Rural Healthy People 2020

Jane N. Bolin, RN, JD, PhD, Director

Southwest Rural Health Research Center

School of Rural Public Health,

Texas A&M Health Science Center

Gail Bellamy, PhD, Director

Blue Cross and Blue Shield of Florida

Center for Rural Health Research and Policy

College of Medicine

Florida State University

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Southwest Rural Health Research Center

Director: Dr. Jane N. Bolin, RN, JD, PhD

Texas A&M Health Science Center

School of Rural Public Health

Suite 364 SRPH Administration Bldg

Email: jbolin@srph.tamhsc.edu

Center for Rural Health Research and Policy

Co-Director, Dr. Gail Bellamy, PhD

Florida State University College of Medicine 1115 W. Call Street

Tallahassee, FL 32306

Gail.bellamy@med.fsu.edu http://fsu.med.edu

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Rural Healthy People 2020

Purpose: The purpose of Rural Healthy People 2020 (RHP 2020) is to advance the promotion

of the health of Americans living in rural communities by identifying rural health priori-

ties, supporting rural health leaders and researchers, and promoting effective rural

health programs. Through the coordinated RHP2020 initiative, rural communities will

benefit by increased ability to identify and implement right-sized, effective health pro-

grams for rural residents. Like Rural Healthy People 2010 a decade ago, RHP2020

will provide policymakers, rural providers, and rural communities with an invaluable

resource for documenting successes as well as challenges and for planning,

thereby contributing to the rural health infrastructure for improving the health of rural

populations. Specifically, RHP2020 will identify and promote rural-specific health pri-

ority areas, document what is known about health in rural areas, identify rural evi-

dence-based best practice programs, community practices and interventions, and

promote rural healthy communities.

Scope of Work: The RHP2020 project was designed to be a multi-component process to engage rural

health experts from across the country in developing rural health priorities, evidence-

based, best practice community models, and rural health program support tools that

can be shared with rural communities.

Unfortunately, due to budget cuts at CDC and HRSA/ORHP our anticipated funding

was “cut” from the list of discretionary funding at both agencies. Both agencies have,

however, left open the possibility of discretionary funding during the 2012-2013

budget cycle. As a result, for the 2011- 2012 budget year, we have limited our selves

to a single goal of achieving certain aims and objectives through internal funding from

our respective academic institutions, Texas A&M Health Science Center and Florida

State University College of Medicine.

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Strategic Planning for RHP2020 1. Convene a Rural Healthy People 2020 Advisory Board to include representa-

tives from funding partners, rural health providers, state rural health agencies

and national rural health agencies.

2. Assess the extent to which the previous RHP 2010 initiative achieved its objec-

tives through a national survey and literature reviews.

3. Through national engagement of stakeholders, initiate a Delphi process to iden-

tify the highest priority rural-based Healthy People 2020 focus areas and, within

those areas, objectives to be achieved by RHP2020.

4. Continuously work with rural stakeholders and advocacy groups for continued

national focus on and support of Rural Healthy People 2020.

5. Update and expand invitations for submission of RHP2020 Models for Practice

hopefully to be published beginning in 2012 and subsequent years.

6. Work with CDC-PRC’s Community Guide for Preventive Services leadership to

develop and disseminate relevant entries to the Community Guide through col-

laboration with the PRC’s leadership. These entries will serve as a resource to

assist state, national and local program directors in developing programs and

policies to improve health and prevent disease in their communities.

7. Through the engagement of rural health researchers update and refine rural

health research and literature reviews by RHP2020 priority focus area, including

updates of 2010 areas that continue as concerns for 2020.

8. Develop priority area Toolkits for rural communities to employ in preparing lo-

cal and state-specific proposals.

9. Utilize existing web-based dissemination mechanisms, and provide for the de-

velopment of additional dissemination mechanisms that are current, dynamic

and primarily, but not exclusively, web-based.

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RHP 2020 National Survey The survey was developed in 2009-2010 for multi-stakeholder input. The invita-

tion to participate in the survey was posted on 3 national websites. The survey

consisted of a total of 16 questions (including sub-questions), it was initially

posted online on December 10, 2010 and taken off line on January 5, 2011 the

total respondents: 679

Number of Respondents to RHP 2020 National Online Survey

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Top 20 RHP 2020 Priorities:

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Ranking proposed RHP 2020 “tools” and

“services” from “1” Most Useful to “5” Least

Useful, to your current job or profession.

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Sub-objectives" corresponding to top ten priorities

1 Access to Quality Health Services 287

2 Diabetes 179

3 Mental Health and Mental Disorders 185

4 Nutrition and Weight Status 146

5 Heart Disease and Stroke 104

6 Substance Abuse 151

7 Maternal, Infant and Child Health 105

8 Physical Activity and Health 104

9 Older Adults 117

10 Cancer 97

Number of Sub-Objectives Identified

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Next Steps for Rural Healthy People 2020?

Input needed from national and state rural health leaders

Collaboration in refining and finalizing the RHP 2020 priorities frame-

work to guide us in the next 10 years.

Participation in RHP 2020 webinars and follow-up surveys.

Participate as a national stakeholders, identify the highest priority rural-

based Healthy People 2020 focus areas and, within those areas, objec-

tives to be achieved by RHP2020.

Develop RHP2020 Community Prevention Program Models and Guide-

books, literature reviews, and updates to “best practices” or model pro-

grams that can help rural communities identify key steps or processes

that will help them health needs.

Make an Impact on Rural Health Rural health disparities are significant for much of rural America.

Health reform, including improved insurance and access to health pro-

viders may be the levers to major change

Prevention and care management models are needed in rural areas;

specifically models which take a community-wide, problem-solving fo-

cus

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Contact Information? Jane N. Bolin, RN, JD, PhD, Director

Southwest Rural Health Research Center

School of Rural Public Health,

Texas A&M Health Science Center

http://www.srph.tamhsc.edu

Gail Bellamy, PhD, Director

Blue Cross and Blue Shield of Florida Center for Rural Health Research and Policy

Florida State University

College of Medicine http://fsu.med.edu

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