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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 2008 estimated population of 6,376,792 people – 1,387,419 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, 88.1% of the state’s population is white, 9.0% is African-American/Black, 1.4% is Asian, 0.3% is American Indian, and 5.0% is of Hispanic/Latino origin (2007).

There are 122 hospitals in Indiana, 38 of which are located in rural areas (North Carolina Rural Health Research and Policy Analysis Center, Dec. 2008). The state has 35 hospitals currently identified by the Flex Monitoring Team as Critical Access Hospitals (April, 2009). There are 59 Rural Health Clinics in Indiana (CMS, 2009), and 18 Federally Qualified Health Centers provide services at 86 sites in the state (Kaiser, 2008). Most Hoosiers have some form of health insurance coverage, although 11.6% of the state's residents lack any health insurance (Kaiser, 2006-2007).

According to the USDA Economic Research Service, the average per-capita income for all Hoosiers in 2007 was $33,215, although rural per-capita income lagged at $28,641. 2008 estimates indicate a poverty rate of 12.6% exists in rural Indiana, compared to a 13.0% level in urban areas of the State. Data from 2000 finds that 20.9% of the rural population has not completed high school, while only 16.9% of the urban population lacks a high school diploma. The unemployment rate in rural Indiana is at 6.6% while in urban Indiana it is at 5.7% (USDA-ERS, 2008).

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

North Carolina Rural Health Research and Policy Analysis Center

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.

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

Indiana Community Action Association (INCAA)
State/regional organization
Dedicated to helping 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, focused 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 and offering the highest quality service as a nationally recognized model of excellence for child support enforcement.

Indiana Department of Education: Center for Exceptional Learners
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 business to the state.

Indiana Family and Social Services Administration (FSSA)
State government
State agency providing 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 and sets standards of quality care for the provision of addictions and mental health services.

Indiana Family and Social Services Administration: Head Start Collaboration Office
State government
Supports Head Start efforts in Indiana. Head Start programs provide 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 Hospital Association (IHA)
State/regional organization
Represents 166 Hoosier hospitals and health systems. Works to provide leadership, representation, and services in the common best interests of its members as they promote the improvement of community health status.

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
Advocates for quality health care for all those residing in Indiana and supports the development of community oriented primary care initiatives.

Indiana Rural Health Association (IRHA)
State/regional organization
Provides leadership to improve rural health in Indiana 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
Focuses on improving disparities in preventable health conditions among minorities throughout the state.

Indiana State Office of Rural Health Programs (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.

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.

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. Located in Terre Haute, Indiana.

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.

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.

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
Web site
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
Web site
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Sponsoring organization: USDA Economic Research Service

Health Care Excel (HCE)
Web site
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.

Indiana Health Centers Data
Web site
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
Web site
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 Health Workforce: Highlights from the Health Workforce Profile
Web site
Highlights compile 2000 data on levels of employment, projected growth and key environmental factors that affect demand for health care. Details for medicine, nursing, dentistry, pharmacy, mental health and aides.
Sponsoring organization: National Center for Health Workforce Analysis

Indiana KIDS COUNT Data Center (KCDC)
Web site
Provides data on child well-being for the state.
Sponsoring organization: Annie E. Casey Foundation

Indiana QuickFacts
Web site
Basic 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
Web site
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
The latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Individual state profiles and 50-state comparisons.
Sponsoring organization: Kaiser Family Foundation

MedlinePlus Go Local
Web site
Offers information about health services in local geographic areas, including hospitals, physicians, nursing homes, support groups, health screening providers and many others.
Sponsoring organization: National Library of Medicine

National Healthcare Quality Report State Snapshot: Indiana
Web site
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
Web site
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

State Profiles- Indiana: Health Information Technology (HIT)
Web site
Profiles the state’s health information technology (HIT) issues. Contains sections on demographics, HIT legislation, telemedicine, Health Information Exchanges (HIE) & Regional Health Information Organizations (RHIO), grant funded HIT projects, and HIT survey information.
Sponsoring organization: Rural Health Resource Center

See also: Resources for All States: 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 May 2008.
Sponsoring organization: Indiana State Department of Health
Date: 2008

Indiana Medically Underserved Areas and Populations
Geographic coverage: Indiana
Shows Medically Underserved Areas (MUAs) and populations in Indiana, as of May 2008.
Sponsoring organization: Indiana State Department of Health
Date: 2008

Indiana Mental Health Professional Shortage Areas
Geographic coverage: Indiana
Shows mental health professional shortage areas (HPSAs) in Indiana, as of May 2008.
Sponsoring organization: Indiana State Department of Health
Date: 2008

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 May 2008.
Sponsoring organization: Indiana State Department of Health
Date: 2008

Indiana Rural Definition Maps
Geographic coverage: Indiana
Set of maps showing the geographic coverage provided by 9 different rural definitions for the state.
Sponsoring organization: USDA Economic Research Service

See also: Resources for All States: Maps

Funding

IFF
IFF is a nonprofit community development lender providing affordable, flexible and accessible loans to nonprofits serving low-income or special-needs populations.

Indiana Community Improvement/Development Grants
Grants which are used to support the funding of specific capital projects in the areas of arts and culture, education, and health and welfare.

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

Demographic and Economic Profile: Indiana
Sponsoring organization: Rural Policy Research Institute
Discusses demographic and economic data including population, race, education, age, poverty, health care services, and employment. Includes maps and graphics.
Date: 10 / 2008

Healthy Indiana Plan: Key Facts and Issues
Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured
Provides an overview of Indiana's new Medicaid waiver program, the Healthy Indiana Plan, which is the first that allows a state to use Medicaid funds to provide a benefit package modeled after a high-deductible plan and health savings account to previously uninsured adults. Executive Summary and an Issue Brief are available in PDF format.
Date: 06 / 2008

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: 2008

State Profiles - Indiana: Reforming the Health Care System
Sponsoring organization: AARP Public Policy Institute
Detailed profile of the state's health care system. Covers demographics, expenditures and financing, health status, utilization and quality of services, health care providers, Medicare, Medicaid, health insurance coverage, and key trends.
Date: 12 / 2005

See also: Resources for All States: Documents

Journals

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

Success Stories

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.

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.

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Page last updated 3/2/2010
State last reviewed 08/06/2009

Events
Jun 15 - 16, 2010
13th Annual Indiana Rural Health Conference
Indiana Rural Health Association
Indianapolis Marriott East
Indianapolis, IN
Contact:
  Tina Elliott
  812.478.3919
  telliott@indianarha.org


Apr 7 - 9, 2011
Seventh RCAP National Conference
Rural Center for AIDS/STD Prevention
Indiana Memorial Union, Indiana University campus
Bloomington, IN

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Maintained by:
Aubrey Madler
aubrey@raconline.org

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