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RHIhub This Week - October 13, 2021

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Recent News

Data 2000 Waiver Training Payments Still Available for Rural Health Clinics
Oct 12, 2021 -- Describes the DATA 2000 Waiver Training Payment Program, which is open to applications from Rural Health Clinics (RHCs) that employ buprenorphine-waivered providers, funded through the Health Resources and Services Administration (HRSA).
Source: Centers for Medicare & Medicaid Services

Finding Success in Rural Patient-Centered Research Engagement
Oct 12, 2021 -- Blog post describing 2 projects that show the importance of planning and engagement of rural populations for research teams. Discusses the MyPlate dissemination project, a nutrition program in rural southeastern California, and the Cancer Center without Walls Community Advisory Board in southwest Virginia, examining how each project engages with rural communities to build strong relationships.
Source: Patient-Centered Outcomes Research Institute

New Vaccinations in Rural Counties Decline for Second Week
Oct 12, 2021 -- Reports on rural COVID-19 vaccinations as of October 7, noting a sustained decline in new vaccinations. Notes that 42.6% of the total rural population has completed vaccination, compared to 54.5% of the metro population. Offers county and state-level data maps and charts depicting vaccination trends.
Source: The Daily Yonder

COVID-19 Cases and Deaths by Race/Ethnicity: Current Data and Changes Over Time
Oct 8, 2021 -- Analyzes COVID case and death data to identify racial and ethnic disparities and how those disparities may be changing over time. Includes a discussion of COVID trends in rural areas.
Source: Kaiser Family Foundation

Rural Infections Decline by 20%; Number of Covid Deaths Falls Slightly
Oct 7, 2021 -- Reports on rural COVID-19 infection and mortality rates for the week of September 26-October 2, noting a second consecutive week of decline for new rural infections and a decline in COVID-19 related deaths. Offers a county-level data map, charts of COVID-19 rates by metro and nonmetro status over time, and state-by-state comparisons.
Source: The Daily Yonder

The Surge of Telehealth During the Pandemic is Exacerbating Urban-Rural Disparities in Access to Mental Health Care
Oct 7, 2021 -- Reports on studies of telehealth in rural and urban areas during the COVID-19 pandemic, focusing on mental healthcare telehealth visits. Notes that studies found rural populations used telehealth to access mental healthcare at lower rates than in urban areas, and describes issues of technological capability and broadband access.
Source: Health Affairs Blog

Federal Register

AHRQ: Supplemental Evidence and Data Request on Telehealth During COVID-19
Oct 13, 2021 -- The Agency for Healthcare Research and Quality (AHRQ) is seeking published and unpublished scientific information submissions to inform its review of Telehealth During COVID-19. The full research protocol is available for review on the AHRQ website. Submissions are due by November 12, 2021.
Source: Federal Register

ARHQ: Supplemental Evidence and Data Request on Telehealth for Women
Oct 12, 2021 -- The Agency for Healthcare Research and Quality (AHRQ) is seeking published and unpublished scientific information submissions to inform its review of Telehealth for Women. The full review protocol is available for review on the AHRQ website. Submissions are due by November 12, 2021.
Source: Federal Register

Funding & Opportunities

Innovative Uses of Telehealth to Prevent and Manage Cardiovascular Disease Evaluation Cohort
The Centers for Disease Control and Prevention is looking to identify and evaluate health systems and providers that are delivering innovative telehealth services to prevent and manage cardiovascular disease in populations and communities experiencing health disparities.
Geographic coverage: Nationwide
Application Deadline: Oct 22, 2021
Sponsor: Centers for Disease Control and Prevention


Development and Implementation of Innovative Interventions that Effectively Address Health Disparities in Access to Care for Medically Underserved Communities
Grants for community health worker and patient navigation training and service delivery programs that address linkage to care and supportive services, care coordination, cultural competency, and ethnic diversity. Rural communities are a priority population.
Geographic coverage: Nationwide
Application Deadline: Nov 5, 2021
Sponsor: Bristol Myers Squibb


Healthy Eating Research: COVID-19 and Socioeconomic Recovery Efforts Impacts on Children's Health and Well-Being
Funding for research on how COVID-19 recovery-related social and economic programs and policies impact child obesity, diet quality, food security, and other relevant child and family health outcomes among lower-income and families of color. Populations of focus include Black, Latinx, American Indian/Alaska Native, Asian American, Native Hawaiian, and Pacific Islander.
Geographic coverage: Nationwide and U.S. Territories
Letter of Intent (Required): Nov 17, 2021
Application Deadline: Feb 16, 2022
Sponsors: Duke University, Robert Wood Johnson Foundation


Solid Waste Management Grants
Funds for organizations to provide technical assistance and/or training to improve the planning and management of solid waste sites in rural areas.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Dec 31, 2021
Sponsors: U.S. Department of Agriculture, USDA Rural Development, USDA Rural Utilities Service


Water and Waste Disposal Technical Assistance and Training Grants
Grants for organizations that assist rural and tribal communities with water and/or wastewater operations through technical assistance and training.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Dec 31, 2021
Sponsors: U.S. Department of Agriculture, USDA Rural Development, USDA Rural Utilities Service


Pilot Practice-based Research for Primary Care Suicide Prevention (R34 Clinical Trial Optional)
Grants for research to evaluate the effectiveness of existing suicide prevention practices and clinical trials that develop, optimize, and pilot test interventions and service delivery approaches. Projects focused on strategies to reduce health disparities are encouraged.
Geographic coverage: Nationwide and U.S. territories
Letter of Intent (Optional): May 21, 2022
Application Deadline: Jun 21, 2022
Sponsors: National Institute of Mental Health, National Institutes of Health, U.S. Department of Health and Human Services


Medicare Incentive Payments in Health Professional Shortage Areas
Medicare bonus payments to physicians in Health Professional Shortage Areas (HPSAs).
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Centers for Medicare and Medicaid Services

New Resources

Addressing Domestic Violence in Rural Communities: Best Practices for Criminal Courts
Outlines best practices to address domestic violence in rural criminal courts and jurisdictions. Describes the coordinated community response model and stakeholders involved, including healthcare providers, that rural communities can use to prevent and respond to intimate partner violence.
Sponsoring organization: Center for Court Innovation
Date: 08/2021


Affordability and Availability: Expanding Broadband in the Black Rural South
Report examining broadband access in African American communities in the rural South, highlighting economic, healthcare, and educational opportunities that accompany broadband access. Discusses financial and policy barriers to broadband access in the Black rural South and offers policy recommendations to increase access.
Sponsoring organization: Joint Center for Political and Economic Studies
Date: 10/2021


Assessment of Rural-Urban and Geospatial Differences in Perceived Handgun Access and Reported Suicidality Among Youth in Colorado
Results of a study to understand the associations of rurality, school-level prevalence of easy handgun access, and suicidality measures in Colorado youth. Also explores spatial distribution of school-level measures, and identifies communities with high prevalence of easy handgun access and suicidality. Features statistics on characteristics of schools including weighted prevalence for study measures, with breakdowns by 7 levels of population density.
Author(s): Talia L. Spark, Erin Wright-Kelly, Ming Ma, et al.
Location: JAMA Network Open, 4(10)
Date: 10/2021


Asthma Surveillance — United States, 2006–2018
Reports on asthma prevalence by population demographics, poverty level, and geographic location, including rural and metro comparisons. Examines trends based on 2006-2018 data from the National Heath Interview Survey (NHIS), National Vital Statistics System (NVSS), and the National Center for Health Statistics (NCHS).
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 70(5), 1-32
Date: 09/2021


Birth Volume and Geographic Distribution of US Hospitals with Obstetric Services from 2010 to 2018
Examines the characteristics of hospitals with obstetric services by volume of births between 2010-2018. Describes the geographic distribution, proximity to other obstetric hospitals, and metropolitan status. Presents data on birth volume by hospital characteristics, including Critical Access Hospital and Rural Referral Center designation.
Author(s): Sara C. Handley, Molly Passarella, Heidi M. Herrick
Location: JAMA Network Open, 4(10)
Date: 10/2021


Community Benefit Insight
Provides information on community benefit spending for tax-exempt hospitals since 2010. Presents data at the state and individual facility levels. Allows users to compare up to 5 hospitals.
Sponsoring organization: RTI International

The Effects of Play Streets on Social and Community Connectedness in Rural Communities
Reports the results of a study looking at the impacts of the Play Streets program that seeks to increase physical activity among children in rural communities located in North Carolina, Maryland, Oklahoma, and Texas. Shares information from focus groups and interviews to further understand the added social and community benefits from the program.
Author(s): M. Renée Umstattd Meyer, Tyler Prochnow, Andrew C. Pickett, et al.
Location: International Journal of Environmental Research and Public Health, 18(19), 9976
Date: 09/2021


Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
Date: 06/2021


Financial Guide for the Rural Health Care Leaders During COVID and Post-COVID
Highlights strategies for addressing the financial challenges RHCs and CAHs may face during and after a public health emergency such as COVID-19. Discusses how rural providers can improve financial performance in the face of lower inpatient and outpatient volumes, fewer elective surgeries, and the added cost of PPE, ventilators, and staff, among others. Details indicators of financial stress and recommends corresponding strategies.
Sponsoring organization: National Rural Health Resource Center
Date: 10/2021


Going to the Doctor: Rideshare as Nonemergency Medical Transportation
Discusses the role of rideshare-based non-emergency medical transportation (RB-NEMT) in serving the transportation needs across the country, including in rural areas. Details the different types of RB-NEMT services, such as door-to-door, curb-to-curb, hand-to-hand, and area-to-area. Breaks down the different groups that benefit from RB-NEMT by transportation limitations, age, and insurance type, among other factors. Discusses RB-NEMT's efficacy for rural areas, medical and logistical barriers, and makes policy recommendations.
Sponsoring organization: RAND Corporation
Date: 10/2021


Health Panel Comment Letter – Rural Emergency Hospitals (REH)
Offers comments in response to the Centers for Medicare and Medicaid Services (CMS) Request for Information on Rural Emergency Hospitals (REH). Addresses the type and scope of services REHs could offer, conditions of participation, health equity, collaboration and care coordination, quality measurement, payment, and enrollment.
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
Date: 09/2021


HHS Draft Strategic Plan, FY 2022 – 2026
Draft strategic plan identifying strategic goals and objectives of the U.S. Department of Health and Human Services (HHS). Includes information specific to meeting the needs of underserved communities, including rural and tribal communities. The Department is seeking public comment through November 7, 2021.
Sponsoring organization: U.S. Department of Health and Human Services
Date: 10/2021


Outcome Comparison of High-Risk Native American Patients Who Did or Did Not Receive Monoclonal Antibody Treatment for COVID-19
Results of a monoclonal antibody (mAb) treatment program for high-risk Native American patients at a rural acute care facility on the Fort Apache Indian Reservation in eastern Arizona. Features demographics and statistics comparing 30-day outcomes among patients who did or did not receive mAb treatment between December 2020 and February 2021.
Author(s): Ryan M. Close, T. Shaifer Jones, Christopher Jentoft, James B. McAuley
Location: JAMA Network Open, 4(9)
Date: 09/2021


PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure
Study examining stigma related to drug use and human immunodeficiency virus (HIV), as well as awareness of Pre-exposure prophylaxis (PrEP) treatment in New York City and rural southern Illinois. Highlights barriers and facilitators to willingness to take PrEP based on interviews with 57 people who inject drugs (PWID) who participate in syringe service programs, comparing rural and urban responses.
Author(s): Suzan M. Walters, David Frank, Brent Van Ham, et al.
Location: AIDS and Behavior
Date: 10/2021


Reenvisioning Rural America
Examines census tracts designated as micropolitan, small town, and isolated rural by the U.S. Department of Agriculture's Rural-Urban Commuting Area (RUCA) code system, offering a typology of tracts based on assets and strengths. Organizes rural census tracts into categories including accessible, energy-rich hubs; high-employment agricultural areas; centers of wealth and health; and more. Includes a data map with information on each category of rural census tract and population, government, and geographic information for each tract.
Sponsoring organization: Urban Institute
Date: 09/2021


Rural Public Health and Health Care: A Scan of Field Practice and Trends
Offers a historical overview of rural healthcare and rural public health theories and practice methods and describes newer theories, such as value-based care, personalized medicine, social determinants of health, and health in all policies. Outlines trends in public health and healthcare, including community engagement, evidence-based decision making, and delivery integration, discussing rural implications of these trends.
Sponsoring organization: Aspen Institute
Date: 09/2021


State of Telehealth: Removing Barriers to Access and Improving Patient Outcomes
Presents a recording of an October 7, 2021, hearing before the U.S. Senate Committee on Commerce, Science, and Transportation Subcommittee on Communications, Media, and Broadband. Examines the importance of access to telehealth services, telehealth utilization during the COVID-19 pandemic, the impact of the pandemic on telehealth regulations, and the role of broadband access in the public health response. Features testimony from the American Academy of Family Physicians, Project ECHO, Avel eCare, and the Federal Communications Commission.
Additional links: American Academy of Family Physicians Testimony, Avel eCare Testimony, Federal Communications Commission Testimony, Project ECHO Testimony
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
Date: 10/2021


Statewide Age-Friendly Initiatives: An Environmental Scan
Policy brief examining statewide programs that support the health, independence, and well-being of elders as they age in place. Categorizes 33 initiatives in 22 states, distinguishing those that include specific rural focus, which are examined in greater detail in the additional policy brief.
Additional links: Examples of Statewide Age-Friendly Initiatives
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 10/2021


Sustainable Rural EMS: Navigating Change
Designed to help rural communities navigate a change from unsustainable volunteer emergency medical services (EMS) and ambulance service models to those that are sustainable. Intended to direct community leaders through change based on a stepped process that has been used in rural communities throughout the U.S. Includes information on how to assess whether a community has an EMS problem, ingredients needed to change, and a process to implement change to a more sustainable model of rural EMS.
Sponsoring organization: National Rural Health Resource Center
Date: 09/2021


Utilization of Z Codes for Social Determinants of Health among Medicare Fee-for-Service Beneficiaries, 2019
Discusses how Z codes help report and track social determinants of health and reduce health disparities. Describes Z code claim data collected from 2016-2019, including the top 5 Z codes used in 2019 and the propositions of Medicare beneficiaries with Z codes across demographic characteristics. Highlights potential strategies to increase Z code utilization.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 09/2021


Walking and Other Common Physical Activities Among Adults with Arthritis — United States, 2019
Examines nonwork-related physical activity among adults with arthritis. Includes data by rurality for adults who reported walking, gardening, or weightlifting in the last month.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 70(40), 1408-1414
Date: 10/2021

Upcoming Events

Oct
13
Planning for the Child (Ages 5-11) Vaccine Rollout: Equitable Approaches and Best Practices
Time: 3:00 p.m. Eastern
CDC Foundation
Oct
13
Provider Relief Fund (PRF) Phase 4 and American Rescue Plan (ARP) Rural Informational Webcast
Time: 3:00 p.m. Eastern
Health Resources and Services Administration
Oct
14
Medicare Ground Ambulance Data Collection Instrument: Volunteer Organization Requirements
Time: 2:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Oct
14
National COPD Awareness Month: A Webinar from NHLBI's Learn More Breathe Better® Program
Time: 1:00 p.m. Eastern
National Heart, Lung, and Blood Institute
Oct
14
Rural Provider Relief Fund Technical Assistance Webinar
Time: 10:00 a.m. Central
Health Resources and Services Administration, National Rural Health Association
Oct
18-20
2021 NARHC Fall Institute
National Association of Rural Health Clinics
Covington, KY
866.306.1961
trynberg@narhc.org
Oct
19
Indiana Critical Access Hospital Convening
Indiana Rural Health Association
Oct
20
2021 Rural Policy Summit – Health Care
Time: 9:00 a.m. Eastern
Center for Rural Pennsylvania, Pennsylvania Department of Community and Economic Development, Pennsylvania Downtown Center, Pennsylvania Office of Rural Health, Pennsylvania Rural Development Council, Philadelphia Federal Reserve Bank's Community Development and Regional Outreach Department
Oct
21
Medicare Ground Ambulance Data Collection Instrument: Public Safety Organizations
Time: 2:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Oct
21
NYSARH/NERHA Webinar: Creating Places of Healing, Connection, and Wellness in Rural America
Time: 1:00 p.m. Eastern
New England Rural Health Association, New York State Association for Rural Health
Oct
21
Provider Relief Fund (PRF) Phase 4 and American Rescue Plan (ARP) Rural Informational Webcast
Time: 3:00 p.m. Eastern
Health Resources and Services Administration
Oct
21
Rural Health Care Program FY 2020 Invoicing Best Practices Webinar
Time: 1:00 - 2:00 p.m. Central
Universal Service Administrative Company
Oct
25
Evolving Crisis Standards of Care and Ongoing Lessons from COVID-19: From Plans to Reality
Time: 11:00 a.m. - 1:15 p.m. Central
Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Oct
27
Coverage to Care Partner Webinar
Time: 12:00 p.m. Eastern
Centers for Medicare & Medicaid Services Office of Minority Health
Oct
27
Improving Rural Road Safety with the Safe Systems Approach Part 4 of 6: Safe Speed
Time: 1:00 - 2:30 p.m. Eastern
National Center for Rural Road Safety
406.994.7368
info@ruralsafetycenter.org
Nov
2
Understanding Adverse Childhood Experiences (ACEs) and Substance Use Disorder Webinar
Time: 2:00 p.m. Eastern
Rural Communities Opioid Response Program - Technical Assistance
Nov
2-18
2021 Rural Health Voice Conference
Weekly sessions held November 2 - November 18, 2021
Virginia Rural Health Association
540.231.7993
staff@vrha.org
Nov
4
5 Hot Topics in Telebehavioral Health and SUD Treatment: Today and after the PHE
Time: 1:00 p.m. Eastern
National Council for Mental Wellbeing
Nov
8-9
2021 KRHA 23rd Annual Kentucky Rural Health Association Conference
Kentucky Rural Health Association
Nov
9
Family Physicians in Rural America: Training, Distribution, and Scope of Practice
Time: 12:00 p.m. Central
Rural Health Research Gateway
Nov
9-10
2021 Virtual Rural Human Trafficking Summit
Eastcentral and Northeast Pennsylvania Area Health Education Center, Health Resources and Services Administration, Hospital and Healthsystem Association of Pennsylvania, HRSA Region lll Office of the Regional Director, Pennsylvania Coalition Against Rape, Pennsylvania Office of Rural Health
814.863.8214
tjc136@psu.edu
Nov
10
2021 Arkansas Annual Rural Health Conference - Part 3
Time: 1:00 - 3:00 p.m. Central
Rural Health Association of Arkansas
Nov
10
Ground Ambulance Cost Data Collection Workshop
Time: 10:00 a.m. - 2:00 p.m. Eastern
Kentucky Office of Rural Health
Nov
12
2021 Annual Rural Health Association of Utah Conference
Rural Health Association of Utah
St. George, UT
Nov
15
2021 Mid-Year Rural Health Policy Roundup
Time: 12:00 p.m. Arizona
Arizona Center for Rural Health, Arizona Telemedicine Program, Southwest Telehealth Resource Center
Nov
15-19
2021 Alaska Tribal Conference on Environmental Management
Alaska Native Tribal Health Consortium
atcem@anthc.org
Nov
16-17
Supporting Older Adults, Caregivers and People with Disabilities Through Innovative Volunteer Models: A Community Care Corps Symposium
Administration for Community Living, Altarum Institute, Caregiver Action Network, Oasis Institute, U.S. Department of Health and Human Services, USAging
info@communitycarecorps.org
Nov
17
2021 Native Perspectives MicroConference: The Indigenous Way - Planting Seeds of Wellness for Future Generations
University of Oklahoma, American Indian Institute
nbarbee@ou.edu
Nov
17
Supporting Mental Well-Being of Farmers and Their Families; HHS Region 8
Time: 10:00 - 11:00 a.m. Mountain
Mountain Plains Mental Health Technology Transfer Center
gberry@wiche.edu
Nov
17
UDS Mapper Advanced Topics: Using the UDS Mapper for Rural Areas
Time: 11:00 a.m. - 12:00 p.m. Central
HealthLandscape
Nov
17-19
2021 Annual Tennessee Rural Health Association Conference
Rural Health Association of Tennessee
Pigeon Forge, TN
615.907.9707
rhat@rhat.org
Nov
18
2021 Annual Illinois Critical Access Hospital Network (ICAHN) Conference
Time: 9:00 a.m. - 4:00 p.m. Central
Illinois Critical Access Hospital Network
Champaign, IL
815.719.6200
sdemay@icahn.org
Nov
18
2021 Annual National Rural Health Day
National Organization of State Offices of Rural Health
ashleym@nosorh.org
Nov
18
2021 Indiana Rural Health Association Fall Forum
Indiana Rural Health Association
812.478.3919
telliott@indianarha.org
Nov
18
2021 North Carolina Rural Health Conference
North Carolina Office of Rural Health
Nov
18
All Tribal and Urban Indian Organization Leaders Call
Time: 3:00 - 4:00 p.m. Eastern
Indian Health Service
301.443.1083
benjamin.smith@ihs.gov
Nov
18
NNLM Rural Health Resources
Time: 2:00 - 3:00 p.m. Eastern
National Network of Libraries of Medicine
Nov
18-19
2021 26th Annual Mississippi Rural Health Conference
Mississippi Rural Health Association
Jackson, MS
601.898.3001
Nov
19
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, Substance Abuse and Mental Health Services Administration
cindy-sagoe@uiowa.edu
Nov
20
2021 3rd Annual Rural Health Clinical Congress
Talem Health Rural Medical Education Collaborative
Nov
30
IRHA Lunch & Learn - Big Box Healthcare: How Diversified Care Models Can Support Distressed Rural Communities
Time: 12:00 - 1:00 p.m. Eastern
Indiana Rural Health Association
telliott@indianarha.org
Nov
30
Tribal Opioid Response Webinar: Peer Recovery Panel
Time: 1:00 - 2:30 p.m. Central
National American Indian and Alaska Native Addiction Technology Transfer Center
cph-nativecenter@uiowa.edu
Nov-Dec
30-3
2021 National HAC Rural Housing Conference
Housing Assistance Council
404.892.4824
registration@ruralhome.org

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.