Entity/Organization Brief description of Location Funding Source Action County Nursing County Mill Levy Public Health Units Preventative care and Counties dollars, some money education from state and federal Vaccinations. at times fluoride treatments. Radon testing in homes Manage stable Communities County Mill Critical Access Hospitals patients in the community/ER Sliding scale fee Communites Social Services schedules for mental health care, treatment. Communities ND Dental Association EMS services Emergency care Communities Mill levy, grants Vision Services, Physical Eye surgery, Communities, Insurance Therapy, Prescriptions, preventative urban areas reimbursement,private hearing screening, hearing screening, some do pay aids not accept Medicaid so need to travel 90 IT telemedicine Skyping, Avera Patients Would need computer. Or I-phone What are ND’s gaps (geographic and programmatic) for this driver? Oral Health Care not provided in all communities, many services are referred out, oral surgery requires payment up front. Also, mental health services most likely to be referred to a larger or urban community. Distance can be staggering, lack of transportation, resources to get to appts. Access to health care 8% of ND do not have health insurance, because the ACA plans are too – expensive and the employer is too small to be required to provide insurance Cost of health care for family ACA and through employers, is very expensive in comparison to the average wages of a working families. Strengthening Integration of Health Services and Systems: Integrated care empowers patients and providers.
Entity/Organization Brief description of Action Location Funding Source Public Health Units County Nursing Preventative care and education Vaccinations. fluoride treatments. Radon testing in homes Counties County Mill Levy dollars, some money from state and federal at times Critical Access Hospitals Manage stable patients in the community/ER Communities County Mill Social Services Sliding scale fee schedules for mental health care, treatment. Communites ND Dental Association Communities EMS services Emergency care Communities Mill levy, grants Vision Services, Physical Therapy, Prescriptions, hearing screening, hearing aids Eye surgery, preventative screening, some do not accept Medicaid so need to travel 90 Communities, urban areas Insurance reimbursement,private pay IT telemedicine Skyping, Avera Patients Would need computer. Or I-phone What are ND’s gaps (geographic and programmatic) for this driver? Oral Health Care not provided in all communities, many services are referred out, oral surgery requires payment up front. Also, mental health services most likely to be referred to a larger or urban community. Distance can be staggering, lack of transportation, resources to get to appts. Access to health care – 8% of ND do not have health insurance, because the ACA plans are too expensive and the employer is too small to be required to provide insurance Cost of health care for family ACA and through employers, is very expensive in comparison to the average wages of a working families. Strengthening Integration of Health Services and Systems: Integrated care empowers patients and providers.
Culture-of-Health-Updated-Rural-Population-Framework-December-21st.docx