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South Carolina Rural Health Action Plan Task Force, Facilitated and Led by the South Carolina Office of Rural Health Rural Health Action Plan Task Force

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South Carolina Rural Health Action Plan Task Force, Facilitated and Led by the South Carolina Office of Rural Health Rural Health Action Plan Task Force 2017 South Carolina’s RURAL HEALTH ACTI N PLAN a road map to healthy, rural communities a collaborative endeavor of the South Carolina Rural Health Action Plan Task Force, facilitated and led by the South Carolina Office of Rural Health Rural Health Action Plan Task Force Amy Martin, DrPH Deirdra Singleton Lathran Woodard SC Department of Alcohol MUSC College of Dental SC Department of Health SC Primary Health Care and Other Drug Abuse Medicine and Human Services Association Services Ben Washington Doug Taylor Lin Hollowell Sarah Pinson SC Commission for SC Campaign to Prevent The Duke Endowment SC Association for Minority Affairs Teen Pregnancy Community Economic Lisa Davis Development Beth Franco Fred Leyda SC Department of Health Eat Smart Move More SC Beaufort Human Services and Environmental Control Sue Williams Alliance The Children’s Trust of SC William Anderson, MD* Lydia Hennick USC School of Medicine George Johnson* LogistiCare Susan Bowling* SC Office of Rural Health Kerr and Company Bonnie Ammons Board Chairperson Mark Jordan* SC Rural Infrastructure SC Department of Health Teresa Arnold Authority Graham Adams, PhD* and Environmental Control AARP SC Office of Rural Health Office of Primary Care Carlos Milanes* Thornton Kirby Edgefield County Hospital Janet Place Maya Pack SC Hospital Association USC Arnold School of Public SC Institute of Medicine Carmen Wilson Health and Public Health Tim Kowalski, DO Alliance for a Healthier SC Edward Via College of Jan Probst, PhD* Michele Cardwell Osteopathic Medicine- Chris Oxendine, MD SC Rural Health Research USDA Rural Development Spartanburg Abbeville Area Medical Center Center Michelle Mapp* Tricia Richardson JR Green, PhD SC Community Loan Fund SC Thrive Chris Steed Fairfield County School Fullerton Foundation District Nate Patterson, DrPH Virginia Berry White* Health Care Policy Analyst Family Solutions of the Low Christian Barnes-Young Julie Smithwick Country Tri-County Community MHC PASOs Pat Littlejohn SC Center for Fathers and Walt Tobin, PhD Darnell Byrd McPherson Karen Nichols Families Orangeburg Calhoun Darlington County First Upper Midlands Rural Technical College Steps Health Network Paul Schumacher McLeod Health David Condon Kathy Schwarting *steering committee SC Free Clinic Association Palmetto Care Connections Rick Foster, MD Alliance for a Healthier SC David Garr, MD Kent Whitten SC Area Health Education Greenville Health Ryan Burnaugh Consortium System-Oconee EMS SC General Assembly David Porter Kristen Wing Sandy Kammermann Abbeville County Veteran Affairs Office of John A. Martin Primary Resident Rural Health Health Care Center Sara Goldsby With Leadership & Support Provided By: 1 000feathers 2 Forward November 16, 2017 Dear Friends of Rural Health, As members of the South Carolina Rural Health Action Plan (RHAP) Steering Committee and/or as Workgroup Chairs, we were engaged to provide overall guidance and support for the almost year and half long RHAP development process. As such, we met on a regular basis in addition to the monthly RHAP Task Force meetings. We reviewed material, discussed meeting strategy and structure, and offered feedback on virtually every aspect of the process. While it has been a challenge to tackle so many big topics in one comprehensive plan, it is rewarding to see connections forming between both topic areas and stakeholders. We also know that while this is a significant accomplishment, producing the report is only a milestone on the journey we are all on. Starting today, the real work begins of changing rural communities for the better. We, as a group, are committed to continuing in an advisory role, ensuring that the RHAP implementation over the next 3-5 years benefits from continuous feedback and is reflective of changes in the environment. We are hopeful that this plan and the work ahead will bring hope and positive change to our rural communities and all those that call South Carolina home. In good health, 3 Acknowledgements The SC Rural Health Action Plan (RHAP) would overall consultation regarding the Plan’s not have been possible without the hard work development. Thank you to Forrest Alton, and dedication of many individuals. Cayci Banks, and Isaiah Nelson for their enthusiasm and ideas. The Plan would not be The Steering Committee charged with guiding what it is without them. the initial development of the process was comprised of: Graham Adams (CEO, South Staff members from the SC Office of Rural Carolina Office of Rural Health); William Health (SCORH) initiated the RHAP effort Anderson (Chief Medical Officer, USC Medical and provided overall guidance and support Group); Virginia Berry-White (Director, Family throughout the process. Graham Adams Solutions of the Low Country); Susan Bowling chaired the Task Force and served as unofficial (Kerr and Associates); George Johnson (Board spokesman. Melinda Merrell conducted Chairman, South Carolina Office of Rural the community engagement activities and Health and retired Blue Cross Blue Shield supervised all RHAP activities within SCORH, of South Carolina executive); Mark Jordan including the writing and production of this (Director, South Carolina DHEC Primary Care final document. Andrew Chandler provided Office); Michelle Mapp (CEO, SC Community logistical and technical support throughout Loan Fund); Carlos Milanes (CEO, Edgefield the entire progress, and also contributed County Hospital); and Jan Probst (Director, significantly to the final document production. USC, SC Rural Health Research Center). Stacey Day Halford and Michele Stanek offered support to work group activities. The Workgroup Chairs were instrumental in Christianna Hutchinson provided event and ensuring that recommendations and action communications support for the RHAP. The steps were targeted and concise. They included entire staff and Board of Directors of SCORH Thornton Kirby (President & CEO, SC Hospital gave continuous support and feedback as Association) [Access to Care]; Julie Smithwick requested throughout the entire process. (Executive Director, PASOs) [Community Assets Leadership & Engagement (CALE)]; Cassie Odahowski, doctoral candidate in David Porter (Former Abbeville County epidemiology at the USC Arnold School of Administrator) [Economic Development]; Public Health was responsible for all data JR Green (Superintendent, Fairfield County analyses. Teresa Brooks, who received her Schools) [Education]; and Michelle Mapp Master of Public Administration from USC, (CEO, SC Community Loan Fund) [Housing]. worked with the SCORH team while she was a graduate student to provide overall assistance The RHAP Task Force was comprised of 50+ to the process as well. individuals from around the state who met monthly between August 2016 and April 2017. Finally, much appreciation to The Fullerton These individuals offered invaluable advice and Foundation for their financial support of perspective to the entire process. the RHAP planning process, their belief in the concept, and their positive messaging Many rural community members gave of their to their philanthropic peers. Much guidance time and energy in contributing their ideas and support were also received from and concerns during the RHAP development Representative Murrell Smith and Senator through either engaging in dialogue with the Thomas Alexander and their staff in the South Task Force or staff, or by attending a RHAP Carolina General Assembly. community event. These contributions were invaluable to this effort. To all the rural champions who contributed to this report in any fashion, your efforts have 1000 Feathers was engaged to facilitate paved the way for healthier rural communities all RHAP convenings and communications and an overall improvement in our state’s including layout of printed documents and future. Thank you for your dedication to your 4 A User Friendly Guide For quick reference, here are a few places you can flip to for answers to common questions: How was the Rural Health Action Plan (RHAP) developed? Go to Chapter 1 (page 16) How is rural defined? Go to Chapter 2 (page 26) How were rural communities engaged? Go to Chapter 2 (page 26) What are the overall issues addressed by the RHAP? - Access to Health Care - Go to Chapter 3 (page 36) - Community Assets, Leadership, and Engagement - Go to Chapter 4 (page 50) - Economic Development - Go to Chapter 5 (page 64) - Education - Go to Chapter 6 (page 78) - Housing - Go to Chapter 7 (page 92) What will happen next? Go to Chapter 9 (page 116) Where can you find data sources, helpful definitions, and references? Go to the appendix (page 121) Who do you contact with further questions? How can you get in- volved? Send an email to [email protected] Key Where Is Change Likely to Occur? Agency – A state agency or statewide organization Clinician – Individual professionals, including physicians, social workers, etc. Community – Rural communities at-large Legislative – The General Assembly OR written policies, rules, and regulations Philanthropy – State or local funders agency clinician community legislative/policy philanthropy 5 6 Executive Summary More than one million residents call rural South Carolina home. Preserving access to health care and improving health outcomes in our rural communities are critically important components to South Carolina’s vitality. The America’s Health Rankings, produced by the United Health Foundation, ranks South Carolina 42nd in health among all states (2016). At the county level, the Robert Wood Johnson Foundation’s County Health Rankings show that
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