities.
NHSC, State Loan Repayment, and contract review.
Number of
Opportunities
Active Opportunities for Primary Care
Placement by Year
140
120
100
80
60
40
20
0
Active
Opportunities
2006
2007
2008
Year
2009
EMS
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EMS Education via teleconferences (221
people).
Online Medical directors course.
Bi-Monthly Newsletter.
EMS Education
In 2009, 49 EMS
agencies
participated in the
EMS Education
series.
EMS Education
be
r
De
ce
m
be
r
No
ve
m
be
r
90
80
70
60
50
40
30
20
10
0
Se
pt
em
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EMS Education
Ju
ne
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4 sessions held
quarterly, with an
extra session
relating to the
H1N1 epidemic.
222 participants
with 152 receiving
continuing
education credits.
Technology
upgrade.
Fe
br
ua
ry
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State Rural Health Plan
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Implementing Access to Care and
Recruitment/Retention of Provider objectives
at conferences and through partnerships.
Healthy Lifestyle Community Matching Grant
program through legislature (12 grants).
Healthy Lifestyle Community Matching Grant
program through BC/BS Social Mission
Department (12 grants).
Healthy Lifestyles Community Grant
Program
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A matching community grant program for the
Healthy Lifestyles section.
$5,000 to twelve communities.
Community matches the amount to create a
$10,000 Healthy Lifestyles project.
Healthy Lifestyles – legislature funded
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September 2008October 2009
Twelve
Communities
2008-2009
Legislative
Grantees
Healthy Lifestyles – legislature funded
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4,201 rural residents were involved in various Healthy
Lifestyle programs (mileage clubs, weight loss contests).
564 children received health screenings.
1,428 people attended “Health Fairs.”
26 health care providers received education on discussing
healthy lifestyles with their patients.
17 schools introduced either the Exemplary Physical
Education Program, Michigan Model for Health Curriculum
or the Coordinated School Health Program.
2,182 community members received fact sheets or newsletter.
Other Healthy Lifestyle grants in progress
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6 Legislative Grants from FY 08/09 (final
report due September 2010).
12 BC/BS Foundation (final report due April
2010).
Money has been appropriated for fourteen
(14) Healthy Lifestyle grants in FY 09/10.
New for 09/10
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SEARCH: Students/Residents Experiences
and Rotations in Community Health.
M-CEITA: Michigan Center for Expanding
Information Technology Advancement.
Rural OsteoChamps.
Federal Rural Grant Awards for State Investment
3000000
2500000
2000000
Dollars 1500000
Federal Grant Awards
State Investment
1000000
500000
0
Year
Questions????
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John Barnas
[email protected]
517-432-9216