2016 GEORGIA LAW RURAL HEALTH CARE SYMPOSIUM

This symposium was held in association with Boling & Company at the University of Georgia School of Law in Athens, Georgia, on March 25, 2016. Thanks again to our co-sponsors, Georgia Partnership for Telehealth and Healthcare Georgia Foundation.

View Agenda 

Panel 1: Rural Hospital Consolidation, Affiliations, and Closures

  • Robin Rau, CEO, Miller County Hospital
  • Jim Coleman, SVP of Southeast Hospital Operations, Community Hospital Corporation
  • H.D. Cannington, CEO, Cannington Healthcare Consulting, LLC 
Q1: What is your organization doing in the rural health space?
A: J.Coleman, R. Rau, H. Cannington
Q2: Identify a few causes of rural health's recent struggles and ways we can "get out of the ditch."
A: J. Coleman, R. Rau, H. Cannington
Q3: How do changes in provider staffing affect your hospital?
A: R. Rau
Q4: What are some of the big ideas you have used to make your board buy into the need for change?
A: R. Rau
Q5: Other perspectives on the models discussed?
A: J. Coleman, R. Rau
Q6: Other than those discussed, has your rural hospital pursued affiliations with larger systems?
A: R. Rau
Q7: What is your experience trying to find a "win-win" affiliation involving a rural hospital?
A: H. Cannington, J. Coleman

Panel 2: Regulatory Issues Affecting Rural Healthcare

  • Lisa Carhuff, Director of Hospital Services, Georgia State Office of Rural Health
  • Kay Floyd, CEO, Monroe County Hospital
  • Dr. Gary Nelson, President, Healthcare Georgia Foundation
Q1: Introductions; panelists identify one health law that is important to rural healthcare.
A: L. Carhuff, K. Floyd, G. Nelson
Q2: Talk about the coverage gap in Georgia and the continuation of uncompensated care.
A: G. Nelson
Q3: Is protection of tax-exempt status a concern for health providers in Georgia?
A: K. Floyd, L. Carhuff
Q4: Are there other opportunities for coverage of indigent populations (public or private)?
A: G. Nelson
Q5: Expand on the hub and spoke model and how it is benefitting rural health.
A: L. Carhuff, K. Floyd, G. Nelson
Q7: How do regulations shape issues of workforce development?
A: L. Carhuff, K. Floyd, G. Nelson
Q8: What aspects of the Affordable Care Act do you think are felt by rural health providers today?
A: G. Nelson, K. Floyd, audience

Keynote Speaker: Alan Morgan, CEO, National Rural Health Association

What makes rural ‘rural’?
New data and developments from the NRHA
What are the commonalities among the rural hospitals that are closing?
Rural hospital mergers
Rural pharmacy closures
Why are rural hospitals closing?
Affordable Care Act
Are health exchanges working in rural areas?
Medicaid Expansion
Save Rural Hospitals Act and Delivery System Reform
How do we keep people healthy and actually pay for it?
ACOs
The Future: Primary (core) Elements for Rural Design
Opioid Abuse Legislation/Rural Victories
Key Remaining Issues

Panel 3: Technological Innovations Addressing Access Shortages

  • Jeff Robbins, Director of Telemedicine, Tift Regional Medical Center
  • Sherrie Williams, Executive Director, Georgia Partnership for Telehealth
  • Baha Zeidan, CEO, Azalea Health
  • Troy Heidesch, CEO, Smart House Calls LLC
Q1: Introduction: How does technology address some of the issues already discussed today?
A: J. Robbins, S. Williams, T. Heidesch, B. Zeidan
Q2: As health technology advances, how can patients be sure that their privacy will be protected?
A: B. Zeidan
Q3: How do privacy issues change when exchanges over the Internet are involved?
A: B. Zeidan, S. Williams, T. Heidesch
Q4: Can telehealth and other global health technologies improve access to primary and specialty care
A: J. Robbins
Q5: Where are we in the evolution of healthcare by mobile device? What barriers can/should exist?
A: J. Robbins
Q6: How might digital and mobile healthcare affect healthcare spending?
A: T. Heidesch
Q7: Whose health care costs are we talking about bending?
A: T. Heidesch
Q8: As we adapt to new technologies, we might see an exponential decrease in the cost, true?
A: J. Robbins
Q9: Should medical professionals fear big corporations and artificial intelligence in healthcare?
A: S. Williams, T. Heidesch, J. Robbins
Q10: How should current medical students view health technology and its impact on the job market?
A: J. Robbins
Q11: Should we be changing anything about how we train and select medical professionals?
A: B. Zeidan
Q12: What are the ways to leverage the technology and data we have today?
A: B. Zeidan, S. Williams
Q13: How can we all work together to leverage our community data to achieve population health?
A: B. Zeidan
Q14: Where does liability start and where does it stop?
A: S. Williams, T. Heidesch
Q15: How do you preserve empathy and patient trust in telemedicine encounters?
A: T. Heidesch, S. Williams, J. Robbins

Panel 4: Medical Staff Alignment and Recruitment Strategies

  • Carol Alexander, Consultant, Stroudwater Associates
  • State Rep. Sharon Cooper (R - Marietta), Chair of Health and Human Services Committee
  • Dr. William Kanto, Augusta University 
  • Ben Robinson, Executive Director for the Center for Health Planning and Workforce Analysis, University System of Georgia
Q1: Introductions
A: C. Alexander, Rep. Cooper, W. Kanto, B. Robinson
Q2: Explain the importance of physician recruitment to the larger provider community.
A: C. Alexander
Q3: What are some examples of state and legislative priorities in rural healthcare?
A: B. Robinson, Rep. Cooper
Q4: Can you expand on other possible funding solutions for rural health recruitment?
A: Rep. Cooper
Q5: How can we empower physician extenders and advanced practice professionals to close this gap?
A: W. Kanto, Rep. Cooper
Q6: In GME funding how can we make residencies not only more numerous but more rural-oriented?
A: B. Robinson, W. Kanto
Q7: When looking for physicians to serve rural communities, what qualities do you target?
A: C. Alexander
Q8: Tell us about the recently passed rural health tax credit bill in Georgia.
A: Rep. Cooper