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RHIhub This Week - September 16, 2020

Upcoming Webinar

Introducing the Rural Community Paramedicine Toolkit
Thursday, September 24th at 12:00 p.m. Central we are hosting a webinar to present our Rural Community Paramedicine Toolkit. Hear featured speakers from NORC Walsh Center, Queen Anne's County Mobile Integrated Community Health (MICH) Program, William Bee Ririe Hospital, and the United Ambulance Service discuss how rural communities can develop and sustain community paramedicine programs.

Updated RHIhub Toolkit

Community Health Workers Toolkit
This recently updated toolkit includes information on the role community health workers have in rural communities, examples of CHW programs, and resources to implement a program in your own community.

 New in Our Online Library
 Information from around the web

Recent News

Rural 'Red-Zone' List Shortens Significantly for First Time in Two Months
Sep 16, 2020 -- Analyzes new COVID-19 infection rates in counties across the U.S. and finds that rural counties on the red-zone list dropped significantly for the first time in more than two months. Includes an interactive map and a chart detailing rural red-zone counties by state.
Source: The Daily Yonder

CMS Issues New Roadmap for States to Accelerate Adoption of Value-Based Care to Improve Quality of Care for Medicaid Beneficiaries
Sep 15, 2020 -- The Centers for Medicare and Medicaid Services (CMS) issued guidance to state Medicaid directors to aid in the adoption of value-based care strategies across their healthcare systems. The guidance includes an assessment of key lessons in implementing value-based care reforms and a comprehensive toolkit of available federal authorities to help states adopt innovative payment reform efforts.
Source: Centers for Medicare and Medicaid Services

CMS Releases CHART Model Notice of Funding Opportunity, Encourages Rural Communities to Apply
Sep 15, 2020 -- The Centers for Medicare and Medicaid Services (CMS) released a Notice of Funding Opportunity (NOFO) for the Community Health Access and Rural Transformation (CHART) Model Community Transformation Track. 15 rural communities will be chosen to receive up-front funding from the Community Transformation Track to help design systems that improve access high quality care.
Source: Centers for Medicare and Medicaid Services

COVID Exodus Fills Vacation Towns with New Medical Pressures
Sep 15, 2020 -- Rural vacation destinations have seen an influx of outsiders relocating during the COVID-19 pandemic. Describes how an increase in residents could cause strain on the towns' hospitals and healthcare providers. While the population increase helps some rural hospitals rebound, healthcare facilities may have to rebalance services if the population shift becomes permanent.
Source: Kaiser Health News

NC's Maternal Care System Gets a Boost
Sep 15, 2020 -- Features two models that strive to make rural maternity care more affordable and accessible in North Carolina. Chatham Hospital, a University of North Carolina facility, opened a maternity ward which employs primary care physicians and operates at a relatively low volume; Vidant Health opened a satellite obstetrics clinic in a rural county that recently lost its maternity unit.
Source: North Carolina Health News

HHS Invests Nearly $115 Million to Combat the Opioid Crisis in Rural Communities
Sep 14, 2020 -- The Health Resources and Services Administration (HRSA) awarded $25 million to 80 recipients across 36 states and two territories as part of the Rural Communities Opioid Response Program (RCORP). The funding aims to reduce morbidity and mortality of substance use disorder and opioid use disorder in rural communities.
Source: U.S. Department of Health and Human Services

USDA Expands Access to Broadband Infrastructure for Rural Businesses and Residents Under Select Rural Development Programs
Sep 14, 2020 -- The U.S. Department of Agriculture (USDA) released a final rule allowing the use of funds from select programs to help expand access to broadband services for rural residents and businesses. Entities may use up to ten percent of a loan, grant, or loan guarantee to build or improve rural broadband in certain areas, includes a list of eligible programs.
Source: U.S. Department of Agriculture

Energy, Water and Broadband: Three Services Crucial to Health Equity
Sep 10, 2020 -- Blog post discusses the inequities in rural, tribal, and low-income communities, as well as communities of color, highlighted by the COVID-19 pandemic. Describes how these populations are less likely to have access to clean water, broadband, affordable energy; includes examples of communities working to make these more accessible.
Source: Robert Wood Johnson Foundation

Funding & Opportunities

Rural Economic Development Loan and Grant Program (REDL and REDG)
Loans and grants to assist in the economic development of rural areas, including funds for healthcare facilities and equipment, telecommunications networks, and job creation projects.
Geographic coverage: Nationwide
Application Deadline: Sep 30, 2020
Sponsors: U.S. Department of Agriculture, USDA Rural Development


Addressing Needs of People with Disabilities in COVID-19 Local Preparedness Planning, Mitigation, and Recovery Efforts
Funding to improve the capacity of local health departments to address the needs of people with disabilities when planning and responding to outbreaks and other national emergencies, particularly during the current COVID-19 pandemic.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Oct 13, 2020
Sponsors: Centers for Disease Control and Prevention, National Association of County and City Health Officials


Appalachian Investments Supporting Partnerships In Recovery Ecosystems (INSPIRE) Initiative
Funding to assist in moving individuals in the Appalachian region from substance abuse treatment to recovery to employment, with a focus on support services that enable and support individual successful entry or reentry into the workforce.
Geographic coverage: Available in specific counties in 13 states.
Letter of Intent (Required): Oct 16, 2020
Application Deadline: Nov 13, 2020
Sponsor: Appalachian Regional Commission


H-1B Rural Healthcare Grant Program
Grants to partnerships of public and private sector entities to increase the number of individuals training in healthcare occupations that directly impact patient care and to alleviate healthcare workforce shortages by creating sustainable employment and training programs in healthcare occupations (including behavioral and mental healthcare) serving rural populations.
Geographic coverage: Nationwide
Application Deadline: Nov 13, 2020
Sponsors: Employment and Training Administration, U.S. Department of Labor


AmeriCorps State and National Grants
Funding for programs that are designed to strengthen communities and solve local problems, including those found in rural and underserved areas. Funding priorities include prescription drug and opioid abuse, education, and rural intermediary organizations.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jan 6, 2021
Sponsor: Corporation for National and Community Service


Community Health Access and Rural Transformation (CHART) Model
A voluntary payment model designed to meet the needs of rural communities. The CHART Model will test whether aligned financial incentives, increased operational flexibility, and robust technical support promote the capacity of rural healthcare providers to implement effective healthcare delivery system redesign on a broad scale.
Geographic coverage: Nationwide
Letter of Intent (Optional): Jan 18, 2021
Application Deadline: Feb 16, 2021
Sponsors: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services


Social and Behavioral Intervention Research to Address Modifiable Risk Factors for Cancer in Rural Populations (R01 Clinical Trial Required)
Funding to develop, adapt, and test interventions to address risk factors for cancer in rural populations. Applications should focus on primary prevention and assess and address one or more of the social and behavioral risk factors that contribute to cancer disparities in rural populations: tobacco use; diet, physical activity and weight; alcohol use; UV exposure; and HPV vaccination.
Geographic coverage: Nationwide and U.S. Territories
Letter of Intent (Optional): Feb 15, 2021
Application Deadline: Mar 15, 2021
Sponsors: National Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services


HIV/AIDS High Priority Drug Abuse Research (R01 Clinical Trial Optional)
Funding for NIH high priority research relevant to drug misuse and HIV/AIDS. Research priorities revolve around the National Institute on Drug Abuse's Seek, Test, Treat, and Retain framework, and include reducing health disparities in the incidence of new HIV infections or in treatment outcomes of those living with HIV/AIDS. Populations of interest include urban, suburban, and rural drug users; populations at elevated risk for HIV, such as men who have sex with men; and people in rural areas who use opioids and injection drugs.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Sep 8, 2021
Sponsors: National Institute on Drug Abuse, National Institutes of Health, U.S. Department of Health and Human Services


Better Maternal Outcomes Rapid Improvement Network
A series of 6-week educational and networking initiatives focused on improving maternal outcomes. Participants will enroll in 6-week improvement sprints focused on a specific clinical topic related to maternal health.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Institute for Healthcare Improvement


PCORI Ambassador Program
A national volunteer network designed to engage healthcare stakeholders in strengthening the patient-centered outcomes research (PCOR) community and increasing the dissemination of PCORI-funded​ research. PCORI supports research to give patients a better understanding of the prevention, treatment and care options available while considering potential for differences in treatment effectiveness among subpopulations, such as rural residents.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Patient-Centered Outcomes Research Institute

New Resources

Closed Hospital Animation Map
Animated map that represents hospital closures from 2009-2019. Distinguishes facility closures among primary; urgent and emergency care; outpatient, primary care, and rural health clinics; and nursing or rehabilitation facilities.
Sponsoring organizations: Center for Economic Analysis of Rural Health, Center on Rural Innovation

Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns — United States, June 2020
Results of a web-based survey administered from June 24-30, 2020, exploring delays in routine or emergency medical care, due to closure of facilities or fear of exposure to COVID-19. Features demographic statistics with breakdowns by urban or rural location.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 69(36), 1250-1257
Date: 09/2020


Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
Date: 09/2020


Expect Delays: Poor Connections Between Rural and Urban Health Systems Challenge Multidisciplinary Care for Rural Americans with Diabetic Foot Ulcers
Investigates communication barriers between rural and urban health systems to identify factors that may be contributing to higher risk of major amputation among rural patients with diabetic foot ulcers (DFUs) compared to urban patients with DFUs. Barriers for rural providers include time-consuming referrals; poor interactions with urban providers; and data sharing issues due to multiple, disconnected electronic health records.
Author(s): Bryn Sutherland, Kristen Pecanac, Christie Bartels, Meghan Brennan
Location: Journal of Foot and Ankle Research, 13(1), 32
Date: 06/2020


Frequent Mental Distress Among Adults, by Disability Status, Disability Type, and Selected Characteristics — United States, 2018
Reports on prevalence of mental distress among adults with and without disabilities, by disability type and selected demographic characteristics. Features statistics with breakdowns by metropolitan or nonmetropolitan designation.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 69(36), 1238-1243
Date: 09/2020


Income and Poverty in the United States: 2019
Reports on income levels and poverty rates for 2018 and 2019, along with the percent change from 2018 to 2019. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2020 and earlier Current Population Survey Annual Social and Economic Supplements.
Sponsoring organization: U.S. Census Bureau
Date: 09/2020


Obstetric Emergencies in Rural Hospitals: Challenges and Opportunities
Describes challenges faced by rural hospitals in offering emergency obstetric care and highlights resources that help rural hospitals respond to obstetric emergencies effectively. Includes a summary of concerns, based on responses to a survey of rural hospitals that do not routinely provide obstetric care.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 09/2020


Racial and Ethnic Differences in Self-Rated Health Among Rural Residents
Uses 2011-2017 data from the National Health Interview Survey to identify differences in self-reported health ratings among racial and ethnic populations in rural areas. Examines relationships between self-rated health and sociodemographic characteristics, such as sex, marital status, educational attainment, poverty level, and more.
Author(s): Carrie Henning-Smith, Ashley Hernandez, Katy Kozhimannil
Location: Journal of Community Health
Date: 09/2020


Results from the 2019 National Survey on Drug Use And Health: Detailed Tables
Presents data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 09/2020


Small Rural Hospital Transition (SRHT) Project Behavioral Health Care Coordination Summit: Summit Findings
Summarizes the findings from a two-day summit on the role of rural hospitals in addressing behavioral health as part of a community-wide initiative. Identifies barriers to behavioral health care coordination in rural areas. Describes four areas of opportunity to advance care coordination. Includes resources for each area of opportunity identified.
Sponsoring organizations: Advocates for Human Potential, National Rural Health Resource Center
Date: 08/2020


The Supplemental Poverty Measure: 2019
Provides estimates of poverty for the official poverty measure and the supplemental poverty measure, which takes into account government programs that support low-income families. Appendix Tables 1 and 2 provide data for metropolitan and nonmetropolitan areas.
Sponsoring organization: U.S. Census Bureau
Date: 09/2020

Upcoming Events

Sep
17
NACHC Pharmacy Office Hours: Recent Developments in 340B
Time: 2:00 - 3:00 p.m. Eastern
To submit questions in advance, email cmeiman@nachc.org.
National Association of Community Health Centers
Sep
17
NTAA Informational Webinar: Indoor Air Quality Considerations to Assist Tribes in Re-opening Tribal Buildings During COVID
Time: 2:30 - 4:30 p.m. Central
National Tribal Air Association
Andy.bessler@nau.edu
Sep
17
Testing and Treatment of 2020-2021 Seasonal Influenza During the COVID-19 Pandemic
Time: 2:00 - 3:00 p.m. Eastern
Centers for Disease Control and Prevention
Sep
17
Today with Macrae: BPHC REACH and Health Equity Panel Discussion
Time: 2:00 - 3:00 p.m. Eastern
Call-in: 888.282.9633
Passcode: 2271888
U.S. Department of Health and Human Services
Sep
21
COVID-19 Partner Update September 21, 2020: CDC COVID-19 Vaccination Planning: What You Should Know
Time: 3:00 - 4:00 p.m. Eastern
To submit questions in advance, e-mail eocevent337@cdc.gov with "Partner Call 9/21" in the subject line.
Centers for Disease Control and Prevention
Sep
21
RHC TA Webinar/Call: Cost Reporting During COVID
Time: 1:00 - 2:00 p.m. Central
National Association of Rural Health Clinics
Sep
22
Race and Ethnicity in Rural Communities: Why it Matters
Time: 2:00 - 3:00 p.m. Eastern
Rural Communities Opioid Response Program - Technical Assistance
RCORP-TA@jbsinternational.com
Sep
22
Shelter in Rural Places: Facing Rural Housing Challenges in the Unfolding Pandemic
Time: 3:30 - 5:00 p.m. Eastern
Housing Assistance Council
csg.program@aspeninst.org
Sep
22-23
2020 19th Annual NRHA Rural Health Clinic Conference - VIRTUAL
National Rural Health Association
816.756.3140 Ext.12
siress@NRHArural.org
Sep
23
ACA Webinar: Recent Updates and Innovations in Telehealth
Time: 1:00 - 2:30 p.m. Eastern
IHS Tribal Self-Governance Advisory Committee (TSGAC)
Sep
23
CMS COVID-19 Nursing Home Call
Time: 4:30 - 5:30 p.m. Eastern
Joining via audio webcast is preferred as phone lines are limited.
Call-in: 833.614.0820
Passcode: 5839938
Centers for Medicare and Medicaid Services
Sep
23-25
2020 19th Annual NRHA Critical Access Hospital Conference - VIRTUAL
National Rural Health Association
816.756.3140 Ext.12
siress@NRHArural.org
Sep
24
Introducing the Rural Community Paramedicine Toolkit
Time: 12:00 - 1:00 p.m. Central
NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
webinars@ruralhealthinfo.org
Sep
24
Lens on Security
Time: 11:30 a.m. - 12:30 p.m. Central
Rural Health Association of Tennessee
jacy@rhat.org
Sep
24
NNLM Research Data Management Webinar Series: Operationalizing the CARE Principles for Indigenous Data Governance in Research Data Management
Time: 11:00 a.m. - 12:00 p.m. Pacific
National Network of Libraries of Medicine
Sep
29
2020 FQHC Coding and Billing Training - Virtual
Virtual sessions held from September 29 - October 9, 2020
Arizona Alliance for Community Health Centers
Sep
29
UMTRC Virtual Office Hours: - Virtual Visits and Reimbursement
Time: 12:00 - 12:30 p.m. Eastern
Upper Midwest Telehealth Resource Center
bsanders@indianarha.org
Sep-Oct
29-1
2020 3rd National Summit on Rural Road Safety - VIRTUAL
National Center for Rural Road Safety
tulberg@meetingsnorthwest.com
Sep-Oct
29-1
2020 Annual NOSORH Meeting - VIRTUAL
National Organization of State Offices of Rural Health
1.888.391.7258 Ext. 102
stryckerm@nosorh.org
Sep
30
Employer of Choice: Strategies for Retaining Your Best Asset - Your People
Time: 9:15 a.m. - 12:30 p.m. Eastern
Maine Office of Rural Health and Primary Care
merica.a.tripp@maine.gov
Sep
30
Proposed Updates to the Service Area Needs Assessment Methodology (SANAM) and Unmet Need Score
Time: 2:00 - 3:00 p.m. Eastern
Call-in: 888.282.9633
Passcode: 2271888
Health Resources and Services Administration
Oct
2
2020 5th Annual University of Rochester Behavioral Health Integration Symposium - VIRTUAL
Virtual sessions each Friday from October 2 to October 23
University of Rochester Medicine, Recovery Center of Excellence
585.732.7208
christine_lasher@urmc.rochester.edu
Oct
5-9
2020 Indigenous Connectivity Summit - VIRTUAL
Internet Society
Oct
7-9
2020 43rd Annual Georgia Primary Care Association Conference
Georgia Primary Care Association
Savannah, GA
lcwright@gaphc.org
Oct
8
2020 75th Annual New Mexico Hospital Association Meeting - VIRTUAL
Time: 8:00 a.m. - 5:00 p.m. Mountain
New Mexico Hospital Association
505.343.0010
knorthness@nmhsc.com
Oct
8
2020 NALBOH Annual Conference Webinars, Session 4 of 5: NACCHO National Profile of Local Health Departments - 2019 Profile Study Results
Time: 3:00 - 4:00 p.m. Central
920.560.5644
nalboh@badgerbay.co
Oct
8
Substance Abuse Prevention for Youth in Indigenous Communities
Time: 1:00 p.m. Eastern
You will be able to view this by webinar on the day of the event.
National Institute on Alcohol Abuse and Alcoholism
Oct
13
2020 HRSA Annual Tribal Consultation Meeting
Time: 1:00 - 3:00 p.m. Eastern
Call-in: 800.779.7169
Passcode: 6122629
Tribals official may submit written comments to aianhealth@hrsa.gov by September 28, 2020.
Health Resources and Services Administration
Oct
13
2020 NARHC Fall Institute - VIRTUAL
Virtual sessions held from October 13 - October 29, 2020
National Association of Rural Health Clinics
866.306.1961
admin@narhc.org
Oct
14-15
2020 28th Annual West Virginia Rural Health Conference - VIRTUAL
West Virginia Rural Health Association
debrinwvrha@gmail.com
debrinwvrha@gmail.com
Oct
14-15
2020 Northern Plains Conference on Aging and Disability - VIRTUAL
Time: 1:00 - 4:20 p.m.
218.299.3566
conferences@cord.edu
Oct
15
Telehealth Considerations and Strategies for Special and Vulnerable Populations
Time: 2:00 - 3:00 p.m. Eastern
Health Information Technology, Evaluation, and Quality Center (HITEQ)
Oct
15
Understanding and Addressing Inequalities in the Food System: What Can Be Done about Food System Inequalities in Rural Areas?
Time: 4:00 - 5:00 p.m. Central
University of Missouri Extension, Community Economic Development Food Systems Team, University of Missouri Extension, Interdisciplinary Center for Food Security
Oct
20
2020 Chronic Disease Partners and Better Choices, Better Health Meeting
Time: 12:00 - 2:00 p.m. Central
Virtual sessions held from October 20 - November 10, 2020.
Better Choices, Better Health SD, SD Office of Chronic Disease Prevention and Health Promotion
605.494.3602
blusk@tie.net
Oct
20
Grief and Loss Webinar Series: Loss of Elders
Time: 11:00 a.m. - 12:00 p.m. Central
Indian Health Service
Oct
21
COVID-19: Mapping High-Risk Areas in Your Community Using HealthLandscape
Time: 12:00 - 12:45 p.m.
HealthLandscape
Oct
21-22
CDC: Community Preventive Services Task Force (CPSTF) Meeting - VIRTUAL
Centers for Disease Control and Prevention
404.498.6778
CPSTF@cdc.gov
Oct
22
CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management Live Q&A Sessions
Time: 4:00 - 5:00 p.m. Eastern
Centers for Disease Control and Prevention, Centers for Medicare and Medicaid Services
Oct
27
Addressing Traumatic Brain Injury and Mental Health in Primary Care
Time: 12:00 - 1:30 p.m. Central
Mountain Plains Mental Health Technology Transfer Center
gberry@wiche.edu
Oct
27
Grief and Loss Webinar Series: Loss-Related Depression and Treatment
Time: 11:00 a.m. - 12:00 p.m. Central
Indian Health Service
Oct
29
Rural PREP Grand Rounds – Who Will Join Me in Practice? Recruiting for Rural Communities
Time: 12:00 - 1:00 p.m. Central
Rural PREP
rprep@uw.edu
Oct
29-30
Medicaid and CHIP Payment and Access Commission (MACPAC) Public Meeting - VIRTUAL
Medicaid and CHIP Payment and Access Commission
202.350.2000

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.