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RHIhub This Week - November 6, 2019

New in the Rural Monitor

Communities of Practice for Rural Communities Opioid Response Program logo Creating a Consortium to Combat the Opioid Epidemic in Ohio
by Allee Mead
To help Ohio counties affected by the opioid crisis, Ohio University and the Pacific Institute for Research and Evaluation (PIRE) applied for FORHP's Rural Communities Opioid Response Program planning grant. Awarded separately, the partners formally braided the grants together, allowing the organizations to form a master consortium with five counties.

Upcoming Webinar

Introducing the Rural Chronic Obstructive Pulmonary Disease Toolkit
Join us Wednesday, November 20 at 11:00 am Central as our featured speakers, Tricia Stauffer, Stephanie Williams, and Donna Dittman Hale discuss our new Rural COPD Toolkit and describe strategies to establishing and sustaining COPD programs in rural communities.

Don't Forget: Tomorrow at 10:00 am Central is the HIV/AIDS in Rural America webinar!

 New in Our Online Library
 Information from around the web

Recent News

Public Inspection: CMS: Medicare Program: Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Revisions of Organ Procurement Organizations Conditions of Coverage; Prior Authorization Process and Requirements for Certain Covered Outpatient Department Services; Potential Changes to the Laboratory Date of Service Policy; Changes to Grandfathered Children's Hospitals-Within-Hospitals; Notice of Closure of Two Teaching Hospitals and Opportunity to Apply for Available Slots
Nov 4, 2019 -- Pre-publication notice of final rule with comment period from the Centers for Medicare and Medicaid Services to revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for the 2020 calendar year and update associated quality reporting requirements. Establishes a process and requirements for prior authorization for certain covered outpatient department services and revises conditions for coverage of organ procurement organizations, among other things. Also announces the closure of two teaching hospitals and the opportunity to apply for indirect medical education (IME) and direct graduate medical education (DGME) payment slots. Includes rural references throughout. This notice is scheduled to appear in the Federal Register on November 12, 2019. Comments on the final rule are due by December 2, 2019 and the final rule will be effective on January 1, 2020.
Source: Federal Register

Finalized Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020
Nov 1, 2019 -- Fact sheet from the Centers for Medicare and Medicaid Services (CMS) detailing a final rule that includes updates to payment policies and rates, as well as quality provisions for services under the Medicare Physician Fee Schedule (PFS). Discusses payment for services such as telehealth, care management, opioid treatment programs, therapy, and more.
Source: Centers for Medicare and Medicaid Services

Public Inspection: CMS: Medicare and Medicaid Programs; CY 2020 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements
Nov 1, 2019 -- Pre-publication notice of final rule with comment period from the Centers for Medicare and Medicaid Services regarding updates to the home health prospective payment system (HH PPS) and wage index for CY 2020. Among other things, the final rule implements changes to the unit payment from 60-day episodes of care to 30-day periods of care, allows physical, occupational, and speech-language pathology therapist assistants to provide maintenance therapy, makes changes to home health quality reporting program measures, and updates home infusion therapy payment rates for CY 2020. The final rule will be effective January 1, 2010 and comments are due by December 30, 2019.
Source: Federal Register

Public Inspection: CMS: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Amounts, DMEPOS Competitive Bidding Program (CBP)Amendments,Standard Elements for a DMEPOSOrder, and Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements
Nov 1, 2019 -- Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services making changes related to End-Stage Renal Disease (ESRD) payments and Quality Incentive Program (QIP) requirements and updates to the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) payments, bidding, and ordering requirements, among other things. Includes impacts on rural throughout. The final rule will be effective on January 1, 2020.
Source: Federal Register

Comments Requested: Rural Eligibility for FORHP Funding
Oct 31, 2019 -- The Health Resources and Services Administration (HRSA) has extended the deadline on their Request for Information regarding eligibility criteria for community-based grant programs administered by the Federal Office of Rural Health Policy (FORHP) and its affect on rural health organization's ability to apply for and leverage FORHP funding. Responses are now due by November 23, 2019.
Source: Health Resources and Services Administration

HHS Request for Information: PreventionX
Oct 31, 2019 -- The U.S. Department of Health and Human Services (HHS) is requesting comments from the public regarding barriers and opportunities to effective chronic disease prevention. Responses are due by December 13, 2019.
Source: U.S. Department of Health and Human Services

How and Why This Rural Hospital CEO Taps into Public's 'Buy Local' Sensibility
Oct 31, 2019 -- Describes how a CEO of a Critical Access Hospital in rural Oregon has been working to foster a sense of loyalty by hosting a monthly "key leaders breakfast" for community members. As financial and competitive pressures rise, the breakfast is used as a type of promotional event, so if the hospital is ever threatened with closure, the community will fight to keep its doors open.
Source: Health Leaders

Up to $120K in Loan Repayment for Graduating Medical and Dental Students
Oct 31, 2019 -- Announces the deadline for the National Health Service Corps (NHSC) Students to Service Loan Repayment Program (S2S LRP) has been extended until November 21, 2019. This program provides up to $120,000 in loans to medical and dental students in their final year of school who commit to working at an approved NHSC site in a Health Professional Shortage Area (HPSA).
Source: Health Resources and Services Administration

Breast Cancer Takes Heavier Financial Toll on Black and Rural Women
Oct 30, 2019 -- Presents overview of a study in North Carolina that found black women and rural women are more likely to lose their job or receive a pay cut after they've been diagnosed with cancer. Adjusting for socioeconomic factors, researchers still found disparities between black women and white women, calling on local governments to implement policies addressing these inequalities.
Source: Reuters

Funding & Opportunities

NIH Extramural Loan Repayment Program for Health Disparities Research
Loan repayment assistance for health professionals who commit to work in health disparities research.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Nov 15, 2019
Sponsors: National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services


Aligning Systems for Health
Grants for research projects that examine how cross-sector alignment between healthcare, public health, and social services, can advance health equity. Grantees are expected to participate both in research dissemination and translation activities. Preference will be given to project teams that include individuals from underrepresented groups.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Nov 22, 2019
Sponsor: Robert Wood Johnson Foundation


Cross-jurisdictional Systems Improvement Partnership Technical Assistance Opportunity
Technical assistance designed to strengthen cross-jurisdictional partnerships among local, tribal, and state health entities to develop and implement a shared action plan toward public health systems improvement.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Dec 6, 2019
Sponsors: Association of State and Territorial Health Officials, Centers for Disease Control and Prevention, National Association of County and City Health Officials, National Indian Health Board


Support to Communities: Fostering Opioid Recovery Through Workforce Development Grant Program
Funding for state workforce agencies to partner with community organizations on projects that address the economic and workforce effects of substance and opioid misuse in significantly impacted service areas.
Geographic coverage: Nationwide
Application Deadline: Jan 9, 2020
Sponsors: Employment and Training Administration, U.S. Department of Labor


Sexual Assault Forensic-Medical and Advocacy Services for Tribes (FAST) Initiative
Grants to establish, sustain, and/or expand programs offering sexual assault medical forensic exams and sexual assault victim services in tribal communities. Priority will be given to applicants proposing innovative ways of bringing experienced Sexual Assault Forensic Examiners (SAFEs) to remote tribal communities.
Geographic coverage: Nationwide
Letter of Intent (Optional): Dec 20, 2019
Application Deadline: Jan 10, 2020
Sponsors: Office on Violence Against Women, U.S. Department of Justice


End-of-Life and Palliative Care Approaches to Advanced Signs and Symptoms ( R01 and R21 Clinical Trial Optional)
Grants for research to examine the multi-dimensional foundations, experiences, and management of complex, advanced signs and symptoms at the end of life. Projects that include under-studied populations including NIH-designated health disparity, socioeconomically disadvantaged, rural and/or remote, and sexual and gender minority populations with advanced, serious illness at the end of life are specifically encouraged.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jan 8, 2022
Sponsors: National Institute of Nursing Research, National Institutes of Health, U.S. Department of Health and Human Services


Honor the Earth Native Food Security Grants
Grants for Native organizations working to create food security utilizing traditional seeds, foods, and growing methods, as well as energy efficiency and renewable energy projects.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Honor the Earth

New Resources

Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide
Report discusses different methods for adolescent substance use and suicide prevention. Highlights rates of suicide and substance use, such as binge drinking, misuse of pain medication, and vaping. Explores differences in rates for youth in rural and urban areas.
Sponsoring organization: Trust for America's Health
Date: 10/2019


Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
Reviews the results from nine studies funded by the Patient Centered Outcomes Research Institute (PCORI) supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Sponsoring organization: Families USA
Date: 11/2019


Analysis of Buprenorphine Prescribing Patterns Among Advanced Practitioners in Medicaid
Presentation slides from an October/November 2019 public meeting, describing the effects of the Comprehensive Addiction and Recovery Act of 2016 on access to opioid use disorder treatment for Medicaid beneficiaries. Includes information on urban and rural trends in prescribing.
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
Date: 10/2019


Association Between Environmental Quality and Diabetes in the USA
Results of a study comparing diabetes prevalence in 3,134 urban or rural counties from 2004-2012, taking into account the possible effects of environmental pollutants. Features statistics with breakdowns by 4 levels of urban or rural status.
Author(s): Jyotsna S. Jagai, Alison K. Krajewski, Sabina Shaikh, Danelle T. Lobdell, Robert M. Sargis
Location: Journal of Diabetes Investigation
Date: 10/2019


Delta Region Community Health Systems Development (DRCHSD) Program: 340B Drug Pricing Program Guide
Provides rural hospital administrators with information regarding the 340B Drug Pricing Program. Offers State Offices of Rural Health (SORHs) directors and Flex Program coordinators a better understanding of the process hospitals must abide by to participate in the 340B Program.
Sponsoring organization: National Rural Health Resource Center
Date: 10/2019


Delta Region Community Health Systems Development (DRCHSD) Program: Best Practice Concepts in Revenue Cycle Management Guide
Offers rural hospital executives and management teams best practice concepts in revenue cycle management by assisting them in identifying performance improvement within their hospitals and departments. Provides State Offices of Rural Health (SORH) directors and Flex Program coordinators a better understanding of the revenue cycle best practices to help them design educational training programs to support rural hospital administrators with performance improvement.
Sponsoring organization: National Rural Health Resource Center
Date: 10/2019


FindTreatment.gov
Tool allows users to find mental health providers and treatment for substance use disorder by zip code. Features treatment options, payment information, and information about addiction and mental health.
Sponsoring organization: Substance Abuse and Mental Health Services Administration

Growth and Distribution of Child Psychiatrists in the United States: 2007-2016
Results of a study exploring trends in the growth and distribution of child psychiatrists in the United States from 2007-2016, noting differences in access in urban and rural areas. Includes statistics on the numbers of children and child psychiatrists in each state, and a county-level map showing the percent of change during the decade studied.
Author(s): Ryan K. McBain, Aaron Kofner, Bradley D. Stein, et al.
Location: Pediatrics, 144(6)
Date: 11/2019


An Implementation and Impact Evaluation of From Coverage to Care
Analysis of the use in rural and urban areas of Coverage to Care (C2C) online and print resources, developed by the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH), for healthcare professionals and consumers. C2C resources offer tools for providers to promote and improve access to care and support consumer engagement. C2C also helps consumers understand the value of health insurance coverage and of working with a provider to prevent and achieve health. Data is derived from CMS, Census Bureau Zip Code Tabulation Area (USCB-ZCTA), American Community Survey (ACS), Kaiser Health, Behavioral Risk Factor Surveillance System (BRFSS), and Healthcare Cost and Utilization Project State Emergency Department Databases (HCUP-SEDD).
Sponsoring organization: RAND Corporation
Date: 11/2019


Poverty Rates in 2017 Were Highest for Children, Particularly Among Those Living in Rural Areas
Bar chart showing rural and urban poverty rates by age group. Includes data for children under 5 years, all children under 18 years of age, working age adults (18-64 years), and seniors (65 and older).
Sponsoring organization: USDA Economic Research Service
Date: 11/2019


Promising Practice: Sowing the Seeds of Healthy Eating in Rural Indiana
Illustrates how a training and education program for rural residents living in seven rural communities within the New Allen Alliance (NAA), a partnership of communities in eastern Allen County, Indiana, encourages healthy cooking, access to healthy foods, and improved health.
Sponsoring organization: National Organization of State Offices of Rural Health
Date: 11/2019


Reaching the Quadruple Aim: Workforce and Service Delivery Within Certified Community Behavioral Health Clinics
Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Sponsoring organizations: National Council for Behavioral Health, University of Michigan Behavioral Health Workforce Research Center
Date: 08/2019


Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
Date: 11/2019


SORH Response to the National Substance Use Disorder Crisis
Looks at the role of State Offices of Rural Health (SORHs) in state-level substance use disorder and opioid use disorder initiatives. Highlights the activities of SORHs in several states as case studies and details the lessons learned in those states.
Sponsoring organization: National Organization of State Offices of Rural Health
Date: 10/2019


Subcommittee on Health Oversight Hearing: Native Veterans' Access to Healthcare
Discusses the current state of healthcare access for Native American veterans. Features testimonies from representatives from the National Indian Health Board, the National Congress of American Indians, and the Alaska Native Health Board, among others.
Additional links: Witness Testimonies
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
Date: 10/2019

Open Calls for Contributions

Call for Presentations: 2020 25th NRHA Health Equity Conference
Deadline: Nov 21, 2019
National Rural Health Association
Event Dates: May 19, 2020
San Diego, CA
Conference Website

Call for Presentations: 2020 71st Annual AHCA/NCAL Convention & Expo
Deadline: Nov 30, 2019
American Health Care Association, National Center for Assisted Living
Event Dates: Oct 4 - 7, 2020
Austin, TX
Conference Website

Call for Abstracts: 2020 72nd Annual Arkansas Public Health Association Conference
Deadline: Dec 1, 2019
Arkansas Public Health Association
Event Dates: Apr 7 - 9, 2020
Little Rock, AR
Conference Website

Call for Presentations: 2020 Annual EMS World Expo
Deadline: Dec 2, 2019
EMS World, National Association of Emergency Medical Technicians
Event Dates: Sep 14 - 18, 2020
Las Vegas, NV
Conference Website

Call for Speakers: 2020 Montana Hospital Association Health Summit
Deadline: Dec 31, 2019
Montana Hospital Association
Event Dates: Mar 31 - Apr 3, 2020
Butte, MT
Conference Website

Call for Abstracts: 2020 Bi-annual International Rural Nursing Conference
Deadline: Jan 26, 2020
Boise State University, Rural Nurse Organization, University of Northern Colorado at Greeley, University of Wyoming.
Event Dates: Jul 27 - 30, 2020
Greeley, CO
Conference Website

Upcoming Events

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
7
Rural Health Care Program: FY2020 Applicant Webinar
Time: 2:00 - 3:00 p.m. Eastern
Universal Service Administrative Company
800.453.1546
RHC-Assist@usac.org
Nov
12
2019 Annual Recovery Reinvented
Recovery Reinvented
Bismarck, ND
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)
Bethesda, MD
Nov
13
Examining the Response to Lung Illnesses and Rising Youth Electronic Cigarette Use
Senate Committee on Health, Education, Labor & Pensions
Washington, DC
Nov
13
Health Network: A Care Coordination Program for Mobile Patients
Time: 10:00 - 11:00 a.m. Pacific
Migrant Clinicians Network
Nov
13-15
2019 North Dakota Behavioral Health Conference
North Dakota Department of Human Services
Bismarck, ND
701.328.8920
dhsbhd@nd.gov
Nov
14
Upper Midwest Telehealth Resource Center: Virtual Office Hours - Medicaid Reimbursement Overview of the UMTRC Region
Time: 1:00 - 1:30 p.m. Eastern
Upper Midwest Telehealth Resource Center
bsanders@indianarha.org
Nov
18
Inaugural NIH Rural Health Seminar
Time: 9:30 a.m. - 12:00 p.m. Eastern
National Center for Advancing Translational Sciences (NCATS), National Institute of Mental Health, National Institute on Minority Health and Health Disparities
Nov
18
Lunch & Learn: ECHO Center at IUPUI
Time: 12:00 - 1:00 p.m. Eastern
Indiana Rural Health Association
aorwig@indianarha.org
Nov
19
Ergonomic Safety for Farm Women
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Nov
19
Tribal Youth Risk Behavior Surveillance: Using Data to Drive Policies and Programs
Time: 1:00 - 2:00 p.m. Eastern
Centers for Disease Control and Prevention
Nov
20
Health Resources & Services Administration Virtual Job Fair for Rural Sites
Time: 6:45 - 10:15 p.m. Eastern
Health Resources and Services Administration
hrsavirtualjobfairs@hrsa.gov
Nov
20
Introducing the Rural Chronic Obstructive Pulmonary Disease Toolkit
Time: 11:00 a.m. - 12:00 p.m. Central
NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
webinars@ruralhealthinfo.org
Nov
20
Rural Substance Use Disorder Twitter Chat - #RuralSUD
Time: 2:00 - 3:00 p.m. Eastern
Health Resources and Services Administration
Nov
21
2019 Annual National Rural Health Day
National Organization of State Offices of Rural Health
ashleym@nosorh.org
Nov
21
HRSA's Celebration of National Rural Health Day 2019
Time: 9:45 a.m. - 3:00 p.m. Eastern
Health Resources and Services Administration
Nov
21
Idaho Hospital Association: Telehealth - Helping Your Health System Move Forward
Time: 11:30 - 12:30 p.m. Mountain
Idaho Hospital Association
Nov
21
Mississippi Hospital Association: Telehealth - Helping Your Health System Move Forward
Time: 12:30 - 1:30 p.m. Central
Mississippi Hospital Association
800.289.8884
Nov
21
Office of Minority Health and Health Equity Public Meeting on Strategies To Improve Health Equity Amidst the Opioid Crisis Meeting
Also available by webinar
Food and Drug Administration
Rockville, MD
301.796.8729
Jovonni.Spinner@fda.hhs.gov
Nov
21
Partnerships: The Power of Rural in Arizona
Time: 11:00 a.m. Mountain
Arizona Center for Rural Health, Arizona Telemedicine Program, Southwest Telehealth Resource Center
520.626.2254
petersjs@email.arizona.edu
Nov
21
The Art of Telling Your Power of Rural Story
Time: 2:00 - 3:00 p.m. Eastern
National Organization of State Offices of Rural Health
Nov
21
The Danger Assessment
Time: 1:00 - 4:30 p.m. Eastern
Tribal Forensic Healthcare Project
tribalforensichealthcare@iafn.org
Nov
26
Upper Midwest Telehealth Resource Center: Virtual Office Hours - Using LEAN Concepts for Telehealth
Time: 1:00 - 1:30 p.m. Eastern
Upper Midwest Telehealth Resource Center
bsanders@indianarha.org
Dec
3
Hazard Communications Standards
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Dec
4
Texas Hospital Association: CMS Hospital Improvement Final Rules
Time: 12:00 - 2:00 p.m. Central
Texas Hospital Association
512.465.1598
slavergne@tha.org
Dec
12
safeTALK - Preventing Suicide in Agricultural Communities - Willmar
Minnesota Department of Agriculture, Minnesota Department of Health
Willmar, MN
651.201.6012
stephen.moser@state.mn.us
Dec
12
Texas Hospital Association: Discharge Planning - Compliance with the New CMS Hospital and CAH Conditions of Participation
Time: 12:00 - 2:00 p.m. Central
Texas Hospital Association
512.465.1598
slavergne@tha.org
Dec
12
Upper Midwest Telehealth Resource Center: Virtual Office Hours - Technology Review
Time: 1:00 - 1:30 p.m. Eastern
Upper Midwest Telehealth Resource Center
bsanders@indianarha.org
Dec
13
safeTALK - Preventing Suicide in Agricultural Communities - Mankato
Minnesota Department of Agriculture, Minnesota Department of Health
North Mankato, MN
651.201.6012
stephen.moser@state.mn.us
Dec
16
NY FarmNet - Helping Farmers Weather the Storm of Emotions + Economics
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Dec
17
Upper Midwest Telehealth Resource Center: Virtual Office Hours - 2020 Physician Fee Schedule
Time: 1:00 - 1:30 p.m. Eastern
Upper Midwest Telehealth Resource Center
bsanders@indianarha.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.