Advancing Rural Health Access and Innovation with Brendan Harris & Patti Jackson-Gehris
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In this episode of the Becker's Healthcare Podcast, Jacob Emerson interviews Brendan Harris and Patti Jackson-Gehris, senior leaders at UPMC, about their innovative strategies to improve rural healthcare access in Pennsylvania. Patty, Market President for UPMC in North Central PA, shares how her team is transforming care delivery in sparsely populated regions like Potter and Tioga counties—where population density is as low as 15 people per square mile—by focusing on community-driven health needs assessments, prevention, and reimagining maternity care through regionalization and enhanced prenatal services. Brendan, responsible for Medicaid state programs, emphasizes the critical role of the federal Rural Health Transformation Program, which provides five years of funding to redesign rural care through sustainable, collaborative models involving payers, providers, and community organizations. Both leaders highlight how telehealth, mobile health units, and workforce development—including rural OBGYN fellowships and EMS support—are key to bridging geographic and systemic gaps. They stress that success isn't measured by the number of programs launched, but by long-term sustainability, reduced emergency visits, and equitable access to care. The episode underscores a shift from traditional, hospital-centered models to integrated, community-based systems that meet people where they are—literally and figuratively. From food insecurity interventions to telepsychiatry and home-based video visits for seniors, UPMC’s initiatives demonstrate how technology and policy can work in tandem to strengthen rural health ecosystems. The overarching message is one of reinvention: rural healthcare must evolve beyond preservation to embrace innovation, collaboration, and prevention to ensure long-term viability and equity.
Rural healthcare access requires moving beyond traditional models and reinventing care delivery through community-driven needs assessments and prevention-focused strategies.
Telehealth and mobile health units are powerful tools to extend care to remote areas without replacing local providers, improving access for seniors and underserved populations.
Workforce development—especially in maternity care, behavioral health, and EMS—is critical to sustaining rural health systems and must be paired with investment and retention incentives.
The federal Rural Health Transformation Program offers a five-year window to build sustainable, collaborative care models that integrate payers, providers, and community partners.
Success is measured not by program count, but by reduced avoidable ER visits, improved health outcomes, and long-term sustainability of innovative models.
Introducing UPMC’s Rural Health Leaders
Jacob Emerson welcomes Brendan Harris and Patti Jackson-Gehris, senior leaders at UPMC, to discuss their roles in advancing rural healthcare in Pennsylvania. Patty shares her background as Market President in North Central PA, overseeing four rural hospitals, while Brendan highlights his focus on Medicaid state programs and his roots in a small rural community.
Rural Health Challenges in Pennsylvania
Patty details the extreme rural demographics of Potter County (15 people per square mile) and the multifaceted challenges facing rural communities, including food insecurity, transportation barriers, and chronic disease. She emphasizes UPMC’s community-first approach through triennial health needs assessments to identify and address systemic gaps.
Reinventing Care Delivery: From Emergency to Prevention
“Last place we want to see you is in the emergency department, right? We want to keep you in your primary care office, keep you well outside of the walls of the hospital.”
Policy & Funding: The Rural Health Transformation Program
“You can put a pilot together. You can try something new. But if you can't sustain it, it's not going to solve the long term problems.”
Workforce Development: The Heart of Rural Care
“You can't really provide care unless there's people. This is the people business.”
“You can put a pilot together. You can try something new. But if you can't sustain it, it's not going to solve the long term problems.”
“Food is health, right? Food is medical. You need to have good nutrition and access to food to be healthy.”
“Last place we want to see you is in the emergency department, right? We want to keep you in your primary care office, keep you well outside of the walls of the hospital.”
Host
Guests
UPMC
organization
Patti Jackson-Gehris
person
Brendan Harris
person
Rural Health Transformation Program
other
Potter County
place
Food Insecurity
other
Tioga County
place
Mobile Health Unit
other
Lycoming County
place
Medicaid
other
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