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RHIhub This Week - October 30, 2019

Upcoming Webinar

HIV/AIDS in Rural America
Thursday, November 7 at 10:00 am Central we are hosting a webinar examining HIV/AIDS prevention and treatment in rural communities. Join our featured speakers, Kirk D. Henny, Pamela Klein, and Michael Murphree while they discuss the "Ending the HIV Epidemic: A Plan for America" initiative.

 New in Our Online Library
 Information from around the web

Recent News

As Rural Pharmacies Close, Western States Seek a Prescription
Oct 29, 2019 -- Discusses a national study that found 1 in 8 pharmacies closed between 2009-2015, with independent pharmacies in rural and low-income areas hit the hardest. As pharmacy deserts increase, residents rely on policies to protect rural pharmacies and telepharmacy to help bridge the gap.
Source: KUNC

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
Oct 29, 2019 -- Notice from the Centers for Medicare and Medicaid Services seeking comment on the potential expansion of the Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization model to a national program. Comments on the proposal are due by December 30, 2019.
Source: Federal Register

Hospital CEO Discusses Challenges, Rewards of Rural Health
Oct 29, 2019 -- Interview with Tim Putnam, D.H.A., president of the National Rural Health Association and president and CEO of Margaret Mary Community Hospital in Indiana. Putnam describes the challenges and rewards of providing rural healthcare and emphasizes the importance of involvement and collaboration to creating a better community healthcare system.
Source: American Academy of Family Physicians

Pennsylvania's Rural Health Model: A Conversation with the Secretary of Health
Oct 28, 2019 -- Interview with Rachel Levine, MD, the Secretary of Health for the Commonwealth of Pennsylvania, addresses rural hospital closures and the state's approach to sustainability. She describes their initiative as moving from a fee-for-service arrangement to a monthly global budget, which emphasizes population health and outpatient services.
Source: Association of State and Territorial Health Offices

Rural County Members Talk 2020 Census at RAC
Oct 28, 2019 -- The National Association of Counties' Rural Action Caucus (RAC) brainstorms how to increase involvement in the 2020 census among rural residents. County representatives discuss increasing participation through education and friendly competition, as federal funding relies on the accuracy of the population count.
Source: National Association of Counties

Farmers' Suicide Rates, Mental Health Draw Conversations
Oct 27, 2019 -- Describes ongoing research on the mental health of agricultural workers and analyzes the difficulty of calculating farmers' suicide rates. Farmers face unique struggles, such as added pressure and deadly work conditions, programs offer mental health training for family members and health facilities so they can support agricultural workers they come in contact with.
Source: Daily Eastern News

Injuries Related to Lawn Mowers Affect Young Children in Rural Areas Most Severely
Oct 25, 2019 -- Summarizes a research study that shows children in rural areas are nearly five times more likely to be injured by a lawn mower than children in urban areas. Also concludes that injuries sustained in rural areas are more susceptible to surgical complications, infection, and amputations.
Source: American Academy of Pediatrics

National Quality Forum Leads National Call to Address Social Determinants of Health through Quality and Payment Innovation
Oct 24, 2019 -- The National Quality Forum (NQF) releases a national call to action urging the healthcare ecosystem to address social determinants of health (SDOH). Discusses how addressing socioeconomic and behavioral factors will improve health outcomes and includes recommendations such as improving SDOH data collection, implementing policies, and designing incentives to address SDOHs.
Source: National Quality Forum

Avera eCare to Launch National Telehealth Certificate Program
Oct 22, 2019 -- South Dakota-based Avera Health Network is launching a national program through Avera eCare that would allow healthcare providers to earn a certificate in telehealth. The program aims to create a national standard for providing telehealth services across the country.
Source: mHealth Intelligence

Regional Exercise: How to Treat an Aging Population
Oct 22, 2019 -- As the aging population increases in rural Western Washington, so does the number of non-medical 9-1-1 calls. Healthcare workers discuss solutions, such as community risk-reduction programs that would assess the needs of older Americans and connect them with resources to reduce their need to call emergency services.
Source: Peninsula Daily News

Funding & Opportunities

Rural Park and Recreation Agencies Learning Collaborative Grant
A 4-month learning collaborative for rural park and recreation agencies to explore and establish partnerships in communities to leverage assets and overcome the challenges faced when offering evidence-based programs and services in rural areas. The program is designed for agencies that offer evidence-based physical activity interventions that are designed to positively impact chronic disease management, increase physical activity engagement, help seniors age in place, and improve quality of life.
Geographic coverage: Nationwide
Application Deadline: Nov 15, 2019
Sponsor: National Recreation and Park Association


Instructor Training Grants for Physical Activity Programs
Grants for local park and recreation agencies to train instructors in evidence-based physical activity programs that are designed to positively impact chronic disease management, increase physical activity engagement, help seniors age in place, and improve quality of life. Instructors must provide services to underserved populations, including populations of color, those living in/near the poverty level, those with limited access to healthcare and human services, rural and other remote geographic populations, and populations highly affected by chronic conditions.
Geographic coverage: Nationwide
Application Deadline: Nov 26, 2019
Sponsors: Centers for Disease Control and Prevention, National Recreation and Park Association


Sigma/Jonas Philanthropies Collaborative Research Grant
Grants for nursing research designed to improve healthcare for the most vulnerable citizens in the United States. Proposals for pilot and developmental research will be accepted. Grants will be given in the areas of mental health, rural health, and veterans healthcare.
Geographic coverage: Nationwide
Application Deadline: Dec 1, 2019
Sponsors: Jonas Philanthropies, Sigma Foundation for Nursing


Youth Garden Grant
Awards funding and gardening supplies to schools and community organizations with youth-centered garden programs.
Geographic coverage: Nationwide
Application Deadline: Dec 16, 2019
Sponsor: KidsGardening.org


National Child Traumatic Stress Initiative - Category III Community Treatment and Services Centers (CTS)
Grants to increase access to treatment and services for all children and adolescents, and their families who have experienced traumatic events.
Geographic coverage: Nationwide
Application Deadline: Dec 23, 2019
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services


Recovery Community Services Program
Grants to recovery community organizations to provide peer recovery support services to individuals with substance use disorders or co-occurring substance use and mental disorders or those in recovery from these disorders.
Geographic coverage: Nationwide
Application Deadline: Dec 23, 2019
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services


The Substance Abuse and HIV Prevention Navigator Program for Racial/Ethnic Minorities Ages 13-24 Cooperative Agreement
Grants to provide services to those at highest risk for HIV and substance use disorders, especially racial/ethnic males ages 13-24 at risk for HIV/AIDS.
Geographic coverage: Nationwide
Application Deadline: Dec 27, 2019
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services


National Environmental Public Health Internship Program Application for Host Sites
Opportunities for local, state, and tribal health departments to host environmental health student interns.
Geographic coverage: Nationwide
Application Deadline: Jan 15, 2020
Sponsor: National Environmental Health Association


National Environmental Public Health Internship Program Application for Students
Ten-week summer internship opportunity for students from accredited environmental health academic programs.
Geographic coverage: Nationwide
Application Deadline: Jan 15, 2020
Sponsor: National Environmental Health Association


Getting To Zero: Understanding HIV Viral Suppression and Transmission in the United States (R01 Clinical Trial Optional)
Grants for projects designed to improve understanding of viral suppression and HIV transmission in the U.S. using population-level epidemiology, tools from data science approaches, and implementation science research.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Sep 8, 2022
Sponsors: National Institutes of Health, U.S. Department of Health and Human Services


Emergency Community Water Assistance Grants
Grants for eligible communities to prepare for or recover from an emergency that threatens the availability of safe, reliable drinking water.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Rural Development

New Resources

Best and Promising Practices for the Implementation of Zero Suicide in Indian Country
Outlines methods for creating suicide-safe practices for healthcare systems in American Indian communities. Breaks down the framework by steps in the intervention and highlights best and promising practices for each.
Sponsoring organization: Zero Suicide in Health and Behavioral Health Care

Ending HIV in America: Policy and Program Insights From Local Health Agencies and Providers
Report evaluates strategies for combating HIV and makes policy recommendations. Discusses access to services in rural areas. Highlights rural Scott County, Indiana as a case study.
Sponsoring organization: Bipartisan Policy Center
Date: 09/2019


Financial Incentives to Improve Community Health
Slides presented at the 2019 National Organization of State Offices of Rural Health (NOSORH) Annual Meeting discussing several federal initiatives as a result of the Affordable Care Act (ACA), including the Medicare Shared Savings Program and Accountable Care Organizations (ACOs), resulting in controlled costs, improved quality of care, and offering financial incentives. Identifies how State Offices of Rural Health can support health organizations to participate successfully in these initiatives.
Sponsoring organization: National Organization of State Offices of Rural Health
Date: 10/2019


Health, United States, 2018
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes rural data - see the Trend Tables Data Finder and select "Metropolitan and nonmetropolitan" under Population Subgroups.
Additional links: Trend Tables Data Finder
Sponsoring organization: National Center for Health Statistics
Date: 2019


LGBT Poverty in the United States: A Study of Differences Between Sexual Orientation and Gender Identity Groups
First in a series of reports examining the poverty rates and economic disparities of lesbian, gay, bisexual, and transgender (LGBT) people. Using data from the Behavioral Risk Factor Surveillance System (BRFSS) survey, this report provides estimates and compares the number of LGBT and cisgender people living in poverty in rural and urban communities. Poverty rates are further identified by sexual orientation and gender identity (SOGI), race, ethnicity, and by state. Discusses the effect of disability status, education level, health, marital status, and employment status on poverty rates.
Sponsoring organization: UCLA School of Law, Williams Institute
Date: 10/2019


NHA Human Trafficking Toolkit
Resources and information to help hospitals and hospital staff address human trafficking. Includes information on screening and assessment, patient care tips, examples of posters and other awareness materials, and examples of policies and procedures. Lists Nebraska programs that can help adults and minors impacted by trafficking.
Sponsoring organization: Nebraska Hospital Association
Date: 2019


Obstetric Delivery Inpatient Stays Involving Substance Use Disorders and Related Clinical Outcomes, 2016
Presents statistics from the 2016 National Inpatient Sample (NIS) on delivery-related inpatient stays involving substance use disorders (SUDs). Types of SUDs reported include the use of opioids, cocaine, and other stimulants in urban and rural areas. Examines clinical outcomes at delivery including preterm delivery, severe preeclampsia/eclampsia, obstetric hemorrhage, and placental abruption. Compares delivery outcomes with or without SUD diagnosis, and by rural or urban residence of patient.
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
Date: 10/2019


Primary Care Clinician and Clinic Director Experiences of Professional Bias, Harassment, and Discrimination in an Underserved Agricultural Region of California
Results of interviews with 26 San Joaquin Valley clinicians and clinic directors from December 2017 to December 2018, to examine their experiences of isolation and harassment. Includes demographic statistics on participants.
Author(s): Michelle Ko, Armin Dorri
Location: JAMA Network Open 2(10)
Date: 10/2019


A Rising Tide: Increasing Rural Local Health Department Capacity to Address the Social Determinants of Health
Describes unique challenges faced by rural local health departments (LHDs), as well as assets such as community connectivity and trusted local institutions. Explores the ways in which partnerships, leadership, community engagement, data and evaluation, and community health improvement planning function as foundational elements in addressing social determinants of health in rural communities.
Sponsoring organization: National Association of County and City Health Officials
Date: 07/2019


RN-to-BSN Programs: Challenges for Rural Nurse Education
Results of a survey of 237 schools with active RN-to-BSN programs, to ascertain the current status of rural-focused nursing education. Features statistics on proportion of RN-to-BSN students drawn from rural areas, student recruitment methods, barriers to recruiting students, availability of online courses, and challenges in online courses.
Sponsoring organization: Rural and Minority Health Research Center
Date: 10/2019


Rural Registered Nurses: Educational Preparation, Workplace, and Salary
Examines reported education levels and work sites of rural and urban registered nurses (RNs). Includes United States map showing proportion of RNs with Associate Degree in Nursing (ADN) from 2011-2015, and statistics on ADN nurses by work setting and salary differential, with breakdowns by rural and urban location.
Sponsoring organization: Rural and Minority Health Research Center
Date: 10/2019


Telemedicine Spotlight: Blue Mountain Hospital, Blanding, UT
Highlights how Blue Mountain Hospital (BMH), a Critical Access Hospital (CAH) in Blanding, Utah, implemented a telemedicine program to provide services to patients needing a higher level of care in their community rather than being transferred to an urban center hospital several hours away.
Sponsoring organization: Stroudwater Associates
Date: 10/2019


The Use of Telehealth in School-Based Health Centers
Describes the growth in number and location of the telehealth model of care in traditional school-based health centers (SBHCs), and highlights how telehealth complements the care given by onsite providers. Examines the characteristics of SBHCs' use of the telehealth model including SBHCs who exclusively use telehealth, and the characteristics of provider types, medical sponsorship, and schools and students with access to SBHCs. Discusses the implications of the exclusive use of telehealth services, and how traditional health services are expanding due to the use of telehealth.
Author(s): Hayley Love, Nirmita Panchal, John Schlitt, et al.
Location: Global Pediatric Health, 6
Date: 09/2019

Open Calls for Contributions

Call for Abstracts: 2020 20th Annual National Network of Public Health Institutes Conference
Deadline: Nov 13, 2019
National Network of Public Health Institutes
Event Dates: May 19 - 21, 2020
New Orleans, LA
Conference Website

Call for Presentations: 2020 Annual WPHA - WALHDAB Public Health Conference
Deadline: Nov 15, 2019
Wisconsin Association of Local Health Departments and Boards, Wisconsin Public Health Association
Event Dates: May 19 - 21, 2020
Green Bay, WI
Conference Website

Call for Workshops: 2020 National Association of Workforce Boards Forum
Deadline: Nov 22, 2019
National Association of Workforce Boards
Event Dates: Mar 21 - 24, 2020
Washington, DC
Conference Website

Call for Presentations: 2020 26th Annual Florida Rural Health Association Educational Summit
Deadline: Dec 6, 2019
Florida Rural Health Association
Event Dates: Mar 30 - 31, 2020
Gainesville, FL
Conference Website

Call for Presentations: 2020 GMEI Annual Convening
Deadline: Dec 13, 2019
GME Initiative
Event Dates: Jan 26 - 28, 2020
Westminster, CO
Conference Website

Upcoming Events

Oct
31
Moving Opioid Prevention Upstream
Time: 3:00 p.m. Pacific/Arizona
Pacific Southwest Prevention Technology Transfer Center Network (HHS Region 9), Northwest Prevention Technology Transfer Center Network (HHS Region 10)
clamyuen@casat.org
Nov
1
2019 Critical Access Hospital Webinar Series - 340B: Common Deficiencies and Best Practices
Time: 12:00 - 1:30 p.m. Central
Eide Bailly LLP
507.304.6929
jbrovold@eidebailly.com
Nov
4
The Integration of Opioid and Suicide Identification, Prevention, and Care: A National Perspective
Time: 11:00 a.m. - 12:00 p.m. Central
Addiction Technology Transfer Center Network, Mental Health Technology Transfer Center Network
Nov
5
Charge Master Review for Rural Hospitals
Time: 12:00 - 1:00 p.m. Central
Center for Optimizing Rural Health
855.234.0712
info@optimizingruralhealth.org
Nov
5
Discharge Planning: Hospital & Critical Access Hospital Compliance with CMS Regulations
Time: 10:00 a.m. - 12:00 p.m. Eastern
Massachusetts Hospital Association
781.262.6000
info@mhalink.org
Nov
6
Decreasing Barriers for People with HIV & Substance Use Disorders
Time: 12:00 - 1:00 p.m. Eastern
AIDS Education and Training Centers National Coordinating Resource Center, MidAtlantic Aids Education and Training Center
412.624.1895
Nov
7
Facing Alzheimer's in AI/AN Communities: A Public Health Approach
Time: 4:00 - 5:00 p.m. Eastern
Alzheimer's Association, American Indian Public Health Resource Center
701.231.6248
gretchen.dobervich@ndsu.edu
Nov
7
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
webinars@ruralhealthinfo.org
Nov
8
2019 Critical Access Hospital Webinar Series - A&A Update: The Eye of the Hurricane
Time: 12:00 - 1:30 p.m. Central
Eide Bailly LLP
507.304.6929
jbrovold@eidebailly.com
Nov
13
COPD National Action Plan: Tracking Our Progress
Also available by live streaming
Time: 8:15 a.m. – 12:30 p.m. Eastern
National Heart, Lung, and Blood Institute (NHLBI)
Nov
13
Health in Rural America: Innovative Solutions to Address Disparities
Time: 2:00 - 3:30 p.m. Eastern
National Institute for Health Care Management (NIHCM)
202.296.4426
Nov
14
Who's Leading the Leading Health Indicators? Clinical Preventative Services
Time: 12:00 - 1:00 p.m. Eastern
Healthy People
Nov
14-15
2019 Nebraska CAHs and Rural Health Clinics Conference on Quality
Axis Medical Education, Nebraska Hospital Association
Kearney, NE
402.742.8140
info@nebraskahospitals.org
Nov
15
2019 Critical Access Hospital Webinar Series - Pricing of Services - What it Means to You and Your Patients
Time: 12:00 - 1:30 p.m. Central
Eide Bailly LLP
507.304.6929
jbrovold@eidebailly.com
Nov
15
Sexual Violence Awareness Train the Trainer Course
Kentucky Association of Sexual Assault Programs, Kentucky Board of EMS
Lexington, KY
859.256.3565
Nov
18
Cost Reporting for Rural Health Clinics: Year-end Planning
Time: 2:00 - 3:00 p.m. Central
Healthcare Business Specialists
423.243.6185
marklynnrhc@gmail.com
Nov
19
Addressing the Opioid Crisis in Rural Communities: Leveraging Technology Innovations to Support Maternal and Child Health Care
Time: 12:00 - 1:00 p.m. Eastern
Call-in: 888.989.5313
Passcode: 6171831
Health Resources and Services Administration
Nov
19
Agriculture Workers Mental Health Twitter Chat - #AgMentalHealth
Time: 2:00 - 3:00 p.m. Eastern
Health Resources and Services Administration
Nov
19
Rural Suicide Prevention in Farm and Ranch Communities
Time: 3:30 - 4:45 p.m. Eastern
Call-in: 888.989.7695
Passcode: 6473800
Health Resources and Services Administration
KPatton@HRSA.gov
Nov
19
Value-Based Payments
Time: 12:00 - 12:45 p.m.
Illinois Rural Health Association
217.280.0206
staff@ilruralhealth.org
Nov
21
The Providers Documentary: National Rural Health Day Viewing
Florida Rural Health Association
High Springs, FL
Nov
22
2019 Critical Access Hospital Webinar Series - Effective Data Strategy and Your Transition to Value-Based Reimbursement
Time: 10:00 - 11:30 a.m. Central
Eide Bailly LLP
507.304.6929
jbrovold@eidebailly.com
Dec
6
2019 Critical Access Hospital Webinar Series - 2020 CPT Coding Changes & Revenue Cycle Improvement Opportunities
Time: 12:00 - 1:30 p.m. Central
Eide Bailly LLP
507.304.6929
jbrovold@eidebailly.com
Dec
10
Lunch & Learn: Care Coordination and Billing
Time: 12:00 - 1:00 p.m. Eastern
Indiana Rural Health Association
aorwig@indianarha.org
Dec
11
KHA Small Rural and CAH Forum
Time: 2:00 - 3:00 p.m. Eastern
Kentucky Hospital Association
502.426.6220
sperkins@kyha.com
Dec
13
2019 Critical Access Hospital Webinar Series - Setting Your CAH Up for Financial and Operational Success
Time: 12:00 - 1:30 p.m. Central
Eide Bailly LLP
507.304.6929
jbrovold@eidebailly.com
Dec
19
Connecting with Underserved and Understudied Populations Through Research
Time: 1:00 - 2:00 p.m. Eastern
Rural PREP
206.616.0235
rprep@uw.edu

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.