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Supreme Court strikes down most of Trump's tariffs in a major blow to the president; AL nursing apprenticeships help close gaps in profession; The future of construction: University of Washington's living structures; Shining the spotlight on caregivers in Michigan and the nation.

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President Trump gives Iran a timeline on diplomacy amid stalled nuclear talks. Americans feel the pinch of higher prices, despite Trump's assertion that tariffs are working as expected and a former DHS official says enforcement is off the rails.

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An Illinois university is trying to fill gaps in the nationwide pharmacy shortage, Alabama plans to address its high infant mortality rate using robots in maternal care and neighbors helping neighbors is behind a successful New England weatherization program.

ND rural hospitals embrace teamwork mentality to stay afloat

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Wednesday, October 2, 2024   

This month, a North Dakota network of rural hospitals enters its second year of trying to make local operations more efficient, so they can keep the doors open for patients and keep their local communities thriving.

The Rough Rider High-Value Network was announced in October 2023. It is made up of 23 independent, critical access hospitals in smaller towns and cities across the state. Leaders from the facilities share best practices and ways to keep costs lower.

Kylie Nissen, executive director of the North Dakota Rural Health Association, said she is encouraged by the effort, knowing the long-standing struggles hospitals and clinics in these areas have faced.

"It's not only closures that we're concerned about, it's rural community members (who) don't want to see their hospital bought out by a large system, too," Nissen observed. "Because then, the decision-making and the care for their local community just isn't there."

Since it began, the collaborative has secured at least two desirable contracts with commercial health insurers, benefiting all member hospitals. In its August forecast, Becker's Hospital Review reported five North Dakota hospitals were at immediate risk of closing within the next two to three years.

Nissen pointed out the ripple effect of keeping the hospitals independent and running efficiently, while improving patient care, can be felt across an entire community.

"Health care is huge when it comes to economics," Nissen stressed.

She added a healthier population, that does not have to travel as far for appointments or other care needs, results in a stronger workforce. She acknowledged they are still navigating challenges, like reducing maternal care "deserts," noting federal grants are competitive. The state of North Dakota chipped in $3.5 million to help get the Rough Rider Network started.


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