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Health Fundamentals Newsletter

An online newsletter published by the United Methodist Health Ministry Fund.

November 2007

Health Fund News

New Grants Announced
The Health Fund is pleased to announce over $862,000 in new health grants to increase access to health care, improve oral health, and promote healthy lifestyles through better nutrition and exercise in Kansas. 16 of the new grants announced were made through the Health Fund’s 2007 Innovation Funding grant program. The Health Fund's 2007 strategic plan established a new funding opportunity designed to provide some resources for the best ideas Kansas organizations have for impacting three important health issues in Kansas. The Innovation Funding program was designed to attract applicant-initiated proposals to complement the Health Fund's current and planned initiatives in access to health care, healthy lifestyles, and oral health. Its intention was to support projects that generate action beyond the routine and aim at specific outcomes delivering: creative and innovative approaches to addressing needs at the state, regional, or local levels; partnerships to address these issues with new strategies; and new mechanisms to put evidence-based solutions in place.

Due to its size, the full news release is not included here but is available on the Health Fund website at www.healthfund.org/newsreleases.php

Health Through Faith and Community Study Curriculum
The Health Fund has a limited number of copies of “Health Through Faith and Community: A Study Resource for Christian Faith Communities to Promote Personal and Social Well-Being” available, which we are offering at no charge to Kansas churches (both United Methodist and other denominations). The book was produced through a Health Fund grant and written by a team led by KU social work professor Ed Canda, Ph.D. Published by The Haworth Pastoral Press, the curriculum contains eight study sessions which can be used independently or together as a multi-week class. The book provides information and learning activities on the physical, mental, social, spiritual, and environmental aspects of health from an ecumenical Christian perspective.

The book is designed as an instructor resource, containing handouts and worksheets which may be copied and distributed to class participants. Participants do not need individual copies of the curriculum book.

Supplemental materials to aid in teaching the curriculum are available at www.healthfaithstudy.info. The supplemental materials include electronic versions of the overheads and handouts contained in the book, and a special supplement available only online. Interested out of state persons or churches are encouraged to purchase the curriculum through Haworth Press. Additional information and online ordering is available at http://www.haworthpress.com/store/product.asp?sku=5595.

Uplifting video program available for checkout
“Celebrate What’s Right with the World,” with National Geographic photographer Dewitt Jones, encourages us to celebrate the things that are right with the world, to recognize our possibilities, and to find solutions for the challenges before us. Filled with inspirational photography and dialogue, the video is designed to help viewers approach their lives with celebration, confidence, and grace.

Nonprofit organizations may check out the video free of charge by contacting the Health Fund at healthfund@healthfund.org, 620-662-8586, or 800-369-7191. Availability is limited and subject to previous scheduling; please contact us well ahead of the requested viewing date.


Access to Health Care

Working to make primary health care available to all

Kansas Health Policy Authority Presents Health Care Reform Recommendations
In May, the Kansas Health Policy Authority was tasked by the Legislature and Governor Sebelius with the development of a plan for health care reform in Kansas. Through a data-driven process with stakeholder input at all stages, KHPA developed a plan containing 21 health reform recommendations to improve access to health care in Kansas. The KHPA Board received input from four Advisory Councils totaling 140 members, from a 22 community listening tour, and from numerous stakeholder groups and concerned citizens of Kansas. The Health Fund hosted one of the listening events. Over 1,000 Kansans provided their advice and suggestions. Additionally, four Kansas foundations—including the Health Fund—funded an independent actuarial and policy analysis of various health insurance models (see next article for details).

As noted in the KHPA recommendation report, the goal of health reform is to improve the health of our children, our families, and our communities—not just to improve health insurance or health care.

KHPA delivered its recommendations to the Kansas Legislature at the November 1, 2007 Joint Committee on Health Policy Oversight meeting. The three overall priorities identified for health reform in Kansas are: promoting personal responsibility; promoting medical homes and paying for prevention; and providing and protecting affordable health insurance.

Summarized recommendations from the KHPA plan:
(* indicates initiatives identified as high priority)

1. Promoting personal responsibility—for healthy behaviors, informed use of health care services, and sharing financial responsibility for the cost of health care.

2. Promoting medical homes and paying for prevention—to improve the coordination of health care services, prevent disease before it starts, and contain the rising cost of health care.

3. Providing and Protecting Affordable Health Insurance

The full recommendations document, which contains a great deal of information and analysis, including background information and details of the process KHPA used to arrive at its conclusions, is available online through the KHPA website: http://www.khpa.ks.gov. The Kansas Health Institute news service site at http://www.khi.org also contains information about the ongoing dialog concerning health reform in Kansas.

Health Foundations Provide Support to Health Care Reform Recommendation Process
To inform health reform policy considerations in Kansas, four health foundations—United Methodist Health Ministry Fund, Sunflower Foundation, REACH Healthcare Foundation, and Health Care Foundation of Greater Kansas City—together provided $300,000 in funding for an independent actuarial analysis. The study covered several health insurance reform options and the associated costs or savings of each option and the impact each option would have on coverage. The report, Pricing the Roadmap to Health Insurance Reform Options, was developed by Arizona-based schramm-raleigh Health Strategy (srHS) and presented to the Kansas Health Policy Authority to provide data to aid in the exploration of reform options.

According to the executive summary of the report, health insurance reform options were identified based on Kansas’ existing healthcare marketplace and on Kansas-specific uninsured population characteristics. Reforms across the participation spectrum (voluntary to mandatory) as well as the access mechanism (public to private) were considered. Five separate options were preliminarily modeled for the KHPA Board using srHS’s State Health Reform Projection (SHRP) model. The five options included:

The SHRP model produced estimated cost and coverage impacts for each of the different options. Results were then compared to a baseline, reflecting Kansas’ current insurance situation. The executive summary notes that each option considered would increase coverage for uninsured Kansans, but with differing costs and trade-offs.

The full Pricing the Roadmap to Health Insurance Reform Options report is available on the Health Fund website at www.healthfund.org or on the schramm-raleigh Health Strategy website at www.schrammraleigh.com.

For additional information, visit the KHPA website at http://www.khpa.ks.gov or the Kansas Health Institute news service site at: http://www.khi.org.


Kansas Faith Alliance for Health Reform Organizes
Following an initial meeting in August and the formation of a steering committee, the Kansas Faith Alliance for Health Reform has come together with a vision of equitable access to health care for all people of Kansas.

With a mission “to advocate collectively, as a people of faith, for a health care system guided by ethically acceptable policies,” the Kansas Faith Alliance for Health Reform is working to:

The primary principle of KFAHR is that using both public and private resources, society has a moral obligation and an economic imperative to ensure that everyone has access to an adequate level of health care without being subject to excessive barriers or costs. In looking at how society fulfills that moral obligation and economic imperative, the Alliance notes that society is made up of individuals who are simultaneously members of many overlapping public and private groups:

All of these entities play a role in fulfilling societal obligations; not all of the institutions that help bring about equitable access must be governmental. However, there is recognition that assuring the distribution of costs is equitable may require governmental policy, as noted in the findings of a 1983 Presidential Commission. Among those findings are that “…when the market and charity do not enable individuals to obtain adequate care or cause them to endure excessive burdens in doing so, then the responsibility to ensure that these people have equitable access to health care resides with local, state, and Federal governments.”

Nearly 300,000 Kansans lack health insurance coverage and thousands more are under-insured. Access to health care is materially affected by health insurance coverage, which means that thousands of Kansans struggle to receive the care services necessary for their health. Reports (available here and here) underwritten by the Health Fund in 2006 demonstrate clearly the increasing burden of medical debt on persons of low income and farmers right here in Kansas. There is a sense of growing insecurity about health insurance coverage in virtually all demographic groups in Kansas, including middle-income Kansans.

Persons interested in participating in the Kansas Faith Alliance for Health Reform are encouraged to contact the Health Fund at healthfund@healthfund.org for more information.

Health Foundations Issue Position Statement on Health Care Reform
The five Kansas health funders—United Methodist Health Ministry Fund, Sunflower Foundation, REACH Healthcare Foundation, Health Care Foundation of Greater Kansas City, and Kansas Health Foundation—recently issued a joint position statement on Kansas health care reform. The full statement follows.

Overview
In 2007, the United Methodist Health Ministry Fund, the Sunflower Foundation, the Health Care Foundation of Greater Kansas City, and the REACH Healthcare Foundation together contributed $286,000 to support an economic analysis of six potential health care reform models for the state of Kansas.

The health care reform study was commissioned by the Kansas Health Policy Authority (KHPA) to inform its efforts to propose a plan to the Kansas Legislature and Governor for providing affordable health coverage for Kansans.

The United Methodist Health Ministry Fund, the Sunflower Foundation, the Health Care Foundation of Greater Kansas City, and the Kansas Health Foundation support the public and data-driven process undertaken by KHPA to examine various health care models, including the costs and impact on the state, employers, and consumers—and particularly on Kansas’ 300,000 uninsured residents.

Background
Health care reform is a topic of increasing importance to government leaders and citizens. Health care costs have escalated and the numbers of uninsured children and adults continue to grow. The U.S. Census Bureau released a report in September 2007 showing the number of uninsured Americans reached 47 million in 2006, a 2.2 million increase from the previous year.

In Kansas, an estimated 11 percent of residents, or approximately 300,000 children and adults, are without health care coverage. The vast majority of uninsured Kansans (95 percent) live in a household with at least one worker. As is the case nationally, Kansans employed by small businesses, young adults, racial and ethnic minorities, and low-income individuals are at greatest risk of being uninsured.

Statement of Support
The United Methodist Health Ministry Fund, the Sunflower Foundation, the Health Care Foundation of Greater Kansas City, the REACH Healthcare Foundation, and the Kansas Health Foundation share a commitment to improving the health of all individuals.

We share citizens’ concerns that too many Kansans are without adequate or affordable health care.

Through our grantmaking experiences, we understand that being uninsured can damage the health and well-being of individuals and families, and negatively impact the overall health and quality of life of communities.

We believe Kansans should have access to factual information on health care coverage options and opportunities to express their needs and interests to government leaders.

We encourage the Legislature, Governor, and Kansas residents to review the factual information available on health care coverage, and adopt the Institute of Medicine principles* in the deliberations and decision making about health care for Kansans.

Submitted November 1, 2007.

*To paraphrase, the Institute of Medicine principles are:

  1. Health care coverage should be available for everyone.
  2. Health care coverage should be continuous.
  3. Health care coverage should be affordable to individuals and families.
  4. Health care should be affordable and sustainable for society.
  5. Health insurance should enhance the individual’s health and well-being by promoting access to high-quality, equitable, patient-centered care.

Kansas Health Institute offerings seek to explain health insurance complexities
Understanding Health Insurance in Kansas: Who Has It, and Where Do They Get It is an issue brief developed by the Kansas Health Institute to provide information about the distribution patterns and availability of health insurance in Kansas. From the KHI website:

"About 89 percent of Kansans have health insurance. That’s better than most states. Even so, nearly 300,000 Kansans lack coverage. Using data from the U.S. Census Bureau and other sources, this brief examines the insurance status of Kansans and the reasons some lack coverage."

Health Insurance in Kansas: A Primer aims to clarify some of the basic issues regarding health insurance with a Flash-based multimedia primer developed by former KHI Senior Policy Analyst Sheldon Weisgrau, M.H.S. As described on the KHI website:

Health insurance is one of the most pervasive public policy issues of our time. About 300,000 Kansans lack it and many who have it are worried about losing it in the future. Despite its significance as an issue and its importance to the health of Kansans, many of the most basic principles of insurance are little discussed and not well understood.

The issue brief, primer, and other health insurance-related information is available through the Kansas Health Institute’s website, www.khi.org/insurance, or a free CD may be requested by emailing a request to mailbox@khi.org. This would be appropriate for a civic club, Sunday school class, or other group interested in health insurance issues.

Related resources available through the KHI website include a transcript of the multimedia primer, associated presentations and notes, and a glossary of health insurance terms. Funding to develop the primer and the issue brief was provided in part by the Health Fund.


Oral Health

Working to improve oral health through education, prevention, and access to care

Study Looks at Ways to Increase Availability of Oral Health Care in Kansas
Rural Health and Education Services (RHES) of the University of Kansas Medical Center recently released the results of a study funded by the Health Fund to assess the need among the state’s rural communities, safety net clinics, and rural health networks for a centralized dental recruitment program, a dental temporary coverage program, and a dental education loan forgiveness program. According to the executive summary, the study consisted of written surveys mailed to dentists, dental hygienists, chambers of commerce, leagues of municipalities, safety net clinics, and community health centers (CHCs) in Kansas. Telephone interviews were conducted with representatives from dental school placement offices and with Primary Care Association and Primary Care Office representatives from other states. Current dental students in surrounding states and current dental hygiene students in Kansas were reached with an on-line survey.

Recommendations
Based on the results of the study, RHES recommends a centralized dental recruitment program for dentists and dental hygienists be established if long-term funding would be available to sustain the program. 58% of safety net clinics and CHCs indicated they currently need and would use a recruitment service. Among dentists, 21% stated they currently need assistance recruiting and 52% stated they would use a recruitment service. According to the study results, communities and dentists are currently reluctant to pay for services provided by a dental recruitment program, and it would take time to build relationships and reach a point where program fees could sustain the effort, necessitating a source of long-term funding to establish a recruitment program.

To provide practice coverage when a dentist or hygienist is away, RHES recommends a temporary coverage program be established. Although many dentists locate replacement dentists or hygienists on their own, 31% would use a temporary coverage program for locating dentists and 40% would use such a program for hygienists. 58% of safety net clinics/CHCs would use a temporary coverage program for dentists and 50% for hygienists.

RHES states that to be competitive with other states, Kansas would benefit from a loan forgiveness program designed for students of dentistry and dental hygiene. 69% of dental students and 62% of dental hygiene students indicated that their decision when locating a practice would be influenced by an education loan forgiveness program if it was available.

The full report is available on the RHES website homepage at: http://ruralhealth.kumc.edu/
A direct link to the report pdf is here: http://ruralhealth.kumc.edu/documents/DentalReport.pdf

To encourage participation in the survey, the Health Fund committed to make a $5 donation to the Kansas Dental Charitable Foundation for each dentist and hygienist who completed a survey. A donation of $5,475 is being made based on the response of 463 dentists and 632 dental hygienists.

Topeka Capital-Journal Article Focuses on Dental Access Issues
An October 24 article in the Topeka (Kansas) Capital-Journal looks at several issues affecting access to oral health care for many low-income adults. In the article, “Dental coverage for adults has gaps,” the author notes that although the issue of access to oral health care has gained visibility through events such as the free Kansas Mission of Mercy clinics which have been offered at several locations around the state, for many Kansans, dental care remains out of reach due to the costs involved. Issues with availability of Medicaid for dental patients in Kansas combined with low Medicaid reimbursement rates continue to be barriers.

Initiatives to make dental care in Kansas more accessible to underserved populations include efforts to increase capacity of safety-net clinics across the state and the development of a Dental Hubs program to cover the entire state with a thin but available safety net of dental services. Through its oral health initiative, the Health Fund has contributed grant funds toward both increasing safety-net capacity and toward the development of the Dental Hubs program.

The full story is available on the Topeka Capital-Journal website at: http://www.cjonline.com/stories/102407/sta_211510029.shtml


Healthy Congregations

Working together with local United Methodist churches for a healthier Kansas

Congregational Health Ministry Highlights
Two recent events relating to congregational health ministries have been highlighted on the Kansas West United Methodist Conference website. In early September, representatives from churches which participated in the Healthy Congregations in Action pilot project gathered at First United Methodist Church, Wichita, to celebrate and share the successes achieved in health ministries through the program. Healthy Congregations in Action is an initiative of the Kansas Area Healthy Lifestyles Advisory Committee which aims to:

27 churches completed the HCIA pilot program, having undertaken over 140 total health ministry activities and projects. A detailed story covering the HCIA celebration is available at http://www.kswestumc.org/news_detail.asp?pkvalue=413. The Health Fund provided funding and technical support to the Healthy Congregations in Action pilot project.

The United Methodist Church General Board of Global Ministries and the General Board of Pension and Health Benefits co-sponsored the Third Annual National Health Ministries Conference for United Methodists, held September 23-26 at the Spiritual Life Center, Wichita, Kansas. The theme of this year’s conference was “Empowering Ministries of Health: Starting, Implementing, Advancing.” The Health Fund coordinated with the conference sponsors to help and promote the event, and several Fund staff members made presentations at the conference. Health Fund Business Manager Matt Kuzma serves on the annual event's planning committee.

A local story about the conference is available on the KS West website at http://www.kswestumc.org/news_detail.asp?PKValue=415, and a national story is available through the United Methodist Church website.

Save the Date! 7th Annual Healthy Congregations Retreat April 11-12, 2008
The 2008 Healthy Congregations Annual Retreat for United Methodists will be held April 11-12 at Rock Springs 4-H Center. Mark the retreat on your calendar today and look forward to enjoying two days of relaxation, interesting and informational sessions, and networking with friends and peers in a beautiful and peaceful natural setting. The retreat is provided free of charge* by the Health Fund. The event brings together United Methodists with shared interests in congregational health ministries and the promotion of holistic health and healthy lifestyles. The retreat features a variety of sessions covering the spiritual, mental, physical, and social components of health.

Who should attend the retreat?

*The $25 registration fee will be refunded at the event for all attendees whose church has completed a 2007 Healthy Congregations Recognition report. Please encourage your church to participate and receive recognition for health ministry work!

Additional event information is available at www.healthfund.org/hcar.php. A full schedule and online registration will be available at that address as soon as details are finalized.

Healthy Congregations Grants Available to Kansas UM Churches
The Healthy Congregations Grants RFP makes one-time grants of up to $5,000 available to Kansas United Methodist churches to stimulate the development of comprehensive ministries of health and wellness. Projects funded will emphasize wellness, prevention, volunteer caregiving, social support, and congregational health education and awareness. Examples of such ministries include parish nursing and health promotion projects. Grant funding is not intended for projects focused on a single disease, disability, or health issue.

The Health Fund hopes that these one-time grants, added to local church resources, will mobilize strong volunteer efforst to address many facets of health, healing, and wholeness in congregations and communities throughout Kansas.

Please visit the Health Fund website or call us for application information.

Healthy Congregations Recognition
The Healthy Congregations Recognition program, now in its twelfth year, highlights what Kansas United Methodist churches are doing to nurture, reach out, and educate through ministries of health, healing, and wholeness. Healthy Congregations Recognition also provides a way for churches to share their health work with others, encouraging and inspiring the growth of congregational health programs. An electronic version of the Healthy Congregations Recognition 2006 brochure, including a list of the churches most recently recognized for their health ministry work, is available on our website at: www.healthfund.org/pdf/HC_Recognition_2006_brochure.pdf

All congregations meeting the basic requirements of the Healthy Congregations Recognition Program receive a free health resource and recognition at the Healthy Congregations Annual Retreat and at the Kansas East and Kansas West Annual Conferences. Six congregations are selected to receive a $1,500 Healthy Congregations of the Year award for outstanding health and wellness ministries. Also, members of churches which complete a Healthy Congregations Recognition report are eligible to attend the Healthy Congregations Annual Retreat at no charge.

Report forms are available online, with features designed to make reporting easy and simple. Churches that submitted an online 2006 report can roll-over recurring activities to their 2007 report with a few mouse clicks. Start your report today and work on it throughout the year as activities are completed.

More information about Healthy Congregations Recognition, including report forms for 2007 activities, is available on the Health Fund website at www.healthfund.org/hc.php. Completed reports must be submitted online or mailed by March 1, 2008.

 

C 2007 United Methodist Health Ministry Fund
www.healthfund.org – healthfund@healthfund.org – 620.662.8586 – 800.369.7191