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RHIhub This Week - June 2, 2021

Upcoming Webinars

Meet CEARH - The Center for Economic Analysis of Rural Health
On Thursday, June 10th at 11:00 am Central, we are hosting a webinar introducing the Center for Economic Analysis of Rural Health with CEARH Director, Dr. Alison Davis. Learn about their efforts and upcoming webinar series on economic development in rural communities.

An Overview of the National Cancer Institute's Rural Cancer Control Initiatives
Join us Tuesday, June 15th for a webinar with the National Cancer Institute. Learn about their research on rural cancer control as well as opportunities for collaboration with other rural health partners. Featuring Robin C. Vanderpool, DrPH; Zaria Tatalovich, Ph.D.; Amy Kennedy, Ph.D.; and Shobha Srinivasan, PhD.

 New in Our Online Library
 Information from around the web

Recent News

NHSC New Site Application Deadline Extended to July 1
Jun 2, 2021 -- The National Health Service Corps (NHSC) announced that the deadline to apply to be approved as an NHSC site is extended to July 1, 2021. Includes eligibility and application information.
Source: Health Resources and Services Administration

Miss. Community Health Center Is Crucial To Vaccinating Rural Residents
Jun 1, 2021 -- Highlights the efforts of a rural community health center in the Mississippi Delta to provide the COVID-19 vaccine to Black Americans.
Source: NPR

Rural COVID-Related Death Rate Climbs for Second Week in a Row
Jun 1, 2021 -- Analyzes new COVID-19 infection rates between May 23-29, 2021, finding that while new infections declined, the COVID-related death rate rose for the second week in a row. Reports a 40% increase in rural COVID-related deaths in the last three weeks, while death rates in metropolitan counties rose only 4% during the same period. Includes an interactive map of infection rates in all U.S. counties.
Source: The Daily Yonder

A Year After First COVID-19 Case, San Carlos Apache Tribe Has Nearly Halted Virus Spread
May 27, 2021 -- Shares how the San Carlos Apache Nation in Arizona took steps early on in the COVID-19 pandemic to prepare for patients and educate their people on COVID signs and symptoms. Details how the San Carlos Apache tribe leveraged their resources and collaborated with healthcare providers, the health department, the police department, and the Tribal Emergency Response Commission (TERC) to respond to the pandemic and administer their vaccine rollout.
Source: AZ Central

How Native Americans Launched Successful Coronavirus Vaccination Drives: 'A Story of Resilience'
May 26, 2021 -- Highlights the steps many Native American tribes took to meet people where they live to administer COVID-19 vaccines and make the vaccine more accessible.
Source: The Washington Post

Urban Vaccination Rate Climbs Two Times Faster than Rural Rate
May 26, 2021 -- Analyzes COVID-19 vaccination rates in the U.S. Finds that 30.2 percent of the rural population has completed COVID-19 vaccination, compared to 37.4 percent of the urban population. Includes an interactive map of vaccination rates of each U.S. county compared to the national average and identifies states with the highest and lowest vaccination rates in the country.
Source: The Daily Yonder

Research Brief: Rural Hospital Closures Strain Community Ambulance Services
May 25, 2021 -- Provides an overview of a study that found rural hospital closures place strain on emergency medical services (EMS). Analysis showed that while both municipal and private EMS agencies experienced longer ambulance trip times, there was a larger burden placed on municipal EMS agencies that often operate under tighter constraints compared to private EMS agencies.
Source: University of Minnesota

Funding & Opportunities

National Institute for Program Director Development Rural Fellows Scholarship
Scholarships for directors, site directors, and faculty of currently accredited or developing rural residency programs to attend the National Institute for Program Director Development. The Institute, which meets in 3 sessions, is designed to enhance knowledge, attitudes, and skills to help participants become more effective residency program directors.
Geographic coverage: Nationwide
Application Deadline: Jun 6, 2021
Sponsor: RTT Collaborative

Alkermes Inspiration Grants
Grant to nonprofit organizations working to address the needs of people living with addiction, serious mental illness, or cancer. Proposals serving historically under-resourced or underrepresented communities are given priority.
Geographic coverage: Nationwide
Application Deadline: Jun 17, 2021
Sponsor: Alkermes, Inc.

Rural Health Clinic Vaccine Confidence Program
Grants to address COVID-19 related health equity gaps and improve healthcare in rural areas by engaging Rural Health Clinics (RHCs) to improve vaccine confidence and counter vaccine hesitancy in rural communities.
Geographic coverage: Nationwide
Application Deadline: Jun 23, 2021
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services

American Rescue Plan Act Emergency Native Language Funding Opportunity Announcement
Emergency awards to ensure the survival and continuing vitality of Native American languages during and after the COVID-19 public health emergency. The overall goal of the program is for languages to serve as protective factors for Indigenous communities, enhancing mental health and lowering suicide rates.
Geographic coverage: Nationwide
Application Deadline: Jun 25, 2021
Sponsors: Administration for Children and Families, Administration for Native Americans, U.S. Department of Health and Human Services

Rural Housing Preservation Grants (Section 533)
Grants to organizations that work to rehabilitate and preserve affordable housing for rural, low-income homeowners and renters.
Geographic coverage: Nationwide
Application Deadline: Jul 7, 2021
Sponsors: U.S. Department of Agriculture, USDA Rural Housing Service

ACT on Health Equity: Community Solutions Challenge
Grants to nonprofit organizations positively impacting underserved populations through regional and local community-based programs focused on community health and well-being and youth STEM education and career readiness.
Geographic coverage: Nationwide
Application Deadline: Jul 16, 2021
Sponsor: AstraZeneca Pharmaceuticals

Water and Waste Disposal Revolving Loan Funds
Grants to help nonprofit organizations establish revolving loan funds that will finance water and wastewater projects in rural communities.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jul 16, 2021
Sponsors: U.S. Department of Agriculture, USDA Rural Utilities Service

Alzheimer's Disease Programs Initiative - Dementia Capability in Indian Country
Grants to support dementia-capable home and community-based services in tribal communities that help individuals living with dementia and their caregivers remain independent and safe.
Geographic coverage: Nationwide
Letter of Intent (Optional): Jun 4, 2021
Application Deadline: Jul 19, 2021
Sponsors: Administration for Community Living, U.S. Department of Health and Human Services

CDC Health Science Fellowship
A research training opportunity with the Centers for Disease Control to conduct statistical analyses in the field of injury public health, including projects examining variations in fatal and nonfatal injury rates between rural and urban populations.
Geographic coverage: Nationwide
Application Deadline: Jul 19, 2021
Sponsors: Centers for Disease Control and Prevention, Oak Ridge Institute for Science and Education, U.S. Department of Health and Human Services

Technical Assistance for Small, Rural, Vulnerable Hospitals
Targeted technical assistance for rural hospitals to improve quality of care, maintain access to care, and address the challenges that are unique to small hospitals and the towns they serve.
Geographic coverage: Nationwide
Application Deadline: Jul 30, 2021
Sponsors: Center for Optimizing Rural Health, Texas A&M University Rural and Community Health Institute

Public Transportation on Indian Reservations: Tribal Transit Program
Funding to support planning, capital, and operating assistance for tribal public transit services. Among other things, this funding supports partnerships working to expand access to health, medical, and social service providers.
Geographic coverage: Nationwide
Application Deadline: Aug 25, 2021
Sponsors: Federal Transit Administration, U.S. Department of Transportation

Rural Health Fellows Program
A year-long, intensive fellowship program designed to develop a community of rural health leaders.
Geographic coverage: Nationwide
Application Deadline: Sep 3, 2021
Sponsor: National Rural Health Association

HUD Section 242: Hospital Mortgage Insurance Program
Loan and mortgage insurance program to help acute care hospital facilities with remodeling, expansion, modernization, equipment, refinancing, and acquisition. Small, rural Critical Access Hospitals are eligible to apply.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: Federal Housing Administration, U.S. Department of Housing and Urban Development

NRHA Rural Hospital CEO Certification Program
A rural hospital leadership and certification program for current and future rural hospital CEOs.
Geographic coverage: Nationwide and U.S. territories
Applications accepted on an ongoing basis
Sponsor: National Rural Health Association

New Resources

Areas with High Poverty: Changing How the 10-20-30 Funding Formula Is Applied Could Increase Impact in Persistent-Poverty Counties
Provides an overview of the "10-20-30 formula" used by some agencies, including the U.S. Department of Agriculture's Rural Development, to allocate funding to persistent poverty counties. Describes how agencies identify persistent-poverty counties, the proportion of funds awarded to these counties in fiscal years 2017-2020, and the impact and limitations of the 10-20-30 formula. Highlights matters for future consideration by Congress.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 05/2021

Characterization of Mental Illness Among US Coal Miners
Describe the prevalence of and risk factors for mental illness among 2,808 active and former coal miners from central Appalachia who received clinical care at Stone Mountain Health Services Black Lung Clinic between 2018-2020. Features statistics with breakdowns by degree of depression, pulmonary risk factors, and length of time spent working as a miner.
Author(s): Drew Harris, Timothy McMurry, Amanda Caughron, et al.
Location: JAMA Network Open, 4(5)
Date: 05/2021

COVID-19 Data - Situation Summary
Details American Indian and Alaska Native COVID-19 case data compared to the wider U.S. population as a whole. Highlights data by state, Indian Health Service (IHS) region, and age group. Draws data on COVID-19 from the Centers for Disease Control and Prevention, Johns Hopkins, and IHS.
Sponsoring organization: National Congress of American Indians Policy Research Center
Date: 05/2021

Food Insecurity Among Working-Age Veterans
Examines rates of food insecurity among working-age veterans from 2015-2019, comparing nonmetro, metro, and suburban veterans. Provides data on characteristics of working-age veterans, household information, period of service, metro/nonmetro residence, and other data.
Sponsoring organization: USDA Economic Research Service
Date: 05/2021

National Health Service Corps: Program Directs Funding to Areas with Greatest Provider Shortages
Provides an overview of the National Health Service Corps (NHSC) programs. Examines data for fiscal year 2020 on the number of NHSC providers and where they served, the number and characteristics of applicants that did not receive funding, the number of NHSC sites with vacancies, and information about the effectiveness of NHSC programs at alleviating provider shortages.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 06/2021

Patterns in COVID-19 Vaccination Coverage, by Social Vulnerability and Urbanicity — United States, December 14, 2020–May 1, 2021
Examines vaccination coverage by rurality and social vulnerability. Includes data for metropolitan and nonmetro areas for four levels of social vulnerability and by type of vulnerability, based on the CDC social vulnerability index (SVI).
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 70, Early Release
Date: 05/2021

Performance Benchmarking Toolkit for Rural Health Centers: Tracking Data to Improve Financial Performance
Offers guidance for rural health centers on how to apply data analysis tools to improve financial performance. Includes information on metrics and metrics and benchmarks for fee-for-service and value-based payment environments.
Sponsoring organization: Capital Link
Date: 2021

Rural Disparities in End-of-life Care for Patients with Heart Failure: Are They Due to Geography or Socioeconomic Disparity?
Examines the relationship of rurality, socioeconomic background, and end-of-life care for patients with heart failure in Maine. Includes data on healthcare utilization at end-of-life by age, sex, rurality, insurance type, and area deprivation index.
Author(s): Rebecca N. Hutchinson, Paul K. J. Han, F. Lee Lucas, et al.
Location: Journal of Rural Health
Date: 05/2021

Rural Health Network Development Planning Grants Awarded to Entities in Counties with Majority Black, Indigenous, and People of Color Populations, 2003-2020
Policy brief describing the prevalence of Rural Health Network Development Planning Grants awarded to organizations in counties with majority Black, Indigenous, or people of color (BIPOC) populations. Features statistics on number of grantees by year and focus of work, and percentage of grantees in minority BIPOC counties by year.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 05/2021

Rural Transit Fact Book 2021
Features national-, state-, and county-level information on rural transit in the United States. Includes rural and urban comparisons on demographics and transportation. Provides information for agencies receiving section 5311 funding and includes a section on tribal transit.
Sponsoring organization: Upper Great Plains Transportation Institute
Date: 05/2021

Telebehavioral Health During the COVID-19 Pandemic: A Qualitative Analysis of Provider Experiences and Perspectives
Examines behavioral health provider perspectives on use of telebehavioral health before and during the pandemic, based on interviews with 31 behavioral health providers in Michigan. Describes how policy changes affected access to and use of behavioral health services, especially among rural residents. Includes statistics on provider characteristics, with breakdowns by urban or rural primary practice location.
Author(s): Victoria Schoebel, Caitlyn Wayment, Maria Gaiser, et al.
Location: Telemedicine and e-Health, 27(8)

Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
Date: 04/2021

Vaccinating Migrant/Migratory and Seasonal Food and Agriculture Workers
Identifies challenges to address when providing vaccines to migrant/migratory and seasonal food and agriculture workers. Shares guidance and best practices for outreach and vaccination.
Sponsoring organization: Centers for Disease Control and Prevention
Date: 05/2021

Vaccine Distribution in Rural Counties
Presents data on COVID-19 vaccination rates and intention to be vaccinated by urban-rural status. Discusses vaccine distribution, challenges facing rural communities, and considerations for communication about the vaccines. Describes best practices in rural counties in Virginia, Washington, and West Virgina.
Sponsoring organization: National Association of Counties
Date: 05/2021

Vaccine Hesitancy among Rural Hospitals: The Arrival of a Challenging "New Normal"
Summarizes the results of a survey of rural hospital leaders between March 12-April 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Explores the percentage of rural hospital employees that have declined a vaccine, are partially vaccinated, and are fully vaccinated; reasons for declining the vaccine; and changing attitudes toward the vaccine.
Sponsoring organization: The Chartis Group
Date: 05/2021

Voices From the Field: A Qualitative Study of the Challenges and Promising Practices of Rural Public Health in Addressing HIV and Hepatitis C
Examines rural vulnerability to HIV and hepatitis C for people who inject drugs. Presents findings from interviews with 36 public health professionals from rural states, addressing funding limitations, staffing and infrastructure challenges, public health initiatives, telemedicine strategies, and community education programs.
Author(s): Martha Elbaum Williamson, Karen B. Pearson, Amanda R. Burgess, Jennifer D. Lenardson, Erika C. Ziller
Location: Journal of Health and Human Services Administration, 44(2), 114-136
Date: 2021

Open Calls for Contributions

Call for Speakers: 2021 NARHC Fall Institute
National Association of Rural Health Clinics
Event Dates: Oct 18 - 20, 2021
Covington, KY
Conference Website

Upcoming Events

Addressing Suicidality When Crisis Shows Up in Practice; HHS Region 8
Time: 8:30 - 11:30 a.m. Mountain
Mountain Plains Mental Health Technology Transfer Center
HRSA Region 7 Building Vaccine Confidence Webinar (Part 2 of the COVID-19 Vaccine Hesitancy Webinar)
Time: 3:30 p.m. Eastern
Health Resources and Services Administration, Health Resources and Services Administration, Region 7 Office
Bridging the Urban-Rural Divide: Health Care in Kentucky
Time: 12:00 p.m. Eastern
Kentucky Chamber of Commerce, University of Kentucky, Martin School of Public Policy and Administration
COVID-19 Vaccine Distribution Text Messaging Strategies
Time: 3:00 p.m. Eastern
National Association of County and City Health Officials
Kansas Statewide Farmworker Health Program/USDA Rural Development Grants
Time: 12:30 - 1:30 p.m. Central
Kansas Office of Primary Care & Rural Health
Native American Storytelling: Culture is Prevention
Time: 3:00 - 4:00 p.m. Eastern
National American Indian and Alaska Native Addiction Technology Transfer Center
Rural Transit Planning: On-Demand & Demand-Response Solutions
Time: 4:00 p.m. Eastern
Transit Planning 4 All
Using Federal Law to Protect American Indian and Alaska Native Women
Time: 2:00 - 3:00 p.m. Eastern
Tribal Forensic Healthcare Project
2021 Region D SORH Regional Partnership Meeting
National Organization of State Offices of Rural Health
Questions About Telehealth Basics Or Telemental Health?
Mid-Atlantic Telehealth Resource Center
Virtual Native Talking Circles: Staying Connected in Challenging Times
Time: 12:30 - 2:00 p.m. Central
National American Indian and Alaska Native Addiction Technology Transfer Center
An Overview of the National Cancer Institute's Rural Cancer Control Initiatives
Time: 12:00 - 1:00 p.m. Central
Rural Health Information Hub
2021 HCAN Annual Conference
Health Center Association of Nebraska
NCTRC Webinar - The Synergy Between Care Coordination and Telehealth
Time: 11:00 a.m. Pacific
Great Plains Telehealth Resource and Assistance Center
2021 Annual Minnesota Rural Health Conference
Minnesota Department of Health - Office of Rural Health and Primary Care, Minnesota Rural Health Association, National Rural Health Resource Center
Prevention of Teen Substance Abuse
Time: 1:00 - 2:30 p.m. Central
National American Indian and Alaska Native Addiction Technology Transfer Center
2021 Annual Illinois Health and Hospital Association Small & Rural Hospitals Meeting
Illinois Health and Hospital Association
2021 Region A SORH Regional Partnership Meeting
National Organization of State Offices of Rural Health
Planning and Implementing a Design and Dissemination Studio
Time: 1:00 - 2:00 p.m. Eastern
Rural PREP
Motivational Interviewing: Evidence-Based Strategies and Principles for Guiding Conversations With Your Patients​
Time: 12:00 - 1:00 p.m. Eastern
University of Vermont Center on Rural Addiction
2021 Annual NACo Conference and Exposition
National Association of Counties
Prince George's County, MD

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.