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Rural Health

Overview

The State Offices of Rural Health (SORH) Program is a 3:1 matching grant program that began in 1991 and has accomplished the creation of state offices in all 50 states. Each office's mission is to help their individual rural communities build health care delivery systems. The SORH Program provides an institutional framework that links communities with State and Federal resources to help develop long-term solutions to rural health problems.
The five core functions of the SORH program are to:

  • Serve as a clearinghouse of information and innovative rural health service delivery approaches.
  • Coordinate state activities related to rural health in order to avoid duplication of efforts and resources.
  • Identify Federal, State, and nongovernmental rural health programs and provide technical assistance to public and private, nonprofit entities serving rural populations.
  • Strengthen Federal, State, and partnerships in rural health.
  • Promote recruitment and retention of a competent healthcare workforce.

The Indiana State Office of Rural Health supports the Critical Access Hospital Medicare Rural Hospital Flexibility (Flex) Program and the Small Rural Hospital Improvement Program (SHIP). 
The State offices created the National Organization of State Offices of Rural Health to ensure that the states' perspectives on rural health were recognized nationally.
The mission of the Indiana State Office of Rural Health is to enhance the growth of public health services, funding sources, and education opportunities for every Indiana rural resident. The Indiana SORH is located in the Indiana Department of Health’s (IDOH) Division of Primary Care, Chronic Disease and Rural Health.

State Office of Rural Health Manager

Joyce FillenwarthState Office Rural Health Manager & SHIP Coordinator

Division of Chronic Disease, Primary Care, and Rural Health

Office: 317-391-3953

jfillenwarth@health.in.gov

Partners

Grants

  • Rural Hospital Flexibility (Flex) Program

    The Flex Program was established from the Balanced Budget Act of 1997 (Public Law 105-33) to assist rural hospitals and improve access to care through Critical Access Hospital (CAH) designation. The Flex funding initially provided funding to State Offices of Rural Health for designation of CAHs in rural communities. With the majority of CAHs having been converted, the Flex Program now assists CAHs with quality and performance improvement activities, stabilizing hospital finances, and integrating emergency medical services (EMS) into health care systems.

    The Flex Program focuses on three core areas:

    • Support for Quality Improvement in CAHs.
    • Support for Operational and Financial Improvement in CAHs.
    • Support for Health System Development and Community Engagement, including integrating EMS in regional and local systems of care.

    Flex Grant Coordinator

    Joyce Fillenwarth | State Office Rural Health Manager & SHIP Coordinator

    Division of Chronic Disease, Primary Care, and Rural Health

    Office: 317-391-3953

    jfillenwarth@health.in.gov

  • Small Rural Hospital Improvement Grant Program (SHIP)

    The purpose of the SHIP is to help small rural hospitals do any or all of the following: pay for costs related to implementation of prospective payment systems (PPS), comply with provisions of the Health Insurance Portability and Accountability Act (HIPAA) and reduce medical errors and support quality improvement. The SHIP Grant Program was first authorized by the Balanced Budget Refinement Act of 1999 of the Social Security Act.

    Eligible hospitals apply for this grant program, through the Indiana State Office of Rural Health (SORH). Indiana SORH receives funding based on the number of eligible hospitals that apply. The SORH acts as a direct pass through and distributes the funding through one contract to the Indiana Hospital Association. This pooling of resources and partnership with IHA creates the Indiana SHIP Hospital Network and ensures that the projects offered to the hospitals create meaningful impact in a collaborative learning atmosphere. The projects being offered to hospitals in the network fall into the following categories:

    • Value Based Purchasing (such as improving data collection activities in order to facilitate reporting to Hospital Compare)
    • Accountable Care Organizations (such as activities that support quality improvement including, reduction of medical errors and education and training in data collection, reporting, and benchmarking)
    • Payment Bundling (building accountability across the continuum of care)

    SHIP Grant Coordinator

    Joyce Fillenwarth | State Office Rural Health Manager & SHIP Coordinator

    Division of Chronic Disease, Primary Care, and Rural Health

    Office: 317-391-3953

    jfillenwarth@health.in.gov

Previous Winners

20242023202220212018

Community Star Award

IUH Bedford

Indiana Health Center Bedford and Southern Indiana Community Health Care Paoli

Paula McKinney,  DNP, RN, NE-BC

Vice President of Patient Care Service & Chief Nursing Officer

Woodlawn Health

Brian Herwig

President and CEO

Perry County Memorial Hospital

Linda Webb, MBA, BSN, RN, NEA-BC

Chief Nursing Officer

Pulaski Memorial Hospital

 

Innovation In Quality Improvement Award

Cameron Memorial Community Hospital

Healthcare-Associated Infections

Cameron Memorial Community Hospital 
Promotion of Sepsis Identification and Treatment
 

Decatur County Memorial Hospital

Emergency Department Patient Experience

Putnam County Hospital

Emergency Department Throughput Project

Community Impact Award

Franciscan Health Rensselaer

Creating an Oasis in an Obstetric Care (OB) Desert

Decatur County Memorial Hospital

Family “Connected to Care” Platform Increasing Chronic Care Management Services

Union Hospital Clinton

Excellence in Community Cardiovascular Care and Prevention

Cameron Memorial Hospital

Cameron Vaccine Clinic – Response to COVID–19

St. Vincent Dunn Hospital

Maternity Services – The Birth Place

Outstanding Rural Health Provider Award

Dr. Daniel Callahan

Sullivan County Community Hospital

Dr. Eric Reichenbach

Parkview Wabash Hospital

 

Dr. Krystle Hahus

Lauren Keller and Pam Bond

Indiana University Health Paoli Hospital

Outstanding Critical Access Hospital Leadership Award

Kayla Gehlhausen

Perry County Memorial Hospital

Dr. Scott Smith

Chief Executive Officer / Medical Director

Adams Health Network

Dana Muntz

Vice President of Rural Healthcare

Ascension St. Vincent

 

Kara Moyer

Director of Quality Services

Gibson General Hospital

Gloria Barth

Quality/Performance Improvement Coordinator

Harrison County Hospital

Critical Access Hospital Hero Award

Jennifer Helt

Adams Health Network

Jon Crabill

Cameron Memorial Community Hospital

 

Annette Murray

Indiana University Health Tipton Hospital

 

Critical Access Hospital Patient and Family Experience Award

Amy Wickens

Decatur County Memorial Hospital

Matt Weber

Decatur County Memorial Hospital

 

Woodlawn Hospital

da Vinci Robot for OB/GYN and General Surgery Patients

 

Critical Access Hospital Community Partner Award

Heidi Woodworth & Cameron Memorial Community Hospital

Steuben County Parkinson’s Program

Franciscan Health Rensselaer & Appleseed Childhood Education

 

Rush Memorial Hospital and SPARC

Mental Health and Suicide Awareness and Prevention

Previous Award Winners

  • Community Star Award
    2024

    IUH Bedford

    Indiana Health Center Bedford and Southern Indiana Community Health Care Paoli

    2023

    Paula McKinney,  DNP, RN, NE-BC

    Vice President of Patient Care Service & Chief Nursing Officer

    Woodlawn Health

    2022

    Brian Herwig

    President and CEO

    Perry County Memorial Hospital

    2021

    Linda Webb, MBA, BSN, RN, NEA-BC

    Chief Nursing Officer

    Pulaski Memorial Hospital

  • Critical Access Hospital Awards (CAHs)

    National Organization State Office Rural Health Community Star Nominee

    2021

    Linda Webb

    Pulaski Memorial Hospital

    Most Improved In Medicare Beneficiary Quality Improvement Project Measures

    2018

    St. Vincent Warrick Hospital

Program Contacts

Joyce Fillenwarth | State Office Rural Health Manager & SHIP Coordinator

Division of Chronic Disease, Primary Care, and Rural Health

Office: 317-391-3953

jfillenwarth@health.in.gov