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Rural Health Information Hub

RHIhub This Week - June 22, 2022

RHIhub Video

rural downtown sidewalk The Targeted Rural Health Education Project
In our latest video, UND School of Medicine and Health Sciences students use the TRHE program to bring plain language health education to the communities they serve.

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 Information from around the web

Recent News

Good Samaritan CEO: Nursing Homes Face Triple Threat on Road to Recovery
Jun 20, 2022 -- Discusses challenges facing the skilled nursing and assisted living industry, highlighting a podcast interview with the nonprofit Good Samaritan Society CEO Nate Schema. Notes that the organization has closed or sold 9 facilities in the past 8 months, most of which are in rural communities, and describes the importance of nursing homes to rural communities and the need for innovative workforce and fundraising strategies.
Source: Skilled Nursing News

Dental Clinic Hopes to Fill Holes in Rural Care
Jun 16, 2022 -- Describes the work of Caring Hands of Maine Dental Clinic, which works to increase the dental health workforce in rural Maine through an externship program that transports dental students to rural areas to provide services. Describes the need for dental care in the area and the potential for the program to increase interest in rural dentistry.
Source: The Ellsworth American

Out of Reach for Access to Care
Jun 16, 2022 -- Highlights the work of a rural nonprofit organization, Envida, which offers transportation and homecare in Colorado. Discusses the service needs of rural clients, older adults, and people with disabilities who require transportation to access healthcare services, even as telehealth options expanded during the COVID-19 pandemic. Notes challenges related to behavioral healthcare access and coordination of services.
Source: National Aging and Disability Transportation Center

Technology is Changing Healthcare for Rural America
Jun 16, 2022 -- Highlights the efforts of a rural community in Maine to create a mobile, telehealth-based emergency care program that enables paramedics in the field to connect patients with specialty care providers. Discusses the challenges of providing care in expansive rural areas and the potential impacts of the model on rural access to emergency services.
Source: The Denver Channel

Federal Register

Public Inspection: CMS: Medicare Program: Calendar Year 2023 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Program Requirements; etc.
Jun 20, 2022 -- Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the home health and home infusion therapy services payment rates for calendar year (CY) 2023. This rule also proposes changes to the Home Health Quality Reporting Program (HH QRP) requirements; changes to the expanded Home Health Value-Based Purchasing (HHVBP) Model; and updates to the home infusion therapy services payment rates for CY 2023. Also discusses the future collection of data regarding the use of telecommunications technology during a 30-day home health period of care on home health claims, among other things. Comments are due by August 16, 2022.
Source: Federal Register

Funding & Opportunities

Rural Emergency Medical Communications Demonstration Project
Provides funding for demonstration projects addressing rural medical communications in order to gain an understanding of barriers and best practices to coordinate emergency response across multiple jurisdictions.
Geographic coverage: Nationwide
Application Deadline: Jul 18, 2022
Sponsor: U.S. Department of Homeland Security

Rural Decentralized Water Systems Grant Program
Grants for qualified nonprofit organizations and tribes to create a revolving loan fund to increase access to clean, reliable water and septic systems for households in eligible rural areas.
Geographic coverage: Nationwide
Application Deadline: Jul 31, 2022
Sponsors: U.S. Department of Agriculture, USDA Rural Utilities Service

Service Area Competition Funding for Health Center Program (Areas Served with a Project Period Start Date of March 1, 2023)
Funding to provide comprehensive primary healthcare services to an underserved area or population. Areas with a March 1, 2023 project period start date are eligible to apply.
Geographic coverage: Nationwide
Application Deadline: Aug 15, 2022
Sponsors: Health Resources and Services Administration, U.S. Department of Health and Human Services

Drinking Water State Revolving Fund (DWSRF)
A federal-state partnership that provides funding and technical assistance to help water systems and states achieve the health protection objectives of the Safe Drinking Water Act.
Geographic coverage: Nationwide and U.S. Territories
Applications accepted on an ongoing basis
Sponsor: U.S. Environmental Protection Agency

Rural and Tribal Passenger Transportation Technical Assistance
Technical assistance for tribes and rural communities of less than 50,000 people to plan system start-up, transit service improvements, facility development, marketing, transportation coordination, and staff training.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Community Transportation Association of America

New Resources

2022 Scorecard on State Health System Performance
Evaluates state health systems on a state-by-state basis. Enables comparison between state health systems across 56 measures, such as access and affordability, prevention and treatment, and the impact of COVID-19, among others.
Sponsoring organization: Commonwealth Fund
Date: 06/2022

Adolescent Access to Federally Funded Clinics Providing Confidential Family Planning Following Changes to Title X Funding Regulations
Examines access to reproductive care across U.S. Census tracts for female minors aged 15 to 17 following 2019 changes in Title X funding. Identifies clinic access within a 30-minute drive in August 2018 before Title X changes and access in August 2020 after Title X changes. Includes demographic data on the impacted minors such as rural versus urban geography, census region, social vulnerability index (SVI), race/ethnicity, age, birth rate, and state minor confidentiality laws.
Author(s): Polina Krass, Vicky Tam, Jungwon Min, et al.
Location: JAMA Network Open, 5(6)
Date: 06/2022

Answering The Call: 988 - A New Vision for Crisis Response
Discuss three areas important to implementing the 988 mental health crisis response number and behavioral health crisis response: interagency collaboration, the behavioral health workforce, and financing. Offers policy recommendations for developing a comprehensive crisis response system. Discusses rural considerations and challenges throughout.
Sponsoring organization: Bipartisan Policy Center
Date: 06/2022

Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
Date: 2022

Insurance Type Is the Top Predictor of Telehealth Use as Adoption Levels Off Long-Term
Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Sponsoring organization: Epic Research
Date: 06/2022

Issue Brief: The Impact of Language on Health Care Accessibility
Discusses how language barriers affect healthcare access for limited English proficient (LEP) individuals. Highlights challenges that LEP groups, such as farmworkers, faced in receiving COVID-19 care and information.
Sponsoring organization: Farmworker Justice Fund, Inc.
Date: 06/2022

Life Expectancy by County, Race, and Ethnicity in the USA, 2000–19: A Systematic Analysis of Health Disparities
Examines county-level racial health disparities over a 20-year period by isolating geography and race/ethnicity in mortality rates. Utilizes death registration data from the U.S. National Vital Statistics System as well as population data from the U.S. National Center for Health Statistics. Includes U.S. maps that show county-level life expectancy by race/ethnicity and figures tracking state-by-state changes in life expectancy by race from 2000 to 2019. Free to download with registration.
Author(s): Laura Dwyer-Lindgren, Parkes Kendrick, Yekaterina O Kelly, et al.
Location: The Lancet
Date: 06/2022

A Look at Suicide Rates Ahead of 988 Launch—A National Three-Digit Suicide Prevention Hotline
Issue brief examining suicide rates between 2010 and 2020 by race/ethnicity, gender, age, and rurality based on CDC WONDER data. Describes the development of the federal 988 crisis number and potential challenges for the initiative to address the mental health needs of rural and underserved populations.
Sponsoring organization: Kaiser Family Foundation
Date: 06/2022

MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 06/2022

MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 06/2022

Native American Agriculture and Food Systems: Challenges and Opportunities Presented by the COVID-19 Pandemic
Examines impacts of COVID-19 on Native American food systems. Analyzes 401 survey responses from Intertribal Agriculture Council (IAC) members, such as food producers, tribal leaders, and grocers. Discusses food systems issues such as limited storage capacity and breakdown of shipment logistics, increased hunger and demand on social support programs, and cessation of food programs during COVID-19.
Sponsoring organization: Intertribal Agriculture Council
Location: Journal of Agriculture, Food Systems, and Community Development
Date: 06/2022

Non-Metropolitan and Metropolitan Trends in Mental Health Treatment Availability in Community Health and Community Mental Health Centers
Results of a study showing how the supply of community mental health centers (CMHCs) and community health centers (CHCs) offering mental health services changed over time, in non-metropolitan and metropolitan areas. Features statistics with breakdowns by year from 2000-2019 and by metropolitan and non-metropolitan location.
Sponsoring organization: Rural and Underserved Health Research Center
Date: 06/2022

Regular Bedtimes Among Children Aged 5–17 Years: United States, 2020
Reports on regular bedtimes, going to sleep at the same time most days or every day during the school week, among children 5–17 years old. Includes data by urban and rural location.
Sponsoring organization: National Center for Health Statistics
Date: 06/2022

Rx for the Rural Healthcare Workforce and Access to Care
Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Sponsoring organization: The Conference Board
Date: 05/2022

Sleep Difficulties in Adults: United States, 2020
Reports on difficulty falling or staying asleep in the past 30 days among U.S. adults. Includes data by place of residence for nonmetro, small and medium metro, large fringe metro, and large central metropolitan areas.
Sponsoring organization: National Center for Health Statistics
Date: 06/2022

Social and Emotional Support during the COVID-19 Pandemic by Sexual Orientation and Rurality
Policy brief examining social and emotional support by rurality and sexual orientation during the COVID-19 pandemic based on 2020 National Health Interview Survey (NHIS) data. Compares prevalence of social support and change in social support for rural and urban lesbian, gay, and bisexual (LGB) and heterosexual respondents.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 06/2022

Telehealth: Current Definitions and Future Trends
Information guide covering updated telehealth terminology, issues, and considerations as of May 2022. Offers definitions of key terms from various agencies and organizations and how those definitions apply to various stakeholders.
Sponsoring organization: Rural Telehealth Evaluation Center
Date: 05/2022

Traffic Safety Facts, 2020 Data: Bicyclists and Other Cyclists
National data on fatal and non-fatal traffic crashes involving bicyclists and other cyclists, including riders of two-wheel, non-motorized vehicles, tricycles, and unicycles powered solely by pedals. Features statistics from 2011-2020 with breakdowns including fatality and injury rates, age group, sex, time of day and day of the week, alcohol involvement, blood alcohol concentrations of riders, vehicle type and impact point, fatality rates by state, and rural or urban location.
Sponsoring organization: National Highway Traffic Safety Administration
Date: 06/2022

Traffic Safety Facts, 2020 Data: Passenger Vehicles
National data on traffic crashes involving passenger vehicles. Features statistics from 2011-2020 with breakdowns by vehicle type, time of day, fatalities, and state, among other measures. Includes breakdowns by rural and urban locations.
Sponsoring organization: National Highway Traffic Safety Administration
Date: 06/2022

Veteran Mobility and COVID-19
Examines veterans living in rural areas and how their mobility options, cost of transportation, use of telehealth, access to healthy food, and social isolation have been impacted by COVID-19. Discusses issues and policies related to improving healthcare transportation and access to Veterans Administration (VA) services for rural veterans. Includes data on veteran demographics and survey responses to health- and transportation-related questions.
Sponsoring organizations: North Dakota State University, Small Urban and Rural Center on Mobility, Upper Great Plains Transportation Institute
Date: 05/2022

Open Calls for Contributions

Call for Presentations: 2022 Wisconsin Healthcare Workforce Summit
Deadline: Jul 1, 2022
Wisconsin Council on Medical Education and Workforce
Event Dates: Oct 13, 2022
Wisconsin Dells, WI
Conference Website

Upcoming Events

Uplifting the Indigenous LGBTQ2S+ Community Through Indigenous Empowerment and Intimate Partner Violence (IPV) Prevention
Time: 11:00 a.m. - 12:30 p.m. Central
National Indigenous Women's Resource Center
The Who, What, Where and When of COVID-19 Treatments: Everything You Need to Know About Lifesaving Antivirals
Time: 3:00 p.m. Eastern
CDC Foundation
AgriStress Response Network Monthly Meeting
Time: 10:00 - 11:00 a.m. Central
AgriSafe Network
Addressing Substance Use Disorder Community Stigma: Do Facts and Personal Recovery Stories Reduce Stigma and Increase Support for Recovery Housing?
Time: 2:00 p.m. Eastern
Fletcher Group Rural Center of Excellence (RCOE)
Strategies for Distributing Naloxone to Rural Communities
Time: 12:00 p.m. Eastern
University of Vermont Center on Rural Addiction
HIV Management in Rural and Underserved Communities of the Southeast: Tailoring Care and Treatment to Improve Health Equity - Part 1
Time: 11:00 a.m. - 1:00 p.m. Central
Southeast AIDS Education and Training Center, Tennessee AIDS Education and Training Center
2022 14th Annual California Rural Health Conference
California Association of Rural Health Clinics
Folsom, CA
2022 Region C SORH Regional Partnership Meeting
National Organization of State Offices of Rural Health
Indianapolis, IN
AgriStress Response Network Monthly Meeting
Time: 10:00 - 11:00 a.m. Central
AgriSafe Network
2022 Illinois Critical Access Hospital Network (ICAHN) Social Determinants of Health Conference
Time: 9:00 a.m. - 3:00 p.m. Central
Illinois Critical Access Hospital Network
Springfield, IL
2022 National Home and Community Based Services Conference
ADvancing States
Washington, D.C.
Arizona Telemedicine Program - Developing a Telemedicine Program
Arizona Telemedicine Program, Southwest Telehealth Resource Center
2022 Rocky Mountain Tribal Leaders Council Public Health Conference
Rocky Mountain Tribal Leaders Council
Billings, MT
406.252.2550 Ext. 106

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