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RHIhub This Week - November 10, 2020

New in the Rural Monitor

Photo of five rural nurses featured in the Rural Monitor Rural Registered Nurses: Stories of Caring for Their Communities
by Kay Miller Temple, MD
Nurses are an integral part of the rural healthcare workforce. Registered nurses from across the country share their stories about their path to nursing, their accomplishments, and how they provide healthcare in their rural communities.

National Rural Health Day Activities

Mortality in Rural Areas: Insights from National Research and Community-Based Initiatives
Monday, November 16th at 2:00 pm Central, we are hosting a webinar on the differences in mortality between rural and urban populations. Featured speakers include Jennifer Burges from the Federal Office of Rural Heath Policy; Sally Curtin, Merianne Spencer, Matthew Garnett, and Holly Hedegaard from the National Center for Health Statistics; as well as Kami Anderson and Michael Krafick from the Armstrong-Indiana-Clarion Drug & Alcohol Commission.

RuralHealthChat: Examining Social Determinants of Health in Rural America
To celebrate National Rural Health Day and the Power of Rural, we will be hosting a Twitter Chat with NOSORH on November 18th. Join special guests from Rural Health Research Gateway, University of Minnesota Rural Health Research Center, American Hospital Association, Grantmakers in Health, and more. To participate, follow the #RuralHealthChat tag at 12:00 pm Central!

 New in Our Online Library
 Information from around the web

Recent News

How ACOs in Rural and Underserved Areas Responded to Medicare's ACO Investment Model
Nov 10, 2020 -- Blog post discusses the Centers for Medicare and Medicaid Services' Accountable Care Organization (ACO) Investment Model (AIM) and its impacts. Analysis finds that the ACO Investment Model can help underresourced providers reduce spending to offset the costs of delivery system investments, even under an upside-only financial risk model. Describes how management companies support rural ACOs.
Source: Health Affairs

Cultural Traditions Carry American Indians, Alaska Natives Through COVID-19 — and Create Risks
Nov 9, 2020 -- Highlights efforts by the Navajo Nation to combat the spread of COVID-19 in their communities, describes how a combination of health education, curfews, and moving cultural practices to the digital world has decreased cases. Discusses the impact of the pandemic on disparities present in Native American communities.
Source: Center for Health Journalism

Rural Hospitals Are Dying. This One Saved Itself—and Its Community
Nov 9, 2020 -- Features a struggling rural hospital in South Georgia and the CEO that helped turn it around with the help of a seasoned CEO from another rural hospital. After implementing a swing bed program and taking in patients from out of town, the rural hospital improved financially, allowing the hospital to prepare for and respond to the COVID-19 pandemic.
Source: Time

Why Playgrounds Matter in Rural America: Insights for Rural Donors and Funders
Nov 9, 2020 -- Blog post discusses the positive impact playgrounds have on the health and well-being of rural children and highlights KABOOM!, a nonprofit who works with rural communities in transforming playspaces for kids. Discusses how the KABOOM! model is scalable to rural communities' needs and can help address high rates of obesity and mental health issues.
Source: PhilanthropywoRx

New Plan to Treat Opioid Use Disorder Could Help Rural Communities Combat Addiction
Nov 6, 2020 -- Highlights research and a program at the University of Kentucky focused on providing patients at infectious disease clinics with access to mental health therapists, relapse prevention services, and medications. Discusses how this program aims to address the rising rates of opioid overdose rates in rural areas and increase access to specialized care.
Source: The Daily Yonder

An Old School Doc in the New Normal
Nov 5, 2020 -- Features an 88-year-old doctor who has cared for rural North Carolina residents for more than 50 years. Describes why he chooses to continue his practice in Hertford County, which is near the bottom of state rankings in terms of health outcomes.
Source: North Carolina Health News

Despite COVID-19 Disruptions, Randle Library Works to Help Isolated Veterans
Nov 4, 2020 -- Highlights the Veteran Connection Café, opened by a library in rural Washington in 2019 to provide healthcare and benefit services to veterans. The café closed during the COVID-19 pandemic, but the library continued to offer services by providing veterans with a Chromebook and access to Wi-Fi.
Source: The Daily Chronicle

'No Mercy' Chapter 6: Trickle-Down Heartache Reaches the Next Generation in a Rural Town with No Hospital
Nov 3, 2020 -- Sixth episode in a podcast series following a rural town in Kansas that recently lost its hospital. Features a teenager who lives with and cares for his grandparents. Discusses the prevalence of mental health issues and substance use, highlights the new community health center that provides addiction and behavioral health services. (Contains language some may find offensive).
Source: Kaiser Health News

Federal Register

FDA: Evaluating the Effect of the Opioid Analgesics Risk Evaluation and Mitigation Strategy Education Program on Prescribing Behaviors and Patient Outcomes-Exploring the Path Forward for Assessment; Public Workshop; Issues Paper; Request for Comments
Nov 5, 2020 -- The Food and Drug Administration will hold a virtual public workshop on December 11, 2020 to obtain scientific input on methods to evaluate the Opioid Analgesics Risk Evaluation and Mitigation Strategy (OA REMS) education program. Background information on the program, as well as evaluation challenges, are outlined in an issues paper, Methods for Evaluating the Opioid Analgesic Risk Evaluation and Mitigation Strategy. Comments on the workshop are due by February 11, 2021.
Source: Federal Register

Funding & Opportunities

Building Workforce Capacity of Rural and Frontier Local Health Departments to Respond to COVID-19
Fixed price contracts to support training and technical assistance activities building local health department workforce capacity to enhance community COVID-19 response efforts.
Geographic coverage: Nationwide
Application Deadline: Nov 30, 2020
Sponsor: National Association of County and City Health Officials

Academy of General Dentistry Foundation Grant Program
Grant support for nonprofit community-based outreach programs that provide free oral cancer screenings and education to the public, especially underserved communities, that lack access to oral healthcare due to geographic and/or economic hardship.
Geographic coverage: Nationwide
Application Deadline: Dec 1, 2020
Sponsor: Academy of General Dentistry

Connected Care Pilot Program
Funding for nonprofit and public healthcare providers to cover 85% of the eligible costs of broadband connectivity, certain network equipment, and information services necessary to provide connected care services to a patient population.
Geographic coverage: Nationwide
Application Deadline: Dec 7, 2020
Sponsor: Universal Service Administrative Company

Multi-Level HIV Prevention Interventions for Individuals at the Highest Risk of HIV Infection (R01 Clinical Trial Optional)
Research grants for projects that test the effectiveness of multi-level interventions to prevent HIV in high-risk health disparity populations or subgroups in one or more geographic areas with a high rate of new HIV infections. Individuals from rural areas are considered a health disparity population.
Geographic coverage: Nationwide
Letter of Intent (Optional): Dec 15, 2020
Application Deadline: Jan 15, 2021
Sponsors: National Institute of Mental Health, National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services

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

CORE Concepts in Telehealth Certificate Program
Self-paced online training program for healthcare students and professionals covering CORE (Clinical, Operational, Regulatory, and Ethics) concepts for successful implementation and delivery of telehealth. Organized in 7 modules, featuring case studies and interactive content on telehealth technology, telepresence skills, licensing, and regulation.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: American Board of Telehealth

Delta Region Community Health Systems Development Program Technical Assistance
Technical assistance for selected hospitals, clinics and their communities in the Delta Region to make in-depth health system enhancements.
Geographic coverage: Counties in Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee that are served by the Delta Regional Authority.
Applications accepted on an ongoing basis
Sponsors: Delta Regional Authority, National Rural Health Resource Center

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

New Resources

2018 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2018. Includes discussions related to program design for rural practices, data on eligibility and participation for small and rural practice clinicians, and their payment adjustment scores.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 10/2020

2020 Uniform Data Set (UDS) Measure Crosswalk to Other Quality Reporting Programs
Chart listing National Quality Forum measures and the related 2020 measures for the Uniform Data Set (UDS), CMS eCQM (electronic clinical quality measures), Core Quality Measures Collaborative (CQMC) core sets, CMS Quality Payment Program (QPP), Medicare Shared Savings Program (MSSP), and Healthcare Effectiveness Data and Information Set (HEDIS). Can be used to identify which UDS measures are being used by other programs.
Sponsoring organization: Stratis Health
Date: 10/2020

AHRQ ECHO National Nursing Home COVID-19 Action Network
Offers training for nursing facilities at training centers around the U.S. to implement evidence-based best practices focused on the prevention of COVID-19 from entering and spreading in nursing homes, including early detection, safe and appropriate care, and in reducing social isolation for residents, families, and staff. Eligible nursing facilities may receive federal funding to support the implementation and adoption of quality improvement practices and measures through the CARES Act Provider Relief Fund (PRF).
Sponsoring organizations: Agency for Healthcare Research and Quality, University of New Mexico School of Medicine

Assessment of Rural-Urban Differences in Health Care Use and Survival Among Medicare Beneficiaries With Alzheimer Disease and Related Dementia
Results of a study of 555,333 Medicare beneficiaries diagnosed in 2010 with Alzheimer's disease and related dementia (ADRD). Features statistics including outcomes in 72 months after ADRD diagnosis, with breakdowns by metropolitan, micropolitan, and rural counties.
Author(s): Momotazur Rahman, Elizabeth M. White, Kali S. Thomas, Eric Jutkowitz
Location: JAMA Network Open, 3(10)
Date: 10/2020

Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings
Report explores how primary care providers can best provide mental health and substance use disorder services to their patients. Discusses the barriers to behavioral healthcare in rural areas such as insurance coverage, workforce shortages, and lack of transportation, among others, and highlights the role primary care providers can play in overcoming those barriers.
Additional links: Read Online
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
Date: 2020

CMS Nursing Home Resource Center
Provides information for nursing home providers and CMS partners on regulations and guidance, training and resources, technical information, payment policy, and recent COVID-19 data and related policies. Includes resources and guidance for people in nursing home and their caregivers.
Sponsoring organization: Centers for Medicare and Medicaid Services

Computerized Capability of Office-Based Physicians to Identify Patients Who Need Preventive or Follow-up Care — United States, 2017
Examines the capability among U.S. office-based physicians to provide electronic reminders to decrease missed care. Includes data for metropolitan and nonmetro areas.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 69(44), 1622-1624
Date: 11/2020

Deaths From COVID‐19 in Rural, Micropolitan, and Metropolitan Areas: A County‐Level Comparison
Presents a study on the difference in rates of mortality from COVID-19 in rural versus urban areas. Discusses the factors that predict COVID-19 mortality, such as elderly populations and limited access to healthcare, among others. Breaks down data in rural, metropolitan, and micropolitan counties and highlights COVID-19 cases, hospital beds, and unemployment rate, among other mortality measures in those counties.
Author(s): Saleema A. Karim, Hsueh-Fen Chen
Location: Journal of Rural Health
Date: 11/2020

Lung Cancer Staging at Diagnosis in the Veterans Health Administration: Is Rurality an Influencing Factor? A Cross‐Sectional Study
Highlights a study on the correlation between the stage of lung cancer at point of diagnosis and rurality of the patient being treated by the Veterans Health Administration. Breaks down patient data by age, race, and region, among others measures.
Author(s): Rolando Sanchez, Yunshu Zhou, Mary S. Vaughan Sarrazin, et al.
Location: Journal of Rural Health, 36, 484-495
Date: 11/2020

Making it Work: Models of Success in Rural Maternity Care
Describes factors that underlie 3 successful models of rural maternity care and informs communities, clinicians, and hospitals wishing to keep obstetric services available on the local level. Includes information from interviews conducted at facilities in Baldwin, Wisconsin; Lakin, Kansas; and Russelville, Arkansas.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 11/2020

Maternal Morbidity and Mortality Environmental Scan
Reports on an environmental scan to define maternal morbidity and identify risk factors, processes, and innovations relevant to maternal morbidity and mortality care delivery and measurement. Discusses rurality as a factor influencing maternal health outcomes.
Sponsoring organization: National Quality Forum
Date: 11/2020

Notes from the Field: Development of an Enhanced Community-Focused COVID-19 Surveillance Program — Hopi Tribe, June‒July 2020
Describes a collaboration between the Hopi Tribe Department of Health and Human Services, Hopi Health Care Center, and CDC to provide house-to-house COVID-19 surveillance and education in a rural, low-resource setting using community health representatives and volunteers.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 69(44), 1660-1661
Date: 11/2020

Pipeline Programs Can Support Reforms in Medical Education: A Cohort Study of Alabama's Rural Health Leaders Pipeline to Engage Community Leaders
Presents a study examining the efficacy of a medical education pipeline program to provide healthcare professionals for rural communities in Alabama. Details the distributions of graduates throughout the state and highlights the counties by the percentage of their populations that are rural, poor, and Black, among other measures.
Author(s): John R. Wheat, James D. Leeper
Location: Journal of Rural Health
Date: 11/2020

Rural Success: Avera Holy Family Hospital, IA
Profiles the quality improvement efforts of Avera Holy Family Hospital, a Critical Access Hospital in rural Iowa. Discusses quality initiatives regarding the Emergency Department Transfer Communication (EDTC) measure, patient experience, and antibiotic stewardship.
Sponsoring organization: Stratis Health
Date: 11/2020

A SARS-CoV-2 Outbreak Illustrating the Challenges in Limiting the Spread of the Virus — Hopi Tribe, May–June 2020
Reports on an investigation of a COVID-19 outbreak among immediate and extended family and community members of the Hopi Tribe. Describes the public health response, which included support for those in isolation and quarantine and community education and mitigation activities.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 69(44), 1654-1659
Date: 11/2020

Sociodemographic and Geographic Variation in Awareness of Stroke Signs and Symptoms Among Adults — United States, 2017
Reports on knowledge of the five signs and symptoms of stroke and the immediate need to call emergency medical services among adults 20 years and older. Includes data by county urbanicity for rural counties, small and medium metro counties, and large metro counties.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 69(44), 1617-1621
Date: 11/2020

Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas of the U.S.
Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Sponsoring organization: National Association of State Mental Health Program Directors
Date: 08/2020

Urban–Rural Disparities in Access to Low-Dose Computed Tomography Lung Cancer Screening in Missouri and Illinois
Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Location: Preventing Chronic Disease, 17
Date: 11/2020

Open Calls for Contributions

Call for Speaker Abstract: 2021 Annual Ohio Association of Community Health Centers Conference
Ohio Association of Community Health Centers
Event Dates: Apr 26 - 28, 2021
Columbus, OH
Conference Website

Call for Abstracts: 2021 National Conference on EMS
Deadline: Nov 30, 2020
New Jersey Office of Emergency Medical Services
Event Dates: Nov 11 - 13, 2021
Atlantic City, NJ
Conference Website

Call for Presentations: 2021 Ohio Hospital Association Annual Meeting
Deadline: Dec 11, 2020
Ohio Hospital Association
Event Dates: Jun 7 - 9, 2021
Columbus, OH
Conference Website

Upcoming Events

Mortality in Rural Areas: Insights from National Research and Community-Based Initiatives
Time: 2:00 - 3:00 p.m. Central
Rural Health Information Hub
Overcoming Invisibility: Better Health Data for American Indians and Alaska Natives
Time: 12:00 - 1:00 p.m. Pacific
UCLA Center for Health Policy Research
#RuralHealthChat: Examining Social Determinants of Health in Rural America
Time: 12:00 - 1:00 p.m. Central
National Organization of State Offices of Rural Health, Rural Health Information Hub
Health Resources & Services Administration Virtual Job Fair for Rural Communities
Time: 6:45 - 10:15 p.m. Eastern
Bureau of Health Workforce
Tribal Opioid and Substance Use Webinar Series 2 of 4
Time: 11:00 a.m. - 12:30 p.m. Arizona
Arizona Department of Health Services
Telehealth 101 Virtual Workshop for Tribes - Introducing Telehealth to Rural and Indigenous Communities
Time: 12:00 p.m. (Wednesday) - 5:00 p.m. Central (Thursday)
Great Plains Telehealth Resource and Assistance Center, Health Resources and Services Administration, Heartland Telehealth Resource Center, North Dakota Department of Health, Southwest Telehealth Resource Center, Spirit Lake Tribe
2020 Annual National Rural Health Day
National Organization of State Offices of Rural Health
Fall CHW Workforce Virtual Symposium: Community Health Workers Responding To The Call of Humanity Against COVID-19
Time: 9:30 a.m. - 2:00 p.m. Central
Arizona Community Health Worker Association
Lunch & Learn: Establishing Connections in Rural Indiana
Time: 12:00 - 1:00 p.m. Eastern
Indiana Rural Health Association
812.478.3919 Ext. 222
Surviving & Thriving | THE POWER OF RURAL IS 100% COMMUNITY
Time: 2:00 - 3:15 p.m. Eastern
National Organization of State Offices of Rural Health
2020 2nd Annual Rural Health Clinical Congress
National Organization of State Offices of Rural Health, RME Collaborative Rural Medical Education
2020 Tribal Health Virtual Town Hall: Standing Together During the COVID-19 Pandemic
Time: 10:00 a.m. Mountain
Blue Cross Blue Shield of Arizona, Inter Tribal Association of Arizona, Inter Tribal Council of Arizona, American Indian Research Center for Health
Treating Opioid Use Disorder in Rural Communities
Time: 12:00 p.m. Mountain
Arizona Emergency Medicine Research Center, University of Arizona Health Sciences, Comprehensive Pain & Addiction Center
HealthLandscape Immunization Explorer
Time: 11:00 a.m. - 12:00 p.m. Eastern
Medication-Assisted Treatment Waiver Training
Virtual training held December 14 and 16, 2020.
Time: 1:00 - 5:00 p.m. Arizona
Arizona State University, Center for Applied Behavioral Health Policy
Suicide Prevention Webinar Series: Responding to Suicide Clusters: Lessons Learned
Time: 11:00 a.m. - 12:00 p.m. Central
Indian Health Service
COVID-19 Learning Series 3 of 3: Looking Over the Horizon
Time: 1:00 - 2:00 p.m. Eastern
National Association of Community Health Centers
2020 Critical Access Webinar Series - Protecting Critical Access Hospital Reimbursement During a Pandemic
Time: 12:00 - 1:30 p.m. Central
Eide Bailly LLP

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 Your stories may be used in testimony, budget documents and presentations concerning the Rural Health Information Hub.