Tuesday, December 3, 2013

Rebecca Crandell & Tim Bushyhead win 2013 Rural Oklahoma Photo Contest

Congratulations to Rebecca Crandell and Tim Bushyhead, winners of the 2013 Rural Oklahoma Photo Contest sponsored by the OSU Center for Rural Health! Rebecca won with her submission titled, Good Morning Oklahoma and Tim won the OSU CHS student category with his submission, Three Little Pigs (see both photos below). The Rural Oklahoma Photo Contest was part of the Center's celebration marking the 3rd Annual National Rural Health Day on November 21, 2013. The contest garnered 17 entries from the across the state (view all of the photo contest entries). We would like to extend our appreciation to everyone who participated in the contest. We look forward to continuing this annual tradition.
Good Morning Oklahoma. Submitted by Rebecca Crandell. Near Claremore, OK.

Three Little Pigs. Submitted by Tim Bushyhead. Osage County, OK.

Tuesday, November 26, 2013

Oklahoma Office of Rural Health & CALS Program

From the November 2013 edition of the Oklahoma Osteopathic Association's Oklahoma D.O., Rod Hargrave, Flex program coordinator at the Oklahoma Office of Rural Health, reviews the recent history of the Oklahoma Office of Rural Health and the Certified Advanced Life Support (CALS) training program sponsored by the Oklahoma Office of Rural Health. Rod's article begins on page 24.

Friday, October 25, 2013

Wednesday, October 23, 2013

OSU College of Osteopathic Medicine Class of 2017 Hometowns

The interactive map below shows the self-reported hometowns for medical students in the Class of 2017 enrolled at the Oklahoma State University College of Osteopathic Medicine. The symbols are scaled proportionate to the total number of students from each community. By clicking on a symbol, you can access a pop-up menu that lists the community and number of students. The zoom tools allow you to focus on a particular region.

The students hail from across the country and around the world. The largest share of students (94) call Oklahoma home. Of those students, over 35% list a rural Oklahoma community as their hometown. Ten other states, France, Ghana, and India are also represented in the class.

View Larger Map

Friday, October 18, 2013

Policy Changes Could Impact Healthcare in Rural Oklahoma

From the October 2013 edition of the Oklahoma Osteopathic Association's Oklahoma D.O., Jeff Hackler, J.D., M.B.A., Assistant to the Dean for Rural Service Programs at the OSU Center for Rural Health, examines two federal policy changes that could impact the state's rural hospitals and primary care residency training.

Wednesday, October 2, 2013

Critical Access Hospital Blueprint for Performance Excellence

Courtesy of the National Rural Health Resource Center and Stratis Health.

Small rural hospitals face the challenge of being successful in their current payment systems, while preparing for new value-based payment systems that are being rolled out in various forms across the country. Complexity and change are best managed by using a comprehensive systems-based framework, including a balanced set of key strategies, initiatives, targets and measures. These systems frameworks are currently being used by many successful rural hospitals to achieve clinical, operational and financial excellence.

This Blueprint is intended to be a tool for rural hospital leaders to implement a comprehensive systems approach to achieving organizational excellence. Download the entire Blueprint by clicking the image or view it on the web.

Friday, September 13, 2013

EMR Adoption Across Oklahoma

Courtesy of the OSU Cooperative Extension Service, Brian Whitacre, Randi Williams, Lara Brooks, look at the adoption of electronic medical records (EMR) by physicians practicing in Oklahoma. Included in their analysis are spatial patterns of adoption, characteristics of the physicians who have adopted EMR, and the top EMR vendors in the state.

Click the image to open the article as a PDF.

Wednesday, September 4, 2013

2013 OSU-CHS Rural Health Option Graduates

From the July/August 2013 edition of the Oklahoma Osteopathic Association's Oklahoma D.O., Vicky Pace, M.Ed., Director of Rural Medical Education at the OSU Center for Rural Health, profiles the eight members of the OSU College of Osteopathic Medicine's Class of 2013 that completed the rural health option elective program during medical school.

Thursday, August 29, 2013

Population In Oklahoma without Health Insurance by County, 2011

New data from the U.S. Census Bureau shows that an estimated 695,537 (or 21.8%) Oklahomans under the age of 65 did not have health insurance in 2011. Oklahoma had the 5th highest uninsured rate trailing only Texas (25.7%), Florida (24.8%), Nevada (23.8%), and New Mexico (23.0%). In Oklahoma, Texas County recorded the highest rate at 28.6% and Canadian County recorded the lowest rate at 15.7%.

Use the interactive map below to view uninsured rates for every county in the state.

Tuesday, August 27, 2013

Hospitals in Oklahoma Vulnerable to Losing 'Critical Access' Status by U.S. Congressional District

As a follow-up to our blog post from last week, the OSU Center for Rural Health obtained information from the National Organization of State Offices of Rural Health (NOSORH) that identifies the rural hospitals in Oklahoma that could lose their ‘critical access’ designation (see map below). The Office of the Inspector General of the U.S. Department of Health and Human Services provided the information to representatives of NOSORH through a Freedom of Information Act request. View our earlier blog post to learn why these hospitals could lose their 'critical access' designation.

Click the image below to open the map as a PDF document.

Wednesday, August 21, 2013

OIG Proposal Could Endanger Some Critical Access Hospitals in Oklahoma

Click image to view a larger map (PDF)
Last week, the Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services released a report calling for significant changes to the eligibility requirements for critical access hospitals (CAH). If adopted the proposed changes could shutter hundreds of rural hospitals across the nation, including some in Oklahoma, potentially leaving millions of Americans without convenient access to a hospital.

 “Critical access” is a regulatory designation available to small, rural hospitals in the U.S. that meet a defined set of standards. Aside from being located in a designated rural area, the hospitals must generally be located at least 35 miles from other hospitals. Under the original legislation establishing CAHs, states could exempt hospitals from the location and distance requirements by designating them as a “necessary provider” or NP.  According to the Oklahoma Office of Rural Health, almost half of the 34 CAHs in Oklahoma operate under the NP exemption. In 2006, Congress stripped states of the power to designate CAHs using the NP exemption, but hospitals that had received the NP exemption could continue to operate as CAHs.

The OIG proposes to force all existing CAHs to recertify, but without any NP exemption. Thus, existing CAHs certified under the NP exemption could lose their “critical access” designation and associated financial benefits, specifically 101% reimbursement of reasonable Medicare costs. These hospitals would be required to use rates set by the prospective payment system (PPS) or other fee schedules. The OSU Center for Rural Health fears that the financial burden caused by changes in reimbursement could lead to the closure of some CAHs in Oklahoma. Such closures would have ripple effects through entire communities as jobs and health care services are lost. To date, the OIG has not published a list of hospitals impacted by these proposed changes.

Fortunately, the OIG’s proposed changes to the NP exemption require legislative action by Congress. The National Rural Health Association (NRHA) and other stakeholders are currently advocating against changes to the NP exemption, but members of Congress need to hear from you. The NRHA has produced a set of key talking points that you can use when discussing this matter with your members of Congress.  The OSU Center for Rural Health will continue to post updates through our blog, Facebook page, and Twitter.  If you have any questions, please contact the Oklahoma Office of Rural Health at (405)840-6500.

Friday, August 9, 2013

Patient Perspectives of Electronic Medical Records: A Descriptive Analysis from the HINTS 4

Presentation given by Denna Wheeler, Ph.D., Director of Rural Research & Evaluation at the OSU Center for Rural Health, to board members of the Oklahoma Health Information Exchange Trust (OHIET) on August 6, 2013. Click the image below to open the presentation as a PDF file.

Thursday, June 20, 2013

Putting Us on the Map

From the May/June 2013 edition of the Oklahoma Osteopathic Association's Oklahoma D.O., Chad Landgraf, M.S. reviews the accomplishments of the OSU Center for Rural Health's Marketing Committee. The article covers the purpose of the Committee and the effectiveness of its various outreach techniques. 

Click the image to open the article as a PDF.

Tuesday, June 18, 2013

What Does a 3-year Old Have in Common with Simon Sinek, John G. Miller and Rural D.O.’s?

From the May/June 2013 edition of the Oklahoma Osteopathic Association's Oklahoma D.O., Vicky Pace, M.Ed. discusses the importance of asking "why" as it relates to medical education and the practice of medicine. 

Click the image to open the article as a PDF.

Thursday, June 13, 2013

FREE Rural HIT Workshops

The Oklahoma Office of Rural Health and the Oklahoma Foundation for Medical Quality (OFMQ) will host a series of FREE rural health information technology (HIT) workshops across the state. The half-day workshops will focus on the optimization of data attestation and extraction processes to successfully reach Meaningful Use and pass HIPAA audits. The workshops will be held in Ardmore (June 25), Enid (July 9), Lawton (July 23), and Okmulgee (August 6) and are free for healthcare providers, critical access hospital staff and rural hospital staff. For more information about the workshops, including a detailed agenda and registration information, please visit OFMQ's website.

Thursday, June 6, 2013

AOA Summary of CMS FY14 Inpatient Prospective Payment Systems Proposed Rule

On April 26, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule updating Medicare payment policies and rates for inpatient acute care hospitals for federal fiscal year (FY) 2014. If finalized, the rule will set the market basket update, add new requirements for improving patient care quality and safety and change Medicare policies on graduate medical education (GME). The rule also announces the availability of full time equivalent (FTE) resident slots in the latest round of the closed hospital redistribution program.  Read the American Osteopathic Association's summary of the proposed rule.

Tuesday, June 4, 2013

Osteopathic Medical Education Consortium of Oklahoma (OMECO) Graduate Medical Education Sites, April 2013

Click the image below to open the map as a PDF document. For additional information about the programs offered at each site, please visit OMECO's website.


Wednesday, May 29, 2013

Wednesday, May 22, 2013

OSU College of Osteopathic Medicine Class of 2013 GME Training Locations


The interactive map below shows the graduate medical education (GME) training locations for the Oklahoma State University College of Osteopathic Medicine Class of 2013. The symbols are scaled proportionate to the total number of graduates in each community.

Of the 88 graduates in the class, 58 are entering primary care GME programs. Thirty-eight graduates will enter Oklahoma-based primary care GME programs with eight graduates matriculating to programs located in rural locations (Durant = 2; Enid = 3; Ramona = 1; and Tahlequah = 2). The Class of 2013 marks the seventh consecutive graduating class with at least 50% of its members entering primary care GME programs upon graduation. Get more information about the specialty choices of the graduates in each community by clicking on the symbols.

As for the 73 Oklahomans in the Class of 2013, 46 will enter Oklahoma-based GME programs (with 30 choosing primary care).

Residency training information was not available for two students.

View Larger Map



Friday, April 26, 2013

The Economic Impact of the Oklahoma State University Medical Center & Residency Program on the State and Regional Economies

A new report from the OSU Cooperative Extension Service examines the economic impact of the Oklahoma State University Medical Center (OSUMC) in Tulsa, Oklahoma. According to the report, OSUMC contributes over 2,300 jobs to the Tulsa metro area economy and produces over $120M in income. For the state, OSUMC is responsible for 2,656 jobs and $137M in income. The report also looked at the distribution of physicians who completed graduate medical education (GME) training at OSUMC between 2004-2012. Of the 294 GME graduates included in the report over 68% continue to practice in Oklahoma. 

Read the entire report as a PDF by clicking the image.

Wednesday, March 13, 2013

Can Motivational Health Beliefs Help Explain the Relationship Between Education and Health Behaviors?

From the March 2013 edition of the Oklahoma Osteopathic Association's Oklahoma D.O., Denna Wheeler, Ph.D., Director of Rural Research & Evaluation at the OSU Center for Rural Health, explores the relationship between patient motivation and health outcomes.

Monday, February 25, 2013

Rural Medical Track Selective Rotations

From the February 2013 edition of the Oklahoma Osteopathic Association's Oklahoma D.O., Duane G. Koehler, D.O., Assistant to the Dean for Rural Education at the OSU Center for Rural Health, reviews the selective rotations that are part of the OSU College of Osteopathic Medicine's Rural Medical Track. Dr. Koehler explains the rationale of the selective rotations and recognizes those physicians from across the state who are serving as physician preceptors for the selective rotations.

Thursday, February 14, 2013

OSU College of Osteopathic Medicine Rural Medical Education Training Sites, February 2013

The map below shows the rural medical education training sites for 3rd and 4th year medical students at the OSU College of Osteopathic Medicine. Learn more about rural medical education at OSU.

Click the image to open the map as a PDF document.

Thursday, February 7, 2013

Boosting Primary Care Physician Numbers in Rural Areas

Fox 23 story on the physician shortage in rural Oklahoma and OSU CHS's efforts to train more rural physicians via the Rural Medical Track. Includes interviews with OSU medical students and William Pettit, D.O.