Startup Grind Lansing

In rural communities, healthcare presents distinct challenges. With limited access to medical services, fewer educational resources, and a lack of awareness, many health issues go undiagnosed until they reach advanced stages. Chronic Kidney Disease (CKD) is one such condition that can often remain hidden until it becomes more severe, making early detection and management essential for improving patient outcomes. Thanks to the efforts of the Michigan Center for Rural Health (MCRH) and the National Kidney Foundation of Michigan, crucial steps are being taken to empower rural healthcare providers and improve CKD management.

### Addressing Rural Health Challenges

A variety of factors complicates healthcare in rural areas. Many rural healthcare providers face inadequate resources, which limits their ability to diagnose and treat chronic conditions effectively. CKD is particularly concerning because it can develop silently and remain undetected until significant damage is done. This delay in diagnosis can lead to complications that could have been prevented with earlier intervention. As a result, the collaboration between MCRH and the National Kidney Foundation is a critical step in equipping rural providers with the knowledge and tools to manage CKD better and improve patient outcomes.

### Who is Jillian Oesterle?

Jillian Oesterle, the Director of Provider Solutions at MCRH, has been instrumental in bridging the gap between rural healthcare providers and the resources needed to combat CKD. Her leadership has been vital in bringing together the expertise of MCRH and the National Kidney Foundation to create practical solutions that address the unique challenges rural health professionals face. With Jillian at the helm, the initiative has gained momentum in providing healthcare providers with the tools to manage CKD and its associated risk factors.

### A Collaborative Approach

The MCRH and the National Kidney Foundation of Michigan partnership is centered on empowering rural healthcare providers. Through education, resources, and developing a CKD management toolkit, both organizations are working to provide the support needed to address CKD effectively.

**Education on CKD:** The first step in this initiative is to educate healthcare providers about CKD, including how it can be detected early and the importance of managing risk factors like hypertension and diabetes.

**Integrating CKD Screening:** Providers can identify the disease in its early stages by incorporating it into routine clinical workflows. Early detection is crucial for preventing or slowing its progression. As Jillian Oesterle states, *“By integrating CKD screening into clinic workflows, rural providers are empowered to identify CKD in early stages and optimize management of modifiable risk factors.”*

**Developing a CKD Management Toolkit** In collaboration with the National Kidney Foundation, MCRH has developed a CKD management toolkit that equips healthcare providers with educational materials and resources to manage CKD in rural clinics better.

### The Impact of Empowering Providers

The collaboration has had a tangible impact on healthcare providers, who now have access to tools and resources that significantly improve their ability to manage CKD. The CKD management toolkit is designed to:

– **Improve Early Detection:** Early identification of CKD allows healthcare providers to take timely action, slowing the progression of the disease.

– **Enhance Patient Care:** Providers can deliver more effective care to patients With better resources and a clearer understanding of CKD management.

– **Reduce CKD Prevalence:** By equipping rural healthcare professionals with the necessary tools, the prevalence of CKD can be reduced, ensuring better health outcomes for rural communities.

### The Role of the National Kidney Foundation

The National Kidney Foundation of Michigan is pivotal in raising awareness about CKD in rural areas. Their involvement is crucial in ensuring that rural healthcare providers have the knowledge and resources to prevent, detect, and manage CKD effectively.

### Looking Ahead

The MCRH and the National Kidney Foundation of Michigan partnership is an inspiring model for addressing chronic disease management in rural communities. Their collaborative approach continues to evolve as they expand resources and educational opportunities for healthcare providers. The ultimate goal is to foster healthier futures for individuals affected by CKD, regardless of where they live.

### Join the Cause

If you’re interested in learning more about the efforts to combat CKD in rural communities or want to support this important cause, visit the following resources:

– Michigan Center for Rural Health
– National Kidney Foundation of Michigan

Through collective efforts, we can make a significant difference in the lives of individuals living with Chronic Kidney Disease. Stay informed, stay involved, and help support the fight for better health in rural communities.

Jubilee is a pivotal organization supporting households working to overcome homelessness. Their mission goes beyond merely providing shelter—helping individuals maintain their housing and access vital resources, relationships, and services to create a more sustainable life. At its core, Jubilee believes in the power of connection and community, aiming to ensure that people are housed and supported holistically in their journey to stability.

One of the most potent initiatives at Jubilee is its involvement in the Ingham Health Equity Council. The council’s goal is to weave a web of support and connections for individuals, no matter their background or identity. Whether a person’s race, economic status, or personal history, Jubilee seeks to ensure everyone is equitably served and has access to the resources necessary for their health and well-being. Jubilee understands the importance of community and support systems in a world where no one achieves lasting success alone.

A key aspect of Jubilee’s work involves bridging clients and resources. This includes the organization’s health coaching program, funded by a generous $13,000 grant from the Health Equity Committee. This funding was used to cover health coaches’ incentives and to provide participants with supplies, such as backpacks filled with essential items. The program offered two distinct yet complementary approaches to health coaching: physical and emotional well-being.

Dinah, a health coach at Jubilee, focused on improving clients’ physical health, including helping them navigate health insurance options, find a primary care physician, schedule appointments, and follow through with medical care. Her efforts were invaluable in ensuring clients received the proper care to manage their health effectively. Meanwhile, the emotional and social health coaching offered by Jubilee focused on coping strategies, stress management, and personal empowerment. These sessions often occurred in uplifting settings, such as Frances Park, where clients could experience new, healthy, positive activities.

The program’s personalized approach to care has profoundly impacted its participants. Many people enrolled in the program had never experienced the level of support they received from Jubilee. One client shared how, through the program, they had received critical assistance such as transportation to necessary appointments, help with obtaining disability benefits, and guidance in securing better housing. The individual expressed that they were amazed by how Jubilee staff went above and beyond to ensure they were supported—offering emotional care and tangible help, such as arranging for a hotel stay so they could rest after a medical appointment.

Another participant spoke about the importance of the health coaching sessions, emphasizing the value of having someone to talk to who genuinely listens and helps them work through challenges. This holistic support—combining financial incentives with emotional care—has proven life-changing. One individual was able to schedule a long-needed surgery and received assistance with managing their health and housing situation.

Erica, a Jubilee staff member, was highlighted for her immense support and client advocacy. Before working with Jubilee, one participant struggled without a caseworker. Erica’s involvement made all the difference. The person noted how valuable it was to have someone in their corner who understood their struggles and worked tirelessly to help them navigate the system.

At its heart, Jubilee believes everyone deserves care, respect, and the opportunity to reclaim self-love and self-care. For those who may have lost touch with these concepts due to trauma, hardship, or instability, Jubilee provides the tools, resources, and guidance to help them rediscover their worth and build a healthier, more stable future. Jubilee creates lasting change by offering emotional and practical support—one person at a time.

The Alma Women’s Club is proud to celebrate a remarkable milestone in 2024—its 135th anniversary. Established in November 1889, the club has been a cornerstone of community service, promoting civic involvement, education, the arts, and personal development. The Alma Women’s Club has fostered a deep commitment to empowering women and supporting youth through various programs and initiatives for over a century. As the club commemorates this significant anniversary, it reflects on its rich history, continued dedication to the community, and the lasting legacy its members have created.

### A History of Service and Innovation

Founded when women’s roles in civic life expanded, the Alma Women’s Club has always embraced change and innovation. For over 135 years, it has strongly advocated education, women’s rights, and community engagement. One of the most iconic contributions from the club’s long history is the creation of the “Little White Line on the Right Side of the Road”—a simple yet revolutionary idea that enhanced road safety worldwide.

In 1956, club member Vita Richards was driving on rural roads to pick up her husband from the bus station in Lansing. Noticing the difficulty of navigating the streets at night, she proposed placing a white line on the right side of the road. This would make it easier for drivers to stay on course, particularly during the evening. Vita presented the idea to the Michigan State Highway Department with the full support of the Alma Women’s Club. The proposal was quickly adopted and eventually became a global road safety feature. As Diantha Hicks, a longtime club member, fondly remembers, “The most significant contribution the Alma Women’s Club has made to society is the Little White Line on the Right Side of the Road.”

### Continuing the Legacy Through Education and the Arts

While the club’s history is rich with groundbreaking ideas, its focus on education and the arts continues today. The Alma Women’s Club is dedicated to nurturing young minds and providing opportunities for personal development. The club empowers local youth through various programs and helps them thrive academically and creatively.

One of the club’s standout initiatives is its annual Book Distribution Program, in which every third-grade student in Alma receives a book. This program encourages early literacy and fosters a love of reading among young children. The Alma Women’s Club also supports creativity and artistic expression by awarding scholarships to middle schoolers to attend art camps. These scholarships allow students to develop their artistic talents and explore new creative avenues.

Another crucial aspect of the club’s mission is its **High School Scholarship Program**, which awards a scholarship to a female high school senior who has demonstrated outstanding academic achievement and a commitment to community service. This scholarship provides financial support to young women pursuing higher education, helping to break down barriers to college access and encouraging leadership in future generations.

### Looking Ahead: A Bright Future

As the Alma Women’s Club looks ahead to the next 135 years, it remains steadfast in its mission to serve the community, support education, and celebrate the arts. The club continues to honor the dedication and vision of the women who came before them and the current generation of members shaping its future.

In a constantly changing world, the Alma Women’s Club’s legacy of community service, education, and innovation remains as relevant today as it was in 1889. With each new initiative and contribution, the club builds upon the sturdy foundation laid by its founders. Whether supporting local youth or making a global impact through innovative ideas, the Alma Women’s Club stands as a beacon of hope and progress.

### Join in the Celebration

As the Alma Women’s Club celebrates 135 years of service, innovation, and community impact, the organization invites everyone to honor its legacy. From the groundbreaking “Little White Line” to the ongoing work supporting education and the arts, the Alma Women’s Club has demonstrated how a small group of dedicated individuals can make a lasting difference. Here’s to another 135 years of empowering women, supporting youth, and improving the world.

Visit the Alma Women’s Club website for more information on its programs and to stay updated on future initiatives.

Last year, we were asked by the Shiawassee Regional Chamber of Commerce to capture the evening of their annual awards dinner. It was held at the Z Hall just outside downtown Owosso, Michigan. Award winners included the following: ATHENA: Robin Stechschulte, Citizen of the Year: Kim Renwick, Mission Award: Dan Montes, Chairman’s Award: Ruthann Liagre, Ambassador Outstanding Business and Community Hero Award: Josh Willard, Entrepreneur Award: Bill Gilbert, Heart of Shiawassee: The Arc of Mid-Michigan, Innovation Award: Rex Wheele, Community Champion: Becky Zemla

For more info: https://www.shiawasseechamber.org/

Kidney disease has long been a silent and often undiagnosed health issue, with many patients discovering their condition only after significant damage has already occurred. However, there is hope on the horizon thanks to recent advancements in healthcare and a growing focus on early intervention. Kalen Gerulski, a dedicated nurse practitioner at McLaren Clare Clinic, is at the forefront of these changes, offering valuable insights into the evolving landscape of kidney disease management.

**A Shift Toward Early Diagnosis**

For years, kidney disease was typically diagnosed only when patients experienced severe kidney damage, making treatment options more limited and less effective. This delayed approach was particularly problematic for individuals in rural communities, where healthcare resources are often scarce. Fortunately, there has been a significant shift in the healthcare community’s approach to kidney disease. Today, the focus is on early diagnosis, prevention, and proactive management, especially in rural healthcare settings.

One key component of this shift is routinely testing critical kidney function indicators. Traditionally, kidney disease was diagnosed using serum creatinine levels, but this method often missed early signs of kidney dysfunction. Kalen Gerulski emphasizes the importance of adding urinal albumin tests alongside the standard Glomerular Filtration Rate (GFR) tests. These combined measures offer a more complete picture of kidney health, enabling healthcare providers to detect kidney disease earlier, often before noticeable symptoms occur.

“Too often, kidney disease was only diagnosed after kidneys started to fail,” says Gerulski. “With better screening tools, we can catch problems earlier and prevent further damage.”

**The Role of Routine Testing and Monitoring**

At McLaren Clare Clinic, Gerulski and her team use a combination of routine tests to monitor kidney health and track disease progression. Electronic Medical Records (EMR) are crucial in managing these tests and follow-up care. By tracking key metrics such as GFR and the urine albumin ratio, the clinic can monitor trends in kidney function and adjust treatment plans as necessary.

– **GFR (Glomerular Filtration Rate):** This test measures how well the kidneys filter waste from the blood. A lower GFR indicates impaired kidney function, which can signal the early stages of kidney disease.
– **Urinalbumin-to-Creatinine Ratio:** This test looks at the albumin level, a protein, in the urine. High albumin levels can indicate kidney damage, as healthy kidneys typically prevent albumin from leaking into the urine.

Regularly tracking these indicators enables healthcare providers to intervene early, adjust treatments, and offer personalized care plans designed to slow the progression of kidney disease.

**The Power of the PATH Program**

Another key initiative championed by Kalen Gerulski is the PATH (Personal Action Towards Health) program. This program empowers patients by improving their understanding of chronic conditions like kidney disease. By offering an accessible and affordable platform for education and engagement, PATH helps patients become active participants in their healthcare.

“PATH is about more than just providing information. It’s about empowering patients to take control of their health and work in partnership with their healthcare providers,” Gerulski explains. “When patients are more informed, they’re more likely to take action and make positive changes in their lifestyles.”

The PATH program emphasizes patient education, offering easy-to-understand resources and guidance to help individuals manage their chronic conditions better. This proactive approach to healthcare improves patient outcomes and helps reduce the burden of chronic disease.

**Collaboration for Rural Healthcare**

Kalen Gerulski’s work also extends beyond individual patient care. He is actively involved in the Chronic Kidney Disease Learning Collaborative, a partnership with the National Kidney Foundation of Michigan and the Michigan Center for Rural Health. This collaboration brings essential resources, education, and support to rural communities with limited kidney disease management.

By fostering collaboration among healthcare professionals and organizations, Gerulski helps ensure that rural patients access the same high-quality care as those in urban settings. “Working together as a community is crucial,” she says. “It’s about making sure no one is left behind.”

**Conclusion**

As kidney disease becomes a more prominent issue in healthcare, efforts like those spearheaded by Kalen Gerulski at McLaren Clare Clinic are paving the way for better management, earlier detection, and improved outcomes. Through routine testing, patient education programs like PATH, and collaborative efforts in rural healthcare, the future of kidney disease management looks brighter than ever. Early intervention and proactive care can make a difference, offering patients a better quality of life and a more substantial chance at long-term kidney health.

For families navigating the world of deafness or hearing loss, finding support that genuinely understands their unique challenges is invaluable. The **Deaf and Hard of Hearing (DHH) Guide Program**, part of the **Hands and Voices – Guide by Your Side** initiative, offers just that kind of partnership. By connecting families with trained DHH guides—adults who have grown up deaf or hard of hearing—this program provides emotional support and practical guidance from those who have lived the experience.

### A Beacon of Support

The DHH Guide Program’s core mission is to reassure families that someone who understands their journey is there to walk alongside them. The program focuses on emotional support and provides families with a unique perspective through the personal stories and experiences of DHH guides. These guides share their wisdom and insights on navigating the world with hearing loss, helping parents better understand their child’s needs while fostering hope for the future.

As one guide explained, “Our DHH guides are adults who grew up deaf or hard of hearing…they provide the unique perspective of having walked the path that your child will walk one day.” This lived experience is the cornerstone of the program, creating a nonjudgmental space where families can seek advice, share their concerns, and gain a sense of solidarity.

### Bridging Two Worlds: Language and Communication

One of the most valuable aspects of the DHH Guide Program is the ability of guides to bridge two worlds: the hearing world and the signing Deaf world. Many guides have spoken and sign language experience, allowing them to communicate effectively with families from diverse backgrounds. This dual perspective is particularly beneficial for families navigating the challenge of deciding between spoken language and sign language for their child.

A DHH guide shared their journey: “I was fortunate to have a very dedicated family who taught me a lot about language and communication… If I can give both that child and make it accessible for them, I’m going to do that.” This sentiment highlights the program’s commitment to empowering children by providing them with all available communication tools—whether that’s learning spoken language, sign language, or both.

### Navigating Technology and Accessibility

As technology evolves, the DHH Guide Program also offers families insights into the latest tools and resources for enhancing communication and accessibility. For many families, understanding which technology or system will work best for their child’s unique needs can be overwhelming. DHH guides, who come from diverse backgrounds and have firsthand experience with assistive technology, can help families make informed decisions about what will be most effective for their child’s learning and communication.

The relationship between guides and families is one of mutual learning. Just as a Jedi master might teach a Padawan, guides, and families engage in a dynamic process of shared knowledge and discovery, helping to navigate hearing loss’s complexities with expertise and empathy.

### Inspiring Success and Building Community

Another powerful aspect of the DHH Guide Program is the representation it provides. Seeing successful adults who are deaf or hard of hearing can be deeply inspiring for both children and their families. It offers hope, showing that a child’s potential is limitless and that achievements are possible despite their challenges.