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RHIhub This Week - April 7, 2021

New in the Rural Monitor

Silhouette of a young girl in sewer pipe Looking at the Rural Homelessness Experience: Definitions, Data, and Solutions
by Kay Miller Temple, MD
Though often considered an urban problem, homelessness also affects rural individuals and families, impacting their health and well-being. A Vermont nonprofit leader shares her organization's work using the evidence-based solution Housing First and reminds us that for many, homelessness is just "one catastrophic event away."

New RHIhub staff member

   
Lynae Wingate staff photo Please welcome the newest member of the RHIhub team, Lynae Wingate! Lynae has a Bachelor of Arts degree from North Dakota State University and will be joining as our new Project Specialist.

LinkedIn Launch

   
We've officially joined LinkedIn!
Check out our page and connect with us! You can also keep up with RHIhub on Facebook and Twitter.

 New in Our Online Library
 Information from around the web

Recent News

Health Resources and Services Administration's National Health Service Corps (NHSC) Loan Repayment Programs
Apr 6, 2021 -- The Health Resources and Services Administration's (HRSA) National Health Service Corps (NHSC) opened applications for the NHSC Loan Repayment Program, the NHSC Substance Use Disorder Workforce Loan Repayment Program, and the NHSC Rural Community Loan Repayment Program. Applications close May 6, 2021. Includes information on NHSC webinars to help with the application process.
Source: Health Resources and Services Administration

New Infections Climb by 9% in Rural Counties While Number of Deaths Declines
Apr 6, 2021 -- Analyzes new COVID-19 infection rates between March 28-April 3, 2021, finding that infections in rural counties increased about nine percent, while COVID-related deaths declined. Identifies states that saw an increase in red-zone counties, such as Kentucky, Nebraska, Ohio, and Michigan. Includes an interactive map of infection rates for all U.S. counties.
Source: The Daily Yonder

A Brief but Spectacular Take on the Importance of Palliative Care in Rural Communities
Apr 1, 2021 -- Video report includes interviews with a doctor, a hospice and social worker, and a patient from different rural communities across the country. Discusses why palliative care is crucial in rural communities and addresses barriers to care.
Source: PBS

Coming Soon: Emergency Broadband Benefit Program
Apr 1, 2021 -- The Federal Communications Commission (FCC) is seeking assistance from healthcare centers, grantees, and partners in spreading the word about the upcoming Emergency Broadband Benefit (EBB) program. Through this program, $3.2 billion in funding will be available to provide qualifying households discounts on their internet service bills. Applications will be accepting beginning in late April.
Source: Federal Communications Commission

U.S. Department of Health and Human Services Launches Nationwide Network of Trusted Voices to Encourage Vaccination in Next Phase of COVID-19 Public Education Campaign
Apr 1, 2021 -- The U.S. Department of Health and Human Services (HHS) announced the launch of the COVID-19 Community Corps, a nationwide network of local and trusted voices to encourage Americans to get vaccinated. This effort will mobilize health professionals, scientists, community organizations, faith leaders, businesses, rural stakeholders, civil rights organizations, sports leagues and athletes, and others to encourage vaccinations. Includes a full list of founding members and instructions on how to sign up to become a member
Source: U.S. Department of Health and Human Services

Racial Disparities in Death Rates from Chronic Diseases Show Minimal Improvement over Last Two Decades
Mar 29, 2021 -- Summarizes a study published in the Journal of the American College of Cardiology that examined racial disparities for chronic diseases such as diabetes, high blood pressure, heart disease, and stroke. Reports that the disparities improved slightly in rural areas, with larger improvements occurring in urban areas.
Source: News Wise

Federal Register

HRSA: Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Rural Health Network Development Program, OMB No. 0906-0010-Revision
Apr 5, 2021 -- Notice from the Health Resources and Services Administration (HRSA) seeking comments on an information collection request regarding changes to Rural Health Network Development measures. The proposed changes include additional questions surrounding the network's components of sustainability, modifications to questions on health information technology and telehealth, and additional National Quality Forum measures. Comments are due by May 5, 2021.
Source: Federal Register

Funding & Opportunities

Food and Agriculture Service Learning Program
Grants to develop and expand existing farm to school initiatives and other food and learning initiatives with the overall goal of increasing knowledge of agriculture and improving the nutritional health of children.
Geographic coverage: Nationwide
Application Deadline: May 3, 2021
Sponsors: National Institute of Food and Agriculture, U.S. Department of Agriculture


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: Jun 4, 2021
Sponsors: U.S. Department of Agriculture, USDA Rural Development, USDA Rural Utilities Service


Social and Economic Development Strategies - Growing Organizations (SEDS-GO)
Grants to build the internal capacity of health and human service organizations so that they may effectively address the current social and economic conditions in Native American communities.
Geographic coverage: Nationwide and U.S. territories
Letter of Intent (Optional): May 6, 2021
Application Deadline: Jun 30, 2021
Sponsors: Administration for Children and Families, Administration for Native Americans, U.S. Department of Health and Human Services


Social and Economic Development Strategies Program (SEDS)
Grants for tribal community-based organizations, tribes, and village governments for social and economic infrastructure development. The program is focused on community-driven projects designed to grow local economies, strengthen Native American families, including the preservation of Native American cultures, and decrease the high rate of current challenges caused by the lack of community-based businesses, and social and economic infrastructure in Native American communities.
Geographic coverage: Nationwide and U.S. Territories
Letter of Intent (Optional): May 6, 2021
Application Deadline: Jun 30, 2021
Sponsors: Administration for Children and Families, Administration for Native Americans, U.S. Department of Health and Human Services

New Resources

Addressing Opioid-Related Outcomes Among Individuals With Co-Occurring Behavioral Health Conditions: An Environmental Scan of Quality Measures
Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Sponsoring organization: National Quality Forum
Date: 04/2021


Care Systems COVID-19 Impact Assessment: Lessons Learned and Compelling Needs
Explores the clinical and public health responses and experiences of hospitals and health systems, during the COVID-19 pandemic. Presents policy actions and policy considerations to leverage the lessons of the pandemic to improve health system financing, infrastructure, and coordination. Includes information on challenges and priority areas for consideration for rural hospitals and Critical Access Hospitals.
Sponsoring organization: National Academy of Medicine
Date: 04/2021


Certified Community Behavioral Health Clinics and County Governments - A National Model Tailored for Local Mental Health and Substance Use Care
Discusses the Certified Community Behavioral Health Clinic (CCBHC) model and details how counties can deploy CCBHCs to address mental health and substance use issues in their communities. Breaks down the structure of CCBHCs and provides several state level examples.
Sponsoring organizations: National Association of Counties, National Council for Behavioral Health
Date: 03/2021


Community Transmission of SARS-CoV-2 Associated with a Local Bar Opening Event — Illinois, February 2021
Reports on a rural indoor bar opening event that resulted in COVID-19 cases among bar patrons and employees, as well as secondary cases in the community that impacted a long-term care facility and a school. Discusses the need for prevention measures as community businesses reopen.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 70, Early Release
Date: 04/2021


COVID-19 Response: Broadband Funding for Tribes, Tribal Colleges and Universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service
Identifies indirect and direct broadband funding for American Indian tribes, tribal colleges and universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service authorized in the Coronavirus Aid, Relief, and Economic Security Act; Consolidated Appropriations Act, 2021; and American Rescue Plan Act of 2021.
Sponsoring organization: Congressional Research Service
Date: 03/2021


Guide for Future Directions for the Addiction and OUD Treatment Ecosystem
Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Sponsoring organization: National Academy of Medicine
Date: 04/2021


Meeting the Needs of Older Adults Living in Rural Communities: The Roles of Area Agencies on Aging
Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Sponsoring organization: National Association of Area Agencies on Aging
Date: 03/2021


Minority Health and Health Disparities Strategic Plan 2021–2025
Planning document presenting goals to address health disparities through scientific research, activities that sustain research, and outreach efforts. Describes health disparity populations, including racial and ethnic minority, rural, less privileged socioeconomic status (SES), and sexual and gender minorities (SGM) populations. Outlines plans to implement research projects and activities, and discusses Leap Forward priority areas that will advance research methods in minority health and health disparities.
Sponsoring organizations: National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health
Date: 03/2021


The Opioid Epidemic: A Geography in Two Phases
Research report examining population and geographic data on two phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report summary
Sponsoring organization: USDA Economic Research Service
Date: 04/2021


Oversight Hearing: Business Meeting to consider S. 421, S. 789 & Oversight Hearing "Build Back Better: Water Infrastructure Needs for Native Communities"
Recording of an oversight hearing of the Senate Committee on Indian Affairs to discuss the Western Tribal Water Infrastructure Act of 2021 and hear testimony on its potential effect on the health and wellness of native communities. Features testimonies by representatives of the Confederated Tribes of Warm Springs, the Colorado River Indian Tribes, Alaska Native Tribal Health Consortium, and Navajo Department of Water Resources.
Additional links: Amelia Flores Testimony, Jason John Testimony, Raymond Tsumpti Testimony, Valerie Nurr'Araaluk Davidson Testimony
Sponsoring organization: Senate Committee on Indian Affairs
Date: 03/2021


Rides That Save Lives Toolkit: COVID-19 Vaccine Equity for Older People
Provides strategies and best practices to help community organizations, mobility providers, and other partners improve vaccine access for older adults. Includes information to help reach people who are homebound, who no longer drive, have a disability, or lack caregiver support. Also covers how to address concerns about vaccine safety.
Sponsoring organization: Age Friendly Arizona
Date: 04/2021


Safety in Numbers: Hospital Performance on Leapfrog's Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey
Compares hospital and surgeon volume for 8 high-risk procedures to Leapfrog's minimum volume standards. Identifies the percent of rural hospitals that meet Leapfrog's volume standard for each procedure, as well as the percent of rural hospitals that do not electively perform these procedures.
Sponsoring organization: Leapfrog Group
Date: 02/2020


Spatial Analysis of Health Care Utilization among Medicare Beneficiaries with Coal Workers' Pneumoconiosis and Other Related Pneumoconiosis
Results of a study to determine and map the geographical distribution of healthcare utilization patterns among 8,625 Medicare beneficiaries with black lung disease (CWP) and other related respiratory diseases from 2011-2014. Features statistics with breakdowns by type of coal work-related disease and county-level maps showing healthcare utilization rates for beneficiaries with CWP or other related pneumoconiosis as the diagnosis.
Sponsoring organization: Rural and Underserved Health Research Center
Date: 04/2021


State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19
Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
Date: 03/2021


Student Loan Programs Authorized by the Public Health Service Act: An Overview
Provides an overview of student loan programs for health profession students authorized by the Public Health Service Act and administered by the Health Resources and Services Administration (HRSA). Describes borrower eligibility requirements, loan terms and conditions, and administrative rules. Includes a table comparing the programs by borrower type, repayment terms, the number of participating schools, and the number and financial amount of outstanding loans.
Sponsoring organization: Congressional Research Service
Date: 03/2021


Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Sponsoring organization: Bipartisan Policy Center
Date: 03/2021


Use of Selected Recommended Clinical Preventive Services — Behavioral Risk Factor Surveillance System, United States, 2018
Examines use of 10 recommended clinical preventive services: colon cancer screening, cervical cancer screening, breast cancer screening, HIV testing, pneumococcal vaccination, influenza vaccination, diabetes screening, HPV vaccination, zoster (shingles) vaccination, and tetanus vaccination. Includes data for urban and rural counties, as well as the urban to rural prevalence ratio.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 70(13), 461-466
Date: 04/2021


Vaccine Hesitancy for COVID-19: State, County, and Local Estimates
Estimates COVID-19 vaccine hesitancy using data collected by the U.S. Census Bureau's Household Pulse Survey (HPS) between March 3 - 15, 2021. Presents data by state, Public Use Microdata Areas (PUMA) level, and county. Includes data on select demographic characteristics by county, including age, race, education, and overall Social Vulnerability Index (SVI).
Additional links: Predicted Vaccine Hesitancy by State, PUMA, and County, Select Sociodemographic and Geographic Factors by County
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 04/2021


We Can Do This: COVID-19 Public Education Campaign
Resources to help community partners promote COVID-19 vaccine confidence and encourage prevention in the communities they serve. Includes educational materials in a wide range of formats and targeted to specific audiences. Provides information on the COVID-19 Community Corps, a grassroots network of people serving as trusted voices in their community regarding vaccination.
Additional links: The COVID-19 Community Corps
Sponsoring organization: U.S. Department of Health and Human Services
Date: 04/2021

Open Calls for Contributions

Call for Presentations: 2021 Annual National Prevention Network Conference - VIRTUAL
Deadline: Apr 30, 2021
National Association of State Alcohol and Drug Abuse Directors, National Prevention Network
Event Dates: Aug 24 - 26, 2021
Conference Website

Call for Proposals: 2021 Annual Tennessee Rural Health Association Conference
Deadline: Jun 30, 2021
Rural Health Association of Tennessee
Event Dates: Nov 17 - 19, 2021
Pigeon Forge, TN
Conference Website

Upcoming Events

Apr
8
The Opioid Epidemic: A Geography in Two Phases
Time: 1:00 p.m. Eastern
U.S. Department of Agriculture
Apr
12
CDC COVID-19 Partner Update: Contact Tracing for COVID-19 - Do We Still Need It? You Bet We Do!
Time: 3:00 - 4:00 p.m. Eastern
Centers for Disease Control and Prevention
Apr
12
COVID-19 Vaccination in WV: Part 1
Time: 12:00 - 1:00 p.m. Eastern
West Virginia Center for Rural Health Development
304.397.4071
Apr
13-27
2021 NARHC Spring Institute - VIRTUAL
Virtual sessions available every Tuesday and Thursday
National Association of Rural Health Clinics
866.306.1961
contact@narhc.org
Lexie from RHIhub will be exhibiting
Apr
14-15
Council on Graduate Medical Education Meeting
Time: 8:30 a.m. - 5:00 p.m. Eastern (April 14) and 8:30 a.m. - 2:00 p.m. Eastern (April 15)
Health Resources and Services Administration
SRogers@hrsa.gov
Apr
14-15
Diagnostics and Disease Management Tools for Use in Underserved Populations: An NHLBI Research & Implementation Workshop
National Heart, Lung, and Blood Institute (NHLBI)
Apr
15
COVID-19 and our Rural Communities
Focus area: Community Health Workers
Centers for Disease Control and Prevention, Federal Office of Rural Health Policy, National Rural Health Association
Apr
15
Forum on Aging in Rural Oregon Series: Not Just Bureaucracy: Oregon's Office of Aging and People with Disabilities and YOU - VIRTUAL
Time: 2:00 - 3:00 p.m. Pacific
Oregon Office of Rural Health
503.577.3849
locklear@ohsu.edu
Apr
15
NYSARH/NERHA Webinar: Community Paramedicine Program and the Impact it Could Have on Rural Areas
New England Rural Health Association, New York State Association for Rural Health
Apr
15
Preventing Evictions in Rural Arizona
Time: 1:00 p.m. Arizona
Arizona Telemedicine Program, Southwest Telehealth Resource Center
Apr
16
Connecting Prevention Specialists to Native Communities
Time: 12:00 p.m. Central
National American Indian and Alaska Native Prevention Technology Transfer Center, SAMHSA Tribal Training and Technical Assistance Center
cindy-sagoe@uiowa.edu
Apr
16
Questions About Telehealth Basics Or Telemental Health?
Mid-Atlantic Telehealth Resource Center
Apr
20
Case Study: Successful COVID-19 Messaging in Rural Communities
Time: 12:00 - 1:00 p.m. Eastern
Public Health Communications Collaborative
Apr
21
HRSA Telehealth Learning Series: An Overview of Federal Broadband Programs
Time: 1:00 p.m. Eastern
Health Resources and Services Administration
Apr
26
IRHA Lunch & Learn: HT Healthcare - Human Trafficking Healthcare Provider Awareness and Recognition - Part 1
Time: 12:00 - 1:00 p.m. Eastern
Indiana Rural Health Association
aorwig@indianarha.org
Apr
27
Rides that Save Lives
Time: 1:00 - 2:00 p.m. Central
Grantmakers In Aging
Apr
28-30
New York State Public Health Partnership Conference
New York State Association for Rural Health, New York State Association of County Health Officials, New York State Public Health Association, NYS Conference on Environmental Health Directors
518.427.5835
info@nyspha.org
Apr
30
Safety Sensitivity of Opioid Use in High Hazardous Industries Such as Agriculture
12:00 p.m. Central
AgriSafe Network
May
1
COVID-19 Updates for Primary Care Clinicians: Improving Prevention and Treatment for Rural and Underserved Communities
Time: 9:00 - 10:30 a.m. Central
Rural Medical Education Collaborative
May
3
IRHA Lunch & Learn: HT Healthcare - Human Trafficking Healthcare Provider Awareness and Recognition - Part 2
Time: 12:00 - 1:00 p.m. Eastern
Indiana Rural Health Association
aorwig@indianarha.org
May
4
Questions About Telehealth Technology Or Vendors?
Time: 12:00 - 1:00 p.m.
Mid-Atlantic Telehealth Resource Center
May
4-7
2021 44th Annual NRHA Rural Health Conference - VIRTUAL
National Rural Health Association
816.756.3140 ext. 12
siress@NRHArural.org
May
4-7
2021 6th Rural Hospital Innovation Summit - VIRTUAL
National Rural Health Association
816.756.3140 ext.12
siress@NRHArural.org
May
10-11
2021 Annual Minnesota Network of Hospice & Palliative Care Conference - VIRTUAL
Minnesota Network of Hospice & Palliative Care
651.917.4616
info@mnhpc.org
May
11
Should My Health Organization Accept a Value-based Payment Opportunity?
Time: 1:00 p.m. Central
These events are open nationwide to all qualifying SRH and RHC. To register to attend our LIVE HELP webinars, participants must meet the eligibility requirement as highlighted here as a small rural hospital or certified rural health clinic.
National Rural Health Resource Center
May
11-13
2021 Hospital and Healthsystem Association of Pennsylvania Leadership Summit - VIRTUAL
Hospital and Healthsystem Association of Pennsylvania
717.561.5270
May
11-13
Ohio's 2021 Opiate and Other Drugs Conference - VIRTUAL
Ohio Association of County Behavioral Health Authorities
614.224.1111
May
12
Trauma Informed Therapy: Part 4
Time: 1:00 - 2:00 p.m. Eastern
Mental Health Technology Transfer Center Network, National American Indian and Alaska Native MHTTC
megan-dotson@uiowa.edu
May
13
2021 Rural Health Clinic Workshop
Time: 9:00 a.m. - 1:00 p.m. Central
Illinois Critical Access Hospital Network
815.875.2999
May
14
2021 Spring Mobile Health Clinics Virtual Intensive Training Course Part 2 of 2
Time: 12:00 - 3:00 p.m. Eastern
Mobile Healthcare Association
314.520.6651
klieberman@mobilehca.org
May
14
Medicaid Telehealth Policies for Seniors
Time: 11:00 a.m. Pacific
Center for Connected Health Policy: The National Telehealth Policy Resource Center

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.