2.  Governance of Ohio  There are 88 counties  There are 942 cities and villages  There are 1,308 townships  There are 667 public school districts  There are 631 special districts  A board of commissioners, elected for four year terms, whose authority is limited by state law are the officiating officials here.  There is an Auditor  There is an Financial Officer  There is an Clerk of Courts  There is an Coroner  There is a Engineer  There is an Prosecuting attorney  There is a Recorder  There is a Sheriff  There is a Treasurer  When the population reaches 5,000, a village automatically becomes a city. Once it becomes a city, law must established with executive and legislative bodies. The city government officials are as follows:  A Mayor  A City Manager  A Commissioners

3.  State’s Major elected Officials  A Governor  There are Senators  There are House of Representatives  A Mayor

4.  Reasons:  Lack of Management  Funding Problems  Poor Technology/Old School  The Effect  Medical technology is not the best one  Common medical issues becomes life threatening  Medical costs becomes too expensive

5.  Ohio’s Response to the Issue of Health Care in Rural Areas

6.  Local health departments in Ohio  There are 58 urban health departments  There are 71 rural health departments  There are 20 city charters  There are 61 combined health districts  There are 24 counties with more than one health department

7.  There is an estimated population of 11,536,504 people  There are 2,237,079 living in rural Ohio  There 173 hospitals in Ohio  And 59 of which are located in rural areas  There are 34 hospitals identified by the Flex Monitoring Team as Critical Access Hospitals  There are 19 Rural Health Clinics in Ohio  There are 36 Federally Qualified Health Centers provide services at 137 sites in the state

8.  Create a government mandated technology programs  Provide a government training program for medical assistants

9.  To Expand electronic usage  implementation and expansion of computer use should be mandatory  Get assistance from bigger cities  Get help from other networks and increase network if necessary  Increase tax if needed  Benefits  transmission of information can be faster  No more misdiagnosis  Can make employees more productive

10.  City-Data. (2011). Ohio-Local Government. Retrieved from http://www.city-data.com/states/Ohio-Local- government.html  Healthcare Technology News. (2011, March 13). The Rural Health Problem of Health Information Technology: Introduction. Retrieved September 3, 2011, from HealthCare Technology News: http://healthdatamanagement.us/category/health- management-technology  Ohio.Gov. (2011). Governor Kasich. Retrieved from http://www.governor.ohio.gov/About/GovernorKa sich.aspx  Ohio Department of Health. (2011). Center for Public Health Statistics and Informatics (CPHSI). Retrieved from http://www.odh.ohio.gov/healthstats/cphsi1.aspx

11.  Ohio Department of Health. (2011). Local Health Districts. Retrieved from http://www.odh.ohio.gov/localHealthDistricts/lhdm ain.aspx  Ohio Department of Health. (2011). State Office of Rural Health (SORH). Retrieved from http://www.odh.ohio.gov/odhprograms/chss/pcrh_ programs/rural_health/sorh.aspx  Rural Assistance Center. (2011). States. Retrieved from http://www.raconline.org/states/ohio.php  THE COALITION OF RURAL AND APPALACHIAN SCHOOLS. (2011). The Coalitions Mission and Goals. Retrieved from http://www.coras.org/  The Rural Health Problems of Information Technology (2011), Retrieved from http://www.huiworld.com/2011/08/the-rural- health-problem-of-health-information-technology/