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RHIhub This Week - June 12, 2019

New in the Rural Monitor

a patient's hands being held Life ‘til the End: Hospice in Rural America
by Tami Lichtenberg
The importance of quality end-of-life care in rural America can be difficult to understand until you need hospice care. A rural family shares their personal journey with hospice and how it helped them care for their father at the end of his life. A CAH CEO explains how hospice care intersects with the mission to provide care to the community.

Archived Webinar

Introducing the Rural Telehealth Toolkit
In case you missed it: The recording of our webinar held on June 5, 2019, Introducing the Rural Telehealth Toolkit, has been added to our website. Featured speakers included Luciana Rocha, Susan Maley, David Scott, and Danielle Louder.

 New in Our Online Library
 Information from around the web

Recent News

AHRQ: National Advisory Council for Healthcare Research and Quality: Request for Nominations for Members
Jun 12, 2019 -- The Agency for Healthcare Research and Quality (AHRQ) is requesting nominations for the National Advisory Council for Healthcare Research and Quality. At least one member of the committee must be familiar with rural health issues. The committee advises the AHRQ director and the Secretary of Health and Human Services in regards to AHRQ's mission. Nominations are due in 60 days from publication of this notice.
Source: Federal Register

Rural America Ready for an Infusion of Investment, Panelists Say
Jun 12, 2019 -- Community development specialists at a conference on the rural U.S. support investing in rural communities. Regional development organizations and public-private partnerships have both had success in financing rural initiatives.
Source: The Daily Yonder

CMS: Medicare and Medicaid Programs: Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Extension of Timeline
Jun 11, 2019 -- Notice from the Centers for Medicare and Medicaid Services (CMS) extending the timeline for the final rule, Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care, until June 16, 2020. The final rule will update requirements for hospitals and Critical Access Hospitals to participate in Medicare and Medicaid in regards to quality assessment and performance improvement (QAPI), infection control and antibiotic stewardship, licensed independent practitioners, and ordering privileges in CAHs for dietitians and nutrition professionals.
Source: Federal Register

CMS: Request for Information: Reducing Administrative Burden to Put Patients over Paperwork
Jun 11, 2019 -- Notice from the Centers for Medicare and Medicaid Services (CMS) requesting ideas for changes to reduce the administrative burden for healthcare providers, patients, and families. Includes an appendix listing what CMS has done to date as part of this effort. Comments are due August 12, 2019.
Source: Federal Register

Between a 'Hub' and a Hard Place: Three Stories of Opioid Addiction in Rural Vermont
Jun 5, 2019 -- Vermont is exploring rural access to opioid-abuse prevention and treatment as part of a federal planning grant. Some of the stories they uncovered reveal challenges in accessing treatment due to a lack of knowledge of addiction, lack of awareness of services or distance to them, and lack of transportation for getting to treatment.
Source: Seven Days

VA: Urgent Care
Jun 5, 2019 -- Final rule from the Department of Veterans Affairs (VA) allowing eligible veterans to access urgent care from non-VA entities without prior approval, as per the VA MISSION Act of 2018. The rule is intended to increase veterans access to care in their communities, including the approximately 1/3 of veterans who live in rural areas. The rule goes into effect June 6, 2019.
Source: Federal Register

VA: Veterans Community Care Program
Jun 5, 2019 -- Final rule from the Department of Veterans Affairs (VA) implementing the VA MISSION ACT of 2018, which allows veterans to receive healthcare services from non-VA entities under certain circumstances. The final rule reiterates many items from the proposed rule, including the average drive time and wait time standards used to determine whether veterans can use community healthcare providers instead of VA facilities; a higher payment rate allowance for highly rural areas; and how payments to providers are calculated. The rule goes into effect June 6, 2019.
Source: Federal Register

Nominations Requested: Secretary's Tribal Advisory Committee
May 7, 2019 -- The Department of Health and Human Services (HHS) requests nominations for the Secretary's Tribal Advisory Committee (STAC). The committee advises the HHS Secretary to help incorporate tribal viewpoints into HHS policies, priorities, and budget. Nominations are due June 21, 2019.
Source: U.S. Department of Health and Human Services

Funding & Opportunities

Using Telehealth to Improve Care, Access, and Quality of Sexual Assault Forensic Exams
Grants to enhance the care for sexual assault victims, improve access and quality of forensic examinations, and expand access to the expertise of Sexual Assault Nurse Examiners through telehealth technology for communities with limited access.
Geographic coverage: Nationwide
Application Deadline: Jul 17, 2019
Sponsors: Office for Victims of Crime, U.S. Department of Justice

Service Area Competition Funding for Health Centers Program (Areas Served with a Project Period Start Date of February 1, 2020)
Funding to provide comprehensive primary healthcare services to an underserved area or population. Areas with a February 1, 2020 project period start date are eligible to apply.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Aug 5, 2019
Sponsors: Bureau of Primary Health Care, Health Resources and Services Administration

Tribal Opioid Response Grants
Grants to address the opioid crisis in tribal communities by increasing access to culturally appropriate and evidence-based treatment, including medication-assisted treatment.
Geographic coverage: Nationwide
Application Deadline: Aug 6, 2019
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

YouthBuild Grants
Grants to organizations providing pre-apprenticeship services that support education, occupational skills training, and employment services for at-risk youth, ages 16 to 24, while performing meaningful work and service to their communities. Training includes affordable housing construction skills and other in-demand industries, such as healthcare, information technology, hospitality, retail services, and logistics.
Geographic coverage: Nationwide
Application Deadline: Aug 6, 2019
Sponsors: Employment and Training Administration, U.S. Department of Labor

Tribal Colleges Research Grants Program (TCRGP)
Grants to tribal colleges and universities for research projects that address concerns and needs of tribal and reservation communities, including projects that focus on health, environment, and agricultural production needs of remote reservation communities through research.
Geographic coverage: Nationwide
Application Deadline: Aug 9, 2019
Sponsors: National Institute of Food and Agriculture, U.S. Department of Agriculture

Groundwater and Well Care for Non-Community Public Water Systems Training
Training to help owners and operators of non-community public water systems with a groundwater well to better understand how to properly care for their water supply. Through the course, well owners will obtain the knowledge needed to extend the life of the well and help ensure the water remains safe to drink.
Geographic coverage: The course is available nationwide. It has been pre-approved for 2 hours of operator continuing education credit in 17 states.
Applications accepted on an ongoing basis
Sponsors: Rural Community Assistance Partnership,

Personalized Technical Assistance on Integration of Behavioral Health in Rural Communities
Technical assistance for rural healthcare providers working toward integrating behavioral health and primary care to enhance the healthcare experience for individuals living with behavioral and physical health conditions.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: National Council for Behavioral Health, SAMHSA-HRSA Center for Integrated Health Solutions, Substance Abuse and Mental Health Services Administration

Stand Down Grants
Provides funding for events that offer homeless veteran populations a variety of social services designed to help them to reintegrate into their communities, such as housing, healthcare, and employment opportunities.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Labor, Veterans Employment and Training Service

New Resources

Binge Drinking and Prescription Opioid Misuse in the U.S., 2012-2014
Explores the relationship between binge drinking and opioid misuse. Analyzes data from the 2012-2014 National Survey on Drug Use and Health and presents data by age, race, and rural versus urban status, among other measures.
Author(s): Marissa B. Esser, Gery P. Guy Jr., Kun Zhang, et al.
Location: American Journal of Preventive Medicine
Date: 06/2019

Broadband Deployment: Status and Federal Programs
Addresses the availability of broadband in rural, urban, and tribal areas of the U.S.; percent of households with broadband; and federal programs supporting broadband development and adoption.
Sponsoring organization: Congressional Research Service
Date: 06/2019

Building a Field of Rural Philanthropy: The Case for Creating a Rural Philanthropic Network
Report outlines rural philanthropic networks and how they can benefit rural communities. Provides guidance for setting up networks and establishes key stakeholders in rural communities.
Sponsoring organization: Philanthropy WoRx
Date: 05/2019

CMS: Beyond the Policy Episode 3: CMS Innovation Center: Where We Are, How Models Are Developed and the Next Steps in Value
Podcast episode on payment and service models being tested by the CMS Innovation Center. Features CMS Administrator Seema Verma and CMS Innovation Center Director Adam Boehler. Includes some discussion of models for rural providers and small practices, such as Primary Care First.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 05/2019

Digital Gap Between Rural and Nonrural America Persists
Highlights differences in broadband access and technology adoption, such as smart phone or tablet use, between rural and urban residents of the U.S.
Sponsoring organization: Pew Research Center
Date: 05/2019

Family Funders – Always Important in Rural Communities
Details the role of family foundations in rural philanthropy. Discusses the differences between urban and rural philanthropic work.
Sponsoring organization: National Center for Family Philanthropy
Date: 05/2019

Integrating a Trauma-Informed Approach into Substance Use Disorder Treatment
Webinar recording on incorporating trauma-informed care into substance use disorder treatment. Features a healthcare provider from rural Tennessee and a provider focused on treating opioid use disorder in women with HIV. Addresses the connection between traumatic experiences, including adverse childhood events (ACEs), and risky health behaviors such as substance abuse, as well as strategies for caring for this population. Provides presentation slides.
Sponsoring organization: Center for Health Care Strategies
Date: 06/2019

Management Methodologies and Value-based Strategies: An Overview for Rural Health Care Leaders
Provides an overview of 8 common management methods for transitioning healthcare organizations to value-based care. Discusses considerations for rural healthcare leaders and provides information and resources for each management method.
Sponsoring organization: Rural Health Value
Date: 06/2019

Medicare Advantage
Provides a fact sheet covering Medicare Advantage enrollment, plan types, payments and premiums, and supplemental benefits including the Part D prescription drug benefit. Discusses availability of Medicare Advantage plans in rural areas and related policies.
Sponsoring organization: Kaiser Family Foundation
Date: 06/2019

Medicare Promoting Interoperability Program Hardship Exception Fact Sheet
Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Sponsoring organization: Centers for Medicare and Medicaid Services

Mental Health Explorer
An interactive web-based mapping tool focused on mental health. Provides access to data on mental health and wellness; the mental health workforce; and related social, behavioral, and health measures. Part of the HealthLandscape set of tools.
Sponsoring organization: American Academy of Family Physicians

Rural City Part of Groundbreaking Heart Disease Prevention
Podcast focused on a model from rural New Ulm, Minnesota for preventing cardiovascular disease using a partnership between the town's medical center, the community, and a foundation. Features the Director of Operations from the New Ulm Medical Center, the Director of Population Health and Professional Education from the Minneapolis Heart Institute Foundation, and the program's project advisor. Part of AHA's Rural Report Podcast Series.
Sponsoring organization: American Hospital Association
Date: 06/2019

Rural Success: High-Performing CAHs Take Action for Antibiotic Stewardship
Highlights antibiotic stewardship program best practices and strategies from Critical Access Hospitals (CAHs) based on a series of focus groups. Includes antibiotic stewardship results from a CAH facility survey.
Sponsoring organization: Stratis Health
Location: MBQIP Monthly, 1-3
Date: 06/2019

Rural-Urban and Racial/Ethnic Disparities in Invasive Cervical Cancer Incidence in the United States, 2010-2014
Results of a study examining 59,432 cases of cervical cancer. Features statistics on age-adjusted cervical cancer incidence, with breakdowns by race or ethnicity and urban or rural location.
Author(s): Lulu Yu, Susan A. Sabatino, Mary C. White
Location: Preventing Chronic Disease, 16
Date: 06/2019

Unmet Need for Personal Care Assistance among Rural and Urban Older Adults
Policy brief exploring the unmet need for personal care help across 11 activities, such as self-care, household chores, and mobility-related tasks, with breakdowns by urban and rural location.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 06/2019

Open Calls for Contributions

Call for Presentations: 2020 9th Annual National Drug Abuse and Heroin Summit
Deadline: Aug 23, 2019
Institute for the Advancement of Behavioral Healthcare
Event Dates: Apr 13 - 16, 2020
Nashville, TN
Conference Website

Upcoming Events

Who Counts? Racial Misclassification and American Indian/Alaska Natives
Time: 11:00 a.m. to 12:00 p.m. Pacific
Urban Indian Health Institute
206.812.9360 Ext. 3035
Protecting Farmworkers and their Families: Examining New Requirements to Minimize Pesticide Exposure
Time: 12:00 - 1:00 p.m. Central
Farmworker Justice Fund, Inc., Migrant Clinicians Network
Rural Multimodal Planning
Time: 1:00 - 2:30 p.m. Eastern
National Center for Rural Road Safety
School-Based Telehealth Center of Excellence
Time: 11:00 a.m. - 12:00 p.m. Eastern
Mid-Atlantic Telehealth Resource Center, National Consortium of Telehealth Resource Centers
ATA 2019 Exhibit Hall Technology Review
Time: 12:00 - 1:00 p.m. Pacific
Arizona Telemedicine Program, Southwest Telehealth Resource Center
2019 18th Annual CADCA's Mid-Year Training Institute
Community Anti-Drug Coalitions of America
Dallas, TX
West TN Regional Opioid Education Training
Rural Health Association of Tennessee, Tennessee Hospital Association
Denmark, TN
2019 46th Annual Arizona Rural Health Conference
Arizona Center for Rural Health
Flagstaff, AZ
2019 Annual Michigan Primary Care Association Conference
Michigan Primary Care Association
Grand Rapids, MI
Introduction to the UDS Mapper
Time: 10:00 - 11:00 a.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
Grant Writing Survival School
Coalition for Healthy Youth
Lancaster, SC
2019 NCSL Legislative Summit & Exhibition
National Conference of State Legislatures
Nashville, TN
2019 WPHA Public Health in Practice Conference
Wisconsin Public Health Association
Stevens Point, WI
Child Agricultural Injury Prevention Workshop
National Children's Center for Rural and Agricultural Health and Safety, Southeast Center for Agricultural Health and Injury Prevention
Lexington, KY
2019 Diabetes in Indian Country Conference
Indian Health Service
Oklahoma City, OK
2019 30th Annual Illinois Rural Health Association Educational Conference
Illinois Rural Health Association
Champaign, IL
2019 12th Annual Prevention of Youth Substance Abuse Conference
Coalition for Healthy Youth
Lancaster, SC
2019 13th Annual Arizona Rural Policy Forum
Arizona Rural Development Council
Eagar, AZ
602.956.0909 Ext. 5
2019 Western Agriculture Safety and Health Conference
Western Center for Agricultural Health and Safety
Seattle, WA
2019 48th Annual AAIP Meeting and National Health Conference
Association of American Indian Physicians
Chicago, IL
APA 2019
American Psychological Association
Chicago, IL
2019 Inaugural Interprofessional Student Conference on Opioid Education
Idaho Area Health Education Center
Boise, ID

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