General Healthcare Workforce
Leveraging Career Pathway Programs: State Strategies to Combat Health Care Workforce Shortages
The National Conference of State Legislatures provides an overview of programs states have implemented to address or mitigate workforce shortages. The report describes programs across various stages of education, including K-12, community college, and undergraduate programs.
|
University of Iowa Office of Statewide Clinical Education Programs (OSCEP) Annual Reports
OSCEP annually reports benchmarks, geographic distributions, access summaries, trends, and comparisons for Advanced Registered Nurse Practitioners, Dentists, Pharmacists, Physician Assistants, and Physicians.
Community Health Workers
Iowa Chronic Care Consortium Presents Community Health Workers: Iowa Success Stories

Over the course of the last three years, ICCC has invited Community Health Workers(CHWs) participating in the CHW Professional Skills course to share success stories -examples of situations the CHW assisted with that they felt especially good about or learned something important from. To date, 45 stories have been received. While each story is fascinating to read, they have been summarized and excerpted for brevity. This document highlights the information collected from these examples of CHW success in Iowa.

Community Health Worker Infographic
Dental Care
Factors Affecting Access to Dental Care for Seniors in Rural Iowa Infographic
Dentists seek first boost in Iowa Medicaid reimbursement rate in 20 years.
Dentists are urging Iowa Lawmakers to plug an extra 31-and-a-half million dollars in Iowa's Medicaid budget to cover dental care. Laurie Traetow, executive director of the Iowa Dental Association, says for the past 20 years, there’s been no change in what the state pays dentists who provide care to Iowans covered by Medicaid. Read more...

A tale of two public dental benefit programs: Iowa dentist participation in traditional Medicaid versus a Medicaid expansion Program

Delta Dental of Iowa Community Impact Report 2021

Iowa Dentist Workforce Atlas, 1997-2016: 20 Years of the Dentist Tracking System.
Maternal Care
The Crisis in Rural Maternity Care
According to the Center for Healthcare Quality & Payment Reform, 61%(57) of Iowa's rural hospitals are no longer delivering babies. Median minutes to alternative OB hospitals is 30 minutes.
Most rural hospitals in the US no longer deliver babies. Maternity care is far away for mothers in many rural communities. The travel time to a hospital with labor and delivery services is under 20 minutes, but in rural areas, the travel time is likely to be at least 30 minutes, and it is often 40 minutes or more. |
Mental and Behavioral Health Care
Understanding the U.S. Behavioral Health Workforce Shortage
Whether because of provider availability, cost, or stigma associated with seeking treatment, accessing behavioral health services is unnecessarily complex for Americans — especially for people in rural or underserved areas. A new Commonwealth Fund explainer helps us understand what’s going on. It discusses the many different types of behavioral health providers in the U.S., the barriers people face in getting services, and ways in which the nation can bolster the workforce to meet the growing demand for care.
|
New Health Care Scorecard: Across States, a Spike in Preventable Deaths, Untreated Mental Health Needs, and Millions in Medical Debt
Across the country, states are grappling with a surge in preventable deaths and unaddressed mental health needs — particularly in adolescents — according to the latest edition of the Commonwealth Fund’s Scorecard on State Health System Performance.
|
A Survey of Psychologist Demographic Characteristics and Factors that Influence the Practice of Psychology in Iowa
The Iowa Psychological Association released a Survey of Psychologist Demographic Characteristics and Factors that Influence the Practice of Psychology in Iowa. The purpose of the survey was to to examine psychologist demographic characteristics, issues related to the business of psychology (e.g., billing/reimbursement), factors that influence the practice of psychology (e.g., delivering psychological services and access to care concerns), and how psychologists uniquely contribute to the well-being and public health of Iowans.
|
Primary Care
Health Workforce Research Alert PA and NP Onboarding in Primary Care: The Participant Perspective
This article examines newly-graduated PA and NP perspectives of onboarding programs in their first primary care position and provides recommendations for employers hoping to create or strengthen onboarding programs.
|
CONNECTION IS RETENTION: Lessons from Leaders with Unusually High Nurse Retention
Crucial Learning and The American Organization for Nursing Leadership (AONL) surveyed 1,559 nurse managers and 562 clinical staff in March 2023 to identify drives of nursing turnover and retention.
|
Rural Pharmacies Provide Multi-Faceted Value to Rural Communities
Rural community pharmacies are often vital sources for prescriptions, vaccinations, patient education, and other healthcare needs, but the RUPRI Center for Rural Health Policy Analysis reported a decrease in the number of rural pharmacies from 2003 to 2021. A pharmacy chain in the Midwest, a pharmacy-based research network in the South, and an Illinois school of pharmacy discuss the rewards and challenges of operating in rural areas. This article features NuCara pharmacies located across Iowa and founded by TJ Johnsrud, a former IRHA Jerry Karbeling award winner. Read the full article, written by IRHA Board Secretary Whitney Zahnd, in The Rural Monitor here.
|
National Reports
Access & Affordability The state of the U.S. health system in 2022 and the outlook for 2023
In this brief, Peterson-KFF Health System presents a dashboard showing health spending in the US that far exceeds what peer countries spend and growing out-of-pocket costs. Besides assessing the current state of the US health system, there is a discussion of 2023 in the context of the ending of the public health emergency, depletion of federal COVID funds, and strain on the healthcare workforce.
|
Health Care Capsule Accessing Health Care in Rural America
This capsule draws from a number of GAO reports to describe examples of health care access challenges faced by people living in rural areas and federal efforts to help address those challenges.
|
Rural Healthy People 2030: Common Challenges, Rural Nuances
This study reports the findings of Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Data was collected from a survey given to rural stakeholders and identified the top 20 Healthy People priorities for rural America.
|
National Plan for Health Workforce Well-Being |
The state of rural healthcare. Research report and outlook for 2023
|
Strengthening the
|
Rural Population Health in the United States: A Chartbook
|
Interim CMS Rural Health Clinic (RHC) Rural Location Determinations due to Census Bureau (CB) Regulatory Changes |
Rural Health Information
Iowa Health Professional Shortage Area Maps
A Health Professional Shortage Area (HPSA) is an area, population group, or facility designated by the Health Resources and Services Administration, as having an acute shortage of primary health care professionals. An HPSA may be obtained for primary medical care, dental health care, and/or mental health care. Programs, such as the National Health Service Corps Loan Repayment Program, Primary Care Provider Loan Repayment Program, and J-1 Visa Waiver Program use HPSA designations as eligibility criteria.