Tag Archives: rural

Reclassification impacts access to health care for millions of rural older adults

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), AHCJ’s topic leader on aging, is writing blog posts, editing tip sheets and articles and gathering resources to help our members cover the many issues around our aging society. If you have questions or suggestions for future resources on the topic, please send them to liz@healthjournalism.org.

Telemedicine equipment

Photo by Kevin Souza via Flickr

Back in January, the FCC announced $400 million in funding for creating and expanding rural broadband networks to support telemedicine in medically underserved regions.

Their HealthCare Connect program links urban medical centers and rural clinics, providing real-time consults with immediate access to a patient’s electronic medical records. Since adults 65 and older comprise roughly 14.4 percent of rural residents, this would appear to be an ideal use of technology to contain costs, facilitate care and improve preventive services.

However, last month, the U.S. Office of Management and Budget reclassified Metropolitan Statistical area delineations and moving 97 counties from rural to metropolitan designation. That eliminates Medicare reimbursement for telemedicine services in those areas. Yet just the day before, these same seniors were eligible, avoiding long-distance travel for consults or even basic health check ups. Continue reading

Medical, support network lacking for returning National Guard, reservists

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates social media efforts of AHCJ and assists with the editing and production of association guides, programs and newsletters.

National Guardsmen and reservists returning from duty in Iraq and Afghanistan “have been hastily channeled through a post-deployment process that has been plagued with difficulties, including reliance on self-reporting to identify health problems,” according to an investigation by graduate students in Northwestern University’s Medill School.

nat-guard-iraq

Photo by The National Guard via Flickr

Hidden Surge” found members of the National Guard must navigate disparate health care and support providers, made more difficult by the fact that many of them live in rural areas. Three of the stories were published in The Washington Post.

The reporters also found that, in the immediate aftermath of 9/11, most reservists were medically unready to deploy – an assessment made by a private contractor. “More than 2,400 Army Reserve soldiers were held back, at least temporarily, because of inaccurate assessments by the contractor, according to data provided by the Army Reserve Medical Command.”

Meanwhile, some soldiers with behavioral problems that could be aggravated by the stress of deployment and combat were improperly sent overseas.

The project, done by 10 students, was directed by faculty member Josh Meyer, who covered national security for the Los Angeles Times for 20 years. Students used video and interactive graphics to help tell the stories. A “How We Did It” sidebar says the students interviewed more than 150 people, reviewed documents and reports and traveled to nine states to do the reporting.

According to a press release, the Hidden Surge project is part of Medill’s National Security Journalism Initiative, funded by the McCormick Foundation.

Doctor shortage a ‘crisis’ in Wash. (#ahcj09)

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates social media efforts of AHCJ and assists with the editing and production of association guides, programs and newsletters.

Marc Ramirez of The Seattle Times writes about Health Journalism 2009, focusing on a panel about medically underserved areas.

He reports that Even as the population of older people and ethnic minorities continues to grow in those communities, the shortage is worsening as many current rural doctors reach retirement age and fewer available candidates emerge from U.S. medical schools.”

“It’s a crisis, there’s no question about it,” said Anita Monoian, chairwoman of the National Association of Community Health Centers.

Read Ramirez’ article.

Workshop speaker to lead national group

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates social media efforts of AHCJ and assists with the editing and production of association guides, programs and newsletters.

Dennis Berens, director of the Nebraska Office of Rural Health, who helped kick off AHCJ’s first Rural Health Journalism Workshop a few months ago, has been elected next president of the National Rural Health Association.

Dennis Berens

Dennis Berens

He has been a ready source for AHCJ members working on rural health stories. Berens is also a member of the National Rural Health HIT Coalition and has served on the National EMS/Trauma Advisory Board for Health Resources and Services Administration.

Prior to his work in state government, Berens was co-publisher of the Seward County Independent newspaper in Nebraska.