Rural Health Information Hub Latest News

Pennsylvania Health Care Career Events Announced

The Pennsylvania Association of Community Health Centers (PACHC) is hosting several career events this spring. Click on the event name for more information and to register.

For more information, contact Judd Mellinger-Blouch at Judd@pachc.org.

PA State Data Center Releases Census, Other Updates

New Brief Highlights Newly Released Vintage 2022 Population Estimates

The U.S. Census Bureau released the vintage 2022 population estimates for U.S counties and Puerto Rico. We’ve created a brief focused on the changes to Pennsylvania’s population. Read more on our Research Briefs page.

New Legislative Resources Available

New resources including maps and data profiles for Congressional and Legislative Districts are available on our site at: https://pasdc.hbg.psu.edu/Data/Legislative. The Census Bureau released new social, economic, housing, and demographic statistics for the 2022 state legislative districts. The four Data Profiles are available for all Pennsylvania Legislative Districts in the upper and lower chambers.

Register now for 2023 PA Data User Conference

This year will feature keynote and plenary sessions related to state and regional efforts to make data open and accessible. Concurrent sessions will feature two tracks: 1) U.S. Census Bureau staff providing updates on Census data products and tools as well as data analysts and 2) researchers across the state sharing applied uses of demographic data to better improve decision-making. Register at: https://pasdcconference.org/.

Census Bureau Updates

  • New Work-From-Home Data by Race and Ethnicity Now Available

This month, the U.S. Census Bureau released preliminary data from the Annual Business Survey (ABS) showing the impact of the coronavirus pandemic on businesses. The tables explore work from home status and business characteristics such as impact of the pandemic, financial health, outstanding debt, and expectations for continued operations. Click here to explore options for utilizing the latest data. 

  • ACCESS BROADBAND Dashboard

The U.S. Census Bureau and the National Telecommunications and Information Administration (NTIA) unveiled the first release of their joint interactive dashboard that allows users to compare U.S. state, county and census tract-level maps displaying broadband availability and adoption statistics to maps of select social and economic indicators. Click here to learn more and explore this interactive dashboard.

  • New Report: Women and Men Both Experienced Changes in Occupations During COVID-19

Click here to read this recently released report that focuses on differences in occupational employment shifts for women and men during the COVID pandemic.

Pennsylvania Department of Health Launches State Health Improvement Plan

The Pennsylvania Department of Health published the Pennsylvania State Health Improvement Plan (SHIP) that outlines goals, objectives, and strategies to improve the health of all Pennsylvanians over the next five years. This unveiling of the plan coincided with National Public Health Week, April 3 through April 9.

The 2023-2028 SHIP was developed in collaboration with the Healthy Pennsylvania Partnership (HPP), with support from Harrisburg University. The HPP is made up of nearly 300 health care professionals, associations, health systems, health and human services organizations, community collaborations, local public health agencies, government agencies, and others focused on improving health outcomes across the Commonwealth.

“The Department’s vision is to create a ‘Healthy Pennsylvania for All,’” said Dr. Debra Bogen, Acting Secretary of Health. “Achieving that vision will take all of us working with people and organizations across the Commonwealth to increase opportunities for people to access quality health care, impactful programs, and needed resources.”

Under the overarching goal of improving the health status and life expectancy of Pennsylvanians, and eliminating health inequities, there are nine goals in the 2023-2028 SHIP:

  • Increase financial well-being, food security, and safe affordable housing;
  • Increase community safety by reducing the number of violent incidences that occur due to racism, discrimination, or domestic disputes;
  • Improve environmental health, focusing on environmental justice communities;
  • Increase the population at a healthy weight through increasing availability and accessibility of physical activity and affordable nutritious food;
  • Reduce the impact of tobacco and nicotine use;
  • Increase access to medical and oral health care;
  • Improve mental health and substance use outcomes through improved mental health services, trauma-informed trainings, and substance use interventions;
  • Improve health outcomes through improved chronic diseases management; and
  • Improve maternal and infant health outcomes by improving prenatal, perinatal, and postnatal care.

Pennsylvania Governor Shapiro’s 2023-2024 budget supports many of the SHIP’s goals by proposing investments in key areas like $2.3 million to expand maternal health programming and study ways to reduce maternal mortality and morbidity, $500 million over the next five years for mental health services for students, and $16 million to increase the minimum Supplemental Nutrition Assistance Program (SNAP) benefit by 50%, among other investments.

The SHIP acts as a road map for the HPP and others to improve health outcomes and eliminate health disparities by working across the continuum from the social determinants of health, preventative interventions, and accessing quality and culturally humble care.

More information on the SHIP can be found on the Department of Health’s website at State Health Improvement Plan (pa.gov) or follow us on Facebook and Twitter.

A Hospital Slowly Fades Away in Rural Pennsylvania

Philadelphia Inquirer, Jason Nark, April 5, 2023

Berwick, a town of about 10,000 in Columbia County, is without a hospital for the first time in more than a century.

The emergency room was dark, the doors locked for months now, and a young woman stood outside in the rain, clutching her stomach and sobbing. No one was coming out to help.

The frantic people who drove the ailing woman to the hospital stood, dumbfounded, in the mostly empty parking lot.

“This is insane,” the driver said. “I’m going to have to call 911.”

On Sept. 17, the Pennsylvania Department of Health shut down Berwick Hospital Center’s emergency room because of a lack of staffing, accelerating a closure its owners planned out earlier that summer. Signs on the doors still advise patients to head to hospitals in Hazleton, 20 miles to the south, or Bloomsburg, 14 miles west, for emergencies. The 90-bed facility is currently operating only as a 14-bed inpatient geriatric psychiatry facility — but not everyone in this town of 10,349 on the Susquehanna River in Columbia County, knows that.

On that dreary March morning, the ill woman was carried back to a car to wait for an ambulance. Bette Grey, a Berwick resident and private medical advocate who fought, unsuccessfully, to keep the hospital open, was there to talk to The Inquirer. First, she watched her fears unfold.

“Hey, stay awake. Open your eyes,” Grey yelled, to the woman in the car, clapping her hands.

Read more.

2022 County Total Population Estimates Released

The U.S. Census Bureau released today estimates of the total population as of July 1, 2022 at the county level which include both county totals as well as components of population change: births, deaths, and migration.

The Pennsylvania State Data Center’s latest brief explores changes in total county population from the April 1, 2020 Estimates Base to the July 1, 2022 Population Estimate. Key highlights include:

  • Twenty-seven counties grew in population while forty declined
  • Cumberland County remained fastest growing county since 2020 (+3.5%)
  • Philadelphia (-36,541) and Allegheny (-17,332) counties saw largest losses

Click here to read more in this month’s brief.

New Brief Released: Financial Risk Acceptance Among Rural Health Care Providers Participating in the Quality Payment Program

This policy brief summarizes non-metropolitan and metropolitan health care providers’ participation in different tracks and subdivisions in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program and evaluates provider and patient-panel characteristics associated with financial risk acceptance.

Click here to open the full document.

 

Stories Needed for the Pennsylvania Dental Story Bank!

Have you struggled to get a dental appointment for yourself or a child? Did you visit the emergency room or urgent care for a dental problem in the last year? Has it been difficult to find a dentist that takes your insurance? PA Coalition for Oral Health (PCOH) is collecting stories from all 67 counties around dental issues in our state. Your story can help us let decision-makers know that change is needed to protect the smiles of all Pennsylvanians. We will share these stories to push for changes to the current system.

Submit your story by April 4th for a chance to win a $50 Amazon gift card!

Click here to submit your story.

Pennsylvania State Board of Dentistry Releases Regulation Updates

The Pennsylvana State Board of Dentistry is soliciting comments for two draft regulation updates. Comments can be emailed to RA-STRegulatoryCounsel@pa.gov no later than April 28th. The first is a draft annex relating to the administration of anesthesia and would establish requirements for a nitrous oxide/oxygen inhalation analgesia monitoring permit for dental hygienists. The second is a general update of the Board’s regulations relating to examinations, licensure, biennial renewal, inactive status, reactivation, EFDA program approval, titles, fictitious names, advertising specialties, unprofessional conduct, multidisciplinary professional practice, radiological procedures and continuing education.

Click here for the anesthesia update.
Click here for the general update.

New! A Conceptual Framework for Optimizing the Equity of Hospital-Based Emergency Care: The Structure of Hospital Transfer Networks

During COVID surges, many hospitals with capacity refused to accept transfer patients because of patients’ uninsured status and complexities associated with interhospital transfer systems, leading to overcrowding at safety-net hospitals.

Charleen Hsuan and colleagues from Penn State University and researchers from the Icahn School of Medicine at Mount Sinai propose the hospital transfer network equity-quality model (NET-EQUITY) — a conceptual framework for understanding emergency department transfers — to foster an equitable population-based system for emergency care. The NET-EQUITY framework explores emergency department networks, spotlights the factors that contribute to inequitable transfer networks, and offers policy responses.

The structure of hospital transfer networks influences patient outcomes, as defined by the Institute of Medicine, which includes equity. The structure of hospital transfer networks is shaped by internal and external factors. The four main external factors are the regulatory, economic environment, provider, and sociocultural and physical/built environment. These environments all implicate issues of equity that are important to understand to foster an equitable population-based system of emergency care. The framework highlights external and internal factors that determine the structure of hospital transfer networks, including structural racism and inequity.

The NET-EQUITY framework provides a patient-centered, equity-focused framework for understanding the health of populations and how the structure of hospital transfer networks can influence the quality of care that patients receive.

Read the article here.