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RHIhub This Week - January 8, 2020

New in the Rural Monitor

Maria Waters works on filling her parents med planners and tracking their medications. Informal Caregiving and Technology in Rural America
by Tami Lichtenberg
As people are living longer and trying to find solutions to delay the expense of long-term care or nursing facilities, family members, including adult children, are increasingly becoming informal, unpaid caregivers. Learn how technology may be a solution to help rural caregivers, what some of the challenges and opportunities are, and read about a current model that has the potential to change the landscape.

Upcoming Webinar

Examining Rural Cancer Prevention and Control Efforts with the National Advisory Committee on Rural Health and Human Services
Join us Tuesday, January 21st at 2:00 p.m. Central as the NACRHHS discusses their policy brief, Examining Rural Cancer Prevention and Control Efforts. Featured speakers include Paul Moore from FORHP, John Rochat from Anderson Valley Health Center, and Peggy Wheeler from the California Hospital Association.

Models and Innovations

Healthy Monadnock logo Healthy Monadnock
Healthy Monadnock is a community-wide initiative that aspires to make the Monadnock Region of New Hampshire the "healthiest community in the nation" by 2020.
patient receiving spirometry test National Jewish Health Rural Miners Outreach Clinics
Due to their occupations, miners in rural Colorado and Arizona are at risk for harmful diseases. By partnering with rural clinics, National Jewish Health offers free black lung and radiation exposure screenings to detect these and other harmful diseases.

 New in Our Online Library
 Information from around the web

Recent News

How Upstate New York Farmers Combat Depression amid Industry Stressors
Jan 8, 2020 -- Looks at some of the causes of farmer stress, the stigma with seeking help from mental health professionals, and how organizations in New York are working to help.
Source: pressconnects.com

AHRQ: Solicitation for Nominations for Members of the U.S. Preventive Services Task Force (USPSTF)
Jan 7, 2020 -- The Agency for Healthcare Research and Quality is seeking nominations to the U.S. Preventive Services Task Force (USPSTF). Specific areas of expertise being sought include public health, health equity and the reduction of health disparities, application of science to health policy, dissemination and implementation, behavioral medicine, and communication of scientific findings to diverse audiences. Nominations of individuals clinical expertise in family medicine, internal medicine, pediatrics, and obstetrics and gynecology will receive the strongest consideration. Nominations are due by March 15th.
Source: Federal Register

States Continue to Enact Legislation to Address Health Care Workforce Shortages
Jan 7, 2020 -- Highlights legislation that has been introduced in several states across the country to address healthcare workforce shortages with a focus on shortages in rural and underserved communities.
Source: National Conference of State Legislatures

2018 Quality Payment Program (QPP) Performance Results
Jan 6, 2020 -- Blog post from the Centers for Medicare and Medicaid Services administrator, Seema Verma, highlighting performance results for the Quality Payment Program's 2018 performance year. Includes accomplishments and efforts underway for rural practices.
Source: Centers for Medicare and Medicaid Services

Few Doctors Can Legally Prescribe Opioid-Addiction Drug
Jan 6, 2020 -- Presents an overview of a study that suggests fewer than 1 in 10 U.S. primary care providers can prescribe buprenorphine to treat opioid addiction. Findings show counties with the highest opioid overdoses saw a climb in physicians able to prescribe the medication, but rural communities did not see as much of an increase as urban communities.
Source: Reuters

Online Program Aims to Help Rural Montanans Access Mental Healthcare
Jan 6, 2020 -- Researchers and mental health advocates are studying an online program's effectiveness at reducing symptoms of depression and anxiety, in hopes they can adjust it to better fit rural Montanans. The program provides individuals with tailored videos based on responses to a series of questions and teaches them how to use therapeutic practices to manage their mental health.
Source: Montana Public Radio

'A Bottleneck in the System': Food Banks Have Excess of Food, but Not a Way to Get It to Rural Communities in Need
Jan 4, 2020 -- Food banks in rural West Virginia are facing a number of challenges to get food to those that need it. This includes not having refrigeration trucks to get goods from larger food bank warehouses and lack of volunteers to keep the doors open.
Source: Charleston Gazette-Mail

In Rural Texas, People Experiencing Homelessness Lead 'Masked' Lives Outside of Public View
Jan 2, 2020 -- Addresses the disparity in resources available to homeless populations in urban areas of Texas versus rural areas. Describes how homeless people are often hidden in rural towns, making it more difficult to get an accurate count and provide necessary services.
Source: The Texas Tribune

Rural Healthcare Isn't Easy. Here's How One Alabama Woman Bridges Gaps in the Black Belt
Dec 29, 2019 -- Features the CEO of the Rural Health Medical Program, which is a group of community health clinics in the Alabama Black Belt region. The area faces many challenges to accessing healthcare, such as provider shortages and poverty. Highlights the positive work she has done for her community to overcome those barriers.
Source: Advance Local Media

Funding & Opportunities

Rural Leadership Pathways Learning Initiative
An opportunity for rural programs from across the U.S. to convene at two Rural Ideas Summits to exchange ideas and educate philanthropists about innovative programs.
Geographic coverage: Nationwide
Application Deadline: Jan 21, 2020
Sponsors: Robert Wood Johnson Foundation, Rural Development Initiatives


Disabled American Veterans Charitable Service Trust Grants
Grants for organizations that work to meet the needs of ill and injured veterans and their families.
Geographic coverage: Nationwide
Application Deadline: Jan 31, 2020
Sponsor: Disabled American Veterans


Addressing Disparities Research Grants
Funding to research the comparative effectiveness of enhanced interventions that reduce or eliminate disparities in health and healthcare. Research that focuses on residents of rural areas is listed as a funding priority.
Geographic coverage: Nationwide
Letter of Intent (Required): Feb 4, 2020
Application Deadline: May 5, 2020
Sponsor: Patient-Centered Outcomes Research Institute


Improving Healthcare Systems Research Grants
Support for research that studies the comparative clinical effectiveness of alternative features of healthcare systems that are intended to optimize the quality, outcomes, and efficiency of patient care and that have the greatest potential for sustained impact and replication within and across healthcare systems. Studies that examine effects on certain populations, including low-income and rural populations, will receive priority.
Geographic coverage: Nationwide
Letter of Intent (Required): Feb 4, 2020
Application Deadline: May 5, 2020
Sponsor: Patient-Centered Outcomes Research Institute


Social Determinants of Health Tech Challenge
Challenges that are seeking tech solutions to improve healthy aging in rural communities in the areas of cognitive care, care coordination, and social isolation.
Geographic coverage: Nationwide
Application Deadline: Feb 17, 2020
Sponsors: Accenture, Healthcare Information and Management Systems Society


Health Professions Extern Program
Externship opportunities for Indian Health Service Scholarship recipients and other interested health professions students.
Geographic coverage: Nationwide
Application Deadline: Feb 26, 2020
Sponsor: Indian Health Service


Scholarships for Disadvantaged Students (SDS)
Awards funding to health professions schools to increase diversity in the health professions workforce by providing scholarships to students from disadvantaged backgrounds. Priority is given to institutions that seek to place graduates in medically underserved communities.
Geographic coverage: Nationwide
Application Deadline: Mar 3, 2020
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


STOP School Violence Prevention and Mental Health Training Program
Grants to train school personnel and educate students to prevent student violence, develop and operate anonymous reporting systems concerning threats of school violence, and develop and operate school threat assessment and crisis intervention teams.
Geographic coverage: Nationwide
Application Deadline: Mar 3, 2020
Sponsors: Bureau of Justice Assistance, U.S. Department of Justice


Strategic Prevention Framework - Partnerships for Success
Funding to use the SAMHSA Strategic Prevention Framework to address one of the nation's top substance abuse prevention priorities in youth and adults. Awardees will identify the priority substance to develop strategies around in their community.
Geographic coverage: Nationwide
Application Deadline: Mar 6, 2020
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services


Planning and Developing Infrastructure to Improve the Mental Health and Wellness of Children, Youth, and Families in American Indian/Alaska Natives (AI/AN) Communities
Funding to provide Tribal and urban Indian communities with tools and resources to plan and design a holistic, community-based, coordinated system of care to support mental health and wellness for children, youth, and families.
Geographic coverage: Nationwide
Application Deadline: Mar 9, 2020
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services


Service Area Competition Funding for Health Center Program (Areas Served with a Project Period Start Date of September 1, 2020)
Funding to provide comprehensive primary healthcare services to an underserved area or population. Areas with a September 1, 2020 project period start date are eligible to apply.
Geographic coverage: Nationwide
Application Deadline: Mar 9, 2020
Sponsors: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services


Ryan White HIV/AIDS Program Part F Dental Reimbursement Program
Funding designed to improve access to oral healthcare services for low income, uninsured, and underserved people with HIV, and to train dental students, dental hygiene students, and dental residents to deliver dental care to people with HIV.
Geographic coverage: Nationwide
Application Deadline: Apr 3, 2020
Sponsors: Health Resources and Services Administration, U.S. Department of Health and Human Services


The American Indian College Fund Full Circle Scholarships
Scholarships for American Indian, Alaska Native, and Indigenous Canadian students seeking undergraduate and graduate degrees at Tribal colleges and universities and nonprofit, accredited schools in the United States.
Geographic coverage: Nationwide
Application Deadline: May 31, 2020
Sponsor: American Indian College Fund

New Resources

2018 Quality Payment Program Performance Year Data
Provides an overview of the results of the Quality Payment Program for the 2018 performance year. Highlights mean and median final scores and payment adjustments for rural and small practices.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 12/2019


Availability of Grocery Delivery to Food Deserts in States Participating in the Online Purchase Pilot
Research letter describing a study of the Online Purchase Pilot (OPP), which allows beneficiaries in 8 states to use the Supplemental Nutrition Assistance Program (SNAP) to buy groceries online. Includes statistics on the availability of grocery delivery among rural food desert census tracts and SNAP households in the 8 OPP states.
Author(s): Eric J. Brandt, David M. Silvestri, Jerold R. Mandi, Margaret L. Holland, Joseph S. Ross
Location: JAMA Network Open, 2(12)
Date: 12/2019


Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Location: JAMA Network Open, 2(12)
Date: 12/2019


data.census.gov
Provides access to data and digital content from the U.S. Census Bureau. Includes the American Community Survey (ACS) with socioeconomic and demographic data and the ability to narrow to rural data. Historical U.S. Census data is available on American Factfinder.
Sponsoring organization: U.S. Census Bureau

Nutrition Assistance Programs: Agencies Could Do More to Help Address the Nutritional Needs of Older Adults
Report focuses on the shortcomings of the federal nutrition guidelines in meeting the nutritional needs of older adults. Bases recommendations on interviews with older adults in both rural and urban areas.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 11/2019


Patients' Experiences in CAHs: HCAHPS Results, 2018
Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Sponsoring organization: Flex Monitoring Team
Date: 01/2020


Public Transportation: Enhanced Federal Information Sharing on Coordination Could Improve Rural Transit Services
Report details the Federal Transit Administration's (FTA) efforts in improving rural public transit coordination and identifies areas for improvement. Highlights some of the challenges affecting the FTA's ability to effectively coordinate transportation for rural and tribal areas.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 01/2020


The Rural Opportunity Map
Mapping and data analysis focused on rural communities. Includes a gallery of maps addressing various issues, including maps currently in beta focused on rural healthcare trends, hospital closures, and rural definitions.
Sponsoring organizations: Center on Rural Innovation, Rural Innovation Strategies

Student Interest in a Primary Care of Underserved Populations Course
Results of a study assessing students' interest in a potential Michigan State University course on skills needed to care for and advocate for rural patients and the underserved. Features demographic statistics on survey respondents, with breakdowns by rural or metropolitan hometowns.
Author(s): Jennifer Edwards-Johnson, Julie P. Phillips, Andrea Wendling
Location: Family Medicine, 52(1), 17-23
Date: 01/2020


Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Sponsoring organization: National Center for Health Statistics
Date: 01/2020

Open Calls for Contributions

Call for Abstracts: Tribal Motor Vehicle Safety Summit
Deadline: Jan 17, 2020
Tribal Injury Prevention Resource Center
Event Dates: May 19 - 21, 2020
Albuquerque, NM
Conference Website

Call for Abstracts: 2020 20th Annual National Public Health Improvement Training (PHIT)
Deadline: Jan 22, 2020
Center for State, Tribal, Local, and Territorial Support (CSTLTS), Centers for Disease Control and Prevention, National Network of Public Health Institutes
Event Dates: Jun 2 - 4, 2020
San Antonio, TX
Conference Website

Call for Abstracts: 2020 13th Annual National Conference on Health Disparities
Deadline: Jan 24, 2020
Medical University of South Carolina - Public Information and Community Outreach Department of Library Science and Informatics
Event Dates: Apr 22 - 25, 2020
Washington, DC
Conference Website

Call for Abstracts: Wisconsin EMS Association Conference & Expo
Deadline: Feb 1, 2020
Wisconsin EMS Association
Event Dates: Nov 11 - 15, 2020
Wisconsin Dells, WI
Conference Website

Call for Presentations: 2020 Annual Northwest Regional Rural Health Conference
Deadline: Feb 3, 2020
Rural Health Clinic Association of Washington, University of Washington School of Medicine, Washington Rural Health Association, Washington State Office of Community Health Systems, Rural Health and Primary Care Office
Event Dates: Mar 23 - 25, 2020
Spokane, WA
Conference Website

Call for Abstracts: 2020 Annual Association of Clinicians for the Underserved Conference
Deadline: Feb 22, 2020
Association of Clinicians for the Underserved
Event Dates: Aug 2 - 5, 2020
Washington, DC
Conference Website

Call for Proposals: 2020 25th Annual Conference on Advancing School Mental Health
Deadline: Feb 24, 2020
University of Maryland School of Medicine - National Center for School Mental Health (NCSMH)
Event Dates: Oct 29 - 31, 2020
Baltimore, MD
Conference Website

Call for Educational Session Proposals: 2020 Annual National Adult Day Services Conference
Deadline: Mar 1, 2020
National Adult Day Services Association
Event Dates: Oct 8 - 10, 2020
Pittsburgh, PA
Conference Website

Call for Presentations: 2020 6th Annual Northeast Regional Telehealth Conference
Deadline: Mar 6, 2020
Northeast Telehealth Resource Center
Event Dates: Jun 8 - 9, 2020
Manchester, NH
Conference Website

Call for Posters: 2020 Agricultural Safety and Health: The Core Course
Deadline: May 23, 2020
Great Plains Center for Agricultural Health
Event Dates: Jun 8 - 12, 2020
Iowa City, IA
Conference Website

Upcoming Events

Jan
9
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
Jan
14
Community Health Workers Advancing Health Promotion
Time: 12:00 - 1:00 p.m. Central
Wisconsin Public Health Association
920.750.7724
wpha@badgerbay.co
Jan
14
Health Network: A Care Coordination Program for Mobile Patients with Diabetes
Time: 10:00 - 11:00 a.m. Pacific
Migrant Clinicians Network
Jan
14
Rural Health Care Program: Funding Request Best Practices for FY2020
Time: 1:00 - 2:00 p.m. Central
Universal Service Administrative Company
Jan
14-16
Federal Advisory Committee National Emergency Medical Services Advisory Council Meeting
Also available by teleconference and webinar
National Highway Traffic Safety Administration
Washington, DC
202.366.0257
EricChaney@dot.gov
Jan
16
2020 Census and Rural Communities: What Healthcare Providers Should Know
Time: 12:00 - 1:00 p.m. Arizona
Arizona Telemedicine Program, Southwest Telehealth Resource Center
520.626.2493
Jan
16
Telecom Program Funding Request Best Practices for FY2020
Time: 1:00 - 2:00 p.m. Central
Universal Service Administrative Company
Jan
17
Upper Midwest Telehealth Resource Center: Virtual Office Hours - Webside Manner
Time: 1:00 - 1:30 p.m. Eastern
Upper Midwest Telehealth Resource Center
Jan
21
Clinicians' Coffee Chat: Using Telehealth to Manage Diabetes
Time: 12:45 - 2:00 p.m. Central
National Health Care for the Homeless Council
Jan
21
Examining Rural Cancer Prevention and Control Efforts from the National Advisory Committee on Rural Health and Human Services
Time: 2:00 - 3:00 p.m. Central
National Advisory Committee on Rural Health and Human Services, Rural Health Information Hub
webinars@ruralhealthinfo.org
Jan
21
Stronger Together: Healthcare Coalitions in Rural and Frontier Areas
Time: 2:00 - 3:00 p.m. Eastern
National Network of Libraries of Medicine
508.856.5910
Sarah.LevinLederer@umassmed.edu
Jan
22
Long-Term Services and Supports: Money Follows the Person Tribal Initiative
Time: 1:00 - 2:00 p.m. Central
Centers for Medicare and Medicaid Services
Jan
23
Rural PREP Grand Rounds: A Day in the Life of a Rural Family Physician
Time: 10:00 - 11:00 a.m. Pacific
Rural PREP
Jan
24
Supporting Farm Youth through Understanding and Intervention
Time: 12:00 - 1:00 p.m. Central
American Agri-Women
doris@americanagriwomen.org
Jan
28
Addressing Mental Health and Suicide Prevention in Rural America
Time: 12:00 - 1:00 p.m. Pacific
Northwest Center for Public Health Practice, University of Washington
kdevoss@uw.edu
Feb
2-5
2020 33rd Annual Rural Health Care Leadership Conference
American Hospital Association
Phoenix, AZ
lwoodburn@aha.org
Feb
5
Kentucky Hepatitis Academic Mentorship Program I
Kentucky Rural Health Association
Louisville, KY
KRHA@twc.com
Feb
11-13
2020 31st Annual Rural Health Policy Institute
National Rural Health Association
Washington, DC
816.756.3140 Ext.12
siress@NRHArural.org
Feb
12-14
2020 Maine Hospital Association Small or Rural Hospital Conference
Maine Hospital Association
Newry, ME
207.622.4794
csinclair@themha.org
Feb
13
Commonly Cited Deficiencies for Critical Access Hospitals
Time: 9:00 - 11 a.m. Mountain
Idaho Hospital Association
208.338.5100
info@teamiha.org
Feb
13
Introduction of Wisconsin Collaborative for Healthcare Quality (WCHQ) Health Disparities Report
Time: 12:00 - 1:00 p.m. Central
Wisconsin Public Health Association
920.750.7724
wpha@badgerbay.co
Feb
19
The Role of States in Expanding Broadband Access
Time: 2:00 - 3:00 p.m. Eastern
National Telecommunications and Information Administration
202.482.2048
Feb
25
2020 Annual Mississippi Telehealth Association State Conference
Mississippi Telehealth Association
Jackson, MS
601.255.2885
ryan.kelly@mstelehealth.org
Feb
25
Federal Rural Health Update
Time: 12:00 - 1:00 p.m. Central
Illinois Rural Health Association
217.280.0206
mvaughn@springnet1.com
Feb
26
KHA Small Rural and CAH Forum
Time: 2:00 - 3:00 p.m. Eastern
Kentucky Hospital Association
502.426.6220
sperkins@kyha.com
Mar
3
Introduction to the UDS Mapper
Time: 1:00 - 2:00 p.m. Central
American Academy of Family Physicians, Health Resources and Services Administration
udsmapper-support@udsmapper.org
Mar
4
Health Resources & Services Administration Virtual Job Fair
Bureau of Health Workforce
hrsavirtualjobfairs@hrsa.gov
Mar
4
Measure Applications Partnership (MAP) Rural Health Workgroup: Web Meeting #3
Time: 11 a.m. - 2 p.m. Eastern
National Quality Forum MAP Rural Health Workgroup
Mar
4-5
2020 Annual Oklahoma Rural Health Conference
Oklahoma Office of Rural Health, Rural Health Association of Oklahoma
Norman, OK
580.213.3177
agseigars@nwosu.edu
Mar
4-6
2020 43rd Annual Colorado Hospital Association Rural Health and Hospital Conference
Colorado Hospital Association
Golden, CO
720.330.6024
peggy.mccreary@cha.com
Mar
4-6
2020 Annual EMS Today Conference
EMS Today
Tampa, FL
918.832.9305
emily.moreau@clarionevents.com
Mar
5-6
Meeting of the Medicare Payment Advisory Commission (MedPAC)
Medicare Payment Advisory Commission
Washington, DC
202.220.3700
Mar
5-7
2020 Big Sky Pulmonary Conference
Montana Asthma Control Program, Montana Department of Public Health and Human Services
Anaconda, MT
406.531.4032
amy.saltzman@umontana.edu
Mar
6
Overcoming Barriers in Telehealth
Time: 2:00 - 3:00 p.m. Central
Mobile Healthcare Association
314.569.0721
ewallace@mobilehca.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.