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Rural Health Information Hub

RHIhub This Week - September 21, 2022

New in the Rural Monitor

Shao-Chee Sim Philanthropy, Cross-Collaboration, and the Ecosystem That Is Rural Healthcare Delivery: Q&A with Dr. Shao-Chee Sim
by Kay Miller Temple, MD
As vice president for research, innovation, and evaluation at Texas-based Episcopal Health Foundation, Shao-Chee Sim, PhD, discusses how philanthropic organizations can make small rural research investments — and, in particular, leverage cross-funder collaboration — that impact not only funders themselves, but also healthcare delivery systems and the rural Americans they serve.

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 Information from around the web

Recent News

Alabama's Food Deserts: Hard Hit by Inflation, Black Belt Children "Still Being Forgotten"
Sep 20, 2022 -- Describes the food access challenges facing rural communities in Alabama's Black Belt region, noting the impacts of limited access to affordable, nutritious food for children in the area. Highlights data on child food insecurity and efforts to address the issue through school districts and food bank partnerships.
Source: AL.com

A Rural Doctor Gave Her All. Then Her Heart Broke.
Sep 19, 2022 -- Profile of a rural doctor in West Virginia during the COVID-19 pandemic who experienced a stress-related heart condition that forced her to change her engagement with patients and her community. Describes the dynamics of rural healthcare that contribute to burnout among providers, including vaccine hesitancy and distrust of science, chronic disease, food access, and other health-related disparities in rural West Virginia. (May require a subscription to view the full article.)
Source: New York Times

Oregon's Oldest Rural Health Clinic Perseveres Two Years after Devastating Holiday Farm Fire
Sep 17, 2022 -- Highlights the recovery of the oldest rural health clinic in Oregon, which was lost in a large 2020 wildfire that destroyed the town of Blue River. Describes the rapid relocation of services and the role of the clinic in providing care for patients of all ages in the McKenzie River valley.
Source: Oregon Public Broadcasting

Call for Nominations: Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Sep 15, 2022 -- Requests submissions of nominees to the National Academies' Forum on Medical and Public Health Preparedness for Disasters and Emergencies, due September 30, 2022. Describes the focus of the forum and the demographics sought for representation.
Source: The National Academies of Sciences, Engineering, and Medicine

Federal Register

AHRQ: Supplemental Solicitation for Nominations of Members From Populations Underrepresented in Medicine (URIM) To Serve on Scientific Peer Review Committee
Sep 21, 2022 -- The Agency for Healthcare Research and Quality (AHRQ) is requesting nominations of individuals from populations underrepresented in medicine to serve as members to the AHRQ Initial Review Group (IRG). The AHRQ IRG conducts scientific and technical review for health services research and training grant applications and is comprised of five subcommittees or study sections: healthcare effectiveness and outcomes research, healthcare safety and quality improvement research, healthcare information technology research, healthcare systems and value research, and healthcare research training. Nominations are due by December 31, 2022.
Source: Federal Register

AHRQ: Request for Information on Person-Centered Care Planning for Multiple Chronic Conditions (MCC)
Sep 16, 2022 -- The Agency for Healthcare Research and Quality is seeking information on the current state of comprehensive, longitudinal, person-centered care planning for people at risk for or living with Multiple Chronic Conditions (MCC) across settings of care. This request for information will inform AHRQ's work in improving care for people at risk for or living with MCC. Comments are due by November 15, 2022.
Source: Federal Register

OPM, Treasury, DOL, HHS: Request for Information: Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals
Sep 16, 2022 -- Notice from the Office of Personnel Management (OPM), Department of the Treasury, Department of Labor, and U.S. Department of Health and Human Services (HHS) seeking comments to inform rulemaking for advanced explanation of benefits (AEOB) and good faith estimate (GFE) requirements of the No Surprises Act. This request seeks information and recommendations on transferring data from providers and facilities to plans, issuers, and carriers; other policy approaches; and the economic impacts of implementing these requirements. Comments are due by November 15, 2022.
Source: Federal Register

HRSA: Notice of Availability of Health Center Program Scope of Project and Telehealth Policy Information Notice
Sep 15, 2022 -- Notice from the Health Resources and Services Administration (HRSA) inviting comments on the Draft Health Center Program Scope of Project and Telehealth Policy Information Notice (Telehealth PIN), which establishes policy for health centers that provide services via telehealth within the HRSA-approved scope of project. The Telehealth PIN also describes considerations and criteria health centers must meet for providing services via telehealth within the Health Center Program scope of project. Comments are due by November 14, 2022.
Source: Federal Register

Funding & Opportunities

Service Area Competition Funding for Health Center Program (Areas Served with a Project Period Start Date of June 1, 2023)
Funding to provide comprehensive primary healthcare services to an underserved area or population. Areas with a June 1, 2023 project period start date are eligible to apply.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Nov 14, 2022
Sponsors: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services


HEAL Initiative: Prevention and Management of Chronic Pain in Rural Populations (UG3/UH3, Clinical Trials Required)
Funding for research on non-opioid interventions for chronic pain management in rural and remote populations.
Geographic coverage: Nationwide and U.S. Territories
Letter of Intent (Optional): Oct 22, 2022
Application Deadline: Nov 21, 2022
Sponsors: National Institutes of Health, U.S. Department of Health and Human Services


Preventive Medicine Residency Program
Grants to provide graduate medical education training to preventive medicine residents for the purpose of increasing the number and quality of preventive medicine residents and physicians to support access to preventive medicine and to improve the health of communities.
Geographic coverage: Nationwide
Application Deadline: Nov 21, 2022
Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services


Community Partnerships to Advance Science for Society (ComPASS) Program: Community-Led, Health Equity Structural Intervention Initiative (OT2)
Funding for community organizations working in partnership with research organizations to develop, implement, assess, and disseminate health equity structural interventions designed to break the cycle of health disparities. Applications that focus on rural communities are encouraged.
Geographic coverage: Nationwide
Letter of Intent (Required): Nov 28, 2022
Application Deadline: Jan 23, 2023
Sponsors: National Institutes of Health, NIH Common Fund, U.S. Department of Health and Human Services


NBCC Foundation Minority Fellowship Program for Addictions Counselors
Fellowships for master's degree-level addictions counseling students from minority backgrounds. For the purpose of this program, minorities include racial, ethnic, cultural, religious, gender, sexual orientation, rural, and military groups.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Dec 31, 2022
Sponsor: National Board for Certified Counselors (NBCC) Foundation


AHRQ Small Research Grant Program (R03)
Supports different types of health services research projects, including pilot and feasibility studies; secondary analysis of existing data; small, self-contained research projects; development of research methodology; and development of new research technology. Rural and frontier areas are considered a priority population.
Geographic coverage: Nationwide and U.S. territories
Application Deadline: Jul 8, 2023
Sponsors: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services


National Center for Farmworker Health Learning Collaboratives
Virtual learning collaboratives that allow health centers to study and apply quality improvement methodology to a focused topic, such as increasing access to care, emergency preparedness, and social determinants of health.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: National Center for Farmworker Health


VA Office of Rural Health Funding Programs
Funding, technical assistance, and mentoring for rural VA facilities to implement promising practices and/or enterprise-wide initiatives.
Geographic coverage: Nationwide and U.S. territories
Applications accepted on an ongoing basis
Sponsors: U.S. Department of Veterans Affairs, Veterans Health Administration's Office of Rural Health

New Resources

Availability of Hospital-Based Cancer Services Before and After Rural Hospital Closure, 2008–2017
Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Location: Journal of Rural Health
Date: 09/2022


Availability of Hospital-Based Emergency Department and Trauma Services in Minoritized Racial/Ethnic Group Areas
Explores the availability of hospital-based emergency department and trauma services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest emergency department and trauma service by rurality in minoritized and non-minoritized ZCTA and the percent of ZCTAs more than 30 miles from emergency department and trauma services by Census region.
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
Date: 09/2022


Availability of Nursing Homes in Minoritized Racial/Ethnic Group Areas
Examines the availability of nursing homes nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest nursing home by rurality in minoritized and non-minoritized ZCTA.
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
Date: 09/2022


Availability of Substance Use Disorder Treatment in Minoritized Racial/Ethnic Group Areas
Explores the availability of substance use disorder treatment facilities and providers nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the straight-line distance to the nearest opioid treatment facility that offers methadone, nearest substance use disorder treatment facility that does not offer methadone, and closest buprenorphine provider by rurality in minoritized and non-minoritized ZCTA.
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
Date: 09/2022


Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature
Summarizes the results of a review of 62 studies published between January 1, 2016, and May 1, 2022, that compare Medicare Advantage and traditional Medicare across beneficiary experience, affordability, service utilization, and quality. Includes information on Medicare enrollment patterns in rural areas and identifies gaps in research on rural Medicare beneficiaries and other subgroups. Builds on a literature review that examined studies published between 2000 and early 2014.
Sponsoring organization: Kaiser Family Foundation
Date: 09/2022


COVID Community-Engaged Testing in Alabama: Reaching Underserved Rural Populations Through Collaboration
Provides an overview of the National Institutes of Health's Rapid Acceleration of Diagnostics–Underserved Populations initiative that fostered collaborations to increase COVID-19 testing in rural areas of Alabama. Discusses intervention, implementation, and evaluation of initiative and includes county-level data on tests administered.
Author(s): Christopher Greer McCollum, Thomas N. Creger, Aadia I. Rana, et al.
Location: American Journal of Public Health, 112(10), 1399-1403
Date: 10/2022


HHS Roadmap for Behavioral Health Integration
Issue brief describing behavioral healthcare needs, barriers to access, and plans to integrate behavioral health and other forms of healthcare. Offering policy solutions to strengthen system capacity, connect patients to care, and create healthy, supportive environments. Notes rural disparities in mental healthcare access and rural-specific behavioral health training.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 09/2022


Incidental Sun Exposures as a Source of Sunburn Among Rural Compared to Urban Residents in the United States
Presents a study comparing sun exposure for people living in rural versus urban areas. Looks at sun exposure from leisure time activities and outdoor work for both rural and urban people.
Author(s): Patricia I. Jewett, Carrie Henning-Smith, DeAnn Lazovich, et al.
Location: Journal of Rural Health
Date: 09/2022


Leveraging Electronic Health Record EHR-Sourced Measures to Improve Care Communication and Coordination: Final Recommendations Report
Discusses recommendations developed by a multistakeholder committee for using electronic health record (EHR) data to improve the measurement of care communication and care coordination. Identifies challenges to collecting data in rural areas.
Sponsoring organization: National Quality Forum
Date: 09/2022


Medicare's New Rural Emergency Hospital Designation — Considerations for States
Blog post providing an overview of the Rural Emergency Hospital (REH) program. Discusses the REH designation as an alternative to rural hospital closure and REH payment policy. Highlights opportunities for states to develop REH licensure requirements.
Sponsoring organization: National Academy for State Health Policy
Date: 09/2022


Recovery Ecosystem Index
Interactive mapping tool that provides access to county-level data on the substance use recovery ecosystem, including scores that help understand access to treatment and support, as well as infrastructure and social factors. Also Includes overdose mortality, socio-demographic, and economic data.
Sponsoring organizations: East Tennessee State University, Fletcher Group Rural Center of Excellence (RCOE), NORC at the University of Chicago

Review of Rural U.S. Economic and Health Care Trends
Reviews recent literature and publicly available data to explore important issues at the nexus of healthcare and local economic vibrancy, and explores the economic implications associated with COVID-19. Includes sections on rural hospitals, the rural healthcare workforce, emergency medical services, insurance, and telehealth. Features statistics with breakdowns by 6 levels of population density and county-level maps showing Health Professional Shortage Areas and rural counties without obstetrical services.
Sponsoring organization: Center for Economic Analysis of Rural Health
Date: 09/2022


Rural and Urban Women Have Differing Sexual and Reproductive Health Experiences
Explores the healthcare disparities women aged 15 to 49 experience related to sexual and reproductive health. Analyzes 2015-2019 data from the National Survey of Family Growth (NSFG) to investigate contraceptive use in 1,128 rural residents and 6,007 urban residents. Includes rural versus urban demographic breakdowns according to race/ethnicity, nativity, income, education, LGB+ identity, and history of/plans for having children.
Sponsoring organization: Child Trends
Date: 09/2022


Rural Health Research Recap: Rural Mental Health
Summarizes recent research from Rural Health Research Centers on rural mental health, covering serious mental illness and treatment, major depression and treatment, suicidal thoughts, plans and attempts, and adverse and positive childhood experiences. Provides links to full publications.
Sponsoring organization: Rural Health Research Gateway
Date: 09/2022


Self-reported Illness Experiences and Psychosocial Outcomes for Reservation-Area American Indian Youth During COVID-19
Results of a Spring 2021 study of 2,559 American Indian students in grades 6-12 in schools on or near Indian reservations. Features statistics on COVID-19 experiences for self and others.
Author(s): Linda R. Stanley, Meghan A. Crabtree, Randall C. Swaim, Mark A. Prince.
Location: JAMA Network Open, 5(9), e2231764
Date: 09/2022


Strengthening Social Connection and Opportunities in Rural Communities
Brief describing the St. David's Foundation's efforts to support rural community capacity building to address social determinants of health in central Texas. Discusses rural-specific considerations for rural philanthropy, network building, and participatory grantmaking.
Sponsoring organization: Grantmakers in Health
Date: 09/2022


Suicides Among American Indian or Alaska Native Persons — National Violent Death Reporting System, United States, 2015–2020
Examines differences in suicide characteristics and contributing circumstances among American Indian or Alaska Native (AI/AN) populations and non-AI/AN populations. Includes data for metropolitan and nonmetro areas.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 71(37), 1161-1168
Date: 09/2022


Transportation Insecurity in the United States: A Descriptive Portrait
Examines transportation insecurity in the United States in individuals aged 25 and older. Analyzes survey data from 1,999 respondents and includes demographic data such as age, income, car ownership, race/ethnicity, gender, education, presence of children in the household, immigration status, and location by urban, suburban, and rural. Discusses issues related to transportation insecurity such as poorer health outcomes, residential segregation, education inequity, crime, poverty, and more.
Author(s): Alexandra K. Murphy, Karina McDonald-Lopez, Natasha Pilkauskas, Alix Gould-Werth
Location: Socius: Sociological Research for a Dynamic World, 8
Date: 2022

Upcoming Events

Sep
22
The Future of Rural Ambulance & EMS
Time: 1:00 - 2:30 p.m. Central
Center for Rural Policy and Development, Minnesota Ambulance Association
Mankato, MN
Sep
22-23
National Vaccine Advisory Committee Meeting
U.S. Department of Health and Human Services
202.494.1719
nvac@hhs.gov
Sep
23
Overview of NCI's Telehealth Research Centers of Excellence (TRACE)
Time: 12:00 p.m. Eastern
National Cancer Institute
Sep
27
CMS Virtual Listening Session: Gathering Information from Individual Health Care Staff on Emergency Preparedness
Time: 1:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Sep
27
VA Tribal Consultation - Indian Health Services/Tribal Health Program's (IHS/THP) Reimbursement Agreements Program
Time: 4:30 - 6:00 p.m. Eastern
U.S. Department of Veterans Affairs
Washington, DC
303.780.4826
Tribal.Agreements@va.gov
Sep
28
Capital Financing Strategies for Rurally-Located Health Centers
Time: 2:00 p.m. Eastern
Capital Link
Sep
29
Countering Change: County Strategies for Adapting and Responding to Today's Opioid Epidemic
Time: 3:00 - 4:00 p.m. Eastern
National Association of Counties
202.350.2296
ahurley@naco.org
Sep
29
Launching the 24/7 AgriStress Helpline in Your State
Time: 12:00 p.m. Central
AgriSafe Network
Sep
29
St. Louis 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
St. Louis, MO
HRSAOIEARegion7@hrsa.gov
Sep
29
USDA Rural Workforce Innovation Network (RWIN) Federal Grants - Midwest
Time: 2:00 - 4:00 p.m. Eastern
USDA Rural Development
RD.Innovation.RWIN@usda.gov
Sep
29-30
Meeting of the Medicare Payment Advisory Commission (MedPAC)
Medicare Payment Advisory Commission
Sep
30
VA Tribal Consultation - Indian Health Services/Tribal Health Program's (IHS/THP) Reimbursement Agreements Program
Time: 1:00 - 2:00 p.m. Eastern
U.S. Department of Veterans Affairs
303.780.4826
Tribal.Agreements@va.gov
Oct
3-4
Collaborative Responses to Domestic Violence in Rural Communities Virtual Conference
Institute for Coordinated Community Response
214.389.7736
info@instituteccr.org
Oct
13
How to Build a Grassroots Coalition to Effectively Address Farmworkers Needs
Time: 1:00 p.m. Central
National Center for Farmworker Health
Oct
13
USDA Rural Workforce Innovation Network (RWIN) Federal Grants - West
Time: 2:00 - 4:00 p.m. Eastern
USDA Rural Development
RD.Innovation.RWIN@usda.gov
Oct
14
2022 9th Annual Kentucky Rural Behavioral Health Symposium
Northeast Kentucky Area Health Education Center
Morehead, KY
Oct
24-25
2022 Annual Maryland Rural Health Conference
Maryland Rural Health Association
Flintstone, MD
yshockney@mdruralhealth.org
Oct
25
2022 Annual Idaho CAH-RHC-FMC Conference
Idaho Bureau of Rural Health and Primary Care
Boise, ID
Oct
25-26
2022 Annual Oklahoma Rural Health Conference
Oklahoma Office of Rural Health, Rural Health Association of Oklahoma
Edmond, OK
580.213.3177
agseigars@nwosu.edu
Oct
26-28
2022 Georgia Rural Health Association Annual and Rural Health Clinic Conference
Georgia Rural Health Association
Cordele, GA
229.322.8290
cowens@georgiasouthern.edu
Oct
27
USDA Rural Workforce Innovation Network (RWIN) Federal Grants - Northeast
Time: 2:00 - 4:00 p.m. Eastern
USDA Rural Development
RD.Innovation.RWIN@usda.gov
Nov
8
Rural Residency Planning and Development (RRPD) Webinar
Time: 9:00 a.m. Pacific
RuralGME.org
Nov
14-15
2022 Annual Appalachian Translational Research Network (ATRN) Summit
Appalachian Translational Research Network
Lexington, KY
412.343.2437
atrnheadquarters@gmail.com
Nov
15-16
2022 Virginia Rural Health Documentation, Coding, and Billing Bootcamp
Virginia Rural Health Association
Williamsburg, VA
540.231.7993
staff@vrha.org

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