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The Rural Monitor

A Career of Influencing Rural Healthcare Delivery: Bill Finerfrock and the NARHC Origin Story

October 26, 2022
Over 5,200 rural organizations participate in the Rural Health Clinics program, a reimbursement model dedicated to rural low-volume healthcare delivery and now in its 45th year. The National Association of Rural Health Clinics — in its 30th year — is a membership organization that emerged as the program increased its participants. Bill Finerfrock, association cofounder and its recently retired executive director, shared the group's origin story as well as touchpoints from his own career.

Philanthropy, Cross-Collaboration, and the Ecosystem That Is Rural Healthcare Delivery: Q&A with Dr. Shao-Chee Sim

September 21, 2022
As vice president for research, innovation, and evaluation at Texas-based Episcopal Health Foundation, Shao-Chee Sim, PhD, discusses how philanthropic organizations can make small rural research investments — and, in particular, leverage cross-funder collaboration — that impact not only funders themselves, but also healthcare delivery systems and the rural Americans they serve.

Training Rural to Serve Rural: Baccalaureate-MD Programs and Their Rural Results

August 3, 2022
Rural healthcare delivery experts continue to emphasize the critical need for rural workforce. Using uniquely designed combined baccalaureate/medical degree programs, two university-based medical education teams shared not only the successes in training and placing physicians in rural areas — but the unique impact their service-oriented students and programs have on their academic environment.

Staving Off One's Mortality: Rural Kidney Health and Its Disparities

June 15, 2022
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.

RESEP Clinics Help Rural Residents Access Care and Compensation After Radiation Exposure

June 1, 2022
Nuclear weapons testing from 1945 to 1962 and uranium mining from 1943 to 1971 exposed workers and community members living near the mines or testing sites to harmful levels of radiation that can lead to cancer and other illnesses. Radiation Exposure Screening and Education Program (RESEP) grants help healthcare organizations provide screenings, referrals for medical treatment, and other services to this population. Two grantees, the Navajo Area RESEP and the Southwestern Utah RESEP, share their stories.