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RHIhub This Week - February 12, 2020

February is American Heart Month!

American Heart Month Check out RHIhub resources on this important subject:

Chronic Disease in Rural America: Heart Disease & Stroke – find statistics and data on rural disparities and examples of rural prevention and treatment programs.

Rural Cardiovascular Disease Models & Innovations – features a variety of interventions that are helping rural communities address heart health, including 2 evidenced-based, 5 effective, 4 promising, and even more emerging programs.

Join Our Team!

Now Hiring The Rural Health Information Hub is looking for dedicated and passionate people who want to help rural communities across the country. Apply online to join our team as a Web Writer, due by 5:00 p.m. Central on February 20th, or an Information Specialist, due by 5:00 p.m. Central on February 27th.

 New in Our Online Library
 Information from around the web

Recent News

Request for Information Regarding Maternal and Infant Health Care in Rural Communities
Feb 12, 2020 -- The Center for Medicare and Medicaid Services (CMS) is requesting public input on opportunities to improve healthcare access, quality, and outcomes for rural women and infants before, during, and after pregnancy. Additional comments regarding rural readiness to handle obstetric emergencies are also requested. Comments are due by April 12, 2020.
Source: The Centers for Medicare and Medicaid Services

Pay Is Higher for Rural Physicians, New England Journal Article Says
Feb 11, 2020 -- Summarizes a study which showed that rural doctors have salaries approximately 5 to 10 percent higher than doctors practicing in urban areas. Describes the importance of offering higher salaries, tuition assistance and other incentives to recruit healthcare professionals to work in rural communities.
Source: The Daily Yonder

Leveraging AI to Provide a Rural 'Retail Medicine' Experience
Feb 10, 2020 -- Highlights an online exam tool used at Winona Health in Minnesota, where patients can enter their current symptoms and health information and connect with an urgent care clinician. The tool was built to automate care delivery and improve healthcare access for those in remote areas.
Source: American Hospital Association

Veterans Receive Help Through Clergy Training Program
Feb 9, 2020 -- Highlights a VA program in North Dakota that is focused on training community clergy to support rural veterans' mental health. The program has four modules that help trainees understand and address military culture, family life, mental healthcare, and networking.
Source: U.S. Department of Veteran Affairs

CMS: Agency Information Collection Activities; Proposals, Submissions, and Approvals
Feb 7, 2020 -- Notice from the Centers for Medicare and Medicaid Services seeking comment on the following information collections: 1) End Stage Renal Disease (ESRD) Application and Survey and Certification Report which is used for the certification and recertification of ESRD facilities; 2) Hospital Survey for Specified Covered Outpatient Drugs (SCODs) which will be used to help determine payment amounts for drugs acquired under the 340B program; 3) the PACE Organization Application Process in 42 CFR Part 460; and 4) Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions. Comments are due by March 9, 2020.
Source: Federal Register

Analysis of Federal Bills to Strengthen Maternal Health Care
Feb 6, 2020 -- Analyzes several bills on maternal health currently pending in Congress, addressing a range of issues such as Medicaid postpartum coverage, funding on health equity, the development of broader networks of rural maternal care providers, and research on the benefits of doula care.
Source: Kaiser Family Foundation

Cost-Conscious Hospitals Trending Towards Cloud-Based EHRs
Feb 6, 2020 -- Summarizes a survey that found 60 percent of hospitals with less than 150 beds were unsure of their current Electronic Health Records (EHR) system. Describes how a large percentage of rural and community hospitals were considering moving to a cloud-based EHR system to reduce costs and increase efficiency of practice.
Source: Xtelligent Healthcare Media

HRSA: Notice of Establishment and Solicitation of Nominations for Tribal Advisory Council
Feb 6, 2020 -- The Health Resources and Services Administration (HRSA) is seeking comments and recommendations on its intent to create the HRSA Tribal Advisory Council (TAC), as well as nominations of tribal officials for consideration as voluntary delegates to serve on the HRSA TAC. The council will meet to discuss policies that have tribal implications and a substantial direct effect on Indian tribes, and to assist in the determination of the impact of HRSA programs on American Indian/Alaska Native populations. Nominations are due by May 7, 2020.
Source: Federal Register

Proposed Changes to Medicare Advantage and Part D Will Provide Better Coverage, More Access and Improved Transparency for Medicare Beneficiaries
Feb 6, 2020 -- The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule and the Advance Notice Part II to modernize the Medicare Advantage and Part D prescription drug programs. Some proposed changes would lower beneficiary cost sharing on some drugs and require Part D plans to offer price comparison tools. CMS is accepting comments on all proposals in the Advance Notice until March 6, 2020.
Source: Centers for Medicare and Medicaid Services

Rural Communities Help Themselves
Feb 6, 2020 -- Covers the Rural Partnership Development Meeting, in which the audience consisted of participants of three HRSA-funded outreach programs. Describes how the programs connect remote and rural populations to healthcare services, advocating for and helping providers to form healthcare partnerships.
Source: Health Resources and Services Administration

Telehealth Resource Center Program Request for Information
Feb 6, 2020 -- The Health Resources and Services Administration (HRSA) is seeking comments regarding the upcoming Telehealth Resource Center (TRC) Program Notice of Funding Opportunity. HRSA is gathering public input to assess how the TRC could better serve rural and underserved populations, comments are due March 6, 2020.
Source: Health Resources and Services Administration

Request for Information (RFI): Inviting Comments and Suggestions for a Proposed Research Initiative to Decrease Maternal Mortality
Jan 31, 2020 -- The National Institutes of Health (NIH) is accepting comments and suggestions on a proposed research initiative in pursuit of innovative and collaborative approaches to reducing maternal mortality. NIH is asking stakeholders in scientific research, advocacy, and clinical practice, as well as the general public, to provide input on their proposed initiative, in an effort to prevent gaps in research. Comments are due by February 21, 2020.
Source: National Institutes of Health

Funding & Opportunities

GATHER Food Sovereignty Grants
Grants for projects that lead to self-directed, well-resourced, community supported food systems in Native communities.
Geographic coverage: Nationwide
Application Deadline: Feb 27, 2020
Sponsor: First Nations Development Institute

Technology Strike Team Technical Assistance for Transit Agencies
In-person and off site technical assistance for small-urban, rural, and tribal transit agencies to develop technology action plans to help meet strategic goals.
Geographic coverage: Nationwide
Application Deadline: Mar 6, 2020
Sponsors: Community Transportation Association of America, National Center for Applied Transit Technology

National Center for Farmworker Health Bobbi Ryder Migrant Health Champion Award
Scholarships for individuals pursuing or continuing their career in the migrant health field, thus contributing to the development of the Community/Migrant Health Center workforce.
Geographic coverage: Nationwide
Application Deadline: Mar 27, 2020
Sponsor: National Center for Farmworker Health

School Grants for Healthy Kids
Grants to implement school health and wellness practices that help students eat better, stay physically active, and be better prepared to learn.
Geographic coverage: Nationwide
Application Deadline: Apr 3, 2020
Sponsor: Action for Healthy Kids

Tribal Children's Advocacy Center Expansion Initiative for Child Abuse Victims
Funding for the development of new satellite Children's Advocacy Centers (CACs) to expand the coverage of existing accredited CACs for interested federally recognized tribes.
Geographic coverage: Nationwide
Application Deadline: Apr 7, 2020
Sponsors: Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice

Distance Learning and Telemedicine Program Grants
Grants to improve telemedicine and distance learning services in rural areas through the use of telemedicine, computer networks, and related advanced technologies.
Geographic coverage: Nationwide
Application Deadline: Apr 10, 2020
Sponsors: U.S. Department of Agriculture, USDA Rural Development, USDA Rural Utilities Service

Telehealth Network Grant Program (TNGP)
Funding to demonstrate how telehealth programs and networks can improve access to quality healthcare services in rural, frontier, and underserved communities.
Geographic coverage: Nationwide
Application Deadline: Apr 13, 2020
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services

Mary Kay Domestic Violence Shelter Grant Program
Grants to support domestic violence shelters. The Foundation will award a grant to at least one domestic violence shelter in every state that applies, and many grants have gone to rural areas.
Geographic coverage: Nationwide
Application Deadline: Apr 30, 2020
Sponsor: The Mary Kay Foundation

Telehealth Focused Rural Health Research Center Program
A cooperative agreement to operate a telehealth focused research center that will work to assist rural health providers and governmental decision makers by increasing the amount of policy-relevant telehealth related research.
Geographic coverage: Nationwide
Application Deadline: May 1, 2020
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services

National Tribal Broadband Grant
Grants for Tribes to hire consultants to perform feasibility studies for high-speed internet deployment or expansion in Tribal communities.
Geographic coverage: Nationwide
Application Deadline: May 8, 2020
Sponsor: Bureau of Indian Affairs

Indian Health Service Loan Repayment Program
Loan repayment for undergraduate and graduate health professional educational loans in return for full-time clinical service in Indian Health Service programs.
Geographic coverage: Nationwide
Application Deadline: Aug 15, 2020
Sponsors: Indian Health Service, U.S. Department of Health and Human Services

New Resources

Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations, and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 2020

Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review
Explores the challenges of acute coronary syndrome (ACS) management and follow up care in rural areas. Details access and workforce issues that make ACS care challenging in rural and remote areas.
Author(s): Sandra C. Thompson, Lee Nedkoff, Judith Katzenellenbogen, et al.
Location: International Journal of Environmental Research and Public Health, 16(24), 5126
Date: 12/2019

Defense Health Care: Plans Needed to Ensure Implementation of Required Elements for TRICARE's Managed Care Support Contracts
Report highlights the Government Accountability Office recommendations for the implementation of changes to the Department of Defense's TRICARE managed support contracts that were required by Congress. Evaluates the specific improvements relating to healthcare delivery and touches on their importance in rural areas.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 02/2020

Directory: Rural Health Outreach Grant Program, 2018-2021
Provides contact information and brief overviews of the 60 initiatives funded under the Rural Health Care Outreach Services grant program in the 2018-2021 funding cycle. Projects address a variety of healthcare needs and serve a wide range of population groups.
Sponsoring organization: Federal Office of Rural Health Policy
Date: 01/2020

Geographic Disparities Affect Access to Buprenorphine Services for Opioid Use Disorder
Results of a national study to determine the patient capacity of healthcare providers who received waivers to prescribe buprenorphine and the extent to which they were located in rural or urban areas with high rates of opioid abuse. Features county-level maps showing rates of patient capacity and counties with high need for treatment services, as of 2018.
Sponsoring organization: Office of Inspector General (HHS)
Date: 01/2020

Integrating Culture and History to Promote Health and Help Prevent Type 2 Diabetes in American Indian/Alaska Native Communities: Traditional Foods Have Become a Way to Talk About Health
Reports on the implementation of the Traditional Foods Project (TFP), a community-based intervention to promote access to and integration of traditional foods, physical activities, and social support in culturally and geographically diverse American Indian/Alaska Native (AI/AN) communities.
Author(s): Lemyra DeBruyn, Lynne Fullerton, Dawn Satterfield, Melinda Frank
Location: Preventing Chronic Disease, 17
Date: 02/2020

National Drug Control Strategy
Report highlights the White House's overall strategy for controlling drug use across the country. Addresses prevention, education, and prescribing practices, as well as increasing access to treatment in rural, tribal, and underserved areas.
Sponsoring organization: The White House Office of National Drug Control Policy
Date: 02/2020

Rural Disparities in Health and Healthcare by Race and Ethnicity
Webinar recording discusses the role race and ethnicity play in rural health disparities. Explores measures pertaining to disparities in health and wellness, preventative screenings, and healthcare access for American Indian, Black, Hispanic, White, and Asian populations in rural areas.
Additional links: Presentation Slides, Webinar Transcript
Sponsoring organizations: Rural Health Research Gateway, University of Minnesota Rural Health Research Center
Date: 01/2020

A Systematic Review of Rural-specific Barriers to Medication Treatment for Opioid Use Disorder in the United States
Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Location: The American Journal of Drug and Alcohol Abuse
Date: 12/2019

Template for Emergency Medical Services Informed Community Self Determination (ICSD)
Includes an agency pre-visit checklist, a sample Program Agreement, and evaluation tools to help outside evaluators report on issues that might affect a community's EMS performance and level of care. Intended for rural, relatively isolated areas with few EMS resource options.
Sponsoring organization: National Association of State EMS Officials
Date: 02/2020

There's No Place Like Home: Home Health Care in Rural America
Recording of testimony by providers of rural home health care and representatives of home health and hospice organizations, in a hearing held by the United States Senate Special Committee on Aging, Feb. 12, 2020. Addresses challenges including workforce shortages and limitations in Medicare coverage for needed services.
Additional links: Testimony of Francis Adams, Testimony of Leigh Ann Howard, Testimony of Warren Hebert, Testimony of William A. Dombi
Sponsoring organization: U.S. Senate - Special Committee on Aging
Date: 02/2020

U.S. Department of Health and Human Services: 2019 Annual Report
Highlights the U.S. Department of Health and Human Services' major accomplishments during 2019. Discusses the federal response to the opioid crisis, Indian Health Service healthcare quality efforts, value-based healthcare models, and strategies to improve healthcare in rural and underserved communities.
Sponsoring organization: U.S. Department of Health and Human Services
Date: 2020

Open Calls for Contributions

Call for Speakers: 2020 24th Annual 340B Coalition Summer Conference
Deadline: Feb 28, 2020
340B Coalition
Event Dates: Jul 20 - 22, 2020
Washington, DC
Conference Website

Upcoming Events

HRSA Grant Programs: Technical Assistance Webinar
Time: 12:00 - 1:00 p.m. Pacific
Health Resources and Services Administration
Creating a Competitive Grant Proposal
Time: 10:00 a.m. - 11:30 a.m.
Health Resources and Services Administration
A Public Health Approach to Addressing the Opioid Epidemic and Substance Use Disorders in Public Housing Rural Communities
Time: 12:00 - 1:00 p.m. Central
National Center for Health in Public Housing
HRSA Grants 101
Time: 1:00 - 2:00 p.m. Central
Health Resources and Services Administration
Learning When To Put the Work Away: Finding Balance for Veteran Farmers
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
2020 Annual Northwest Regional Rural Health Conference
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
Spokane, WA
Hazard Communications Standards
Time: 12:00 - 1:00 p.m. Central
AgriSafe Network
Social Determinants of Health in Rural Illinois: Successes and Strategies
Illinois Critical Access Hospital Network
Springfield, IL
2020 30th Annual Minnesota Network of Hospice & Palliative Care Conference
Minnesota Network of Hospice & Palliative Care
St. Paul, MN
2020 National Council for Behavioral Health NATCON Conference
Theme: Kaleidoscope
National Council for Behavioral Health
Austin, TX
MATRC 2020 Convergence Telehealth Summit
Mid-Atlantic Telehealth Resource Center
Concord, NC
Heat Stress Risks and Outcomes Among California Farmworkers
Western Center for Agricultural Health and Safety
Davis, CA
2020 Rural Health Clinic Conference
Wipfli LLP
Green Bay, WI
2020 Nebraska Public Health Conference
Nebraska Association of Local Health Directors, Public Health Association of Nebraska
Lincoln, NE
2020 72nd Annual Arkansas Public Health Association Conference
Arkansas Public Health Association
Little Rock, AR
2020 17th Annual Regional Northwest Tribal Emergency Management Conference
National Tribal Emergency Management Council
Ferndale, WA
2020 Annual Utah Public Health Conference
Utah Public Health Association
Provo, UT
2020 31st Annual Nebraska Rural Health Association Conference
Nebraska Rural Health Association
Kearney, NE

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