Topics: Social determinants of health

For more information and resources, see the Social Determinants of Health for Rural People topic guide.

How One New Mexico County is Taking a Community-Wide Approach to Treating Alcohol and Substance Use Disorders

A community consortium in McKinley County brings together a range of local organizations and entities to take a holistic approach to recovery.

For the 240,000 rural Americans with complete kidney failure, it’s likely that very few knew they even had kidney disease. According to the Centers for Disease Control and Prevention, kidney disease is usually silent; 90% of people with kidney disease don’t know they have it. With research pointing to the high costs of kidney disease for pediatric and adult patients alike — mostly covered by Medicare — experts and researchers discuss rural disparities around access to disease-stabilizing treatment and to renal replacement therapies.

The greatest opportunity to tell the rural healthcare delivery story is an opportunity often missed — and that opportunity involves translating clinical documentation into medical codes. In addition to describing how the story and quality of clinical care gets translated from words into alphanumeric numbers, medical coding experts also pointed to aligned efforts to familiarize those in graduate medical education settings with the impact of their clinical documentation.

By leveraging federal COVID-related funding, the Quapaw Nation now serves its local residents with a new community paramedicine program. Current program data indicates that it’s bringing significant cost savings, along with valuable information for future local healthcare delivery decision-making. Most importantly, the program is also proving to be widely acceptable to community members.

Peggy Broussard Wheeler, Vice President of Policy at the California Hospital Association, discusses the challenges that the hospitals in her state and nationwide have faced before and during the COVID-19 pandemic. She also shares rural hospitals’ unique strengths and the importance of collaboration and relationships.

Though often considered an urban problem, homelessness also affects rural individuals and families, impacting their health and well-being. A Vermont nonprofit leader shares her organization’s work using the evidence-based solution Housing First and reminds us that for many, homelessness is just “one catastrophic event away.”

Bringing focus to rural housing quality as a social determinant of health, a healthcare organization joins a service organization and housing experts to explain housing’s impact on health and how these organizations can work together to improve rural population health.

Kim Barber Tieman, program director for health and human services for the Claude Worthington Benedum Foundation, shares how her foundation set up a COVID-19 grant capture team and funded grant writers to help organizations navigate and apply for federal funding opportunities. In addition, her foundation worked with organizations and funded three mobile COVID testing units to better reach communities of color.

Study after study underscores transportation as a major barrier to rural healthcare access. With the support of federal funding, a project director shares how Rides to Health and Wealth is emerging as a solution in eastern Missouri — despite COVID-19.

Alisa Druzba, director of the New Hampshire’s Office of Rural Health and Primary Care, discusses her journey to becoming a SORH director, the ways her state has been affected by the pandemic, and the favorite parts of her job.