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Marcia Brand: Update from the Office of Rural Health Policy
March 2005

Update from the Office of Rural Health Policy TOP


Slide 1: Update from the Office of Rural Health Policy

Marcia K. Brand, Ph.D., Director
Office of Rural Health Policy
Health Resources and Services Administration
National Advisory Committee on Rural Health and Human Services
March 20, 2005

Update from the Office of Rural Health Policy TOP


Slide 2: National Advisory Committee on Rural Health and Human Services

  • New environment - advisory to Secretary Leavitt
  • Issues key to new Administration
  • Implementing the Medicare Modernization Act (MMA)
  • Reforming Medicaid
Update from the Office of Rural Health Policy TOP


Slide 3: NAC Accomplishments:

2004 Report to be released in April, topics:

  • Collaboration
  • Obesity in Rural Communities
  • Access to Obstetrical Care
  • Rural Implications of TANF program

2005 Report topics:

  • Health Information Technology
  • Access to Pharmacy Services
  • Rural Elderly Caregiver Support

Next meetings (Tennessee, Wyoming)

Update from the Office of Rural Health Policy TOP


Slide 4: Update about the Office

  • 34 staff; 25 in Rockville
  • NAC Committee staff
    • Tom Morris, Executive Secretary
    • Jennifer Riggle
    • Karen Stewart
    • Michele Pray
    • Deanna Durrett
Update from the Office of Rural Health Policy TOP


Slide 5: ORHP Has New Border Health Role

  • ORHP now manages HRSA border efforts
  • Staff in the border region - opportunities to collaborate
  • Border Binational Health Week 2005 - October
  • Development of a Border website within the Rural Assistance Center www.raconline.org
  • Border leadership program
Update from the Office of Rural Health Policy TOP


Slide 6: Issues we Continue to Monitor

  • Access to mental and behavioral health services
  • Access to oral health services
  • Growing numbers of uninsured
  • Workforce shortages
  • Small rural hospital viability
  • Patient safety and quality concerns
  • Emergency medical services
  • Medical malpractice insurance
  • Program integration and coordination
  • Prevention and case management
  • Defining "rural"
  • Serving frontier communities
Update from the Office of Rural Health Policy TOP


Slide 7: New Areas of Focus

  • Issues we would add this year
    • Access to pharmacy services
    • Health information technology (HIT)
    • MMA implementation
    • Medicaid reform
  • Your 2005 report will address two of these (pharmacy, HIT)
Update from the Office of Rural Health Policy TOP


Slide 8: Two Other Key Focus Areas for ORHP FY05

  • Quality
  • Networking
Update from the Office of Rural Health Policy TOP


Slide 9: Current Work in These Areas (NAC 2005 Topics)

  • Access to Pharmacy Services
    • The 340 B program
    • Technical assistance
    • Working with the Delta Regional Authority, Appalachian Regional Commission
Update from the Office of Rural Health Policy TOP


Slide 10: Current Work Continued

  • Health information technology
    • ORHP grants that focus on HIT
    • Working with the National Coordinator for Health Information Technology (NCHIT)
Update from the Office of Rural Health Policy TOP


Slide 11: ORHP and its MMA Activities

  • Issues on the forefront
    • PPS/ Medicare Advantage
    • Drug benefits
Update from the Office of Rural Health Policy TOP


Slide 12: ORHP and Quality

  • A Focus on the IOM Report: Quality Through Collaboration- The Future of Rural Health
  • HRSA, Agency for Health Quality and Research (AHRQ), Substance Abuse and Mental Health Services Administration (SAMHSA), and the WK Kellogg Foundation supported this work
  • Opportunities
    • Every rural health agenda will include some discussion of quality
    • Opportunities for leadership and collaboration
    • HHS Rural Task Force - HHS-wide effort
    • ORHP All Programs Meeting (August 22 - 26, 2005)
Update from the Office of Rural Health Policy TOP


Slide 13: Contact Information

Marcia Brand
mbrand@hrsa.gov

Call the Office of Rural Health Policy at 301-443-0835