Non-medical vaccine exemptions for Arkansas kindergarten students continue to rise, according to recent data from the Centers for Disease Control and Prevention. Vaccine hesitancy, or a lack of confidence in vaccines, is a key factor contributing to this trend, but it is not a new phenomenon. On this episode of the Wonks at Work podcast, we’re join…

Rapid economic and population growth like what’s taking place in Northwest Arkansas can be exciting, but it can also stress existing housing, education, transportation, and healthcare infrastructure. The Health Care Transformation Division of the Northwest Arkansas Council, an organization established to help shape the region’s development, and Hea…

Now more than ever, schools are seeking to provide students with a broad scope of wellness, prevention, and treatment so they can thrive inside and outside the classroom. Dozens of schools across Arkansas have adopted a model known as the school-based health center. These are staffed clinics on school grounds that provide medical and mental health …

Arkansas recently joined a growing number of states that support cell phone restrictions in schools, launching a $7 million pilot program to create “phone-free” schools as part of a broader effort to improve student mental health and curb screen addiction. While research on cell phone bans is mixed, some studies show associated improvements in stud…

Tobacco use remains the leading preventable cause of death in Arkansas, claiming more lives each year than HIV, illicit drug use, alcohol, motor vehicle injuries, and firearm-related incidents combined. Tobacco use in the state has dropped significantly over the past decade, but Arkansas’s smoking rate still ranks among the highest in the U.S. Plus…

Firearms are the leading cause of death for children in the U.S., and the number of gun-related fatalities has continued to climb for the past decade. Following the September school shooting in Winder, Ga., that left two students and two teachers dead, the question of how to stem the tide has risen again. In this episode of the Wonks at Work podcas…

Data is great to have, but to work toward solutions to the challenges we face, it’s essential that we turn that data into understandable and actionable information. ACHI has been working with the Arkansas State Police on a deep dive into vehicular crash data to support strategic planning efforts for traffic safety. In this episode of the Wonks at W…

Arkansas has the fourth-highest roadway fatality rate of all the states. Fortunately, policymakers have begun to respond. In May, the Little Rock City Board voted to adopt the Central Arkansas Regional Safety Action Plan, part of which is to seek federal funding to address safety concerns by improving lighting, signals, and other roadway infrastruc…

Arkansas’s rural communities face many challenges. Communities are shrinking due to out-migration, rural hospitals are under financial strain, and the state’s rural residents are, on average, older, poorer, and less healthy than their urban counterparts. Primary care physicians are also far less plentiful in rural areas, making the role of the fami…

There is growing concern about the role social media plays in the mental health and development of young people. Arkansas’s governor, multiple other states, Congress, and the courts are all delving into this issue. The U.S. surgeon general has even called for warning labels on social media platforms. As those efforts move forward, it falls upon par…

There are numerous risks along the birthing journey that contribute to poor outcomes for Arkansas moms and babies. One effective practice for promoting healthy outcomes for babies is breastfeeding, which supports their immune systems and cognitive development. Unfortunately, breastfeeding is not an option for some mothers. To learn more about a new…

Hundreds of cities in nearly every U.S. state are on track for one of their 10 warmest summers on record. Besides posing immediate risk for illnesses such as heat exhaustion and heat stroke, extreme heat can create cumulative stress on the human body over prolonged periods. Heat can also impact us in less obvious ways, such as worsening health risk…

Maintaining one's health is challenging for those whose basic needs such as housing and food are unmet. A new effort in Central Arkansas, Providence Park, seeks to address the needs of people who are chronically unhoused, offering permanent housing and wrap-around services including healthcare for those in need. Host Craig Wilson talks to Providenc…

Maternal health has finally risen to the forefront of policy conversations in Arkansas, driven by the startling statistic that our state has the highest maternal mortality rate in the nation. Improving maternal health outcomes should be reason enough for policymakers to invest in positive change, but sometimes it helps to outline the economic benef…

When we’re well rested, we can start our day in a good mood and are better able to respond to whatever the day brings. There are, however, many different things that can keep us from getting a good night’s sleep. For some, minimizing common disruptions to sleep is not enough, as they deal with sleep disorders that cause problems with the quality, t…

One impact of the pandemic on our healthcare system is that it inspired some necessary creativity and interest in new ways of providing care. One alternative care model that saw increased interest was the hospital-at-home model. About 150 hospitals have adopted this model, in which hospitals provide intensive care at home for patients with certain …

There are several programs underway in Arkansas aimed at improving maternal and infant health outcomes. One such program is Life360 HOMEs, part of Arkansas Health and Opportunity for Me, or ARHOME, the latest iteration of Medicaid expansion in the state. Life360 HOMEs are designed to provide additional, intensive supports to a number of target popu…

January 2024 marks 10 years since several key provisions of the Affordable Care Act took effect in Arkansas. In this episode, host Craig Wilson sits down with ACHI President and CEO Dr. Joe Thompson to discuss their perspectives on this anniversary. Dr. Thompson focuses on the impact of the state’s innovative approach to Medicaid expansion, while o…

Moms are more likely to die during pregnancy or shortly after giving birth in Arkansas than in any other state. This is a shocking statistic, especially because maternal mortality is largely preventable. In this episode, host Craig Wilson asks University of Arkansas for Medical Sciences Chair of Obstetrics and Gynecology Dr. Nirvana Manning what ca…

Antibiotic resistance and the inappropriate use of antibiotics pose growing threats to public health, both here in Arkansas and around the globe. For U.S. Antibiotic Awareness Week, we’re joined by one of our public health partners to learn more about these issues and what healthcare professionals and the public should know about antibiotic resista…

Among the challenges currently facing rural hospitals is cybersecurity, which was one of the main concerns expressed in a recent report commissioned by the Arkansas General Assembly. According to Becker’s Hospital Review, nationwide there have been 327 data breaches reported to the Department of Health and Human Services’ Office of Civil Rights as …

Only 57% of Arkansas adults reported having a dental visit in 2020. Like other health professions, there is an enormous need to educate, train, and keep dentists here in Arkansas to address the state’s significant oral health needs. That's why the announcement of a planned dental school at the newly established Lyon College Institute of Health Scie…

More than 17,000 Arkansans are diagnosed with cancer each year. As of late September, the most advanced cancer radiation treatment in the world is now available in our state following the opening of The Proton Center of Arkansas. The center in Little Rock is the result of a collaboration between the University of Arkansas for Medical Sciences, Arka…

Arkansas hospitals continue to face financial challenges coming out of the pandemic as inflation outpaces revenue. Earlier this year, the state established a new designation, the rural emergency hospital, following a move by Congress in late 2020. The new designation could make financial sense for some hospitals with lower inpatient volume, but the…

New digital technologies can boost our individual health and well-being and make the healthcare system more accessible, personalized, efficient, and cost-effective. This has created fertile ground for health technology startups exploring innovative ways to address patient and consumer needs. Recently, we've seen a flurry of startup activity in the …

Cultivating interest in healthcare careers among students earlier in the educational process is key to ensuring a sufficient workforce pipeline to respond to the needs of Arkansans. That has been the focus of Robin Howell, senior program manager for regional campuses at the University of Arkansas for Medical Sciences, for more than 35 years. In thi…

Findings from research on the impact of the COVID-19 pandemic on minority communities have largely been uniform in showing overwhelmingly disparate health outcomes. In this episode of Wonks at Work, host Craig Wilson discusses findings from ACHI's analysis of Arkansas-specific data on COVID-19 health disparities with ACHI president and CEO Dr. Joe …

The COVID-19 public health emergency may have ended, but some Arkansans who were infected are still experiencing health impacts. In this episode, host Craig Wilson welcomes CHI St. Vincent cardiologist Dr. Anthony Fletcher, who discusses findings from ACHI’s analysis of COVID-19 disparities and long COVID in Arkansas. Dr. Fletcher also gives a firs…

Several new laws passed by the Arkansas General Assembly during its most recent session have already taken effect or will go into effect at the end of this month. In this episode of the podcast, we revisit the session through a healthcare lens for a review of what has already changed, what will soon become the law of the land, and what it all means…

In this episode, we revisit the intersection of mental health and law enforcement, a space in need of innovative solutions and a topic that has been the focus of two previous episodes. Host Craig Wilson welcomes Fayetteville Police Lt. Tim Shepard for a discussion of his work in Northwest Arkansas as the supervisor of the Crisis Intervention Respon…

In this episode, we explore how electronic health records — digital collections of patients' medical histories (lab results, medications, ER visits, etc.) — can be used to improve the care we receive. Host Craig Wilson is joined by Anne Santifer, executive director of the Office of Health Information Technology at the Arkansas Department of Health,…

Harm reduction is a key part of how we address the opioid epidemic. Making the overdose-reversal drug naloxone more widely available is a mainstay of harm reduction and the chief objective of ACHI's NaloxHome program. It is also critical to connect people with substance use disorder to treatment options and not miss opportunities for intervention. …

Our guest for this episode, Ryan Cork, is leading business-sector efforts in Northwest Arkansas to respond to a rapidly changing healthcare environment in the midst of population growth. Cork has extensive experience in healthcare administration, having worked in multiple roles for the Cleveland Clinic, The Ohio State University Wexner Medical Cent…

One of the ways that we measure whether we are moving toward health equity is by measuring health disparities, i.e., the size of the gap between advantaged and disadvantaged groups. In this episode, host Craig Wilson talks with Derek Lewis II, president of the Derek Lewis Foundation — founded by his father, Dr. Derek Lewis — about health disparitie…

While the COVID-19 pandemic has dominated the public health landscape the past few years, a more silent killer has increasingly claimed American lives: opioids. Although policies regarding prevention, treatment, and recovery have improved, policymakers have been unable to keep pace with this rapidly evolving epidemic. In this episode, ACHI Peer Sup…

Brick-and-mortar crisis stabilization units, which have been launched in four areas of Arkansas, serve a critical role in law enforcement response to those in mental health crisis, but they comprise only one component of the response spectrum and are not available in some rural areas of the state. Put simply, law enforcement officers need additiona…

The United States is still a long way from eliminating the stigma associated with seeking care for mental health needs, but the COVID-19 pandemic has revealed that more of us struggle with mental illness than society previously acknowledged. In this episode, host Craig Wilson talks with Dr. Mark Jansen, vice president and chief medical officer for …

More than 100,000 Americans need a life-saving organ transplant, but many will die waiting to be matched with a suitable donor. And the waiting list is ever growing — every 16 minutes a new patient is added. On this episode, we welcome Mark Tudor, president and CEO of ARORA, the largest organ and tissue recovery agency in Arkansas. Mark talks to us…

Unmet social needs — such as food, housing, transportation, and child care — can have detrimental impacts on people's physical and mental well-being, but most healthcare providers have been ill-equipped to address these needs. In this episode, host Craig Wilson talks with Hark Executive Director Josh Hall about the increasing need to integrate soci…

On this episode, we zero in on the intersection of health and criminal justice with Dr. Nick Zaller, a professor at the University of Arkansas for Medical Sciences College of Public Health and founder and director of the Southern Public Health and Criminal Justice Research Center. Dr. Zaller talks about his study of crisis stabilization units (CSUs…

Hospitals in Arkansas are experiencing increasing budgetary challenges. Medicaid expansion spared Arkansas from the rash of hospital closures that has plagued other states, but it doesn’t mean our hospitals are not at risk. In this episode, Baptist Health President and CEO Troy Wells delves into the reasons why hospitals across the state are strugg…

On this episode, host Craig Wilson interviews his “Memphis the Musical” co-star and cancer survivor Satia Spencer. The pair discuss her survivor story, the new clinical recommendations for screening, and her advice for people hesitant to get screened. Spencer served as a Marine and is a music educator for the Little Rock School District. Shameless …

Oral health is a key indicator of our overall health, yet it’s often overlooked as an essential part of staying healthy. In this episode, host Craig Wilson talks to Delta Dental of Arkansas CEO Kristin Merlo about oral health access issues in Arkansas, bridging the medical-dental divide, and the promise of the recently announced plans for a dental …

Since the start of the COVID-19 pandemic more than two years ago, hospital capacity has been a major focus of attention — but we often forget about the capacity needed to get people to the hospital. For over 30 years, Greg Thompson has worked with the largest ambulance service in Arkansas, MEMS, which stands for Metropolitan Emergency Medical Servi…

Wonks at Work goes national. In this episode, host Craig Wilson talks to national and state leaders about how we can better equip those who want to start families to have better outcomes. Our guests are Dr. Neel Shah, a national leader in maternal health and chief medical officer for Maven, a virtual clinic for women’s and family health; and Dr. Cr…

We all want to move on from the pandemic, but in our haste we may have robbed ourselves of the time to process the trauma and grief we’ve experienced in the last two years. This is one of the reasons the Arkansas Center for Health Improvement called on faith and community leaders to consider having a day of reflection and healing to acknowledge the…

The pandemic has caused suffering, loss, and mental distress for many of us. Mental health challenges particularly affected parents and their children who experienced disruptions with school transitions and child care, communities of color that already faced barriers to accessing mental health care, and essential workers who were much more likely t…

We’re back! The omicron wave extended our holiday break longer than we had planned, but our host and top wonk Craig Wilson is behind the mic again. In this episode, we discuss how disruption and isolation created by the pandemic have impacted people struggling with addiction. In 2020, there were almost 92,000 drug overdose deaths in the U.S., 21,00…

At one time on a path to becoming a preacher, Dr. Len Nichols took a detour and instead became a renowned health economist who is now spreading the gospel of investing in the healthcare system to address unmet social needs. A former professor of health policy at George Mason University and current non-resident fellow of the Health Policy Center of …

A lot happened under the dome of the Arkansas State Capitol this year amid the COVID-19 pandemic. Michelle Kitchens, ACHI government relations director and fellow wonk, gives an overview of this year’s unique legislative session — one conducted in the middle of a public health emergency with a lot of energy devoted to that issue. Kitchens also shar…