Author: Nancy McCready

Podcast episode 18: Ashley All

Welcome to the Pioneers in Health podcast. In this podcast, we share inspiring stories of pioneering leaders from our nation and from your backyard who are working to improve health.

In episode 18, we interview Ashley All, M.S., president of the Kansas Coalition for Common Sense and executive director of the Kansas Common Sense Fund. Ashley is an experienced communication strategist and advocate, whose nonpartisan organizations focus on empowering Kansas voters through research-based messaging. 

Previously, Ashley served as senior advisor at Families United for Freedom, director of communications for Kansans for Constitutional Freedom, and communications director for Kansas Gov. Laura Kelly. 

In this episode, she discusses the importance of building coalitions around shared values. She said it’s important to work with a diverse group of people, including those across the political spectrum. 

Her organization undertook an extensive research project to better understand what values are most important to Kansans. That research has been extremely beneficial in her work, she said.

“A lot of the issues that we deal with really do have a through line in values — whether it’s family or faith or accountability,” Ashley said. “And so better understanding those shared values first, and then using those shared values as a foundation in our messaging is much more effective — even if you’re dealing with something that is complicated or polarizing.”

She said though times are challenging right now, she encourages people to step back from social media and engage with their communities and neighbors in real life — including those who hold different political views. 

“I think you’ll find that the vast majority of people, you have a lot more in common than you think,” she said. “And having those conversations is really the first step in healing those wounds that we’ve kind of created over the last few years.”

In this episode, she also discusses:

  • Her journey into communications
  • Her experience working on multiple campaigns and in government service
  • The importance of sharing stories and how it can influence conversations on policies
  • Her experience working on communications for women’s health and reproductive rights in Kansas
  • Lessons she’s learned along the way
  • Why she founded the Kansas Common Sense Fund
  • Communications challenges in the current political environment 
  • Efforts with the Health Fund to convey how proposed Medicaid cuts would hurt local communities

 And much more! Listen now, and learn more about how Ashley is an innovative leader in communications.


Listen now

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Please see the Pioneers in Health page on our website for more information on our podcast series and links to other episodes.  

2025 Healthy Congregations Retreat

We appreciate everyone who attended our annual Healthy Congregations retreat this year. We hope you enjoyed connecting, learning, sharing and developing relationships with others who share a passion for congregational and community health.

We’ve included resources from the 2025 retreat below. If you posted on social media during the event, we’d love for you to tag us @umhealthfund! And, we hope to see you again in 2026!

Healthy Congregations contact: Katie Schoenhoff, vice president of programs, katie@healthfund.org


Connection to Action: Listening Sessions
Presenter: Adam Barlow-Thompson, The Neighboring Movement
Handouts

Connection to Action: Storytelling
Presenter: Katie Schoenhoff, Health Fund
Presentation | Handouts below


Workshop — Journeys to Transformational Change
Presenter: Katie Schoenhoff, Health Fund
Presentation | Handout

Emerging Issues — Facilitated Discussion and Q&A
Presenter: David Jordan, Health Fund
Presentation

Healthy Congregations Program Updates
Presenter: Katie Schoenhoff, Health Fund
Presentation

Click here to view photos from the retreat!


Podcast episode 17: Justin Duncan

Welcome to the Pioneers in Health podcast. In this podcast, we share inspiring stories of pioneering leaders from our nation and from your backyard who are working to improve health.

In episode 17, we interview Justin Duncan, BS, NRP, CCEMT-P, FP-C. Justin serves as the chief executive officer for Washington County Ambulance District.

He also serves as president of the Missouri EMS Association, is a board member for the Missouri EMS Agent Corporation, and is a member of the National EMS Management Association.

He is a strong advocate for the profession and finding new ways to bring innovative therapies into the pre-hospital setting.

In this episode, he discusses the role of emergency medical technicians (EMTs) and paramedics. He also discusses the differences between the two and misconceptions that exist about the industry as a whole, such as that most states don’t recognize them as essential services — despite the fact the public does.

“There’s a common misconception across the majority of human beings that when they call 911, they are guaranteed to have a resource show up to their doorstep,” he said. “That’s just quite simply not the case.”

He also discussed that while many states don’t recognize EMTs and paramedics as health care providers, about 80-85% of the calls they respond to are for routine primary care — not emergency care. People often call 911 for blood pressure checks, pain from toothaches, running out of medications or wanting mental health care but not sure where to start.

In response to this, he said his ambulance district expanded to adopt a new service line to address these types of calls without transporting patients to a hospital emergency room. The new “wing” of care utilizes mobile integrated healthcare and community paramedicine to leverage the skills of EMTs, paramedics and other health care providers to provide primary care in a person’s home.

Not only can they provide certain levels of medical care, but they can also make assessments, help connect patients with appropriate resources and providers, and reduce the number of unnecessary visits to emergency departments. The goal is to ensure patients receive the “right care, in the right place, at the right time,” Justin said.

“If you have a toothache, an emergency ambulance response and transport to the emergency department is not the right care and in the right place,” he said.

Want to learn more about community paramedicine?
Check out our new fact sheet and resources page here!


This model of care is helping fill gaps in the current health care system, especially when it comes to maternal health care in rural communities. Nearly 46% of Kansas counties are defined as maternity care deserts, which means there are no obstetric providers or hospitals or birth centers that offer obstetric care.

There’s a misconception that people aren’t delivering babies in rural communities anymore, he said, but that’s not true.

“We might not have a delivering facility, we may not have a hospital with an OB department anymore, but we deliver babies all the time in our rural communities,” Justin said. “It just so happens they’re in people’s living rooms, in the back of the ambulance or on the side of the highway.”

He discusses how his mobile integrated healthcare team is helping fill the gaps in maternal health for these rural communities. There are misconceptions that mobile integrated health care and community paramedicine teams are going to take away home health and hospice jobs. Justin said that’s simply not true.

“I always come back and say ‘Nope, I get more referrals, and we work closer with them than I ever dreamed of,'” he said. “I promise you there is plenty enough work to go around. We’re not looking to take anyone’s jobs. We’re here to fill gaps.”

He also discusses:

  • His journey into becoming an EMT and then paramedic
  • The roles of EMTs and paramedics and the differences between the two
  • How these professions are categorized and reimbursed at the federal level
  • How most states do not recognize emergency medical services as an essential service, though most people assume it is and expect services to arrive upon calling 9-1-1
  • How mobile integrated health and community paramedicine and are helping fill gaps in care
  • Developing relationships with local community health centers, or Federally Qualified Health Centers, and other partners to provide the best patient care when and where it’s needed
  • How state and federal policies, which also impact reimbursements, are currently the largest barriers to community paramedicine and mobile integrated healthcare programs
  • How care changed during the pandemic, allowing paramedics to provide care at home in order to limit visits to the hospital

And much more! Listen now, and learn more about how Justin is an innovative leader in health care.


Listen now

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Please see the Pioneers in Health page on our website for more information on our podcast series and links to other episodes.  

Community Paramedicine Resources

The right care, at the right time, at the right place.

Paramedics are more than just rescue workers. They’re highly trained health care workers who can help fill growing gaps in Kansas’ health care system. These gaps are fueled by workforce shortages, health care facility closures and an aging population. As the need for health care is increasing, the access to care is decreasing — especially in our rural communities.

However, an emerging health care model, called community paramedicine, can help solve this issue by leveraging the skills of paramedics in new ways. Paramedics already bridge the gap between communities and hospitals. Now, those skills can help fill the gap between communities and the health care system as a whole. They can provide the right care, at the right time, at the right place.

Here, we share videos and resources to learn more about this promising new health care model.


RESOURCES

What is community paramedicine?

Filling the gaps

Proven cost savings

Addressing root causes

The middle ground

Helping rural hospitals

Eyes and ears in the home

Extending the workforce


RESEARCH

Research brief

This brief, developed by the Kansas Health Institute with support from the Health Fund, provides a deep dive into the community paramedicine model.


FACT SHEET

Fact sheet

This fact sheet provides a quick overview about community paramedicine and why this model is needed.


NEWS

Pilot project in Kansas and Missouri announced; Health Fund contributing to effort

Healthy Congregations webinar Feb. 25

We’re excited to help Healthy Congregations churches dream big and make this year one full of purpose, intention and positive impact.

You’ll learn more about our special grant opportunities and hear from inspiring Healthy Congregations churches. They’ve tackled challenges, engaged creativity with their communities, and made health and wholeness central to their mission.

It will be a great opportunity to learn from others and get brainstorming for your own projects this year!

Complete the form below, and join us as we kick off 2025 with energy and purpose.

2025 Healthy Congregations Webinar

Empowering Congregations for a Purposeful 2025

Hear from other churches and learn about the inspiring work they are doing. Also learn more about special grant opportunities available to you.
(pastor, staff, volunteer, outreach team leader, etc.)
(Optional) add any comments, notes, or questions you’d like us to see.

Podcast episode 16: Dr. Courtney Younglove

Welcome to the Pioneers in Health podcast. In this podcast, we share inspiring stories of pioneering leaders from our nation and from your backyard who are working to improve health.

In episode 16, we interview Dr. Courtney Younglove, MD, FOMA, FACOG, DABOM. She is board certified in both obesity medicine and obstetrics and gynecology. She is the founder and medical director of Heartland Weight Loss, an obesity medicine clinic with locations in Overland Park and Lawrence, Kansas.

Dr. Younglove recently earned her fellowship in the Obesity Medicine Association – a designation earned by only 70 people so far. She received her undergraduate degree from the University of Kansas in 1997 and her Doctor of Medicine from the University of Kansas School of Medicine four years later. She has practiced medicine in the greater Kansas City area for over 18 years and has practiced obesity medicine for 10 years.

Dr. Younglove understands the battle with obesity. She began her struggles with excess weight in adolescence. Prior to obtaining her degree in obesity medicine, she gained and lost the same 40 pounds at least 20 times. She is also a busy single mother of three boys and understands how tempting it is to forego healthy foods in order to get something on the table between school, work and obligations. She has a passion for living a healthy life and believes that everyone deserves the opportunity to live a life of wellness: physically, emotionally and mentally.

In this episode, she discusses the emergence of the field of obesity medicine. Obesity medicine has four pillars of treatment: medical interventions, nutrition therapy, physical activity and behavioral modification.

She said a comprehensive treatment strategy is needed to tackle the root cause of excess weight. Medication alone will not address the underlying issue, she said.

She discusses the rapid rise in popularity of GLP-1 medications to aid in weight loss, though they had been around for years to treat diabetes, and the ripple effect that’s had on the health care industry.

“From a medical standpoint, I think we’re losing focus on the underlying problem. We were just making headway that this disease of obesity is a complex disease. It’s not simply a disease of appetite regulation. It’s not just, ‘Hey, you need to eat less,’ and we’re just going to cheerlead you through that eat less process,” she said.

While the medications are beneficial in suppressing hunger, the treatment can’t stop there, or the root cause won’t be addressed.

“If we haven’t figured out why do you have that abnormal drive to eat, then the minute you take them away, if you haven’t fixed the problem, they come right back again,” she said.

She also discusses:

  • Her path to becoming a physician and her journey into obesity medicine
  • The emergence of obesity medicine as a medical field
  • How the current spotlight on weight-loss medications as a quick fix is reversing gains in public understanding of obesity as a complex disease and damaging the credibility of the field of obesity medicine
  • The need to treat the whole person and importance of proper nutrition
  • How the rapid rise in GLP-1 medication use impacted how insurance companies cover weight-management drugs
  • Tips for finding a qualified, board-certified professional to aid in weight loss instead of a prescription-as-a-service clinic or pop-up provider

And much more! Listen now, and learn more about how Dr. Younglove is an innovative leader in health care.


Listen now

Listen below or on any of your favorite podcast services. Like and subscribe to stay up-to-date with each new episode!

Episode 16 features Dr. Courtney Younglove

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Please see the Pioneers in Health page on our website for more information on our podcast series and links to other episodes.  

Kansas wins big with maternal health care grant

Earlier this month, Kansas was awarded a $17-million, 10-year grant to participate in the Centers for Medicare & Medicaid Services’ Transforming Maternal Health (TMaH) Model.

This model has the potential to revolutionize the way maternal health care is provided in Kansas — a necessary action at a time when more than 45% of Kansas counties qualify as maternal health care deserts. Many women must travel more than 30 minutes — and sometimes 60 minutes — to reach their nearest birthing hospital.

We applaud Gov. Laura Kelly, the Kansas Department of Health and Environment and the state Medicaid agency for their leadership and for successfully securing this substantial grant that will prioritize the health and wellness of Kansas mothers and families.

The United Methodist Health Ministry Fund prioritizes maternal health care in its grantmaking and provided funding support to the state of Kansas to assist in its application for this opportunity

“It’s critical we find ways to expand access to maternal health care in Kansas,” said David Jordan, Health Fund president. “Mothers across the state — and especially in our rural communities where services are disappearing — need and deserve this. The TMaH model will provide the funding and support necessary to make substantial steps forward in addressing this issue so that Kansas can create sustainable solutions to improve the lives of mothers, babies and families.”

The TMaH model focuses on improving maternal health care for people enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). The goal is to reduce disparities in access and treatment, improve birth outcomes and experiences for mothers and their newborns, and reduce overall program expenditures.

The model’s initiatives focuses on three main pillars:

1. Access to care, infrastructure and workforce capacity
This includes addressing gaps in maternal care by improving access to valuable resources like midwives, doulas and community health workers. These care team members can reduce the number of c-sections for low-risk pregnancies, shorten labor time, lower the use of pain medication during birth and lower the rates of postpartum anxiety and depression.

2. Quality improvement and safety
This includes implementing quality initiatives and protocols to make childbirth safer while improving the mother and baby’s overall experience. When implemented together consistently, these protocols have been shown to improve health outcomes.

3. Whole-person care and delivery
This includes working with mothers to develop a unique birth plan that will support their physical, social and mental health needs. This may even include remote monitoring of conditions like hypertension and diabetes to reduce the burden of traveling to and from a doctor’s office. It could also include connecting a mother with community organizations or a community health worker.

As part of the participation in the model, Kansas will also be required to develop and implement a health equity plan that addresses disparities among underserved populations.

These are all significant steps in the right direction, as we work to find solutions that will improve access to care for our state’s mothers.

“This was a monumental win for maternal health care in our state,” Jordan said. “Thanks to this funding, the state will be able to expand its workforce and improve the health of mothers and children. We look forward to seeing the impact this will make throughout Kansas.”

Podcast episode 15: Sonja Armbruster

Welcome to the Pioneers in Health podcast. In this podcast, we share inspiring stories of pioneering leaders from our nation and from your backyard who are working to improve health.

In episode 15, we interview Sonja Armbruster, MA. Sonja is a public health educator, consultant and advocate with an insatiable curiosity about how we can improve public health practice.

Sonja’s work focuses on providing training and technical assistance to state, local, tribal and territorial health departments through her role as a performance improvement consultant for the Public Health Foundation. She also supports facilitation and training experiences for several health-related audiences.

She continues to connect the worlds of academic public health and the practice community through her more than 10 years of service to the Midwestern Public Health Training Center. Through her work with Wichita State University’s Center for Public Health Initiatives, she provides training and technical assistance to the Kansas Department of Health and Environment and local health departments across Kansas. Sonja has been teaching and facilitating meetings or training experiences for over 25 years.

In this episode, she discusses the role of public health and highlights two areas that public health efforts have greatly impacted — tobacco usage and vaccine adoption.

She discusses how the broad availability and access to vaccines has been critical for preventing disease, maximizing health and providing economic health benefits.

One study showed that for children born between 1994-2023, their routine childhood vaccinations will have prevented 508 million cases of illness, 32 million hospitalizations and over 1 million deaths, resulting in a savings of $540 billion in direct costs and a societal savings of $2.7 trillion.

“It’s really hard to explain how vaccinations work and how they have that positive impact, because even though we know vaccines are safe and effective, when we are experiencing not having illness, it’s hard to quantify how great that is,” she said.

She also discusses:

  • Her journey into public health
  • The importance of defending against attacks on public health programs
  • Efforts to reduce tobacco use to the lowest rate it’s ever been
  • The role and importance of local health departments
  • Why funding for public health is challenging
  • How to be better champions for public health
  • The importance of expanding Medicaid coverage and how it would benefit Kansans’ health and reduce health care costs for everyone
  • Efforts she’s excited about moving into 2025, including a community health worker coalition

And much more! Listen now, and learn more about how Sonja is a pioneering leader in health care.


Listen now

Listen below or on any of your favorite podcast services. Like and subscribe to stay up-to-date with each new episode!

Episode 15 features Sonja Armbruster, MA

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Please see the Pioneers in Health page on our website for more information on our podcast series and links to other episodes.  

Health Fund joins efforts to support new health care model

Mobile integrated health (MIH) and community paramedicine are emerging health care models that deliver health care outside of traditional settings like hospitals and clinics.

By delivering health care in homes and community settings using providers like community paramedics, there is an opportunity to help address growing workforce shortages, expand access to care and improve patient outcomes.

The Health Fund is excited to announce it has partnered with the Patterson Family Foundation on their recent $1.5 million grant to the Missouri Emergency Medical Services Association to launch a groundbreaking pilot program in six rural counties across Kansas and Missouri to demonstrate the effectiveness of MIH.

The Health Fund believes in the future of MIH and has partnered with the Patterson Family Foundation to fund components of this program.

The Health Fund has contributed more than $400,000 to provide policy research, support and technical assistance with program evaluation for the project and Kansas sites. The Health Fund also will collaborate with state and local partners to provide advocacy for this model, as well as assist the Kansas sites in identifying and securing grants or contracts that support MIH.

Participating pilot sites are Dickinson, Franklin and Kingman counties in Kansas, and Caldwell, Carroll and Ray counties in Missouri.

“We need innovative ways to improve access to care, especially in our rural communities,” said David Jordan, Health Fund president and CEO. “This new health care model shows tremendous promise, and we look forward to seeing the implementation and results from this pilot project.”

The project, called “Thriving Through MIH,” aims to enhance health care delivery by utilizing patient-centered, mobile resources in out-of-hospital environments. It’s specifically designed to meet the needs of underserved populations in rural areas.

MIH leverages and maximizes the skills of paramedics as community paramedics, expanding their role to assist with public health, primary health care, behavioral health care and preventive health care services.

With this model, community paramedics provide care in a patient’s home, and in true emergencies, sustain care until an ambulance is dispatched.

They can perform the functions of a clinician, such as labs, intubation, ultrasounds, injections and vaccinations, or the functions of a community health worker, such as performing environmental assessments, ensuring patient safety, creating access to healthy food, completing home repairs and more.

Community paramedics can also connect patients to physicians, nurse practitioners and other qualified providers for treatment via telehealth and eventually to a primary care facility for comprehensive, integrated care.

“Community paramedics can change how and where care is delivered,” Jordan said. “They have the potential to make a significant impact in our rural communities.”

The pilot project also will focus heavily on addressing social drivers of health and tracking care gap closures, such as housing, employment, transportation, food security and more.

The Missouri EMS Association said the project has the potential to significantly increase access to care for underserved populations, reduce “no shows” that can impact patient outcomes, increase access to resources that address social drivers of health, and improve patient-centered care and patient engagement in self-management.

Additionally, the projectwill provide opportunities for earlier intervention to address risk factors that contribute to the leading causes of death.

“MIH is revolutionizing the way health care delivery occurs in rural, underserved areas,” said Justin Duncan, Missouri EMS president. “It provides diverse, inclusive, whole-person care outside the ‘bricks-and-mortar’ setting in the right place at the right time – saving health care resources that can be directed elsewhere.”

Additional collaborators on the project include: Community Asset Builders, Mid-America Regional Council and the Kansas Emergency Medical Services Association.

Podcast episode 14: Anne Dwyer

Welcome to the Pioneers in Health podcast. In this podcast, we share inspiring stories of pioneering leaders from our nation and from your backyard who are working to improve health.

In episode 14, we interview Anne Dwyer. Anne is an associate professor of the practice at the Georgetown University McCourt School of Public Policy’s Center for Children and Families (CCF). Her research and policy work focus on Medicaid and the Children’s Health Insurance Program (CHIP).  

Prior to joining CCF, Anne served as senior health counsel for the U.S. Senate Finance Committee leading the Medicaid, CHIP and women’s health portfolio.

During her time with the committee, she was directly involved in major health legislation that included the reauthorization of CHIP, passage of the American Rescue Plan, and multiple year-end bills advancing Medicaid and children’s health.  

Anne holds a J.D. from the University of Minnesota Law School and a Masters of Public Health from the University of Minnesota School of Public Health. 

In this episode, she discusses how important Medicaid and CHIP are to the health of Kansans and all Americans. Medicaid, alongside CHIP, covers about half of all children across the country and serves as the largest payer of behavioral health services, which includes mental health and substance-use disorder services, she said.

Medicaid also is the largest payer for long-term care services and supports. In Kansas, she said 4 in 7 nursing home residents rely on the program.

Some policy experts predict President-elect Donald Trump will enact deep cuts to Medicaid and the Affordable Care Act.

Anne, whose work is non-partisan, said any reductions to Medicaid at the federal or state level would impact many people.

“You’re really talking about changes to people’s health care, because so many individuals across the country through different parts of their life span really rely on the program,” she said. “That’s what it’s there for — for when you need it.”

In addition to affecting people’s health care, any cuts at the federal level also would negatively impact state budgets, she said, as state and federal dollars both support the program.

“It can have really devastating consequences for state budgets when they are trying to figure out, ‘OK, we have this population, we have children, we have low-income parents, we have people with disabilities, we have seniors in nursing homes, how are we going to cover their care if that financing isn’t there from the federal government?'” she said. “It makes it incredibly difficult for the state to meet the needs of their residents.”

She also discusses:

  • How cuts may be structured and their potential impact to the program
  • What legislative actions are being discussed to enact these potential cuts
  • The importance of educating people — and quickly — about the role Medicaid plays in helping to keep people healthy through all stages of life

And much more! Enjoy these additional facts and resources below regarding Medicaid in Kansas, and then listen to the episode to learn even more about Anne’s expertise and the role of Medicaid in health care.

Medicaid in Kansas:


Listen now

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Episode 14 features Anne Dwyer of Georgetown University

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Please see the Pioneers in Health page on our website for more information on our podcast series and links to other episodes.  

© United Methodist Health Ministry Fund