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RHIhub This Week - November 28, 2018

New in the Rural Monitor

Dr. William Cooke Responding to the HIV Crisis in Scott County, Indiana: Q&A with Dr. William Cooke
by Jenn Lukens
Scott County, Indiana, has been in the national spotlight since experiencing the largest HIV outbreak in rural America's recent history. The town's only physician at the time, Dr. William Cooke, took action to bring healing and hope to his community of Austin and the surrounding county. In this Q&A, he shares the motivation behind his compassionate approach to care. You can also read more about Dr. Cooke's work in our Models & Innovations.

Upcoming Webinar

Insights on Rural Health Insurance Market Challenges from the National Advisory Committee on Rural Health and Human Services
Join our webinar on December 12, 2018 at 1 p.m. Central with the National Advisory Committee on Rural Health and Human Services (NACRHHS) exploring Rural Health Insurance Market Challenges. Featured speakers include Paul Moore and Normandy Brangan from the Federal Office of Rural Health Policy, Mary K. Rolf from Home Care of Central New York, and Abigail Barker from Washington University in St. Louis, Missouri.

 New in Our Online Library

Recent News

Wage Index Reform Could Buoy Rural Hospitals
Nov 28, 2018 -- New report from the Department of Health and Human Services Office of Inspector General looks at how Medicare reimbursement rates vary between rural and urban hospitals and suggests changes to the hospital wage index tool used to calculate them. (May require subscription to view full article.)
Source: Modern Healthcare

HHS: Solicitation for Written Comments on Proposed Objectives for Healthy People 2030
Nov 27, 2018 -- The U.S. Department of Health and Human Services is seeking comment on the proposed Healthy People 2030 objectives and invites newly proposed objectives for consideration to be included in the plan. The Healthy People 2030 Framework is available on the Healthy People website. Comments are due by January 11, 2019.
Source: Federal Register

Public Inspection: CMS: Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out of Pocket Expenses
Nov 27, 2018 -- Pre-publication notice of proposed rulemaking from the Centers for Medicare and Medicaid Services to amend the Medicare Advantage (MA) program (Part C) and Prescription Drug Benefit program (Part D) regulations to support the health and drug plans' negotiation for lower prices and to reduce out-of-pocket expenses for Medicare enrollees. Comments on the proposed rule are due by January 25, 2019.
Source: Federal Register

Overshadowed By Opioids, Meth Is Back And Hospitalizations Surge
Nov 26, 2018 -- Discusses the rampant resurgence of methamphetamine use which has largely gone unreported due to the national focus on the opioid crisis. Amphetamine-related hospitalizations jumped approximately 245% from 2008 to 2015 which the largest increases in Western states.
Source: Kaiser Health News

Dementia in Indian Country
Nov 21, 2018 -- Blog post from the Indian Health Service (IHS) on dementia. Dementia incidence is high among Native American and Alaska Native people. Tools to evaluate and test for dementia were not developed for tribal populations. Because the average life expectancy used to be much shorter, dementia is a relatively new problem that tribes may not have the language or understanding to describe.
Source: Indian Health Service Blog

Rural County Champions a Culture of Health
Nov 21, 2018 -- Highlights a rural county in Oregon and their efforts to improve their health rankings and make healthy choices easy for members of their community. This county addressed youth tobacco use, created a rural residency program, and improved graduation rates, among other things.
Source: National Association of Counties

CMS Launches Efforts to Improve Patient Safety, Quality of Care in Nursing Homes
Nov 20, 2018 -- The Centers for Medicare and Medicaid Services (CMS) announced a three-year initiative to improve quality of life for nursing home residents by equipping nursing home staff, administrators, and stakeholders with technical tools and assistance to enhance care. This initiative is through the Civil Money Penalty Reinvestment Program (CMPRP) and will develop tools to help nursing home professionals reduce adverse events, improve dementia care, reduce staff turnover, and improve staff performance.
Source: Centers for Medicare and Medicaid Services

Funding & Opportunities

Health Data for Action: Leveraging Health Data for Actionable Insights
Access to data available from the Health Care Cost Institute and other partner data providers for use by innovative research projects.
Geographic coverage: Nationwide and U.S. Territories
Letter of Intent (Required): Dec 14, 2018
Application Deadline: Apr 5, 2019
Sponsor: Robert Wood Johnson Foundation


Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs Financed by the Prevention and Public Health Fund
Funds to develop capacity for, bring to scale, and sustain evidence-based self-management education programs that empower older adults and adults with disabilities to better manage their chronic conditions.
Geographic coverage: Nationwide
Letter of Intent (Optional): Dec 19, 2018
Application Deadline: Jan 29, 2019
Sponsors: Administration for Community Living, Administration on Aging, U.S. Department of Health and Human Services


Evidence-Based Falls Prevention Program Financed by Prevention and Public Health Fund
Funding to develop capacity for, deliver, and sustain evidence-based falls prevention programs.
Geographic coverage: Nationwide
Letter of Intent (Optional): Dec 19, 2018
Application Deadline: Jan 29, 2019
Sponsors: Administration for Community Living, Administration on Aging, U.S. Department of Health and Human Services


Health Professions Extern Program
Externship opportunities for Indian Health Service Scholarship recipients and other interested health professions students.
Geographic coverage: Nationwide
Application Deadline: Jan 31, 2019
Sponsor: Indian Health Service


Rural Health Innovation and Transformation Technical Assistance
Funding for a single organization to provide technical assistance for rural stakeholders and the public to help them understand and engage in the value-based care landscape in the context of rural healthcare.
Geographic coverage: Nationwide
Application Deadline: Feb 22, 2019
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services

New Resources

Diabetes and Associated Cardiovascular Complications in American Indians/Alaskan Natives: A Review of Risks and Prevention Strategies
Summarizes the findings on the prevalence of diabetes mellitus (DM) and DM-related cardiovascular disease (CVD) complications among American Indian/Alaskan Native (AI/AN) populations. Identifies the risk factors, and the genetic factors that influence the pervasiveness of DM and CVD within the AI/ANs. Recognizes existing health disparities among AI/ANs, and discusses the Special Diabetes Program for Indians (SDPI) with DM Prevention.
Author(s): Anil Poudel, Joseph Yi Zhou, Darren Story, Lixin Li
Location: Journal of Diabetes Research, 2018
Date: 09/2018


Evaluating a Teen Pregnancy Prevention Program in Rural Kentucky
Reports on an evaluation of an adapted, shorter "Reducing the Risk" teen pregnancy prevention curriculum delivered in rural Kentucky high schools by local health departments. Evaluated student outcomes using survey data one year and two years after the programs were delivered.
Sponsoring organization: Administration for Children and Families
Date: 10/2018


Grantee Directory: Rural Health Network Development Grant Program: 2017-2020
Provides contact information and brief overviews for 51 initiatives funded under the Rural Health Network Development grant program in the 2017-2020 funding cycle.
Sponsoring organizations: Federal Office of Rural Health Policy, National Rural Health Resource Center
Date: 02/2018


Grantee Sourcebook: Rural Health Network Development Grant Program, 2014-2017
Detailed descriptions of 54 Rural Health Network Development grant projects funded during the 2014-2017 period. Includes an overview of the networks and their impact, a list of grantees by state and focus area, and grantee profiles providing contact information and in-depth project descriptions.
Sponsoring organizations: Federal Office of Rural Health Policy, National Rural Health Resource Center
Date: 08/2018


Medicare Advantage 2019 Spotlight: First Look
Overview of Medicare Advantage plans available in 2019 and changes since 2018. Features statistics including number of plans available from 2009-2019 and percent of Medicare beneficiaries having access to Health Maintenance Organizations (HMOs), local Preferred Provider Organizations (PPOs), and regional PPOs, with breakdowns by metro and nonmetro counties, and a county-level map showing numbers of plans available in 2018 and 2019.
Sponsoring organization: Kaiser Family Foundation
Date: 10/2018


Net Migration by Metropolitan Status: 1986-2018
Line chart showing net migration in nonmetropolitan areas compared to principal cities and other metro areas from 1986 through 2018.
Sponsoring organization: U.S. Census Bureau
Date: 11/2018


Prevention of Underage Drinking on California Indian Reservations Using Individual- and Community-Level Approaches
Reports on a study evaluating the long term effects of combined individual-level and community-level interventions to reduce the consumption of alcohol by tribal youth living in 9 rural California reservations. The overall impact of combining interventions was assessed using anonymous data from the California Healthy Kids Survey (CHKS). Comparisons of consumption were made between tribal youth in the intervention area and tribal youth outside the intervention area.
Author(s): Roland S. Moore, David A. Gilder, Joel W. Grube, Juliet P. Lee, Jennifer A. Geisler, et al.
Location: American Journal of Public Health, 108(8), 1035-1041
Date: 08/2018


Significant Vulnerabilities Exist in the Hospital Wage Index System for Medicare Payments
Reports on 41 examinations of wage data of individual acute care hospitals from 2004 to 2017 to describe significant vulnerabilities observed in the wage index system for Medicare payments. Includes discussion on the rural floor wage index and the effects it has on wage index accuracy. Offers recommendations to reform the hospital wage index system.
Sponsoring organization: Office of Inspector General (HHS)
Date: 11/2018


Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population, 2012-2015
Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Sponsoring organization: Rural and Underserved Health Research Center
Date: 11/2018


Variation in Interoperability among U.S. Non-Federal Acute Care Hospitals in 2017
Provides information on non-federal acute care hospitals sending, receiving, finding, and integrating electronic patient health information. Offers statistics on the four domains of interoperability and summarizes common barriers to exchanging electronic patient health information for small, rural, and Critical Access Hospitals (CAHs).
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 11/2018

Open Calls for Contributions

Call for Presentations and Poster Presentations: 2019 Annual Northwest Regional Rural Health Conference
Deadline: Dec 3, 2018
Area Health Education Center for Western Washington, Rural Health Clinic Association of Washington, Washington Rural Health Association, Washington State Office of Community Health Systems, Rural Health and Primary Care Office
Event Dates: Mar 25 - 27, 2019
SeaTac, WA
Conference Website

Call for Abstracts: 2019 American Community Survey (ACS) Data Users Conference
Deadline: Dec 13, 2018
American Community Survey Data Users Group
Event Dates: May 14 - 15, 2019
Washington, DC
Conference Website

Call for Abstracts: 2019 NWRPCA Spring Primary Care Conference
Deadline: Dec 29, 2018
Northwest Regional Primary Care Association
Event Dates: May 19 - 21, 2019
Anchorage, AK
Conference Website

Call for Abstracts: 2019 15th Annual AAMC Health Workforce Research Conference
Deadline: Jan 4, 2019
Association of American Medical Colleges
Event Dates: May 1 - 3, 2019
Alexandria, VA
Conference Website

Call for Presentations: 2019 Annual EMS World Expo
Deadline: Jan 7, 2019
EMS World, National Association of Emergency Medical Technicians
Event Dates: Oct 14 - 18, 2019
New Orleans, LA
Conference Website

Call for Abstracts: 2019 Annual Alabama Rural Health Conference
Deadline: Mar 15, 2019
Alabama Rural Health Association
Event Dates: Apr 25 - 26, 2019
Prattville, AL
Conference Website

Call for Presentations: 2019 44th Annual National Institute for Social Work and Human Services in Rural Areas Conference
Deadline: Mar 31, 2019
National Rural Social Work Caucus
Event Dates: Jul 17 - 19, 2019
Paducah, KY
Conference Website

Upcoming Events

Nov
29
Pain and Symptom Management for People with Serious Illness in the Context of the Opioid Epidemic
National Academies of Sciences, Engineering, and Medicine
Washington, DC
202.334.2822
scruz@nas.edu
Dec
5
Fires, Mudslides, Earthquakes, Shootings: Promoting Personal and Community Resiliency After Mass Trauma
Time: 1:00 p.m. Mountain
Arizona Telemedicine Program, Southwest Telehealth Resource Center, Western Region Public Health Training Center
520.626.2493
kerps@telemedicine.arizona.edu
Dec
11
SNF PPS: New Patient Driven Payment Model
Time: 1:30 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
PDPM@cms.hhs.gov
Dec
12
CMS: Medicare Diabetes Prevention Program (MDPP) Expanded Model - Enrollment Tutorial
Time: 11:00 a.m. - 12:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Dec
12
Insights on Rural Health Insurance Market Challenges from the National Advisory Committee on Rural Health and Human Services
Time: 1:00 p.m. Central
National Advisory Committee on Rural Health and Human Services, Rural Health Information Hub
701.777.0584
cathy@ruralhealthinfo.org
Dec
13
Billing for Locum Tenens; Q6 and the 21st Century Care Act
Time: 12:00 - 1:00 p.m. Mountain
Colorado Rural Health Center
web@coruralhealth.org
Dec
13
Infectious Disease Consequences of Opioid Use
Time: 2:00 - 3:00 p.m. Eastern
Association of State and Territorial Health Officials
Dec
18
Rural Roadway Departure Countermeasures – Part 3
Time: 11:00 a.m. - 12:30 p.m. Mountain
National Center for Rural Road Safety
774.571.3503
info@ruralsafetycenter.org
Jan
8
Telehealth 101: The Easy Basics of Telehealth and Telemedicine
Time: 12:00 - 1:00 p.m. Central
South Central Telehealth Resource Center
info@learntelehealth.org
Jan
16
Innovative and Emerging Broadband Technologies: Measuring the Digital Divide - Review of Recent Surveys and Data
Time: 2:00 - 3:00 p.m. Eastern
National Telecommunications and Information Administration
202.482.2048
Jan
16
Rural Health Care Program: Funding Request Best Practices
Time: 1:00 - 2:00 p.m. Central
Universal Service Administrative Company
Jan
18
2019 100th Annual New Jersey Hospital Association Meeting
New Jersey Hospital Association
Princeton, NJ
609.275.4072
dfurchak@njha.com
Jan
22
2019 16th Annual IRHA Public Policy Forum
Indiana Rural Health Association
Indianapolis, IN
812.478.3919 Ext. 222
telliott@indianarha.org
Jan
22-23
National Advisory Council on the National Health Service Corps (NHSC) Meeting
Available by webinar
Call-in: 1.888.455.0640
Passcode: HRSA COUNCIL
National Advisory Council on the National Health Service Corps
Jan
22-24
2019 36th Annual Alaska Health Summit
Alaska Public Health Association
Anchorage, AK
marykmcewen@gmail.com
Jan
24
2019 2nd Colorado Opioid Safety Summit
Colorado Department of Human Services, Office of Behavioral Health (OBH), Colorado Hospital Association
Denver, CO
barbara.cellio@cha.com
Jan
24
Critical Access Hospital Conditions of Participation 2019: Ensuring Compliance - Part 1 of 4
Time: 10:00 a.m. - 12:00 p.m. Eastern
Georgia Hospital Association
770.249.4542
bzappa@gha.org
Jan
24
Sexual Violence Prevention Conference
Arizona Department of Health Services
Phoenix, AZ
Diana.lee@azdhs.gov

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.