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RHIhub This Week - May 1, 2019

New in the Rural Monitor

Native American dancer performing Reducing Cancer Among Native Populations: Models for Research, Prevention, and Treatment
by Jenn Lukens
Cancer has become one of the leading causes of death for American Indian and Alaskan Native populations. In this article, a cancer researcher, foundation director, and medical professional share their models that engage these populations in cancer research, prevention, and treatment.

Models and Innovations

Meg Moynihan at silo Minnesota Farm & Rural Helpline
The Minnesota Farm & Rural Helpline is a free, confidential helpline available 24/7 for farmers and farm families to connect with counselors, help with daily living (like childcare or food assistance), and financial/legal advice.

 New in Our Online Library

Recent News

May Is Mental Health Awareness Month: Join the U.S. Ag Safety and Health Centers' Effort to Promote Resources for Farmers and Rural Communities
Apr 30, 2019 -- Agricultural Safety and Health Centers are promoting resources for farmers and rural communities in conjunction with Mental Health Awareness Month and invite others to share resources and materials and participate in the conversation about on-farm stress. They will also be offering additional tools each week on social media and webinars related to farmer suicide and rural opioid overdose prevention.
Source: Great Plains Center for Agricultural Health

Over 106,000 Rural Homes and Businesses To Get Better, Faster Broadband
Apr 29, 2019 -- Changes to the Federal Communications Commission (FCC) Universal Service Fund will improve high-speed broadband service access in 43 states and 106,000 rural businesses and homes. The Alternative Connect American Cost Model (A-CAM) provides additional funding to help carriers improve broadband speeds.
Source: Federal Communications Commission

A Workable Alternative To Nursing Homes In Vermont - Adult Family Care
Apr 27, 2019 -- Seniors in rural Vermont are facing challenges accessing nursing home care. One solution is an Adult Family Care program that allows people to receive Medicaid reimbursement for caring for seniors in their homes.
Source: National Public Radio

New Publication: Suicide Prevention Competencies for Faith Leaders: Supporting Life Before, During, and After a Suicidal Crisis
Apr 26, 2019 -- The Substance Abuse and Mental Health Services Administration (SAMHSA), in conjunction with the National Action Alliance for Suicide Prevention, released a new resource to help faith leaders prevent suicide.
Source: Substance Abuse and Mental Health Services Administration

NRHA Announces 2019 Rural Health Award Recipients
Apr 26, 2019 -- The National Rural Health Association (NRHA) announces the winners of the 2019 Rural Health Award. The winners will be honored during NRHA's 42nd Annual Rural Health Conference in Atlanta, Georgia.
Source: National Rural Health Association

CMS Is Accepting Proposals for New Measures for the Medicare Promoting Interoperability Program Until June 28
Apr 25, 2019 -- The Centers for Medicare and Medicaid Services (CMS) is requesting measure proposals from eligible hospitals and Critical Access Hospitals for the Medicare Promoting Interoperability Program. Proposals are due June 28, 2019.
Source: Centers for Medicare and Medicaid Services

County Jails Struggle with a New Role as America's Prime Centers for Opioid Detox
Apr 24, 2019 -- County jails are turning into drug treatment centers, particularly in response to the opioid epidemic, and expanding medication-assisted treatment (MAT). In rural areas, even jails struggle to find a doctor who can prescribe MAT.
Source: Vermont Public Radio

Funding & Opportunities

Veterans Housing Rehabilitation and Modification Pilot Program
Grants to rehabilitate and modify the primary residence of veterans who are low-income and living with disabilities, with a focus on helping them regain and/or maintain their independence to alleviate critical health, life, and safety issues. Applicants from rural and frontier areas that lack reliable internet access may request a waiver from the electronic submission requirement through HUD's Office of Rural Housing and Economic Development.
Geographic coverage: Nationwide
Application Deadline: May 22, 2019
Sponsor: U.S. Department of Housing and Urban Development


MultiPlan Rural Health Grant
Grants to help healthcare providers in rural areas introduce or expand services, education, screenings and other programs aimed at improving the health of people in their communities.
Geographic coverage: Nationwide
Application Deadline: May 31, 2019
Sponsor: MultiPlan


Rural Communities Opioid Response Program - Medication-Assisted Treatment Expansion (RCORP-MATE)
Grants to establish and/or expand Medication-Assisted Treatment programs in eligible hospitals, health clinics, and tribal organizations located in high-risk rural communities, thus increasing the number of access points where individuals living in rural communities with opioid use disorder can receive evidence-based treatment.
Geographic coverage: Nationwide
Application Deadline: Jun 10, 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 – Rural Centers of Excellence on Substance Use Disorders (RCORP-RCOE)
Funding for Substance Use Disorder Centers of Excellence to engage in research to identify science-based prevention, treatment, and other risk reduction interventions, including community-based approaches that may be replicable in other rural communities and associated professional training. After identifying rural-relevant interventions, the Centers will serve as a resource for scientific and technical assistance to county and state health departments and other entities seeking guidance on how to address the substance use disorder challenges in their community.
Geographic coverage: Nationwide
Application Deadline: Jun 10, 2019
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services


Foundation for Rural Service Community Grant Program
Grants to support a variety of local efforts to build and sustain a high quality of life in rural communities across America. Focus areas include business development, community development, education, and telecommunications.
Geographic coverage: Nationwide
Application Deadline: Sep 13, 2019
Sponsor: Foundation for Rural Service


Health Center Facility Loan Guarantee Program
Facilitates access to capital funding and reduces financing costs for health centers by guaranteeing up to 80% of financing needed to support capital infrastructure projects.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: Health Resources and Services Administration, U.S. Department of Health and Human Services

New Resources

2018 Transportation Trends
Identifies issues affecting the availability of accessible transportation for older adults and people with disabilities. Includes examples of programs underway in rural and frontier areas to address transportation needs.
Sponsoring organization: National Aging and Disability Transportation Center
Date: 04/2019


AgriSafe Nurse Educators
Provides an audio recording and slides from a webinar focused on the AgriSafe program, which focuses on the health and safety of ranchers and farmers and offers distance education for rural nurses through its Nurse Scholar program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Community Health Centers
Date: 03/2019


American Farm Bureau Federation Rural Stress Polling Presentation
Summarizes the results of a survey of rural adults, farmers, and farmworkers regarding mental health. Includes statistics and data describing access to mental health resources, mental health concerns for farmers, ways to reduce stigma, general impressions of mental health, and more.
Sponsoring organizations: American Farm Bureau Federation, Morning Consult
Date: 04/2019


Behavioral and Mental Health Care Among Urban, Suburban, and Rural Respondents: Differences in Reported Need, Reasons for Not Getting Care, and Travel Time
Data snapshot featuring statistics on percentages of people needing behavioral or mental health care or having difficulty finding a provider, and reported length of travel time to a provider, with breakdowns by urban, suburban, and rural location.
Sponsoring organization: Association of American Medical Colleges
Date: 03/2019


Bridging for Health: Improving Community Health Through Innovations in Financing
Reports on a project that leveraged population health financing efforts through community collaboration. Addresses the process, outcomes, and lessons learned and provides case studies from 7 sites, including several rural communities.
Sponsoring organizations: Georgia Health Policy Center, Robert Wood Johnson Foundation
Date: 04/2019


CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 23 financial indicators included in the CAH Financial Indicators Report. Indicators represent six domains: profitability, liquidity, capital structure, revenue, cost, and utilization. A description of each indicator is provided, and appendix shows median indicator values by state. Indicators are specifically designed to help CAHs compare their financial performance with other CAHs.
Sponsoring organization: Flex Monitoring Team
Date: 04/2019


The Center for Medicare and Medicaid Innovation 2018 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 04/2019


Characteristics of Communities Served by Rural Hospitals Predicted to be at High Risk of Financial Distress in 2019
Uses updated results from the Financial Distress Index to compare communities that are home to rural hospitals at high financial risk with areas having rural hospitals not at high risk. Features statistics including demographics, socioeconomics, and health status, with breakdowns by location in the South, the Midwest, the Northeast, and the West.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 04/2019


Consumer Survey of Barriers to and Facilitators of Access to Oral Health Services
Results of a 2018 survey of U.S. adults to examine factors contributing to oral health disparities. Features statistics including geographic distribution of respondents and distribution of self-reported need for dental care, with breakdowns by rural, suburban, or urban location.
Sponsoring organization: Oral Health Workforce Research Center
Date: 03/2019


An Evaluation Report: Senior Food-Assistance, Related Programming, and Seniors' Experiences Across the Feeding America Network
Discusses characteristics of 17 food bank programs in rural and urban areas of 9 states, through interviews, observations, and document reviews. Examines challenges faced by food-insecure rural seniors, and profiles food-assistance programs in rural areas of Montana, Alabama, and Minnesota.
Additional links: Executive Summary
Sponsoring organization: Feeding America
Date: 04/2019


Geographic Variation in the 2019 Risk of Financial Distress among Rural Hospitals
Uses updated results from the Financial Distress Index to show geographic variation in rural hospitals at risk of financial distress and possible closure or reduction of services. Features statistics showing percentage of rural hospitals in each risk category in 2019 by census region, and a state-level map showing number and percentage of rural hospitals at high risk.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 04/2019


Map the Meal Gap 2019: A Report on County and Congressional District Food Insecurity and County Food Cost in the United States in 2017
Reports on county-level food insecurity and food price variation in 2017. Includes statistics on high food-insecurity counties, average county food insecurity rates by region and labor-market area, and high-cost counties and high child food-insecurity counties by geographical area, with breakdowns by urban or rural location.
Additional links: Executive Summary
Sponsoring organization: Feeding America
Date: 04/2019


Opioid Treatment and Rural Health Clinics: Part 2
Second webinar focusing on rural health clinics and opioid treatment. Dr. Reid Lofgran addresses running medication assisted treatment (MAT) in a rural health clinic with minimal community resources in Gooding, Idaho. Covers challenges faced, medications used for MAT, staffing needs, the importance of contracts, sigmas associated with addiction, and more.
Additional links: Presentation Slides
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Rural Health Clinics
Date: 04/2019


Organization of Endovascular Thrombectomy the Need for a 2-tier System
Discusses the current state of stroke care and reasons behind establishing a two-tiered standard of care for tertiary healthcare centers and rural hospitals that perform acute stroke care.
Author(s): Mayank Goyal, Kathinka D. Kurz, Marc Fisher
Location: Stroke, 50
Date: 06/2019


Partnering for Behavioral Health in Rural Northeast and North-Central Nebraska: Workforce Programs and Services
Highlights a behavioral health network in rural Nebraska that seeks to increase behavioral health awareness and access through workforce placement and partnerships with communities and other organizations. Includes an interview with the network director and offers advice for other networks based on lessons learned.
Sponsoring organization: National Rural Health Resource Center
Date: 05/2019


Rural Health Recap: Rural Obstetric Services: Access, Workforce, and Impact
Summarizes recent research by Rural Health Research Centers on access to obstetrics care in rural areas, the rural obstetric workforce, and the impact of limited OB access for rural counties. Includes a map showing hospital obstetric services in rural counties and where they have closed from 2004-2014 and a chart with the percent of clinicians by type attending deliveries in rural hospitals.
Sponsoring organization: Rural Health Research Gateway
Date: 04/2019


Rural Health Recap: State of Rural Women’s Healthcare Utilization and Health Indicators
Summarizes rural and urban statistics describing health indicators and healthcare utilization for women, maternal and obstetric healthcare services, and maternal substance use. Includes information regarding barriers to accessing care.
Sponsoring organization: Rural Health Research Gateway
Date: 04/2019


Trends in Risk of Financial Distress among Rural Hospitals from 2015 to 2019
Details the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) reimbursement type from 2015 to 2019.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 04/2019


What You Need to Know: Frequently Asked Questions (FAQs) 2019 ORYX® Performance Measure Reporting Requirements
Provides information for Joint Commission accredited hospitals and Critical Access Hospitals on the 2019 ORYX performance measure reporting requirements.
Sponsoring organization: Joint Commission
Date: 04/2019

Open Calls for Contributions

Call for Abstracts: 2019 Annual Montana Public Health Association Conference and Meeting
Deadline: May 31, 2019
Montana Public Health Association
Event Dates: Sep 17 - 18, 2019
Bozeman, MT
Conference Website

Call for Presentations: South Central Telehealth Forum 2019
Deadline: May 31, 2019
South Central Telehealth Resource Center
Event Dates: Aug 19 - 20, 2019
Nashville, TN
Conference Website

Upcoming Events

May
2
How to Put the Tele into Telegenetics
Time: 12:00 p.m. Mountain
Arizona Telemedicine Program, Southwest Telehealth Resource Center
520.626.2493
kerps@telemedicine.arizona.edu
May
7
2019 24th NRHA Health Equity Conference
National Rural Health Association
Atlanta, GA
816.756.3140 ext.12
siress@NRHArural.org
May
7
2019 Rural Medical Education Conference
National Rural Health Association
Atlanta, GA
816.756.3140 ext.12
siress@NRHArural.org
May
7
Rural Communities Opioid Response Program – Rural Centers of Excellence Application Technical Assistance Webinar
Time: 1:00 - 2:30 p.m. Eastern
Call-in number: 888.324.7521
Participant code: 8160465
Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services
ruralopioidresponse@hrsa.gov
May
7-10
2019 42nd Annual NRHA Rural Health Conference
National Rural Health Association
Atlanta, GA
816.756.3140 ext.12
siress@NRHArural.org
RHIhub staff will be presenting and exhibiting
May
7-10
2019 4th Rural Hospital Innovation Summit
National Rural Health Association
Atlanta, GA
816.756.3140 ext.12
siress@NRHArural.org
May
8
Workforce Grand Rounds Webinar Series: The Power of Resiliency - Unlocking the Quadruple Aim
Time: 11:00 a.m. - 12:30 p.m. Eastern
Bureau of Health Workforce
May
9
2019 Uniform Data System (UDS) Reporting Changes
Time: 1:00 - 2:30 p.m. Eastern
Call-in: 888.233.9404
Passcode: 6379668
Health Resources and Services Administration
May
9
CMS: Advanced Alternative Payment Models Overview
Time: 2:00 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
CMSQualityTeam@ketchum.com
May
9
Let’s Talk Health: Addressing the Opioid Epidemic
Alliance for Wisconsin Youth, Wisconsin Area Health Education Center System
Kimberly, WI
920.652.0238
annies@newahec.org
May
10
2019 10th Annual Critical Access Hospital Summit
Providence Health & Services
Missoula, MT
406.327.1625
Anna.Hoppe@providence.org
May
10
MAT 101: Evidence-Based Practices in Substance Use Disorder Treatment
Time: 2:30 - 3:30 p.m. Eastern
Health Resources and Services Administration
May
13
TCRP Research Report 203: Dialysis Transportation - Intersection of Transportation and Healthcare
Time: 2:00 - 3:00 p.m. Eastern
Transit Cooperative Research Program (TCRP)
202.334.2969
dschwager@nas.edu
May
14
Informing Prevention (Adolescents) Webinar Series: The Effects of Drug Use such as Marijuana, on Adolescent Brain Development
Time: 11:00 a.m. Mountain
Mountain Plains Prevention Technology Transfer Center Network (HHS Region 8)
mountainplains_pttc@utah.edu
May
14
Staged for Success: Medicaid Promoting Interoperability Stage 3 in 2019
Time: 11:00 a.m. - 12:15 p.m. Central
Michigan Center for Effective IT Adoption
May
14-15
Illinois Diabetes Symposium: Beyond Blood Sugar
Illinois Critical Access Hospital Network, Illinois Department of Public Health, Illinois Health and Hospital Association
Springfield, IL
217.223.0452
May
16
HRSA Hep Talk: Hepatitis C and the Opioid Epidemic
Time: 3:00 - 3:45 p.m. Eastern
Call-in: 888.566.5776
Passcode: 3578414
Health Resources and Services Administration
May
16
NCTRC Webinar – Distance Counseling: Best Practices in Higher Education
Time: 11:00 a.m. - 12:00 p.m. Pacific
Heartland Telehealth Resource Center
May
16
Promising Practices for Meeting the Needs of Dually Eligible Older Adults with Substance Use Disorders
Time: 1:30 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
RIC@lewin.com
May
16
Rural Communities Opioid Response Program-Medication-Assisted Treatment Expansion Technical Assistance Webinar
Time: 12:00 - 1:30 p.m. Eastern
Call-in number: 888.989.8179
Participant code: 8160465
Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services
ruralopioidresponse@hrsa.gov
May
16
Syphilis 2019: Return of the Great Masquerader
Time: 12:00 p.m. Mountain
Arizona Telemedicine Program, Southwest Telehealth Resource Center
520.626.2493
kerps@telemedicine.arizona.edu
May
21
Northeast Kansas Telehealth Meeting
Health Resources and Services Administration, Kansas Department of Health and Environment, Riley County Health Department
Manhattan, KS
HRSAORORegion7@hrsa.gov
Jun
4
Informing Prevention (Adolescents) Webinar Series: Vaping Among Adolescents - What We Know and What We Don't
Time: 11:00 a.m. Mountain
Mountain Plains Prevention Technology Transfer Center Network (HHS Region 8)
mountainplains_pttc@utah.edu
Jun
5-6
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
stryckerm@nosorh.org
Jun
5-7
2019 23rd Annual Western Regional Trustee Symposium
Arizona Hospital and Healthcare Association, Idaho Hospital Association, Montana Hospital Association, Nebraska Hospital Association, Nevada Hospital Association, New Mexico Hospital Association, Utah Hospital Association
Missoula, MT
406.457.8030
vanessa.larson@mtha.org
Jun
11-13
2019 34th Annual Dakota Conference on Rural and Public Health
University of North Dakota Center for Rural Health
Minot, ND
701.777.5380
kylie.nissen@und.edu
Jun
12
Health in All Policies (HiAP) Webinar: Cross-sector Collaboration to Implement HiAP
Time: 2:00 - 3:00 p.m. Eastern
National Association of County and City Health Officials
Jun
12-13
2019 3rd Annual South Dakota Rural Health Leaders Conference
South Dakota Association of Healthcare Organizations
Sioux Falls, SD
Jun
12-14
2019 Annual Wisconsin Rural Health Conference
Rural Wisconsin Health Cooperative, Wisconsin Hospital Association, Wisconsin Office of Rural Health
Wisconsin Dells, WI
608.274.1820
jfrank@wha.org
Jun
19-20
Pathways to Prevention (P2P) Workshop: Achieving Health Equity in Preventive Services
National Cancer Institute, National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute on Minority Health and Health Disparities, National Institutes of Health Office of Disease Prevention
Bethesda, MD
301.827.5561
Jun
21
Sexual Assault Examiner Skills Sustainability
Time: 1:00 - 2:30 p.m. Eastern
Tribal Forensic Healthcare Project
tribalforensichealthcare@iafn.org
Jun
23-24
Child Agricultural Injury Prevention Workshop
Central States Center for Agricultural Safety and Health, Great Plains Center for Agricultural Health, International Society for Agricultural Safety and Health, National Children's Center for Rural and Agricultural Health and Safety
Des Moines, IA
800.662.6900
salzwedel.marsha@marshfieldresearch.org
Jun
23-26
14th Annual Tribal Leader/Scholar Forum - 2019 NCAI Mid Year Conference
National Congress of American Indians Policy Research Center
Reno, NV
research@ncai.org
Jun
23-26
2019 WSHA Rural Hospital Leadership Conference
Washington State Hospital Association
Chelan, WA
206.216.2519
ashleyb@wsha.org
Jun
23-27
2019 Rural Alcohol and Drug Abuse Conference
National Rural Institute on Alcohol and Drug Abuse
Menomonie, WI
715.232.5169
taggartt@uwstout.edu
Jun
24
UDS Mapper Advanced Topics: Using the UDS Mapper for Research
Time: 1:00 - 2:00 p.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
Jun
24-26
2019 51st Annual Emergency Care and Trauma Symposium
University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison Health, University of Wisconsin-Madison Med Flight
Wisconsin Dells, WI
608.574.8707
lindapittz9@gmail.com
Jun
24-26
2019 Annual Council for Affordable and Rural Housing Meeting & Legislative Conference
Council for Affordable and Rural Housing
Arlington, VA
703.837.9001
carh@carh.org
Jun
24-27
2019 Annual International Society for Agricultural Safety and Health Conference
International Society for Agricultural Safety and Health
Des Moines, IA
info@isash.org
Jun
25
2019 Annual South Dakota Public Health Association Conference
South Dakota Public Health Association
Sioux Falls, SD
shelby.hintze.jepperson@gmail.com
Jun
25
2019 National Opioid Leadership Summit
Public Health Institute
Sacramento, CA
Jun
26-27
2019 4th Annual Rural Women's Health Symposium
Arizona Rural Women's Health Network
Sedona, AZ
602.218.3917
lorrainer@aachc.org
Jun
26-27
2019 Rural Human Trafficking Summit: Human Trafficking. Target it. Stop it.
Eastcentral and Northeast Pennsylvania Area Health Education Center, Pennsylvania Coalition Against Rape, Pennsylvania Office of Rural Health, Region III Office of the Health Resources and Services Administration, U.S. Department of Health and Human Services
State College, PA
814.863.8214
tjc136@psu.edu
Jun
26-28
2019 41st North Carolina Primary Care Conference
North Carolina Association of Free and Charitable Clinics, North Carolina Community Health Center Association, North Carolina Office of Rural Health
Asheville, NC
lanej@ncchca.org
Jun
26-28
2019 Annual Michigan Health & Hospital Association Membership Meeting
Michigan Health & Hospital Association
Mackinac Island, MI
517.323.3443
Jun
27
UMTRC - Telebehavioral Health
Time: 12:00 - 1:00 p.m. Eastern
Upper Midwest Telehealth Resource Center
855.283.3734 Ext. 238
info@umtrc.org
Jun
27-28
Prehospital Trauma Life Support
Arizona Department of Health Services
Kayenta, AZ
480.461.1806
ajohnston@azemergency.com

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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.