Development and Center for Rural Health advisement and development. Sanford Health Providing screening opportunities and wellness incentives to employees Family Wellness -20% membership for employees Heart Screen -Low cost Profile Weight Management (New Clinics) Profile Plan.net Sanford facilities Private Sanford Health Community Health Needs Assessments *What questions should be asked in the needs assessment? Can we work together to develop questions so that we get the information that is needed? -Carrie McCloud Sanford facilities Private Essentia Health Community Health Needs Assessments *Leigh stated that Essentia is ready to roll out their next needed assessment questionnaire. Have a worksite wellness program (internal and external) NDSU Extension – National Diabetes Program Community Needs Assessment – Greater Fargo/Moorhead Community Paramedic Program – go out to and help manage their care. Prediabetes/hypertension/ Essentia facilities Private Grant
ND Dept. of Commerce Workforce Development Governor Burgum Mainstreet Initiative *Website mainstreet.org or com USDA Rural Development Financing and grants for healthcare facilities, telehealth, telepharmacy Community Facility Loan and Loan Guarantee program Economic Development Corp./Job Development Corp. Community and workforce development State-wide Consensus Council Through the Bush foundation, grants available to pull communities together for discussion/solutions times a year funding Reservations: Small business loans, small loans program, home mortgage programs Financing available to tribal members backed by the tribe Tribal Tribal QSP Workers that collaborate with county social services to travel (Spirit Lake) Elders Programs that collaborate with many entities. Helping Native elders age in One stop shop for aging services. Medicaid reimbursed services. Increasing tribal employment Tribal Nations Tribal/grants Center for Rural Health Hospital economic impact analysis. State Federal What are ND’s gaps (geographic and programmatic) for this driver? Formal cross-sector partnerships seem to be missing Educators Law Enforcement
Family Nutrition Program, SNAP referrals. Community Gardens. Health insurance literacy program. 4-H for teenagers RECS grocery initiative – accessibility and affordability of food in rural areas Aging Senior Services Senior meals and senior centers Rural Transportation State/Federal Department of Transportation Active transportation plan, to enhance biking and walking across the state. ND Move. Hoping to have a proposed plan out next year. Cass County Survey on transportation in cass County Chamber of Commerce Pembina County, writing a grantfor bike path improvement Chamber is intertwined with city and county government ND Schools North Dakota Safety Council Practice safety if there are active shooter situations funded ND Council for Abused Women Services (ND CAWS) Services for domestic violence ?County and state funding Prevent Child Abuse ND/ Children’s Advocacy Center/Childrens Advocacy Center Bismarck, Fargo, ?funding What are ND’s gaps (geographic and programmatic) for this driver? Lack of resources, income guidelines, limited number of caregivers/volunteers, caregiver burden, family caregiver burden trying to care for parents, role changes with aging, adaptability to responsibilities to run a home. Lack of understanding for Medicaid, medicare, who pays for what, how long before they need to pay, how/when to access
their own long-term care. Nursing home or assisted living financial regulations. If hospitalized or in assisted living, what are the resources for the caregivers. Housing income guidelines are too low for most working families to qualify for Food deserts in rural areas and tribal committees-cost of food high and not high quality Quality of rural housing and tribal communities Lack of access to home care and hospice in rural areas and tribal communities. Lack of access to health care and community services for homeless individuals. Care after sexual assaults (men and women). Creating Heathier, More Equitable Communities: The places where we live, learn, work and play contribute to our ability to become and stay healthy. Driver 2: Social and Economic Environment: Our social environment influences a community’s sense of trust and cohesion. Factors like enduring racial and socioeconomic segregation have an impact on community health. Research points to strong connections between our environment, economic prosperity and health. Measures identify social and communal factors that influence wellness. Examples: residential segregation, early childhood education, public libraries What is happening in North Dakota for this driver? Is there work being done in this area now? Use Asset map information and expertise of group members to fill in framework. Add additional rows as needed. Entity/Organization Brief description of Action Location Funding Source Head Start Gives preference to low-income families for early childhood learning opportunities. Community Based Federal ND Housing Grants available to build housing/apartments in rural communities State State/Federal Jeremiah Project Affordable housing Community and Recreation Sports programs for children. Maintenance of green spaces and equipment. Community based State funding- cities have park boards- funded by that city Enbridge Energy Community Private grant driven
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.