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RHIhub This Week - December 6, 2017

Upcoming Webinar

Understanding Health Disparities in Rural America - Insights from the CDC MMWR Rural Health Series
Join us on December 18, 2017 at 1:00 p.m. Central for the next webinar in our series highlighting the findings from CDC Morbidity and Mortality Weekly Reports. Featured speakers from the CMS Office of Minority Health and the CDC Office of Minority Health and Health Equity will discuss racial and ethnic health disparities in rural areas and will be joined by two FORHP Outreach grantees who are working to address health disparities in their communities.

Twitter Chat

Boy on a bench #RuralHealthChat: Adverse Childhood Experiences in Rural Areas
Adverse Childhood Experiences, including child abuse, neglect, and household dysfunction, can impact a person’s health and well-being into adulthood. Join the RHIhub and our expert co-hosts on December 7 at 1:00 pm Central as we explore these challenges and share resources for rural communities working to change this trajectory.

New RHIhub Topic Guide

Chronic diseases Chronic Disease in Rural America
This new guide provides an overview of chronic disease generally as well as specific conditions, including heart disease and stroke, cancer, diabetes, chronic respiratory conditions, arthritis, and HIV/AIDS.

Models and Innovations

Genesis Lung Services Team COPD Re-admission Prevention Program
Genesis HealthCare System, Zanesville, Ohio, created a post-discharge care coordination program with impact not only on readmission rates, but access to acute and chronic care.
EPSART group photo Eastern Plains Sexual Assault Response Team (EPSART)
EPSART offers monthly team meetings, training opportunities, and case review to streamline care for victims of sexual assault.

 New in Our Online Library

Recent News

Request for Information (RFI): Soliciting Input for the Tribal Health Research Office (THRO) Strategic Plan (FY 2018-2022)
Dec 4, 2017 -- Information request inviting comments and suggestions on the National Institute of Health (NIH) Tribal Health Research Office's (THRO) Strategic Plan. This Strategic Plan focuses on stimulating new research areas, priorities, and approaches to improve the health of tribal communities. Comments will be accepted through January 8, 2018.
Source: National Institutes of Health, Office of Extramural Research

Medical Care Supplement Call for Papers, Health IT to Address Disparities
Dec 2, 2017 -- The National Institute on Minority Health and Health Disparities (NIMHD) is sponsoring a supplement to the journal Medical Care on "Addressing Health Disparities through the Utilization of Health Information Technology." Research must focus on one or more minority or health disparity populations. Papers must be submitted by February 12, 2018. (Announcement in the right sidebar.)
Source: National Institute on Minority Health and Health Disparities

CMS: Medicare Program; Cancellation of Advancing Care Coordination Through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model: Extreme and Uncontrollable Circumstances Policy for the Comprehensive Care for Joint Replacement Payment Model
Dec 1, 2017 -- Final rule from the Centers for Medicare and Medicaid Services (CMS) cancelling the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) Incentive Payment Model. The rule also finalizes revisions to the Comprehensive Care for Joint Replacement (CJR) Model, making participation in CJR voluntary for all low-volume and rural hospitals, regardless of geographic location. Additionally, the included interim final rule provides flexibility when determining episode costs for providers located in areas affected by extreme circumstances, such as hurricanes, in 2017. Comments regarding provisions of the interim final rule must be submitted no later than 5:00 p.m. Eastern on January 30, 2018. Additional information is available on the November 30, 2017, CMS fact sheet.
Source: Federal Register

Rural Hospitals Balk as Insurers Narrow Coverage Sites
Dec 1, 2017 -- Focuses on a specific Critical Access Hospital in Indiana to highlight the impact of a change in health insurance policy. Some health insurers no longer pay for outpatient MRI and CT scans unless they are done in free-standing imaging centers, which are typically less expensive. However, because hospitals have to have their imaging machines available at all times for emergencies, sending patients elsewhere can significantly affect their bottom lines, especially for small and rural hospitals. Additionally, this rule may force patients to travel further for care. (May require registration for full article.)
Source: Modern Healthcare

CMS Releases Its Measures Under Consideration List for 2018 Pre-Rulemaking
Nov 30, 2017 -- Blog post from the Centers for Medicare and Medicaid Services (CMS) announcing that they have released the annual list of quality and cost measures that are under consideration for Medicare quality reporting and value-based purchasing programs. CMS collaborates with the National Quality Forum (NQF) to get input from stakeholders on this list in order to provide more high quality care and achieve better individual outcomes.
Source: Centers for Medicare & Medicaid Services Blog

Impact of Childhood Trauma Reaches Rural Wisconsin
Nov 30, 2017 -- Focuses on a rural county in Wisconsin where rates of opioid overdoses and hospitalizations are particularly high. This county also has high rates of adverse childhood experiences (ACEs). Addresses the impact both of these things can have on individuals and communities and how they are exacerbated by limited access to healthcare.
Source: journal sentinel

Opioid Crisis Affects Farmers Harder Than Their Rural Neighbors
Nov 29, 2017 -- According to a poll commissioned by the American Farm Bureau Federation and the National Farmers Union, almost 75% of U.S. farmers and farm workers report being directly affected by opioid dependence, while the rural population as a whole only reports approximately 45% being directly affected. Farmers and farm workers also were more likely to report that it is easy to access opioids in their community.
Source: Bloomberg

Funding & Opportunities

Improving Health in Rural America: Addressing the Leading Causes of Death
A technical assistance opportunity for states to develop and implement strategies to address the leading causes of death in rural areas.
Geographic coverage: Nationwide
Application Deadline: Jan 5, 2018
Sponsor: National Governors Association


Regional Public Health Training Centers Program
Grants to support Regional Public Health Training Centers designed to increase the number of individuals in the public health workforce; enhance the quality of the workforce; and improve the ability of the workforce to meet national, state, and local healthcare needs.
Geographic coverage: Nationwide
Application Deadline: Jan 19, 2018
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Offender Reentry Program
Grants to expand substance use disorder (SUD) treatment and related recovery and reentry services to sentenced adult offenders/ex-offenders with a SUD and/or co-occurring substance use and mental disorders, who are returning to their families and community from incarceration.
Geographic coverage: Nationwide
Application Deadline: Jan 26, 2018
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services


Community Access to Child Health (CATCH) Planning and Implementation Grants
Funding to support pediatricians and fellowship trainees in the initial planning and/or pilot stage of implementing innovative community-based projects to increase children's access to medical homes, immunization services, and specific health services not otherwise available.
Geographic coverage: Nationwide
Application Deadline: Jan 31, 2018
Sponsor: American Academy of Pediatrics


Community Access to Child Health (CATCH) Resident Grants Program
Grants to support pediatric residents in the planning of community-based child health initiatives that increase children’s access to medical homes, immunization services, and specific health services not otherwise available.
Geographic coverage: Nationwide
Application Deadline: Jan 31, 2018
Sponsor: American Academy of Pediatrics


Ryan White HIV/AIDS Program Part C Capacity Development Grants
Provides funding to assist eligible entities to strengthen their organizational infrastructure and to increase their capacity to develop, enhance, or expand access to high quality HIV primary healthcare services for low-income, uninsured, underinsured, and people in underserved or rural communities.
Geographic coverage: Nationwide
Application Deadline: Mar 9, 2018
Sponsors: Health Resources and Services Administration, HRSA HIV/AIDS Bureau, U.S. Department of Health and Human Services


Exploratory/Developmental Surgical Disparities Research (R21)
Grants to support developmental and exploratory research focused on understanding and addressing disparities in surgical care and outcomes in minority and health disparity populations.
Geographic coverage: Nationwide
Letter of Intent (Optional): May 7, 2018
Application Deadline: Jun 7, 2018
Sponsors: National Cancer Institute, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institute on Minority Health and Health Disparities, National Institutes of Health, Office of Research on Women’s Health, U.S. Department of Health and Human Services


Discount for Rural Health Coding and Billing Specialist Online Course
Offers a $200 discount on an online self-study course for rural healthcare professionals to attain certification as a Rural Coding and Billing Specialist.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: Association for Rural Health Professional Coding (ARHPC), National Organization of State Offices of Rural Health


Personalized Technical Assistance on Integration of Behavioral Health in Rural Communities
Technical assistance for rural healthcare providers working toward integrating behavioral health and primary care to enhance the healthcare experience for individuals living with behavioral and physical health conditions.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: National Council for Behavioral Health, SAMHSA-HRSA Center for Integrated Health Solutions, Substance Abuse and Mental Health Services Administration

New Resources

Catalyzing Medicaid-Public Health Collaboration to Reduce Childhood Obesity
Explains cross-sector interventions tested by five states - Arizona, Maryland, Oklahoma, Oregon, and Texas - participating in the Center for Health Care Strategies' Innovations in Childhood Obesity Initiative. Each state profile highlights how Medicaid and public health agencies are using innovative approaches to address childhood obesity in their high-risk communities. The Texas initiative focuses on childhood obesity in the rural, low-income population along the U.S./Mexico border.
Sponsoring organization: Center for Health Care Strategies
Date: 11/2017


Characteristics of Communities Served by Hospitals at High Risk of Financial Distress
Study compares communities served by rural hospitals that have a high risk of financial distress with those that do not. Looks at community demographics, socio-economics, and health status.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 12/2017


Characteristics of Inpatient Stays Involving Hepatitis C, 2005-2014
Examines adult hospitalizations involving hepatitis C in 2014. Includes data by age group for hepatitis C inpatient stays for metropolitan, micropolitan, and noncore (rural) areas.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 12/2017


Distribution of Disproportionate Share Hospital Payments to Rural and Critical Access Hospitals
Information concerning potential effects of Medicaid Disproportionate Share Hospital (DSH) payment on rural hospitals in 47 states. Features statistics on hospital Medicaid DSH payments by census region, with breakdowns by urban, rural, and Critical Access Hospitals.
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 11/2017


HIV Surveillance in Urban and Nonurban Areas through 2016
Presentation slides providing HIV and AIDS statistics for metropolitan and nonmetro areas. Includes data by race/ethnicity and by region.
Sponsoring organization: Centers for Disease Control and Prevention
Date: 2017


Interviews from the Field: Swinomish Indian Tribal Community
Interview discusses the Swinomish Community Health Assessment and Code Development project. Presents the project's objectives and the goals of the Swinomish Community Health Department.
Sponsoring organization: Administration for Native Americans
Date: 10/2017


MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and recruitment efforts in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 12/2017


National Ambulatory Medical Care Survey: 2015 State and National Summary Tables
Provides data on outpatient visits to physician offices, with information on physician practices, patient, and visit characteristics. Table 1 and Table 31 include data by the metropolitan status of the physician for metro and nonmetro areas.
Sponsoring organization: National Center for Health Statistics
Date: 10/2017


The Opioid Epidemic and Federal Efforts to Address It: Frequently Asked Questions
Provides an overview of America's opioid problem, including information on abuse and supply, and discusses federal agencies and programs that address opioid abuse. Also discusses recent federal legislation and state-level policies that seek to combat the opioid problem.
Sponsoring organization: Congressional Research Service
Date: 10/2017


Racism and Health in Rural America
Commentary on the CDC MMWR report, Racial/Ethnic Health Disparities Among Rural Adults — United States, 2012-2015. Provides additional background information on rural communities and their diverse populations. Discusses how researchers, policymakers, and healthcare providers can address racial and ethnic health disparities in rural communities.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith
Location: Journal of Health Care for the Poor and Underserved (pre-print)
Date: 12/2017


Small Area Income and Poverty Estimates (SAIPE): 2016
Highlights from the 2016 SAIPE, which provides single-year median household income and poverty statistics. Includes many county-level maps showing income and poverty rates in 2016 and changes from 2007 to 2016. Figure 8 lists poverty data for metropolitan, micropolitan, and nonmetropolitan areas.
Additional links: SAIPE Data Tables and Visualizations
Sponsoring organization: U.S. Census Bureau
Date: 11/2017


State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Sponsoring organization: Flex Monitoring Team
Date: 11/2017

Upcoming Events

Dec
7
#RuralHealthChat: Adverse Childhood Experiences in Rural Areas
Time: 1:00 p.m. Central
Rural Health Information Hub
701.777.6046
nicole@ruralhealthinfo.og
Dec
11
Strengthening State Systems to Improve Diabetes Management and Outcomes
Time: 3:00 - 4:30 p.m. Eastern
Association of State and Territorial Health Officials
Dec
11
The Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030
Time: 3:00 - 5:00 p.m. Eastern
Healthy People
Dec
12
Learning and Growing: Healthy Development During Childhood and Adolescence – A Healthy People 2020 Progress Review
Time: 12:30 - 2:00 p.m. Eastern
Healthy People
Dec
14
Increasing Safety and Improving Housing Options for Native Survivors of Abuse
Time: 12:00 - 1:30 p.m. Mountain
National Indigenous Women's Resource Center
Dec
19
HIV Testing and Prevention: How Arizona Health Workers Can Help End the Epidemic
Time: 12:00 p.m. Mountain
Arizona Center for Rural Health
520.626.2254
petersjs@email.arizona.edu
Jan
8
Critical Access Hospital Conditions of Participation 2018: Ensuring Compliance - Part 1
Time: 9:00 - 11:00 a.m. Central
Iowa Hospital Association
515.288.1955
ketelsenm@ihaonline.org
Jan
10
Primary Care and Behavioral Health Team-based Care Year-long Webinar Series: Setting a Treatment Team
Time: 12:00 - 1:00 p.m. Pacific
Idaho Primary Care Association, Northwest Regional Primary Care Association
206.783.3004
registration@nwrpca.org
Jan
11-12
Meeting of the Medicare Payment Advisory Commission (MedPAC)
Medicare Payment Advisory Commission
Washington, DC
Jan
16
Critical Access Hospital Conditions of Participation 2018: Ensuring Compliance - Part 2
Time: 9:00 - 11:00 a.m. Central
Iowa Hospital Association
515.288.1955
ketelsenm@ihaonline.org
Jan
18-19
Improving Health Research on Small Populations: A Workshop
Also available by webinar
National Academies of Sciences, Engineering, and Medicine
Washington, DC
amann@nas.edu
Jan
23
Critical Access Hospital Conditions of Participation 2018: Ensuring Compliance - Part 3
Time: 9:00 - 11:00 a.m. Central
Iowa Hospital Association
515.288.1955
ketelsenm@ihaonline.org
Jan
28-30
2018 Annual National Summit on State GME Initiatives
GME Initiative
Atlanta, GA
480.313.2305
info@gmeinitiative.org
Jan
30
Critical Access Hospital Conditions of Participation 2018: Ensuring Compliance - Part 4
Time: 9:00 - 11:00 a.m. Central
Iowa Hospital Association
515.288.1955
ketelsenm@ihaonline.org
Jan-Feb
31-1
2018 4th Annual Missouri Telehealth Summit
University of Missouri School of Medicine - Missouri Telehealth Network
Jefferson City, MO
573.882.8792
pancellat@health.missouri.edu

Tell Us How RHIhub Has Impacted You

The Rural Health Information Hub is seeking your comments on how our services have helped you in your efforts to improve healthcare and population health in rural communities. Have the RHIhub services helped you to stay informed, get a grant, find the proper federal agency contact or other expert, or otherwise changed your life?

Please send an email telling how RHIhub has impacted you to kristine@ruralhealthinfo.org. Your stories may be used in testimony, budget documents and presentations concerning the Rural Health Information Hub.