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Health care leaders say community involvement is key in response to rural hospital closure

By Abigail Ruhman

Posted June 19, 2024

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Nancy Radcliff in front of a healthcare presentation

Nancy Radcliff is the CEO of Southern Indiana Community Health Care — one of the organizations that helped develop the response. She said people need to be informed about what resources are still available, but getting people that information can be difficult. (Abigail Ruhman/IPB News)

When a critical access hospital in southern Indiana closed in 2022, health care leaders invited the community to contribute to a response plan.

Several of those leaders say community involvement was an important part of ensuring access to care.

Health care leaders only had a few months to create a plan before Ascension St. Vincent Dunn closed in late 2022. They had to quickly identify and solve challenges that are unique to rural communities.

“The community was talking about it, yes, but there was no public newspaper anymore,” Radcliff said. “And there was one radio station for marketing.”

Radcliff said community partnerships helped health care leaders find ways to connect with patients and understand the community’s biggest concerns – and address them.

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Larry Bailey, COO of IU Health Bedford Hospital, said Bedford is unique compared to other rural hospital closures because the community had a second hospital.

However, some of the services offered at Ascension weren’t available at IU Health Bedford. One big loss was obstetrics care, so Bailey said IU Health hired an OB navigator.

“They're aware of what resources are available to them in the community, what doctors are taking patients, and really guiding those expectant mothers, through their journey, up to and even following, the birth of their child there,” Bailey said.

Health care leaders also worked with the community to address concerns around other losses, such as primary care and some social services.

Abigail is our health reporter. Contact them at aruhman@wboi.org.