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RHIhub This Week - March 6, 2019

New in the Rural Monitor

Tornado approaching Marshalltown, Iowa Planning and Partnerships: Coordinating Rural Resources for Emergency Preparedness and Response
by Tami Lichtenberg
Rural healthcare facilities must plan and prepare for a wide range of natural and man-made disasters. A tornado in Iowa, an earthquake in Alaska, and an armed hostage standoff in South Dakota provide lessons in how rural providers can help ensure the safety of their patients, staff, and community in difficult circumstances.

Upcoming Webinar

Addressing the Burden of Chronic Obstructive Pulmonary Disease (COPD) in Rural America from the National Advisory Committee on Rural Health and Human Services
Chronic Obstructive Pulmonary Disease (COPD) is one of the leading contributors to morbidity and mortality in the U.S. and disproportionately impacts rural areas.

Join us and the National Advisory Committee on Rural Health and Human Services (NACRHHS) on Thursday, March 14th at 1:00 p.m. Central to learn about COPD incidence and outcomes, NACRHHS policy recommendations to address COPD in rural areas, and to hear a COPD patient's perspective on living with the disease.

Twitter Chats

healthcare professionals in classroom Rural Health Workforce Education and Training
Maintaining healthy rural communities depends on a robust rural health workforce with well-educated and well-trained physicians, nurses, dentists, and other healthcare professionals.

Join us on Monday, March 18th at 1:00 p.m. Central to learn about successes and challenges related to educating and training the rural health workforce. Hear from experts on the topic, ask questions, or contribute your own expertise and experience, using the hashtag #RuralHealthChat!

 New in Our Online Library

Recent News

A Conversation with Charlotte Halverson
Mar 5, 2019 -- Radio interview with Charlotte Halverson, the Clinical Director of AgriSafe. Discussion includes the history and the work of AgriSafe and focuses heavily on farmer suicide, the work they're doing to address the issue, as well as other resources and organizations doing work on this issue. Also touches on the AgriSafe Nurse Scholar Program.
Source: Rural Health Leadership Radio

Pa. Taps Hospitals, Payers for Rural Global Budget Experiment
Mar 5, 2019 -- Discusses the Pennsylvania Rural Health Model, a new global budget payment system. Rural hospitals receive a fixed monthly total that they can use however they think would best serve the health of their community. The initiative is starting with five participating hospitals in the state and is designed to help them move away from a fee-for-service mindset towards a focus on population health. (May require subscription to read full article.)
Source: Modern Healthcare

Request For Abstracts - Rural Health
Mar 5, 2019 -- Health Affairs is planning an upcoming issue on Rural Health to be published in December 2019. They are seeking abstracts related to the differences between rural and non-rural regions of the country, the diverse conditions that characterize rural communities, and the differential effects these conditions have. The issue will be aimed at drawing lessons from a growing rural health evidence base. Abstracts must be submitted by March 25, 2019.
Source: Health Affairs

Nursing Homes Are Closing Across Rural America, Scattering Residents
Mar 4, 2019 -- Details the causes and the impacts of rural nursing homes closing. More than 440 rural nursing homes have closed or merged in the last decade, which results in nursing home residents relocating, often outside of the community where they have lived their lives and where they have spouses, church groups, and friends. (May require subscription to view full article.)
Source: The New York Times

Serving Survivors: In Rural States, Telemedicine Brings Treatment For Sexual Abuse
Mar 4, 2019 -- Discusses telehealth services being used in Wyoming to connect people who have experienced trauma, particularly sexual assault, to mental healthcare. Also touches on ways a system like this could work in the Ohio Valley to reach people in rural areas of Kentucky, West Virginia, and Ohio.
Source: Ohio Valley Resource

HHS: Retail Pharmacy Interest in Utilization of Innovative Educational Technology To Increase Human Papillomavirus (HPV) Vaccination Rates in Rural Areas; Correction
Mar 1, 2019 -- Notice from the Department of Health and Human Service (HHS) extending the comment deadline for Retail Pharmacy Interest in Utilization of Innovative Educational Technology To Increase Human Papillomavirus (HPV) Vaccination Rates in Rural Areas to March 15, 2019.
Source: Federal Register

Access to Critical Care: HIV/AIDS in Rural America
Feb 28, 2019 -- Blog post from the National Rural Health Association (NRHA) discussing the prevalence of HIV/AIDS in rural communities as well as the challenges faced by rural people who have HIV/AIDS. Includes ways to facilitate prevention, detection, and treatment efforts in rural America. Also notes that rural areas with high rates of HIV/AIDS tend to be areas where rural hospital closures have impacted residents' ability to access care.
Source: Rural Health Voices, NRHA Blog

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Feb 28, 2019 -- The Centers for Medicare & Medicaid Services (CMS) requests comments on 4 proposed information collection activities: 1) Home Health (HH) National Provider Survey, which would address Medicare quality reporting measures and incentive programs and characteristics associated with high quality performance; 2) exception of genetic test requests for research; 3) Federally-facilitated Exchange User Fee Adjustment data submission; and 4) extension of the Qualified Health Plans (QHPs) certification, financial management, and exchange operations data collection. Comments are due April 1, 2019.
Source: Federal Register

Opioids: A Surging Crisis in Rural America
Feb 27, 2019 -- Provides an overview of opioids and the opioid epidemic, with a focus on its impact on rural areas, farmers and farm workers, the Latino community, and the overlap between these groups. According to the Centers for Disease Control and Prevention (CDC), opioid overdoses in this community have risen by at least 52.5% since 2016. 74% of farm workers have been directly impacted by opioid abuse.
Source: Salud America

Recognizing and Repairing Rural Health Disparities
Feb 27, 2019 -- Blog post from the National Rural Health Association (NRHA) detailing the Rural Health Disparities Summit portion of their recent, annual Rural Health Policy Institute. Discusses rural health disparities and the National Institute of Health's All of Us Research Program.
Source: Rural Health Voices, NRHA Blog

Diabetes Risk in Southern Rural Areas
Feb 26, 2019 -- Details a new study from the Texas A&M School of Public Health. The study found that over the past 20 years, diabetes rates have improved in most of the country, but remained mostly unchanged in the rural South. Diabetes is the seventh-highest cause of death in the nation. Diagnosis rates for diabetes can be as much as 17% higher in rural areas.
Source: Vital Record

Funding & Opportunities

Continuum of Care Program Collaborative Applicant Registration (CoC)
The Continuum of Care Program provides grants for community collaboration projects that assist individuals and families who are homeless by providing supportive care services, transitional housing, and permanent housing. Projects must designate a collaborative applicant and successfully complete a collaborative registration process to be eligible to apply for funding.
Geographic coverage: Nationwide
Application Deadline: Mar 14, 2019
Sponsor: U.S. Department of Housing and Urban Development

Grants to Tribal Governments to Exercise Special Domestic Violence Criminal Jurisdiction (SDVCJ)
Grant support and technical assistance for tribes for planning, developing, and implementing changes in tribal criminal justice systems necessary to exercise Special Domestic Violence Criminal Jurisdiction (SDVCJ). Collaboration among tribal entities is strongly encouraged.
Geographic coverage: Nationwide
Letter of Intent (Optional): Mar 28, 2019
Application Deadline: Apr 11, 2019
Sponsors: Office on Violence Against Women, U.S. Department of Justice

Office on Violence Against Women Training and Technical Assistance Initiative
Grants to provide direct technical assistance for existing and potential grantees and sub-grantees to enhance and support their efforts to successfully implement projects supported by OVW grant funds. This initiative is designed to build and enhance the capacity of civil and criminal justice system professionals and victim service providers to respond effectively to sexual assault, domestic violence, dating violence, and stalking and foster partnerships among organizations that have not traditionally worked together to address these crimes.
Geographic coverage: Nationwide
Letter of Intent (Optional): Mar 26, 2019
Application Deadline: Apr 11, 2019
Sponsors: Office on Violence Against Women, U.S. Department of Justice

Replication of Programs Proven Effective through Rigorous Evaluation to Reduce Teenage Pregnancy, Behavioral Risk Factors Underlying Teenage Pregnancy, or Other Associated Risk Factors (Tier 1, Phase I)
Funding for projects that replicate programs that have been proven effective through rigorous evaluation to reduce teenage pregnancy, behavioral risk factors underlying teenage pregnancy, or other associated risk factors.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Apr 15, 2019
Sponsors: Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services

Food Distribution Program on Indian Reservations Nutrition Education Grant
Funding to provide nutrition education for participants of the Food Distribution Program on Indian Reservations, resulting in healthier food choices and a better understanding of healthy food preparation methods.
Geographic coverage: Nationwide
Application Deadline: Apr 30, 2019
Sponsors: U.S. Department of Agriculture, USDA Food and Nutrition Service

Home Depot Community Impact Grants Program
Funding for nonprofit organizations and public agencies in the United States that are using the power of volunteers to improve communities, with a focus on veterans and diverse, underserved communities. Grants are given in the form of gift cards for the purchase of tools, materials, and services.
Geographic coverage: Nationwide
Application Deadline: Dec 31, 2019
Sponsor: The Home Depot Foundation

Alcohol and Other Substance Use Research Education Programs for Health Professionals (R25 Clinical Trial Not Allowed)
Grants to support research educational and outreach activities that complement other formal training programs in the mission areas of the NIH Institutes and Centers, especially the public health impact of alcohol, opioids, and other substances, their associated consequences, and the persistent stigma associated with them.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Sep 7, 2022
Sponsors: National Institute on Alcohol Abuse and Alcoholism, National Institute on Drug Abuse, National Institutes of Health, U.S. Department of Health and Human Services

Opportunity Zone Economic Development Program
A program designed to encourage economic development and job creation in distressed communities through tax benefits. Investors may defer taxes on most capital gains up to Dec. 31, 2026 by making an eligible investment in an Opportunity Zone.
Geographic coverage: Nationwide and U.S. territories
Applications accepted on an ongoing basis
Sponsors: Community Development Financial Institutions Fund, U.S. Department of Treasury, U.S. Internal Revenue Service

Recovery Housing in Rural Communities
A partnership between U.S. Department of Agriculture and U.S. Department of Health and Human Services to coordinate efforts to sell single-family housing properties owned by USDA at a discount to nonprofit organizations that provide housing, treatment, job training, and other key services for people in substance misuse treatment and recovery.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Agriculture, U.S. Department of Health and Human Services, USDA Rural Housing Service

New Resources

Diminished Trust of Healthcare Providers, Risky Lifestyle Behaviors, and Low Use of Health Services: A Descriptive Study of Rural Adolescents
Examines individual factors and traits that can predict trust with a healthcare provider, lifestyle behaviors, and health services utilization for adolescents in 9th and 12th grade in public high school in rural Indiana. Covers demographic statistics for study participants by age, sex, race and ethnicity, household income, and diagnosed conditions.
Author(s): Heather K. Hardin, Valerie Lander McCarthy, Barbara J. Speck, Timothy N. Crawford
Location: Journal of School Nursing, 36(4), 458-467
Date: 12/2018

Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: First Annual Report
Evaluates the first year of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; approaches used to implement the model; preventative care efforts; experiences with CMS support tools for the project; and reasons for joining and leaving the model.
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
Date: 02/2019

Health System Interventions to Prevent Firearms Injuries and Death: Proceedings of a Workshop
Summarizes the proceedings of a workshop focused on how healthcare systems can reduce gun violence and injuries. Discusses the impact of health systems on the reduction, ways to identify high risk individuals, health system interventions, program examples, and more. Addresses rural in several chapters, including firearm homicide and suicide rates for rural and urban areas, a VA program targeting rural veterans at risk for suicide, a study of gun behavior in Alaska Native populations, and recommendations from a rural physician.
Additional links: Read Online
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 02/2019

How Affordable Are 2019 ACA Premiums for Middle-Income People?
Examines the cost of health insurance premiums for plans available through Affordable Care Act Exchanges and discusses the implications for rural areas. Includes an interactive map showing differences in insurance cost by county, income, and age.
Sponsoring organization: Kaiser Family Foundation
Date: 03/2019

HRSA Grants Education and Technical Assistance Webinar Series for Tribes, Tribal Organizations, Indian Health, Tribal and Urban Indian Health Programs
Webinar series provides education and technical assistance for HRSA grants supporting tribes and tribal organizations. Details the grant application process and provides guidance on proposal writing, evaluation, and grant management. Features recordings and handouts for each webinar, along with a summary of the topics covered.
Sponsoring organizations: Health Resources and Services Administration, Rural Health Information Hub
Date: 2018

Indian Health Service Strategic Plan FY 2019-2023
Highlights the strategic plan for the Indian Health Service's 2019-2023 fiscal years. Features operational goals for cultural competency, innovation, and program management.
Sponsoring organization: Indian Health Service
Date: 02/2019

A Nine-Step Roadmap for Implementing Lean in Rural Hospitals
Provides highlights from a speaker at the AHA 2019 Rural Health Care Leadership Conference on how rural hospitals can implement Lean principles to improve quality, reduce costs, and make processes more efficient.
Sponsoring organization: American Hospital Association
Date: 02/2019

NQF Report of 2018 Activities to Congress and the Secretary of the Department of Health and Human Services
Summarizes the 2018 work of National Quality Forum to measure healthcare quality. Includes a section on rural healthcare initiatives highlighting the work of the Measure Applications Partnership (MAP) Rural Health Workgroup.
Sponsoring organization: National Quality Forum
Date: 03/2019

Pain in the Nation Update: While Deaths from Alcohol, Drugs, and Suicide Slowed Slightly in 2017, Rates Are Still at Historic Highs
Issue brief details updated rates of deaths related to drugs, alcohol, and suicide from 2016-2017. Breaks down data by race, age, and regionally, including rural versus metro areas.
Sponsoring organization: Trust for America's Health
Date: 03/2019

Promising Practice: Pennsylvania Office of Rural Health Puts Focus on Rural Human Trafficking
Discussing how the Pennsylvania Office of Rural Health (PORH) is raising awareness and bringing attention to the issue of human trafficking in rural areas.
Sponsoring organization: National Organization of State Offices of Rural Health
Date: 03/2019

Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models
Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 02/2019

Rural Mental Health Network: Expanding and Strengthening Care Coordination
Highlights the Rural Mental Health Network in Missouri through an interview with its director. Addresses the network's focus on care coordination for social determinants of health needs, challenges, accomplishments, the role of Community Health Workers (CHWs), lessons learned, and more.
Sponsoring organization: National Rural Health Resource Center
Date: 03/2019

The Tribal Resource Tool: A Searchable Directory of All Services Available for AI/AN Survivors of Crime and Abuse in Indian Country
Features an interactive map highlighting the services for American Indian and Alaska Native survivors of crime and abuse in North America. Provides contact information and web address of service providers.
Sponsoring organization: National Center for Victims of Crime

Open Calls for Contributions

Call for Presentations: 2020 National Association of EMS Physicians (NAEMSP) Annual Meeting
Deadline: Mar 15, 2019
National Association of EMS Physicians
Event Dates: Jan 6 - 11, 2020
San Diego, CA
Conference Website

Upcoming Events

HRSA's Data for Decision-Making Speaker Series: Mapping in Public Health - Opioids and Social Determinants of Health
Time: 11:00 a.m. - 12:00 p.m. Eastern
Call-in: 888.233.9404
Passcode: 5100622
Health Resources and Services Administration
Rural Health Open Door Forum
Time: 2:00 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Addressing the Burden of Chronic Obstructive Pulmonary Disease (COPD) in Rural America 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
#RuralHealthChat: Rural Health Workforce Education and Training
Time: 1:00 p.m. Central
Rural Health Information Hub
RHA of TN 2019 Webinar: Rural Healthcare Board Development 101
Time: 11:00 a.m. - 12:00 p.m. Central
Rural Health Association of Tennessee
Structured Family Caregiving: A New Caregiver Support Program in the State
Time: 12:00 - 1:00 p.m. Eastern
Indiana Rural Health Association
812.478.3919 Ext. 235
Substance Misuse and Abuse: Rural Ohio Communities Respond
Ohio State Office of Rural Health, Ohio State University Extension
Columbus, OH
2019 Michigan Public Health Summit
Michigan Public Health Association
Lansing, MI
Emergency Department Efficiencies Training
Kansas Rural Hospitals Optimizing Performance
Salina, KS
Simulation in Rural Healthcare - The Conference for American's Rural Health Simulation and Education Specialists
Simulation In Motion - Nebraska, The Leona M. and Harry B. Helmsley Charitable Trust
Omaha, NE
2019 Annual Utah Public Health Conference
Utah Public Health Association
Ogden, UT
2019 22nd Annual Michigan Rural Health Conference
Michigan Center for Rural Health
Mt. Pleasant, MI
2019 Annual Alabama Rural Health Conference
Alabama Rural Health Association
Prattville, AL
2019 Annual Utah Hospital Association Membership Meeting
Utah Hospital Association
Saint George, UT
2019 10th Annual WV Governance & Leadership Forum
West Virginia Center for Rural Health Development
Daniels, WV
Ensuring Equal Access to Justice in Maine's Rural Communities Symposium
Colby College, University of Maine School of Law
Waterville, ME
2019 6th Virginia Weight of the State Conference
Prevention Connections, Virginia Foundation for Healthy Youth
Richmond, VA
2019 gpTRAC Regional Telehealth Forum
Great Plains Telehealth Resource and Assistance Center
Bloomington, MN
2019 East TN Rural Healthcare Leadership Forum
Rural Health Association of Tennessee
Clinton, TN
2019 Annual Indiana Primary Health Care Association Conference
Indiana Primary Health Care Association
Indianapolis, IN
2019 71st Annual Arkansas Public Health Association Conference
Arkansas Public Health Association
Little Rock, AR
2019 7th Annual Collaborative Research Center for American Indian Health Summit
Collaborative Research Center for American Indian Health
Sioux Falls, SD
2019 Arizona Public Health Association & Arizona Oral Health Coalition Summit
Arizona Oral Health Coalition, Arizona Public Health Association
Phoenix, AZ
The State of Ohio’s Health: 2019 Health Value Dashboard - North Canton
Health Policy Institute of Ohio
North Canton, OH
Rural Health Clinic Conference
Georgia Rural Health Association
Macon, GA
2019 3rd Annual Forum on Aging in Rural Oregon
Oregon Office of Rural Health
Lincoln City, OR
2019 17th Oregon Rural Practice-based Research Network Convocation
Oregon Rural Practice-based Research Network
2019 Montana STEMI Conference
Montana Department of Public Health and Human Services
Whitefish, MT
Rural Health Clinic Workshop – Emergency Preparedness
Mississippi Rural Health Association
Jackson, MS
2019 NDAPA Spring Primary Care Seminar
North Dakota Academy of Physician Assistants
Fargo, ND
2019 1st Annual Native American and Rural Emergency Medicine Conference
Native American Emergency Medicine Consortium
Flagstaff, AZ

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 Your stories may be used in testimony, budget documents and presentations concerning the Rural Health Information Hub.