Michigan Center for Rural Health
Report of 2011 Activities
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.”
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.
MCRH Staffing
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 Program Areas
Communication and Education Hospital Programs Recruitment and Retention Services Emergency Medical Services
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.
Grand Rounds: 2008 & 2009 Participant Comparison
93
200
356
221184
0
91
301
492
255
406
246
156
243
835
222
0
100
200
300
400
500
600
700
800
900
Arthritis EMS Geriatric Nursing Pharm. Psy. SW Sp.Topics
2008 = 1,797 2009=2,593
20072007 20082008 2009200920102010
1,7972,593
2,700+
1,444
Increase in G.R. Participant Numbers
Growing Education Opportunities Throughout Rural Michigan
20072007 20082008 20092009 20102010
3139
42+
30
Increase in # of G.R. Sessions Offered
Growing Education Opportunities Throughout Rural Michigan
Video-conferencing Sites
MSU
Traverse City
MarquetteVideo-conference process for presentation of program from MSU to REMEC Telehealth Network, UPTN, and SW Telehealth Network.
Grand Rounds
1 of 2 videoconference rooms we use. Room 204 CAS.
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.
Michigan CAHs
Performance/Quality ImprovementPerformance/Quality Improvement
34 CAHs received Michigan Rural Health 34 CAHs received Michigan Rural Health Quality Improvement Award for calendar Quality Improvement Award for calendar year 2008. Partnered with MPRO.year 2008. Partnered with MPRO.
Inpatient Clinical Performance.Inpatient Clinical Performance. Emergency Room Transfers (7 measures).Emergency Room Transfers (7 measures).
Quality/Performance ImprovementQuality/Performance Improvement
CAH - CFO Financial Benchmarking Group.CAH - CFO Financial Benchmarking Group. 22 CAHs participating.22 CAHs participating. Collect & compare relevant CAH financial Collect & compare relevant CAH financial
data.data. Acute Care, OR, Lab, Radiology and ED.Acute Care, OR, Lab, Radiology and ED.
Acute Care Cost/Day
$-
$200.00
$400.00
$600.00
$800.00
$1,000.00
$1,200.00
$1,400.00
-40.0%
-30.0%
-20.0%
-10.0%
0.0%
10.0%
20.0%
1Q 09 2Q 09 % days
1Q 09 $510.56 $525.48 $953.83 $584.63 $838.46 $441.67 $460.44 $701.03 $383.75 $380.86 $539.78 $379.49 $614.87 $1,043.07 $458.65 $464.66 $437.59
2Q 09 $632.81 $495.03 $1,012.31 $589.98 $849.16 $529.92 $481.92 $1,037.50 $412.68 $478.81 $620.67 $351.08 $694.53 $1,169.82 $515.68 $505.74 $417.07
% days -16.7% 7.1% 13.5% -0.8% -6.9% -22.1% 8.9% -28.0% -14.8% -36.5% -24.3% 3.3% -5.4% 4.1% -12.7% -16.9% 11.1%
A B C D E F G H I J K L M N O P Q
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.
Recruitment and Retention Services
Active Opportunities for Primary Care Placement by Year
020406080
100120140
2006 2007 2008 2009
Year
Nu
mb
er
of
Op
po
rtu
nit
ies
ActiveOpportunities
EMS EMS Education via teleconferences (221
people). Online Medical directors course. Bi-Monthly Newsletter.
EMS Education
In 2009, 49 EMS agencies participated in the EMS Education series.
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.
EMS Education
0102030405060708090
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).
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.
Healthy Lifestyles – legislature funded September 2008-
October 2009 Twelve
Communities
2008-2009 Legislative Grantees
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.
Other Healthy Lifestyle grants 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.
New for 09/10
SEARCH: Students/Residents Experiences and Rotations in Community Health.
M-CEITA: Michigan Center for Expanding Information Technology Advancement.
Rural OsteoChamps.
Questions???? John Barnas [email protected] 517-432-9216