10/94 last revised

Estimates are a minimum. Actual figures may be 30 - 50% higher.

Preparation and training of medical students 1 million

WAMI study notes 12% of UNMC graduates are consistently in rural areas

Graduate medical education costs 1 million

40% of our FP graduates x Family practice

GME costs of 1.5 million plus additional

funds for special programs.

Rural physician and community support provided 1 million

Research by fp dept 100000

Wellness programs for rural 74000

CME 200000

Consults planning and recruitment 50000

Rural research center 150000+

Rural partnerships for pediatrics 100000

Synapse, midas 200000

Resident and faculty temporary services 500000

to rural communities and physicians

Resident rural clinic services 1 million

40,000 visits and rising

Clinical support, backup unknown

probably the largest single figure

II. Costs incurred by rural communities 800000

Support of student education 600000

for housing, travel, meals, more

GME Costs paid by rural communities, 200000

hospitals,doctors

Benefits to rural communities

10 FTE of workforce at $360000 per for 3.6 million in economic impact in rural Nebraska each year during CORE rotation and RTT sites in rural areas

Benefits from ARTP fellows to their faculty and communities

Benefits from graduates locating in rural areas

50 + % of 16 grads a year for many years at $2 Million in impact each year

John Navis salary, benefit, travel

ORH and health dept

data

other - best estimated by state

The last year in rural health - focus on R & R

Data from Statmaster national database

Search by counties of less than 10000 and still a hospital reveals 28 counties in NE, Texas has 47, KS has 41, CO 12, MT 22, ND 17, OK 15, SD 22, ID 10, all others less than ten. NE is a nice mix of multiple sizes of rural health systems with a good N value for the smallest systems.

State support for Clarkson, Creighton and UNMC have assisted the state with its best FP match ever. All programs matched except Creighton and they matched 4 for 7 and actually Creighton will have 9 first year residents this year. This highlights the investment that the state has made, but it also illustrates the challenge the state will have to retain current docs for these upcoming physicians as well as influencing them to choose rural and underserved practices. The next two to three years will be the best opportunity for the state in years in the areas of recruitment and retention.

NeRHA moving along

rural health policy group formed at UNL and UNMC

UNMC

RHEN coordinator hired and active

major increases in UNMC outreach

collaboration with state regarding database

Rural Program director position in Dept fp created/filled by Robert Bowman

much increase in recruit and retention cooperation at UNMC and other FP programs - recruitment of fp residents targeted, brochure to all rural docs, hospitals, community recruitment groups

more rural visits

original research on recruitment and retention

assistance with locums development

doing locums in some rural communities

obtaining names of faculty and graduates to do locums

major effort to update current rural providers

rural fellowship developing and increased rural rotations to provide increased rural health services (through NHSC and UNMC funds)

increased effort to recruit students and residents to come to Nebraska and do rural practice through local efforts, Academy sponsor a student efforts, student advisor program of NAFP, efforts at AAFP Student Resident Annual meeting

plans to combine NeRHA meeting and FP resident recruitment Sept 7-8

Nationwide database collected on rural faculty and rural family practice programs

Leadership of national group (Society of Teachers of Family Medicine Group on Rural Health) that prepared databases and rural curriculum

 

Rural legislation update

RWJ Practice Sights

Already impact - Nearly every major hospital visiting these early networks to court them for the future