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RHIhub This Week - August 7, 2019

New in the Rural Monitor

telemedicine mobile unit Mobile Telehealth Units and Care Coordinators Improve Emergency Care Services for Rural Arizona Patients
by Jenn Lukens
To address rising ER readmissions, an Arizona healthcare system and network partners adapted an unconventional EMS telehealth service to help rural patients. Coupled with care coordination, mobile telehealth units are saving the healthcare system money while better meeting patients' healthcare needs.

Upcoming Webinars

Improving the Health and Well-Being of Rural Communities Through Collaboration
Collaboration between organizations is often necessary in rural communities in order to assess and address health needs.

Join us on Thursday August 15 at 12:00 p.m. Central as we hear from two innovative rural health organizations about how they developed strategies to meet population health goals, address social determinants of health, and improve health outcomes.

Unintentional Injury Death Rates in the United States
Join us on Thursday August 29 at 12:00 p.m. Central.

Henry Olaisen and Holly Hedegaard from the National Center for Health Statistics will discuss two recently published reports: Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017 and Urban–Rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017.

 New in Our Online Library
 Information from around the web

Recent News

A Conversation with Cara James
Aug 6, 2019 -- Episode of Rural Health Leadership Radio, in which Dr. Cara James, Director of the Office of Minority Health at the Centers for Medicare and Medicaid Services, discusses the importance of serving vulnerable populations.
Source: Rural Health Leadership Radio

HRSA: National Advisory Committee on Rural Health and Human Services, Notice of Meeting
Aug 6, 2019 -- The Health Resources and Services Administration announces a public meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS) on September 9-11, 2019 in Washington, D.C. Agenda items will be centered around the current delivery of healthcare and human services in rural areas.
Source: Federal Register

How a Midwest County Deals With 'Deaths of Despair'
Aug 5, 2019 -- Fayette County, Indiana has the highest suicide and overdose death rates in the state and a drug overdose rate 5 times higher than the national average. Article describes the efforts of End Stigma, a local group dedicated to addressing the stigma related to substance abuse and mental health issues.
Source: WILLradio.tv.online

There Aren't Enough Doctors to Treat HIV in the South
Aug 5, 2019 -- HIV treatment providers in the South describe an overwhelming load of patients because of the lack of new colleagues entering the field. The retirement of older practitioners and the fact that fewer are entering the specialty has resulted in difficulty recruiting and retaining practitioners.
Source: Stateline

The Plight of Rural Hospitals and How Some Health Networks Are Responding
Aug 2, 2019 -- Almost 40 percent of rural hospitals in West Virginia are at risk of closure, but some hospitals that are part of health networks in the state are succeeding. Article explores strategies used by the West Virginia University Health System, Mountain Health Network, and Charleston Area Medical Center.
Source: West Virginia Public Radio

Urban or Rural, the U.S. Drug Crisis is an Equal Opportunity Killer
Aug 2, 2019 -- A new study by the Centers of Disease Control and Prevention's National Center for Health Statistics shows varied victim and drug patterns in urban and rural areas, but similar trends in rising death rates. Death rates were higher in urban areas for most age groups, with the highest rate among people ages 25-44 in both rural and urban areas.
Source: U.S. News & World Report

FCC Establishes New Digital Opportunity Data Collection
Aug 1, 2019 -- The Federal Communications Commission has released a Report and Order and Second Further Notice of Proposed Rulemaking that recognizes the immediate need for more granular data collection to inform the mapping of broadband availability. An official comment request on the proposed rule will be announced in the Federal Register at a later date.
Source: Federal Communications Commission

FCC Strengthens Rural Health Care Program: Increases Transparency, Predictability, and Efficiency of RHC Program Funding Decisions
Aug 1, 2019 -- The Federal Communications Commission has announced plans to initiate reforms to the Rural Health Care Program and promote telehealth by ensuring that program funds are disbursed efficiently and equitably, and strengthening safeguards against waste, fraud, and abuse. Plans include targeting funding to rural areas in the most need of healthcare services.
Source: Federal Communications Commission

Recent Federal Register Notices from CMS

Funding & Opportunities

Rural Impact County Challenge Action Learning Cohort
A 10-month learning cohort opportunity to help advance county efforts to expand affordable housing and understand the link between housing, health, and equity.
Geographic coverage: Nationwide
Application Deadline: Aug 15, 2019
Sponsors: County Health Rankings & Roadmaps, National Association of Counties, Robert Wood Johnson Foundation


Firehouse Subs First Responder Grants
Grants for life-saving equipment and prevention education tools for first responders and public safety organizations. The Foundation recognizes the needs of rural and volunteer departments throughout the country and will consider their applications despite not being within 60 miles of a Firehouse Subs restaurant.
Geographic coverage: Nationwide
Application Deadline: Aug 28, 2019
Sponsor: Firehouse Subs Public Safety Foundation


Border 2020: U.S.-Mexico Border Environmental Program
Grants for projects designed to to protect human health and the environment in the border region, with a focus on underserved communities that may be disproportionately impacted by environmental risks. The website and application materials are provided in both English and Spanish.
Geographic coverage: Within 62 miles (100 kilometers) of either side of the U.S.-Mexico border in the in the California-Baja California and Arizona-Sonora regions.
Application Deadline: Sep 17, 2019
Sponsors: North American Development Bank, U.S. Environmental Protection Agency


Native Center for Alcohol Research and Education Pilot Project Grant Program
Grants to foster innovative research projects that focus on reducing the burden of alcohol use disorders in American Indian and Alaska Native (AI/AN) communities and to support and provide mentorship to junior investigators during the development of their novel approaches to improving the lives of AI/AN people.
Geographic coverage: Nationwide
Application Deadline: Sep 30, 2019
Sponsors: Native Center for Alcohol Research and Education (NCARE), Washington State University


Service Area Competition Funding for Health Center Program (Areas Served with a Project Period Start Date of April 1, 2020)
Funding to provide comprehensive primary healthcare services to an underserved area or population. Areas with an April 1, 2020 project period start date are eligible to apply.
Geographic coverage: Nationwide
Application Deadline: Sep 30, 2019
Sponsors: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services


BNSF Railway Foundation Grants
Grants to organizations that operate near a BNSF railway line. Priority areas include health and human service organizations, programs that address chemical dependency treatment and prevention, spouse and child abuse, women's and children's aid, transitional shelters, hospitals, medical programs, youth development programs, and federally recognized tribes.
Geographic coverage: Nationwide in areas near BNSF rail lines.
Applications accepted on an ongoing basis
Sponsor: BNSF Railway Foundation


DentaQuest Community Response Fund
Supports organizations, activities, and events that offer short-term, immediate solutions to oral healthcare challenges in underserved communities.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: DentaQuest Partnership for Oral Health Advancement


Direct Relief Partnership Network
A partnership program for healthcare facilities that extends medication access to patients who are unable to afford prescriptions, reduces procurement costs of medications and supplies, and leverages resources to foster healthier communities. Partner facilities order online from Direct Relief's pharmaceutical inventory.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Direct Relief


National School Lunch Afterschool Snack Program
Funding for schools and residential child care institutions to provide afterschool snacks to low-income children who participate in the National School Lunch program.
Geographic coverage: Nationwide and U.S. territories
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Food and Nutrition Service


NOSORH Grant Writing Institute: Beyond the Basics
A four-part, on-demand training series designed to help rural health professionals build on their grant writing and grant management skills.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: National Organization of State Offices of Rural Health


Quality Payment Program Support for Small, Underserved, and Rural Practices
Customized technical assistance for clinicians in small practices, including those in rural locations, Health Professional Shortage Areas, and Medically Underserved Areas to help them participate and succeed in the Quality Payment Program.
Geographic coverage: Nationwide and U.S. territories
Applications accepted on an ongoing basis
Sponsors: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services


Section 108 Loan Guarantee Program
Funding that provides communities with a source of financing for economic development, housing rehabilitation, public facilities, and physical development projects, including improvements to increase resilience against natural disasters.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: U.S. Department of Housing and Urban Development

New Resources

ARcare Uses EHR Alerts for HIV Testing and Prevention
Details ARcare's use of electronic health records to identify risk factors for HIV in primary care health records and flag them for testing. Discusses work with clinical staff to address HIV screening and prevention. Highlights HIV outreach work with the Arkansas Health Department.
Sponsoring organization: Health Resources and Services Administration
Date: 06/2019


Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017
Details a study on Critical Access Hospitals (CAHs) economic and healthcare benefit to rural communities. Looks at services provided, economic health of CAHs, and the effect this has on their communities broadly. Compares CAHs to other rural and urban hospitals.
Sponsoring organization: Flex Monitoring Team
Date: 07/2019


Critical Crossroads: Pediatric Mental Health Care in the Emergency Department: A Care Pathway Resource Toolkit
Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
Date: 07/2019


Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
Date: 07/2019


Health Value and Belief Differences Among Rural Americans
Results of a study to better understand how Americans differ in their beliefs about health at individual, community, and societal levels. Appendix features survey question responses with breakdowns by rural and urban residence.
Additional links: American Health Values Survey: Rural Typology
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
Date: 04/2019


Integrating Oral and General Health Through Health Literacy Practices: Proceedings of a Workshop
Summary of panel discussions held December 6, 2018 in Washington, D.C. by the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. Topics include health literacy, care integration, interventions for children, and development of a research agenda. Chapter 6 includes a discussion of provision of oral health services in urban versus rural settings.
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 07/2019


Pain in the Nation: Building a National Resilience Strategy: Alcohol and Drug Misuse and Suicide and the Millennial Generation - a Devastating Impact
Report highlights the rates of alcohol and drug misuse and suicide among the millennial generation (people in their 20s and 30s). Discusses the role of the opioid crisis in the increases in "deaths of despair" among millennials. Chart on page 6 compares rates in rural and metro areas.
Sponsoring organizations: Trust for America's Health, Well Being Trust
Date: 06/2019


Plumbing Poverty: Mapping Hot Spots of Racial and Geographic Inequality in U.S. Household Water Insecurity
Examines plumbing poverty, defined as the lack of complete household plumbing, and the resulting household water insecurity in terms of social, racial, and geographical inequality. Features U.S. maps showing clusters of plumbing poverty as of 2016, with breakdowns by race or ethnicity, home ownership status, and income.
Author(s): Shiloh Deitz, Katie Meehan
Location: Annals of the American Association of Geographers, 109(4), 1092-1109
Date: 03/2019


School Success: An Opportunity for Population Health: Proceedings of a Workshop (2019)
Explores how health sector capabilities can be used to improve educational outcomes from pre-school through 12th grade. Includes case studies on flu vaccination as a tool to reduce absenteeism in rural Arkansas and school-based wellness hubs in a rural frontier Oregon county.
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 2019


State-by-State Health Insurance Coverage among Women of Reproductive Age in 2017
Presents an interactive map with corresponding reports for each state highlighting the rates of insurance coverage for women of reproductive age. Breaks down data by age, race, marital status, metro and nonmetro, and compares state rates to U.S. rates.
Sponsoring organization: Urban Institute

Urban-Rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017
Data brief examining differences in urban and rural areas, using the most recent data from the National Vital Statistics System. Features statistics including age-adjusted rates of overdose rates from 1999-2017 by urban and rural residence, and rates of overdose death in 2017 by sex, age group, and type of drug, with breakdowns by urban and rural areas.
Sponsoring organization: National Center for Health Statistics
Location: NCHS Data Brief, No. 345
Date: 08/2019


Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 68, Early Release
Date: 08/2019


Charts from USDA Economic Research Service, July 2019

Open Calls for Contributions

Call for Presentations: 2019 ANTHC Alaska Tribal Conference on Environmental Management
Deadline: Sep 20, 2019
Alaska Native Tribal Health Consortium
Event Dates: Nov 19 - 22, 2019
Anchorage, AK
Conference Website

Call for Speaker Abstracts: 2020 Annual Ohio Association of Community Health Centers Conference
Deadline: Oct 1, 2019
Ohio Association of Community Health Centers
Event Dates: Feb 24 - 26, 2020
Columbus, OH
Conference Website

Call for Proposals & Posters: 2019 17th Annual American Indian Health Research Conference
Deadline: Oct 12, 2019
Indians into Medicine, Minnesota Department of Human Services, University of North Dakota Center for Rural Health
Event Dates: Oct 19, 2019
Grand Forks, ND
Conference Website

Upcoming Events

Aug
12
Physician Fee Schedule Proposed Rule: Understanding 3 Key Topics Listening Session
Time: 1:00 - 2:30 p.m. Eastern
Centers for Medicare and Medicaid Services
mlnevents@thebizzellgroup.com
Aug
13
Securing Quality Care: Rural Health in Iowa
Bipartisan Policy Center
Des Moines, IA
Aug
14
Overdose Recognition, Response, and Naloxone Administration Training
Sonoran Prevention Works
Safford, AZ
cthomas@spwaz.org
Aug
14-15
Naloxone/Fentanyl Training - Whiteriver, AZ
Navajo County Sheriff Department, Nexus Coalition for Drug Prevention, Sonoran Prevention Works, Whiteriver White Mountain Apache Tribe
Whiteriver, AZ
mlupe@wmaha.us
Aug
15
Critical Crossroads: Pediatric Mental Health Care in the Emergency Department
Time: 3:00 p.m. Eastern
Health Resources and Services Administration
Aug
15
Hazard Communications Standards
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Aug
15
Improving the Health and Well-Being of Rural Communities Through Collaboration
Time: 12:00 - 1:00 p.m. Central
Rural Health Information Hub
webinars@ruralhealthinfo.org
Aug
20
Have Healthy People 2020 Benchmarks for Leading Causes of Death Been Met in Rural and Urban Areas?
Time: 11:00 a.m. - 12:00 p.m. Central
Call-in: 888.324.9428
Passcode: 3585654
Rural Health Research Gateway
brenda.haugen@und.edu
Aug
27
Upper Midwest Telehealth Resource Center - Virtual Office Hours
Time: 12:30 - 1:30 p.m. Eastern
Upper Midwest Telehealth Resource Center
855.283.3734 Ext. 238
info@umtrc.org
Aug
29
Unintentional Injury Death Rates in the United States
Time: 12:00 - 1:00 p.m. Central
Rural Health Information Hub
webinars@ruralhealthinfo.org
Sep
5
Mental Health in Rural Populations: A Federal Perspective
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Sep
9-11
National Advisory Committee on Rural Health and Human Services Meeting
National Advisory Committee on Rural Health and Human Services
Washington, DC
301.443.7322
shirsch@hrsa.gov
Sep
10
HealthLandscape Community Vital Signs Population Health Profiler
Time: 2:00 - 3:00 p.m. Eastern
HealthLandscape
Sep
10
HealthLandscape Rural Health Explorer
Time: 1:00 - 2:00 p.m. Eastern
HealthLandscape
Sep
12
Rural Health Care Program: Consortia Best Practices for FY2020
Time: 1:00 - 2:00 p.m. Central
Universal Service Administrative Company
800.453.1546
RHC-Assist@usac.org
Sep
12-13
2019 9th Annual Florida Community Health Worker Coalition Summit
Florida Community Health Worker Coalition
Lake Mary, FL
850.888.2495
floridachwc@gmail.com
Sep
16
HealthLandscape Mental Health Explorer
Time: 2:00 - 3:00 p.m. Eastern
HealthLandscape
Sep
17
Greenlee County/Morenci Community Overdose Prevention Training
Sonoran Prevention Works
Morenci, AZ
cthomas@spwaz.org
Sep
17-18
2019 18th Annual NRHA Rural Health Clinic Conference
National Rural Health Association
Kansas City, MO
816.756.3140 x12
siress@NRHArural.org
Sep
17-18
Child Agricultural Injury Prevention Workshop
National Children's Center for Rural and Agricultural Health and Safety, Northeast Center of Agricultural Safety and Health, PennState
Hershey, PA
salzwedel.marsha@marshfieldresearch.org
Sep
18-19
2019 Annual Missouri Association of Rural Health Clinics Fall Conference
Missouri Association of Rural Health Clinics
Osage Beach, MO
573.635.5090
info@marhc.org
Sep
18-20
2019 18th Annual NRHA Critical Access Hospital Conference
National Rural Health Association
Kansas City, MO
816.756.3140 x12
siress@NRHArural.org
Sep
23
HealthLandscape Population Health Tools
Time: 1:00 - 2:00 p.m. Eastern
HealthLandscape
Sep-Oct
30-1
2019 37th Annual Mid-Atlantic Association of Community Health Centers Conference
Mid-Atlantic Association of Community Health Centers
Cambridge, MD
410.901.1234
deitra@machc.com
Sep-Oct
30-2
2019 23rd Annual South Carolina Rural Health Conference
South Carolina Office of Rural Health
Charleston, SC
803.454.3850
tevepaugh@scorh.net
Sep-Oct
30-2
NC EMS EXPO 2019
North Carolina Office of Emergency Medical Services (NC OEMS)
Greensboro, NC
919.855.3938
mckenzie.beamer@dhhs.nc.gov
Oct
1-2
2019 FQHC Coding and Billing Symposium
Arizona Alliance for Community Health Centers
Phoenix, AZ
602.288.7555
shellir@aachc.org
Oct
1-3
2019 85th Annual North Dakota Hospital Association Convention & Trade Show
North Dakota Hospital Association
Fargo, ND
701.224.9732
pcook@ndha.org
Oct
1-3
2019 NASEMSO West Region Meeting
National Association of State EMS Officials
Portland, OR
info@nasemso.org
Oct
2-3
2019 24th Annual New Jersey Primary Care Conference
New Jersey Primary Care Association
Atlantic City, NJ
609.689.9930
info@njpca.org
Oct
2-3
2019 Northern Plains Conference on Aging and Disability
Fargo, ND
218.299.3566
conferences@cord.edu
Oct
2-4
2019 36th Annual Oregon Rural Health Conference
Oregon Office of Rural Health
Bend, OR
503.494.4450
potterla@ohsu.edu
Oct
2-4
2019 89th Annual Arkansas Hospital Association Meeting and Trade Show
Arkansas Hospital Association
Little Rock, AR
ldumas@arkhospitals.org
Oct
3
2019 6th Annual South Dakota Health Link Fall Forum
South Dakota Department of Health
Sioux Falls, SD
sdhlevents@sdhealthlink.org
Oct
4
2019 6th Annual Kentucky Rural Behavioral Health Symposium
Northeast Kentucky Area Health Education Center, St. Claire HealthCare
Morehead, KY
606.783.6830
kasandra.hensley@st-claire.org

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.