Concurrent Session A04 -...

Community, Diversity, & Equity

Concurrent Session A04Improving Outcomes in Rural Populations

Presented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA

All Rights Reserved, no forms of dupblication nor distribution allowed without author's consent.

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The Morehouse School of Medicine Adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of continuing medical education. Disclosure of the planning committee and faculty’s commercial relationships will be made known at the activity. Speakers are required to openly disclose of any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.



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Sameer Vohra, MD, JD, MASpeaker



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Building Community Coalitions to Research and Improve Rural Population Health Outcomes

Sameer Vohra, MD, JD, MA, FAAPExecutive Director, Office of Population Science and Policy

Assistant Professor of Pediatrics, Medical Humanities, and LawSouthern Illinois University School of Medicine

April 9, 2018



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PRESENTER DISCLOSURE

I have no personal or professional financial relationships with any commercial entity to disclose.



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SESSION LEARNING OBJECTIVES

1. Define and demonstrate the growing gap in health disparities in rural areas.

2. Explain population and community health and discuss why social determinants of health are increasingly becoming the key to solving our health challenges.

3. Describe the interdisciplinary coalition building process for communities to design and fund solutions to improve the health and wellness of children in their community.

4. Introduce SIU Medicine’s recent efforts to address health disparities through population health interventions in its Office of Population Science and Policy.



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Edu

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Assist the people of centraland southern Illinois in meeting their

health care needs through:



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SIU MEDICINESERVICE REGION



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RURAL AMERICAPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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DEFINING RURALPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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DEFINING RURAL

Source: North Carolina Rural Health Research Program. Rural Health Snapshot (2017)

U.S. Census Bureau – No Rural Definition• Urbanized Areas – 50,000 or more people• Urban Clusters – Between 2,500 and 50,000 people

Office of Management and Budget• Metropolitan Counties – Urban core of 50,000 or

more people• Micropolitan Counties – Urban core of at least

10,000 but no more than 50,000• Non-Core Counties – All counties with less than

10,000 people.



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RURAL AMERICA

Americans living in rural areas are more likely to die from the five leading causes of death than their urban counterparts:

1. Heart Disease2. Cancer3. Unintentional Injuries4. Chronic Lower Respiratory Disease5. Stroke

Source: Moy et. al. “Leading Causes of Death in Nonmetropolitan and Metropolitan Areas – United States 1999-2014,” Surveillance Summaries, January 2017



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RURAL AMERICA’S CHILDREN

• In rural areas, 1 in 6 children had a mental, behavioral, or developmental disorder (MBDD).

• Children with MBDD more often lacked a medical home, had a parent in poor mental health, lived in families with financial difficulty than children without MBDD.

• After adjusting for poverty and race/ethnicity among children with MBDD, those in rural areas more often had a parent with poor mental health and lived in resource-low neighborhoods than those in urban areas.

Source: Robinson et. al. “Differences in Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders Among Children Aged 2-8 in Rural and Urban Areas,” Surveillance Summaries, March 2017



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ILLINOIS HEALTH OUTCOMESPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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HEALTH EQUITY DEFINEDPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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REALITY OF HEALTH EQUITYPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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SOCIAL DETERMINANTS OF HEALTH



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Understanding and advancing the health, development, and wellness of residents in central and southern Illinois.

OUR MISSIONPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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Understanding why certain populations are healthier than others and using that knowledge to design programs and interventions to make populations healthier.

POPULATION SCIENCEPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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SOCIAL INNOVATION

“Social innovation is the process of developing and deploying effective solutions to challenging and often systemic social and environmental issues in support of social progress.



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To create the systemic change necessary to provide sustainable solutions for the residents of central and southern Illinois.

POLICYPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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ACHIEVING HEALTH EQUITYPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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OUR MODEL

Know Thyself

Understand Your Communities

Sell Your Vision

Respectfully Say No . . . A Lot

Ask Questions, Don’t Give Answers

Aim Big, Settle for Progress

Build Partnerships, Then Find Money

Sustainability is the Goal



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HILLSBORO, ILLINOISPresented at the Beyond Flexner Conference | April 9-11, 2018 | Atlanta, GA USA


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• A day care brain development and parent engagement program aimed at improving developmental outcomes in rural Illinois.

• Program targets parent engagement with a model that incorporates developmental milestones as measured during pediatric well child visits.

Funded by Hillsboro Area Hospital and Hillsboro Community Partners



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OUR GOAL:A HEALTHY ILLINOIS



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Contact UsAddress: Office of Population Science and Policy

201 East Madison StreetSpringfield, Illinois 62702

Phone Number: 217-545-7939

E-Mail Address: [email protected]

Website: www.siumed.edu/popscipolicy

LinkedIn/Facebook: SIU MedicineOffice of Population Science and Policy

Twitter: @PopSci2Policy



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Questions?



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Concurrent Session A04 -...

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