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Rural Health Information Hub

RHIhub This Week - August 3, 2022

New in the Rural Monitor

Marshall University's 2022 Baccalaureate-MD program graduates Training Rural to Serve Rural: Baccalaureate-MD Programs and Their Rural Results
Rural healthcare delivery experts continue to emphasize the critical need for rural workforce. Using uniquely designed combined baccalaureate/medical degree programs, two university-based medical education teams shared not only the successes in training and placing physicians in rural areas — but the unique impact their service-oriented students and programs have on their academic environment.

Exploring Rural Health Podcast

RHIhub Podcast - Exploring Rural Health Hospitals and Maternal Health in Rural America, with John Supplitt, Aisha Syeda, Virginia Uhlenkamp, and Ashleigh Wiederin
Check out our latest episode, focusing on maternal health care in rural hospitals, with representatives from the American Hospital Association and St. Anthony Regional Hospital in Carroll, Iowa. New episodes are released the first Tuesday of each month.

Archived Webinar

Rural Maternal Health Networks: Evaluation Findings from the First Implementation Year of the RMOMS 2019 Cohort
In case you missed it, a recording of our webinar on the first year of the RMOMS program implementation is now available!

 New in Our Online Library
 Information from around the web

Recent News

How Rural Residency Programs for Doctors Can Help Solve the Health Care Shortage
Aug 2, 2022 -- Features the impacts of a new residency program in Colquitt County, Georgia, including an increase in research and development, retention of graduates from the program, and training benefits for rural doctors. Notes challenges for rural physicians related to high patient to provider ratios and incentives for doctors to practice in rural areas.
Source: Georgia Public Broadcasting

Lyme Disease Cases Soar in Rural America
Aug 2, 2022 -- Presents findings that cases of Lyme disease in rural areas have risen sharply between 2007 and 2021, with a 357% increase in rural areas compared to a 65% increase in urban areas. Notes that Connecticut, Maine, New Jersey, Rhode Island, and Vermont had the highest proportion of cases in 2021.
Source: The Hill

The US Mental Health Hotline Network Is Expanding, but Rural Areas Still Face Care Shortages
Jul 28, 2022 -- Describes the challenges facing largely rural states and rural counties as the National Suicide Prevention Lifeline rolls out the 988 phone number, which will take calls for behavioral health crises and connect callers to services, if needed. Notes that many rural counties rely on law enforcement to respond to crisis calls and that many rural callers may be required to travel to access mental health services.
Source: Kaiser Health News

Federal Register

ED: Proposed Priorities, Requirements, and Definitions-Mental Health Service Professional Demonstration Grant Program
Aug 2, 2022 -- Notice from the U.S. Department of Education proposing priorities, requirements, and definitions under the Mental Health Service Professional Demonstration Grant Program. These proposed priorities, requirements, and definitions are designed to provide competitive grants to support and demonstrate innovative partnerships to train school-based mental health services providers in local educational agencies (LEAs) with demonstrated need. The goal of the program is to increase the number of high-quality, trained providers to address the shortages of mental health services professionals in schools served by high-need LEAs. Comments are due by September 1, 2022.
Source: Federal Register

ED: Proposed Priorities, Requirements, and Definitions-School-Based Mental Health Services Grant Program
Aug 2, 2022 -- Notice from the U.S. Department of Education proposing priorities, requirements, and definitions under the School-Based Mental Health Services Grant (SBMH) Program. These proposed priorities, requirements, and definitions are designed to direct funds to increase the number of qualified school-based mental health service providers in local educational agencies (LEAs) with demonstrated need. Comments are due by September 1, 2022.
Source: Federal Register

Public Inspection: CMS: Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2023 Rates; etc.
Aug 1, 2022 -- Pre-publication notice of final rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2023. Among other things, this rule establishes new requirements and revises existing requirements for eligible hospitals and Critical Access Hospitals (CAHs) participating in the Medicare Promoting Interoperability Program, updates policies for quality reporting programs, and revises the hospital and CAH conditions of participation (CoPs) for infection prevention and control and antibiotic stewardship programs. This rule also provides updates on the Rural Community Hospital Demonstration Program and the Frontier Community Health Integration Project (FCHIP). This rule is effective October 1, 2022.
Source: Federal Register

More notices from the Centers for Medicare and Medicaid Services

Funding & Opportunities

Clinical and Translational Science Award (UM1 Clinical Trial Optional)
Funding for Clinical and Translational Program Hubs that are expected to develop, demonstrate, and then disseminate solutions to barriers that limit the efficiency and effectiveness of clinical and translational science research. A major interest of the program is improving rural health outcomes and eliminating health disparities.
Geographic coverage: Nationwide and U.S. territories
Letter of Intent (Optional): Aug 16, 2022
Application Deadline: Sep 16, 2022
Sponsors: National Center for Advancing Translational Sciences, National Institutes of Health, U.S. Department of Health and Human Services

Eugene Washington PCORI Engagement Award: Capacity Building
Funds projects that encourage the integration of patients, caregivers, clinicians, and other stakeholders as members of the patient-centered outcomes research/clinical effectiveness research process.
Geographic coverage: Nationwide
Letter of Intent (Required): Sep 29, 2022
Application Deadline: Jan 11, 2023
Sponsor: Patient-Centered Outcomes Research Institute

USDA Small Business Innovation Research (SBIR) - Phase I
Funding for research that focuses on the development of new technologies that address important problems affecting people, institutions, and communities in rural America, including health, agriculture, rural development, and the environment.
Geographic coverage: Nationwide
Application Deadline: Oct 6, 2022
Sponsors: National Institute of Food and Agriculture, U.S. Department of Agriculture

Rural Energy for America Program (REAP) Renewable Energy Systems and Energy Efficiency Improvements Grants and Guaranteed Loans
Financing and grant funding for agriculture producers and rural small businesses to purchase, install, and construct renewable energy systems or complete energy efficiency improvements. An example of a potential project may be the installation of solar panels for hospitals or clinics to improve energy costs.
Geographic coverage: Nationwide
Application Deadline: Oct 31, 2022
Sponsors: U.S. Department of Agriculture, USDA Rural Development

America's Farmers Grow Communities Project
Farmers enroll for a chance to direct $5,000 to local nonprofit organizations that are important to them and their communities.
Geographic coverage: Nationwide
Application Deadline: Nov 1, 2022
Sponsor: Bayer Fund

Bloomberg Fellows Indigenous Scholars
Provides public health training, scholarships, and stipends for individuals who are currently working with organizations in the areas of adolescent health, addiction and overdose, environmental challenges, obesity and the food system, and violence. The program supports cohorts of Indigenous Scholars that are looking to use public health tools to address the most pressing issues in their communities.
Geographic coverage: Nationwide
Application Deadline: Dec 1, 2022
Sponsors: Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health

Effectiveness of Implementing Sustainable Evidence-Based Mental Health Practices in Low-Resource Settings to Achieve Mental Health Equity for Traditionally Underserved Populations (R01)
Grants for research to develop and test the effectiveness of strategies for implementation and sustainable delivery of evidence-based mental health treatments and services to improve mental health outcomes for underserved populations in under-resourced settings. Under-resourced settings and populations include members of minority groups, other individuals experiencing disparities in mental health outcomes, and people living in a geographic area with a shortage of healthcare services.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Sep 7, 2024
Sponsors: National Institute of Mental Health, National Institutes of Health, U.S. Department of Health and Human Services

3RNET Recruitment and Retention Assistance
Helps health professionals find jobs in rural and underserved areas and assists employers in recruiting and retaining health professionals in rural and underserved areas.
Geographic coverage: Nationwide and U.S. Territories
Applications accepted on an ongoing basis
Sponsor: 3RNET

Medication-Assisted Treatment (MAT) Training and Mentoring/DATA 2000 Waiver
Training to provide medication-assisted treatment (MAT) for clinicians in high-need communities. Clinicians who complete the training may be priority applicants for some NHSC loan repayment programs, and qualified disciplines can become eligible for the Loan Repayment Program Continuation Contract MAT Award Enhancement.
Geographic coverage: Nationwide and U.S. territories
Applications accepted on an ongoing basis
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, National Health Service Corps, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

SBA Certified Development Company (504) Loan Program
Provides small businesses with long-term, fixed-rate financing for major fixed assets, such as land and buildings. 504 Loans are potential options for healthcare practitioners who want to build a new office or expand/renovate an existing medical building.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Small Business Administration

USDA Community Facilities Direct Loan and Grant Program
Direct USDA loans and/or grants to purchase, construct, enlarge, or improve essential community facilities for healthcare, public safety, education, and public services in rural areas.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Rural Development

Water and Waste Disposal Loan and Grant Program
Funding for clean and reliable drinking water systems, sanitary sewage disposal, sanitary solid waste disposal, and storm water drainage to households and businesses in eligible rural areas.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Agriculture, USDA Rural Development

New Resources

2020 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2020. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, as well as their mean payment adjustment scores.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 07/2022

Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 06/2022

Behavioral Health Equity for All Communities: Policy Solutions to Advance Equity Across the Crisis Continuum
Identifies overarching strategies to enhance cultural responsiveness and promote equity in behavioral health services across the crisis continuum of care. Discusses how inadequate access to high-quality and culturally responsive behavioral health care has a direct effect on both the frequency and the outcomes of behavioral health emergencies. Describes levers states can use to advance culturally responsive care, including how rural partnerships can ensure that equity strategies will serve the community effectively.
Sponsoring organization: National Governors Association
Date: 08/2022

Chronic Conditions Among Adults Aged 18─34 Years — United States, 2019
Examines prevalence of 11 chronic conditions among adults aged 18-34 years, with data for urban and rural locations. Provides data on obesity, depression, high blood pressure, high cholesterol, asthma, arthritis, and other chronic conditions.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 71(30), 964-970
Date: 07/2022

Defining Rural America: The Consequences of How We Count
Discusses several federal definitions of rural and the implications of using different definitions. Compares how U.S. Census Bureau and Office Management and Budget (OMB) characterize rural America. Offers principles on how to choose which definition to use to describe rural areas.
Sponsoring organization: Center on Rural Innovation
Date: 07/2022

Factors Associated With Geographic Disparities in Gastrointestinal Cancer Mortality in the United States
Examines modifiable and nonmodifiable factors related to county-level mortality from esophageal, gastric, pancreatic, and colorectal cancers. Provides county-level U.S. maps and breaks down data by sex, race, health behaviors, income, insurance status, travel time and specialist density, screening rates, and location by large metropolitan, small metropolitan, and rural.
Author(s): Christopher Ma, Stephen E. Congly, Darius E.Chyou, et al.
Location: Gastroenterology, 163(2), 437–448
Date: 08/2022

Fighting Fentanyl: The Federal Response to a Growing Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response to the fentanyl crisis. Includes testimonies from the Substance Abuse and Mental Health Administration (SAMHSA), National Center for Injury Prevention and Control, Health Resources and Services Administration (HRSA), and the Office of National Drug Control Policy regarding current efforts to address the expanding use of fentanyl across the U.S.
Additional links: Carole Johnson Testimony, Christopher Jones Testimony, Kemp Chester Testimony, Miriam E. Delphin-Rittmon Testimony
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
Date: 07/2022

Geographic Trends in Opioid Overdoses in the US From 1999 to 2020
Results of a study examining trends in opioid-involved overdose death (OOD) rates in urban and rural counties. Explores OODs due to overprescription of opioids, use of heroin and illicit synthetic opioids such as fentanyl, and stimulants in combination with synthetic opioids. Features statistics with breakdowns by 6 levels of population density.
Author(s): Lori Ann Post, Alexander Lundberg, Charles B. Moss, et al.
Location: JAMA Network Open, 5(7)
Date: 07/2022

Guidance on PFAS Exposure, Testing, and Clinical Follow-Up
Report examining the effects of perfluoroalkyl and polyfluoroalkyl substances (PFAS), which are common in well water in rural areas and have been linked to adverse health effects including cancer, thyroid dysfunction, changes in cholesterol, and reductions in birth weight. Recommends that the Centers for Disease Control and Prevention and public health departments support clinicians in communities where PFAS contamination has been identified, by creating educational materials on PFAS exposure, potential health effects, the limitations of testing, and the benefits and harms of testing.
Additional links: Read Online
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 2022

Health Workforce Issues in American Indian and Alaska Native (AI/AN) Populations
Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Sponsoring organization: Center for Health Workforce Studies
Date: 07/2022

HRSA National Telehealth Conference Summary Report
Offers a summary of presentations and panels delivered at the the Health Resources and Services Administration (HRSA) and National Telehealth Conference, convened over 2 days in May 2022. Includes key takeaway points related to telehealth changes during the COVID-19 pandemic, improving access to broadband, resources available through the Telehealth Resource Centers (TRCs), and more. Appendices include conference materials and resources.
Sponsoring organization: Health Resources and Services Administration
Date: 05/2022

Identifying Unique Barriers to Implementing Rural Emergency Department-Based Peer Services for Opioid Use Disorder Through Qualitative Comparison with Urban Sites
Study examining the implementation of emergency department-based interventions for opioid use disorder (OUD) in rural and urban areas based on interviews with programs in Indiana's Recovery Coach and Peer Support Initiative (RCPSI). Describes barriers to implementation for rural programs, including issues related to intervention characteristics, logistical challenges, and staffing issues.
Author(s): Dennis P. Watson, Monte D. Staton, Nicole Gastala
Location: Addiction Science & Clinical Practice, 17, 41
Date: 07/2022

Increasing Access to Routine Child Immunizations: State Approaches for Increasing Pharmacy Enrollment in the VFC Program
Discusses how increasing pharmacy participation in the Vaccines for Children Program (VFC) can promote access to childhood vaccinations and reduce disparities. Outlines steps states can take to identify and address barriers to enrollment, including examining reimbursement policies, aligning program requirements with Centers for Disease Control and Prevention (CDC) requirements, addressing common provider misconceptions about the VFC program, and addressing pediatrician concerns.
Sponsoring organization: National Academy for State Health Policy
Date: 07/2022

Life Expectancy Loss Among Native Americans During the COVID-19 Pandemic
Results of a study providing estimates of loss of life expectancy in 2020 and 2021 relative to 2019 for the Native American population. Features statistics including ratio of Native American to White mortality rates in 2020 and 2021, estimates of life expectancy and losses in life expectancy for the Native American population from 2019-2021, and life expectancy at birth and at age 65 with breakdowns by race.
Author(s): Noreen Goldman, Theresa Andrasfay
Location: Demographic Research, 47(9), 233-246
Date: 07/2022

MedPAC Comment on CMS's Proposed Rule on Conditions of Participation (CoPs) for Rural Emergency Hospitals and Critical Access Hospital CoP Updates
Comments on July 2022 Federal Register proposed rule regarding staffing requirements for rural emergency hospitals (REHs). Discusses whether proposed staffing requirements are sufficient to ensure access to emergency care.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 07/2022

The Most Rural Counties Have the Fewest Health Care Services Available
Examines healthcare resources in metropolitan, micropolitan, and noncore areas, with information on availability of healthcare facilities, bed-to-population ratios, provider-to-population ratios, and health professional shortage areas.
Sponsoring organization: USDA Economic Research Service
Location: Amber Waves
Date: 08/2022

Older Adults and Adults with Disabilities: Federal Programs Provide Support for Preventing Falls, but Program Reach is Limited
Provides an overview of nine federal programs designed to provide evidence-based falls prevention, home assessments, or home modifications for older adults and adults with disabilities. Explores what federal agencies know about how these programs affect participants' health and to what extent agencies coordinate their efforts and provide consumer information. Includes data on the estimated percentage of falls among adults with disabilities by demographic characteristics and identifies programs serving rural communities.
Additional links: Full Report
Sponsoring organization: Government Accountability Office
Date: 07/2022

Physical, Speech, Rehabilitative, or Occupational Therapy Use Among Adults Aged 25–64, by Veteran Status: United States, 2019–2020
Describes the use of physical, speech, rehabilitative, or occupational therapy in the past 12 months by veteran status among adults aged 25-64. Includes data for large central metro, large fringe metro, medium and small metro, and nonmetropolitan areas.
Sponsoring organization: National Center for Health Statistics
Date: 07/2022

Principal Ideas: How Can We Secure Enduring Capital for Equitable Rural Prosperity?
Brief exploring funding sources and capital formation in rural communities and tribal nations, covering various forms of public and philanthropic funding. Highlights examples of rural capital building and innovative rural financial models.
Sponsoring organization: Aspen Institute
Date: 12/2021

Telehealth Strategies for the Delivery of Maternal Healthcare
Presents a rapid review of studies published since 2015 on the use of telehealth for maternal care, highlighting findings related to clinical outcomes, maternal and obstetric health outcomes, patient satisfaction, and other measures. Discusses maternal telehealth's potential as a supplement and as a replacement for in-person care.
Sponsoring organization: Patient-Centered Outcomes Research Institute
Date: 07/2022

Traffic Safety Facts, 2020 Data: Older Population
National data on traffic crashes involving drivers age 65 and older. Features statistics from 2011-2020 with breakdowns by sex, age group, blood alcohol concentrations, state, and rural or urban location.
Sponsoring organization: National Highway Traffic Safety Administration
Date: 07/2022

Open Calls for Contributions

Call for Presentations: 2022 National Tribal Broadband Summit
Deadline: Aug 8, 2022
U.S. Department of the Interior
Event Dates: Sep 13 - 27, 2022
Conference Website

Call for Presentations: 2023 46th Annual NRHA Rural Health Conference
Deadline: Aug 18, 2022
National Rural Health Association
Event Dates: May 16 - 19, 2023
San Diego, CA
Conference Website

Call for Presentations: 2023 8th Annual Rural Hospital Innovation Summit
Deadline: Aug 18, 2022
National Rural Health Association
Event Dates: May 16 - 19, 2023
San Diego, CA
Conference Website

Upcoming Events

Closing the Gap: Homelessness to Housing Webinar Series - Stakeholder Engagement & Advancing Equity
Time: 1:30 - 3:00 p.m. Eastern
U.S. Department of Housing and Urban Development
HIV Management in Rural and Underserved Communities of the Southeast: Tailoring Care and Treatment to Improve Health Equity - Part 2
Time: 11:00 a.m. - 1:00 p.m. Central
Southeast AIDS Education and Training Center, Tennessee AIDS Education and Training Center
Becoming Comfortable with Health Equity Concepts and Language
Time: 2:00 - 3:00 p.m. Eastern
Centers for Disease Control and Prevention
Pediatric Oral Health in Indian Country: Learning from COVID-19
Time: 4:00 p.m. Eastern
National Indian Health Board
Strategic Roadmap for Advancing Digital Quality Measurement
Time: 3:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Strategic Roadmap for Advancing Digital Quality Measurement
Time: 12:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Thrive Rural Open Field Session: Affordable Capital and Credit Access
Time: 1:00 - 3:00 p.m. Eastern
Aspen Institute
2022 Circle of Harmony HIV/AIDS Wellness Conference
Albuquerque Area Indian Health Board, Inc., Community Health Education & Resiliency Program
2022 Indian Health Service Virtual Partnership Conference
Indian Health Service
Nondiscrimination in Health Programs and Activities Tribal Consultation Meeting
Time: 2:00 - 4:00 p.m. Eastern
U.S. Department of Health and Human Services
2022 TORCH Fall Conference
Texas Organization of Rural & Community Hospitals
Round Rock, TX
2022 National Tribal Broadband Summit
Available dates: September 13, 20, and 27
U.S. Department of the Interior
Rural Healthcare Provider Transition Project Kick-Off Webinar
Time: 2:00 p.m. Central
National Rural Health Resource Center
2022 Annual Communities Joined in Action National Conference
Georgia Health Policy Center
New Orleans, LA
2022 National Hospice and Palliative Care Organization Virtual Interdisciplinary Conference
National Hospice and Palliative Care Organization
2022 North Country Leadership Summit
Adirondack Health Institute, Fort Drum Regional Health Planning Organization, North Country Telehealth Partnership
National Farm Safety and Health Week 2022: Protecting Agriculture's Future
Webinars each day 12:00 p.m. and 2:00 p.m.
AgriSafe Network
2022 20th Annual Rural Health Clinic Conference
National Rural Health Association
Kansas City, MO
816.756.3140 ext. 12
Radically Rural Summit 2022
Hannah Grimes Center for Entrepreneurship
Keene, NH
2022 21st Annual Critical Access Hospital Conference
National Rural Health Association
Kansas City, MO
816.756.3140 ext. 12
2022 Annual Hawaii Health Workforce Summit
Hawaii and Pacific Basin Area Health Education Centers
Honolulu, HI

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