Maria Parham Health CEO Bert Beard said the state of health care in this area is in a pretty good spot these days. That doesn’t mean that rural hospitals like Maria Parham don’t continue to face challenges, but Beard said hospitals in other markets are facing some of the same things.

Beard was a guest on Thursday’s TownTalk to discuss some of the trends that he’s seeing from his vantage point.

Medicaid expansion, he said, is allowing more uninsured or under-insured residents access to health care. The number of new enrollees is about half a million, approaching the prediction of about 600,000 in North Carolina.

“We’re lagging a bit in Vance County,” he said, but health care professionals at MPH as well as Granville Vance Public Health and others are always looking for new enrollees.

With rising costs and the constant demand to find qualified health care employees, Beard said the Medicaid expansion “has given us a lifeline that we desperately needed.”

Beard said he and his colleagues knew hospitals were headed down a path to a health care provider shortage, but the COVID-19 pandemic hastened that process. Without adequate staff, some small hospitals simply couldn’t afford to keep the doors open, which only brings more challenges to the rural areas they serve.

“Services are going away that are vital,” he said. One of those is maternal services. It’s critical that expectant moms be within, say, an hour of a hospital that provides those services, for the safety of the mom and the child.

When he spoke at the April 23 “state of health care” forum sponsored by the Henderson-Vance County Chamber of Commerce, Beard said top on people’s minds was the mental health crisis that is so often in the news.

He looks forward to the Emergency Department’s Safe Space project that has received funding and said it will transform how patients in crisis can be managed when they come through the Emergency Department.

Mental health issues are multi-dimensional and under-resourced, Beard said, noting that psychological issues are often entangled in social issues and substance abuse, which exacerbate the problem.

“We’ve got to be more deliberate in how we invest in that,” he said. Public-private partnerships like MPH behavioral health services in Louisburg is something that Beard said he is quite proud of.

Whether through collaboration or providing quality health care by Duke physicians and others, Maria Parham is poised to keep patients across the region it serves top of mind when it comes to community care.

It must be a mutually supportive relationship, however, Beard said. When you seek care, seek local care first.

“It’s more important than ever,” he said, that “when people have good available local health care, that they choose it – the alternative is that health care goes away if it’s not supported locally.”

“We’re working every day to get better every day. That comes with a mutually supportive relationship with our community.”

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