PA’RRIBA Blog & Briefs

Health Coverage and Access to Care in the United States-Mexico Border Region: Implications of the Affordable Care Act (ACA)




A multifactorial approach is necessary to improve health outcomes and reduce health disparities for populations living in the US-Mexico border region. Key factors include building on health insurance coverage gains, enhancing the rural health workforce and infrastructure, and assuring accessible, cost effective, culturally and linguistically appropriate health services for a growing border population.


University of Arizona Teams up with Produce Growers in Northern Mexico to Help Migrant Farmworkers

Oct 4, 2016 Comments: 0 Topics: Public Health , Migrant Farm Workers , Mexico



  • The Los Angeles Times released a large expose on the conditions of farm workers on large corporate farms in Northern Mexico. The travesties named included: inadequate living conditions, company stores that create indentured servitude to pay off debts and accusations of child labor. Overall, the article calls on changes made by the corporate farms exposed but also, the American corporations that contract with those growers.
  • Recent strikes during spring harvest amongst produce farms in Baja California has drawn even more attention on the alleged abuses of agribusiness farm workers.
  • These workers are only marginally protected by national labor and housing laws; this collaboration creates a unique opportunity for mixed scientific methods to improve the health of this population.


Arizona Trauma Program Managers’ Efforts Underway



Photo Credit: Matt Eckhoff, Program Director of Community Integrated Paramedicine for the Rio Rico Medical & Fire District

The Arizona Trauma Program Managers Workgroup continues to meet face-to-face quarterly focused on enhancing performance improvement strategies. Scheduled for August 19, 2016 is the next scheduled workshop being hosted by Flagstaff Medical Center. Also, a statewide Trauma Program Manager Listserve continues to be very active with over 100 members.


AZ Center for Rural Health, Preparing for Round 3 ACA Open Enrollment




“Of those eligible for a tax credit to help individuals buy a health plan on Arizona’s Marketplace in the last cycle, 38% participated – and lower in Arizona’s rural, Latino, American Indian, disabled and special populations,” said Dr. Daniel Derksen, the Director of the Center for Rural Health at the University of Arizona, and the project’s principal investigator.


Lean Forward: Easing the ICD-10 October Implementation for Rural Arizona Health Providers

Mar 24, 2015 Comments: 0 Topics: International Classification of Diseases , ICD-10 , WHO , HIPPA , Training


Photo Credit: Jill Bullock

By Jill Bullock, Alyssa Padilla and Dan Derksen

What is ICD-10? In October of 2015, all physicians, hospitals, and health plans will begin using ICD-10 (International Classification of Diseases), an upgrade from ICD-9 used in the U.S. for 30 years. The World Health Organization (WHO) adopted ICD-10 in 1990, used by other countries for many years.  ICD-10 will be used to classify disease, report illnesses, monitor morbidity and mortality, and importantly - to provide better individual and population health data to continuously improve and inform clinical treatment.  


Informing our rural communities about the Affordable Care Act

Aug 8, 2013 Comments: 0 Topics: Affordable Care Act , PSA , Southwest Rural Policy Network

Working in collaboration with the Central Appalachian Regional Network, (CARN), and the National Alliance for Rural Policy, (NARP), the Southwest Rural Policy Network, (SWRPN)--to which the Center for Rural Health is a member--, received funding from the W. K Kellogg Foundation through the Rural Supporting Organization to produce radio Public Service Announcements, (PSA’s). The scripts for the PSA’s, 13 produced in English and 12 produced in Spanish,  were taken from the SWRPN’s “Know Your Healthcare Rights” and describe certain provisions of the Affordable Care Act in simple terms.


Measuring the Nutrition Environment in Rural Arizona

Jul 17, 2013 Comments: 0 Topics: Nuitrition , AHEC , Elizabeth Kizer , Research

We often hear that “healthy diet and exercise” are the solutions to reducing the increasing rates of obesity in the United States and many other countries around the world.  But many things can make healthy eating and active lifestyles difficult choices, including the community environment in which we live.  This is especially true in rural areas. 


Changing Drivers

Jul 5, 2013 Comments: 0 Topics: Center for Rural Health , Neil MacKinnon , Director

As many of you know, I will soon be leaving the University of Arizona to become the Dean of the James L Winkle College of Pharmacy at the University of Cincinnati.


Guest Blog: Upcoming ATS Trauma Course

Jul 3, 2013 Comments: 0 Topics: Guest Blog , Trauma , Training

Scheduled for August 24 and 25, 2013, on the Medical Campus of The University of Arizona, Tucson,  is a Trauma Program Manager Course  targeted for small rural facilities.


Guest Blog: Researching community health needs assessments at rural hospitals - turning personal inquiry into academic credit and professional experience


On March 23, 2012, the Federal Government began requiring rural and critical access hospitals to complete community health needs assessments (CHNAs). As a condition of their not-for-profit status, the Affordable Care Act mandates that these hospitals assess the health status of the communities they serve. By conducting regular CHNAs, it is believed that these hospitals can better align their healthcare services with identified community needs.


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