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Rural Health Information Hub

RHIhub This Week - September 14, 2022

New RHIhub Toolkit

Rural Health Literacy Toolkit
Created in collaboration with NORC Walsh Center for Rural Health Analysis, this newly released toolkit contains resources and information focused on developing, implementing, evaluating, and sustaining rural health literacy programs.

 New in Our Online Library
 Information from around the web

Recent News

Daily Yonder Explores Impacts of Rural Pharmacy Closures
Sep 13, 2022 -- Highlights trends in rural pharmacy closures and the impacts of closures on rural communities, including access to health services and medication. Breaks down differences in pharmacy closures for rural and urban areas, and notes financial challenges contributing to closures.
Source: The Daily Yonder

Getting Rural Nebraskans Mental Health Care Remains a Challenge
Sep 13, 2022 -- Highlights the work of behavioral health researchers and suicide prevention organizations to expand access to mental healthcare in rural Nebraska, noting extreme mental health workforce shortages in remote areas of the state. Describes statewide suicide prevention efforts and training programs to grow the rural mental health workforce.
Source: Nebraska Public Media

Rural Health Care Leads the Way in Innovation
Sep 10, 2022 -- Describes challenges to rural healthcare and innovative responses, including collaboration with community health workers and investment in telehealth. Notes ongoing financial and workforce challenges, health disparities among rural populations, and widespread rural hospital closures over the last decade.
Source: Missouri Farmer Today

The Small Town that Saved its Only Grocery Store - By Buying It
Sep 10, 2022 -- Describes the decision and process for a rural Kansas town to purchase its only grocery store, which would have otherwise closed permanently. Discusses the financial and operational challenges facing rural grocery stores and the broader economic impacts of store closures.
Source: The Hustle

"We've Been at the Table": Tribes in Virginia Join Forces with Indian Health Service
Sep 8, 2022 -- Describes the joint efforts of 7 tribes that recently secured federal recognition with the Indian Health Service (IHS) to create 2 health centers and 3 mobile units that will increase tribal health services in various areas of Virginia. Discusses the close partnership between the tribal governments and IHS to provide culturally aware healthcare services and other tribal community developments through ongoing work with county and federal governments.
Source: Indianz.Com

Nevada's Native Communities Face Worsening Access to Clean Water, Plumbing
Sep 8, 2022 -- Discusses mounting issues accessing clean water and sewage system infrastructure in Native American communities in Nevada. Notes a growing number of households with plumbing and water quality issues, highlights challenges securing funding to address the issues, and describes the public health problems linked to disparities in water infrastructure investments.
Source: Nevada Current

Advancing Equity with Community Data Partnerships: We Need to Hear from You
Sep 6, 2022 -- Announces a public request for information to gather input on how the Federal government can support equitable data collaborations with communities and organizations in order to identify barriers and facilitate equitable social and economic outcomes. Offers a list of questions related to collaborations between federal agencies, tribal governments, and local communities, as well as policies and programs to expand opportunities for collaboration among underrepresented scholars and research institutions. Responses are due October 3, 2022.
Source: The White House

Federal Register

CDC: Proposed Data Collection Submitted for Public Comment and Recommendations
Sep 12, 2022 -- Notice from the Centers for Disease Control and Prevention (CDC) seeking comments on a proposed information collection project titled "National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities." The information collected through this version of NHSN is intended to inform the federal government's understanding of disease patterns, including the changing burden of disease, and develop policies for the prevention and control of problems related to COVID-19. Comments are due by November 14, 2022.
Source: Federal Register

DHS: Notice of the Establishment of the Tribal Homeland Security Advisory Council; Solicitation of Inaugural Members
Sep 9, 2022 -- Notice from the Department of Homeland Security (DHS) establishing and seeking nominations for the Tribal Homeland Security Advisory Council (THSAC). THSAC will provide recommendations on policies, programs, and initiatives that the Department is undertaking that have implications for tribes and Tribal Nations. Nominations are due by October 10, 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: Sep 30, 2022
Sponsor: National Children's Alliance (NCA)

Patient-Centered Outcomes Research Institute (PCORI) Funding: Broad Pragmatic Studies
Funding for patient-centered comparative clinical effectiveness research in the areas of addressing disparities; assessment of prevention, diagnosis, and treatment options; communication and dissemination research; and improving healthcare systems. The special areas of emphasis include addressing racism, discrimination, and bias in healthcare systems and care delivery.
Geographic coverage: Nationwide
Letter of Intent (Required): Oct 4, 2022
Application Deadline: Jan 10, 2023
Sponsor: Patient-Centered Outcomes Research Institute

Healthy Eating Research: Evaluating the Implementation and Impact of COVID-19 Pandemic-Driven Policies and Programs to Improve Children's Health and Well-Being
Funding for research on how COVID-19 recovery-related social and economic programs and policies impact child obesity, diet quality, food security, and other relevant child and family health outcomes among lower-income and families of color. Populations of focus include Black, Latinx, American Indian/Alaska Native, Asian American, Native Hawaiian, and Pacific Islander.
Geographic coverage: Nationwide and U.S. Territories
Letter of Intent (Required): Oct 12, 2022
Application Deadline: Jan 11, 2023
Sponsors: Duke University, Robert Wood Johnson Foundation

Support for 988 Tribal Response Cooperative Agreements
Resources to improve response to 988 crisis contacts (including calls, chats, and texts) originating in tribal communities and/or activated by American Indians/Alaskan Natives.
Geographic coverage: Nationwide
Application Deadline: Oct 25, 2022
Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

Barclay-Giel ​Seed Grants
Grants for public health projects that have a strong disease and/or injury prevention component that impacts the health of a community by promoting wellness, early detection, and early interventions. Past awards have been given for projects in rural and tribal communities.
Geographic coverage: Nationwide
Application Deadline: Nov 3, 2022
Sponsor: U.S. Public Health Service Commissioned Officers Foundation

Robert Wood Johnson Health Policy Fellows
A fellowship program designed to develop the capacity of mid-career health professionals and behavioral and social scientists with an interest in health and healthcare policy. Individuals with diverse and unique perspectives are strongly encouraged to apply, and the foundation has an interest in rural.
Geographic coverage: Nationwide
Application Deadline: Nov 7, 2022
Sponsor: Robert Wood Johnson Foundation

Commonwealth Fund Fellowship in Minority Health Policy
A one-year fellowship designed to prepare physician-leaders who will work to improve the capacity of the healthcare system to provide access to high quality care for historically marginalized populations. The program provides academic training and coursework, including an MPH or MPA. Physicians from groups underrepresented in medicine, including American Indians, Alaska Natives, and Native Hawaiians are encouraged to apply.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Dec 1, 2022
Sponsors: Commonwealth Fund, Harvard University

HRSA Look-Alike Initial Designation Technical Assistance
Resources to assist organizations in the application for Look-Alike Initial Designation under the Health Center Program.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsors: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services

PCORI Ambassador Program
A national volunteer network designed to engage healthcare stakeholders in strengthening the patient-centered outcomes research (PCOR) community and increasing the dissemination of PCORI-funded​ research. PCORI supports research to give patients a better understanding of the prevention, treatment and care options available while considering potential for differences in treatment effectiveness among subpopulations, such as rural residents.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Patient-Centered Outcomes Research Institute

Funding from the U.S. Environmental Protection Agency
Application Deadline: Nov 22, 2022

New Resources

Affordable Connectivity Program (ACP) Consumer Outreach Toolkit
Toolkit providing outreach materials to raise awareness of the Affordable Connectivity Program (ACP). Includes consumer awareness content, back-to-school resources, social media, and web resources.
Sponsoring organization: Federal Communications Commission

Before and During Pandemic Telemedicine Use: An Analysis of Rural and Urban Safety-Net Clinics
Investigates telemedicine use for primary care before and during the COVID-19 pandemic. Utilizes electronic health record data to analyze 1,015,722 patients seen in 466 different safety-net clinics. Includes demographic breakdown of patients by sex, race/ethnicity, insurance status, chronic disease status, and urban, large rural, small rural, or isolated rural residence.
Author(s): Annie E. Larson, Whitney E. Zahnd, Melinda M. Davis, et al.
Location: American Journal of Preventative Medicine
Date: 09/2022

Best of ARM: Evaluating Engagement in Multisector Community Health Networks: The Case of Tribal Organizations
Highlights a study on public health systems' engagement with tribal organizations. Aims to quantify the interactions between public health systems and tribal organizations in tribal communities where tribal facilities are present. Details the factors the contribute to more engagement with tribal organizations and make suggestions to promote collaboration.
Author(s): Kelsey M. Owsley, Kyla L. Bauer, Glen P. Mays
Location: Health Services Research, 57(5), 1077-1086
Date: 10/2022

Evaluating Disparities in Traffic Fatalities by Race, Ethnicity, and Income
Describes disparities in traffic safety among different race-ethnicity groups and income rates, based on fatal police-reported motor vehicle traffic crashes from 2014-2018 on public roadways. Explores the effect of risky behaviors on fatalities including alcohol use, restraint use, handheld electronic device use, and speeding. Features statistics including distribution of traffic fatalities by race-ethnicity in 2018, with breakdowns by urban and rural areas.
Sponsoring organization: National Highway Traffic Safety Administration
Date: 09/2022

Frequently Asked Questions Regarding Licensure & Telehealth
Video addressing frequently asked questions about telehealth licensure, including cross-state issues, COVID-19 licensure waivers, and more. Answers to questions reflect policy as of September 2022.
Additional links: Slide deck
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
Date: 09/2022

Health Insurance Marketplaces: Issuer Participation Trends in Non-Metropolitan Places, 2014-22
Policy brief examining the changes in Health Insurance Marketplace (HIM) plan issuers from 2014-2022. Presents statistics on the average number of issuers per county in each year for metropolitan, micropolitan, and noncore counties and by region.
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 08/2022

Health, United States
Presents national trends in health statistics, with data released throughout the year from more than 40 data sources. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes rural data - see the Data Finder and select "Metropolitan and nonmetropolitan" under Population Subgroups.
Sponsoring organization: National Center for Health Statistics

The IHS Telehealth System Was Deployed Without Some Required Cybersecurity Controls
Presents findings of an audit to determine whether the Indian Health Service (IHS) implemented select cybersecurity system controls prior to deploying its telehealth system nationally. Offers policy recommendations to the IHS for improving the implementation of cybersecurity controls for new information systems and remediating known vulnerabilities that may impact telehealth technologies.
Sponsoring organization: Office of Inspector General (HHS)
Date: 09/2022

Income in the United States: 2021
Reports on income levels for 2020 and 2021, along with the percent change from 2020 to 2021. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2021 and 2022 Current Population Survey Annual Social and Economic Supplements.
Sponsoring organization: U.S. Census Bureau
Date: 09/2022

Local Trends in Heart Disease and Stroke Mortality Dashboard
Provides state and county-level data on cardiovascular disease from 1999 to 2019 in the U.S. Shows changes and trends in mortality rates and includes demographic breakdowns by age, race, and sex.
Sponsoring organization: Centers for Disease Control and Prevention

Madison Medical Center Hospital Spotlight
Discusses how the Delta Region Community Health Systems Development Program helped Madison Medical Center use health outcome data and community partnerships to launch an initiative to address high obesity rates.
Sponsoring organization: National Rural Health Resource Center
Date: 09/2022

MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for 2023
Comments on a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023. Includes considerations for payment for 340B drugs, additional facility payments for Rural Emergency Hospitals, telehealth rehabilitation services beyond the COVID-19 public health emergency, and efforts for measuring equity and healthcare quality disparities.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 09/2022

Moral Distress Among Clinicians Working in US Safety Net Practices During the COVID-19 Pandemic: A Mixed Methods Study
Explores the causes and levels of moral distress experienced by clinicians treating low-income primary care, dental, and behavioral health patients in safety net practices and participating in education loan repayment programs during the COVID-19 pandemic. Features statistics on reported degree of moral distress related to work experienced during the pandemic, with breakdowns by discipline and practice type, including Federally Qualified Health Centers, Indian Health Service or tribal site, and Rural Health Clinics.
Author(s): Donald E. Pathman, Jeffrey Sonis, Thomas E Rauner, et al.
Location: BMJ Open, 2022
Date: 08/2022

Outcomes of Farm Compared to Nonfarm Pediatric Injuries: A Propensity-Matched Analysis
Compares the outcomes of pediatric injuries received in farm and non-farm locations. Looks at a number of factors, including length of hospital stay, admission to intensive care unit, and mortality. Breaks down data by sex, race, and pediatric trauma-level designation, among other measures.
Author(s): Michael C. Larkins, Ashish Khanchandani, Dmitry Tumin, et al.
Location: Journal of Rural Health
Date: 09/2022

Physician Response to COVID-19–Driven Telehealth Flexibility for Opioid Use Disorder
Presents survey responses of physicians who provide Opioid Use Disorder (OUD) treatment on telehealth flexibilities driven by the COVID-19 pandemic, particularly their OUD telehealth policy preferences. Notes rural implications of access equity issues and policy changes.
Author(s): Tamara Beetham, David A. Fiellin, Susan H. Busch
Location: The American Journal of Managed Care, 28(9)
Date: 09/2022

Poverty in the United States: 2021
Reports on poverty rates for 2020 and 2021, including changes in official poverty and changes in the Supplemental Poverty Measure (SPM) rate. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2021 and 2022 Current Population Survey Annual Social and Economic Supplements.
Sponsoring organization: U.S. Census Bureau
Date: 09/2022

QuickStats: Age-Adjusted Suicide Rates, by Urbanization Level and Sex — National Vital Statistics System, 2020
Bar chart showing suicide rates by sex for metropolitan (4 levels), micropolitan, and noncore areas.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 71(36), 1159
Date: 09/2022

Rural Hospital Closures Threaten Access: Solutions to Preserve Care in Local Communities
Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Sponsoring organization: American Hospital Association
Date: 09/2022

Rural–Urban Differences in Breast and Colorectal Cancer Screening among US Women, 2014-2019
Analyzes disparities in breast and colorectal cancer screening in rural and urban women aged 50-74 in the U.S. using 2014-2019 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes demographic breakdowns by age, race/ethnicity, sexual orientation, education level, income, marital status, health behaviors, and reported access to healthcare.
Author(s): Nicholas Theodoropoulos, Hui Xie, Qian Wang, Chi Wen, Yannan Li
Location: Rural and Remote Health, 22(3), 7339
Date: 09/2022

Sparta Community Hospital Spotlight
Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity.
Sponsoring organization: National Rural Health Resource Center
Date: 09/2022

Urban and Rural Differences in New Onset Type 2 Diabetes: Comparisons Across National and Regional Samples in the Diabetes Lead Network
Examines the likelihood of new onset type 2 diabetes (T2D) by community type. Utilizes 3 longitudinal study samples about diabetes in the United States to track new onset T2D by U.S. region as well as higher density urban, lower density urban, suburban/small town, and rural community type. Includes further demographic breakdowns by age, sex, race/ethnicity, socio-economic factors, and smoking behaviors.
Author(s): Tara P. McAlexander, Gargya Malla, Jalal Uddin, et al.
Location: SSM - Population Health, 19, 101161
Date: 09/2022

Open Calls for Contributions

Call for Presentations: 2023 National Council for Behavioral Health NATCON Conference
Deadline: Sep 23, 2022
National Council for Mental Wellbeing
Event Dates: May 1 - 3, 2023
Los Angeles, CA
Conference Website

Call for Abstracts: 2023 Annual Midwest Stream Forum for Agricultural Worker Health
Deadline: Sep 30, 2022
National Center for Farmworker Health
Event Dates: Apr 24 - 26, 2023
Austin, TX
Conference Website

Call for Presentations: 2023 NCHN Annual Educational Conference
Deadline: Nov 18, 2022
National Cooperative of Health Networks Association
Event Dates: Apr 11 - 13, 2023
Albuquerque, NM
Conference Website

Call for Presentations: 2023 28th NRHA Health Equity Conference
Deadline: Dec 8, 2022
National Rural Health Association
Event Dates: May 16, 2023
San Diego, CA
Conference Website

Upcoming Events

2022-2023 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers
Time: 2:00 - 3:00 p.m. Eastern
Centers for Disease Control and Prevention
Funding Opportunities: Learn More About HUD's Special NOFO to Address Rural Homelessness and New Stability Housing Voucher Program
Time: 3:00 p.m. Eastern
Housing Assistance Council, National Alliance to End Homelessness, National Association of Housing and Redevelopment Officials
Women's Health Leadership Series: Caring for Women with Opioid Use Disorder
Time: 3:00 p.m. Eastern
Health Resources and Services Administration, Office of Intergovernmental and External Affairs - Regions 3 and 9
Medicaid and CHIP Payment and Access Commission (MACPAC) Public Meeting
Medicaid and CHIP Payment and Access Commission
Evaluating and Supporting Patients Presenting with Cardiovascular Symptoms Following COVID
Time: 2:00 – 3:00 p.m. Eastern
Centers for Disease Control and Prevention
Maternal Health Webinar Series: Utilizing Telehealth to Address Maternal Health Challenges
Time: 12:00 p.m. Eastern
Health Resources and Services Administration, Health Resources and Services Administration, Regions 5, 6, and 7 Offices
Preparing your Organization for Disaster: A Guide to Rural Resilience
Time: 1:00 - 2:00 p.m. Eastern
Housing Assistance Council
Reinforcing Public Health Preparedness with Recovery Funds
Time: 3:00 – 4:00 p.m. Eastern
National Association of Counties
HHS Listening Session on Intimate Partner Violence
Time: 10:00 a.m. - 12:00 p.m. Eastern
U.S. Department of Health and Human Services Office on Women's Health
National Indian Health Board (NIHB) Tribal Harm Reduction Seminar
National Indian Health Board
Washington, DC
2022 Annual NOSORH Meeting
National Organization of State Offices of Rural Health
Harrisonburg, VA
2022 25th Annual South Carolina Rural Health Conference
South Carolina Office of Rural Health
Greenville, SC
Meeting of the Community Preventive Services Task Force
Time: 10:00 a.m. - 6:00 p.m. each day
2022 30th Annual West Virginia Rural Health Conference
West Virginia Rural Health Association
Lewisburg, WV
2022 Annual Colorado Rural Health Conference
Colorado Rural Health Center
Colorado Springs, CO
2022 NARHC Fall Institute
National Association of Rural Health Clinics
Scottsdale, AZ
2022 Georgia Rural Health Association Annual and Rural Health Clinic Conference
Georgia Rural Health Association
Cordele, GA
2022 Annual American Public Health Association Meeting and Expo
American Public Health Association
Boston, MA
Arizona Telemedicine Program - Telemedicine Applications
Time: 9:00 a.m. - 2:00 p.m. Mountain
Arizona Telemedicine Program, Southwest Telehealth Resource Center
Rural Health Clinic Update Seminar - Tennessee
Healthcare Business Specialists
Jackson, TN
2022 10th Annual Telehealth Summit of South Carolina
Palmetto Care Connections
Charleston, SC
2022 Annual Illinois Critical Access Hospital Network (ICAHN) Conference
Illinois Critical Access Hospital Network
Champaign, IL
2022 Louisiana Rural Health Summit
Louisiana Rural Health Association
Alexandria, LA
Rural Health Clinic Update Seminar - Tennessee
Healthcare Business Specialists
Brentwood, TN

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