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RHIhub This Week - October 9, 2019

New in the Rural Monitor

ASL interpreter Enhancing Services for Deaf, Hard of Hearing, and Deafblind Patients in Rural America
by Allee Mead
Deaf, hard of hearing, and deafblind people in rural communities may struggle to access healthcare due to a lack of interpreters as well as providers' misunderstanding of their culture and communication needs. A Michigan clinic hires ASL-fluent staff and provides telemental health, a New Jersey state division provides deaf sensitivity training, and a Colorado program brings interpreters to rural communities.

Models and Innovations

no smoking Tobacco Use Prevention and Control (TUPAC) Program
TUPAC helps American Indians in rural New Mexico reduce non-ceremonial use of tobacco.

 New in Our Online Library
 Information from around the web

Recent News

Free Training Resources Help Clinicians Combat the Opioid Epidemic and Secure Loan Repayment Awards
Oct 7, 2019 -- The Health Resources and Services Administration (HRSA) announces a free medication-assisted treatment training opportunity for current and prospective National Health Service Corps (NHSC) providers. Includes information on the waiver for eligible clinicians to treat opioid dependency with buprenorphine and the NHSC Substance Use Disorder Workforce Loan Repayment Program (SUD Workforce LRP).
Source: Bureau of Health Workforce

Medicare Overpayments for Graduate Medical Education Could Total $1.28 Billion Annually, New Study Says
Oct 7, 2019 -- Overview of a study that suggests the Medicare Graduate Medical Education (GME) is overpaying hospitals by nearly $1.28 billion per year. Proposes that GME payments be capped at $150,000 per resident for all hospitals and the savings be used to address doctor shortages in rural underserved areas.
Source: George Washington University School of Public Health

They Enrolled in Medical School to Practice Rural Medicine. What Happened?
Oct 7, 2019 -- Graduates of the University of Kansas School of Medicine-Salina have begun practicing, but only three of the eight chose to settle down in a rural community. Examines the challenges associated with recruiting physicians to rural areas and strategies rural medicine programs are taking to expose students to rural options.
Source: USA Today

Free Clinic Bus Visits Farms to Provide Care for Uninsured Workers
Oct 6, 2019 -- Features a clinic bus in Wisconsin that provides basic check-ups and screenings for uninsured farmworkers. Many of the patients are Spanish-speaking with little access to healthcare due to cost and lack of transportation. The bus visits the farms to help treat and prevent worsening health conditions.
Source: Wisconsin State Journal

Improving the Health of 'Invisible' Farmworkers is a Community Effort in Willcox
Oct 2, 2019 -- Addresses the issues that rural farmworkers in Arizona face when seeking access to healthcare, such as language barriers and lack of health insurance. The Southeast Arizona Area Health Education Center (SEAHEC) established a community center to serve residents, the majority of whom are Latino, educating them on sun safety, nutrition, and health issues they may face working on a farm.
Source: Cronkite News

Barrier to Rural Opioid Treatment: Driving Distance to Methadone Clinics
Oct 1, 2019 -- Summarizes a research study across 5 states that examined the driving distance to access methadone, a treatment for opioid addiction, for residents in rural and urban counties. Results show the average drive time to Opioid Treatment Programs (OTP) is 37 minutes, with some rural counties facing up to two hours. Solutions proposed include dispensing methadone at Federally Qualified Health Centers (FQHCs), which average only a 16-minute drive time.
Source: Yale News

Request for Information (RFI): Evolving the National Network of Libraries of Medicine (UG4)
Oct 1, 2019 -- The National Network of Libraries of Medicine (NNLM) is seeking input on how they can effectively provide U.S. health professionals with better access to biomedical information and improve the public's access to trusted health information. Comments requested include, but are not limited to, suggestions on NNLM priorities, engagement, and structure. Responses are due by December 2, 2019.
Source: National Institutes of Health

Funding & Opportunities

Climate Ready Tribes Initiative Mini-Award for Climate and Health Communication
Small grants and technical assistance for American Indian and Alaska Native Tribes that would like to determine how to conduct local work related to the health impacts of climate change.
Geographic coverage: Nationwide
Application Deadline: Nov 8, 2019
Sponsors: Centers for Disease Control and Prevention, National Indian Health Board

Academy of General Dentistry Foundation Grant Program
Grant support for nonprofit community-based outreach programs that provide free oral cancer screenings and education to the public, especially underserved communities, that lack access to oral health care due to geographic and/or economic hardship.
Geographic coverage: Nationwide
Application Deadline: Dec 1, 2019
Sponsor: Academy of General Dentistry

Smart Rural Community Grant
Funding to support the development and implementation of innovative broadband-enabled solutions to support rural commerce, healthcare, public safety, economic development, education, energy, and other community-oriented initiatives.
Geographic coverage: Nationwide
Application Deadline: Dec 1, 2019
Sponsor: NTCA: The Rural Broadband Association

Farm to School Grant Program
Grants to plan, establish, and/or sustain a Farm to School program that improves access to local foods in schools.
Geographic coverage: Nationwide
Application Deadline: Dec 13, 2019
Sponsors: U.S. Department of Agriculture, USDA Food and Nutrition Service

New Resources

Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) supporting primary care innovation (PCI). Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, and implementing technology to improve access.
Sponsoring organization: Center for Health Care Strategies
Date: 08/2019

America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
Date: 09/2019

Child Care Challenges for Medicaid Work Requirements
Examines the impact of Medicaid work requirements on low-income parents related to finding and affording child care. Discusses challenges related to accessing child care and afterschool programs in rural areas.
Sponsoring organization: Urban Institute
Date: 09/2019

Collaborating for Prosperity With American Indians and Alaska Natives: Rural Development Programs for Tribes, Tribal Families, Children, and Communities
Highlights the major USDA Rural Development (RD) programs and initiatives that support American Indians and Alaska Natives. Covers topics such as food security, housing, education, healthcare, economic opportunity, and infrastructure. Features success stories of how these programs have been used in tribal communities. Also includes contact information for the RD office in each state.
Sponsoring organization: USDA Rural Development
Date: 09/2019

Community Health Centers Continue Steady Growth, But Challenges Loom
An overview of the performance of community health centers (CHCs) compiled from current and past data reported annually to the federal government through the Uniform Data System (UDS). Data includes the total number of CHCs nationwide and in rural areas, patient demographics, patient volume, health insurance coverage, types of services rendered, number of health center staff, and health center revenue. Discusses the impact of growth on CHCs particularly in Medicaid expansion states.
Sponsoring organizations: Geiger Gibson Program, Milken Institute School of Public Health at George Washington University, RCHN Community Health Foundation
Date: 09/2019

Electronic Prescribing of Controlled Substances among Office-Based Physicians, 2017
Examines rates of electronic prescribing of controlled substances (EPCS), with information by type of physician practice, including rural or urban location, practice size, practice ownership, physician specialty, and technology available. EPCS is mandated for Medicare Part D providers by 2021, through the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act.
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 09/2019

Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care
Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Location: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019

Peer‐adult Network Structure and Suicide Attempts in 38 High Schools: Implications for Network‐informed Suicide Prevention
Presents a study on a school-based, youth-adult network as an intervention to prevent youth suicide in rural and micropolitan communities. Measures rates of suicidal ideation and suicide attempts in 38 high schools in New York and North Dakota.
Author(s): Peter A. Wyman, Trevor A. Pickering, Anthony R. Pisani, et al.
Location: The Journal of Child Psychology and Psychiatry, 60(10), 1065-1075
Date: 10/2019

Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity
Examines the importance and frequency of seeing culturally competent health care providers among U.S. adults, with data by race and ethnicity. Includes metropolitan and nonmetro data for Hispanic, non-Hispanic white, non-Hispanic black, and other non-Hispanic adults.
Sponsoring organization: National Center for Health Statistics
Date: 10/2019

The Rural COPD Podcast: Episode 6A
First part of the sixth podcast in a 6-part series about rural chronic obstructive pulmonary disease (COPD). Features Tracy Conroy, Valerie Roark, and Connie Wilson of Daviess Community Hospital in Washington, IN. Discussion surrounds the hospital's pulmonary rehabilitation program and lessons learn during the 3 years since the program started.
Sponsoring organization: National Rural Health Resource Center
Date: 10/2019

The Rural COPD Podcast: Episode 6B
Second part of the sixth podcast in a 6-part series about rural chronic obstructive pulmonary disease (COPD). Features Dr. Steve Barnett of McKenzie Health System in Sandusky, MI. Discussion highlights the hospital's new cardiac rehab program and the relationship between it and their pulmonary rehab program, as well as challenges faced and resources needed to implement a new program.
Sponsoring organization: National Rural Health Resource Center
Date: 10/2019

Rural Health in America: How Shifting Populations Leave People Behind
Infographic focused on rural demographics and population trends, health workforce challenges, and initiatives that seek to improve healthcare access in rural communities.
Sponsoring organization: National Institute for Health Care Management Foundation

Vital Signs: Burden and Prevention of Influenza and Pertussis Among Pregnant Women and Infants — United States
Examines influenza-associated hospitalization among pregnant women and infant hospitalization and death associated with influenza and pertussis. Includes data on vaccination rates for influenza and Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis) among pregnant women in rural and nonrural areas.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 68, Early Release
Date: 10/2019

Open Calls for Contributions

Call for Presentations and Posters: 2020 AgrAbility National Training Workshop
Deadline: Oct 15, 2019
National AgrAbility Project
Event Dates: Mar 23 - 26, 2020
Madison, WI
Conference Website

Call for Presentations: 2020 23rd Annual Indiana Rural Health Conference
Deadline: Nov 15, 2019
Indiana Rural Health Association
Event Dates: Jun 16 - 17, 2020
French Lick, IN
Conference Website

Upcoming Events

Getting Started With Telemedicine
Time: 2:00 - 2:30 p.m. Eastern
Maryland Telehealth Alliance, Inc.
Facing Alzheimer's Through Community Strengths
Time: 3:00 - 4:00 p.m. Eastern
Alzheimer's Association, National Indian Health Board
Bridging Academia, Advocacy and Policy with Telemedicine: Case Study S.B. 1089
Time: 12:00 p.m. Mountain
Arizona Center for Rural Health, Arizona Telemedicine Program, Southwest Telehealth Resource Center
Closing the Treatment Gap in Communities of Color: Role of Providers in Medication-Assisted Treatment for Opioid Use Disorder
Time: 11:00 a.m. - 12:30 p.m. Central
U.S. Department of Health and Human Services Office of Minority Health
Measure Applications Partnership (MAP) Rural Health Workgroup: Orientation Web Meeting
Time: 12:00 - 2:00 p.m. Eastern
National Quality Forum MAP Rural Health Workgroup
Missing and Murdered Indigenous Women (MMIW): An Overview and Action
Time: 11:00 a.m. - 12:00 p.m. Central
National Network of Libraries of Medicine
Train the Trainer: Hazard Mapping in the Ag Classroom
Time: 3:00 - 4:00 p.m. Central
AgriSafe Network
Providing Culturally Competent Care for Farmers and Farm Families, With Emphasis on Mental Well-Being
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
Economic Development for Rural Health
Time: 12:00 p.m. Pacific
University of Washington - Northwest Center for Public Health Practice
UDS Mapper Advanced Topics: Using the UDS Mapper for Service Area Mapping
Time: 1:00 - 2:00 p.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
A Multi-Level Model to Address Cervical Cancer Disparities in Appalachia
West Virginia University - School of Public Health
Morgantown, WV
2019 Uniform Data System Training
Also available by webinar
West Virginia Primary Care Association
Charleston, WV
Diabetes and Infection Control in the Health Center Setting
Time: 3:00 - 4:00 p.m. Eastern
Call-in: 888.323.5262
Passcode: 3607910
Health Resources and Services Administration
Train the Trainer: Stay Cool! Prevention of Heat Related Illnesses
Time: 3:00 - 4:00 p.m. Central
AgriSafe Network
Write Your Own Distance Learning & Telemedicine (DLT) Grant Workshop
TexLa Telehealth Resource Center
Lubbock, TX
Measure Applications Partnership (MAP) Rural Health Workgroup: Web Evaluation Meeting #1
Time: 11:00 - 1:00 p.m. Eastern
National Quality Forum MAP Rural Health Workgroup
Measure Applications Partnership (MAP) Rural Health Workgroup: Web Evaluation Meeting #2
Time: 11:00 - 1:00 p.m. Eastern
National Quality Forum MAP Rural Health Workgroup
Measure Applications Partnership (MAP) Rural Health Workgroup: Web Evaluation Meeting #3
Time: 12:00 - 2:00 p.m. Eastern
National Quality Forum MAP Rural Health Workgroup
2019 Rural Health Voice Conference
Virginia Rural Health Association
Blacksburg, VA
2019 25th Annual Tennessee Rural Health Association Conference
Rural Health Association of Tennessee
Pigeon Forge, TN
2019 Annual National Rural Health Day
National Organization of State Offices of Rural Health
Rural Health Symposium
Kansas Hospital Association
Wichita, KS
2019 24th Annual Mississippi Rural Health Association Conference
Mississippi Rural Health Association
Jackson, MS
Food Security and Nutritional Status among Agricultural Workers in California
Western Center for Agricultural Health and Safety
Davis, CA
safeTALK - Preventing Suicide in Agricultural Communities - Marshall
Minnesota Department of Agriculture, Minnesota Department of Health
Marshall, MN
safeTALK - Preventing Suicide in Agricultural Communities - St. Cloud
Minnesota Department of Agriculture, Minnesota Department of Health
Waite Park, MN
Men's Mentoring Program to End Violence
Native Wellness Institute
San Diego, CA

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