State Update on Rural Health Initiatives Deborah B. Munchmeyer - - PowerPoint PPT Presentation

State Update on Rural Health Initiatives

Deborah B. Munchmeyer Program Manager, Graduate Medical Education, SCDHHS October 11, 2017

• Physician Workforce/Healthcare Access Shortage
• Physician recruitment/retention

Ø2010 SC medical school graduates:

52.6%: in-state (county of origin: 84.8% - urban, 14.3% - rural)1

ØIn-state correlation – 77% of SC physicians

completing both medical school and residency training in-state remained in-state to practice2

ØSustainment of rural practitioners

Background/History

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12010 SC Office for Healthcare Workforce Analysis & Planning Study. 22013 SC Office for Healthcare Workforce Analysis & Planning. Retaining Physicians Educated in South Carolina Data Brief. 32013 AAMC Center for Workforce Studies State Physician Workforce Data Book. 42013 SC Office for Healthcare Workforce Analysis & Planning Study. 52014 SC GME Advisory Group Report.

• Physician Workforce/Healthcare Access Shortage
• Primary care services

Ø77.5 primary care physicians per 100,000

population (ranked 40th in US; 2012)3

ØState data suggests that 50% of internal medicine

residents go on to subspecialty practice (does not include hospitalists)4

• Geographic distribution

ØAll 46 SC counties have primary care shortages

and/or areas of medically underserved populations5

Background/History

3

12010 SC Office for Healthcare Workforce Analysis & Planning Study. 22013 SC Office for Healthcare Workforce Analysis & Planning. Retaining Physicians Educated in South Carolina Data Brief. 32013 AAMC Center for Workforce Studies State Physician Workforce Data Book. 42013 SC Office for Healthcare Workforce Analysis & Planning Study. 52014 SC GME Advisory Group Report.

Background/History

4

2013 2014 2015 2016 2018 GME Advisory Group GME Report Executive Order 2015-03 2012 Medical Education Advisory Council 2017

11 Recommendations

• Priorities

ØCreate new graduate medical

education (GME) residencies in family medicine and other primary care specialties that are critically needed in the rural and underserved areas of SC.

ØBroaden scope of existing GME

funding to promote and expand use

• f telemedicine, support education of

advanced practitioners and enhance programs to recruit and retain physicians, NPs and PAs in medically underserved areas.

Recommendations & Path Forward

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• ICARED
• Provide onsite subspecialty access

ØDental, pediatric subspecialties, maternal fetal

medicine, neurology, orthopedics and adult cardiology

ØSociety Hill, Hartsville, Orangeburg, Sumter,

Lancaster, Winnsboro, Aiken, Bamberg and Florence

ØExpansion of sites and services ongoing and need-

based

ØOnsite echocardiography ØPhysician training on use of handheld ultrasound

devices

SC State Provisos - Rural Health Initiatives

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• ICARED
• Support rural physician practices

ØPractice Management ØCME/training/tele-education

• Promote collaborations/partnerships

ØFoodShare Fresh Food Box Program and Diabetes

Tele-Education

ØUSC academic schools and SCORH - studies,

teaching and training programs

SC State Provisos - Rural Health Initiatives

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• SC Center for Rural and Primary Healthcare
• Support rural/underserved providers

ØImprove access to specialty care ØPharmacy extension program ØRural practice information hub

• Improve rural health workforce

ØTraining – students, residents and fellows ØPractitioner/staff development ØStatewide scholarship/loan repayment program

SC State Provisos - Rural Health Initiatives

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• SC Center for Rural and Primary Healthcare
• Establish research center

ØPublic-use data warehouse

• Promote collaboration among rural health stakeholders

ØSCORH, SCDHHS, SC AHEC, SC public institutions of

higher education

SC State Provisos - Rural Health Initiatives

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• Graduate Medical Education (GME) Expansion
• Rural medicine workforce development – up to $500,000

in available funding

ØSFY17 vNew rural rotation programs vNew medical residency/fellowship programs or

expansion of existing programs

ØSFY18 vContinuation of SFY17 program development and

implementation

vNew round of planning grants offered

(announcement is imminent)

SC State Provisos - Rural Health Initiatives

10

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