ByIowaWatch database of U.S. HHS data compiled by Lyle Muller |
This story is part of a nationwide collaboration of Institute for Nonprofit News members examining the affect COVID-19 is having on rural health care. IowaWatch reporting in this project was made possible by support from the Solutions Journalism Network, a nonprofit organization dedicated to rigorous and compelling reporting about responses to social problems.
Relief payments distributed by the U.S. Department of Health and Human Services through the Health Resources and Services Administration have gone to the following Iowa hospitals. The funds come via two 2020 laws — the CARES Act and the Paycheck Protection Program and Health Care Enhancement Act — during the COVID-19 pandemic. These data are of May 13, 2020, and can change because of updates. Healthcare providers have 45 days from the day they receive each of the fund distributions to attest to receiving payment and agree to terms and conditions, Susan Horras, vice president for finance policy at the Iowa Hospital Association, wrote in an email to IowaWatch.
Iowa hospitals received $190.3 million in CARES Act relief fund payments in April and were expecting as much as $360 million more in a second round of federal relief aid, interviews and documents shared with IowaWatch show. Part of a special national collaboration, “Slammed: Rural Health Care and COVID-19”
ByClaire Hettinger and Pam Dempsey/Midwest Center for Investigative Reporting |
With farmers facing increasing stress and depression, Midwestern states and national farm groups are making more efforts to better provide services to alleviate the high rate of suicide among the agriculture industry. Yet in rural areas, this care is more of a challenge. Rural hospitals — often the primary source of health care services in these areas — are closing or merging. Since 2010, 23 hospitals have closed across the Midwest — a loss of nearly 1,000 beds, according to the North Carolina Rural Health Research Program.
An Institute for Nonprofit News investigation by 12 news outlets across seven states found that rural Midwest hospitals have reduced services or merging with larger health systems in an effort to deal with financial and regulatory pressures. Only two of those Midwestern hospitals were in Illinois, but accessing mental health services in rural communities remains difficult. Some groups have decided to address the situation themselves.
A collaborative project including the Institute for Nonprofit News and INN members IowaWatch, KCUR, Bridge Magazine, Wisconsin Watch, Side Effects Public Media and The Conversation; as well as Iowa Public Radio, Minnesota Public Radio, Wisconsin Public Radio, The Gazette (Cedar Rapids, IA), Iowa Falls Times Citizen and N’west Iowa REVIEW. The project was made possible by support from INN, with additional support from the Solutions Journalism Network, a nonprofit organization dedicated to rigorous and compelling reporting about responses to social problems. For more stories visit hospitals.iowawatch.org
For example, the organization GROW sets up meetings over Zoom, a video conferencing app, to help those in rural areas experiencing mental health issues.And more than a dozen farm bureau managers in Illinois have taken mental health first aid classes that help people recognize signs of distress. Harry Brockus — the chief executive officer of Carle Hoopeston and Carle Richland in Central Illinois, a collection of hospitals that serves 41 mostly rural counties — said there is a physician shortage across the country and recruitment to rural areas is an even bigger challenge.
“We do not offer the amenities that physicians are looking for,” he said, “such as shopping, schools and different entertainment venues.”
Other challenges in rural areas, such as transportation, housing and access to healthy food, can make rural healthcare costs inefficient and unaffordable, Brockus said.
This has left rural America in a bind when it comes to care for mental health.