The Arizona Center for Rural Health is honored to partner with the Western Region Public Health Training Center (WRPHTC) to offer continuing education units for this year’s conference. The WRPHTC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Day 1: Tuesday, June 2
7:30-9:00 Continental Breakfast
Humphreys: Strengthening the Rural Health Workforce Pipeline
Building the Bridge: Developing A Community-Responsive Implementation Model for Substance Use Disorder Treatment in Arizona Critical Access Hospitals
Arizona's rural communities are facing a worsening substance use disorder (SUD) and overdose crisis. Overdose mortality has declined nationally, but the Arizona’s rates have actually increased, exacerbated by urban-rural disparities in treatment. Critical Access Hospitals (CAHs) are the main—and sometimes only—healthcare access point for hundreds of thousands of rural Arizonans. However, most CAH facilities lack the resources to consistently provide evidence-based SUD. "Bridge to Treatment" is a promising model that has transformed SUD care in the rural communities of neighboring states by increasing staff training, MOUD prescribing, naloxone distribution, treatment engagement, and placement of peer navigators. However, no such program has been implemented in Arizona’s rural hospitals.
We will adapt a three-component “Bridge to Treatment” model for Arizona’s CAHs, integrating (1) technical assistance and education; (2) Peer Recovery Support Specialists; and (3) a telehealth Addiction Medicine consultation service through the Arizona Poison and Drug Information Center. A pilot will be conducted at Benson Hospital in Cochise County, in partnership with Cochise Harm Reduction, a peer-led community organization. We are designing this program from the ground up, in collaboration with rural partners, beginning with a formative interviews to assess need, fit, and feasibility.
Doyle/Rees: Advancing Priority Health Initiatives in Rural Communities
Cross-Sector Solutions for Perinatal Behavioral Health in Rural Arizona: A Multi-Agency Panel from a Medicaid Pilot
This session features a multi-sector panel from the AHCCCS Pregnant and Parenting Women (PPW) Pilot, a Medicaid-supported initiative in rural northern Arizona designed to improve access to perinatal behavioral health services. Pregnant and parenting women in rural and tribal communities face significant barriers, including workforce shortages, transportation challenges, housing instability, and gaps in Medicaid coverage, often resulting in fragmented, crisis-driven care.
Panelists representing medical care, behavioral health, county public health, the justice system, housing services, and Indigenous-serving organizations will share how they collaboratively implemented a coordinated entry and navigation model to connect women to behavioral health, medical, and social supports. The discussion will highlight practical strategies for cross-sector collaboration, culturally responsive care, telehealth implementation, and addressing system-level barriers in a resource-constrained rural setting.
Through facilitated discussion and audience engagement, participants will gain actionable insights and replicable approaches to improving care coordination and continuity for pregnant and postpartum women. This session offers a solution-oriented framework for rural communities seeking to strengthen perinatal behavioral health systems and improve maternal health outcomes.
Abineau/Fremont: Building Resilient and Accessible Rural Health Systems
Leveraging AI and Digital Health to Increase Access to Urgent Health Communication in Rural Communities
PHapp is a free, privacy-first public health communication platform designed to improve timely, equitable dissemination of urgent health information in resource-limited rural communities. Existing emergency communication systems are often fragmented, one-directional, and inaccessible to populations with limited English proficiency or inconsistent access to smartphones—challenges that are amplified in Arizona’s rural and climate-vulnerable regions.
PHapp addresses these gaps through a unified, multilingual alerting system that integrates verified information from public agencies into a single, location-based feed delivered via SMS, email, web, and mobile applications. Alerts include clear, actionable guidance and links to local resources such as cooling centers and clinics. The platform also incorporates human-supervised AI translation into more than 50 languages and enables two-way community reporting to enhance real-time situational awareness.
A pilot deployment in Southern Arizona, conducted with public health agencies, community organizations, and academic partners, evaluates PHapp’s impact on reach, engagement, and response behaviors. By reducing informational fragmentation and expanding access across languages and delivery modes, PHapp offers a scalable model for maximizing limited communication resources and improving health outcomes in rural communities facing climate-driven health risks
Please visit with our Exhibitors:
Platinum:
Gold:
Silver:
Arizona Area Health Education Centers
Arizona State Public Health Laboratory
Blue Cross Blue Shield of Arizona Health Choice
Health System Alliance of Arizona
Copper:
Arizona Center for Telemedicine and Digital Health
Arizona Psychiatry Access Lines
Arizona Department Of Health Services
Comprehensive Center for Pain & Addiction
Cummings Graduate Institute for Behavioral Health Studies
Solari Crisis & Human Services
Western Region Public Health Training Center
Bronze:
Fibromyalgia National Health Organization
Humphreys: Strengthening the Rural Health Workforce Pipeline
OB Skill Development for Non-birthing Critical Access Hospitals and EMS agencies
Doyle/Rees: Advancing Priority Health Initiatives in Rural Communities
Strengthening Agricultural Mental Health Capacity in Rural Arizona Through Outreach and Culturally Responsive Care
Farmers and ranchers experience elevated stress and suicide from the demands of agricultural work coupled with rural life. Economic uncertainty, changing weather, long work hours, and geographic isolation create chronic stress that directly impacts mental health. These challenges are compounded by social stigma, limited access to behavioral health services in rural communities, and a shortage of providers trained to deliver culturally responsive care that reflects agricultural values and lived experience.
This session highlights a statewide farm stress initiative led through Arizona Cooperative Extension that integrates agricultural producer mental health outreach with rural healthcare workforce development. Funded by the Western Regional Agricultural Stress Assistance Partnership (WRASAP), this work reflects how land-grant institutions and partners are expanding agricultural mental health capacity across the western United States.
Participants will learn about AgriSafe’s FarmResponse training, developed by the AgriSafe Network, a WRASAP partner. Using the Total Farmer Health Model, FarmResponse equips rural healthcare providers to recognize agricultural stress and engage producers using culturally responsive and evidence-based approaches. In 2025, the Arizona Farm Bureau funded FarmResponse scholarships for rural crisis response units across the state, demonstrating statewide commitment. Building on this momentum, UA Extension WRASAP funding will support 20 FarmResponse scholarships for conference participants.
Abineau/Fremont: Building Resilient and Accessible Rural Health Systems
Maximizing Rural Health Revenue and Care Delivery through Remote Patient Monitoring
Remote Patient Monitoring (RPM) has emerged as a vital tool for rural health providers to enhance clinical outcomes while establishing sustainable new revenue streams. By leveraging updated 2026 reimbursement codes, practices can now deploy a team-based care model—utilizing community outreach workers, medical assistants, and pharmacists—to deliver high-touch monitoring under provider supervision. This session provides a deep dive into the specific CPT codes, documentation requirements, and time-tracking elements essential for compliance. Attendees will explore successful implementation strategies that prioritize patient-friendly technology and streamlined clinical workflows, ensuring a seamless setup and long-term engagement with minimal technical burden.
12:00pm-12:15pm: Address from Regional Director Tawney
12:15pm-12:45pm: Arizona Rural Health Association Awards
The Arizona Rural Health Association’s annual awards recognize outstanding leadership, service, and innovation that advance the health and well-being of rural and frontier communities across the state. These awards honor individuals and programs that have made meaningful contributions through policy, partnership, and practice, highlighting excellence in legislative leadership, community impact, and rural health system development.
Take advantage of the opportunity to connect with attendees and exhibitors:
Platinum:
Gold:
Silver:
Arizona Area Health Education Centers
Arizona State Public Health Laboratory
Blue Cross Blue Shield of Arizona Health Choice
Health System Alliance of Arizona
Copper:
Arizona Center for Telemedicine and Digital Health
Arizona Psychiatry Access Lines
Arizona Department Of Health Services
Comprehensive Center for Pain & Addiction
Cummings Graduate Institute for Behavioral Health Studies
Solari Crisis & Human Services
Western Region Public Health Training Center
Bronze:
Fibromyalgia National Health Organization
Humphreys: Strengthening the Rural Health Workforce Pipeline
Training in Place: Building a Consortium-Based GME Model to Strengthen Rural Primary Care Workforce in Arizona
Rural and underserved communities across Arizona face persistent primary care workforce shortages, with only 35.4% of need currently met. Because physicians are more likely to practice near where they complete residency training, expanding graduate medical education (GME) in rural and community-based settings is a critical strategy for improving long-term workforce distribution.
This panel will present the development and early implementation of a consortium-based Sponsoring Institution (SI) model designed to expand primary care residency training in rural and medically underserved areas. The model serves as an alternative to traditional hospital-based GME by centering Federally Qualified Health Centers, Critical Access Hospitals, and other community-based partners as primary training sites.
Panelists will share practical insights on engaging rural partners, navigating an accelerated accreditation pathway, and addressing operational and funding challenges in resource-constrained settings. The session will also highlight how community health needs and social drivers of health are integrated into training design.
Attendees will gain actionable strategies for developing and sustaining rural GME programs, with an emphasis on partnership development, scalability, and strengthening local workforce pipelines to improve access to care in underserved communities.
Doyle/Rees: Advancing Priority Health Initiatives in Rural Communities
Addressing Extreme Heat Risk in Rural Communities: Building a Roadmap for Resilience
Extreme heat poses a growing threat to community health and well-being, directly threatening lives and amplifying existing health disparities. As one of the leading weather-related threats in the United States, extreme heat accounts for thousands of deaths annually, with at-risk populations — including older adults, individuals with chronic conditions, outdoor workers, and those without access to cooling — facing the highest vulnerability. In Arizona, the frequency and duration of extreme heat events continue to rise, heightening the burden on public health systems, emergency response infrastructure, and essential community services. Rural areas are uniquely challenged by limited healthcare capacity, gaps in cooling resources, and communication barriers that can hinder timely heat response.
To better understand and address these public health preparedness challenges, the Southwest Center on Resilience for Climate Change and Health (SCORCH), in partnership with the Arizona Department of Health Services, the Arizona Center for Rural Health, and local organizations, convened five Rural Heat Listening Sessions across Arizona. These sessions engaged practitioners from over 64 organizations to examine local impacts of extreme heat and identify frontline preparedness strategies. Through these multidisciplinary conversations, participants provided firsthand perspectives on heat-related morbidity and mortality, emergency communication practices, resource needs, and programmatic gaps.
Key findings highlight that while rural health agencies are acutely aware of escalating heat risks, their response capacity is often limited by workforce shortages, resource constraints, and fragmented funding streams. Participants emphasized the urgency of strengthening interagency coordination, expanding cross-sector partnerships, and aligning preparedness efforts with local needs. Opportunities include developing early alert systems, enhancing public health messaging, increasing access to cooling centers, and integrating heat mitigation into hazard planning and recovery frameworks.
This session will present a framework that rural public health and healthcare organizations can use to enhance heat preparedness and response. Session attendees will have the opportunity to learn from each other and develop strategies to protect their communities during periods of extreme heat.
Abineau/Fremont: Building Resilient and Accessible Rural Health Systems
Building a Patient-Centered Continuum: Measurable, Cross-Sector Collaboration in Rural Behavioral Health is Possible
Rural communities facing behavioral health and addiction crises need formal, cross-sector collaboration to address fragmented systems and workforce shortages. This session will guide leaders and cross-sector partners on how to convene effective teams, engage local leadership, and implement shared pathways that reduce ED visits, improve workforce satisfaction, and strengthen care transitions. Using real rural success stories, we will demonstrate how leveraging local resources and clear data tracking can remove barriers and build equitable, community-led solutions.
Supporting Rural Infrastructure with the Arizona Office of Economic Opportunity
Humphreys: Strengthening the Rural Health Workforce Pipeline
The Arizona AHEC’s Community Based Experiential Training (CBET)
The six Arizona AHEC Regional Centers will discuss their respective roles in the placement of over 1,400 unique health profession trainees (in FY25) in nearly 325,000 rotation hours in rural and underserved Arizona communities. The Regional Centers will discuss the multiple ways in which they provide trainee support, and their extensive community and academic partner collaborations, including with the ten Rural Health Professions Programs. These and other Center successes make Arizona AHEC one of the largest-reporting AHECs in the country.
Doyle/Rees: Advancing Priority Health Initiatives in Rural Communities
Caring for New Families: Perinatal Mental Health Support in Rural Settings
Participants will begin by developing a foundational understanding of perinatal mood and anxiety disorders (PMADs). The session will review common signs and symptoms, as well as key risk and protective factors, and explore how these conditions may present differently across individuals, family systems, and close-knit rural communities. Emphasis will be placed on distinguishing typical postpartum adjustment from clinically significant concerns, while recognizing rural challenges such as stigma, geographic isolation, limited access to providers, and reduced anonymity. This knowledge will strengthen participants’ confidence in early identification, even when formal screening tools or specialists are not readily available.
The workshop will then introduce practical, evidence-informed strategies to support
families in low-resource settings. Participants will learn and practice approaches such as strengths-based communication, validation and normalization, collaborative safety planning, and warm referrals adapted for rural systems, including tele-health and regional networks. Emphasis will be placed on leveraging community assets like primary care providers, home visiting programs, faith-based organizations, and peer supports.
Abineau/Fremont: Building Resilient and Accessible Rural Health Systems
Unburdening a burdened system: The use of Point of Care biomarkers to address unmet needs in the healthcare system
This presentation will explore the clinical impact and diagnostic considerations of acute coronary syndrome (ACS) and mild traumatic brain injury (mTBI). Attendees will gain insights into the role of point-of-care biomarkers in these critical conditions, examining how they can streamline clinical decision-making and deliver meaningful benefits for both patients and healthcare systems.
A Qualitative Analysis of Veteran’s Health Care Within the Prescott, Arizona VA System: Perceived Improvements & Consistent Barriers to Care.
Applying the 7 Vital Conditions for Health
Capacity Building for Public Health
Elev8 Initiative, Healthcare Excellence Through Education the GRHC-UA LIC Journey
Policy Scan of School Health Policies on the Navajo Nation
Sustaining Arizona’s Community-Based Preceptor Workforce: Insights from a Survey of Rural Health Professions Program Preceptors
The Case for Integrating Social Care
The Impact of the Arizona Health Start Program on Maternal and Child Health
The Unequal Burden of Artificial Intelligence: Environmental and Health Costs of Energy-Intensive AI
Weighing the Risk: Youth Cannabis Prevention Education – a Joint Effort
Day 2: Wednesday, June 3
7:30-9:00 Continental Breakfast
Humphreys: Strengthening the Rural Health Workforce Pipeline
Pay Now or Pay Later: The Financial Consequences of Untreated Perinatal Mental Health
This presentation highlights the economic and health system impact of untreated maternal mental health conditions and the role of the Arizona Perinatal Psychiatry Access Line (APAL) in mitigating these costs. Untreated perinatal mood and anxiety disorders are associated with increased rates of preterm birth, obstetric complications, emergency department utilization, and prolonged maternal and infant morbidity—driving substantial and preventable healthcare spending. Using APAL program data and existing health economics literature, this session will outline the downstream costs of delayed or absent mental health care during pregnancy and postpartum, including impacts on maternal functioning, infant outcomes, and family stability. The presentation will then describe APAL’s statewide consultation model, which provides real-time psychiatric guidance to frontline providers, improving timely treatment and care coordination without requiring new specialty workforce.
Doyle/Rees: Advancing Priority Health Initiatives in Rural Communities
Expanding High-Acuity Care in Rural Settings: A Tele-ICU & Inpatient Dialysis Model for Critical Access Hospitals
Rural and Critical Access Hospitals face significant barriers in delivering higher-acuity care due to limited specialty access, workforce shortages, and geographic isolation. These challenges often result in delayed treatment, increased transfers, and fragmented care, disproportionately affecting Indigenous populations. At Sage Memorial Hospital, a Critical Access Hospital serving the Navajo Nation, these gaps were evident in the management of critically ill patients and those requiring dialysis.
This presentation describes the implementation of a Tele-ICU and inpatient dialysis program designed to expand local care capacity. Through 24/7 tele-intensivist and tele-nephrology partnerships, targeted workforce development, and phased implementation, the hospital operationalized inpatient dialysis using limited infrastructure. Strategies included cross-training nursing staff, deploying two self-contained dialysis machines, and establishing standardized clinical and operational protocols.
This model reduced interfacility transfers, improved continuity of care, and enhanced access to culturally aligned services closer to home. It also improved operational efficiency and interdisciplinary collaboration.
Attendees will gain practical, scalable strategies to implement telehealth-enabled specialty services, strengthen rural workforce capacity, and improve equitable access to high-acuity care in resource-limited settings.
Abineau/Fremont: Building Resilient and Accessible Rural Health Systems
Preparing Rural Arizona Providers for the 2027 Medicaid Work Requirements
This session will prepare rural Arizona providers for upcoming Medicaid work requirements under OBBBA by breaking down key timelines, exemption criteria, and anticipated impacts on coverage. Drawing on lessons learned from Arkansas’s earlier implementation, it will highlight common challenges such as administrative burden and language access barriers. Participants will leave with practical, actionable steps to support patient outreach, minimize coverage disruptions, and strengthen protections for vulnerable Medicaid populations.
Humphreys
Arizona voters will face several important ballot propositions in the November 2026 election—many with significant implications for public health, health policy, and the systems that shape community wellbeing. This session will provide a practical overview of the major statewide ballot measures that will appear on the 2026 ballot and analyze them through a public health lens.
Participants will learn how various propositions could affect population health outcomes, health system financing, public health authority, and the social determinants of health. The presentation will examine measures referred by the Arizona Legislature as well as potential citizen initiatives, highlighting how policies related to healthcare access, public health authority, taxation, housing, environmental protections, and individual rights can influence health at the community level.
The session will also explore how ballot propositions function within Arizona’s policymaking environment and why they have become an increasingly important pathway for major policy decisions in the state. Using recent examples and current 2026 measures, the presentation will outline the potential health impacts—both intended and unintended—of these proposals.
Attendees will leave with a clearer understanding of the 2026 ballot landscape, the policy mechanisms involved, and the potential implications for rural communities and health systems. The session will also discuss how public health professionals can responsibly analyze and communicate about ballot measures while remaining grounded in evidence and professional ethics.
This presentation is designed for public health practitioners, healthcare leaders, rural health stakeholders, and policymakers who want to better understand how Arizona’s ballot process intersects with population health and rural health outcomes.
Humphreys: Strengthening the Rural Health Workforce Pipeline
From Incarceration to Infrastructure: Leveraging Lived Experience to Strengthen Rural Health Systems
Rural communities experience disproportionate rates of incarceration, substance use disorders, untreated trauma, and behavioral health access gaps. Yet rural health systems often fail to formally integrate justice-impacted individuals into solution-building roles. This exclusion reinforces cycles of recidivism, workforce shortages, and mistrust between communities and providers.
This presentation examines how lived experience—particularly from individuals impacted by incarceration, addiction, and trauma—can be systematically integrated into rural health infrastructure to improve access, engagement, and outcomes.
Drawing from real-world program development in rural Arizona, this session outlines a replicable framework for transitioning justice-impacted individuals from system recipients to system contributors. Attendees will explore strategies for peer integration, stigma reduction, law enforcement collaboration, and cross-sector alignment between behavioral health, community organizations, and crisis response systems.
Doyle/Rees: Advancing Priority Health Initiatives in Rural Communities
Upstream Impact: Engaging Primary Care to Improve Preconception Health and Reduce Maternal Morbidity in Rural Arizona
Maternal morbidity and mortality remain significant concerns in Arizona, particularly in rural communities facing limited access to care, workforce shortages, and unmet social needs. Many adverse outcomes are preventable and linked to modifiable risk factors, yet opportunities for intervention are often missed before pregnancy. This presentation reframes preconception health as a core responsibility of primary care, emphasizing the role of physician assistants and other frontline providers in early risk identification. Grounded in the principle that “Every visit is a preconception visit,” this session highlights how routine encounters can improve maternal outcomes.
Attendees will explore practical, time-efficient strategies to integrate preconception screening into primary care workflows, including assessment of chronic conditions, behavioral health, medication safety, and social determinants of health. Mental health screening approaches informed by Postpartum Support International and free, accessible support resources will be highlighted. The Preconception Counseling Checklist from the Reproductive Health National Training Center will serve as a roadmap for implementing a systematic, team-based approach adaptable to diverse primary care settings to optimize health prior to pregnancy and reduce preventable complications.
Abineau/Fremont: Building Resilient and Accessible Rural Health Systems
Transforming Dental Settings into Prevention Powerhouses: Tackling HPV and Oral Cancer Through Immunization
The COVID-19 pandemic led to declines in childhood immunization rates, prompting the need for innovative strategies to improve vaccine access and delivery. Chiricahua Community Health Centers, Inc. (CCHCI) implemented a vaccine–dental integration program to reduce missed opportunities by offering pediatric and adult immunizations within dental appointments. This approach supports comprehensive care by providing multiple services during a single visit.
To assess feasibility and patient willingness, CCHCI’s Research Team surveyed 1,270 patients. Acceptance rates were 61.8% among adults and 50.2% among caregivers of pediatric patients. Based on these encouraging findings, CCHCI hired a full time nurse dedicated to reviewing immunization histories, discussing vaccine needs with patients, and administering vaccines onsite during dental appointments.
A key outcome involved improved acceptance of the HPV vaccine. Historically challenging due to misconceptions linking it to adolescent sexual activity, administering HPV vaccines in dental settings shifted conversations toward cancer prevention, specifically oropharyngeal cancer. This reframing aligns with clinical guidelines recommending vaccination beginning at age nine and helps reshape perceptions surrounding HPV immunization.
Overall, integrating vaccination services into dental care maximizes patient interactions, enhances accessibility, and supports efforts to improve immunization rates across diverse populations.
Implementing HR1: A Cross-Agency Discussion
This interactive panel discussion will bring together leaders from Arizona state agencies to explore cross-agency efforts related to HR1 Rural Health Transformation implementation and the impact on rural and public health systems. Panelists will discuss current priorities, opportunities for collaboration, implementation challenges, and strategies to strengthen access, infrastructure, and health outcomes for rural communities across Arizona.
A very special thank you to our 2026 Arizona Rural Health Conference Sponsors
Arizona Center for Telemedicine and Digital Health
Arizona Psychiatry Access Lines
Arizona Department of Health Services
Comprehensive Center for Pain & Addiction
Cummings Graduate Institute for Behavioral Health Studies
Solari Crisis & Human Services
Western Region Public Health Training Center
Bronze: