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Missouri’s Rural Health

Missouri’s Rural Health. Today’s Challenges Tomorrow’s Opportunities. Changing Expectations. Volume Sick Care to to Value Population Health. Today’s Challenges. Decreasing Reimbursements Sequestration Readmission Penalties

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Missouri’s Rural Health

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  1. Missouri’s Rural Health Today’s Challenges Tomorrow’s Opportunities

  2. Changing Expectations Volume Sick Care to to Value Population Health

  3. Today’s Challenges Decreasing Reimbursements Sequestration Readmission Penalties Disproportionate Share Allocations Rising Deductibles Decreasing Volume Adequate Workforce

  4. Scalability of New Models of Care • Accountable Care Organizations • Bundled Payment Initiatives • Capitation • Transparency • Responsibilities after discharge

  5. Text of Proposed Discharge Planning Rules We propose that hospitals consider the availability of and access to non-health care services for patients, which may include home and physical environment modifications including assistive technologies, transportation services, meal services or household services (or both), including housing for homeless patients. These services may not be traditional health care services, but they may be essential to the patient’s ongoing care post-discharge and ability to live in the community. Hospitals should be able to provide additional information on non-health care resources and social services to patients and their caregiver/support person(s) and they should be knowledgeable about the availability of these resources in their community, when applicable. In addition, we encourage hospitals to consider the availability of supportive housing, as an alternative to homeless shelters that can facilitate continuity of care for patients in need of housing.

  6. Tomorrow’s Opportunities • Increased Community Engagement • New Collaborations • Continuing positive economic impact • Workforce development • Local business generation

  7. Future Workforce Needs RN NP MT RPh

  8. Additional Resources

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