Convened rural health focused staff from 12 state hospital associations (OK, TX, MS, MO, IL, MN, KS, CO, NM, WA, and CA) to learn from each other and identify common themes and discern elements for sustaining rural health services. The group discussed models/ideas states are investigating for sustaining future rural health services. After the summit, a detailed summary report for states that were not in attendance was distributed through AHA channels.
Presented a report on the summit and the two promising models chosen for further investigation: the 24-hour outpatient hospital, and the CAH-FQHC hybrid.
The CoRH met several times to look at potential transitional models. At the first meeting a detailed overview and discussion of the Oklahoma City Summit was followed with in-depth discussion of 24-hour outpatient hospital and collocated hospital-FQHC models. The CoRH met again in August to review the Redefining Rural Health Part II (August meeting in Nashville, Tenn.) take-aways, pending federal legislation and next steps in OHA's process. A recurring question from CoRH members has been how they would "engage their communities in the transition discussion." A simple three-question survey community engagement was put together in the fall. The answers have been tabulated, and it is being put together in a usable form.
While the idea of co-locating an FQHC with a Critical Access Hospital (CAH) (or small rural PPS hospital) is not new, very few examples exist, and there are none in Oklahoma. The model that OHA is working on would constitute an alteration of the common governance structure of a hospital and a slight wavier of the governance requirement of an FQHC. Under this arrangement, the FQHC would be operated as a department of the hospital, and would share administration, back office, lab, imaging, and providers. The benefit for the hospital would be the access to grant funds to expand services to include oral and behavioral health, as well as enhanced reimbursement and access to funds for uncompensated care. In partnership with the Oklahoma State Department of Health, OHA is currently working with three hospitals interested in applying for an FQHC new access point grant.