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Rural Health Information Hub

RHIhub This Week - July 27, 2022

Upcoming Webinar

Rural Maternal Health Networks: Evaluation Findings from the First Implementation Year of the RMOMS 2019 Cohort
Join us next Monday, August 1, 2022 at 12:00 p.m. Central as we discuss findings and lessons learned from the implementation year of the RMOMS program.

Models and Innovations

The Coffee Break Project logo The Coffee Break Project
Biweekly coffee gatherings in rural Colorado encourage mental health check-ins for farmers and ranchers.

 New in Our Online Library
 Information from around the web

Recent News

American Institute of Dental Public Health Rural Oral Health ECHO Call for Case Presentations
Jul 26, 2022 -- The American Institute of Dental Public Health (AIDPH) is accepting submissions for case presentations for the Rural Oral Health ECHO Hub. Monthly sessions focus on emerging topics in rural health in collaboration with, and supported by subject matter expertise from partners at the University of Nevada Las Vegas, CareQuest Institute for Oral Health, Oral Health Progress and Equity Network, and the National Rural Health Association.
Source: American Institute of Dental Public Health

CMS Releases Maternity Care Action Plan to Implement Biden-Harris Maternal Health Blueprint; Launches Industry Call to Action
Jul 26, 2022 -- Describes the Maternity Care Action Plan launched by the Centers for Medicare & Medicaid Services (CMS) to improve maternal health outcomes and reduce pregnancy, childbirth, and postpartum health inequities. Offers an invitation for maternal health industry stakeholders to propose commitments, and outlines the new "Birthing-Friendly" hospital designation proposed by CMS.
Source: Centers for Medicare & Medicaid Services

HHS Office of the Assistant Secretary for Health Commits Millions Toward Maternal Health
Jul 26, 2022 -- Announces $8.5 million in funding to address rural maternal health and mortality disparities and maternal health disparities for Black and American Indian/Alaska Native (AI/AN) women by increasing access to postpartum care. Outlines 3 new funding opportunities aiming to support maternal health interventions and substance use disorder (SUD) treatment during pregnancy and postpartum periods.
Source: U.S. Department of Health and Human Services

Inflation is Crushing Rural America and May Even Drive People to the Cities
Jul 25, 2022 -- Reports on an Iowa State University study which found that in the past year expenses for rural Americans increased by 9.2% while their earnings increased by only 2.5%. Describes the effect that higher fuel prices have had on rural people, due to longer distances traveled for work, school, healthcare, and shopping for daily necessities, and the possibility that for this reason some might choose to move closer to larger cities.
Source: NPR

House Members Ask HHS to Clarify Enforcement Plans for 96-hour Rule
Jul 22, 2022 -- Reports on a request by a bipartisan group of House of Representatives members for Health and Human Services (HHS) Secretary Xavier Becerra to clarify by Sept. 9 whether and how the Administration plans to enforce the Medicare 96-hour payment rule and condition of participation for Critical Access Hospitals when the COVID-19 public health emergency ends.
Source: American Hospital Association

Rural America is in Mental Health Crisis
Jul 22, 2022 -- Describes challenges for farmers and rural communities related to mental health, including isolation, stigma, work-related stress, and lack of access to mental health services. Focuses on these issues in Oklahoma, noting that cultural views of mental health as weakness and avoidance of conversations about mental health contribute to higher rates of suicide, self-harm, and stress-related struggles.
Source: Farm Progress

Evaluating a New Model for Funding Rural Healthcare in Pennsylvania
Jul 21, 2022 -- Describes a study of the Pennsylvania Rural Health Model, a six-year project that explores a new method of funding rural healthcare through a global budget process rather than typical fee-for-service charges. Notes promising results in stabilizing rural hospital finances and the importance of slow, gradual change.
Source: The Pennsylvania State University

There Aren't Nearly Enough Native American Physicians. A Crash Course in Medicine Seeks to Change That
Jul 21, 2022 -- Highlights a 3-week program for Native American students and graduates of tribal and community colleges to shadow physicians and train at Harvard Medical School and Brigham and Women's Hospital. Describes the need for Native American physicians in rural tribal communities and the aims of the program to offer a pipeline to medical school and healthcare careers.
Source: Stat

Funding & Opportunities

National Environmental Public Health Internship Program Application for Students
10-week internship opportunity for students from accredited environmental health academic programs.
Geographic coverage: Nationwide
Application Deadline: Aug 8, 2022
Sponsor: National Environmental Health Association

Appalachia READY Nonprofits Initiative Learning Track
Online training, coaching, and funding designed to build organizational capacity for nonprofit organizations in the Appalachian region.
Geographic coverage: Available in specific counties in 13 Appalachian states.
Application Deadline: Aug 19, 2022
Sponsor: Appalachian Regional Commission

Health Equity and Overdose Prevention Mentorship Program
Educational opportunity for local health departments to learn from peers, share experiences, and exchange strategies for integrating health equity into drug overdose prevention and response work.
Geographic coverage: Nationwide
Application Deadline: Aug 19, 2022
Sponsor: National Association of County and City Health Officials

Nurse Education, Practice, Quality and Retention - Registered Nurse Training Program
Funding to enhance nursing education and practice to advance the health of patients, families, and communities and improve health outcomes. The overall goal is to increase the number of nursing students trained in acute care settings to address and manage social determinant of health factors and improve health equity and health literacy in rural and underserved areas.
Geographic coverage: Nationwide
Application Deadline: Aug 19, 2022
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services

Nurse Education, Practice, Quality and Retention - Clinical Faculty and Preceptor Academies Program
Funding to prepare nurses to serve as nursing clinical faculty and preceptors to newly hired or transitioning licensed nurses in a variety of care settings in rural and underserved areas.
Geographic coverage: Nationwide
Application Deadline: Aug 22, 2022
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services

Grants to Tribal Domestic Violence and Sexual Assault Coalitions Program
Grants for the development and operation of nonprofit, nongovernmental tribal domestic violence and sexual assault coalitions.
Geographic coverage: Nationwide
Application Deadline: Aug 29, 2022
Sponsors: Office on Violence Against Women, U.S. Department of Justice

Special Diabetes Program for Indians
Funding for diabetes treatment and/or prevention activities/services for American Indian/Alaska Native communities.
Geographic coverage: Nationwide
Application Deadline: Oct 7, 2022
Sponsors: Indian Health Service, U.S. Department of Health and Human Services

Indian Housing Block Grant Program
Grants to develop, maintain, and operate affordable housing in safe and healthy environments on American Indian reservations and in other American Indian areas, and to carry out other affordable housing activities that benefit low-income families.
Geographic coverage: Nationwide
Application Deadline: Nov 17, 2022
Sponsor: U.S. Department of Housing and Urban Development

Long-Term Effects of Disasters on Health Care Systems Serving Health Disparity Populations (R01- Clinical Trial Optional)
Grants for research focused on understanding the long-term effects of natural and/or human-made disasters on healthcare systems serving health disparity populations. Health disparity populations include, but are not limited to, American Indians, Alaska Natives, and underserved rural populations.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Sep 7, 2023
Sponsors: National Cancer Institute, National Institute on Aging, National Institute on Drug Abuse, National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services

Rural Health Care Outcomes Accelerator
A 3 year initiative designed to eliminate rural health disparities by helping hospitals and clinicians provide high-quality evidence-based care. Assistance includes free access to evidence-based programs, consultants, networking, and recognition.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: American Heart Association

New Resources

The Affordable Care Act Medicaid Expansion, Social Disadvantage, and the Practice Location Choices of New General Internists
Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Location: Medical Care, 60(5), 342-350
Date: 05/2022

Health Profession Opportunity Grants (HPOG 2.0) Program Operator and Partner Perspectives on Local Service Delivery Systems
Features 15 of the 32 Health Profession Opportunity Grants (HPOG) Program grantees who provide services to low-income adults and Temporary Assistance for Needy Families (TANF) recipients to promote their entrance into high demand healthcare occupations. Examines how these programs, including 9 serving rural areas, partnered with their local workforce systems. Includes discussion of rural-specific issues related to healthcare training and employment.
Sponsoring organization: Administration for Children and Families
Date: 06/2022

How Increased Funding Can Advance the Mission of the Indian Health Service to Improve Health Outcomes for American Indians and Alaska Natives
Provides an overview of health and healthcare disparities experienced by American Indian and Alaska Native (AI/AN) populations. Describes the role of the federal government in financing and providing healthcare services to these populations. Discusses how enhanced funding could help further the Indian Health Service's mission to ensure that tribal communities have access to high-quality healthcare services.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 07/2022

Increased Rates of Death from Unintentional Injury among Non-Hispanic White, American Indian/Alaska Native, and Non-Metropolitan Communities
Examines the rate of fatal and nonfatal injuries in non-metropolitan and metropolitan areas, and the association with race/ethnicity. Uses information from the National Hospital Ambulatory Medical Care Survey public use datafile for 2018. Features statistics including estimated rate of nonfatal unintentional injuries among people seeking treatment at hospitals, deaths from unintentional injuries, and age-adjusted death rates for all causes of unintentional injury from 2014-2018, with breakdowns by metropolitan and non-metropolitan location.
Sponsoring organization: Rural and Underserved Health Research Center
Date: 07/2022

Integrating Behavioral Health into Your RHC
Recording of a July 19, 2022, webinar regarding Rural Health Clinic (RHC) billing for behavioral health services. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Sponsoring organization: National Association of Rural Health Clinics
Date: 07/2022

Map the Meal Gap 2022: A Report on County and Congressional District Food Insecurity and County Food Cost in the United States in 2020
Provides information on food insecurity in the United States with a focus on how race and ethnicity impacts access to food. Includes county-level U.S. maps that show food insecurity by race and ethnicity as well as impacts for children and the overall U.S. population. Includes discussions about food insecurity in rural counties.
Additional links: Technical Appendix
Sponsoring organization: Feeding America
Date: 07/2022

Northern Navajo Medical Center Delivers Care Directly to Patients Experiencing Homelessness
Video details a program initiated by the Norther Navajo Medical Center in Shiprock, New Mexico, that provides treatment to people experiencing homelessness on the Navajo reservation. Discusses the mobile clinic's goals and the services it provides, such as physical exams, vaccinations, and other acute and chronic conditions.
Sponsoring organization: Indian Health Service
Date: 07/2022

Pandemic-Triggered Adoption of Telehealth in Underserved Communities: Descriptive Study of Pre- and Postshutdown Trends
Study examining telehealth utilization before and during the COVID-19 pandemic based on Medicaid reimbursement data for Alabama from March 2019 to June 2021. Breaks down data by race/ethnicity, gender, rurality, age, and by service and provider type.
Author(s): Pei Xu, Matthew Hudnall, Sidi Zhao, et al.
Location: Journal of Medical Internet Research, 24(7), e38602
Date: 07/2022

Responding to a Surge in Overdose Deaths: Perspectives From US Syringe Services Programs
Highlights a study on the perspectives of syringe service program (SSP) leadership and staff regarding overdose deaths in the US. Bases conclusions on interviews done from February to March of 2021 and breaks down participant data by geographic region, distribution approach, and rurality, among others factors.
Author(s): Madeline C. Frost, Elizabeth J. Austin, Maria A. Corcorran, et al.
Location: Harm Reduction Journal, 19, 79
Date: 07/2022

Rural Emergency Hospitals Proposed Rulemaking
Provides an overview of Rural Emergency Hospitals, a Medicare provider type established by the Consolidated Appropriations Act, 2021. Details key policies outlined in two proposed rules, including payment policies, conditions or participation, REH provider enrollment, and exceptions to the physician self-referral law.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 07/2022

Rural Oral Health ECHO
Details the adaptation of the Project ECHO telementoring model to address rural oral health disparities. Features expert presentations, participant Q&A and presentations, and expert feedback aimed at supporting oral health providers and developing the rural oral health workforce.
Sponsoring organization: American Institute of Dental Public Health

Rural/Urban Differences in Access to Paid Sick Leave Among Full-time Workers
Features a study on the accessibility of paid sick leave for full-time workers in rural and urban areas. Discusses the negative health outcomes of lacking paid sick leave. Highlights correlative factors, such as educational attainment, age, race, and chronic conditions, among others.
Author(s): Carrie Henning-Smith, Janette Dill, Arianne Baldomero, Katy Backes Kozhimannil
Location: Journal of Rural Health
Date: 07/2022

Synthesis of Evaluation Results across 21 Medicare Models, 2012-2020
Summarizes results from evaluations of 21 Centers for Medicare & Medicaid (CMS) Innovation Center models. Examines measures related to gross and net Medicare spending, utilization, and quality of care. Identifies themes among models with similar participant types and interventions used. Offers considerations for acute or specialty care and targeted populations models and prevention and population management models.
Additional links: Findings at a Glance, Synthesis of Evaluation Results Across 21 Medicare Models Slides
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 07/2022

Traffic Safety Facts, 2020 Data: Rural/Urban Comparison of Motor Vehicle Traffic Fatalities
Reports 2020 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by light condition, age group, speeding, alcohol use, seat belt use, and rollover crashes.
Sponsoring organization: National Highway Traffic Safety Administration
Date: 07/2022

Tribal Broadband: National Strategy and Coordination Framework Needed to Increase Access
Provides an overview of federal programs that support the deployment of broadband infrastructure on tribal lands and the extent to which federal agencies focus on tribal issues related to broadband access. Discusses barriers tribes and providers face in accessing these federally-funded programs. Providers recommendations for the Executive Office of the President and the Department of Commerce to address tribal needs and engagement in a national broadband strategy.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 06/2022

Types of Rural and Urban Hospitals and Counties Where They Are Located
Offers a snapshot of the types of rural and urban hospitals and the counties where they are located. Presents data on the number and percent of acute care hospitals and average daily census by hospital type, special payment designation, and county size. Includes descriptions of Medicare special payment designations for hospitals.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 07/2022

Urban–Rural Differences in Drug Overdose Death Rates, 2020
Examines 2020 drug overdose deaths by sex, race and ethnicity, and type of drug, with data broken down by rural versus urban county status. Includes a U.S. map that depicts if overall urban or rural counties in a state have a higher rate of age-adjusted overdose death.
Sponsoring organization: National Center for Health Statistics
Date: 07/2022

UVM CORA Community Rounds: Strategies for Distributing Naloxone to Rural Communities
Webinar recording discusses rural opioid overdoses and methods for distributing naloxone to prevent overdoses. Explores the use of data, technology, and working with emergency services partners to deliver naloxone to people at risk of overdosing, among other factors.
Additional links: Webinar Slides
Sponsoring organization: University of Vermont Center on Rural Addiction
Date: 07/2022

Open Calls for Contributions

Call for Proposals: 2022 Annual National Indian Health Board Tribal Health Conference and 50th Anniversary
Deadline: Aug 8, 2022
National Indian Health Board
Event Dates: Sep 26 - 28, 2022
Washington, DC
Conference Website

Upcoming Events

HRSA RHC Vaccine Confidence Grantees Quarterly Review Call
Time: 3:00 - 4:00 p.m. Eastern
National Association of Rural Health Clinics
Recommendations for the Novavax COVID-19 Vaccine Primary Series in Adults 18 and Older
Time: 2:00 - 3:00 p.m. Eastern
Centers for Disease Control and Prevention
Rural Maternal Health Networks: Evaluation Findings from the First Implementation Year of the RMOMS 2019 Cohort
Time: 12:00 p.m. Central
Rural Health Information Hub
U.S. Affiliated Pacific Island Countries & Territories Telehealth Workshop
Pacific Basin Telehealth Resource Center
Culture is our Wellness [La Cultura Cura]
Time: 12:00 p.m. Central
AgriSafe Network
Advisory Panel on Hospital Outpatient Payment Virtual Meeting
Time: 9:30 a.m. - 5:00 p.m. Eastern
Centers for Medicare and Medicaid Services
West Virginia Care Conference
Also available virtually via Zoom
Hospice Council of West Virginia, West Virginia Rural Health Association
Fairmont, West Virginia
Implementing Telemedicine to Improve Specialist Access in Rural Areas
Time: 11:30 a.m. Central
John Hopkins University School of Medicine, SPARK CME
2022 Annual 3RNET Conference
Manchester, NH

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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.