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RHIhub This Week - October 23, 2019

New in the Rural Monitor

graphic depicting concepts related to translational science NIH National Center for Advancing Translational Science: Involving Rural America in Research
by Kay Miller Temple, MD
A new diagnosis of cancer? Of a rare disease? Or a chronic medical problem with seemingly no new treatment? The National Center for Advancing Translational Sciences is supporting investigators and ensuring that their cutting-edge science gets to the people who need it. Translational science teams in Arkansas, Florida and Washington are making that happen in the rural areas of their states.

Upcoming Webinar

HIV/AIDs in Rural America
Join us on Thursday November 7 at 10:00 am Central as our featured speakers, Kirk D. Henny, Pamela Klein, and Michael Murphree discuss the "Ending the HIV Epidemic: A Plan for America" initiative and the distribution of HRSA-funded Ryan White HIV/AIDS medical providers in rural areas.

Models and Innovations

The Mission logo The Mission's Pregnancy Support Center
The Mission's Pregnancy Support Center in rural Tennessee provides case management, classes like parenting skills and budgeting, and items like diapers and maternity clothes.

 New in Our Online Library
 Information from around the web

Recent News

HRSA's November 20th Virtual Job Fair for Rural Communities
Oct 23, 2019 -- In celebration of National Rural Health Day, the Health Resources and Services Administration is hosting a Virtual Job Fair specifically for health care facilities serving rural communities on Wednesday, November 20, 2019 from 7:00 – 10:15 p.m. Eastern.
Source: Bureau of Health Workforce

National Rural Health Day, November 21, 2019
Oct 23, 2019 -- Includes a list of events for the week of National Rural Health Day (November 18 – November 21) from the Federal Office of Rural Health Policy (FORHP). Events include a National Institutes of Health (NIH) seminar, various webinars, Twitter chats, and more.
Source: Health Resources and Services Administration

VA: Agency Information Collection Activity: Expanded Access to Non-VA Care Through the MISSION Program: Establishing a Process for Certification, Discontinuance, and Disputes for Veterans Care Agreements (VCAs)
Oct 23, 2019 -- The Veterans Health Administration is seeking comment on an information collection to implement requirements for the certification of providers, discontinuation of veterans care agreements, and disputes as they relate to the VA MISSION Act. Comments are due by December 23, 2019.
Source: Federal Register

Poverty in Rural Michigan: Relentless Aging and Few Opportunities for Those of Working Age
Oct 22, 2019 -- Explores poverty in rural Michigan, which is attributed to a lack of education and job opportunities as well as a shrinking and aging population. Includes data identifying the disadvantages faced in rural counties compared to urban counties.
Source: Detroit Free Press

What If You Call 911 and No One Comes?
Oct 22, 2019 -- Features small, rural towns in North Dakota at risk of losing their emergency medical services due to minimal funding and shrinking populations. Rural communities often lack the resources to fund equipment and personnel, so EMS agencies across the country rely on volunteers who are already spreading themselves thin.
Source: NBC News

Consumer and Governmental Affairs Bureau Seeks Comment on Effectiveness of its Tribal Engagement Guidance and to Refresh the Record on Related Petitions for Reconsideration
Oct 21, 2019 -- The Federal Communications Commission's (FCC) Consumer and Governmental Affairs Bureau is seeking comments on how to best facilitate and improve communication between tribes and Eligible Telecommunication Carriers (ETCs). Feedback is intended to aid in the operation and maintenance of broadband adoption on tribal lands.
Source: The Federal Communications Commission

Rebuilding the Village: A West Virginia School System Strives to Lift up Its Children by Tackling Poverty
Oct 19, 2019 -- In rural McDowall County, West Virginia, officials and union leaders work to construct Renaissance Village, building suitable housing and tackling poverty to boost academic achievement in young students. County schools address the needs of children by connecting them with psychologists and dentists and providing clothes and other basic necessities. (Subscription may be required to view article).
Source: The Washington Post

Family Physician Couple Returns to Rural Roots in Minnesota
Oct 18, 2019 -- Features a married family physician couple who decided to practice in their small hometown in rural Minnesota. Describes a day of practice for the two of them and highlights the positive effect they have had on the community.
Source: American Academy of Family Physicians

Funding & Opportunities

#GenIndigenous Response Fund
Grants for organizations that are working to improve the lives of Native youth, ages 14-26 years, and cultivate Native leaders of the future.
Geographic coverage: Nationwide
Application Deadline: Nov 11, 2019
Sponsors: Native Americans in Philanthropy, The Minneapolis Fund

Expansion of Practitioner Education
Grants to expand the integration of substance use disorder education into the curriculum of healthcare and health services education programs.
Geographic coverage: Nationwide
Application Deadline: Dec 16, 2019
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

Grants for the Benefit of Homeless Individuals (GBHI)
Grants to support the development and/or expansion of local implementation of a community infrastructure that integrates behavioral health treatment and services for substance use disorders and co-occurring mental and substance use disorders, permanent housing, and other critical services for individuals and families experiencing homelessness.
Geographic coverage: Nationwide
Application Deadline: Dec 16, 2019
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

Mechanisms of Disparities in Etiology and Outcomes of Lung Cancer in the U.S.: The Role of Risk and Protective Factors (R01 and R21)
Grants to support exploratory, developmental, and multidisciplinary research to understand the underlying causal factors and mechanisms that result in lung cancer disparities in U.S. health disparity populations.
Geographic coverage: Nationwide and U.S. territories
Letter of Intent (Optional): Feb 4, 2020
Application Deadline: Mar 4, 2020
Sponsors: National Cancer Institute, National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services

Affordable Housing Loans for Low-Income Rural Communities
Short-term loans at below market interest rates to local nonprofits, for-profits, and government entities that are working to develop affordable housing for low-income, rural communities.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Housing Assistance Council

Automated External Defibrillator (AED) Grant Program
Grants to eligible organizations to cover all or part of the costs associated with purchasing an automated external defibrillator (AED).
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: CPR Savers and First Aid Supply

New Resources

2019 National Tribal and Rural Training Needs Assessment
Reports findings from a survey of rural and tribal first response organizations to understanding their training needs. Includes information on demographics, core capabilities, training needs, and training information and delivery preferences.
Sponsoring organizations: Center for Best Practices in Law Enforcement, Rural Domestic Preparedness Consortium
Date: 2019

Advancing Innovation to End the HIV Epidemic: 2019 Ryan White HIV/AIDS Program Highlights
Highlights the approaches and outcomes of the Ryan White HIV/AIDS Program. Discusses some of the approaches by grant recipients and details the program's accomplishments nationally and regionally, such as West Virginia's use of telehealth to expand access to HIV services in rural areas.
Sponsoring organization: HRSA HIV/AIDS Bureau
Date: 09/2019

Broadband Data and Mapping: Background and Issues for the 116th Congress
Explores policy issues and challenges related to high-speed internet access, including federal agency roles in broadband mapping. Includes a section comparing urban and rural areas in terms of access to telecommunications and information technologies.
Sponsoring organization: Congressional Research Service
Date: 10/2019

Cascades of Care After Incidental Findings in a US National Survey of Physicians
Results of a study estimating the national frequency and consequences of cascades of testing and treatment after incidental findings on screening and diagnostic tests. Features statistics including physician characteristics associated with self-reported harm from cascades, with breakdowns by practice location in urban, suburban, or rural areas.
Author(s): Ishani Ganguli, Arabella L. Simpkin, Claire Lupo
Location: JAMA Network Open, 2(10)
Date: 10/2019

Disrupting Food Insecurity: Steps Communities Can Take
Offers possible solutions to challenges that affect families' ability to afford a healthy diet. Explores strategies developed specifically to meet needs of overlooked rural communities, including help with housing and transportation.
Additional links: Interactive Data Dashboard
Sponsoring organization: Urban Institute
Date: 10/2019

Estimate of Federal Payment Reductions to Hospitals Following the ACA: 2010-2029: Estimates and Methodology
Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2019, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
Date: 10/2019

Expanding HIV Care Through Telehealth
Discusses how telehealth programs benefit Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program (RWHAP) recipients. Discusses the benefits for rural patients of provider-specialist programs like Project ECHO that offer telementoring to primary care providers and of programs that provide care directly to rural patients via telemedicine.
Sponsoring organization: Health Resources and Services Administration
Location: CAREAction Newsletter
Date: 10/2019

Promising Practice: Forum on Aging in Rural Oregon Brings Together Innovative Ideas and Programs
Features a promising practice on rural aging from Oregon State Office of Rural Health. The annual Forum on Aging in Rural Oregon allows community organizations to come together to share ideas and resources on what works to address the needs of an aging population in their communities.
Sponsoring organization: National Organization of State Offices of Rural Health
Date: 09/2019

Qualifying Alternative Payment Model Participants (QPs) Methodology Fact Sheet: Medicare Option 2019 Performance Period
Explains the methods used by the Centers for Medicare & Medicaid Services (CMS) to determine if clinicians participating in the Medicare Advanced Alternative Payment Models (APMs), a track of the Quality Payment Program, are eligible as Qualifying Alternative Payment Model Participants (QPs), or partial QPs for the 2019 performance period. This includes eligible clinicians who receive payments for Medicare Part B services furnished at Method II Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), or Federally Qualified Health Centers (FQHCs).
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 10/2019

Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 10/2019

Risk Factors and Potentially Preventable Deaths in Rural Communities
Compares rates of potentially avoidable deaths in rural and urban communities and shows how these deaths vary by census region. Features statistics on modifiable risk factors, such as smoking, excessive alcohol use, and obesity, and percent of potentially preventable deaths attributable to specific health conditions, with breakdowns by rural and urban areas.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 10/2019

State Telehealth Laws & Reimbursement Policies
Summary of telehealth-related policies, laws, and regulations for the 50 states and the District of Columbia. Focuses on Medicaid fee-for-service policies and includes the most recent policy language in each state as of September 2019.
Additional links: Infographic, Interactive Map - Current State Laws & Reimbursement Policies, Interactive Map - Legislation and Regulation Tracking
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
Date: 10/2019

A Systemic Framework for Understanding the Dynamics of Rural Communities in America
Identifies factors and mechanisms that influence positive and negative outcomes in rural communities. Discusses the relationship between labor and health capacity, with examples of how these can vary over time. Examines household, organizational, and community dynamics, as well as the impact of regional, state, and federal forces on rural communities.
Sponsoring organization: RAND Corporation
Date: 09/2019

Vaccination Coverage by Age 24 Months Among Children Born in 2015 and 2016 — National Immunization Survey-Child, United States, 2016–2018
Examines vaccination coverage for selected vaccines and doses among children born in 2015 and 2016. Supplementary Table 2 includes data for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 68(41), 913–918
Date: 10/2019

A View from the States: Key Medicaid Policy Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2019 and 2020
Report examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on eligibility, delivery systems, benefits, long-term services and supports, and provider rates and taxes. Full report includes a section on rural payment adjustments.
Sponsoring organization: Kaiser Family Foundation
Date: 10/2019

Open Calls for Contributions

Call for Proposals: 2020 36th Annual National Rural Institute on Alcohol and Drug Abuse Conference
Deadline: Nov 7, 2019
National Rural Institute on Alcohol and Drug Abuse
Event Dates: Jun 21 - 25, 2020
Menomonie, WI
Conference Website

Call for Sessions: 2020 45th Annual n4a Conference & Tradeshow
Deadline: Nov 8, 2019
National Association of Area Agencies on Aging
Event Dates: Jul 11 - 15, 2020
Portland, OR
Conference Website

Call for Proposals: 2020 11th Annual NIHB National Tribal Public Health Summit
Deadline: Dec 15, 2019
National Indian Health Board
Event Dates: Mar 17 - 19, 2020
Omaha, NE
Conference Website

Upcoming Events

Human Trafficking in New Jersey: How Do Rural and Urban Care Systems Respond
Time: 1:00 - 2:30 p.m. Eastern
New Jersey Department of Health, New Jersey Primary Care Association
Treating Substance Misuse in America: Scams, Shortfalls, and Solutions
Senate Committee on Finance
Washington, DC
Long-Term Services and Supports: Aging, the Opioid Epidemic, and Treatment Considerations for American Indian and Alaska Native Communities
Time: 11:00 a.m. - 12:00 p.m. Central
Centers for Medicare and Medicaid Services
NACCHO - Rural Health Section's Fourth Quarterly Call
Time: 2:00 p.m. Eastern
National Association of County and City Health Officials
Lead Poisoning Prevention for Healthcare Providers
Time: 12:00 - 1:00 p.m. Central
Mississippi Rural Health Association
HIV/AIDs in Rural America
Time: 10:00 - 11:00 a.m. Central
Centers for Disease Control and Prevention, Health Resources and Services Administration, Rural Health Information Hub
Lunch & Learn: National Health Service Corps - Everything You Need To Know
Time: 12:00 to 1:00 p.m. Eastern
Indiana Rural Health Association
Preceptorship for Students in Rural/Underserved Areas
Time: 12:00 - 1:00 p.m. Central
Alabama Rural Health Association
2019 12th Annual Northern New England Rural Emergency Services and Trauma Symposium
Lebanon, NH
Addressing Rural Health Care Challenges: The Unmet Need for Oral Healthcare
American Academy of Pediatrics - New Jersey Chapter, Horizon Foundation for New Jersey, New Jersey Department of Health, New Jersey Health Initiatives, New Jersey Primary Care Association, Zufall Health
Washington, NJ
NEMSMA Rural & Small Provider Committee - Initial Meeting Announcement
Time: 2:30 - 4:00 p.m. Central
National EMS Management Association
Health Resources & Services Administration Virtual Job Fair for Rural Sites
Time: 6:45 - 10:15 p.m. Eastern
Health Resources and Services Administration
2019 Annual National Rural Health Day
National Organization of State Offices of Rural Health
Telehealth: Helping Your Health System Move Forward
Time: 1:30 - 2:30 p.m. Eastern
Maine Hospital Association

Tell Us How RHIhub Has Impacted You

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Please send an email telling how RHIhub has impacted you to Your stories may be used in testimony, budget documents and presentations concerning the Rural Health Information Hub.