On May 24, Keith Mueller, interim dean of the University of Iowa College of Public Health and director and chair of RUPRI’s Rural Health Initiatives, testified at a United States Senate Finance Committee Public Hearing on rural health. The hearing focused on challenges and opportunities in rural health care delivery.
A recent paper from the Rural Policy Research Institute (RUPRI) Health Panel examines the progress of national health policy initiatives and the gaps that remain as they affect rural people, places, and providers.
According to Keith Mueller, RUPRI Health Panel Chair, professor of health management and policy, and interim dean at the University of Iowa College of Public Health, the paper lays out clear policy trajectories in seven major subject areas that can enhance access and affordability of high quality services in rural America into the future. The subject areas included are Medicare, Medicaid and CHIP, Insurance Coverage and Affordability, Quality, Health Care Finance and System Transformation, Workforce, and Population Health.
Each chapter begins with a summary of policy opportunities, followed by a background section on rural trends and challenges that summarizes rural-related policy advances and continued gaps. Each chapter concludes with a “Looking Ahead” section that highlights the most pressing issues in today’s rural health care system environment and suggests future policy directions related to each issue.
“We wanted to take a look at national policy initiatives such as Medicare, Medicaid, and insurance reform to take stock of progress made for rural communities and to develop clear statements of remaining challenges,” says Mueller. “Ultimately our goal is to help build a roadmap to achieve a high performance health system in all of rural America.”
A PDF of the paper is available at http://www.rupri.org/wp-content/uploads/TAKING-STOCK-2018.pdf
Co-authors are Charles Alfero, Hidalgo Medical Services (HMS); Dr. Andrew F. Coburn, University of Southern Maine; Dr. Jennifer P. Lundblad, Stratis Health; Dr. A. Clinton MacKinney, University of Iowa; Dr. Timothy D. McBride, Washington University in St. Louis; and Dr. Paula Weigel, University of Iowa.
This report was funded by the by the Leona M. and Harry B. Helmsley Charitable Trust, grant number 2017PG-RHC006.
The University of Iowa has been selected by the National Endowment for the Arts (NEA) to receive one of the first projects funded through a new program, NEA Research Labs. The cross-sector projects supported through the program investigate how the arts contribute to positive outcomes for individuals and communities. The NEA will fund four inaugural projects totaling $598,600 that will yield insights for the arts sector and for non-arts sectors such as healthcare, education, business, and management.
The Rural Policy Research Institute (RUPRI) at the University of Iowa College of Public Health, in partnership with the organization Art of the Rural, will look at the intersection of the arts, entrepreneurship, and innovation in rural contexts. RUPRI also will work with its Rural Intracultural Policy Council to develop pilot studies of rural “cultural ecologies.” The pilot studies may use social network analysis, structured interviews, and respondent-driven survey sampling to test hypotheses about cultural and social capital as preconditions to innovation.
Other labs recommended for funding are: Drexel University, Philadelphia, PA; University of Arkansas, Fayetteville, AR; and Vanderbilt University, Nashville, TN.
Each of the labs will design and implement a research agenda and prepare reports in one of three areas:
- The Arts, Health, and Social/Emotional Well-Being
- The Arts, Creativity, Cognition, and Learning
- The Arts, Entrepreneurship, and Innovation
The NEA Research Labs initiative is intended to fulfill milestones of the agency’s new five-year research agenda.