Oklahoma State University Center for Rural Health

1. Oklahoma State University Center for Rural Health

2. Some Facts About the Health Status of Oklahomans • Oklahoma ranks 44th in overall health.(1st – Minnesota; 50th – Louisiana) • Over 25% of the state’s population smokes. • In 2006, approximately 26.8% of the state’s population was considered obese, an increase of over 131% since 1990. • Oklahoma ranks 50th in the number of deaths attributable to cardiovascular disease (416.4 deaths per 100,000 population). • Approximately 7.5% of Oklahomans have experienced a heart attack, angina or coronary heart disease.† • A disproportionate number of Oklahomans die prematurely (9,290 years lost per 100,000 population). • Approximately 18% of Oklahomans do not have health insurance. Sources: United Health Foundation. 2006. “America’s Health Rankings: 2006 Edition.” † Centers for Disease Control. 2007. “Morbidity and Mortality Weekly Report.” 56(6): 113-136.

3. What About Rural Oklahoma?

5. Vision The Oklahoma State University Center for Rural Health uniquely impacts osteopathic physicians from the time they are students through the time they are practicing in rural communities by: Training osteopathic students Providing support services to osteopathic physicians and their rural practices Strengthening the broader health care delivery systems in rural communities where they practice

7. Presentation Overview Rural Medical Education Grant Funded Activities Advocacy Research

8. Rural Medical Education

14. Grant Funded Activities

15. Grant Funded Activities State Office of Rural Health (SORH) Small Hospital Improvement Program (SHIP) Medicare Rural Hospital Flexibility Program (FLEX)

16. Small Hospital Improvement Program

17. Critical Access Hospitals

18. Community Health Engagement Process

19. Footprint of Support Services

20. Grant Funded Activities State Office of Rural Health (SORH) Medicare Rural Hospital Flexibility Program (FLEX) Small Hospital Improvement Program (SHIP) Collaborative Efforts Rural Health Network Development Grant Telemedicine Grants

21. Telemedicine & Distance Learning

22. Telemedicine & Distance Learning Grants Flex Health Information Technology Grant USDA Distance Learning and Telemedicine Grant Office for the Advancement of Telehealth (OAT) Tobacco Tax Funding for Rural Health

23. Telemedicine & Distance Learning NetworkCurrent

24. Telemedicine & Distance Learning Network Proposed

25. OSU Mobile Telemedicine Clinic

26. Advocacy

27. Advocacy Hospital Replacement Rural Ambulance Mileage Rural Hospital Designation Educational Efforts Reimbursement Rate Increases Physicians Hospitals

28. Physician Bonuses Primary Care Health Professional Shortage Areas & Primary Care Physician Scarcity Areas

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

30. Advocacy Agenda Legislative State of the State’s Rural Health Rural Health Agenda Rural Caucus Evaluate/Define the appropriate role of FQHCs Rural Health Data Clearinghouse Website Listserve

31. Research

32. Research State Oklahoma’s leader in applied geographic information systems (GIS) research for rural health Provide socioeconomic, demographic, and health care data for and about rural communities National Economic impact of telemedicine Collaborative research with federally funded rural health research centers Collaborate on research efforts with stakeholders and partners