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RHIhub This Week - March 13, 2019

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) affects 15-16 million Americans, with millions more who are undiagnosed, and disproportionately affects rural communities.

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
Healthcare provider shortages are more common and oftentimes more severe in rural areas. Rural communities need well-educated, well-trained physicians, nurses, dentists, and other healthcare professionals to remain healthy.

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!

Updated RHIhub Topic Guide

healthcare professionals in classroom Applying for Grants to Support Rural Health Projects
We have made significant updates to our Applying for Grants to Support Rural Health Projects topic guide. Find new information in our Frequently Asked Questions (FAQs) on hiring grant writing consultants, considerations before applying, creating an evaluation plan, and more!

 New in Our Online Library

Recent News

How Fast Is Rural Internet? Consumers Are Asked to Fill in the Gaps
Mar 11, 2019 -- Details a collaboration of three national rural nonprofits to document accurate broadband speeds around the country. These nonprofits have created an app that identifies broadband speed and service gaps. Anyone can use the app, and it tests your download and upload speeds wherever you are, adding that information to a larger database. They are encouraging rural residents from around the country to participate in the effort.
Source: The Daily Yonder

Critical Condition: The Crisis of Rural Medical Care
Mar 10, 2019 -- Provides an overview of rural hospital closures across the country, the causes of those closures, and their devastating impacts in their communities. Touches on a community that has lost its hospital, another that made a desperate effort to save theirs, and one community that is holding on, for now.
Source: CBS News

Do Rural Populations Experience Greater Worry and Fatalism about Cancer?
Mar 7, 2019 -- Details a recent survey which found that people living in rural areas were more likely to to feel like "everything causes cancer," that there isn't much you can do to lower your risk, and that there was conflicting information regarding cancer prevention. The concern is that the perception of cancer being inevitable or unavoidable might discourage cancer prevention and screening.
Source: Mayo Clinic

Journal of Appalachian Health, Open Call for Abstracts
Mar 7, 2019 -- Announcement of the launch of the Journal of Appalachian Health and their ongoing call for abstracts focused on Appalachian health inequalities and social determinants of health.
Source: Journal of Appalachian Health

Notice of Funding Opportunity for Rural Communities Opioid Response Program (RCORP) Implementation Grants
Mar 7, 2019 -- The Health Resources and Services Administration (HRSA) has released a Notice of Funding Opportunity for the Rural Communities Opioid Response Program (RCORP) Implementation grants. Approximately 75 awards of up to $1 million each are available to networks and/or consortia to enhance substance use disorder service delivery in high-risk rural communities.
Source: Health Resources and Services Administration

Suicides, Often Linked to Opioids, Spike in Rural Michigan and among Young
Mar 7, 2019 -- Details the rates of suicide and fatal opioid overdoses in Michigan, focusing in particular on rural areas of the state. New research suggests that the upsurge in opioid overdoses and suicides may be linked, and that they share risk factors. Deaths from suicides and unintentional overdoses increased from 1,100 in 2000 to 3,300 in 2017.
Source: Bridge

For the Cherokee Tribe in Western North Carolina, America’s Drug Problem Hits Home
Mar 5, 2019 -- Details the extent and the impacts of the opioid epidemic on the Eastern Band of Cherokee Indians in North Carolina. Also describes the efforts within the tribe to address the crisis.
Source: The News & Observer

Rural Finger Lakes Counties Struggle to Find Resources to Combat Opioid Epidemic
Mar 5, 2019 -- Discusses the impact of the opioid epidemic in rural areas of New York state, and the significant demand for resources to provide treatment for those who need it.
Source: WBFO

Funding & Opportunities

Jump Start Healthy Changes Grants
Funding for schools to improve opportunities for healthy eating and physical activity.
Geographic coverage: Nationwide
Application Deadline: Apr 10, 2019
Sponsor: Fuel Up to Play 60


AARP Community Challenge
Grants for projects that work to improve livability for all residents of a community.
Geographic coverage: Nationwide
Application Deadline: Apr 17, 2019
Sponsor: AARP


Small, Rural School Achievement Grant Program
Funding for small, rural Local Education Agencies for initiatives aimed at improving student academic achievement. Activities may include drug prevention, violence prevention, school-based health services, and other health-related programs.
Geographic coverage: Nationwide
Application Deadline: Apr 26, 2019
Sponsor: U.S. Department of Education


First Responders - Comprehensive Addiction and Recovery Act Cooperative Agreement
Grants to allow first responders and members of other key community sectors to administer a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose. Over half of the total funding available is set aside for recipients serving rural communities with high rates of opioid abuse.
Geographic coverage: Nationwide
Application Deadline: May 6, 2019
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services


Rural Communities Opioid Response Program - Evaluation
Funding for a single cooperative agreement to evaluate the impact of Rural Communities Opioid Response Program initiatives, which currently include planning, implementation, and technical assistance activities.
Geographic coverage: Nationwide
Application Deadline: May 6, 2019
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services


Rural Communities Opioid Response Program - Implementation
Grants to strengthen and expand substance use disorder/opioid use disorder prevention, treatment, and recovery service delivery in high-risk rural communities.
Geographic coverage: Nationwide
Application Deadline: May 6, 2019
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services


Graduate Psychology Education Program
Grants to support doctoral-level psychology education and training programs to prepare psychologists to address the behavioral health needs, including opioid use and substance use, in high-need underserved and rural populations.
Geographic coverage: Nationwide
Application Deadline: May 7, 2019
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Opioid Affected Youth Initiative
Funding and technical assistance for states, local governments, and tribal jurisdictions to develop and implement a data-driven, coordinated, statewide or community-wide response system to assist with the identification, prevention, treatment, enforcement, and deterrence needed to address the opioid epidemic and its impact on youth and communities.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: May 7, 2019
Sponsors: Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice


Opioid Workforce Expansion Program - Paraprofessionals
Grants to train behavioral health-related paraprofessionals, such as peer support specialists, to address the behavioral health needs, including opioid use and substance use, in high-need underserved and rural populations. A special emphasis is on demonstrating knowledge and understanding of the specific concerns of children, adolescents, and transitional-age youth in high need and high demand areas who are at risk for behavioral health disorders.
Geographic coverage: Nationwide
Application Deadline: May 7, 2019
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Opioid Workforce Expansion Program - Professionals
Grants to train behavioral health professionals to address the behavioral health needs, including opioid use and substance use, in high-need underserved and rural populations. A special emphasis is on demonstrating knowledge and understanding of the specific concerns of children, adolescents, and transitional-age youth in high need and high demand areas who are at risk for behavioral health disorders.
Geographic coverage: Nationwide
Application Deadline: May 7, 2019
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Good Health and Wellness in Indian Country
Grants for projects designed to reduce rates of death and disability from commercial tobacco use, diabetes, heart disease, and stroke and reduce the prevalence of obesity and other chronic disease risk factors and conditions in American Indian and Alaska Native communities.
Geographic coverage: Nationwide
Application Deadline: May 15, 2019
Sponsors: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services


Summer Food Service Program
Funding to provide free, nutritious meals and snacks to help children in low-income areas get the nutrition they need during the summer months.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Food and Nutrition Service

New Resources

2019 Telehealth Policy Barriers
Discusses existing policy barriers at the federal and state levels that inhibit the use of telehealth in rural and urban areas, including: reimbursement; malpractice; licensing; HIPAA, privacy, and security; prescribing; credentialing and privileging; and other influences on policy.
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
Date: 02/2019


2019 Telehealth Reimbursement
Provides an overview of Medicare reimbursement for telehealth services and discusses factors, policies, and legislation affecting reimbursement including: geographic and originating site restrictions; provider restrictions; service restrictions; payment for remote communication technology; chronic care management and remote monitoring; Medicare Advantage; Accountable Care Organizations, bundled care, and telehealth. Covers Medicaid and private payer telehealth reimbursement policies
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
Date: 02/2019


Best Practices and Barriers to Engaging People with Substance Use Disorders in Treatment
Reports on a study of how health plans are successfully engaging people in substance use disorder treatment for alcohol, opioids, and other substances. Discusses how initiation and engagement can be improved for commercial and Medicaid health insurance plans. Addresses rural factors throughout.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 03/2019


The Clean Water State Revolving Fund: How Federal Infrastructure Investment Can Help Communities Modernize Water Infrastructure and Address Affordability Challenges
Provides a recording of U.S. House Subcommittee on Water Resources and Environment hearing addressing storm and wastewater infrastructure and affordability challenges and the potential for federal investments to help. Identifies some health impacts of rural water infrastructure issues. Includes testimony from the National Rural Water Association, U.S. Conference of Mayors, National Association of Clean Water Agencies, a rural development manager, and more.
Additional links: Catherine Flowers Testimony, John Mokszycki Testimony
Sponsoring organizations: House Committee on Transportation and Infrastructure, Subcommittee on Water Resources and Environment, U.S. House of Representatives
Date: 03/2019


Dying Too Soon: County-level Disparities in Premature Death by Rurality, Race, and Ethnicity
Examines differences in years of potential life lost prior to age 75. Includes statistics with breakdowns by 6 races or ethnicities and urban or rural status, and U.S. map with majority racial and ethnic group by county.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 03/2019


Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
Date: 2019


Grantee Spotlight: Good News for Brooks County, Texas!
Highlights a grantee of the Hogg Foundation's Collaborative Approaches to Well-Being in Rural Communities initiative, Behavioral and Health Outreach Leadership and Development (BHOLD) Collaborative in Brooks County, Texas. Discusses the goals of the project and the behavioral heath needs that currently exist in Brooks County.
Sponsoring organization: Hogg Foundation for Mental Health
Date: 03/2019


HRSA Maternal Mortality Summit: Promising Global Practices to Improve Maternal Health Outcomes Technical Report
Compiles key findings from a three day summit, Promising Global Practices to Improve Maternal Health Outcomes, that included reports, presentations, discussion, and other resources to improve maternal health outcomes from experts in the field. Provides an overview of maternal health, morbidity, and mortality in the U.S. Covers the limited access to obstetric healthcare services women living in rural areas face.
Sponsoring organization: Health Resources and Services Administration
Date: 02/2019


Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Sponsoring organization: Flex Monitoring Team
Date: 03/2019


Improving Rural Net Migration Rates Were Most Common in Recreation and Retirement Destinations
Map showing the change in net migration rates in nonmetropolitan counties from 2012-2013 to 2016-2017.
Sponsoring organization: USDA Economic Research Service
Date: 03/2019


Public Witness Hearing — Tribal Programs: Day 1, Morning Session
Provides a recording of a U.S. House Committee on Appropriations, Subcommittee on Interior, Environment, and Related Agencies hearing focused on American Indian/Alaskan Native health needs and relevant federal programs and funding, such as the Indian Health Service. Discussions address the impact of the opioid epidemic, murdered and missing indigenous women, health disparities in areas such as diabetes, health workforce recruitment, and more. Includes links to testimonies from tribal chairs and organizations related to tribal health.
Sponsoring organization: House Committee on Appropriations
Date: 03/2019


Survey Activity Guide for Health Care Organizations: All Accreditation Programs
Provides information to help organizations prepare for an onsite Joint Commission accreditation survey, including Critical Access Hospitals. Provides an ordered list of survey activities and details the logistical needs and objectives for each activity. Also makes suggestions about which staff members should participate in each survey activity.
Sponsoring organization: Joint Commission
Date: 01/2019


Understanding the County Role in the Supplemental Nutrition Assistance Program
Describes the Supplemental Nutrition Assistance Program (SNAP) in terms of its role in the country's social safety-net and the ways counties help fund SNAP services to support low-income residents. Examines disparities in food insecurity between urban and rural areas, and features a county-level map showing food insecurity rates as of 2016. Also describes how SNAP supports local businesses and economies, and helps maintain food access in rural counties.
Sponsoring organization: National Association of Counties
Date: 03/2019

Open Calls for Contributions

Call for Speakers: 2019 Annual Home Care Association of America Leadership Conference
Deadline: Mar 22, 2019
Home Care Association of America
Event Dates: Sep 22 - 23, 2019
Tucson, AZ
Conference Website

Call for Abstracts: 2019 AHQA Quality Summit
Deadline: Mar 27, 2019
American Health Quality Association
Event Dates: Oct 3 - 4, 2019
Baltimore, MD
Conference Website

Call for Abstracts: 2019 14th Annual Many Faces of Community Health Conference
Deadline: Mar 29, 2019
Greater Twin Cities United Way, Minnesota Association of Community Health Centers, Minnesota Department of Health
Event Dates: Oct 31 - Nov 1, 2019
Brooklyn Park, MN
Conference Website

Call for Posters: ANEW Way Forward: Innovations in Interprofessional Training Using Integrated Behavioral Models in Primary Care
Deadline: Mar 30, 2019
National Center for Integrated Behavioral Health, University of Pennsylvania, School of Nursing
Event Dates: Jun 1, 2019
Philadelphia, PA
Conference Website

Upcoming Events

Mar
14
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
webinars@ruralhealthinfo.org
Mar
15
CSH Opioid Series: State and Managed Care Organizations Responses to the Opioid Crisis
Time: 2:00 - 3:30 p.m. Eastern
Corporation for Supportive Housing, National Health Care for the Homeless Council
Mar
18
#RuralHealthChat: Rural Health Workforce Education and Training
Time: 1:00 p.m. Central
Rural Health Information Hub
701.777.6046
nicole@ruralhealthinfo.org
Mar
18
Colorectal Cancer Screening: Different Paths to 80%
Time: 2:00 - 3:00 p.m. Eastern
Call-in: 888.233.9404
Passcode: 3790815
Health Resources and Services Administration
Mar
19
CMS Medicare Learning Network (MLN): Data Interoperability across the Continuum - CMS Data Element Library
Time: 1:30 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
mlnevents@thebizzellgroup.com
Mar
19
Public Health Grand Rounds: Preventing Suicidal Behavior in American Indian and Alaska Native Communities - A Health Equity Issue
Time: 1:00 p.m. Eastern
Centers for Disease Control and Prevention
Mar
20-22
2019 NARHC Spring Institute
National Association of Rural Health Clinics
San Antonio, TX
866.306.1961
rdavis@narhc.org
Nicole from RHIhub will be exhibiting
Mar
21
Capability Update Initiative Briefing - Public Health Emergency Preparedness and Response Capabilities
Time: 2:00 - 3:00 p.m. Eastern
National Indian Health Board
Mar
21
Promising Practices to Advance HIV Testing, Linkage to Care and PrEP Implementation Among Health Centers in the Southeastern United States
Time: 3:00 - 4:00 p.m. Eastern
Call-in: 888.233.9404
Passcode: 3111042
Health Resources and Services Administration
Mar
27
CMS Quality Payment Program: MACRA Cost Measures Post-Field Testing
Time: 1:00 - 2:30 p.m. Eastern
Centers for Medicare and Medicaid Services
Mar
28
CMS Quality Payment Program: CMS MIPS Call for Quality Measures
Time: 12:00 - 1:00 p.m. Eastern
Centers for Medicare and Medicaid Services
CMSQualityTeam@ketchum.com
Apr
3-5
National Advisory Committee on Rural Health and Human Services Meeting
National Advisory Committee on Rural Health and Human Services
Sacramento, CA
301.443.7322
shirsch@hrsa.gov
Apr
4
Opioid Use Disorder: The Role of Adverse Childhood Events and Motivational Interviewing
Time: 2:00 - 3:00 p.m. Central
Health Resources and Services Administration
Apr
9
Tickborne Diseases: A CDC Update
Time: 2:00 - 3:15 p.m. Eastern
National Association of County and City Health Officials
Apr
11
Addressing Health Disparities for Latinos in Rural America: Implications for the Implementation of Evidence-Based Interventions
Also available by webinar
University of Washington
Seattle, WA
Apr
16
Stop Workforce Burnout For Healthcare Leaders
Missouri Department of Health and Senior Services, Missouri Health Professional Placement Services
Jefferson City, MO
jadamson@mo-pca.org
Apr
17-18
2019 5th Annual National Rural EMS & Care Conference
Joint Committee on Rural Emergency Care (JCREC), National Organization of State Offices of Rural Health, South Carolina Office of Rural Health
Charleston, SC
1.888.391.7258 Ext. 102
stryckerm@nosorh.org
Apr
23-25
2019 25th Annual NCHN Educational Conference
National Cooperative of Health Networks Association
San Diego, CA
970.712.0732
rdavis@nchn.org
Allee from RHIhub will be presenting and exhibiting
Apr
25-26
2019 Annual Alabama Rural Health Conference
Alabama Rural Health Association
Prattville, AL
334.546.3502
arha@arhaonline.org
May
3
2019 6th Annual Mississippi Rural Health Association Rural Health Clinic Conference
Mississippi Rural Health Association
Jackson, MS
601.898.3001
president@mississippirural.org
May
3
2019 Rocky Mountain Stroke Conference
Montana Stroke Initiative
Whitefish, MT
michelle.eckert@umontana.edu
May
6
2019 Middle TN Rural Healthcare Leadership Forum
Rural Health Association of Tennessee
Lebanon, TN
615.907.9707
rhat@rhat.org
May
6-8
2019 Annual Agricultural Worker Health Conference
National Association of Community Health Centers
Albuquerque, NM
301-347-0400
mgordon@nachc.org
May
7
The Connections between Opioid Use, Overdose, and Suicide
Time: 10:00 - 11:00 a.m. Central
U.S. Department of Veterans Affairs
May
7-8
2019 Annual Iowa Association of Rural Health Clinics Conference
Iowa Association of Rural Health Clinics
Des Moines, IA
515.244.9610
May
7-9
2019 90th Annual GPHA Meeting & Conference
Georgia Public Health Association
Atlanta, GA
404.861.8423
christy@gapha.org
May
8
Introduction to the UDS Mapper
Time: 1:00 - 2:00 p.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
May
8
The Relationship Between Opioid Prescriptions and Child Removals
Time: 2:00 p.m. Central
North Central Regional Center for Rural Development
May
8-10
2019 90th Annual Kentucky Hospital Association Convention
Kentucky Hospital Association
Lexington, KY
sperkins@kyha.com

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.