Rural Health Care Advocates Stress Needs At Capitol

Health care providers and health advocacy organizations were at the Capitol Thursday to discuss challenges and advocate for possible solutions in rural health care. 

Health care providers and health advocacy organizations were at the Capitol Thursday to discuss challenges and advocate for possible solutions in rural health care. 

Transportation is one major challenge, especially for elderly residents. Karyn O’Dell, communication and leadership strategist for Southern West Virginia Health System, said lack of access to public transportation and preventative care contribute to worse health outcomes in rural areas. 

“If you are an individual who is single, living by themselves, and does not have a family member or maybe a neighbor who can assist,” O’Dell said. “Then when you go to have a specialist procedure that requires somebody to drive you, you may not seek that specialist care.” 

She said this is especially important for life saving screenings like colonoscopies or cancer screenings.

O’Dell said she believes that it’s important for rural communities to have access to primary and specialty care from health care providers in the community. 

“It’s super important to have people in local and rural communities, where patients feel that they can trust that individual,” O’Dell said. 

Rhiannon Wiseman, customer service representative for the West Virginia Drug Intervention Institute, said rural health care is key to combating the opioid epidemic in the state. 

“They deal with the smaller things, and that’s the most important thing — is the smaller things. Those are the things that lead to big things,” Wiseman said. “So when in recovery, anything, anything that anybody can provide, I mean, from just support to, you know, like dental plans or drug prevention or recovery.”

She said having access to opioid reversal agents, like naloxone, is especially needed for rural communities where wait times for ambulances are longer.

Southern W.Va. Health Care System Gets Money To Expand Telehealth

A health care system serving six southern West Virginia counties received more than $900,000 to enhance its telehealth services.

Southern West Virginia Health System, also known as Lincoln Primary Care Center Inc., was awarded $967,304 from the Federal Communications Commission on Wednesday through a newly created COVID-19 telehealth program.

The FCC received $200 million through the Coronavirus Aid, Relief and Economic Security Act in March to help providers across the country enhance their remote services. It reports that this last round of allocations was the FCC’s seventh. On May 13, the agency also awarded Wirt County Health Services Association Inc. with $274,432. 

Based in Lincoln County, Southern West Virginia Health System also serves parts of Boone, Cabell, Kanawha, Logan and Mingo counties.

Like other providers throughout the state, CEO Lisa Leach said the organization has moved many of its services to video conferencing and telephone, to allow for social distancing during the coronavirus pandemic. 

“It really gives us an opportunity to try to continue to meet the needs of our patients,” Leach said. “You know, the frail, the elderly… and obviously during these pandemic times it helps with emergencies, so that we can continue to provide care.”

Leach said the money will allow Southern West Virginia Health System to purchase 23 mobile telehealth carts, which will hold video conferencing equipment and supplies for checking vitals, and the necessary software. 

There’s only so much patients can do from the comfort of their own homes, when it comes to checking their own vitals, like blood pressure. 

With the video conferencing carts, which Leach called “virtual exam rooms,” patients will have access to supplies allowing them to perform these functions themselves. Patients will be able to use the carts from designated rooms at a clinic, or outside the clinic, under a tent, allowing for a face-to-face appointment with a physician, minus the physical contact.

Before now, getting paid for virtual appointments was difficult. But the U.S. Centers for Medicare and Medicaid have started reimbursing health care providers for telehealth options during this public health crisis.

Leach said this could help beyond the pandemic as well, as long as insurers continue to reimburse her organization for telehealth services.

“We have those at-risk patients,” Leach said Wednesday. “Whether it’s a 90-year-old woman who needs help getting into a car coming here, or maybe it’s a 65-year-old woman who just had a heart attack and has other multiple issues, it’s difficult for her to come to us. So, we want to continue to use telehealth.”

But throughout the state and much of the state’s southern counties, many West Virginians still struggle with reliable broadband access. According to Leach, the FCC money doesn’t help much with that.

“For those folks, they’re going to have to go to a different location,” she said. “I wish this could fix that. But we can’t change broadband.”

Leach said it might be about a month and a half before they’re able to purchase the necessary supplies and begin offering the expanded telehealth services. 

Emily Allen is a Report for America corps member.

 

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