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RHIhub This Week - July 3, 2019

Models and Innovations

Seneca Strong logo Seneca Strong's Certified Recovery Peer Advocates
A cultural recovery peer advocate program in Seneca Nation has helped to reduce substance misuse among the Seneca Nation community.

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 Information from around the web

Recent News

Growing Consensus on Rural Opioids
Jul 3, 2019 -- Summarizes a meeting of Health Resources and Services Administration (HRSA) opioid response grantees, held on June 18, 2019 in Rockville, MD. Includes brief comments from Dr. George Sigounas, HRSA administrator; Betty-Ann Bryce, Office of National Drug Control Policy; and Tom Morris, associate administrator of the Federal Office of Rural Health Policy.
Source: Health Resources and Services Administration

FCC's Carr: $100M Health Pilot to Benefit Low-Income Patients, Veterans
Jul 2, 2019 -- Highlights the FCC's Connected Care pilot program which will be voted on in a meeting on July 10, 2019. The program would provide funding for broadband services to support telehealth programs for underserved populations, especially low-income, veteran, and those in rural areas.
Source: FierceHealthcare

How Two Rural Hospitals Are Engaging in Innovative Practices to Meet the Needs of Their Communities
Jul 2, 2019 -- Features two rural hospitals visited as part of the AHA Future of Rural Health Care Task Force: Winona Health in Minnesota and Western Wisconsin Health in Wisconsin. Highlights their population health investments, experiments with new payment models and technology, and efforts to address social determinants of health.
Source: American Hospital Association

Have Cancer, Must Travel: Patients Left In Lurch After Hospital Closes
Jul 1, 2019 -- A few weeks after Mercy Hospital Fort Scott closed, its cancer clinic followed. Now its patients have to drive 50 miles or more for lifesaving cancer treatments. Part of a series on the impact of Mercy Hospital's closure on rural Fort Scott, Kansas.
Source: Kaiser Health News

Local Colleges May Be A Panacea For Rural America's Healthcare Gap
Jul 1, 2019 -- Partnerships with local higher education institutions are helping address rural health workforce shortages. These partnerships may help hospitals hire healthcare professionals after graduation, offer loan repayment or scholarship incentives in return for agreements to work in rural areas, or create training opportunities in rural communities.
Source: Forbes

More Minn. Nursing Homes Are Closing, and Rural Towns Feel the Pain
Jul 1, 2019 -- Of the 41 nursing homes that closed in Minnesota since 2007, 31 were in rural areas. The closures have left people scrambling for another place to live further from home and hurt small town economies.
Source: MPR News

Sewell's Rural Health Bill Clears Key House Committee
Jul 1, 2019 -- The U.S. House of Representatives will consider the HEARTS and Rural Relief Act after it advanced from the House Ways and Means Committee. The bill would delay a Medicare rule for rural and Critical Access Hospitals requiring certain providers to be on site. It also provides Medicare coverage for a more accurate prostate cancer screening method, allows service members on Social Security Disability Insurance to maintain TRICARE coverage, and more.
Source: Alabama Political Reporter

Foundation's ECHO Pilot Programs Educate School Nurses and Link Primary Care Providers in Rural Communities to Epilepsy Specialists
Jun 27, 2019 -- The Epilepsy Foundation successfully completed 2 pilot programs using Project ECHO that focused on improving epilepsy care access for people in rural and underserved communities through telemedicine. The Foundation used Project ECHO to link primary care providers and school nurses to specialty care for epilepsy and to educate healthcare providers.
Source: Epilepsy Foundation

IHS and Cherokee Nation Launch New HIV Pilot Project
Jun 27, 2019 -- The Indian Health Service and Cherokee Nation Health Service announced a new HIV pilot as part of the Ending the HIV Epidemic: A Plan for America initiative. The Cherokee Nation pilot will build on the success of their Hepatitis C prevention and treatment model and increase the number of patients screened for HIV. Findings will be shared with other communities to support their efforts in ending the HIV epidemic in Indian Country.
Source: Indian Health Service

Funding & Opportunities

Direct Services to Support Victims of Human Trafficking
Grants for direct services to victims of sex trafficking and labor trafficking, as well as for efforts to increase the capacity of communities to respond to human trafficking through the development of inter-agency partnerships, professional training, and public awareness activities.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jul 19, 2019
Sponsors: Office for Victims of Crime, U.S. Department of Justice

School Climate Transformation Grant: Local Education Agency Grants
Grants for Local Education Agencies to develop, enhance, or expand systems of support for schools implementing an evidence-based behavioral framework for improving school climate, resulting in an overall reduction of disruptive behavior, violence, and bullying and and increase in overall academic achievement. Priority will be given to rural and tribal schools and projects that address opioid abuse and prevention.
Geographic coverage: Nationwide
Application Deadline: Jul 22, 2019
Sponsor: U.S. Department of Education

Community Economic Development Focus on Social Enterprises
Grants to provide technical and financial assistance to support organizations willing to create or expand social enterprises that will work to reduce personal or community barriers and provide economic support through the creation of employment and business opportunities for individuals and families with low income. Bonus points will be given to projects that create jobs in rural communities and counties of persistent poverty.
Geographic coverage: Nationwide
Application Deadline: Jul 29, 2019
Sponsors: Administration for Children and Families, U.S. Department of Health and Human Services

Health Care Transportation Access "Ready-to-Launch" Implementation Grants
Grants to support communities that are ready to take concrete steps toward implementing transportation solutions to address healthcare access.
Geographic coverage: Nationwide
Application Deadline: Aug 5, 2019
Sponsors: Federal Transit Administration, National Center for Mobility Management

Mental Health Service Professional Demonstration Grant Program
Grants to support and demonstrate innovative partnerships to train school-based mental health services providers for employment in high need schools and local educational agencies.
Geographic coverage: Nationwide
Application Deadline: Aug 5, 2019
Sponsors: Office of Elementary and Secondary Education (OESE), U.S. Department of Education

Healthy Homes Production Grant Program for Tribal Housing
Funding set aside for tribes to address multiple childhood diseases and injuries in the home by identifying and remediating housing-related environmental health and safety hazards in privately owned, low-income rental, and/or owner occupied housing, especially in units and/or buildings where families with children, the elderly, or persons with disabilities live.
Geographic coverage: Nationwide
Application Deadline: Aug 9, 2019
Sponsor: U.S. Department of Housing and Urban Development

Human Trafficking Leadership Academy: Preventing Trafficking among Native Youth
A leadership development program for survivor leaders and ally professionals from diverse backgrounds, traditions, cultures, and experiences. Fellows will use trauma-informed principles, survivor-informed practices, knowledge and understanding of culture/tradition in Native communities, and knowledge of health and wellness in Native communities to address the project question, "How can culture be a protective factor in preventing trafficking among Native youth?"
Geographic coverage: Nationwide
Application Deadline: Aug 16, 2019
Sponsors: Administration for Children and Families, Administration for Native Americans, U.S. Department of Health and Human Services

Increasing the Body of Knowledge for Cross-Jurisdictional Sharing in Public Health: Small Grants Program
Grants for organizations that wish to explore, plan, implement, or improve specific aspects of cross-jurisdictional sharing in public health.
Geographic coverage: Nationwide
Application Deadline: Aug 16, 2019
Sponsor: Center for Sharing Public Health Services

Service Area Competition Funding for Health Center Program (Areas Served with a Project Period Start Date of March 1, 2020)
Funding to provide comprehensive primary healthcare services to an underserved area or population. Areas with a March 1, 2020 project period start date are eligible to apply.
Geographic coverage: Nationwide
Application Deadline: Aug 26, 2019
Sponsors: Health Resources and Services Administration, U.S. Department of Health and Human Services

Rural Broadband Access Loan and Loan Guarantee Program
Loans and loan guarantees to provide funds for the construction, improvement, and acquisition of facilities and equipment needed to provide broadband service in eligible rural areas.
Geographic coverage: Nationwide
Application Deadline: Sep 30, 2019
Sponsors: U.S. Department of Agriculture, USDA Rural Utilities Service

Specialized Housing and Services for Victims of Human Trafficking
Grants to implement and provide housing and trauma-informed, victim-centered services for victims of human trafficking, including victims in tribal and rural communities.
Geographic coverage: Nationwide
Application Deadline: Oct 30, 2019
Sponsor: U.S. Department of Housing and Urban Development

New Resources

Characteristics of US Counties With High Opioid Overdose Mortality and Low Capacity to Deliver Medications for Opioid Use Disorder
Highlights a study on opioid overdose mortality in U.S. counties that lack the capacity to treat opioid use disorder. Breaks down counties by patient demographic and geographic region, as well as by rural, metropolitan, and micropolitan status.
Author(s): Rebecca L. Haffajee, Lewei Allison Lin, Amy S. B. Bohnert, et al.
Location: JAMA Network Open, 2(6)
Date: 06/2019

A Conversation on Maternal Health Care in Rural Communities: Charting a Path to Improved Access, Quality and Outcomes
Provides a recording of a day-long forum on maternal health access in rural communities. Addresses statistics on maternal health access, disparities in access and mortality rates, healthcare quality, models of care, state and federal policies related to maternal health, and more.
Additional links: Agenda
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 06/2019

County Economic Status in Appalachia, FY 2020
Map showing levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable map and data files, and data report linked on the right side of the map.
Sponsoring organization: Appalachian Regional Commission
Date: 06/2019

Defining the Rural Health Care Professional Role in Assuring Total Farmer Health
Presents the results of a "virtual think tank" on farmer and rancher mental health. Participants answered questions on farmer mental health disparities and access to mental healthcare.
Sponsoring organization: AgriSafe Network
Date: 06/2019

Geographic Expansion of Federally Qualified Health Centers 2007-2014
Details a study on the geographic distribution of Federally Qualified Health Centers (FQHCs) from 2007-2014. Looks at the percentage of FQHCs in rural and high poverty areas.
Author(s): Chiang-Hua Chang, Julie PW Bynum, Jon D. Lurie
Location: Journal of Rural Health, 35(3), 385-394
Date: 06/2019

A Health Equity Approach to Obesity Efforts: Proceedings of a Workshop—in Brief
Summarizes the proceedings of a workshop focused on health equity in demographic groups with a higher risk of obesity and how to address those issues in obesity treatment and prevention efforts. Covers disparities in obesity prevalence, including for rural areas and American Indian/Alaska Natives, social determinants of health, community and public health approaches for preventing and treating obesity, and effective healthcare interventions.
Additional links: Read Online
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 06/2019

HELP Committee Executive Session: S. 1199, S. 1173, and S.1895
Congressional hearing of the Senate Health, Education, Labor, Pensions (HELP) Committee focused on: the Poison Center Network Enhancement Act of 2019, Emergency Medical Services for Children Reauthorization Act of 2019, and Lower Health Care Costs Act of 2019. Focuses on ending surprise medical billing, creating price transparency, increasing prescription drug competition, improving public health, and improving health information exchange. Legislation would extend funding for community health centers, the National Health Service Corps, and the Teaching Health Center Graduate Medical Education (THCGME) Program. Addresses rural throughout.
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
Date: 06/2019

HIV Testing in 50 Local Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrence of HIV in Rural Areas, 2016–2017
Reports on HIV testing in 50 local jurisdictions where most new diagnoses of HIV infection in 2016 and 2017 were found and in seven states with high rural rates of HIV. Includes rural-urban data on HIV testing for Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 68(25), 561-567
Date: 06/2019

How the Federal Government Supports State and Local Efforts to Improve Rural Health: A Q&A with Tom Morris
Provides a Q&A with Tom Morris, associate administrator of rural health policy at the Health Resources and Services Administration (HRSA). Focuses on how government agencies are addressing rural hospital closures, population health, rural workforce development, and the opioid epidemic.
Sponsoring organization: Milbank Memorial Fund
Date: 06/2019

HUD Policy Brief: Understanding the Impact and Potential for Health Centers - Rural Homelessness
Provides information to help health centers connect people experiencing rural homelessness with housing and services. Summarizes challenges to ending rural homelessness and efforts of the Department of Housing and Urban Development (HUD) addressing rural homelessness.
Sponsoring organization: Corporation for Supportive Housing
Date: 2019

Kentucky Community Fights Back against Cardiovascular Disease
Results of a study conducted in Appalachian Kentucky, exploring a program in which community health workers helped promote healthy eating, physical activity, stress reduction, and other activities to manage risk factors for cardiovascular disease.
Sponsoring organization: Patient-Centered Outcomes Research Institute
Date: 06/2019

Leapfrog Never Events Report 2019
Examines hospital adherence to Leapfrog's Never Events Policy, which asks hospitals to commit to 9 actions if a "never event" happens, defined as one of 29 serious reportable events that should never happen listed by the National Quality Forum. Identifies rural/urban hospital performance on the initial 5 actions and expanded 9 Never Events Policy actions for 2014-2018.
Sponsoring organization: Leapfrog Group
Date: 2019

Merit-Based Incentive Payment System (MIPS): Scoring 101 Guide for Year 2 (2018)
Provides details on how scores are calculated for the Merit-based Incentive Payment System (MIPS), one of two payment options under the Medicare Quality Payment Program. Explains the four performance categories that affect Medicare Physician Fee Schedule payments: quality, cost, improvement activities, and promoting interoperability. Includes specifics for small and rural practices, Rural Health Clinics, and Federally Qualified Health Centers.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 06/2019

Modeling the Importance of Within- and Between-County Effects in an Ecological Study of the Association Between Social Capital and Mental Distress
Examines association between social capital and mental distress at the county level and explores between-county effects. Features county-level maps showing levels of mental distress and social capital, and demographic statistics with breakdowns by rural residence.
Author(s): Tse-Chuan Yang, Stephen A. Matthews, Feinuo Sun, Marina Armendariz
Location: Preventing Chronic Disease, 16
Date: 06/2019

QuickStats: Age-Adjusted Motor Vehicle Traffic Death Rates, by Urban-Rural Status and Sex — National Vital Statistics System, United States, 2017
Bar chart showing urban and rural deaths per 100,000 overall, for males, and for females.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 68(25), 573
Date: 06/2019

Rural Community Ambulance Agency Transformation
Provides a self-assessment and resources to help rural ambulance agencies move from volume to value and meet the core competencies outlined in the Baldridge Excellence Framework for Health Care. Offers resources related to EMS leadership, strategic planning, the workforce, operations and processes, community involvement, data collection and analysis, and quality outcomes.
Sponsoring organization: National Rural Health Resource Center

Rural Surgery: The Road Less Traveled
Profile of a surgeon with an urban background who now practices in rural Oregon. Explores the challenges and the rewards of rural surgical practice.
Author(s): Keith J. Thomas
Location: Bulletin of the American College of Surgeons, 104(7)
Date: 07/2019

Rural, Remote, and Resilient: How to Build Better Outcomes Outside of America's Cities
Explores public health outcomes in rural communities and presents 5 different strategies for addressing rural health disparities. Compares health disparities of rural versus urban counties across the country.
Sponsoring organization: Baylor University Master of Public Health Online Program
Date: 06/2019

Tailoring Crisis Response and Pre-arrest Diversion Models for Rural Communities
Outlines a guide for rural communities to develop crisis response and pre-arrest diversion programs for people with mental health or substance use disorders. Discusses the use of technology to connect law enforcement with behavioral health programs, as well as building off of current programs to address the specific needs of the community.
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 06/2019

Traffic Safety Facts, 2017 Data: Rural/Urban Comparison of Traffic Fatalities
Reports 2017 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by time of day, speed, alcohol use, seat belt use, and rollover crashes.
Sponsoring organization: National Highway Traffic Safety Administration
Date: 06/2019

Twenty Years of School-Based Health Care Growth and Expansion
Examines the status of school-based health centers (SBHCs) and changes from 1998-2017. Includes data on the number of rural SBHCs over time, telehealth-exclusive SBHCs, sponsorship of SBHCs by Federally Qualified Health Centers (FQHCs), the number in each state, funding sources, populations served, types of healthcare provided, and more.
Author(s): Hayley E. Love, John Schlitt, Samira Soleimanpour, Nirmita Panchal, Caroline Behr
Location: Health Affairs, 38(5), 2019
Date: 05/2019

Video Spotlight on Roosevelt General Hospital
Features a video highlighting the success of Roosevelt General Hospital in New Mexico as part of the Small Rural Hospital Transition (SRHT) Project. Provides statistics on their improved finances and reduced non-acute emergency department visits.
Sponsoring organization: National Rural Health Resource Center
Date: 06/2019

Open Calls for Contributions

Call for Poster Abstracts: 2019 12th Annual Community Health Worker Conference
Deadline: Jul 19, 2019
Spectrum Health
Event Dates: Aug 22, 2019
Grand Rapids, MI
Conference Website

Call for Student Posters: 2019 Rural Health Voice Conference
Deadline: Oct 18, 2019
Virginia Rural Health Association
Event Dates: Nov 20 - 21, 2019
Blacksburg, VA
Conference Website

Upcoming Events

CMS: Primary Care First Model Options - Seriously Ill Population
Time: 3:00 - 4:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Upper Midwest Telehealth Resource Center - Guidelines for Planning, Implementing, and Sustaining Telemental Health Programs
Time: 12:00 - 1:00 p.m. Eastern
Upper Midwest Telehealth Resource Center
855.283.3734 Ext. 238
Safe Prescribing, Alternatives to Opioids in Health Care Settings
Time: 11:15 a.m. - 12:15 p.m. Eastern
Ohio Hospital Association
Revised CAH Conditions of Participation 2019
Kentucky Hospital Association
Louisville, KY
The ASAM Treatment of Opioid Use Disorder Course
Michigan Primary Care Association
Ann Arbor, MI
Developing a System Wide Safety Net for Critical Care
Time: 12:00 - 1:00 p.m. Central
Alabama Rural Health Association
Human Trafficking Symposium
Suwannee River Area Health Education Center (AHEC)
Gainesville, FL
The Farmer Mental Health Crisis: Understanding A Vulnerable Population
Time: 11:00 a.m. - 12:00 p.m. Central
American Psychological Association, Farm Aid
Pediatric Case Studies
Time: 11:00 a.m. - 12:30 p.m. Eastern
Tribal Forensic Healthcare Project
Council on Graduate Medical Education Meeting
Time: 9:00 a.m. - 5:00 p.m. Eastern
Call-in: 1.888.455.0640
Meeting focus: rural health workforce
Health Resources and Services Administration
2019 12th Annual Community Health Worker Conference
Spectrum Health
Grand Rapids, MI
CAH Swing Bed Research and Volume Growth Strategies
Time: 3:00 p.m. Eastern
2019 Rural Hospital Finance Workshop
Hall Render Killian Heath & Lyman, Rural Wisconsin Health Cooperative, Wipfli LLP, Wisconsin Hospital Association, Wisconsin Office of Rural Health
Sauk City, WI
telehealthOK2019: Oklahoma's Telehealth Summit
Telehealth Alliance of Oklahoma, Inc.
Norman, OK
2019 45th Annual NARMH Conference
National Association for Rural Mental Health
Santa Fe, NM
2019 National Home and Community Based Services Conference
National Association of States United for Aging and Disabilities
Baltimore, MD
2019 VA/DoD Suicide Prevention Conference
U.S. Department of Defense, U.S. Department of Veterans Affairs
Nashville, TN
UDS Mapper Advanced Topics: What's New
Time: 1:00 - 2:00 p.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
2019 32nd Annual National Prevention Network Conference
National Prevention Network
Chicago, IL
2019 Public Health in the Rockies Conference
Colorado Public Health Association
Keystone, CO
2019 Region B SORH Regional Partnership Meeting
Federal Office of Rural Health Policy, National Organization of State Offices of Rural Health
Augusta, GA
888.391.7258 Ext. 102
2019 8th Annual Northwest Regional Telehealth Resource Center Telehealth Conference
Northwest Regional Telehealth Resource Center
Anchorage, AK
Cardiovascular Disease (CVD) Appalachia Conference ll
East Tennessee State University
Johnson City, TN

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