Plan for Development of Final Strategies and SMART* Objectives

The COVID-19 pandemic has delayed the work on the action plans for each of the priority areas of the SHIP.  Initial work was done by a planning team for this priority area that met in 2019-2020 to come up with initial strategy ideas and potentail measures for the work to be done both at a statewide level and by the Arkansas Department of Health. A workgroup that will be created in 2022 will build on the work of the planning team and formulate an action plan for this priority area that will include statewide strategies and performance measures. The workgroup will identify and communicate with relevant partners, oversee implementation, monitor progress. and provide regular reports. . 

*A SMART objective is one that is SPECIFIC, MEASURABLE, ACHIEVABLE, RELEVANT, AND TIME-BOUND.

The strategies, performance measures, and action plan will be added to the Scorecard once developed by the workgroup.

• American Heart Association - AR chapters
• AR American Association of Retired Persons (AARP)   Rupa, they did not have these 3 that I have highlighted listed for this priority area but I wondered if they should be here - you can decided.
• AR Center for Health Improvement (ACHI)
• AR Department of Health
• AR Rural Health Partnership
• AR State Dental Association
• Chambers of Commerce
• Employers
• Faith-Based Organizations

• Healthcare Payors

• Schools

Rupa, they also had these below listed, but I wasn't sure they made sense given the topic so you can decide if they should be included:

• AR Ambulance Association
• AR Emergency Medical Services Advisory Council
• AR Trauma Advisory Council
• Local Volunteer Fire Departments
• Public Safety Answering Points (911 Call Centers)

What is rural health?
According to U.S Census Data almost 44 percent of Arkansans live in rural areas. According to the definition for rural that the United States Office of Budget and Management uses, 53 of the 75 counties in Arkansas are considered rural. However, there are rural areas even in counties that are not defined as rural counties.

Why is rural health important to Arkansas?

In many ways people who live in Arkansas’s rural areas have the same barriers to good health as people who live in Arkansas’s cities. However, they may also experience barriers that people who live in cities may not. For example, people who live in rural counties have higher rates of chronic diseases and are more likely to be involved in serious accidents. Yet people who live in rural areas must travel greater distances to see a doctor or go to the hospital. In some rural counties, there are no hospitals. People who live in rural counties also tend to have shorter life expectancies. Babies in those counties tend to have higher infant death rates. And the people there are more likely to struggle with low health literacy.

Low Access to Health Care
People in rural Arkansas have greater difficulty getting the health care they need compared to those who live in the non-rural counties. One reason they have difficulty getting health care is because of the cost. In general, 15.3 percent of Arkansans report that they were not able to see a doctor in the past 12 months due to the cost, compared to 13 percent in the United States. However, in many rural counties, more than 20 percent of residents were not able to see a doctor due to cost. Lack of health insurance makes the cost of seeing a doctor hard, if not impossible to afford. In Arkansas 25 percent of working-age adults have no health insurance. In many rural counties it is even higher.

A second reason that people who live in rural Arkansas find it hard to get health care is that there is a shortage of health care on hand in their communities. For example, 39 counties in Arkansas have only one hospital and 19 counties have no hospital at all.

Many of the rural counties in Arkansas have been named as Medically Underserved Areas (MUA) by the Health Services and Resources Administration of the United States government. A Medically Underserved Area is a part of a county, a whole county or a group of nearby counties in which the residents have a shortage of personal health services. Here is a map that shows the Medically Underserved Areas in Arkansas.

There is also a general shortage of primary care doctors in Arkansas. This shortage can be especially great in the rural areas. Primary care doctors can be doctors who work in general practice medicine, family medicine, internal medicine, pediatrics, or obstetrics and gynecology. The rural areas in Arkansas have 73 primary care doctors for every 100,000 residents, while in the cities there are 133 primary care doctors for every 100,000 residents. Some of the rural areas have a more severe shortage than others. In the delta area of eastern Arkansas, there are only 61 primary care doctors for every 100,000 residents.

Source: Arkansas State Health Assessment, 2020