RHIhub This Week - May 17, 2023

Models & Innovations Call for Content Share your Rural Story! We are looking for project examples to include in our Models & Innovations section to share with rural service providers. Share your programs successes, innovative solutions, and/or things you wish you'd known before starting your program.

Webinar Recording Building Local Level Partnerships for Rural Emergency Preparedness In case you missed it, a recording of our recent webinar featuring a discussion rural emergency preparedness partnerships and collaboration is now available to view!

Recent News See More Recent News Rural Health Clinics with 'Head-to-Toe and Womb-to-Tomb' Care May 17, 2023 -- Primary Care Centers of Eastern Kentucky (PCCEK) is a Rural Health Clinic whose services include temporary housing for women confronting substance use disorder. PCCEK offers a wide variety of health services, including dentistry, a diabetes center, a women's health center, radiology and imaging, behavioral health services, a pharmacy, and a hospice care center. Source: The Daily Yonder New Mexico Program to Reduce Maternity Care Deserts in Rural Areas Fights for Survival May 15, 2023 -- Highlights a Federal Office of Rural Health Policy-funded Rural Maternity and Obstetrics Management Strategies (RMOMS) program located in Clayton, New Mexico. The RMOMS program was created to increase access to maternal healthcare in rural communities through the use of telehealth and the creation of networks of hospitals and clinics. Source: KFF Health News Students in Rural Colorado Are Left Without Options as Specialized Schools Close May 12, 2023 -- Highlights the lack of facility schools in rural Colorado. Facility schools provide specialized services for children with disabilities and/or mental health issues. Small population sizes and a shortage of trained teachers and behavioral professionals has led to closures of the few schools that existed. Rural Colorado children in need of their services either do not get them or must travel to other parts of the state to residential facilities. Source: KFF Health News New Medicare Designation Could Prevent Closure of Struggling Rural Hospitals May 11, 2023 -- Describes the guidelines for the new Rural Emergency Hospital facility designation including types of care allowed, reimbursement rules, and other federal and state rules. Source: National Conference of State Legislatures HHS Fact Sheet: Telehealth Flexibilities and Resources and the COVID-19 Public Health Emergency May 10, 2023 -- An HHS fact sheet outlining what is and is not changing around telehealth as the COVID-19 Public Health Emergency ends, including information on coverage of services. Provides guidance around licensure portability, a measure intended to increase access to healthcare for rural and underserved communities. Also outlines broadband initiatives that increase access to healthcare and reduce disparities. Source: U.S. Department of Health and Human Services Federal Register HHS: Eleventh Amendment to Declaration Under the Public Readiness and Emergency Preparedness Act for Medical Countermeasures Against COVID-19 May 12, 2023 -- Notice of amendment from the Department of Health and Human Services updating the determination of a public health emergency to state that COVID-19 presents a credible risk of a future public health emergency. This notice adds new limitations on distribution that provides coverage under this PREP Act Declaration through December 31, 2024, for the manufacturing, distribution, administration, and use of Covered Countermeasures while they are authorized for emergency use (EUA) by the Food and Drug Administration (FDA) and COVID-19 vaccines licensed by FDA, and any FDA approved or cleared in vitro diagnostic product or other device used to treat, diagnose, cure, prevent, or mitigate COVID-19. Among other things, this amendment also extends the authority for certain qualified pharmacy technicians to prescribe, dispense, and administer COVID-19 vaccines, seasonal influenza vaccines, and COVID-19 tests through December 31, 2024. This amendment is effective May 11, 2023. Source: Federal Register

Funding & Opportunities See More Funding Housing Assistance Council OneRural Capacity Building Program Individualized technical assistance, training, and access to resources designed to build the capacity of housing/community development organizations working in rural communities. Geographic coverage: Nationwide Letter of Intent (Required): May 26, 2023 Application Deadline: Jun 7, 2023 Sponsor: Housing Assistance Council Rural Decentralized Water Systems Grant Program Grants for qualified nonprofit organizations and tribes to create a revolving loan fund to increase access to clean, reliable water and septic systems for households in eligible rural areas. Geographic coverage: Nationwide Application Deadline: Jun 10, 2023 Sponsors: U.S. Department of Agriculture, USDA Rural Utilities Service National Center for American Indian Health Professions Pre-Admissions Workshops Workshops to help American Indian and Alaska Native students navigate the medical or other professional school application process, strengthen their applications, and expand their professional networks. The overall goal of the program is to promote health by increasing the number of AI/AN healthcare employees. Geographic coverage: Nationwide Application Deadline: Jun 12, 2023 Sponsors: A. T. Still University, National Center for American Indian Health Professions Tribal Crash Data Tools Pilot Program Pilot program for tribes to implement and test a tribal crash data system designed to improve crash data collection and analysis capabilities. Geographic coverage: Nationwide Application Deadline: Jun 12, 2023 Sponsor: Tribal Transportation Safety Management System Steering Committee Advancing Innovation in Aging Grants Grants for innovative projects that support older adults and/or address issues around aging, such as quality of life and longevity. Rural and other underserved populations/communities are considered a program priority. Geographic coverage: Nationwide Application Deadline: Jun 21, 2023 Sponsor: NextFifty Initiative Faculty Loan Repayment Program Loan repayment for individuals from economically and environmentally disadvantaged backgrounds who agree to serve as faculty at eligible health professions schools for a minimum of 2 years. Geographic coverage: Nationwide and U.S. territories Application Deadline: Jun 29, 2023 Sponsors: Bureau of Health Workforce, Health Resources and Services Administration, U.S. Department of Health and Human Services Rural Maternity and Obstetrics Management Strategies Program (RMOMS) Funding to improve access to, and continuity of, maternal and obstetrics care in rural communities through regional aggregated care, coordination of a continuum of care, use of telehealth, and the implementation of financial sustainability strategies. Geographic coverage: Nationwide Application Deadline: Jul 7, 2023 Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services Closing the Gap with Social Determinants of Health Accelerator Plans Funding to collaborate with multi-sectoral partners to develop an implementation-ready Social Determinants of Health Accelerator Plan to reduce disparities in health outcomes related to chronic disease in a tribal jurisdiction, community, or catchment area. Health disparity populations include socially, economically, geographically, and environmentally disadvantaged populations. Geographic coverage: Nationwide and U.S. Territories Application Deadline: Jul 11, 2023 Sponsors: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services Healthy Families Community-Based Perinatal Health Initiative Grants to develop and implement innovative models for integrating community-based maternal support services into perinatal systems of care. Models should be designed to improve pregnant and post-partum people's health outcomes and reduce racial and ethnic disparities. Rural and other minority populations are a priority. Geographic coverage: Nationwide and U.S. Territories Application Deadline: Jul 18, 2023 Sponsors: Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services 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: Jul 18, 2023 Sponsors: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services Health Center Facility Loan Guarantee Program Facilitates access to capital funding and reduces financing costs for health centers by guaranteeing up to 80% of financing needed to support capital infrastructure projects. 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 NRHA Rural Hospital CFO Certification Program A leadership and certification program for current Chief Financial Officers of rural hospitals. Geographic coverage: Nationwide and U.S. Territories Applications accepted on an ongoing basis Sponsors: Center for Rural Health Leadership, National Rural Health Association Rural Water Loan Fund A below market loan program designed to meet the needs of small water and wastewater utilities. Geographic coverage: Nationwide Applications accepted on an ongoing basis Sponsor: National Rural Water Association

New Resources See More Resources 340B Drug Discount Program: Information about Hospitals That Received an Eligibility Exception as a Result of COVID-19 Provides an overview of a provision of the Consolidated Appropriations Act, 2022, that allowed hospitals to request an exception to the disproportionate share hospital (DSH) percentage eligibility requirement if they were unable to meet it due to the COVID-19 pandemic. Explores the exception process and provides information on hospitals that received the exception. Discusses the amount of 340B drug purchases and discounts that excepted hospitals indicated they had in 2020 and 2021; the extent to which excepted hospitals indicated providing discounts on 340B drugs to low-income, uninsured patients; and results of the Health Resources and Services Administration's audits and oversight activities to assess program compliance. Additional links: Full Report Sponsoring organization: Government Accountability Office Date: 05/2023 Cancer Survival in the United States 2007–2016: Results from the National Program of Cancer Registries Examines one-year and five-year cancer survival rates by metropolitan and non-metropolitan county, further broken down by sex, race/ethnicity, age, and cancer type. Utilizes 2007-2016 Center for Disease Control (CDC) National Program of Cancer Registries (NPCR) survival data to discuss cancer survival health disparities. Author(s): Taylor D. Ellington, S. Jane Henley, Reda J. Wilson, et al. Location: PLoS One, 18(5) Date: 05/2023 County-Level Geographic Disparities in Disabilities Among US Adults, 2018 Provides county-level estimates of 6 types of disability including hearing, vision, cognition, mobility, self-care, and independent living. Utilizes geocoded 2018 Behavioral Risk Factor Surveillance System data, Census 2018 county-level population estimates, and American Community Survey 2014-2018 poverty estimates to provide U.S. county-level maps showing percentage of disability and cluster patterns. Author(s): Hua Lu, Yan Wang, Yong Liu, et al. Location: Preventing Chronic Disease, 20 Date: 05/2023 Distribution of Direct Care Workforce COVID-19 Funding Between Rural and Urban Counties in Minnesota and Illinois Brief highlights the differences in the distribution of CARES Act direct care workforce funding between rural and urban counties in Minnesota and Illinois. Discusses the differences in distribution between the two states and the consequences for rural COVID-19 outcomes. Sponsoring organization: University of Minnesota Rural Health Research Center Date: 05/2023 Early Estimates of Motor Vehicle Traffic Fatalities And Fatality Rate by Sub-Categories in 2022 Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled for 2022. Breaks down data by month, age, race, and by rural versus urban roads, among other measures. Compares 2021 fatality data to 2022 rates by month for a number of indicators, including rural areas. Sponsoring organization: National Highway Traffic Safety Administration Date: 04/2023 Elevating Equity in Economic Development: Inclusive Recovery Toolkit and Inclusive Recovery Guide Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects. Additional links: Interactive Toolkit Sponsoring organization: National Association of Development Organizations Date: 05/2023 Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures. Sponsoring organization: Rural Health Equity Research Center Date: 04/2023 Health Care Capsule: Accessing Health Care in Rural America Discusses challenges rural communities face related to healthcare access, such as limited healthcare providers, travel distance and transportation issues, insurance coverage, and access to broadband. Provides policy recommendations from the U.S. Government Accountability Office (GAO) to address rural healthcare disparities. Additional links: Full Report Sponsoring organization: Government Accountability Office Date: 05/2023 How Regional Partnerships Bolster Rural Hospitals Explores how Critical Access Hospitals (CAHs) and other rural providers partner to overcome challenges. Profiles six regional partnerships that address staffing, quality improvement, contracts with payers, value-based payment, and community development. Offers lessons learned that could inform policy changes to strengthen rural providers. Sponsoring organization: Commonwealth Fund Date: 05/2023 Injury Prevention Legislation Database: Opioid Abuse Prevention Identifies state legislation addressing opioid abuse prevention. Topics covered include prescription drug abuse, adverse childhood experiences (ACEs), child abuse and neglect, older adult falls, teen dating violence, and traumatic brain injury. Searchable by state, topic, keyword, year, status, and primary sponsor. Sponsoring organization: National Conference of State Legislatures Intergenerational Poverty and Mobility Among Native Americans in the United States: Proceedings of a Workshop Report aims to identify programs and policies to reduce intergenerational poverty among Native Americans. Discusses the structural and historical factors that contribute to intergenerational poverty and explores promising interventions for addressing those factors. Additional links: Read Online Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine Date: 2023 National Highway Traffic Safety Administration Quick Facts 2021 Provides statistics on motor vehicle crashes in 2020 and 2021, with breakdowns including fatalities, injuries, vehicle type, alcohol-impaired-driving, seat belt use, children, older population, and rural or urban location. Sponsoring organization: National Highway Traffic Safety Administration Date: 05/2023 Rural and Urban Differences in Factors Associated with Inpatient Hospital Stays for Substance Use Disorder Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, race/ethnicity, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more. Sponsoring organization: Rural Health Equity Research Center Date: 04/2023 Rural-Urban Disparities in Preventive Breast and Cervical Cancer Screening Among Women With Early-Onset Dementia Results of a study examining the differences in use of preventive cancer screenings between patients with or without early-onset Alzheimer's disease and related dementias (ADRD), and comparing use of the screenings in rural versus urban areas. Features statistics on rates of preventive Pap smears and mammograms, with breakdowns by urban and rural areas. Author(s): Wendy Y. Xu1, Eli Raver, Jeah Jung, et al. Location: BMC Women's Health, 23, 255 Date: 05/2023 State Public Health Legislation Database Identifies state legislation addressing infectious disease prevention and treatment, public health information and reporting, public health workforce, and vaccines. Updated every two weeks, with information on legislation starting in 2021. Searchable by state, topic, keyword, year, status, and primary sponsor. Sponsoring organization: National Conference of State Legislatures State Telehealth Laws and Reimbursement Policies Report, Spring 2023 Bi-annual summary report on telehealth policies as of March 2023. Covers Medicaid reimbursement, private payer laws, and professional requirements. Additional links: Executive Summary, Infographic, State Summary Chart Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center Date: 05/2023 Stigma and Opioid Use Disorder in Northern New England Report presents a study on the stigma around opioid use disorder (OUD) in Northern New England. Details the results of a survey of clinicians and counselors on the perceived stigma around OUD and OUD treatment in the rural counties of Maine, Vermont, New Hampshire, and Northern New York. Sponsoring organization: University of Vermont Center on Rural Addiction Date: 04/2023

Open Calls for Contributions See More Open Calls Call for Submissions: 2023 National Rural Assembly Everywhere Deadline: Jun 5, 2023 Rural Assembly Event Dates: Jun 28, 2023 Conference Website Call for Workshop Proposals: 2023 Annual APRIL (Association of Programs for Rural Independent Living) Conference Deadline: Jun 27, 2023 Association of Programs for Rural Independent Living Event Dates: Oct 12 - 14, 2023 Orange County, CA Conference Website

Upcoming Events See More Events May 17 Improving Health Care Access in Rural Communities: Obstacles and Opportunities Time: 2:30 p.m. Eastern Senate Committee on Finance May 18 Exploring Perinatal Prescription Opioid Use and Misuse in Primarily Rural Settings Time: 12:00 p.m. Eastern American Society for Pain Management Nursing (ASPMN), Providers Clinical Support System (PCSS) May 23 2023 Placemaking in Small and Rural Communities Conference University of Kentucky, USDA Rural Development May 31 COVID Care After the COVID-19 Public Health Emergency Ends: Vaccines, Testing, and Treatment Time: 12:00 p.m. Central Migrant Clinicians Network May 31 Integrating Behavioral Health and Primary Care in Rural America Time: 1:00 - 2:00 p.m. Central Bipartisan Policy Center May 31 Rural Maternity and Obstetrics Management Strategies Program Applicant Webinar Time: 2:00 - 3:00 p.m. Eastern Call-in number: 833.568.8864 Meeting ID: 160 363 0214 Passcode: 42409094 Federal Office of Rural Health Policy Jun 6 Advancing Health Equity among Hispanic/Latino Populations Spanish Webinar Series - Session #3 Time: 1:00 p.m. Eastern Health Resources and Services Administration, HRSA Office of Intergovernmental and External Affairs - Region 1 Jun 8 Addressing Pain and Substance and Opioid Use Disorders (SUD/OUD) in Rural Communities Arizona Center for Rural Health, Guild Health Group, Opioid Response Network, University of Arizona Health Sciences Flagstaff, AZ jgillette@guildhealthgroup.com Jun 15 Best Practices in the Detection and Monitoring of Pesticide Exposure Time: 12:00 p.m. Central AgriSafe Network Jun 20 Healthcare Connections: Capital Planning Strategies for Rural Health Time: 1:00 - 2:00 p.m. Central Wipfli LLP 404.420.5720 forrester.allen@wipfli.com Jun 20-22 2023 Louisiana Rural Health Workshop Louisiana Rural Health Association, Well-Ahead Louisiana Lake Charles, LA 985.369.3813 dhebert@lrha.org Jun 20-22 2023 Region A SORH Regional Partnership Meeting National Organization of State Offices of Rural Health Charleston, WV carolinew@nosorh.org Jun 28 2023 National Rural Assembly Everywhere Time: 1:00 p.m. - 3:00 p.m. Eastern Rural Assembly joel@ruralstrategies.org Jun 29-30 2023 Indigenous Nursing Conference Bemidji State University Bemidji, MN megan.heuer@bemidjistate.edu Jul 10-12 2023 Annual 340B Coalition Summer Conference 340B Coalition National Harbor, MD education@340bhealth.org Jul 10-12 2023 Healthy Kids! Healthy Futures! National Conference Notah Begay III Foundation Albuquerque, NM info@nb3f.org Jul 10-13 2023 Annual NACCHO Conference National Association of County and City Health Officials Denver, CO NACCHOmeetings@naccho.org Jul 11 Rural Residency Planning and Development (RRPD): Engaging Community Partners in New Program Development Time: 11:00 a.m. Central RuralGME.org Jul 11-12 2023 Annual NRHA State Rural Health Association (SRHA) Leadership Conference National Rural Health Association Washington, DC lhudson@nrharural.org Jul 11-13 2023 Region E SORH Regional Partnership Meeting National Organization of State Offices of Rural Health Laramie, WY carolinew@nosorh.org Jul 12 Agricultural Community QPR for Farmers and Farm Families Time: 12:00 p.m. Central AgriSafe Network