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Telehealth is Transforming the Delivery of 
Healthcare in Alabama and the World! 
Dale E. Quinney, Executive Director 
Alabama Rural Health Association 
arha@arhaonline.org 
(334)546-3502 
3rd Alabama Rural Health & Telehealth Summit 2014 
Birmingham 
October 16, 2014
Alabamians Have Very Serious and Challenging 
Health Care Concerns 
• 3rd highest age-adjusted death rate among all 50 states (2nd unadjusted) 
• Life expectancy 3 years below that for the nation 
• Highest stroke death rate among all 50 states 
• 3rd highest heart diseases death rate among all 50 states 
• 7th highest cancer death rate among all 50 states 
• 2nd highest percent of adults who have had their blood cholesterol checked 
and were told that it was high (42 percent) 
• 3rd highest chlamydia and gonorrhea infection rates among all 50 states 
• 5th highest percentage of adult obesity among all states (33 percent) 
• 3rd highest homicide death rate among all states 
• 5th highest motor vehicle accident death rate among all states 
• 9th highest percent of adult tobacco usage (24 percent)
Alabama’s Top 13 Health Issues 
1. Access to Care 
2. Mental Health and Substance Abuse 
3. Poor Pregnancy Outcomes 
4. Nutrition and Physical Activity 
5. Circulatory Diseases 
6. Sexually Transmitted Infections 
7. Cancer 
8. Child Abuse and Neglect 
9. Diabetes 
10. Geriatrics 
11. Injury and Violence Prevention 
12. Dental Health 
13. Tobacco Use
Concern: 
Access to Care
Primary Care Physicians Actively Practicing 
In Alabama Counties By Age, 2012 
<31 35 40 45 50 55 60 65 70 75 80+ 
Source: Alabama Medical Licensure Commission ‘s 2012 Licensed Physician Data Base. 
Total = 3,056 
Age Not Given = 4 
Average Age = 51.6 years 
Median Age = 52
SELECTED COUNTIES WITH HIGHER 
PERCENTAGES OF HOUSEHOLDS WITH NO 
VEHICLE
Concern: 
Mental Health and 
Substance Abuse
Concern: 
Poor Pregnancy 
Outcomes
A PICTURE OF THE LOSS OF RURAL OBSTETRICAL SERVICE IN ALABAMA SINCE 1980 IN MAPS 
46 of the 54 counties currently considered RURAL 
had hospitals providing obstetrical service in 1980 
17 of the 54 counties currently considered RURAL 
have hospitals providing obstetrical service TODAY 
Produced by the Alabama Department of Public Health, Office of Primary Care and Rural Health and the Alabama Rural Health Association, January 31, 2014. The defining of counties as being 
rural or urban is based upon a definition that is used for study purposes by these agencies.
MAJOR CHALLENGES TO REALIZING 
THE FULL POTENTIAL OF TELEHEALTH 
IN ALABAMA 
Inadequate reimbursement for telehealth services 
Lack of universal broadband access in Alabama 
Lack of understanding of what telehealth currently is 
and what it is going to become 
Perception that telehealth equipment is too expensive

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Dale Quinney Transforming Rural AL

  • 1. Telehealth is Transforming the Delivery of Healthcare in Alabama and the World! Dale E. Quinney, Executive Director Alabama Rural Health Association arha@arhaonline.org (334)546-3502 3rd Alabama Rural Health & Telehealth Summit 2014 Birmingham October 16, 2014
  • 2. Alabamians Have Very Serious and Challenging Health Care Concerns • 3rd highest age-adjusted death rate among all 50 states (2nd unadjusted) • Life expectancy 3 years below that for the nation • Highest stroke death rate among all 50 states • 3rd highest heart diseases death rate among all 50 states • 7th highest cancer death rate among all 50 states • 2nd highest percent of adults who have had their blood cholesterol checked and were told that it was high (42 percent) • 3rd highest chlamydia and gonorrhea infection rates among all 50 states • 5th highest percentage of adult obesity among all states (33 percent) • 3rd highest homicide death rate among all states • 5th highest motor vehicle accident death rate among all states • 9th highest percent of adult tobacco usage (24 percent)
  • 3. Alabama’s Top 13 Health Issues 1. Access to Care 2. Mental Health and Substance Abuse 3. Poor Pregnancy Outcomes 4. Nutrition and Physical Activity 5. Circulatory Diseases 6. Sexually Transmitted Infections 7. Cancer 8. Child Abuse and Neglect 9. Diabetes 10. Geriatrics 11. Injury and Violence Prevention 12. Dental Health 13. Tobacco Use
  • 5. Primary Care Physicians Actively Practicing In Alabama Counties By Age, 2012 <31 35 40 45 50 55 60 65 70 75 80+ Source: Alabama Medical Licensure Commission ‘s 2012 Licensed Physician Data Base. Total = 3,056 Age Not Given = 4 Average Age = 51.6 years Median Age = 52
  • 6.
  • 7. SELECTED COUNTIES WITH HIGHER PERCENTAGES OF HOUSEHOLDS WITH NO VEHICLE
  • 8. Concern: Mental Health and Substance Abuse
  • 10. A PICTURE OF THE LOSS OF RURAL OBSTETRICAL SERVICE IN ALABAMA SINCE 1980 IN MAPS 46 of the 54 counties currently considered RURAL had hospitals providing obstetrical service in 1980 17 of the 54 counties currently considered RURAL have hospitals providing obstetrical service TODAY Produced by the Alabama Department of Public Health, Office of Primary Care and Rural Health and the Alabama Rural Health Association, January 31, 2014. The defining of counties as being rural or urban is based upon a definition that is used for study purposes by these agencies.
  • 11. MAJOR CHALLENGES TO REALIZING THE FULL POTENTIAL OF TELEHEALTH IN ALABAMA Inadequate reimbursement for telehealth services Lack of universal broadband access in Alabama Lack of understanding of what telehealth currently is and what it is going to become Perception that telehealth equipment is too expensive