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RHIhub This Week - November 20, 2019

New in the Rural Monitor

NIH NHLBI Rural COPD Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry
by Kay Miller Temple, MD
The National Heart, Lung, and Blood Institute calculates that 3.5 million rural Americans have COPD, or chronic obstructive pulmonary disease. It's also estimated that hundreds of thousands of rural Americans have the condition and don't know it. Though it is a condition without a cure, it is a condition with hope. The COPD Foundation's Chief Science Officer and a State Captain share how asking questions and doing spirometry can help diagnose the condition.

Twitter Chats

Access to Funding for Rural Health Projects Twitter Chat
Join RHIhub and NOSORH tomorrow at 12 p.m. Central for our Twitter Chat on Access to Funding for Rural Health Projects. We will be joined by special guests from HRSA, USDA Rural Development, the Healthcare Collaborative of Rural Missouri, AHA Section for Small or Rural Hospitals, The Rural Philanthropy Analysis Project, The Robert Wood Johnson Foundation, and Helmsley Charitable Trust Rural Healthcare to celebrate the #PowerofRural.

Models and Innovations

Researcher and ear muffs HEAR on the Farm
In a 2016 study, researchers mailed an assortment of hearing protection devices to farmers and provided web-based information about hearing conservation to see which method or combination of methods was most effective.
WEESSN logo Wisconsin Early Education Shared Service Network
To meet an urgent childcare need, a Wisconsin Partners collaborative came up with a creative solution: a Shared Services Network allows childcare providers to pool staff, resources, and services while receiving support for daily operations.

 New in Our Online Library
 Information from around the web

Recent News

NRHA Celebrates National Rural Hospital Week & National Rural Health Day
Nov 19, 2019 -- The National Rural Health Association (NRHA) partnered with the Federation of American Hospitals to recognize inspiring NRHA members for National Rural Hospital Week and National Rural Health Day. Features the stories of 5 rural health advocates who utilized their healthcare delivery systems to successfully improve the health of their communities.
Source: National Rural Health Association

Poverty Impacts Access to Health Care. These Women Are Trying to Change That.
Nov 19, 2019 -- Examines the link between poverty and healthcare access, as people with lower incomes face more barriers to receiving quality care. Features three women in healthcare that are focused on decreasing the health disparities among rural populations, people of color, and and those with lower incomes. (May require a subscription to view full article.)
Source: The New York Times

Rural Health Day Includes Awards for 44 Heroes of Healthcare
Nov 19, 2019 -- Features an osteopathic medical student, who is one of 44 people who will be honored in the Community Stars booklet released for National Rural Health Day 2019. Includes remarks from Teryl Eisinger, CEO of the National Organization of State Offices of Rural Health (NOSORH), and events being held to celebrate the power of rural.
Source: The Daily Yonder

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Nov 18, 2019 -- The Centers for Medicare and Medicaid Services is seeking comment on two information collections: 1) The Medicare Outpatient Observation Notice (MOON) which requires hospitals and Critical Access Hospitals to provide notice and explanation to patients who receive observation services as outpatients for more than 24 hours; and 2) Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111. Comments are due by December 18, 2019.
Source: Federal Register

Public Inspection: HHS: Medicare and Medicaid Programs: CY 2020 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates; Price Transparency Requirements for Hospitals to Make Standard Charges Public
Nov 18, 2019 -- Pre-publication notice of final rule from the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services requiring all hospitals to publicly publish a list of standard charges for the items and services they provide. The final rule will be effective on January 1, 2021.
Source: Federal Register

The Most Remote Emergency Room: Life and Death in Rural America
Nov 16, 2019 -- Explores the job of physicians located at the Avera eCare telemedicine center in South Dakota who provide on-screen emergency care to rural facilities across the country. Describes the need for emergency telemedicine as rural communities struggle with provider shortages, hospital closures, and an increase in patients.
Source: The Washington Post

Developing Rural Health Training Programs to Support Quality Care
Nov 15, 2019 -- Addresses the shortage of rural healthcare providers and explains how training programs can adapt and develop strategies that promote practicing in rural areas. Features programs across the country that are exposing medical students to rural areas, leveraging telemedicine, and creating mutually beneficial partnerships to decrease the gap.
Source: Xtelligent Healthcare Media

Ways and Means Leaders Announce Rural and Underserved Communities Health Task Force Request for Information
Nov 15, 2019 -- The Ways and Means Committee Chairman announces a Request for Information (RFI) to inform the Rural and Underserved Communities Health Task Force on priority topics to improve the health status and outcomes in underserved areas. Comments are due by November 29, 2019.
Source: Ways and Means Committee

When Ted Koppel's Wife was Given a Few Years Left to Live, the Couple Dedicated Themselves to Fighting COPD
Nov 15, 2019 -- Highlights the work and story of Grace Anne Dorney Koppel, who was diagnosed with Chronic Obstructive Pulmonary Disease (COPD) in 2001. Since then, she has become a spokeswoman and advocate for patients with COPD, cofounding 12 pulmonary rehabilitation centers with her husband, and focusing on placing them in rural communities.
Source: CNN

November is National Critical Infrastructure Security and Resilience Month
Nov 14, 2019 -- The U.S. Department of Health and Human Services (HHS) 405(d) team announces the creation of a toolkit to help healthcare organizations protect their critical infrastructure from cyber attacks for National Critical Infrastructure Security and Resilience Month. The toolkit includes communication and educational resources to help rural facilities adopt practices to mitigate threats to cybersecurity and protect patient information.
Source: U.S. Department of Health and Human Services

Strategies for Addressing Opioid Use Disorder in Rural Areas
Nov 13, 2019 -- Features two rural programs who have implemented successful opioid treatment programs in their communities and identifies the similarities in their practices. These programs utilized statewide interventions and funding, leveraged telehealth, and created a community health model to combat the opioid misuse.
Source: Health Payer Intelligence

Funding & Opportunities

Training and Services to End Violence Against Women with Disabilities
Grants to support multidisciplinary collaborative teams that offer services and support to individuals with disabilities and deaf individuals who have been victims of sexual assault, domestic violence, dating violence, and stalking.
Geographic coverage: Nationwide
Letter of Intent (Optional): Dec 20, 2019
Application Deadline: Jan 16, 2020
Sponsor: Office on Violence Against Women


American Medical Association Community Health Grant
Grants for evidence-based projects that demonstrate focused, measurable results in community health and medical education programs, with priority given to services that target the prevention and reduction of type 2 diabetes and hypertension.
Geographic coverage: Nationwide
Letter of Intent (Required): Jan 17, 2020
Application Deadline: Mar 20, 2020
Sponsor: American Medical Association


Nurse Faculty Loan Program (NFLP)
Funding for accredited schools of nursing to establish and/or operate a student loan fund. Grantees will loan money to students, and up to 85% of each loan may be forgiven upon completion of up to 4 years of full-time employment as a faculty member in an accredited school of nursing.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Feb 3, 2020
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Postdoctoral Training in General, Pediatric, and Public Health Dentistry
Grants to plan, develop, operate, or participate in, postdoctoral training programs in the fields of general dentistry, pediatric dentistry, and dental public health. Programs should prepare postdoctoral trained dentists to improve access to and delivery of oral healthcare delivery to low income, underserved, uninsured, underrepresented minority, health disparity, and rural populations.
Geographic coverage: Nationwide
Application Deadline: Feb 12, 2020
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Rural Health Research Center Program
Cooperative agreement to increase the amount of high quality, impartial, policy-relevant research to assist providers and decision-makers in better understanding problems faced by rural communities, and provide information that will improve access to healthcare and population health.
Geographic coverage: Nationwide
Application Deadline: Feb 21, 2020
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services


Livestream Training for Rural Health Physicians
A livestream course designed specifically for rural health physicians. Topics include chronic disease management, behavioral health, substance use disorders, and maternal health. CME credits are available.
Geographic coverage: Nationwide
Application Deadline: May 14, 2020
Sponsor: American Academy of Family Physicians


Online Sexual Violence Training for Community Health Workers/ Promotoras
A 4-hour online course for community health workers that provides an introduction to basic knowledge and skills useful in assisting and responding to victims of sexual violence.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Arizona Rural Women's Health Network


Scholarship for Obstetrical Simulation Course Emergencies and Catastrophes
Provides scholarships for an obstetrical simulation course to family medicine physicians, nurse midwives, and licensed midwives who practice in a rural healthcare setting in the southeastern United States.
Geographic coverage: Southeast United States
Applications accepted on an ongoing basis
Sponsor: Center for Advanced Medical Learning and Simulation

New Resources

The 'Gonzales Way': A Can-Do Spirit of Collaboration
Highlights the city of Gonzales, California, a winner of the 2019 Robert Wood Johnson Foundation Culture of Health Prize. Discusses Gonzales' efforts to actively promote health and wellness throughout the community.
Sponsoring organization: Robert Wood Johnson Foundation
Date: 2019


2018 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, affordability, healthy living, and effective treatment.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 10/2019


Agua4All: Providing Safe Drinking Water in Rural California Communities
Describes a safe drinking water program established in 2014 in 2 rural San Joaquin Valley communities. Examines the program's feasibility, acceptability, and effect on residents' water intake at 12 study sites. Features statistics including demographic characteristics of the communities, and daily volume of drinking water at the study sites from 2014-2016.
Author(s): Anisha I. Patel, Amelie A. Hecht, Karla E. Hampton, Christina Hecht, Sarah Buck
Location: Preventing Chronic Disease, 16
Date: 11/2019


Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Sponsoring organizations: Health Management Associates, Kaiser Family Foundation
Date: 11/2019


A Community Moves Beyond the Boom and Bust
Profiles Lake County, Colorado, a winner of the 2019 Robert Wood Johnson Foundation Culture of Health Prize. Highlights some of Lake County's efforts to actively promote health and wellness throughout the rural county.
Sponsoring organization: Robert Wood Johnson Foundation
Date: 2019


Delineating Rural Areas in the United States
A poster presentation identifying the common federal rural definitions useful for addressing rural-urban disparities. Demonstrates, by using population characteristics including poverty, uninsured, and disabled data, how each rural definition can affect the sensitivity of the disparity.
Sponsoring organization: North Carolina Rural Health Research Program

Differences in Preventive Care Among Rural Residents by Race and Ethnicity
Explores race and ethnicity as a factor in rural preventive care delivery. Breaks down vaccination rates and cancer rates by race/ethnicity and discusses potential implications of the findings.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 11/2019


For This Island Community, Better Health Is Everyone's Journey
Features the community of Sitka, Alaska, a winner of the 2019 Robert Wood Johnson Foundation Culture of Health Prize. Highlights some of Sitka's efforts to actively promote health and wellness throughout the community with projects such as the Sitka Health Summit, community gardens, and home-based childcare.
Sponsoring organization: Robert Wood Johnson Foundation
Date: 2019


FY 2016 Report to Congress on Outcome Evaluations of Administration for Native Americans Projects
An evaluation of the activities and outcomes of Administration for Native Americans (ANA) funding in native communities in accordance with the Native American Programs Act (NAPA), and the Government Performance and Results Act of 1993. Describes and measures the impact of the funding, the effectiveness of the planned goals, the methods used for economic and social development including sustainability efforts. Highlights projects related to community health, healthy living, behavioral health, environmental health, and food and nutrition. Includes data on Native American community-driven projects useful to leaders, planners, service providers, and tribal government agencies.
Sponsoring organizations: Administration for Children and Families, Administration for Native Americans
Date: 11/2019


Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
Date: 11/2019


The Opioid Hydra: Understanding Overdose Mortality Epidemics and Syndemics Across the Rural-Urban Continuum
Documents the trends in drug overdose mortality by opioid type along the rural‐urban continuum. Identifies the opioid overdose mortality epidemics and opioid syndemic mortality rates by core-based statistical area (metropolitan and non-metropolitan county). Discusses the socioeconomic indicators including demographic, drug risk, and economic characteristics of communities affected by the different classes of opioid overdose epidemics.
Author(s): David J. Peters, Shannon M. Monnat, Andrew L. Hochstetler, et al.
Location: Rural Sociology, 2019, 1-3
Date: 10/2019


Reviewing the Broken Promises Report: Examining the Chronic Federal Funding Shortfalls in Indian Country
Video recording and testimony from a November 19, 2019 House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States hearing focused on the U.S. Commission on Human Rights report Broken Promises: Continuing Federal Funding Shortfall for Native Americans, which evaluated federal spending on Native American programs.
Sponsoring organization: House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States
Date: 11/2019


Rural America at a Glance, 2019 Edition
Provides an overview of social and economic factors affecting rural America, with a focus on trends impacting rural areas after the end of the 2009 recession. Includes data on population, employment and labor force participation, poverty, and income.
Sponsoring organization: USDA Economic Research Service
Date: 11/2019


Rural Development Hubs: Strengthening America's Rural Innovation Infrastructure
Looks at the role rural development hubs play in rural infrastructure development. Discusses healthcare access and population health as beneficiaries of rural infrastructure development.
Sponsoring organization: The Aspen Institute Community Strategies Group
Date: 11/2019


Rural Health Clinic Costs and Medicare Reimbursement
Policy brief exploring whether updates to the Medicare per-visit reimbursement cap have allowed Rural Health Clinics (RHCs) of various types and sizes to keep pace with increases in staffing and other costs. Features statistics including RHC mean Medicare adjusted cost per visit and RHC mean Medicare healthcare staff costs as of 2014, with breakdowns by 4 sizes of RHCs and private or publicly-owned status.
Sponsoring organization: Maine Rural Health Research Center
Date: 11/2019


Severe Maternal Morbidity and Hospital Transfer Among Rural Residents
Examines hospital transfer rates for rural and urban residents before and after childbirth and the relationship of transfer status and severe maternal morbidity and mortality.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 11/2019

Open Calls for Contributions

Call for Abstracts: 2020 91st Annual GPHA Meeting & Conference
Deadline: Dec 6, 2019
Georgia Public Health Association
Event Dates: May 6 - 8, 2020
Jekyll Island, GA
Conference Website

Call for Presentations: 2020 105th Ohio Hospital Association Annual Meeting & Education Summit
Deadline: Dec 13, 2019
Ohio Hospital Association
Event Dates: Jun 8 - 10, 2020
Columbus, OH
Conference Website

Call for Proposals: 2020 21st Annual Colorado Rural Health Center Forum
Deadline: Dec 27, 2019
Colorado Rural Health Center
Event Dates: Apr 15 - 17, 2020
Denver, CO
Conference Website

Upcoming Events

Nov
21
#RuralHealthChat: Access to Funding for Rural Health Projects
Time: 12:00 p.m. Central
National Organization of State Offices of Rural Health, Rural Health Information Hub
701.777.6046
lexie@ruralhealthinfo.org
Nov
21
2019 Annual National Rural Health Day
National Organization of State Offices of Rural Health
ashleym@nosorh.org
Nov
21
HRSA Public Health Webinar Series - Diabetes Awareness Month
Time: 1:30 - 3:00 p.m. Central
Health Resources and Services Administration
ROvercast@hrsa.gov
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
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 Providers Documentary
National Organization of State Offices of Rural Health
Nov
21
The Providers Documentary: National Rural Health Day Viewing
Time: 6:00 p.m. Eastern
Florida Rural Health Association
High Springs, FL
Nov
25
Introduction to Farm Stress: Mental Health Needs Among Diverse Farm Populations
Time: 11:00 a.m. - 12:00 p.m. Mountain
Mental Health Technology Transfer Center Network
shawnda.schroeder@und.edu
Nov
25
Measure Applications Partnership (MAP) Rural Health Workgroup: Web Meeting #1
Time: 11:30 a.m. - 1:30 p.m. Eastern
National Quality Forum MAP Rural Health Workgroup
Dec
3
CMS Medicare Learning Network (MLN): Hospital Price Transparency Final Rule Call
Time: 1:30 - 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
mlnevents@thebizzellgroup.com
Dec
3
HealthLandscape Community Vital Signs Population Health Profiler
Time: 1:00 - 2:00 p.m. Eastern
HealthLandscape
Dec
3
HealthLandscape Population Health Tools
Time: 2:00 - 3:00 p.m. Eastern
HealthLandscape
Dec
3
HIPAA Policies and Enforcement Updates
Time: 12:00 - 1:00 p.m. Central
Mississippi Rural Health Association
601.898.3001
president@mississippirural.org
Dec
4
South Dakota Association of Healthcare Organizations: CMS Hospital Improvement Final Rules
Time: 9:00 - 11:00 a.m. Central
South Dakota Association of Healthcare Organizations
605.789.7528
michella.sybesma@sdaho.org
Dec
5
Alternative Financing for Assistive Technology
Time: 3:00 - 4:00 p.m. Eastern
National AgrAbility Project
800.825.4264
agrability@agrability.org
Dec
6
School Crisis Mental Health Recovery: A Community and School Partnership
Time: 2:00 - 3:00 p.m. Eastern
National Indian Health Board
cwheeler@nihb.org
Dec
9
Eliminating Workplace Violence in the Field - for Employers
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Dec
9
HealthLandscape Rural Health Explorer
Time: 1:00 - 2:00 p.m. Eastern
HealthLandscape
Dec
12
Integrating and Sustaining Financial Capability Services in Rural Healthcare Delivery
Time: 3:00 - 4:00 p.m. Eastern
North Central Regional Center for Rural Development
517.355.3373
Jan
14
How to Win with the Tyranny of Small Numbers: Collaborations, Coalitions, and Networks
Time: 12:00 - 1:00 p.m. Central
Center for Optimizing Rural Health
855.234.0712
info@optimizingruralhealth.org
Jan
14
Telehealth 101: The Easy Basics of Telehealth and Telemedicine
Time: 12:00 - 1:00 p.m. Central
South Central Telehealth Resource Center
info@learntelehealth.org
Jan
14
Train the Trainer: Prevention of Zoonotic Diseases
Time: 3:00 - 4:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Jan
15
Train the Trainer: Cover Up! Head to Toe Personal Protective Equipment
Time: 3:00 - 4:00 p.m. Central
AgriSafe Network
nroy@agrisafe.org
Jan
16
Ready! Set! Write! Grant Writing from A to Z Webinar Series - Session 1 of 7
Time: 9:00 - 10:30 a.m. Eastern
Pennsylvania Office of Rural Health
816.863.8214
porh@psu.edu
Jan
16
RHC Update Seminar - Alabama
Alabama Office of Primary Care and Rural Health, Alabama Rural Health Association, Azalea Health, ChartSpan, Healthcare Business Specialists
Clanton, AL
423.243.6185
marklynnrhc@gmail.com

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.