RHP2010_ Models for Practice by malj

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									Rural Healthy People 2010, Chronic
 Disease Management, and Health
   Organization Transformation
         Jane N. Bolin, RN, JD, PhD, Director

       Southwest Rural Health Research Center
               School of Rural Public Health,
        Texas A&M University Health Science Center
                http://www.srph.tamhsc.edu
   RHP 2010 Project Funding

The Southwest Rural Health Research Center
(SRHRC) at the School of Rural Public Health,
Texas A&M University System Health Science
Center gratefully acknowledges grant support
for Rural Healthy People 2010 from the Federal
Office of Rural Health Policy and Health
Resources and Services Administration.


                                                 2
 Presentation Outline
Describe the success of Rural Healthy
 People 2010 project and its components
Review some key points regarding a
 couple of the rural health priorities
Describe associated models for practice
Discuss goals for Rural Healthy People 2020



                                           3
      Rural Healthy People 2010
Served as a companion to Healthy People
 2010.
Focus of RHP 2010 was on identified rural
 health priorities.
Presented current rural health research and
 models for addressing rural health priorities
Provided rural health leaders and policy makers
 with rural-specific resources and data.

                                              4
Rural Healthy People 2010: A Companion
Document to Healthy People 2010 – 2 Vols.




                                            5
Rural Healthy People 2010 Priorities

Determining Rural Health Priorities
Surveys sent to over 1000 rural health leaders:
 National agency, foundation, research center
  experts;
 State offices of rural health, state primary care
  offices and associations, and state rural health
  associations; and
 Local rural public health agencies, rural health
  clinics and community health centers, and rural
  hospitals.


                                                      6
RHP2010 “Top Five” Priorities:
 Access to Quality Health Services

 Heart Disease & Stroke

 Diabetes

 Mental Health & Mental Disorders

 Oral Health

                                      7
Top 16 Rural Health Priorities
       Top 12 Priorities*                           Priorities 13-16*
Rank                 Objective              Rank               Objective
 1     Access to Quality Health Care         13    Immunization and Infectious Disease
 2     Heart Disease and Stroke              13    Injury and Violence Prevention
 2     Diabetes                              15    Family Planning
 4     Mental Health and Mental Disorders    15    Environmental Health

 5     Oral Health
 6     Tobacco Use
 6     Substance Abuse
 6     Education and Community-Based
                                            *Priority rankings based on
       Programs                             average percentages of four
 6     Maternal, Infant, and Child Health   groups of state and local rural
 10    Nutrition and Overweight             health leaders choosing
 10    Cancer                               objectives as a priority. There
 10    Public Health Infrastructure         are virtual ties among some
                                            priorities.


                                                                                         8
General Themes in Rural Health


More serious health problems in rural
 areas than in many urban and suburban
 areas
Many rural populations lack access to
 insurance or face health profession
 shortages to address these problems


                                         9
Rural Health Themes (cont.)


 Many “Models for Practice” reflect a
  search for local solutions even as
  advocacy is pitched to state and
  national policy-makers to address rural
  disparities




                                            10
Themes across Models for Practice
Some rural providers and community
 partnerships offer “Make Do” strategies
Others are developing health promotion,
 screening, and care management
 strategies that may become affordable
 options in rural areas
Common challenge of funding and
 stretching local resources

                                           11
FAST FORWARD




               12
10 YEARS LATER…..
RURAL HEALTHY PEOPLE 2020
 STRATEGIC PLANNING UNDERWAY.
PLANNING CONDUCTED JOINTLY BY
 TEXAS A&M HEALTH SCIENCE CENTER
 SCHOOL OF RURAL PUBLIC HEALTH &
 FLORIDA STATE UNIVERSITY.
SEEKING INPUT FROM KEY
 STAKEHOLDERS SUCH AS TRHA AND
 RHAs.
                                   13
Strategic Planning for RHP2020
Our Aims & Objectives:
   Aim 1: Identify and collaborate with key national organizations
    and rural health stakeholders concurrent with the planning
    meetings of the Healthy People 2020 Consortium.
   Aim 2: Develop criteria that should be used in selecting a subset
    of the HP 2020 objectives that are particularly relevant for rural
    areas of the United States.
   Aim 3: Validate both the criteria and the specific selection of
    RHP 2020 objectives that meet those criteria with key
    stakeholders.
   Aim 5: Identify and update potential “best practices” or model
    programs that can help rural communities identify key steps or
    processes that will help them achieve the Healthy People 2020
    objective(s) they select.

                                                                   14
     RHP 2020 priorities identified from
          HP2020’s 28 objectives

                       Oral Health


Maternal, Infant, and Child Health


           Heart Disease & Stroke


         Nutrition & Weigh Status


      Public Health Infrastructure


Health Communication & Health IT


                         Diabetes


 Mental Health & Mental Disorders


 Access to Quality Health Services


                                     0   2   4   6   8   10   12   14   16   18   20

                                                                                       15
RHP 2020 priorities identified from
     HP2020’s 28 objectives
         TOP 18 Objectives Thus Far
 20

 18

 16

 14

 12

 10

  8

  6

  4
                                      TOP 18 Objectives Thus Far
  2

  0




                                                          16
CURRENT STATUS OF RHP 2020
 SURVEY?
 We now have 300 responses due to mass
  email announcements that went out from
  RHA’s and NOSORHS.
 NRHA has announced the survey on its
  website.




                                           17
Next Steps for Rural Healthy People 2020?


We need:
  TRHA feedback and input.
  Input needed from national and state
   organizations interested in rural health;
  Stronger linkages to HP2020 planning
Collaboration in developing RHP 2020
 framework to guide us in the next 10
 years.

                                               18
In Conclusion
Rural health disparities are significant
 for much of rural America.
Health reform, including improved
 insurance and access to health providers
 may be the levers to major change
Prevention and care management
 models are needed in rural areas
Models needed which take a
 community-wide, problem-solving focus
                                            19
RHP 2010 Website

 Rural Healthy People 2010 literature reviews
  for 14 rural health focus areas ;
 70 Models for Practice are available via the
  web-based version of the document at:


  http://www.srph.tamhsc.edu/rhp2010/




                                                 20
Next Steps for Rural Healthy People?
  Rural Healthy People 2020: Planning
   Phase.
  Partnering with Florida State University
     Survey of key national and state
      organizations re: rural health priorities
      tracking Healthy People 2020 planning.
     Follow-up assessment of Rural Healthy
      People 2010.

    http://www.srph.tamhsc.edu/
                                                  21
How Can NCVH Provide Input?
Provide strategic information for
 planning (i.e., feedback on rural health
 priorities);
Input needed from TRHA stakeholders;




                                            22
Thank You



            23
            Contact Information
        Dr. Jane N. Bolin, RN, JD, PhD
Director, Southwest Rural Health Research Center
             jbolin@srph.tamhsc.edu
         Website: http://www.srph.tamhsc.edu/
                 Southwest Rural Health Research Center
                   School of Rural Public Health at the
               Texas A&M University Health Science Center

								
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