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RHIhub This Week - January 5, 2022

Upcoming Webinars

Expanded Eligibility Allows More Rural Clinicians to Qualify for Loan Repayment
Join us on January 13, 2022 at 1:00 p.m. Central for a webinar as speakers from HRSA and 3RNET discuss three National Health Service Corps programs that can help rural health clinicians pay off their student loans.

The Rural Emergency Hospital (REH), a New Hospital Type
Join us on January 19, 2022 at 1:00 p.m. Central for an RHIhub webinar on Rural Emergency Hospitals to hear speakers discuss this new hospital type and recommendations from the NACRHHS to ensure the success of REHs.

Updated RHIhub Topic Guide

mom and children visiting with a human services professional Human Services to Support Rural Health
This topic guide just received its annual update. Take a look to see what helpful resources were added to highlight rural human services topics.

 New in Our Online Library
 Information from around the web

Recent News

Minnesota Agency Helps Sexually Exploited Rural Students After Study Shows Need
Jan 5, 2022 -- Describes a program in Minnesota working to support teen victims of sexual exploitation. 180 Degrees provides access to safe housing, mobile case managers, and crisis response services.
Source: Daily Yonder

As Covid Hits Nursing Homes' Finances, Town Residents Fight to Save Alzheimer's Facility
Jan 4, 2022 -- Reports on the closure of an Alzheimer's care facility in western Missouri due to financial hardship and the concerns of local residents about accessing long-term care for relatives and seniors in the area. Discusses the uncertain future of nursing homes nationwide in the face of COVID-19, noting that 54% reported financial losses and that 134 nursing homes closed in 2021.
Source: Kaiser Health News

Rural Cancer Survivors Report Low Telehealth Availability, Internet Access
Jan 4, 2022 -- Describes a study of cancer survivors, finding that rural survivors reported less access to telehealth services than urban survivors at 53% of survivors compared to 63% of urban survivors. Covers the measures used in the research and participant characteristics, and notes potential interventions to increase technology access, telehealth literacy, and broadband access.
Source: mHealth Intelligence

Rash of Suicides Prompts Rural North Dakota Couple to Open Counseling Center
Jan 3, 2022 -- Describes the need for mental health services in rural North Dakota and highlights a couple who returned to their hometown to open a counseling center. Notes that with the center staffing the only therapist in the county, the ratio of providers to the overall population is 1 to 3,982 and that the state ratio is 1 to 510. Discusses rural-specific factors impacting mental health issues, including alcohol misuse, stigma related to suicide and mental health struggles, and isolation. May require subscription to view the article.
Source: InForum

Farmer Suicide is Topic of New Program for Health Care Professionals
Jan 2, 2022 -- Discusses a training program hosted by researchers from Western Kentucky University for healthcare professionals called CRUSHing Farmer Suicide (Cultural Respect, Understanding, Sensitivity, and Humility), and highlights the challenges in providing mental health services to farmers and agricultural communities. Notes limitations in data on farmer suicide attributed to stigma related to mental health issues in farm communities.
Source: WKU Public Radio

Limits on Virtual Addiction Treatment May Soon Return, Making Care Harder to Access
Dec 30, 2021 -- Describes the increased access to opioid addiction treatment through telehealth because of temporary regulatory changes, highlighting the perspectives and concerns of clinicians and patients. Notes the expansion of telehealth during the COVID-19 pandemic and the benefits and challenges of virtual-only care.
Source: NPR

Rural Hospitals Received Pandemic Aid. What Happens When the Funds Run Out?
Dec 30, 2021 -- News broadcast discussing the financial strain of COVID-19 on rural hospitals and the potential for closures in 2022. Describes concerns including rural vaccination, staff shortages and burnout, and public health measures.
Source: NPR

Federal Register

OSTP: Request for Information on Strengthening Community Health Through Technology
Jan 5, 2022 -- The White House Office of Science and Technology Policy (OSTP) is seeking input from community health stakeholders, technology developers, and other interested parties about how digital health technologies are used, or could be used in the future, to transform community health, individual wellness, and health equity. This request for information is part of an initiative to explore how innovation in science and technology can reduce barriers to accessing quality healthcare and leading healthier lives. OSTP is particularly interested in information from community-based health settings and about populations traditionally underserved by healthcare. Comments are due by February 28, 2022.
Source: Federal Register

GAO: Request for Medicaid and CHIP Payment and Access Commission (MACPAC) Nominations
Jan 4, 2022 -- The Government Accountability Office (GAO) is accepting nominations for appointment to the Medicaid and CHIP Payment and Access Commission (MACPAC). Appointments are effective May 2022. Letters of nomination and resumes are due by January 27, 2022.
Source: Federal Register

HRSA: Agency Information Collection Activities: Proposed Collection: Public Comment Request Rural Health Clinic COVID-19 Reporting Portal, OMB No. 0906-0056-Revision
Jan 3, 2022 -- The Health Resources and Services Administration (HRSA) is seeking comments on an information collection request for continued approval of the Rural Health Clinic (RHC) COVID-19 Testing Program Data Collection. HRSA is expanding this data report to collect information on COVID-19 testing, COVID-19 mitigation, and related expenses conducted by funded organizations participating in the RHC COVID-19 Testing and Mitigation (RHCCTM) Program. Comments are due by March 4, 2022.
Source: Federal Register

Funding & Opportunities

Children's Advocacy National Subgrant Program
Funding for the establishment, improvement, and expansion of Children's Advocacy Centers to provide a coordinated response to victims of child abuse through multidisciplinary teams composed of representatives from the statutorily mandated and other involved agencies. One of the program objectives is to increase the number of resource-poor, geographically isolated, rural, and/or underserved communities developing a multidisciplinary approach to child abuse.
Geographic coverage: Nationwide
Application Deadline: Jan 14, 2022
Sponsor: National Children's Alliance (NCA)


Affordable Housing for Rural Veterans Initiative
Funding for "bricks and mortar" projects that assist low‐income, elderly, and disabled veterans with home repair needs, support homeless veterans, help veterans become homeowners, and/or secure affordable rental housing in rural areas of the United States.
Geographic coverage: Nationwide
Application Deadline: Jan 21, 2022
Sponsors: Housing Assistance Council, The Home Depot Foundation


Emergency Medicine Foundation Health Disparities Research Grant
Grants for research to improve healthcare access, delivery, utilization, quality, and outcomes of those affected by health disparities. Proposals are encouraged to propose or lay the groundwork for emergency department-based interventions that produce actionable evidence and/or reproducible findings to improve health outcomes for disparities groups.
Geographic coverage: Nationwide
Application Deadline: Feb 4, 2022
Sponsor: Emergency Medicine Foundation


NCHC Awards Program
Awards Program designed to honor outstanding individuals and organizations in the field of health networks.
Geographic coverage: Nationwide
Application Deadline: Feb 18, 2022
Sponsor: National Cooperative of Health Networks Association


Public Health Associate Program Host Site Application
The Centers for Disease Control and Prevention is seeking partnerships with public health agencies and tribal and nongovernmental organizations to serve as host sites for the Public Health Associate Program (PHAP). PHAP is a paid training program funded by the CDC where associates gain hands-on experience across a variety of public health settings. Applicants from rural areas are strongly encouraged.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Feb 18, 2022
Sponsor: Centers for Disease Control and Prevention


Tribal Practices for Wellness In Indian Country
Grants to support tribal practices that build resiliency and connections to community, family, and culture, which over time, can reduce risk factors for chronic disease among American Indians and Alaska Natives.
Geographic coverage: Nationwide
Application Deadline: Mar 16, 2022
Sponsors: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, U.S. Department of Health and Human Services


Summer Food Service Program
Funding to provide free, nutritious meals and snacks to help children in low-income areas get the nutrition they need during the summer months.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Food and Nutrition Service

New Resources

2021 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 12/2021


Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Location: JAMA Network Open, 4(12)
Date: 12/2021


Depression and Integrated Care
Webinar recording discusses access to treatment for depression via integrated care. Highlights best practices for overcoming barriers to depression treatment, particularly in rural areas.
Additional links: Video Recording, Webinar Slides
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
Date: 12/2021


Farmer and Rural Perceptions of Mental Health
Presents findings of a poll of 2,004 rural adults, addressing impressions of mental health stigma in rural and agricultural communities. Describes barriers to seeking mental health assistance, who rural adults feel comfortable talking to about stress or mental health issues, and the perceived mental health impacts of farm stress on farmers and farm workers. Compares results to polls conducted in 2019 and 2020.
Sponsoring organization: American Farm Bureau Federation
Date: 12/2021


Final CY 2022 Physician Fee Schedule
Fact sheet addressing the Centers for Medicare and Medicaid Services policies for Medicare beginning on January 1, 2022. Includes sections on telehealth services, the Consolidated Appropriations Act, audio-only services, communications technology based services, Federally Qualified Health Centers and Rural Health Clinics, and additional policies.
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
Date: 11/2021


Medicare and Beneficiaries Pay More for Preadmission Services at Affiliated Hospitals Than at Wholly Owned Settings
Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Sponsoring organization: Office of Inspector General (HHS)
Date: 12/2021


Merit-Based Incentive Payment System (MIPS): 2022 Reporting MIPS Quality Measures through Medicare Part B Claims Quick Start Guide for Small Practices (Traditional MIPS)
Provides details on how small practices can report quality measures through Medicare Part B claims measures. Highlights changes to these measures in 2022, and includes information for clinicians at Critical Access Hospitals.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 01/2022


Missing and Murdered Indigenous People
Registry, tipline, and information resource for missing and murdered American Indian and Alaska Native people hosted by the U.S. Department of the Interior's Bureau of Indian Affairs.
Sponsoring organization: Bureau of Indian Affairs

National Study on the Contribution of Family Physicians to the US Emergency Physician Workforce in 2020
Results of a study of family physicians who provide emergency care, using data from the 2020 American Medical Association Physician Masterfile. Features county-level maps showing density of family medicine emergency physicians, and statistics including urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, W. Anthony Gerard, John S. Cullen, et al.
Location: Journal of the American Board of Family Medicine, 34(6), 1221-1228
Date: 11/2021


Navajo Philosophies and Worldviews Shape Focus Groups on the Impacts of a Mine Spill
Describes collaborative research that incorporated Navajo philosophy and worldviews into focus group examinations of the Gold King Mine spill of 2015, which impacted a river that flows through the Navajo Nation. Discusses the project's development, building community buy-in, and examining socio-cultural impacts of the disaster.
Sponsoring organizations: National Institute of Environmental Health Sciences, National Institutes of Health
Date: 01/2022


Outcomes from the Medication Assisted Treatment Pilot Program for Adults with Opioid Use Disorders in Rural Colorado
Examines the efficacy of a medication for opioid use disorder (MOUD) pilot program in two rural Colorado counties. Details the structure and setting of the program, patient characteristics and outcomes, and the limitations of the program.
Author(s): Claudia R. Amura, Tanya R. Sorrell, Mary Weber, et al.
Location: Substance Abuse Treatment, Prevention, and Policy, 17(1)
Date: 01/2022


Randomized Trial of a Portable HEPA Air Cleaner Intervention to Reduce Asthma Morbidity Among Latino Children in an Agricultural Community
Study evaluating the impact of HEPA air cleaners on asthma morbidity for a group of 75 rural Latino children in the Lower Yakima Valley region of Washington. Analyzes health outcomes after providing an intervention group with HEPA air cleaners, and describes the potential for HEPA air cleaners to aid in asthma control in children, particularly in agricultural and industrial settings.
Author(s): Rebecca L. Drieling, Paul D. Sampson, Jennifer E. Krenz, et al.
Location: Environmental Health, 21, 1
Date: 01/2022


Reimagining Hunger Responses in Times of Crisis: Insights from Case Examples and a Survey of Native Communities' Food Access During COVID-19
Report examining food insecurity among American Indian and Alaska Native communities during the COVID-19 pandemic based on 504 food access survey responses. Discusses food insecurity rates in relation to respondent characteristics, resiliency of Native producers and food economies, and policy recommendations to address food access issues.
Sponsoring organizations: Food Research & Action Center, Indigenous Food and Agriculture Initiative, Native American Agriculture Fund
Date: 12/2021


Variation in Use of Anti-SARS-CoV-2 Monoclonal Antibody Therapies by Social Vulnerability and Urbanicity
Examines the variation in the use of the first two monoclonal antibody therapies for COVID-19 from November 2020 through March 2021. Presents data on the demographic characteristics of monoclonal antibody recipients and social vulnerability indices. Includes a discussion of the use of this therapy by urbanicity and density of primary care physicians.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 12/2021

Open Calls for Contributions

Call for Speakers: 2022 NARHC Spring & Fall Institutes
National Association of Rural Health Clinics
Event Dates: Mar 14 - 16, 2022, Oct 24 - 26, 2022
Scottsdale, AZ
Conference Website

Call for Speaker Proposals: 2022 Region B SORH Regional Partnership Meeting
Deadline: Feb 11, 2022
National Organization of State Offices of Rural Health
Event Dates: May 17 - 19, 2022
Lexington, KY
Conference Website

Call for Speaker Proposals: 2022 Regions A, C, D, & E SORH Regional Partnership Meeting
Deadline: Feb 25, 2022
National Organization of State Offices of Rural Health
Event Dates: June - July 2022
Conference Website

Upcoming Events

Jan
12
Infrastructure Investment and Jobs Act Broadband Programs: Public Virtual Listening Session #2
Time: 2:30 - 4:00 p.m. Eastern
National Telecommunications and Information Administration
Jan
13
Expanded Eligibility Allows More Rural Clinicians to Qualify for Loan Repayment
Time: 1:00 - 2:00 p.m. Central
3RNET, Bureau of Health Workforce, Federal Office of Rural Health Policy, Rural Health Information Hub
webinars@ruralhealthinfo.org
Jan
13-14
Meeting of the Medicare Payment Advisory Commission (MedPAC)
Medicare Payment Advisory Commission
Jan
18
HealthLandscape Maternal Health Mapping Tools
Time: 1:00 - 2:00 p.m. Eastern
HealthLandscape
Jan
19
IHS Partnership Virtual Trainings
Sessions available January 19 - February 18, 2022
Time: 2:00 - 3:30 p.m.
Centers for Medicare and Medicaid Services
Jan
19
The Rural Emergency Hospital (REH), a New Hospital Type
Time: 1:00 - 2:00 p.m. Central
National Advisory Committee on Rural Health and Human Services, Rural Health Information Hub
webinars@ruralhealthinfo.org
Jan
20
Health Center Clinician Office Hours: Leveraging Telehealth for Substance Use Disorder Care
Time: 12:00 p.m. Pacific
National Clinician Consultation Center
Jan
20
Tribal Leaders Virtual Training Series
Sessions available January 20 - April 24, 2022
Time: 2:00 - 3:30 p.m.
Centers for Medicare and Medicaid Services
Jan
24
Phoenix Virtual Trainings
Sessions available January 24 - February 2
Centers for Medicare and Medicaid Services
Jan
25
HCC & Social Determinants of Health-Guidance for Getting Documentation and Coding Right the First Time
Time: 12:00 - 1:00 p.m. Central
Center for Optimizing Rural Health
corh@tamu.edu
Jan
26
Infrastructure Investment and Jobs Act Broadband Programs: Public Virtual Listening Session #3
Time: 2:30 - 4:00 p.m. Eastern
National Telecommunications and Information Administration
Jan
26
Small Health Care Provider Quality Improvement Grant Program Webinar
Time: 2:00 - 3:00 p.m. Eastern
Call-In Number: 833.568.8864
Participant Code: 45653299
Federal Office of Rural Health Policy
Feb
1
2022 Annual Arizona Rural & Public Health Policy Forum
Arizona Center for Rural Health
Phoenix, AZ
raruiz@arizona.edu
Feb
9
Infrastructure Investment and Jobs Act Broadband Programs Public Virtual Listening Session #4
Time: 2:30 - 4:00 p.m. Eastern
National Telecommunications and Information Administration
Feb
12-16
2022 NACo Legislative Conference
National Association of Counties
Washington, DC
202.942.4292
nacomeetings@naco.org
Feb
14
Pain Management in Individuals with HIV: Challenges and Opportunities
Time: 12:30 - 1:30 p.m. Eastern
New England AIDS Education and Training Center
Feb
14-16
2022 Western Forum for Migrant and Community Health
Northwest Regional Primary Care Association
Portland, OR
registration@nwrpca.org
Feb
14-17
2022 Annual National Association of Community Health Centers Policy and Issues Forum
National Association of Community Health Centers
Washington, DC
301.347.0400
mgordon@nachc.org
Feb
15
Critical Access Hospital Conditions of Participation 2022: Part 4 of 5 (W2006)
Time: 10:00 a.m. - 12:00 p.m. Eastern
Georgia Hospital Association
Feb
15
Human Skills – Workforce & Team Enhancement: Session 6 of 8
Time: 12:00 - 1:00 p.m. Central
Kansas Office of Primary Care & Rural Health, National Organization of State Offices of Rural Health
888.391.7258 ext. 105
tammyn@nosorh.org
Feb
15-16
​Being Trauma & Healing Informed
Time: 9:00 a.m. - 4:00 p.m. Pacific
Native Wellness Institute
Feb
15-17
ACTIVATE22 Annual AgSafe Conference
AgSafe
Monterey, CA
209.526.4400
safeinfo@agsafe.org
Feb
16
HealthLandscape Maternal Health Mapping Tools
Time: 1:00 - 2:00 p.m. Eastern
HealthLandscape
Feb
16
IRHA - Lunch & Learn: Indiana's Charitable Food Network
Time: 12:00 - 1:00 p.m.
Indiana Rural Health Association
aorwig@indianarha.org
Feb
16
STAR² Center 2021-2022 PCA & HCCN Workforce Professional Development Series
Time: 2:00 p.m. Eastern
Association of Clinicians for the Underserved, STAR² 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.