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Social Systems

SS2.1

Provide Coordinated Rural Health and Social Services

Coordinate Services in your Community

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Tool Information


Goals

  1. Health
  2. Services
  3. Communities

Description

The challenges of providing healthcare services to a geographically widespread aging rural population are many. How can current health care providers extend their services without the heavy investment of new bricks and mortar facilities? Examples around the world of tele-medicine, mobile care providers, and home health services are changing the way service providers are able to provide for our communities and our continuum of care. Through creating a network of service providers for physical, mental, and social services from each of the major health and social service care providers in the region, the overall quality of life for all ages increases.

 

 

 

https://susiecookhc.wordpress.com/2011/03/04/rural-healthcare-advances-in-telemedicine/

from article “Rural Healthcare advances in Telemedicine”

 

Background

In the nation, all age groups are increasing. In the Flint Hills only the 40-59 age group is increasing. Children, youth and young workers, and seniors are decreasing in population across the region. Poverty is lower than the national average in most counties, with the highest percentages of poverty occurring in Greenwood, Elk, Cowley, Kay, Riley and Lyon counties. It is widely acknowledged that poverty can be a key indicator of health and wellness in a community. Poverty can cause deprivation of both nutrition and health treatment. Chronic levels of stress, which may in part result from lacking a sense of control over life situations, can also be major factors resulting in poor health and wellness. Analysis of the service types most needed in different parts of the region, will help to identify the form of services (telemedicine, mobile care providers, hubs of co-located service providers, and home care) and partnerships required to implement.

Additional Information

Article on the differences in rural health care:

http://www.ruralhealthweb.org/go/left/about-rural-health

Telehealth article on Mercy Health’s system in Missouri, Oklahoma, Kansas, and Arkansas

http://www.modernhealthcare.com/article/20140308/MAGAZINE/303089979

[This strategy also has strong connections to increasing broadband and wireless internet access in all rural locations of the Flint Hills.]

Implementation Strategy


Champions and Partners

  • Kansas Health Matters – http://www.kansashealthmatters.org/
  • National Rural Health Association - http://www.ruralhealthweb.org/
  • Kansas Office of Rural Health - http://www.kdheks.gov/olrh/rural.html
  • KAN-ED - http://www.kansasregents.org/kan_ed
  • Kansas Foundation for Medical Care - http://www.kfmc.org/
  • Kansas Hospital Association - http://www.kha-net.org/
  • Kansas Rural Health Works - http://krhw.net/
  • KU Center for Telemedicine and Tele health - http://www.kumc.edu/community-engagement/ku-center-for-telemedicine-and-telehealth.html
  • KU Rural Health Education and Services - http://www.kumc.edu/community-engagement/rural-health.html
  • Kansas Home Care Association - http://www.kshomecare.org/
  • Flint Hills Community Health Center - http://www.flinthillshealth.org/
  • Via Christi Hospital and Home Care services - https://www.viachristi.org/

Timeframe

Medium (3-8 years)

Cost

$$

Cost Details

The primary initial investment is in doing the analysis to understand the assets and challenges of the region’s service provision in a statistically significant way. Other investments include a common secure software system and training for all service providers to access appropriate information for a continuum of care; telecommunication technology and mobile care vehicles; additional staff for mobile care and home visits. 

Funding Sources

Implementation Details

A brief outline of the first few steps necessary for implementation are provided. The steps outlined here are provided only as a suggested starting point and other approaches are certainly valid.

The initial task described in the cost details is the analysis to understand the assets and challenges of the region’s service provision in a statistically significant way. Taking tim

The initial task described in the cost details is the analysis to understand the assets and challenges of the region’s service provision in a statistically significant way. Taking time to organize and facilitate conversations between the service providers in the region to discuss how to create the cooperative relationships and shared information that will lead to an integrated and efficient system of care. These service providers should include housing and homelessness, programs to reduce prison recidivism, drug rehabilitation, family care and foster care, child advocacy, mental and behavioral health, ongoing treatment programs for physical rehabilitation, cancer treatment, emphysema, diabetes, among other priority needs. It is also important to involve the philanthropic community in these conversations as well. Their proactive support of agreed upon initiatives could pave the way for increased cooperation between service providers.

After establishing the programs and services to be offered by connected services providers, next steps include creating the mechanisms to provide these programs and may include:

  • a common secure software system and training for all service providers to access appropriate information for a continuum of care
  • telecommunication technology
  • mobile care vehicles
  • additional staff trained for mobile care and home visits
  • central hub locations for co-located service providers throughout the region

It is possible that these partnerships could also work with KS Department of Transportation to fund a circulator route of public transit to assist those who cannot drive or do not have reliable transportation to get to medical facilities.e to organize and facilitate conversations between the service providers in the region to discuss how to create the cooperative relationships and shared information that will lead to an integrated and efficient system of care. These service providers should include housing and homelessness, programs to reduce prison recidivism, drug rehabilitation, family care and foster care, child advocacy, mental and behavioral health, ongoing treatment programs for physical rehabilitation, cancer treatment, emphysema, diabetes, among other priority needs. It is also important to involve the philanthropic community in these conversations as well. Their proactive support of agreed upon initiatives could pave the way for increased cooperation between service providers. After establishing the programs and services to be offered by connected services providers, next steps include creating the mechanisms to provide these programs and may include: • a common secure software system and training for all service providers to access appropriate information for a continuum of care • telecommunication technology • mobile care vehicles • additional staff trained for mobile care and home visits • central hub locations for co-located service providers throughout the region It is possible that these partnerships could also work with KS Department of Transportation to fund a circulator route of public transit to assist those who cannot drive or do not have reliable transportation to get to medical facilities.

Case Study


The Clearing House Project, Madison, Indiana

The Clearinghouse Project in Madison, Indiana, began in 2007 and now is a collaboration of over 100 partners working to provide economic benefit and an increased quality of life to those in southeastern Indiana. The Clearinghouse is a multi-tenant facility where workforce development entities and agencies providing short-term assistance will live and work under one roof. The goal of the Clearinghouse Partners is to help low-income families or families living in poverty make a positive, sustainable change in their lives and decrease their overall demand for assistance by enabling them to become self-sufficient.

This facility includes permanent and rotating office space for co-locating service providers, training classrooms, computer lab, large scale food pantry, and information resource and referral center.

http://www.clearinghouseproject.org/

Relevance

The Clearinghouse Project provides an example of the process and funding structure of a collaborative hub where multiple service providers that coordinate their services in an effort to address some of the root issues of creating a pathway out of poverty. Types of service organizations with a presence at the hub or affiliated with coordinated service provision include drug rehab, food pantry, the corrections department, youth shelter and family services, child advocacy, United Way, and workforce development.