North Dakota
Guest Column: Celebrating innovation and opportunity in North Dakota on National Rural Health Day
It is no secret that there are many challenges confronting rural health care right now, from workforce shortages and declining reimbursement rates to threats to programs like 340B that support safety-net hospitals. But this week, as we celebrate National Rural Health Day on Nov. 20, I am reminded of the many reasons to be hopeful about the future of rural health care.
Earlier this month, the state of North Dakota applied for a share of the $50 billion that will be distributed nationwide beginning next year as part of the newly established Rural Health Transformation Program. With $1 billion on the line for North Dakota, the program could be one of the single greatest investments in rural health that our state has ever seen.
The Rural Health Transformation Program was designed to spur innovative and sustainable approaches to better serve the farmers, ranchers and small business owners who call rural communities home. And in order to qualify for funding, North Dakota crafted an application that demonstrates a strong vision for improving the health of our neighbors and stabilizing rural health care delivery.
As a health system that’s proud to serve mostly rural areas, Essentia Health was grateful to share our ideas for how hospitals can stabilize essential services, such as behavioral health and emergency care, while advancing workforce development and value-based care for the rural and Tribal communities we are privileged to serve. As we wait for the funding to be awarded, I am confident that North Dakota’s application is strong because it reflects the real experience and perspectives of compassionate caregivers on the front lines of rural care.
Here’s why I’m excited by this opportunity:
Attracting and retaining a strong health care workforce remains one of the most significant challenges confronting rural care. North Dakota’s application dedicates over $162 million to train and retain a high-skilled workforce through new residencies, workforce pipelines and recruitment and retention grants.
At Essentia, we’ve had success with first-of-its-kind training programs that address critical gaps in our health care workforce. We just celebrated the first graduate of our surgical technologist apprenticeship program in Fargo. These are the kinds of innovations we must continue pursuing to help care teams like ours advance our mission to make a healthy difference in people’s lives.
If awarded this funding, North Dakota plans to deepen its work to bring high-quality health care closer to home – a mission that Essentia Health whole-heartedly stands behind. With fewer clinicians to staff brick-and-mortar facilities, we need to get creative to meet people where they are – through new methods and in new spaces. A person’s access to expert care shouldn’t be determined by their zip code.
Essentia’s mobile mammography program is one example of how we can enhance access to preventive care without relying on traditional settings. The program brings essential mammography services directly to our neighbors in rural areas and could be expanded across other specialties. Since we rolled out this service, we hear repeatedly from patients who acknowledge they likely wouldn’t have done a screening if it hadn’t been available locally. Rural Health Transformation funds could be used to deploy mobile medical units to rural, underserved communities, with specific services tailored to the greatest needs of the community.
Finally, this funding would allow us to expand scalable programs, like our community health workers and community paramedics. These programs provide tailored support to patients with the goal of diminishing the rate of chronic disease, improving the health of our rural neighbors and reducing emergency room visits and hospital admissions.
The work to transform the future of rural health care has already begun at Essentia Health. The Rural Health Transformation Program represents an opportunity to expand our efforts to bolster our health care workforce, strengthen a care model that prioritizes prevention and patient outcomes and make it easier for North Dakotans to access comprehensive health care close to home.
As we celebrate National Rural Health Day, I am hopeful for the future of rural health care and especially grateful for my talented colleagues, whose dedication to advancing rural health care strengthens the communities where they live and work.
Dr. Stefanie Gefroh is the Essentia Health West Market president.
North Dakota
QB Caden Gutzmer cites championship culture in choosing North Dakota
Minnetonka (Minn.) quarterback Caden Gutzmer committed to North Dakota earlier this month.
Gutzmer, a higher three-star on Rivals and the Rivals Industry Ranking, is a significant addition for the Fighting Hawks and chose them over the presence of several other offers. Head coach Eric Schmidt and his staff had much to do with that.
“There are many reasons,” he said. “First being the entire coaching staff is very welcoming, and experienced. And with Coach Schmidt leading the way, the culture there is awesome. I have been to a lot of schools, but based on what I saw with UND, they are building a championship winning team in a strong Missouri Valley Conference. And lastly, the most important thing for me is having an opportunity to play. They really believe in developing players from high school. Could I possibly go to a bigger program, yes. But I don’t want to chase a logo to sit behind kids coming from the portal, you need to opportunity to prove it.”
Gutzmer knows that based on how UND recruits and develops though, that he will have healthy competition within his position group when he gets there.
“We went into depth about the quarterback room and plan,” he said. “Obviously I need to prove myself — everything is earned, and they have a strong quarterback room.”
With his recruitment now behind him, Gutzmer is working towards the ultimate goal for his senior season.
“The biggest focus for me this offseason is to continue to work on my speed and agility, and of course working with my QB coach on everything both physical and mental,” he said. “And get reps with my teammates. Two big goals for the season: stay healthy and win a 6A state championship.”
Gutzmer is ranked by Rivals as the No. 8 junior in Minnesota.
As a junior, he passed for 1,147 yards on 65-of-103 passing for ten touchdowns and zero interceptions.
North Dakota
Value of North Dakota oil rises as Iran war upends markets – KVRR Local News
BISMARCK, N.D. (North Dakota Monitor) — North Dakota oil shipped on the Dakota Access Pipeline is fetching nearly $7 more per barrel than a U.S. benchmark price amid volatility caused by the Iran war.
State regulators aren’t sure why prices for North Dakota oil at its destination in Illinois are higher than traditional benchmark prices. One possibility is the light, sweet crude can be more easily refined into products like jet fuel and diesel that are experiencing demand surges in Europe and elsewhere.
How much of that higher price benefits North Dakota will be more clear in the coming months, said Justin Kringstad, director of the North Dakota Pipeline Authority.
“Royalty owners, the producers, the state, all share that uplift,” Kringstad said.
North Dakota crude oil typically is discounted compared to benchmark pricing to account for the cost of transportation. Kringstad and Nathan Anderson, director of the North Dakota Department of Mineral Resources, expect to have more information next month about why the prices have been higher in recent weeks and how much of that value is filtering back to North Dakota.
“I would suspect that some portion of it, probably not all of it for sure, does make its way back,” Anderson said.
The new dynamic is a small part of a global oil market that has been thrown into chaos by the Iran war and the closure of the Strait of Hormuz, a maritime bottleneck for a fifth of the world’s oil production.
“Boy, this is largely dominated by the word volatility. That’s the way I would describe pricing over the last 50 days,” Anderson said. “But over the last seven days, I think we’ve had almost a $20 swing in price, depending upon what talks are occurring between the United States and Iran.”
That chaotic market dynamic and the uncertainty of how long the conflict, and subsequently high oil prices, will endure is a big reason why publicly-traded oil companies have not invested in new drilling, Anderson said.
But the number of maintenance rigs has risen from 110 to 125 since last month, suggesting that oil companies are trying to optimize production from existing wells while oil prices remain high, the director said.
There are 26 active drilling rigs in North Dakota, and companies have indicated plans to add one or two more, Anderson said.
Beyond that, Anderson does not expect publicly-traded companies to increase drilling activity until 2027 because their budgets for this year are already set. Privately-owned oil companies have more flexibility and could potentially invest in more drilling than they budgeted for this year if prices remain high enough to warrant it.
There is little data available on what impact the Iran war has had on North Dakota oil production so far because data is not available in real time. February figures, prior to the beginning of the war, were released Tuesday and showed the state produced an average of nearly 1.13 million barrels of oil per day. North Dakota also produced more than 3.32 billion cubic feet of natural gas per day.
The daily oil production is 1.76% below the revenue forecast used to guide North Dakota’s budget-making process. But Anderson expects those numbers to increase when March production is announced next month.
“One of the things that occurred when the Iran conflict happened was that those operators that had curtailed or shut in production during the low price environment started to bring that production online,” Anderson said.
North Dakota Monitor reporter Jacob Orledge can be reached at jorledge@northdakotamonitor.com.
North Dakota
Runners will soon trek across North Dakota to bring awareness for families grieving the loss of a child – KVRR Local News
FARGO, N.D. (KVRR) — For more than 400 miles, 12 runners will trek across North Dakota to carry the stories of love, loss, and resilience from community to community.
“After having run Haven since 2017, the 10.15 Project came, and it just is so exciting because it’s really looking at pregnancy and infant loss and putting it in a new light. And really giving people the opportunity to do something that you can see and it’s meaningful,” said Jen Burgard, Founder and Executive Director of Haven.
The 10.15 Project was co-founded by Haven, an organization that supports grieving families. The relay begins on International Pregnancy and Infant Loss Remembrance Day. And during the four days, the team hopes to bring awareness to families.
“It gives you pieces of solitude, of quiet, of reflection, and also a purpose. It gives you meaning, and I think endurance is one of the biggest pieces of this. It’s the endurance required to navigate pregnancy and infant loss is extreme. And I think this really mirrors that,” said Burgard.
While many of the runners come from different fields, many have also experienced a loss themselves.
“When it happened in my family, it was kind of something we were all struck by. You realize how common it is. And you know, I want to bring light to that,” said Ty Casey, Runner and Learning and Development Specialist at TrueNorth Steel.
Casey has multiple runs planned over the next few months, but with this run in particular, he hopes this will bring awareness.
“If this is one thing that can help bring light to it and help people be more open and help people to talk about it, and take some of the grief away that would be totally ideal for us just to help out a little bit,” said Casey.
The relay begins on October 15 in Medora and will end on October 18th in Fargo.
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