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Indiana

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Indiana is in the Great Lakes region of the United States, with shoreline on Lake Michigan. The state is located in the Corn Belt, and most years has almost half of its cropland devoted to corn. Residents of Indiana are known as Hoosiers, which is also the team name for Indiana University athletic teams. Indiana covers 35,867 square miles, with a 2011 estimated population of 6,516,922 people – 1,404,331 living in rural Indiana (USDA-ERS). Indianapolis, the capital, is located in the central part of the state. The state’s largest cities are Indianapolis, Fort Wayne, and Evansville. According to the U.S. Census Bureau, 86.8% of the state’s population is white, 9.4% is African-American/Black, 1.7% is Asian, 0.4% is American Indian, and 6.2% is of Hispanic/Latino origin (2011).

There are 125 hospitals in Indiana (Kaiser, 2010), 38 of which are located in rural areas (Indiana State Office of Rural Health, 2012). The state has 35 hospitals currently identified by the Flex Monitoring Team as Critical Access Hospitals (March 2013). There are 64 Rural Health Clinics in Indiana (Kaiser, 2012), and 19 Federally Qualified Health Centers provide services at 89 sites in the state (Kaiser, 2011). Most Hoosiers have some form of health insurance coverage, although 13.0% of the state's residents lack any health insurance (Kaiser, 2011).

According to the USDA Economic Research Service, the average per-capita income for all Hoosiers in 2010 was $33,981, although rural per-capita income lagged at $30,111. Estimates from 2010 indicate a poverty rate of 14.7% exists in rural Indiana, compared to a 15.4% level in urban areas of the State. 2010 ACS data reports that 14.0% of the rural population has not completed high school, compared to 13.8% of urban populations. The unemployment rate in rural Indiana is at 9.4% while in urban Indiana it is at 8.9% (USDA-ERS, 2011).

For a national comparison, please see an overview of the United States.


Data Sources
U.S. Census Bureau: State & County QuickFacts; USDA Economic Research Service: State Fact Sheets; Indiana State Office of Rural Health; Kaiser Family Foundation State Health Facts; Flex Monitoring Team: Critical Access Hospital List

State Contacts

Directory of Rural Health Contacts: Indiana
Contact information for people and organizations in Indiana with an interest in rural health.

Organizations

Covering Kids & Families of Indiana
State/regional organization
Works to ensure that all children and families eligible for Medicaid and the State’s Children’s Health Insurance Program (SCHIP) are enrolled.

Family Voices Indiana
State/regional organization
Works to achieve family-centered care for children and youth with special health care needs and/or disabilities by providing families with tools to make informed decisions, advocating for improved public and private policies, building partnerships among professionals and families, and serving as a resource on health care.

Great Lakes Rural Community Assistance Program (RCAP)
State/regional organization
Assists rural low-income individuals and underserved populations in developing and maintaining community infrastructure to improve rural quality of life through a network of community action agencies.

Health Care Excel (HCE)
Nonprofit/Foundation
Evaluates health-care quality, clinical appropriateness, and outcome assessments. Also designs customized management solutions and develops appropriate educational programs to significantly improve the delivery of health services. Leads the Central Indiana Aligning Forces for Quality (AF4Q) efforts, which is sponsored by the Robert Wood Johnson Foundation.

HUD Community Development Block Grants: Indiana (CDBG)
Federal government
Contact information for the State CDBG program. Provides funding for community development projects.

IFF
Nonprofit/Foundation
Provides loans to nonprofits in IL, IN, IA, MO, and WI, which serve low-income or special-needs populations. Loans can be used for facility or equipment projects such as community health centers, including construction, acquisition, rehabilitation, purchase of equipment or furnishings, and facility improvements to leased or owned space.

Indiana Area Health Education Center Program (AHEC)
State/regional organization
Works to improve the supply, distribution, generalist-specialist balance, and quality of health care professionals. Consists of eight regional AHECs in the state including North Central, East, Metropolitan Indianapolis/Central, Northeast, Northwest, South Central, Southwest, and West Central.

Indiana Community Action Association (INCAA)
State/regional organization
Helps low income families attain the skills, knowledge, and motivation necessary to achieve self-sufficiency. Includes the Indiana Rural Community Assistance Program (RCAP), which helps support rural community infrastructure.

Indiana Department of Child Services
State government
Child welfare agency for Indiana, which focuses on child protection and child support enforcement.

Indiana Department of Child Services: Child Support
State government
Helps children thrive by providing financial stability to their families. Works to protect children from abuse and neglect by partnering with families and communities to provide safe, nurturing, and stable homes.

Indiana Department of Education: Office of High Ability Education
State government
Provides leadership and state-level support for public school gifted and talented (grades K-12) programs and for students with disabilities from ages 3-21.

Indiana Department of Workforce Development (DWD)
State government
Manages and implements innovative employment programs, unemployment insurance systems, and facilitates regional economic growth initiatives for Indiana.

Indiana Economic Development Corporation (IEDC)
State government
Indiana's lead economic development agency. Focuses on growing and retaining businesses in Indiana and attracting new businesses to the state.

Indiana Family and Social Services Administration (FSSA)
State government
Provides services for low income individuals and families, children, senior citizens, people with mental illness, people with addictions, and people with physical and developmental disabilities.

Indiana Family and Social Services Administration: Bureau of Developmental Disabilities Services (BDDS)
State government
Plans, develops and administers a variety of services for people who have developmental disabilities.

Indiana Family and Social Services Administration: Division of Mental Health and Addiction
State government
Helps people with mental illness or addiction who are uninsured or underinsured to receive treatment and re-integrate into the community. Sets standards of quality care for the provision of addictions and mental health services.

Indiana Family and Social Services Administration: Head Start & Early Head State in Indiana
State government
Supports Head Start efforts in Indiana by providing comprehensive child development programs for low-income children and their families.

Indiana Family and Social Services Administration: Vocational Rehabilitation Services (VRS)
State government
Provides quality, individualized services to enhance and support people with disabilities to prepare for, obtain, or retain employment.

Indiana Health Information Technology Extension Center (I-HITEC)
State/regional organization
Indiana State Health Information Technology Regional Extension Center (REC) that helps health care providers become meaningful users of electronic health records by providing information and technical assistance.

Indiana Hospital Association (IHA)
State/regional organization
Represents Indiana hospitals and health systems. Works to provide leadership, representation, and services. Includes hospital directory, reports, news, and a section on rural health.

Indiana Housing and Community Development Authority (IHCDA)
State government
Works to create affordable housing for rent or purchase as well as supportive facilities, through homeownership, rental housing, and community development programs in Indiana.

Indiana Office of Community and Rural Affairs (OCRA)
State government
Serves Indiana's rural communities through technical, financial, and personal assistance. Supports community development efforts in rural Indiana.

Indiana Primary Health Care Association (IPHCA)
State/regional organization
Works to ensure that all those living in Indiana have a health care home, such as a Community Health Center, where they can receive quality care regardless of economic status, background, or location.

Indiana Rural Health Association (IRHA)
State/regional organization
Works to improve the health of all Indiana citizens in rural settings. Provides leadership through conferences, education, and communication.

Indiana State Department of Health (ISDH)
State government
Serves to promote, protect, and provide for the public health of people in Indiana.

Indiana State Department of Health: Office of Minority Health
State government
Works to improve disparities in preventable health conditions among minorities throughout Indiana.

Indiana State Office of Rural Health (InSORH)
State government
Promotes the health of rural residents through education, conferences, publications, and various initiatives. A division of the Indiana State Department of Health. The department is supervised by the Director of the Primary Care Office.

Indiana Tobacco Prevention and Cessation
State government
Responsible for implementing Indiana's comprehensive tobacco prevention and cessation program. Works to prevent and reduce the use of all tobacco products in Indiana and to protect citizens from exposure to tobacco smoke.

National Network of Libraries of Medicine, Greater Midwest Region (NN/LM-GMR)
State/regional organization
Works to improve access to health information for health professionals, librarians and members of the public in Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, North Dakota, Ohio, South Dakota, and Wisconsin.

North Central Regional Center for Rural Development (NCRCRD)
State/regional organization
One of four regional rural development centers in the nation. Works with extension professionals, researchers, and partners to enhance rural development outcomes. Serves a 12 state area in the North Central region which includes ND, SD, NE, KS, MN, IA, MO, WI, IL, IN, MI, and OH.

Purdue Center for Regional Development
State/regional organization
Conducts research, develops partnerships among stakeholders, assists with strategic planning, and supports creative, regional approaches to economic and community development.

Purdue Regenstrief Center for Healthcare Engineering (RCHE)
Academic/Research
Applies the principles of engineering, science, and management to study and improve the healthcare system. Part of Purdue University's School of Industrial Engineering.

Richard G. Lugar Center for Rural Health
State/regional organization
Works to prepare and train primary care physicians for successful rural practice and to expose individuals not yet decided on a career to the rewards of delivering health care services in a rural area.

Rural Health Innovation Collaborative (RHIC)
State/regional organization
Works to address the health care workforce shortage issues in rural Indiana through working groups focusing on finance, communications, education, economic development, and facilities.

Tri-State Regional Extension Center
State/regional organization
Serves southwestern Ohio, northeastern Kentucky, and south-central Indiana. State Health Information Technology Regional Extension Center (REC) that helps health care providers become meaningful users of electronic health records by providing information and technical assistance.

U.S. Department of Housing and Urban Development: Indiana (HUD)
Federal government
Works to increase homeownership, support community development, and increase access to affordable housing. The HUD state office provides information about HUD housing programs and local contacts for the state.

Upper Midwest Telehealth Resource Center
State/regional organization
One of the telehealth resource centers funded by the federal Office for the Advancement of Telehealth. Assists health care organizations, health care networks, and health care providers in the implementation of cost-effective telehealth programs to serve rural and medically underserved areas and populations. Includes Indiana, Illinois, Michigan, and Ohio.

USDA Rural Development Indiana State Office
Federal government
Committed to helping improve the economy and quality of life in all of rural America. The Rural Development State Office provides information about Rural Development programs and applications for financial assistance.

Tools

Breaking New Ground Outreach Program
Website
Serves farmers and rural families in Indiana who have been impacted by disabilities. Provides farm assessments, assistive technology recommendations, and related services. Part of the USDA Agrability Program.
Sponsoring organization: Purdue University Cooperative Extension Service

ERS State Fact Sheet: Indiana
Website
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Sponsoring organization: USDA Economic Research Service

Indiana Health Centers Research & Data
Website
Provides access to information on Federally Qualified Health Centers for the state. Includes a map of FQHC locations, as well as information on the populations served by health centers, services provided, staff, patient visits, costs of care, and use of electronic health information.
Sponsoring organization: National Association of Community Health Centers

Indiana Health Professional Shortage Area and Medically Underserved Area Designations
Website
Presents an overview of the Health Professional Shortage Area (HPSA) and Medically Underserved Area (MUA) designations. Includes lists of Indiana HPSAs and MUAs.
Sponsoring organization: Indiana State Department of Health

Indiana KIDS COUNT Data Center (KCDC)
Website
Provides data on child well-being for the state. Includes profiles for many Indiana locations; rankings, maps, or trend graphs by topic; and raw data. Includes over 100 measures of child well-being, community-level data.
Sponsoring organization: Annie E. Casey Foundation

Indiana QuickFacts
Website
Provides demographic and economic statistics for the state, with links to county-level data.
Sponsoring organization: U.S. Census Bureau

Indiana State Department of Health: Programs Using Shortage Designations
Website
Provides information on programs to help recruit primary care providers to serve in underserved communities in Indiana. Programs include the National Health Service Corps (NHSC) Scholarship and Loan Repayment, J-1 Visa Waivers, National Interest Waivers (NIW), and the State Loan Repayment Program (SLRP).
Sponsoring organization: Indiana State Department of Health

Indiana State Health Facts
Database
Provides state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Includes individual state profiles and 50-state comparisons.
Sponsoring organization: Kaiser Family Foundation

National Healthcare Quality Report State Snapshot: Indiana
Website
Health care quality report for the state, based on the National Healthcare Quality Report.
Sponsoring organization: Agency for Healthcare Research and Quality

NN/LM Greater Midwest Region: Indiana Resources
Website
Overview of the state, with links to state agencies, health workforce profiles, health associations, and other resources for Indiana.
Sponsoring organization: National Network of Libraries of Medicine, Greater Midwest Region

See also: State-by-State Resources: Tools

Maps & Map Collections

Indiana Dental Health Professional Shortage Areas and Populations
Geographic coverage: Indiana
Shows dental health professional shortage areas (HPSAs) and population in Indiana, as of July, 2012.
Sponsoring organization: Indiana State Department of Health
Date: 2012

Indiana Medically Underserved Areas and Populations
Geographic coverage: Indiana
Shows Medically Underserved Areas (MUAs) and populations in Indiana, as of July, 2012.
Sponsoring organization: Indiana State Department of Health
Date: 2012

Indiana Mental Health Professional Shortage Areas
Geographic coverage: Indiana
Shows mental health professional shortage areas (HPSAs) in Indiana, as of July, 2012.
Sponsoring organization: Indiana State Department of Health
Date: 2012

Indiana Primary Care Health Professional Shortage Areas and Populations
Geographic coverage: Indiana
Shows primary care health professional shortage areas (HPSAs) and populations in Indiana, as of July, 2012.
Sponsoring organization: Indiana State Department of Health
Date: 2012

See also: State-by-State Resources: Maps

Funding

Dollar General Youth Literacy Grants
Funding to schools, public libraries, and nonprofit organizations to help students who are below grade level or experiencing difficulty reading.

Gannett Foundation Community Action Grants
Supports local organizations with funding priority given to programs that focus on education and neighborhood improvement, economic development, youth development, community problem-solving, assistance to disadvantaged people, environmental conservation, and cultural enrichment.

Georgia-Pacific Foundation Grants
Grants for organizations projects that focus on education, the environment, community enhancement, affordable housing, arts and culture, and entrepreneurship.

Gladys Brooks Foundation Grants
Offers grants for libraries, educational institutions, hospitals, and clinics.

IFF Loan Fund
Offers loans to nonprofits serving low-income or special-needs populations for facilities, equipment, vehicles, construction of affordable housing, and food programs.

Jewel-Osco In Your Community
Funding to nonprofit and school programs for hunger relief, health, and nutrition.

National Network of Libraries of Medicine Greater Midwest Region Funding
Provides funding for National Network of Libraries members located in the greater Midwest region to assist them in conducting outreach and technology projects.

Wells Fargo Corporate Giving Programs
Funding for nonprofit organizations in the areas of community development, education, human services, arts and culture, civic responsibility, and environmental consciousness.

Inactive Funding

Inactive Funding Opportunities - Lists additional funding programs for this state that are not currently accepting applications. Programs that are inactive may be offered again in the future.

Documents, Reports and Other Publications

A.I.M. For Better Health: A Community Health Needs Assessment for Southwest Ohio and Southeast Indiana
Sponsoring organization: Ohio Department of Health
Includes data and profiles for both urban and rural counties in southwest Ohio and southeast Indiana.
Date: 2012

Around the Country: Afternoons ROCK for Indiana Teenagers
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Highlights the ROCK after-school program in communities throughout Indiana. The program teaches youth about social and media influences, conflict resolution and refusal/resistance skills, gang and violence prevention, avoidance of gambling, and structuring their leisure time to be free of alcohol, tobacco, and other drug use.
Journal citation: Rural Monitor Volume 2011 Issue Summer
Date: 08 / 2011

Indiana State Rural Health Plan
Sponsoring organization: Indiana State Office of Rural Health
Captures the economic, workforce, and health care needs of counties served by Indiana’s critical access hospitals. Discusses five directives to be addressed including rural health service quality and access, funding strategies, utilizing existing expertise, clinical practice, and communication between critical access hospitals and state policy makers.
Date: 07 / 2011

Midwest National Health Service Corps Retention Toolkit
Sponsoring organization: National Rural Recruitment & Retention Network
Provides tools to assist National Health Service Corps (NHSC) sites with the retention of health care providers.
Date: 2012

Past Silos and Smokestacks: Transforming the Rural Economy in the Midwest
Author(s): Mark Drabenstott
Sponsoring organization: Chicago Council on Global Affairs
Discusses a development strategy that includes regional cooperation, innovation, and a leveraging of all strengths for the rural Midwest to transform its economy.
Date: 2010

Prevalence of Cardiovascular Disease and Associated Risk Factors in the Old Order Amish in Northern Indiana: A Preliminary Study
Author(s): Deborah R. Gillum, Beth A. Staffileno, Karon S. Schwartz, Lola Coke, Louis Fogg
Presents the results of a study to determine the prevalence rates, risk factors, and types of treatments used to prevent and treat cardiovascular disease among a sample of the adult Amish in rural, northern Indiana.
Journal citation: Online Journal of Rural Nursing and Health Care Pages: 28-37
Date: 09 / 2010

Small Business Profile: Indiana
Sponsoring organization: Small Business Administration
Profile of the state's economy, covering the number of firms, industry composition, small business income, banking, women and minority business ownership, and employment.
Date: 2 / 2013

See also: State-by-State Resources: Documents

Journals

Indiana - News You Can Use
Monthly newsletter of the Indiana Rural Health Association (IRHA).
Sponsoring organization: Indiana Rural Health Association

Success Stories

Lifestyles Diabetes Project
The project is designed to achieve diabetes awareness and prevention for citizens in the two counties and to provide education and support on self-management for many who have already developed the condition.

Washington County Rural Health Outreach Grant Program
The goal of the project was to enable residents to access health care and education services—either by transporting residents to locations where these services were offered or by providing these services closer to where the county’s most rural residents live via clinics and outreach events.

Community Health and Wellness Project
The goal of this project is to improve the health and wellness of people living in the rural communities of Fayette, Franklin, and Rush counties in Indiana, especially the low income and elderly.

Page last updated 4/24/2013
Topic last reviewed 1/23/2013

Events
Aug 6, 2013
2013 IRHA Leadership Seminar
Indiana Rural Health Association
JW Marriott
Indianapolis, IN
Contact:
  Tina Elliott
  812.478.3919 x222
  telliott@indianarha.org


Aug 7 - 8, 2013
2013 16th Annual IRHA Conference
Indiana Rural Health Association
Conference theme: Rural Health - Adapting for a Healthier Future
JW Marriott
Indianapolis, IN
Contact:
  Tina Elliott or Laura Carlson
  812.478.3919
  info@indianarha.org


Oct 23 - 25, 2013
2013 NARHC Fall Institute
National Association of Rural Health Clinics
Crowne Plaza at Historic Union Station
Indianapolis, IN
Contact:
  866.306.1961
  meetings@narhc.org


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Funding for this project was supported by Grant Number U56RH05539 from the Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services. The contents of this website are solely the responsibility of the authors and do not necessarily represent the official views of the funder.