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 Barnas@msu.edu 517-432-9216