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Oklahoma State University Center for Rural Health. Where does Oklahoma rank nationally for its health status (1 st is best and 50 th is worst)?. 33 rd 43 rd 46 th 49th. 1 United Health Foundation. 2010. “America’s Health Rankings: 2010 Edition.”.

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Oklahoma State University

Center for Rural Health


Where does oklahoma rank nationally for its health status 1 st is best and 50 th is worst
Where does Oklahoma rank nationally for its health status (1st is best and 50th is worst)?

  • 33rd

  • 43rd

  • 46th

  • 49th

1United Health Foundation. 2010. “America’s Health Rankings: 2010 Edition.”


Where does oklahoma rank nationally for its ratio of primary care physicians to total population 1
Where does Oklahoma rank nationally for its ratio of primary care physicians to total population?1

  • 5th

  • 23rd

  • 39th

  • 49th

1United Health Foundation. 2010. “America’s Health Rankings: 2010 Edition.”


The health status of oklahomans 1

  • 25% of the state’s population smokes (improving) care physicians to total population?

  • 32% of the state’s population is considered obese (increasing)

  • 16% of Oklahomans do not have health insurance (was improving)

  • Dead last for the percent of the population that has had a recent dental visit

  • Dead last for the percent of the population that meets its recommended intake of fruits and vegetables

The Health Status of Oklahomans1

1United Health Foundation. 2010. “America’s Health Rankings: 2010 Edition.”


What about rural oklahoma

What About Rural Oklahoma? care physicians to total population?


How many more people are there per primary care physician in rural Oklahoma compared to urban Oklahoma?

  • 25% more

  • 50% more

  • 75% more

  • 100% more


Mission
Mission rural Oklahoma compared to urban Oklahoma?

Our mission is to support the Oklahoma State University Center for Health Sciences and its College of Osteopathic Medicine by seeking to improve healthcare in rural Oklahoma through:

  • Student education,

  • Residency training,

  • Research,

  • Program applications,

  • Advocacy, and

  • Alliances with others who share our goals.


Presentation overview
Presentation Overview rural Oklahoma compared to urban Oklahoma?

Center for Rural Health Departments and Program Areas

  • Medical Education

  • Clinical Services

  • Grants and Research

  • Advocacy


Rural medical education
Rural Medical Education rural Oklahoma compared to urban Oklahoma?


On average, approximately what % of all graduates from OSU-COM have entered primary care following graduation?

  • 45%

  • 55%

  • 65%

  • 75%


Approximately what % of graduates from OSU-COM have entered primary care following graduation since 2006?

  • 40%

  • 50%

  • 60%

  • 70%


Community clinic rotation sites 2010
Community Clinic Rotation Sites primary care following graduation since 2006?2010


Rural clinic rotation sites 2010
Rural Clinic Rotation Sites primary care following graduation since 2006?2010


Community hospital rotation sites 2010
Community Hospital Rotation Sites primary care following graduation since 2006?2010


E r rotation sites 2010
E.R primary care following graduation since 2006?. Rotation Sites2010


Medical education
Medical Education primary care following graduation since 2006?

  • Pre-Doctoral Training in Primary Care Grant

    • Medical School

      • Earlier exposure to rural practice

      • Expanded rural rotations

      • Expanded rural didactics

      • Increased experiences with simulators

    • Residency

      • Rural residency programs


Clinical services
Clinical Services primary care following graduation since 2006?


Clinical services1
Clinical Services primary care following graduation since 2006?

  • Enid Clinic

    • Primarily Medicare, Medicaid, and SoonerCare


Grants and research
Grants and Research primary care following graduation since 2006?


Grant funded activities
Grant Funded Activities primary care following graduation since 2006?

  • Annual Grants

    • State Office of Rural Health

    • Area Health Education Center

  • Project Grants

    • Health Information Technology


Grant funded activities annual
Grant Funded Activities - Annual primary care following graduation since 2006?

  • State Office of Rural Health

    • State Office of Rural Health (SORH)

    • Small Hospital Improvement Program (SHIP)

    • Medicare Rural Hospital Flexibility Program (FLEX)


Grant funded activities annual1
Grant Funded Activities - Annual primary care following graduation since 2006?

Small Hospital Improvement Program (SHIP)

  • Eligibility

    • Small (49 beds or less)

    • Rural (outside of an MSA)

  • Authorized Expenditures

    • Prospective payment systems (PPS);

    • Value-based purchasing programs (VBP);

    • Accountable care organizations (ACO); and

    • Payment Bundling.


Grant funded activities annual2
Grant Funded Activities - Annual primary care following graduation since 2006?

  • Flex Program

    • Conversion to Critical Access Hospital (CAH) status

    • Support for Quality Improvement

    • Support for Operational and Financial Improvement

    • Support for Health System Development and Community Engagement


At most how many beds may a critical access hospital have
At most, how many beds may a Critical Access Hospital have? primary care following graduation since 2006?

  • 10

  • 25

  • 50

  • 100



How much more money annually does a typical Oklahoma hospital make by converting to critical access status?

  • $ 42,071.00

  • $ 186,106.00

  • $ 227,449.00

  • $ 291,470.00


Impact of cah conversion
Impact of CAH Conversion hospital make by converting to critical access status?

RN Lawler, GA Doeksen, and V Schott. Impact of Conversion to Critical Access Hospital Status for Oklahoma’s Rural Hospitals. The Journal of Rural Health. 2003.


Critical access hospitals
Critical Access Hospitals hospital make by converting to critical access status?

Flex Monitoring Team. Statewide Financial Performance of CAHs – Oklahoma, www.flexmonitoringteam.org/documents/BriefingPaper7_FinancialIndicators.pdf


Critical access hospitals1
Critical Access Hospitals hospital make by converting to critical access status?

Flex Monitoring Team. Statewide Financial Performance of CAHs – Oklahoma, www.flexmonitoringteam.org/documents/BriefingPaper7_FinancialIndicators.pdf


Critical access hospitals2
Critical Access Hospitals hospital make by converting to critical access status?

Flex Monitoring Team. Statewide Financial Performance of CAHs – Oklahoma, www.flexmonitoringteam.org/documents/BriefingPaper7_FinancialIndicators.pdf


Grant funded activities annual3
Grant Funded Activities - Annual hospital make by converting to critical access status?

  • Area Health Education Center (AHEC)

    • Model AHEC Program

    • State Matching Funds???????

    • Geriatric Education Center Program


OSU Center for Rural Health’s Services and Activities hospital make by converting to critical access status?

February 2010


Grant funded activities project
Grant Funded Activities - Project hospital make by converting to critical access status?

  • Health Information Technology

    • USDA Distance Learning and Telemedicine Grant

    • Tobacco Tax Funding for Telemedicine


Research
Research hospital make by converting to critical access status?


Research1
Research hospital make by converting to critical access status?

  • State

    • Effectiveness of rural medical training programs at OSU

    • State of the State’s Rural Health

  • National

    • Gender and generational issues related to physician recruitment and retention

    • The efficacy of telemedicine in the provision of mental health in rural areas


Advocacy
Advocacy hospital make by converting to critical access status?


Advocacy efforts
Advocacy Efforts hospital make by converting to critical access status?

  • Collaborative Response

    • State

      • OOA

    • National

      • AOA

      • NRHA

  • Propose legislation

  • React to proposed legislation

  • Connect legislators and rural providers


Advocacy agenda
Advocacy Agenda hospital make by converting to critical access status?

  • State

    • Medicaid reimbursement for telemedicine

    • Reinstate funding for OkAHEC

  • National

    • Retain increased reimbursement for primary care physicians

    • Interest-free loans for starting residency programs in rural, underserved areas


Why should you consider a rural practice? hospital make by converting to critical access status?


After adjusting for cost of living who earns a higher income
After adjusting for cost of living, who earns a higher income?

  • Rural Physicians

  • Urban Physicians


Physician incomes in urban and rural areas
Physician Incomes in Urban and Rural Areas income?

Reschovsky JD, Staiti A. Physician Incomes in Rural and Urban America. Center for Studying Health System Change. 2005.


Who is more likely to be satisfied with being a primary care physician
Who is more likely to be satisfied with being a primary care physician?

  • Urban Physician

  • Rural Physician


Physician satisfaction in urban and rural areas
Physician Satisfaction in Urban and Rural Areas physician?

Luman K, Zweifler J, and Grumbach K. Physician Perceptions of Practice Environment and Professional Satisfaction in California: From Urban to Rural. The Journal of Rural Health. Summer 2007.


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