rural providers and communities addressing social ......addressing social determinants of health...
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NOSORH Region EJuly 16, 2020
Alana Knudson, PhD
Rural Providers and Communities Addressing Social Determinants of Health
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NORC at the University of Chicago is an objective and non-partisan research institution that delivers reliable data and rigorous analysis to guide critical programmatic, business, and policy decisions.
NORC’s Walsh Center for Rural Health Analysis, established in 1996, conducts timely policy analysis, research, and evaluation that address the needs of policy makers, the health care workforce, and the public on issues that affect health care and public health in rural America. The Walsh Center is based in Bethesda, MD.
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NORC Walsh Center for Rural Health Analysis
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Social Determinants of Health
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Social Determinants of Health
Office of Disease Prevention and Health Promotion. (n.d.) Healthy People 2020: Social Determinants of Health. Retrieved from: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health
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Rural/Urban Employment: 2007 - 2019
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Rural Health Disparities: Poverty Rates
USDA Economic Research Service. (2019). Poverty Overview. Retrieved from: https://www.ers.usda.gov/topics/rural-economy-population/rural-poverty-well-being/#historic
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Rural Health Disparities: Race/Ethnicity Poverty Rates
USDA Economic Research Service. (2019). Poverty Overview. Retrieved from https://www.ers.usda.gov/topics/rural-economy-population/rural-poverty-well-being/#historic
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Rural Health Disparities: Age Categories
USDA Economic Research Service. (2019). Poverty Overview. Retrieved from https://www.ers.usda.gov/topics/rural-economy-population/rural-poverty-well-being/#historic
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Rural Evidence-Based Toolkits
1. Identifyevidence-based and promising community health programs in rural communities
3. Disseminatelessons learned through Evidence-Based Toolkits
2. Study experiences of these programs including facilitators of their success
Rural Health Information Hub: https://www.ruralhealthinfo.org/
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Organization of the Toolkit
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• Improving Economic Stability• Improving Education• Improving the Social and
Community Context• Improving Health and Healthcare• Improving Neighborhoods and the
Built Environment
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Related SDOH Toolkits
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• Target Audience: Leadership and rural health provider organizations
• Development of the Guide:Informed by local and national level rural health provider organizations
• https://www.hrsa.gov/sites/default/files/hrsa/ruralhealth/reports/HRSA-Rural-Collaboration-Guide.pdf
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Rural Health Care Collaboration and Coordination
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HRSA’s Guide to Rural Health Care Collaboration and Coordination: Why is this an important issue?
• Rural providers face unique challenges (e.g., limited economies of scale, heavy dependence on public payers, low patient volume)
• Lack of collaboration can put key services at risk given the often-fragile economic status of rural providers
• Volume Value $$$ • Growing interest in patient centered approaches to
care to address social determinants of health
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Elements of Rural Collaboration and Coordination: Areas to Consider
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Considerations to Address SDOH
• Demonstrate value of SDOH• ROI (e.g., transportation to health care reduces missed
appointments)• Address “upstream” issues
• Promote community participation • Assessment• Program design and implementation• Outreach• Evaluation
• Consider special populations• Explore training
• Motivational interviewing• Leverage reimbursement opportunities
• CCM and TCM
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Thank You!
@WalshCenter
walshcenter.norc.org
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Thank You!
@WalshCenter
walshcenter.norc.org
Alana Knudson, PhDDirector, Walsh Center for Rural Health [email protected](701)-330-3193