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RHIhub This Week - April 10, 2019

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Now Hiring The Rural Health Information Hub is looking for a dedicated and passionate person who wants to help rural communities across the country. Apply online by April 24, 2019 to be our new Outreach Specialist and contribute to our social media and marketing efforts!

Models and Innovations

Telehealth room TeleStroke/Vascular Neurology Patient Navigator Program
By leveraging grant-funding, a rural consortium created a sustainable post-hospital stroke system of care for residents in a 6-county area in Minnesota. Evidence-level: Promising
Community Health Worker and program participant The Health-able Communities Program
Using Community Healthcare Workers, an Idaho consortium leveraged grant-funding to bring health and wellness programs, disease screening, and health education to frontier residents. Evidence-level: Promising

 New in Our Online Library

Recent News

Available Now: New Resources for the Promoting Interoperability Programs
Apr 9, 2019 -- Press release from the Centers for Medicare and Medicaid Services on updates to their Promoting Interoperability Programs website. Highlights resources for Critical Access Hospitals and other hospitals.
Source: Centers for Medicare and Medicaid Services

Health Center Program Service Area Considerations Request for Information (RFI)
Apr 8, 2019 -- Announcement from the Health Resources and Services Administration (HRSA) of a 30-day preview period for the review of the Health Center Program Service Area Considerations Request for Information (RFI). After the preview period, a 60-day comment period will begin to obtain information on service area considerations to inform HRSA decisions about the expansion of services through the addition of new delivery sites to existing health centers. Instructions on how to submit feedback will be available after the preview period.
Source: Health Resources and Services Administration

Breaking the Silence: Rural Areas Have Higher Suicide Rates
Apr 7, 2019 -- High suicide rates in the rural West are prompting public health officials and researchers to analyze data to develop targeted interventions. Focuses on efforts in Oregon, which has one of the highest suicide rates nationally, particularly among veterans, Native Americans, and older men.
Source: Malheur Enterprise

Economic Ripples: Hospital Closure Hurts A Town's Ability To Attract Retirees
Apr 7, 2019 -- Rural Celina, Tennessee was positioning itself as a retiree destination, but the loss of its Critical Access Hospital has put those plans in jeopardy.
Source: National Public Radio

CMS Finalizes Policies to Bring Innovative Telehealth Benefit to Medicare Advantage
Apr 5, 2019 -- The Centers for Medicare and Medicaid Services (CMS) announces updates to Medicare Advantage and Part D policies. The updates include access to telehealth services for Medicare Advantage beneficiaries.
Source: Centers for Medicare and Medicaid Services

MedPAC Finds Low-Volume, Rural Dialysis Centers Are Underpaid
Apr 5, 2019 -- A new analysis from the Medicare Payment Advisory Commission identified a need for updates to payments for rural and low-volume dialysis facilities. On average, Medicare margins for rural facilities was -5.5% and -21% for low-volume facilities. May require subscription to view article.
Source: Modern Healthcare

Barrasso, Smith Introduce Bipartisan Rural Health Clinic Modernization Act
Apr 4, 2019 -- Legislation introduced in the U.S. Senate would update Rural Health Clinic regulations. The updates would address telehealth services, RHC reimbursement, laboratory requirements, and advanced practice clinicians.
Source: Office of Senator John Barrasso

What Is a Rural Community? The Answer Isn't Always so Simple.
Apr 2, 2019 -- Population changes recorded in the decennial census can change an area's eligibility for rural development programs. Policymakers and experts are considering updating definitions of rural to take into account more than population size.
Source: Politico

Funding & Opportunities

National Health Service Corps Scholarship Program
Scholarships for students pursuing eligible primary care health professions training in exchange for a service commitment in an approved site in a high-need urban, rural, or frontier community.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: May 16, 2019
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, National Health Service Corps, U.S. Department of Health and Human Services

NURSE Corps Scholarship Program
Scholarships for nursing students in exchange for a 2-year, full-time service commitment (or part-time equivalent), at an eligible healthcare facility with a critical shortage of nurses.
Geographic coverage: Nationwide
Application Deadline: May 21, 2019
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration

Helping Hands Grant Program
Grants to encourage medical students to participate in community service activities, particularly those focused on underserved populations; raise awareness of mental illness and the importance of early recognition of illness; and build an interest among medical students in psychiatry and working in underserved communities.
Geographic coverage: Nationwide
Application Deadline: May 31, 2019
Sponsor: American Psychiatric Association

Comprehensive Opioid Abuse Site-based Program
Grants to expand opioid abuse prevention and education efforts while also promoting treatment, recovery, and partnership models involving first responders and providing for the needs of crime victims and their families.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jun 5, 2019
Sponsors: Bureau of Justice Assistance, U.S. Department of Justice

STOP School Violence Technology and Threat Assessment Solutions for Safer Schools Program
Grants for the development and operation of school threat assessment and crisis intervention teams and the development of technology for local or regional anonymous reporting systems. Technology may be in the form of an app, hotline, or website, and the proposed technology solutions may be those that could be used during an incident to assist in securing the safety of those involved, including sharing information with first responders.
Geographic coverage: Nationwide
Application Deadline: Jun 11, 2019
Sponsors: Bureau of Justice Assistance, U.S. Department of Justice

Water Infrastructure Finance and Innovation Act Program
Secured, direct loans and loan guarantees for eligible water infrastructure projects, with 15% of funds set aside for small, rural, and tribal communities.
Geographic coverage: Nationwide
Application Deadline: Jul 5, 2019
Sponsor: U.S. Environmental Protection Agency

Rural Hospital Leadership Award
Provides an educational stipend to a small or rural hospital administrator or chief executive officer to attend an AHA educational program.
Geographic coverage: Nationwide
Application Deadline: Aug 30, 2019
Sponsor: American Hospital Association

New Resources

The 10-20-30 Provision: Defining Persistent Poverty Counties
Defines persistent poverty counties. Discusses how differences in definitions and data used can affect which counties are considered persistently poor and includes a map highlighting the impact of different definitions. Briefly addresses legislation targeting persistent poverty counties using the "10-20-30 provision," including rural development funding.
Sponsoring organization: Congressional Research Service
Date: 03/2019

AACOM 2018-19 Academic Year Entering Student Survey Summary Report
Results of a survey of 7,027 first year students in 34 colleges of osteopathic medicine and branch campuses. Topics include medical education debt and scholarships, graduate medical education plans, and percentages of students who plan to practice in underserved or shortage areas, with breakdowns by inner-city or rural background and other demographics.
Sponsoring organization: American Association of Colleges of Osteopathic Medicine
Date: 03/2019

The Affordable Housing Crisis in Rural America: Assessing the Federal Response
Provides a recording and related documents for a hearing on rural affordable housing issues from the U.S. House Subcommittee on Housing, Community Development and Insurance. Includes testimony from the National Rural Housing Coalition, Housing Assistance Council, Council for Affordable and Rural Housing, and others. Briefly touches on the cost of housing affecting spending on healthcare and the impact of housing conditions on health.
Additional links: Andres Saavedra Testimony, Stan Keasling Testimony, Tanya Eastwood Testimony
Sponsoring organizations: U.S. House Committee on Financial Services, Subcommittee on Housing, Community Development and Insurance, U.S. House of Representatives
Date: 04/2019

Bacon County Hospital Advances Toward Population Health
Highlights a 25-bed acute care hospital in Alma, Georgia that worked with the Small Rural Hospital Transition (SRHT) project to improve its finances and operations. Summarizes projects that expanded telemedicine services, increased point-of-service collections, built awareness of quality performance and services, and addressed community needs.
Sponsoring organization: National Rural Health Resource Center
Date: 04/2019

Behavioral Health: Research on Health Care Costs of Untreated Conditions is Limited
Report discusses the lack of sufficient research on the total cost healthcare when behavioral health services are inaccessible. Discusses some of the challenges to providing behavioral health access in rural areas.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 02/2019

Electronic Capabilities for Patient Engagement among U.S. Non-federal Acute Care Hospitals: 2013-2017
Describes hospital trends regarding patients' ability to view, download, and transmit (VDT) electronic health information and other capabilities related to online patient engagement. Provides data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of: hospitals where patients can VDT their health data electronically; active patient portals; and hospitals offering electronic capabilities to their patients, such as refill requests, bill pay, and other services.
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 04/2019

Finding and Using Health Statistics
Tutorial describing different types of health statistics, how they are collected, and how to find them. Includes an overview of health statistics, common terms and equations, and a list of data sources. Also provides a set of exercises.
Sponsoring organizations: National Information Center on Health Services Research and Health Care Technology, U.S. National Library of Medicine

Grantee Spotlight: Good News for Morris County, Texas!
Spotlights a grantee of the Hogg Foundation's Collaborative Approaches to Well-Being in Rural Communities initiative, Morris County Collaborative. Highlights their work in uniting non-profit organizations, faith-based organizations, and medical facilities to serve high-risk and underrepresented communities.
Sponsoring organization: Hogg Foundation for Mental Health
Date: 03/2019

Grantee Spotlight: Good News for Nacogdoches County, Texas!
Spotlights a grantee of the Hogg Foundation's Collaborative Approaches to Well-Being in Rural Communities initiative, Nacogdoches County Community Collaborative. Highlights their goal of creating a trauma-informed community to promote wellness.
Sponsoring organization: Hogg Foundation for Mental Health
Date: 04/2019

Health Insurance in Rural America
A set of interactive graphics providing urban and rural uninsured rates for people under age 65, based on data from the Small Area Health Insurance Estimates. Includes county-level data for 2017 and the change since 2013.
Sponsoring organization: U.S. Census Bureau
Date: 04/2019

Health Resources and Services Administration Strategic Plan, 2019 - 2022
Identifies five Health Resources and Services Administration (HRSA) goals to address healthcare access and service delivery issues. Includes information on HRSA's work related to rural health.
Sponsoring organization: Health Resources and Services Administration
Date: 2019

Housing and Hunger: An Intersectional Approach to Address Food Insecurity - Childhood Hunger in Rural America
Examines food insecurity among children in rural areas and describes strategies used by Rural Housing Services and Food and Nutrition Services for addressing gaps in service, including use of Summer Meals programs.
Sponsoring organization: Housing Assistance Council
Date: 04/2019

MAP 2019 Considerations for Implementing Measures in Federal Programs: Hospitals, Final Report
Reports on a review of 3 quality measures being considered for the Hospital Inpatient Quality Reporting (IQR) Program and Medicare and Medicaid Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals (CAHs): hospital harm - pressure injury, hospital harm - hypoglycemia, and cesarean birth. Also reviews one proposed quality measure for the Prospective Payment System (PPS)-Exempt Cancer Hospital Quality Reporting (PCHQR) and provides input on pain control quality measures in view of opioid misuse issues.
Sponsoring organization: National Quality Forum
Date: 02/2019

Naloxone Training Toolkit
Toolkit lays out training for Indian Health Services providers and first responders on supplying and administering naloxone to patients experiencing an opioid overdose. Highlights training program materials, forms, and videos to support professionals in American Indian and Alaska Native communities.
Sponsoring organization: Indian Health Service

Small Area Health Insurance Estimates: 2017
Reports on health insurance coverage in the U.S. in 2017 and changes between 2016 and 2017, as well as changes between 2013 and 2017. Includes maps showing county-level uninsured rates.
Sponsoring organization: U.S. Census Bureau
Date: 04/2019

State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
Date: 12/2018

U.S. Hospital List (2018)
Excel file providing a comprehensive list of urban and rural U.S. hospitals that were reported open as of January 1, 2018. Includes 4,713 acute care hospitals and 1,380 specialty hospitals.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 2019

Open Calls for Contributions

Call for Abstracts: Disaster Planning for California Hospitals
Deadline: Apr 30, 2019
California Hospital Association
Event Dates: Sep 10 - 11, 2019
Pasadena, CA
Conference Website

Call for Presentations: 2019 46th Annual Arizona Rural Health Conference
Deadline: May 3, 2019
Arizona Center for Rural Health
Event Dates: Aug 1 - 2, 2019
Flagstaff, AZ
Conference Website

Upcoming Events

2019 31st Annual Missouri Emergency Management Conference
Missouri State Emergency Management Agency
Springfield, MO
CMS Comparative Billing Report: Subsequent Hospital Visits
Time: 2:00 - 3:00 p.m. Central
Centers for Medicare and Medicaid Services
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
CMS Quality Payment Program: Facility-based Preview Live Demo and Office Hours
Time: 1:00 - 2:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Telemedicine: How to do it right!
Time: 11:00 a.m. Pacific
Pacific Basin Telehealth Resource Center
The Trump Administration’s HIV Initiative: What Will It Take to End the U.S. Epidemic?
Time: 10:00 - 11:30 a.m. Eastern
Kaiser Family Foundation
Washington, DC
Avoiding an IT Security Nightmare At Your Facility
Time: 12:00 - 12:45 p.m. Central
Illinois Rural Health Association
Briefing on Recommendations for California’s Health Workforce - Meeting the Demand for Health
Time: 11:45 a.m. - 1:30 p.m. Pacific
Also available via live stream
California Future Health Workforce Commission
Fresno, CA
UDS Mapper Special Topics: Using the UDS Mapper for Rural Areas
Time: 1:00 - 2:00 p.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
2019 25th Annual NCHN Educational Conference
National Cooperative of Health Networks Association
San Diego, CA
Allee from RHIhub will be presenting and exhibiting
The Changing Burden of Diabetes in Rural and Urban America
Time: 11:00 a.m. - 12:00 p.m. Central
Call-in: 888.994.3819
Passcode: 3642185
Rural Health Research Gateway
Cancer Data in the Commonwealth - Spotlight on Lung Cancer
Time: 2:00 - 3:30 p.m. Eastern
Kentucky Cancer Consortium
2019 ENERGIZE! Exploring Innovative Rural Communities Conference
SDSU Extension Community Vitality Team
Lemmon, SD
2019 NORA Symposium: Stressed Out from Work - An Occupational Hazard
Upper Midwest Agriculture Safety and Health Center
Minneapolis, MN
2019 Improving Veterans Care Conference
Sioux Falls Veterans Administration, Yankton Rural Area Health Education Center
Sioux Falls, SD
Opioid Abuse Disorder Care & Community Alignment Workshop
Kentucky Regional Extension Center, United Healthcare
Pikeville, KY
Diabetes Care & Community Alignment Workshop
Kentucky Regional Extension Center, United Healthcare
Hazard, KY
2019 Rural Training Track Collaborative Annual Meeting
RTT Collaborative
Auburn, ME
Hazard Communications Standards
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
Using Naloxone to Reverse Opioid Overdose in the Agricultural Workplace: Information for Employers and Workers
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
2019 EMS Leaders in Kentucky Summit (LINKS)
Kentucky Board of EMS, Kentucky State Office of Rural Health
Frankfort, KY
2019 36th Annual AcademyHealth Research Meeting
Washington, DC
2019 5th Annual North Dakota EMS Management Conference
North Dakota EMS Association
Bismarck, ND
2019 104th Ohio Hospital Association Annual Meeting & Education Summit
Ohio Hospital Association
Columbus, OH
2019 Region D SORH Regional Partnership Meeting
Federal Office of Rural Health Policy, National Organization of State Offices of Rural Health
Kailua-Kona, HI
888.391.7258 Ext. 102
2019 88th Annual Mississippi Hospital Association Leadership Conference
Mississippi Hospital Association
Point Clear, AL
AmeriCorps VISTA (Volunteers in Service to America): Empower Your Community by Applying for VISTA Members
Time: 1:00 - 2:00 p.m. Central
Corporation for National and Community Service
Introduction to the UDS Mapper
Time: 10:00 - 11:00 a.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
2019 14th Annual Texas Conference on Health Disparities
University of North Texas Health Science Center
Fort Worth, TX
2019 Annual Kentucky Rural Health Clinic Summit
Kentucky State Office of Rural Health
Richmond, KY
2019 National PACE Association Summer Conference
National PACE Association
Little Rock, AR

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.