Michigan Center for Rural Health

1. Michigan Center for Rural Health Report of 2011 Activities

2. MCRH • 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.”

3. MCRH History • 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.

4. Six full-time employees Executive Director Recruitment & Retention Services Coordinator Hospital Programs Manager Education & Communication Coordinator Program Assistant Two Administrative Assistants (both MSU students) MCRH Staffing

5. MCRH Program Areas • Communication and Education • Hospital Programs • Recruitment and Retention Services • Emergency Medical Services

6. Communication and Education • Conferences • Annual Rural Health • CAH conference • Workshops, Newsletters and Listservs • Grand Rounds • 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) • A web-based health alert network system for hospitals, local public health agencies, and certified rural health clinics.

7. Grand Rounds: 2008 & 2009 Participant Comparison

8. 2008 2009 2010 2007 Increase in G.R. Participant Numbers 2,700+ 2,593 1,797 1,444 Growing Education Opportunities Throughout Rural Michigan

9. 2008 2009 2010 2007 Increase in # of G.R. Sessions Offered 42+ 39 31 30 Growing Education Opportunities Throughout Rural Michigan

10. Video-conferencing Sites Video-conference process for presentation of program from MSU to REMEC Telehealth Network, UPTN, and SW Telehealth Network. Marquette Traverse City MSU

11. Grand Rounds 1 of 2 videoconference rooms we use. Room 204 CAS.

12. Hospital Programs • Michigan Medicare Rural Hospital Flexibility Program • 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.

13. Michigan CAHs

14. Performance/Quality Improvement 34 CAHs received Michigan Rural Health Quality Improvement Award for calendar year 2008. Partnered with MPRO. Inpatient Clinical Performance. Emergency Room Transfers (7 measures).

16. Quality/Performance Improvement CAH - CFO Financial Benchmarking Group. 22 CAHs participating. Collect & compare relevant CAH financial data. Acute Care, OR, Lab, Radiology and ED.

18. Recruitment and Retention Services • 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: • 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.

20. EMS • EMS Education via teleconferences (221 people). • Online Medical directors course. • Bi-Monthly Newsletter.

21. EMS Education In 2009, 49 EMS agencies participated in the EMS Education series.

22. EMS Education • 4 sessions held quarterly, with an extra session relating to the H1N1 epidemic. • 222 participants with 152 receiving continuing education credits. • Technology upgrade.

23. State Rural Health Plan • 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).

24. Healthy Lifestyles Community Grant Program • 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.

25. Healthy Lifestyles– legislature funded • September 2008-October 2009 • Twelve Communities 2008-2009 Legislative Grantees

26. Healthy Lifestyles – legislature funded • 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.

27. Other Healthy Lifestylegrants in progress • 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.

28. New for 09/10 • SEARCH: Students/Residents Experiences and Rotations in Community Health. • M-CEITA: Michigan Center for Expanding Information Technology Advancement. • Rural OsteoChamps.

30. Questions???? • John Barnas • Barnas@msu.edu • 517-432-9216