Skip to main content
Rural Health Information Hub

RHIhub This Week - June 15, 2022

New in the Rural Monitor

Patient using mobile phone at dialysis center Staving Off One's Mortality: Rural Kidney Health and Its Disparities
by Kay Miller Temple, MD

For the 240,000 rural Americans with complete kidney failure, it’s likely that very few knew they even had kidney disease. According to the Centers for Disease Control and Prevention, kidney disease is usually silent; 90% of people with kidney disease don’t know they have it. With research pointing to the high costs of kidney disease for pediatric and adult patients alike—mostly covered by Medicare—experts and researchers discuss rural disparities around access to disease-stabilizing treatment and to renal replacement therapies.

 New in Our Online Library
 Information from around the web

Recent News

Counties with Recreation-Based Economies Show Biggest Recovery from Long-Term Poverty
Jun 14, 2022 -- Discusses persistent poverty in rural counties by major industry in each county, noting that rural counties with a recreation-based economy make up the lowest percentage of persistent poverty counties, while counties in persistent poverty are most likely to depend on a variety of non-specialized industries. Describes the relationship between persistent poverty, type of economy, and population growth and decline in rural areas.
Source: The Daily Yonder

Regional Hospitals Are Dealing with a Teen Mental Health Crisis
Jun 14, 2022 -- Describes challenges for rural emergency departments that are seeing increased utilization for youth mental health emergencies and issues related to higher rates and lengths of hospitalization in urban hospitals due to a lack of behavioral health capacity in rural hospitals. Examines rising rates of self-harm emergency visits in Kentucky, noting similar trends and mental health challenges among youth in West Virginia and Ohio.
Source: Ohio Valley Resource

HHS Issues Guidance on HIPAA and Audio-Only Telehealth
Jun 13, 2022 -- Announces new guidance from the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) related to audio-only telehealth encounters using remote communication technologies to maintain compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Discusses the importance of audio-only telehealth to providing access to certain populations who cannot utilize video-audio technology, due to broadband access, disability, limited English proficiency, and other factors.
Source: U.S. Department of Health and Human Services

Native Americans Face Disproportionate Travel Burden for Cancer Treatment
Jun 13, 2022 -- Presents the findings of a study of travel distance to radiation therapy facilities for American Indian and Alaska Native (AI/AN) populations, noting that compared to non-AI/AN neighborhood groups, AI/AN populations travel around 40 miles farther to seek treatment. Identifies what researchers call "radiation therapy deserts" with longer than average travel distances in the western U.S., southern plains states, and northern plains states, with nearly 1/3 of AI/AN populations living in those areas.
Source: EurekAlert!

HRSA Makes Awards for the Rural Health Network Development Planning Program
Jun 9, 2022 -- Announcement from the Health Resources and Services Administration of over $1.9 million awarded to grantees of the Rural Health Network Development Planning Program. The program is designed to assist communities in the development of integrated health networks among participants who have no history of formal collaboration.
Source: Health Resources and Services Administration

Rural Communities Deal with Increase in Dangerous Alcohol Usage
Jun 9, 2022 -- Highlights a partnership between the Alabama Department of Mental Health and the University of Alabama School of Social Work, to screen and counsel patients with risky alcohol use. Notes that most studies have found that rural residence is associated with an increased likelihood of hazardous alcohol use and alcohol-related harm, and that the rural-urban disparity appears to be worsening over time.
Source: The Daily Yonder

HHS Invests Nearly $15 Million to Prevent and Treat Stimulant Use in Rural Communities
Jun 8, 2022 -- Announces nearly $15 million in funding for rural communities to address psychostimulant misuse and related overdose deaths. Describes the aims of the program and the need for reducing the morbidity and mortality of substance use, including opioid use, in high risk rural communities.
Source: U.S. Department of Health and Human Services

Federal Register

GAO: Request for Health Information Technology Advisory Committee (HITAC) Nominations
Jun 13, 2022 -- The Government Accountability Office is requesting nominations for the Health Information Technology Advisory Committee (HITAC), which provides recommendations to the National Coordinator for Health Information Technology on policies, standards, implementation specifications, and certification criteria relating to the implementation of a health information technology infrastructure. Nominations are due by July 22, 2022.
Source: Federal Register

GAO: Request for Nominations for the Physician-Focused Payment Model Technical Advisory Committee
Jun 9, 2022 -- The Government Accountability Office is requesting nominations for the Physician-Focused Payment Model Technical Advisory Committee, which will provide comments and recommendations on physician payment models to the Department of Health and Human Services (HHS) Secretary. Nominations are due July 11, 2022.
Source: Federal Register

Funding & Opportunities

Rural Primary Care Institute
A 9-part webinar series designed to help State Offices of Rural Health, their partners, and stakeholders build their capacity to provide technical assistance to rural primary care providers.
Geographic coverage: Nationwide
Application Deadline: Jun 30, 2022
Sponsor: National Organization of State Offices of Rural Health


National Community Care Corps Local Models Program
Funding for innovative local models in which volunteers assist family caregivers, older adults, and adults with disabilities to help individuals maintain their independence and age in place. The program intends to fund local models that represent a diverse cross section of the United States in terms of geography; urban, rural, frontier, and tribal communities; and underserved and limited English-speaking populations.
Geographic coverage: Nationwide
Application Deadline: Jul 8, 2022
Sponsors: Administration for Community Living, Caregiver Action Network, National Association for Area Agencies on Aging, The Oasis Institute, U.S. Department of Health and Human Services


Education and Outreach for Dental Therapy in Tribal Settings
Grants to support education and outreach on tribal dental therapy programs. The overall goal of the program is strengthening efforts and launching new efforts to enhance federal, state, and tribal policies supportive of dental therapy within the Indian Health System.
Geographic coverage: Nationwide
Application Deadline: Jul 22, 2022
Sponsor: National Indian Health Board


Tribal Colleges and Universities Implementation Activities or Feasibility Study for Dental Therapy Training Programs
Grants to tribal colleges and universities (TCUs) to implement activities to support training and educational opportunities for dental therapy students, or to undertake a feasibility study to explore what it would take to begin a dental therapy training program at the TCU.
Geographic coverage: Nationwide
Application Deadline: Jul 22, 2022
Sponsor: National Indian Health Board


Tribes and Tribal Organizations Implementation of Dental Therapy
Grants for projects that implement dental therapy in tribal communities in states that have a legal mechanism for dental therapists to practice within the Indian Health System.
Geographic coverage: Available in 14 states.
Application Deadline: Jul 22, 2022
Sponsor: National Indian Health Board


Rural Communities Opioid Response Program - Medication-Assisted Treatment (RCORP-MAT) Access
Grants to establish new Medication-Assisted Treatment access points and increase capacity for the provision of sustainable MAT services in high-risk rural communities, thus increasing access to evidence-based treatment for individuals with opioid use disorder (OUD) living in rural areas.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jul 29, 2022
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services


Tribal Solid Waste Grant
Grants to support planning, assessment, evaluation, and training activities to help tribes establish sustainable waste management programs and measure the extent of threat to human health related to the disposal of solid waste.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jul 29, 2022
Sponsor: U.S. Environmental Protection Agency


National Rural Health Day Community Stars
Honors individuals and organizations working in and serving rural communities and supporting rural health collaboration, communication, education, or innovation. Community Stars are featured in an electronic publication that is released on National Rural Health Day each year.
Geographic coverage: Nationwide
Application Deadline: Aug 1, 2022
Sponsor: National Organization of State Offices of Rural Health


Building Bridges to Better Health: A Primary Health Care Challenge
Challenge competition seeking to advance the development and testing of low-cost, scalable technical assistance solutions that can improve outcomes for patients at Federally Qualified Health Centers. Proposed solutions should focus on addressing key drivers of poor health and social determinants of health, including barriers to accessing medical, social, housing, educational, or other related services.
Geographic coverage: Nationwide
Application Deadline: Aug 2, 2022
Sponsors: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services


Leading Edge Acceleration Projects in Health Information Technology
Funding to address emerging challenges that inhibit the development, use, and/or advancement of health information technology. Projects should address one of two areas: (1) health equity and social determinants of health through innovative, open-source technology tools and electronic health records; and (2) the use of equity-enhancing patient-generated health data for clinical care and research. Populations of focus include indigenous persons, Pacific Islanders, and people who live in rural areas, among others.
Geographic coverage: Nationwide
Letter of Intent (Optional): Jun 30, 2022
Application Deadline: Aug 15, 2022
Sponsors: Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services


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 15, 2022
Sponsor: National Rural Health Association

New Resources

Association Between Vaccination Coverage Disparity and the Dynamics of the COVID-19 Delta and Omicron Waves in the US
Examines vaccination disparities during the Delta and Omicron COVID-19 waves. Analyzes 2,417 counties for COVID-19 incidence and mortality rates. Discusses vaccination rates and impact of COVID-19 in rural areas.
Author(s): Diego F. Cuadros, Claudia M. Moreno, Godfrey Musuka, et al.
Location: Frontiers in Medicine, 9
Date: 06/2022


Characteristics of Adults Aged ≥18 Years Evaluated for Substance Use and Treatment Planning — United States, 2019
Examines past 30-day substance use patterns for alcohol, cannabis, cocaine, illicit stimulants, heroin, illicit fentanyl, prescription opioid misuse, prescription stimulant misuse, and prescription sedative, tranquilizer, and sleeping pill use. Also looks at the severity of problems experienced in these areas: alcohol, drug, employment, family, legal, medical, and psychiatric issues. Includes data for metropolitan, micropolitan, and rural areas.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 71(23), 749-756
Date: 06/2022


Community Clergy Training to Support Rural Veterans' Mental Health
Report discusses a mental health training program for clergy to support the mental health of rural veterans. Discusses the focuses of the training program and highlights outcomes from the increase of access to mental health support for rural veterans.
Sponsoring organization: Veterans Health Administration's Office of Rural Health
Date: 05/2022


COVID-19 Vaccination Coverage, by Race and Ethnicity — National Immunization Survey Adult COVID Module, United States, December 2020–November 2021
Examines disparities in COVID-19 vaccination coverage by race and ethnicity among U.S. adults during December 2020–November 2021. Includes data by race/ethnicity for those living in metropolitan and nonmetro areas.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 71(23), 757-763
Date: 06/2022


Evaluation of the Rural Maternity and Obstetrics Management Strategies Program: 2019 Cohort - Second Annual Report
Reports on the Rural Maternity and Obstetrics Management Strategies (RMOMS) program 2019 cohort's first implementation year, 2020-2021. Describes the program, the need for increased access to maternal and obstetric care in rural areas, and the program's strategic goals. Provides an overview of the 3 RMOMS awardees in Missouri, New Mexico, and Texas including network characteristics, model and goals, health equity efforts, sustainability, and maternal health outcomes.
Additional links: Executive Summary
Sponsoring organization: Health Resources and Services Administration
Date: 05/2022


The Future of Nursing Podcast
Podcast series exploring strategies for the nursing profession to advance health equity.
Sponsoring organization: National Academy of Medicine
Date: 2022


Health Care Professionals' Perspectives on Healthcare in Rural America
Presents results of a survey of over 10,000 healthcare professionals from December 2021 - March 2022. Explores the relationship between social determinants of health and providers' perceptions of health access, quality, and outcomes. Discusses providers' comfort levels, interest in, and perceptions of patient benefits from health technology. Compares survey results from rural and non-rural providers throughout.
Sponsoring organizations: Medscape, Walmart
Date: 06/2022


Medicaid.gov: Unwinding and Returning to Regular Operations after COVID-19
Central resource for states and other Medicaid stakeholders to find information and resources to help them plan and prepare as health insurance coverage that was maintained during the public health emergency through the Families First Coronavirus Response Act (FFCRA) expires.
Additional links: Communications Toolkit, What to Know and How to Prepare, A Partner Education Monthly Series
Sponsoring organization: Centers for Medicare and Medicaid Services

National Maternal Mental Health Hotline
Hotline providing mental health information and support to pregnant and new mothers. The hotline can be reached at 1-833-9-HELP4MOMS or 1-833-943-5746.
Additional links: En Español
Sponsoring organization: Health Resources and Services Administration

On the Farm
Documentary miniseries explores mental health and substance misuse on the American farm. Discusses the factors that contribute to psychological stress and substance use in farm families. Features interviews with experts as well as farmers and their families.
Additional links: Film Website
Sponsoring organization: Mississippi State University
Date: 06/2022


QuickStats: Percentage of Adults Aged ≥18 Years with Diagnosed Heart Disease, by Urbanization Level and Age Group — National Health Interview Survey, United States, 2020
Bar chart showing heart disease in metropolitan and nonmetro areas for adults overall and by age group for those 18-44, 45-64, and 65 or older.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 71(23), 778
Date: 06/2022


Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
Date: 06/2022


Rural Minds
Provides information and resources on mental health in rural America. Works to challenge stigmas surrounding mental health issues in rural communities.
Sponsoring organization: Rural Minds, Inc.

Rural-Urban Differences in Maternal Mortality Trends in the US, 1999–2017: Accounting for the Impact of the Pregnancy Status Checkbox
Examines maternal mortality ratios (MMRs) from 1999 to 2017 by maternal residence of large urban area, medium/small urban area, or rural area. Discusses the impact on recorded MMRs of including a pregnancy status checkbox on death certificates. Includes data breakdowns by maternal residence, race/ethnicity, and age.
Author(s): Lauren M. Rossen, Katherine A. Ahrens, Lindsay S. Womack, Sayeedha F.G. Uddin, Amy M. Branum
Location: American Journal of Epidemiology, 191(6), 1030-1039
Date: 05/2022


Supporting Critical Access Hospital Staff during COVID-19
Presents summaries of initiatives taken in three Critical Access Hospitals (CAHs) to support staff during the COVID-19 pandemic with regard to child care, stress and well-being, and work flexibility. Discusses similarities across these programs and offers considerations for CAHs interested in implementing similar initiatives.
Sponsoring organization: Flex Monitoring Team
Date: 06/2022


Telemedicine Adoption for Heart Attack and Stroke Care Among Rural and Urban Hospitals: A Longitudinal Study
Examines the adoption of telemedicine for cardiac and stroke care in rural and urban hospitals between 2012 and 2017. Analyzes indicators for telemedicine adoption with a focus on hospital profitability and geographic location. Includes data on 4,108 hospitals across the U.S., such as academic centers, Critical Access Hospitals, and general medical, among other hospital types, as well as breakdowns of hospital characteristics by rural versus urban location.
Author(s): Amir Alishahi Tabriz, Kea Turner, Dunc Williams Jr., et al.
Location: Telemedicine and e-Health, 28(6), 781-788
Date: 06/2022

Upcoming Events

Jun
16
What Clinicians Need to Know About Available Therapeutic Options for COVID-19
Time: 2:00 - 3:00 p.m. Eastern
Centers for Disease Control and Prevention
Jun
22
Discussion Session: Addressing Staff Shortages in Tribal Healthcare Settings
Time: 4:00 p.m. Eastern
National Indian Health Board
Jun
22
LTSS Webinar: Win-Win: Renegotiating Montana Tribally Owned Nursing Facility Rates
Time: 2:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Jun
22
Promising Practices to Overcome Barriers to HIV Prevention and Treatment
Time: 12:00 p.m. Eastern
Health Resources and Services Administration, HRSA Office of Intergovernmental and External Affairs - Region 4
Jun
22
Telehealth Utilization Before and During the COVID-19 Pandemic: A Two-Year Retrospective
Time: 2:00 p.m. Eastern
FAIR Health
Jun
28
Growth and Financial Impact of Your Swing Bed Program
Time: 12:00 p.m. Central
Center for Optimizing Rural Health
Jun
29
The Impact of COVID-19 on the Rural Health Care Landscape
Time: 1:00 - 2:00 p.m. Eastern
Bipartisan Policy Center
Jul
6
State of the Healthcare Industry – Market Updates for Rural for Q2
Time: 2:00 - 3:00 p.m. Eastern
National Organization of State Offices of Rural Health
586.745.7458
bethk@nosorh.org
Jul
12-13
2022 Annual NRHA State Rural Health Association (SRHA) Leadership Conference
National Rural Health Association
Washington, DC
Jul
19
Southeast Missouri Grants 101 Workshop
Time: 9:00 a.m. - 4:00 p.m. Central
Health Resources and Services Administration, HRSA Office of Intergovernmental and External Affairs - Region 7
Poplar Bluff, MO
HRSAOIEARegion7@hrsa.gov
Jul
19-21
2022 Flex Program Virtual Reverse Site Visit
Time: 12:00 - 4:00 p.m. Central, daily
Federal Office of Rural Health Policy, National Rural Health Resource Center, Technical Assistance and Services Center
Jul
22
2022 Annual Kentucky Rural Health Clinic Summit
Kentucky Office of Rural Health
Richmond, KY
606.439.3557
marcus.pigman@uky.edu
Aug
1-3
2022 Annual NALBOH Conference
National Association of Local Boards of Health
Grand Rapids, MI
920.560.5644
nalboh@badgerbay.co
Aug
8-10
2022 Healthy Kids! Healthy Futures! National Conference
Notah Begay III Foundation
Albuquerque, NM
info@nb3f.org
Aug
9-10
2022 Annual California Telehealth Resource Center Telehealth Summit
California Telehealth Resource Center
CTRCsummit@ochin.org
Aug
9-11
2022 Annual USET Best Practices Conference
United South and Eastern Tribes, Inc. (USET)
Nashville, TN
Aug
10-11
2022 33rd Annual Illinois Rural Health Association Educational Conference
Illinois Rural Health Association
Champaign, IL
217.280.0206
staff@ilruralhealth.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.