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RHIhub This Week - February 6, 2019

New in the Rural Monitor

Gloriana Hunter and dog Peer Support Specialists Care for and Connect Rural Behavioral Health Clients
Peer support specialists are trained laypeople in recovery with a mental health condition or substance use disorder who act as mentors and coordinators for clients with similar behavioral health issues. PSSs in rural Arizona, Michigan, and North Dakota share the challenges and successes they see in their communities.

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Recent News

A Conversation with Nick Brady and Michael Maginn
Feb 5, 2019 -- Radio interview with Nick Brady, an HIV Care Connect Associate and the Trauma-Free Illinois Coordinator, and Michael Maginn, the HIV Program Manager and Prevention Lead Agent, both from the Illinois Public Health Association (IPHA). Discussion includes the work of the IPHA, especially as it relates to HIV/AIDS, trauma, and the relationship between the two. They touch on programs either built for rural communities or particularly important in rural areas.
Source: Rural Health Leadership Radio

Coming Soon: HRSA's Federal Office of Rural Health Policy (FORHP) Will Be Releasing a Notice of Funding Opportunity (NOFO) for a New Rural Communities Opioid Response Program (RCORP) Initiative Called RCORP-Implementation (HRSA-19-082)
Feb 4, 2019 -- Announcement of an upcoming funding opportunity from the Health Resources and Services Administration's (HRSA) Federal Office of Rural Health Policy (FORHP). Approximately 75 grants of up to $1 million over a three year period will be given to rural communities to enhance and expand substance use disorder (SUD), including opioid use disorder (OUD), service delivery in high-risk rural communities. This funding opportunity will be posted in the next few weeks.
Source: Health Resources and Services Administration

Tackling the Opioid Crisis: What State Strategies Are Working?
Feb 4, 2019 -- Officials from the National Academy for State Healthy Policy (NASHP) met with policymakers from several states to talk about challenges and promising strategies related to the opioid epidemic. NASHP identified strategies from the field that are showing results, including prescription tracking, medication-assisted treatment, harm reduction, ensuring access in rural areas, working with correctional facilities, and expanding Medicaid.
Source: National Academy for State Healthy Policy

HHS: Annual Update of the HHS Poverty Guidelines
Feb 1, 2019 -- Announces the updated 2019 Department of Health and Human Services (HHS) federal poverty guidelines for the 48 contiguous states, Alaska, and Hawaii, which took effect January 11, 2019. The HHS poverty guidelines are a simplified version of the poverty thresholds issued by the U.S. Census Bureau and are used to determine eligibility for several federal programs.
Source: Federal Register

GAO: Request for Medicaid and CHIP Payment and Access Commission (MACPAC) Nominations
Jan 31, 2019 -- The Government Accountability Office is accepting nominations for appointment to the Medicaid CHIP Payment and Access Commission (MACPAC) by February 20, 2019. Appointments are effective May 1, 2019.
Source: Federal Register

GAO: Request for Medicare Payment Advisory Commission (MedPAC) Nominations
Jan 31, 2019 -- The Government Accountability Office is accepting nominations for appointment to the Medicare Payment Advisory Commission (MedPAC) by March 8, 2019. Appointments are effective May 2019.
Source: Federal Register

Udall, Smith, Murkowski Introduce Major Bipartisan Legislation to Address Violence Against Native Women, Children and Tribal Law Enforcement
Jan 31, 2019 -- Details two bipartisan bills in the U.S. Senate Committee on Indian Affairs designed to address violence against Native American women, children, and tribal law enforcement. The Native Youth and Tribal Officer Protection Act (NYTOPA), which reaffirms tribal authority to prosecute attempted and threatened domestic violence and extends protections from the Violence Against Women Reauthorization Act of 2013 to children and law enforcement personnel on tribal lands. The Justice for Native Survivors of Sexual Violence Act restores tribal authority to prosecute cases of sexual assault, sex trafficking, and stalking.
Source: United States Senate Committee on Indian Affairs

Udall, Tester, Hoeven, Isakson Fight to Curb Veteran Homelessness in Indian Country
Jan 30, 2019 -- Details bipartisan legislation to formally codify a joint tribal housing initiative between the U.S. Department of Housing and Urban Development (HUD) and the Veterans Affairs Supportive Housing (VASH) program. This initiative provides rental and housing assistance to homeless and at-risk homeless veterans in Indian Country.
Source: United States Senate Committee on Indian Affairs

Funding & Opportunities

Increasing Access to Healthy Foods Innovation Grants
Grants for working with local park and recreation agencies to implement at least one of three selected innovation strategies to increase access to healthy foods within underserved communities.
Geographic coverage: Nationwide
Application Deadline: Mar 6, 2019
Sponsor: National Recreation and Park Association (NRPA)

Native Youth and Culture Fund
Grants for projects that focus on youth and incorporate culture and tradition to address social and health issues, such as drug and alcohol abuse, teen pregnancy, and mental health.
Geographic coverage: Nationwide
Letter of Intent (Required): Mar 12, 2019
Application Deadline: May 1, 2019
Sponsor: First Nations Development Institute

Alzheimer's Disease Programs Initiative - Grants to States and Communities
Grants to support the development and expansion of dementia-capable home and community-based service systems in states and communities.
Geographic coverage: Nationwide
Application Deadline: Apr 1, 2019
Sponsors: Administration for Community Living, U.S. Department of Health and Human Services

Nurse Anesthetist Traineeship Program (NAT)
Funding for accredited institutions to support traineeships for licensed nurses who are enrolled in a nurse anesthesia program, with preference given to projects that will benefit rural and underserved populations.
Geographic coverage: Nationwide
Application Deadline: Apr 15, 2019
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services

Rural eConnectivity Broadband Loan and Grant Pilot Program
Loans, grants, and loan/grant combinations to expand broadband service to rural areas without sufficient broadband access.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Apr 29, 2019
Sponsors: U.S. Department of Agriculture, USDA Rural Development

Eugene Washington PCORI Engagement Award: Capacity Building
Funds projects that encourage the integration of patients, caregivers, clinicians, and other stakeholders as members of the patient-centered outcomes research/clinical effectiveness research process.
Geographic coverage: Nationwide
Application Deadline: May 31, 2019
Sponsor: Patient-Centered Outcomes Research Institute

Rural Health Care Telecommunications Program
Assistance to healthcare providers for eligible expenses related to broadband connectivity based on the urban-rural price difference in an area.
Geographic coverage: Nationwide
Application Deadline: May 31, 2019
Sponsor: Universal Service Administrative Company

Rural Graduate Medical Education Planning and Development Technical Assistance
Technical assistance with the development of new rural family medicine, internal medicine, and psychiatry residency programs.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis

New Resources

Community Health Center Chartbook, 2019
Features graphs, figures, and maps to document services provided by health centers, characteristics of the patients served, and progress made in improving access to healthcare, including in rural areas. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Includes statistics on telehealth service offerings with breakdowns by urban or rural status.
Sponsoring organization: National Association of Community Health Centers
Date: 01/2019

EMS Agenda 2050: A People-Centered Vision for the Future of Emergency Medical Services
Serves as an update to the 1996 EMS Agenda for the Future. Reports the vision of emergency medical services (EMS) of the future and describes 6 guiding principles to help EMS and communities create a more people-centered EMS system. Discusses challenges specific to rural communities, such as EMS workforce issues.
Additional links: Infographic
Sponsoring organization: National Highway Traffic Safety Administration
Date: 01/2019

How Primary Care Affects Health Care Costs and Outcomes
Recording of a February 5, 2019 Senate Committee on Health, Education, Labor and Pensions hearing on the impact of primary care on healthcare outcomes and costs. Testimonies include rural-relevant considerations and address direct care primary care practices, employer strategies such as worksite clinics, the impact of Project ECHO, and more.
Additional links: Joshua J. Umbehr Testimony, Katherine Bennett Testimony, Sapna Kripalani Testimony
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
Date: 02/2019

How Rural Hospitals Improve Value and Affordability
Issue brief discussing four strategies rural hospitals are undertaking to improve the quality of care and patient experience, while decreasing the cost of healthcare services. Covers strategies on population health, new models of care, telehealth, and workforce programs. Includes multiple case studies and rural program examples for each strategy.
Sponsoring organization: American Hospital Association
Date: 02/2019

Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities
Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Sponsoring organization: Flex Monitoring Team
Date: 01/2019

Proposed Rural-Specific Objectives for Healthy People 2030
Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Sponsoring organization: National Organization of State Offices of Rural Health
Date: 2019

Quality of Care in Rural Hospitals
Describes methods used to collect data on rural hospital care quality and offers findings comparing quality in rural and urban hospitals. Features statistics on CMS star quality ratings in 2017, with breakdowns by rural and urban locations.
Sponsoring organization: Rural Health Research Gateway
Date: 01/2019

Rural Health Network Thrives on Innovation in Whole-Person Care
Profiles a rural health network in Missouri that includes social service support at four of their clinics. Offers an overview of how the program began, highlights their innovative approaches to addressing community needs, and discusses network sustainability.
Sponsoring organization: Rural Health Value
Date: 02/2019

Rural Medicine Realities: The Impact of Immersion on Urban-Based Medical Students
Results of a study conducted in 2017 at the University of Louisville School of Medicine Trover (ULTC) rural campus, to determine how a rural-based 8-week surgical clerkship during the third year of medical school affected students’ views on rural living and practice.
Author(s): Allison M. Crump, Karie Jeter, Samantha Mullins, et al.
Location: Journal of Rural Health, 35(1), 42-48
Date: 01/2019

Rural Report: Challenges Facing Rural Communities and the Roadmap to Ensure Local Access to High-Quality, Affordable Care
Reports on continuing, current, and emerging challenges for rural hospitals working to provide access to healthcare services in rural communities. Includes discussion on policy recommendation to improve access and covers new models of care, reimbursement policies, regulatory requirements, telehealth, workforce issues, and prescription drug costs.
Additional links: Executive Summary, Infographic
Sponsoring organization: American Hospital Association
Date: 02/2019

Open Calls for Contributions

Call for Posters: 2019 71st Annual Kentucky Public Health Association Conference
Deadline: Feb 15, 2019
Kentucky Public Health Association
Event Dates: Apr 10 - 12, 2019
Louisville, KY
Conference Website

Call for Presenters: 2019 30th Annual Illinois Rural Health Association Educational Conference
Deadline: Mar 22, 2019
Illinois Rural Health Association
Event Dates: Aug 7 - 8, 2019
Champaign, IL
Conference Website

Call for Abstracts: 2019 15th Annual Mobile Health Clinics Forum
Deadline: Apr 5, 2019
Mobile Healthcare Association
Event Dates: Sep 14 - 17, 2019
Ft. Worth, TX
Conference Website

Upcoming Events

Major Changes in Cost Reporting for Rural Health Clinics
Time: 1:15 - 2:15 p.m. Central
Healthcare Business Specialists
2019 7th Annual Medical Conference - Topics in EMS: Time Critical Calls
EMS Education by RWF Enterprises, Inc.
Fergus Falls, MN
Expanding Behavioral Health in Rural Virginia: Webinar 2 - Behavioral Health Services and Insurance
Time: 12:00 - 1:00 p.m. Eastern
Virginia Rural Health Association
Project ECHO Addressing Substance Use Disorder in 2019: An Interprofessional Approach to Pain Management and Recovery
Time: 12:00 - 1:00 p.m. Central
University of North Dakota Center for Rural Health, University of North Dakota School of Medicine & Health Sciences
Addiction and Pain Management & Prevention Summit
Conference theme: Pathways to Collaboration
Superior HealthPlan, Texas Health Institute, Texas Society of Addiction Medicine
Austin, TX
Train the Trainer: Stay Cool! Prevention of Heat Related Illnesses
Time: 3:30 - 4:30 p.m. Central
AgriSafe Network
Workforce Grand Rounds Webinar Series: Telehealth Training Models for the Health Workforce
Time: 1:00 - 2:30 p.m. Central
Bureau of Health Workforce
2019 AZ Legislative Update
Time: 12:00 p.m. Mountain
Arizona Telemedicine Program, Southwest Telehealth Resource Center
CMS Quality Payment Program: Overview of APMs for Year 3 (2019) of the Quality Payment Program
Time: 2:00 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
RHA of TN 2019 Webinar: Guiding Healthcare Workforce Development
Time: 11:00 a.m. - 12:00 p.m. Central
Rural Health Association of Tennessee
CMS Quality Payment Program: MIPS Data Submission for Year 2 (2018) of the Quality Payment Program Office Hour Session
Time: 2:00 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Rural Philanthropy Toolkit
Time: 12:00 p.m. Central
NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
Medication Assisted Treatment – Identifying the Need for Youth and Young Adult-Specific Strategies and Current Initiatives
Time: 3:00 - 5:00 p.m. Eastern
National Academy for State Health Policy
2019 30th Annual Rural Community and Economic Development Conference: Making Rural an Exciting Place to Live
Illinois Institute for Rural Affairs
Springfield, IL
CMS Quality Payment Program: MIPS Data Submission for Year 2 (2018) of the Quality Payment Program Office Hour Session
Time: 2:00 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Wisconsin Opioid Forum: Dose of Reality
Wisconsin Department of Health Services
Green Bay, WI
2019 Arizona Harm Reduction Conference
Conference theme: Any Positive Change
Sonoran Prevention Works
Phoenix, AZ
MATRC 2019 Convergence Telehealth Summit
Mid-Atlantic Telehealth Resource Center
Williamsburg, VA
2019 Annual Tribal Self-Governance Consultation Conference
Department of the Interior, Indian Health Service, Self-Governance Communication & Education Tribal Consortium
Traverse City, MI
2019 National PACE Association Spring Policy Forum
National PACE Association
Washington, DC
2019 Annual Pennsylvania Public and Community Health Conference
Conference theme: Invigorating Public Health in Pennsylvania through Community-based Initiatives
Penn State College of Medicine's Public Health Program, Pennsylvania Office of Rural Health, Pennsylvania Public Health Association
Lancaster, PA
2019 8th Biennial Wisconsin Health Literacy Summit
Conference theme: A Sharper View Through the Lens of Health Literacy
Wisconsin Literacy, Inc.
Madison, WI
Wisconsin's Opioid Crisis: A Trauma-Informed Response
Wisconsin Department of Health Services
Green Bay, WI
2019 14th Annual Kansas Governor's Public Health Conference
Kansas Association of Local Health Departments, Kansas Department of Health and Environment, Kansas Public Health Association, Wichita State University
Manhattan, KS
2019 Nebraska Public Health Conference
Conference theme: Connecting to Transform Public Health
Nebraska Association of Local Health Directors, Nebraska Medical Association, Public Health Association of Nebraska, University of Nebraska Medical Center: College of Public Health
Lincoln, NE
2019 20th Annual Colorado Rural Health Center Forum
Colorado Rural Health Center
Denver, CO
2019 Montana Hospital Association Health Summit
Montana Hospital Association
Helena, MT
2nd Annual Telemed Leadership Forum 2019: Transforming Healthcare Delivery
Live-stream also available
Utilization Review Accreditation Commission (URAC)
Washington, DC
2019 12th Annual Telehealth Alliance of Oregon Meeting and Summit
Conference theme: Patients, Providers, & Payers - Advancing Virtual Care Together
Telehealth Alliance of Oregon
Oregon City, OR
Meeting of the Medicare Payment Advisory Commission (MedPAC)
Medicare Payment Advisory Commission
Washington, DC
Becoming a Community Paramedic: Exploring the Core Clinical Requirements
National Association of Emergency Medical Technicians
Arlington, VA

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