Choptank Community Health System has expanded its School-Based Health Center program in Talbot County to include Critchlow Adkins Children’s Centers’participants.

Children enrolled in Critchlow Adkins programs can now receive medical and dental care during the day when registered with the School-Based Health Centers at Easton Elementary, Easton Middle, St. Michaels, and White Marsh Elementary Schools.

“This is another step in advancing Choptank Health’s mission of providing access to exceptional, comprehensive, and integrated healthcare for all,” says Choptank Health CEO Sara Rich. “We’re grateful for the strong partnerships we have with Talbot County Public Schools, Talbot County Health Department, and the Maryland Department of Health to make school-based health possible.”

Choptank Health’s School-Based Health Centers provide in-person and virtual well and urgent care during the school year and over the summer months, with student enrollment required. Other services include health education and risk assessment, sports and other physical exams, dietary support, asthma management, and sick or acute care.

Photo: L-R: Choptank Health’s School-Based Health Center provider for Talbot County Public Schools Kim Fitzgerald, CRNP; Choptank Health SBHC Program Manager for Talbot County Jennifer Insley; Critchlow Adkins Executive Director Cristy Morrell; Choptank Health President and CEO Sara Rich; and Choptank Health SBHC Patient Services Specialist for Talbot County Melissa Jones.

Choptank Health’s registered dental hygienists will be providing dental screenings, fluoride treatments, sealant applications, and dental hygiene education. The dental screenings include examinations of the teeth and all soft tissues of the mouth—along with instruction on brushing and flossing, and education on the importance of eating healthy foods in good oral hygiene.

Rich says School-Based Health Centers often provide a child with their only form of medical or dental care, furthering the importance of this expansion of services.

Critchlow Adkins Children’s Centers (CACC) is a nonprofit childcare program that is dedicated to providing quality, financially accessible childcare for children and their families in a nurturing, diverse, safe, and enriching environment. They offer preschool for children ages 2 to 4, before- and after-school care for PreK through 5th-grade students, and summer camp programs, with locations in Cordova, Easton, St. Michaels, and Trappe.

“Our motto at CACC is that we are building brighter futures for the children and families we serve. This includes helping them to stay healthy,” said CACC Executive Director Cristy Morrell. “We are thrilled to work together with Choptank Community Health to support the health and well-being of our students and their families.”

All Critchlow Adkins participants can enroll in the program and utilize any in-county SBHC site regardless of their ability to pay, with enrollment forms available at www.choptankhealth.org/schoolbased, www.cacckids.org, or at CACC’s five locations.

“This is a great step in expanding our School-Based Health Centers to help keep our communities healthy and thriving,” says Choptank Health Director of Community Based Programs Chrissy Bartz PA-C, MMS. “Access to health care at an early age can really make a difference in a child’s capacity to reach their fullest potential and can offer important preventative measures as well.”

Choptank Health’s School-Based Health Centers are located in five counties on Maryland’s Eastern Shore, providing dental services for Dorchester County Public School students and medical and dental services for students in Caroline, Kent, Queen Anne’s, and Talbot County Public Schools. A primary care mobile health unit is also used as part of Choptank Health’s school-based health center services.

“This serves as an important and timely reminder for all Mid-Shore parents that it’s never too late to enroll their students in school-based health,” says Rich.

Choptank Community Health System provides medical and dental services to more than 30,000 adults and children in Caroline, Dorchester, Kent, Queen Anne’s, and Talbot counties, with a mission to provide access to exceptional, comprehensive, and integrated healthcare for all. Medical services include primary healthcare, women’s health, pediatrics, behavioral health, chronic health management, and care navigation, with new medical patients now being welcomed. More is at www.choptankhealth.org.

The importance of access to rural healthcare was the topic for Choptank Community Health System CEO Sara Rich’s May 17 testimony at a hearing titled, “Improving Health Care Access in Rural Communities: Obstacles and Opportunities” before the Senate Committee on Finance Health Care Subcommittee.

Presiding over the Subcommittee hearing were Chairman U.S. Senator Ben Cardin (D-Md.) and ranking member U.S. Senator Steve Daines (R-Mt.). Rich provided testimony on behalf of the nation’s community health centers and was one of four national healthcare leaders providing testimonials.

According to the Centers for Disease Control, “Rural Americans face numerous health disparities compared with their urban counterparts.” To combat these obstacles, rural communities and providers including Choptank Health are pioneering innovative approaches to increase access to high-quality health care.

“Community health centers are the key to providing access to high-quality, affordable, and equitable health care,” said Rich. “Community Health Centers, like Choptank, work to figure out how we can best meet the needs of the communities we serve and are constantly reinventing how we provide access to care so we can meet our mission.”

Choptank Health serves more than 30,000 rural residents of Maryland’s Eastern Shore with medical, dental, and school-based health services in Caroline, Dorchester, Kent, Queen Anne’s, and Talbot counties.

“In the U.S., nearly 20% of residents live in rural areas, but only 10% of healthcare providers work in these areas,” said Rich during her testimony. “Twenty-five percent of Maryland’s total population lives in an officially designated rural area, with all five counties in the Choptank service area designated as rural.”

“Caroline, Dorchester, and Kent Counties have a Health Professional Shortage Designation (HPSA) for dental, mental health, and primary care,” Rich said. “In addition, Talbot County has a HPSA designation for dental care.

“Rural areas often share similar characteristics that are unique from other geographic designations,” said Rich. “These include distance to obtaining services, lack of transportation, healthcare access and availability, and poorer health outcomes.

Rich’s testimony shared how Choptank Health has been implementing innovative approaches to address and overcome obstacles to rural healthcare access, including workforce shortages, broadband access, transportation, and Medicaid redetermination.

Rich cited Choptank Health’s recent expansions in behavioral health, prenatal care, and women’s health as one way the Federally Qualified Health Center is addressing the area’s shortages of providers.

Rich says the need for reliable internet services became even more critical, especially in rural areas during the COVID-19 pandemic. “Virtual visits accounted for 65-70% of medical visits during the COVID-19 pandemic,” she says.

“Often, the planned virtual visit was converted to a phone visit so that the provider could connect with their patient,” Rich says. “Audio-only visits are a lifeline to some of our most vulnerable patients who face multiple obstacles in obtaining health care including chronic disease, transportation, and internet access.”

Rich’s testimony on Medicaid redetermination included how states will now have to begin eligibility redeterminations for Medicaid enrollees with the unwinding of the COVID-19 public health emergency and that estimates from Geiger Gibsonindicate that nationally up to 15 million Medicaid enrollees will lose coverage.

“Community health centers provide care for 1 in 6 Medicaid beneficiaries,” said Rich.

“States, including Maryland, are partnering with community health centers to provide outreach and education to patients who need to renew coverage depending on their eligibility or to find new coverage,” she says, “Choptank is developing messaging to share with patients at check-in and has members of the population health department reaching out to patients who are due to reapply for coverage.”

Rich also shared how providing health care in a rural area requires thinking outside the traditional healthcare delivery models, a practice she says is embraced by community health centers like Choptank Health.

Choptank Health’s strategies include expanding School-Based Health Centers both in the scope of service and in the number of sites, building a robust primary care delivery system for preventative health with the Maryland Primary Care Program, and garnering the power of partnerships to expand equity outreach.

“Choptank Community Health System has community in our name for good reason—community is at the core of everything we do,” said Rich. “When local agencies and community partners work together, the result is healthier communities.”

Rich concluded her testimony by sharing opportunities to increase rural health access for the Senate’s consideration.

Rich joined Choptank Community Health in 2007 as the vice president of community programs and eventually became senior vice president and COO in 2015. In 2017, she was appointed by the Choptank Community Health System Board of Directors as CEO. Prior to joining Choptank Community Health, Rich was the Associate Director for the National Center for Child Death Review, a program of the Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services, and previously a community health consultant with the Michigan Child Death Review Program.

A recording of Rich’s testimony can be accessed at bit.ly/ruralhealthcarehearing.

Choptank Community Health System’smission is to provide access to exceptional, comprehensive, and integrated healthcare for all. Medical services include primary healthcare, women’s health, pediatrics, behavioral health, chronic health management, care navigation, and laboratory services, with new medical and school-based health patients now being accepted. More is at www.choptankhealth.org.

Choptank Community Health System Family Nurse Practitioner Kim Fitzgerald, CRNP was recognized at the May 9 Maryland Assembly on School-Based Health Care (MASBHC) Conference in Columbia, Md. with this year’s Susan Borinsky Outstanding School-Based Health Center Nurse Clinician Award.

The annual award recognizes an outstanding nurse or nurse practitioner who always goes ‘above and beyond’ to manifest the vision of quality school-based health care for all young people and demonstrates passion and commitment to serving children and youth in a Maryland school-based health center. MASBHC created the award in honor of Susan Borinsky, who was lost to COVID-19 in 2020 after a long-standing, devoted career as a nurse practitioner in Baltimore school-based health centers.

“Kim’s passion and commitment to care embodies the qualities of a Susan Borinsky Outstanding SBHC clinician,” said Choptank Health Director of Community-Based Programs Chrissy Bartz, PA-C, MMSwho nominated Fitzgerald for the award. “The award is a tribute to her heart, hard work, and passion for caring for patients in school-based health.

“Over the course of just two school years—one interrupted by the COVID-19 pandemic—Kim has worked tirelessly and effectively in strengthening our community partnerships and growing our program to serve our community,” Bartz says. “Her leadership has helped build a school-based practice that school staff consistently utilize, and students and family value.”

Fitzgerald provides healthcare to Talbot County Public Schools students enrolled in school-based health. She graduated from the University of Maryland Baltimore with a Master’s Degree in Nursing, specializing in the field of study to become a Family Nurse Practitioner. She is a native of Burlington Junction, Mo.and now lives in Easton, Md. with her husband and three children.

Talbot County School-Based Health Center locations include Easton Elementary School, Easton Middle School, Easton High School, the St. Michaels schools’ campus, and White Marsh Elementary School.

“Kim exemplifies the work all our School-Based Health Centers achieve in keeping our communities healthy and thriving,” says Choptank Health CEO Sara Rich. “These Health Centers meet children and their families where they are to provide more access to healthcare, which is at the heart of our mission and everything Choptank Health does.”

Rich says School-Based Health Centers often provide a child with their only form of medical or dental care, and that it’s never too late to sign up a student as services continue over the summer months.

School-Based Health Centers provide in-person, virtual, curbside well and urgent care during the school year and over the summer months, with student enrollment needed. Services include diagnosis and treatment of illnesses, behavioral health services, nutrition, and educational services. Choptank Health’s School-Based dental programs include dental screenings and sealants, polishing/cleanings, oral health education, fluoride treatments, and dental emergency referrals.

School-Based Health Center Enrollment forms can be picked up at each school or downloaded in English and Spanish at www.choptankhealth.org/formsinformation.

Choptank Health’s School-Based Health Centers also provide dental services for Dorchester County Public School students and staff and medical and dental services for students and staff in Caroline, Kent, and Queen Anne’s County Public Schools. The centers are made possible through partnerships with each county’s public school system, local health departments, and the Maryland Department of Health. A primary care mobile health unit is also used as part of Choptank Health’s School-Based health center services.

Choptank Community Health System provides medical and dental services to more than 30,000 adults and children in Caroline, Dorchester, Kent, Queen Anne’s, and Talbot counties, with a mission to provide access to exceptional, comprehensive, and integrated healthcare for all. Medical services include primary healthcare, women’s health, pediatrics, behavioral health, chronic health management, care navigation, and on-site laboratory services, with new school-based and medical patients now being accepted. More is at www.choptankhealth.org.