| 1) Realize meaningful reductions in chronic disease rates and avoidable hospitalizations for complications related to chronic disease in rural Kansas. |
Initiative 1: Expand Primary and Secondary Prevention Programs:
- Accountable Food is Medicine + Community Health Worker Deployment Program
- Consumer-Facing Technologies Program
- Behavioral Health Services Program
- Integrated Care for Dual Eligible Beneficiaries Program
- Mobile Cancer Screenings Program
- Tribal Health Program
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Initiative 1 Outcomes: By 2031, all rural Kansas counties will achieve statistically significant:
- Reductions in the percentage of adults with fair or poor self-perceived health status
- Reductions in the percentage of adults reporting poor mental health
- Improvements in children’s performance on the Presidential Fitness Test
- Reductions in the percentage of residents reporting low health literacy
- Reductions in the incidence of diabetes, COPD, hypertension, heart failure, and dementia
- Reductions in the rate of avoidable hospitalizations for diabetes, COPD, and heart failure
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| 2) Substantially reduce the number of rural Kansas hospitals with negative operating margins. |
Initiative 2: Secure Local Access to Primary Care programs:
- Regional Partnerships Grant Program
- REH Conversion/Transformative Capital Investment Grant Program
- Revenue Improvement Program
- Anchor Hospital Advancement Program
- Mobile Integrated Health Pilot Program
- Rural Primary Care – Public Health Integration Program
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Initiative 2 Outcomes: By 2031, all rural Kansas hospitals will:
- Achieve statistically significant improvements on key measures of revenue cycle efficiency
- Secure commercial payer rates sufficient to cover the costs of providing care in their communities
- Use data to evaluate and pursue opportunities for regional collaboration in delivery of clinical services and/or business operations
- Have resources available to support the transition to rural emergency hospital status, if such transition is determined appropriate for the community served
- Work collaboratively with public health agencies to integrate public health with primary care
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| 3) Improve provider-to-population ratios for primary care, dental and behavioral health services and ease nursing and allied health shortages in rural Kansas. |
Initiative 3: Build a Sustainable Rural Health Workforce programs:
- Physician Pipeline Program
- Education and Training Program
- Recruitment and Retention Program
- Career Exploration Program
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Initiative 3 Outcomes: By 2031, all rural Kansas communities will achieve:
- Increases in the number of rural middle and high school students participating in health science CTE pathways or other health care career exploration activities
- Establishment of robust rural physician residency programs in primary care, general surgery, obstetrics, psychiatry, and orthopedics
- Reductions in vacancy rates and turnover rates for nurses and allied health professionals
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| 4) Have 100% of Medicare and Medicaid beneficiaries in rural Kansas in accountable care relationships by 2031. |
Initiative 4: Enable Value-Based Care programs:
- Evidence-Based Practice Incentive Program
- ACO Readiness Program
- Transportation Program
- Medicaid Provider Incentive Payment Program
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Initiative 4 Outcomes: By 2031:
- All rural providers will achieve statistically significant improvements on specified pay-for-performance measures identified as foundational to clinical integration.
- All rural providers will actively participate in clinically integrated networks with well-defined regional continuums of care for specified conditions.
- There will be an adequate regional transportation system to support networks’ continuums of care.
- All rural hospitals and primary care providers will participate in the Medicare Shared Savings Program.
- The state Medicaid program will include provider incentives for value-based care.
- Dual eligible beneficiaries will participate in integrated care plans or, if remaining in traditional Medicare, receive tailored care management services.
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| 5) Enable rural Kansas providers to meaningfully engage in data sharing and analysis, expanded use of telehealth and remote monitoring, appropriate use of artificial intelligence, and utilization of consumer-facing technologies. |
Initiative 5: Harness Data and Technology programs:
- Remote Patient Monitoring Program
- Telehealth Navigator Program
- Data Infrastructure Program
- Emerging Technology Program
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Initiative 5 Outcomes: By 2031:
- Remote patient monitoring for acute and post-acute care and chronic disease management will be available as needed for rural Kansans.
- Access to specialist services via telehealth will be available as needed for rural Kansans.
- All rural providers will demonstrate adherence to TEFCA, and obstacles to rural residents’ exercising control over their own data and rural providers’ securely accessing patient data will be eliminated.
- All rural providers will have successfully implemented well-vetted and secure artificial intelligence agents and applications to improve clinical care and enhance operational efficiency.
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