ORHPC June Newsletter

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June 2025

ORHPC Monthly Update


MDH and ORHPC News

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Rural Health Conference June 9-10 in Duluth

The 25th Minnesota Rural Health Conference is quickly approaching! You won’t want to miss this opportunity to learn from experts and attendees from across the state.

Conference Highlights

Join us for two days of exciting programming kicking off on June 9, with opening keynote speaker Toby Freier, MBA, FACHE, President of New Ulm Medical Center. Special after-hours networking opportunities are scheduled for Monday evening, along with networking breaks throughout both days of the conference.

Another highlight is the closing keynote on Tuesday featuring reflections from 25 years of Minnesota commissioners. Moderated by Carol Backstrom, assistant commissioner for the Health Systems Bureau, current Commissioner of Health Dr. Brooke Cunningham and former commissioners Dr. Ed Ehlinger, Dr. Sanne Magnan and Jan Malcolm will discuss leadership challenges and provide insights for sustaining rural leadership in today's evolving health care landscape.

Honoring Minnesota Rural Health Award Recipients

The Minnesota Rural Health Awards will be presented on June 10, in recognition of significant contributions to improving health for rural Minnesotans. These awardees were announced on National Rural Health Day. The 2024 Minnesota Rural Health Awardees are:

  • Hero Provider Award: Dr. John Schmitz
  • Hero Practitioner Award: Maureen “Mo” Spike
  • Team Award: Sawtooth Mountain Clinic’s Oral Health Task Force
  • Lifetime Achievement Award: Penny Messer

Also being recognized is Minnesota’s 2024 Community Star, Mark Schoenbaum, retired longtime director of the Office of Rural Health and Primary Care. Every year on National Rural Health Day, the National Organization of State Offices of Rural Health honors an individual from each state who has made an outstanding contribution to improving rural health.

Register today!

Not registered yet? You still have time! Register and view the full conference agenda today at Minnesota Rural Health Conference.


Data Corner

Medicaid Matters

Proposals at the federal level would make massive cuts to Medicaid, negatively impacting Minnesotans who rely on public health insurance for their care as well as hospitals, clinics and other facilities that provide care to individuals. Rural Minnesotans are more likely to have public health insurance coverage—Medicare, Medicaid or Minnesota Care—than their urban counterparts (Rural Health Care in Minnesota: Data Highlights 2024 (PDF)) (see graph 1 below).

Reasons for higher rates of public health insurance among rural Minnesotans include:

  • Age: people over 65 are more likely to have Medicare
  • Lower Incomes: more likely to be eligible for state public programs
  • Less access to employer coverage: fewer people are connected to an employer that offers coverage

Health Insurance Coverage Across Minnesota

Medicaid Graph 1

Graph 1: Health Insurance Coverage Across Minnesota

These public programs help to increase access to care, especially in greater Minnesota, by providing health insurance to self-employed and others with limited opportunities for coverage. They are also the primary source of coverage for people needing long-term care. Significantly, these programs also support the rural health infrastructure, including hospitals, clinics, mental health centers, home care, community clinics, nursing homes, physicians, dentists, and many other health professionals.

Medicaid and MinnesotaCare also decrease uncompensated care and reduce the amount of medical debt owed by Minnesotans (Medicaid Matters – By the Numbers, Department of Human Services).

Rural hospitals rely on Medicare revenue more than their urban counterparts and all hospitals throughout Minnesota rely on other public insurance programs (see table 1 below), which have all increased over the past 12 years. Cuts to Medicare, Medicaid and MinnesotaCare would have a negative impact on rural hospital finances and operations (Rural Health Care in Minnesota: Data Highlights 2024 (PDF)).

Percent of Hospital Patient Revenues in Minnesota

Medicaid graph 2

Table 1: Percent of Hospital Patient Revenues in Minnesota

For more information on why Medicaid matters in Minnesota, see the Minnesota Department of Human Services Medicaid Matters – By the Numbers, Department of Human Services.

For more information on how Medicaid cuts will impact rural America, see the National Rural Health Association’s Medicaid Cuts & Rural Impact (PDF).

What can you do? The National Rural Health Association has resources on advocating to keep Medicaid strong in our rural communities at NRHA Advocacy Campaigns.


Grants and Funding

Now Accepting Applications: Faculty Loan Repayment Program

Apply to the Faculty Loan Repayment Program (FLRP) now through 6:30 pm on July 3. You can decrease your health professional student loan debt by up to $40,000 with two years of full or part-time service at an eligible health professions school.

You are eligible for the Faculty Loan Repayment Program if:

  • You come from a disadvantaged background (based on environmental and economic factors)
  • You have an eligible health professions degree or certificate
  • You are a faculty member at an approved health professions school (you must have a contract for two years or more)

To apply, instructions can be found in the FLRP Application and Program Guidance (PDF) manual, and you must submit your application through the Bureau Health Workforce FLRP Customer Service Portal.


Substance Use Disorder Treatment and Recovery Loan Repayment Program

Eligible substance use disorder (SUD) treatment clinicians and community health workers can apply to the Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program.

You are eligible for the STAR Loan Repayment Program if you are:

  • A United States citizen, national, or permanent resident
  • Fully licensed, credentialed in an eligible discipline, and a registered SUD professional
  • A full-time employee at a facility approved for the STAR Loan Repayment Program

To apply, please read the Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program Application and Program Guidance (PDF) and submit your application through the My BHW.


Opportunities and Resources

National Health Service Corps 2025 New Site Applications

Are you interested in becoming a National Health Service Corps (NHSC)-approved site? Through June 17, eligible health care facilities can apply to become an NHSC site. These facilities must be located in Health Professional Shortage Areas (HPSAs), provide outpatient, comprehensive primary health care services to people. 

Becoming an NHSC-approved site has benefits, including assistance in recruiting, hiring and retaining qualified clinicians. The new site application cycle is for sites that have never been NHSC-approved or are currently inactive due to expiration or past compliance issues.

What Is Shortage Designation? defines a HPSA and Find Shortage Areas allows users to search HPSA data by state and county.


Minnesota Rural Health Clinic Quality Improvement Basics Learning and Action Network

This no-cost Rural Health Clinic Quality Improvement Basics Learning and Action Network (PDF) is designed to help provider-based rural health clinic (RHC) staff incorporate quality improvement (QI) concepts into organizational practice. Topics include foundational QI skills such as leading a QI team, Plan-Do-Study-Act (PDSA) cycles, process mapping, change management, data collection and analysis, and more. 

Participation is open to the first 10 Minnesota Rural Health Clinics to register. Each participating team will be required to identify a project or action area for improvement and identify team members accordingly. RHCs under the same organizational umbrella are welcome to select a joint project and participate as a team. Each team should have at least two members.

Participants are expected to attend four 60-minute interactive virtual group sessions and an individualized project scoping call with a Stratis Health facilitator.

Session times are on the following Tuesdays from 11 am to noon: June 17, July 1, July 15, and July 29. One representative from a team can register here: MN Flex - RHC QI Basics Registration. All team members in the registration will receive a confirmation email with additional information and calendar invites for each session.

For more information, please contact Jodi Winters at jwinters@stratishealth.org


Planning for and Responding to Extreme Heat

Extreme heat causes more deaths in the U.S. than flooding, tornadoes, and hurricanes combined. Extreme heat events are expected to become more common, more severe, and last longer. The Minnesota Department of Health (MDH) Planning for and Responding to Extreme Heat includes a number of resources for community leaders, including key weather terms, steps to ensure community safety during dangerously hot weather, frequently asked questions and links to external guidance and data.

The Minnesota Extreme Heat Toolkit

With appropriate planning, education, and action, communities can reduce negative health impacts.

MDH recently released the Minnesota Extreme Heat Toolkit (PDF) to assist local public health staff, emergency managers, and community leaders in keeping people safe during days of extreme heat. The toolkit contains strategies and guidance developed to meet the needs of Minnesota communities:

  • Chapter 1 defines heat warnings, explores the Health Impacts of Extreme Heat (PDF), and covers factors that increase the risk of heat-related illnesses
  • Chapter 2 offers tools to inform decision-making and steps to take to initiate a community-wide heat response
  • Chapter 3 includes social media messages, public service announcements, and a sample news release
Stay Hydrated Stay Informed Stay Cool MN graphic

 

‘Stay Cool’ During Extreme Heat

The Minnesota Department of Health collaborated with other state agencies to develop the new STAY COOL MN campaign.  The multi-media campaign includes digital ads, social media content, a tip sheet on how to stay cool, an infographic on how to identify the signs and symptoms of heat-related illnesses, print materials, and a webpage.

The STAY COOL MN campaign encourages Minnesotans to follow these tips to stay safe when it’s hot outside:

  • Stay hydrated: Drink plenty of fluids throughout the day, especially if you are active outdoors (water or a drink with electrolytes are the best options)
  • Stay informed: Check the weather forecast, adjust activities as needed and know the symptoms of heat-related illnesses
  • Stay cool: Cool off in air-conditioned places (e.g., malls, libraries), shaded areas, or other cool places

To learn more and share vital information, visit mn.gov/heat.


TALK logo

TALK: Toolkit for Adolescent Care

TALK: Toolkit for Adolescent Care supports primary care clinicians in providing their adolescent patients with high-quality preventive care that addresses psychosocial and sexual health topics. Implemented and tested in primary care clinics in greater Minnesota, the toolkit builds on the Healthy Youth Development - Prevention Research Center (PRC) – Research Center's earlier CASH study, which revealed that many parents and teens want to talk with their primary care clinicians about these topics but lack the opportunity.

TALK features three components:

  • Training for clinicians in communication strategies for addressing sensitive topics
  • Resources for clinicians, in the form of one-page TALK Tools
  • Standardizing adolescent-friendly clinic practices, such as a pre-appointment "Welcome to adolescent care" letter to adolescents, and a similar letter to parents

TALK Training Options

TALK provides skills, scripts, and examples that can be put to immediate use, and can adapt to your team’s needs. Settings range from one-hour “Lunch and Learns” to a multi-session format that can build participants’ motivational Interviewing skills – and identify opportunities to apply them – using supportive one-page TALK tools. For TALK trainings for healthcare professionals, contact Chris Mehus at cjmehus@umn.edu.


Skin Lightening and Mercury Exposure

The Toxic Free Kids program and the Biomonitoring program at the Minnesota Department of Health are offering healthcare provider trainings on mercury exposure in skin lightening products. This in-person or virtual presentation offers one (1) continuing medical education (CME) credit. The primary goal of the training is to raise awareness and give providers guidance and next steps for identifying patients at risk for elevated mercury exposure.

Please email training requests to health.risk@state.mn.us.

The Office of Rural Health and Primary Care (ORHPC) promotes access to quality health care for all Minnesotans. We work as partners with policymakers, providers, and rural and underserved urban communities to ensure a continuum of core health services throughout the state.

651-201-3838

health.orhpc@state.mn.us