RHIhub This Week - September 6, 2023
'Planting Seeds of Change': In Rural Counties, Expanding Jail-Based Mental Health Services is a Community Effortby Gretel Kauffman In rural communities, where funding is often limited and mental health resources may be scarce, ensuring incarcerated people have access to needed care can be a challenge. |
Rural Recovery Housing, featuring Ernie Fletcher and Erica WalkerCheck out our latest episode with discussion about recovery housing in rural communities. Features Governor Ernie Fletcher, co-founder and Chief Medical Officer of the Fletcher Group, and Erica Walker, Outreach and Engagement Specialist for the Fletcher Group. |
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Sep 6, 2023 -- Summarizes a discussion on rural healthcare workforce recruitment and retention at the 2023 National Conference of State Legislatures Legislative Summit. Notes that good data helps policymakers understand where the need is greatest so that resources can be prioritized for those places. Describes incentives used across the country including loan repayment programs, interstate compacts, virtual networking, and more. Source: National Conference of State Legislatures Even in the Most Depressed County in America, Stigma Around Mental Illness Persists Sep 6, 2023 -- Discusses depression rates in Logan County, West Virginia. A recent report found that 32% of the county's residents have been diagnosed with depression which is the highest rate in the country. Also notes that the counties with the highest rates for depression tend to be found in Appalachia. Describes the mental healthcare options in the county and how stigma contributes to low use. Source: KFF Health News, USA Today 2nd Round of Wildfire-Prevention Funding Will Have Tools to Help Rural Applicants Sep 5, 2023 -- Following analysis of the first round recipients of the Community Wildfire Defense Grant, the U.S. Forest Service has developed new tools to allow lower resourced communities a better chance at success in the second round of funding. The lower resourced communities are often rural the analysis found. Notes challenges for rural communities in securing grants are usually less administrative capacity and less access to matching funds. Source: The Daily Yonder CMS Announces Transformative Model to Give States Incentives and Flexibilities to Redesign Health Care Delivery, Improve Equitable Access to Care Sep 5, 2023 -- Announcement from the Centers for Medicare & Medicaid Services (CMS) of the States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model), a model built on lessons learned from the Maryland Total Cost of Care Model, the Vermont All-Payer ACO Model, and the Pennsylvania Rural Health Model. 8 states will receive up to $12 million to redesign healthcare delivery with a focus on investment in primary care, providing hospitals with a prospective payment stream, improving care coordination, and increasing referrals for community resources. The first funding opportunity will be released in the fall of 2023 with a second coming in the spring of 2024. Source: Centers for Medicare & Medicaid Services Rural Arkansas Hospitals Weigh Trading Inpatient Care for New Federal Funds Sep 5, 2023 -- A hospital in rural Arkansas has become the state's first Rural Emergency Hospital (REH). Describes the distribution of hospitals in Arkansas and discusses the financial instability of rurally located facilities. Describes payment systems for various facility types and the impact that has on a hospital's decision-making when considering converting to an REH. Source: Arkansas Advocate Biden Harris Administration Invests More Than $80 Million to Help Rural Communities Respond to Fentanyl and Other Opioid Overdose Risks Aug 31, 2023 -- Announcement of over $80 million in funding across 39 states through the Rural Communities Opioid Response Program (RCORP) for response to the opioid and fentanyl crisis. Funded programs address issues such as access to medication to treat opioid use disorder, overdose prevention, mental health, neonatal exposure, and disseminating best practices in treatment and prevention. Source: Health Resources & Services Administration Federal RegisterCMS: Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency ReportingSep 6, 2023 -- Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) that would establish minimum staffing standards for long-term care facilities. This rule also proposes to require states to report the percentage of Medicaid payments for certain Medicaid-covered institutional services that are spent on compensation for direct care workers and support staff. Comments are due by November 6, 2023. Source: Federal Register CMS: Medicare Program: Hospital Outpatient Prospective Payment System: Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022; Extension of Comment Period Sep 5, 2023 -- Notice from the Centers for Medicare & Medicaid Services (CMS) extending the comment period for the July 11, 2023, proposed rule titled "Medicare Program; Hospital Outpatient Prospective Payment System: Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022." Comments are now due September 11, 2023. Source: Federal Register |
Loans and grants to assist in the economic development of rural areas, including funds for healthcare facilities and equipment, telecommunications networks, and job creation projects. Geographic coverage: Nationwide Application Deadline: Sep 30, 2023 Sponsors: U.S. Department of Agriculture, USDA Rural Development Health Center CEO Leadership Institute A 6 month educational program for health center CEOs to learn with and from peers and sharpen health center-specific leadership skills. Geographic coverage: Nationwide Application Deadline: Oct 16, 2023 Sponsor: National Association of Community Health Centers Service Area Competition Funding for Health Center Program (Areas Served with a Project Period Start Date of June 1, 2024) Funding to provide comprehensive primary healthcare services to an underserved area or population. Areas with a June 1, 2024 project period start date are eligible to apply. Geographic coverage: Nationwide and U.S. territories Application Deadline: Oct 30, 2023 Sponsors: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services Community Wildfire Defense Grants Grants for at-risk local communities and tribes to plan for and mitigate the risk created by wildfires. Priority is given to projects located in areas identified as having a high or very high wildfire hazard potential; that benefit low-income communities; and/or serve communities impacted by a severe disaster within the previous 10 years. Geographic coverage: Nationwide and U.S. territories Application Deadline: Oct 31, 2023 Sponsors: Forest Service, U.S. Department of Agriculture Drinking Water System Infrastructure Resilience and Sustainability Program Funding for projects in small and disadvantaged communities that are designed to increase natural hazard resilience in drinking water systems. Geographic coverage: Nationwide Application Deadline: Nov 6, 2023 Sponsor: U.S. Environmental Protection Agency NIH Extramural Loan Repayment Program Loan repayment assistance for researchers that are not employed by the NIH. Loan repayment awards are based on an applicant's potential to build and sustain a research career, not to support specific research. Geographic coverage: Nationwide and U.S. territories Application Deadline: Nov 16, 2023 Sponsors: National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services |
Webinar recording discussing care for older patients in rural emergency departments. Includes information on rural specific challenges and innovative rural programs. Transcript available within the video playback. Additional links: Chat Notes, Slide Deck Sponsoring organization: The Geriatric Emergency Department Collaborative Date: 08/2023 Emergency Department Interventions for Opioid Use Disorder: Overview of the Landscape, Key Components, and Analysis of Five Case Studies Provides an overview of the evidence base for emergency department (ED)-based programs to address and treat opioid use disorders (OUD). Describes factors that motivated the development of these programs, how they are structured and financed, and barriers and facilitators to ED-based OUD treatment. Features case studies of five ED-based programs, including Marshall Medical Center in rural California. Sponsoring organizations: Brandeis University, HHS Office of the Assistant Secretary for Planning and Evaluation Date: 08/2023 Health Disparities in Central Nervous System Disorders: Driving Transformative Change: Proceedings of a Workshop–in Brief Highlights the proceedings of a workshop on strategies to reduce health disparities relating to central nervous system (CNS) disorders. Explores CNS health disparities in rural and low-income communities and among racial and ethnic minority groups, such as American Indian and Alaska Native tribal nations. Discusses the roles academia, industry, and the government have in creating a diverse neuroscience workforce to advance community partnerships and collaborations. Additional links: Read Online Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine Date: 2023 Impact of Higher Payments for Rural Home Health Episodes on Rehospitalizations Examines the impact of home health rural add-on payments on beneficiary outcomes, specifically on rehospitalizations. Uses Medicare data from 2007 to 2014 to compare rehospitalizations between rural and urban post-acute home health episodes before and after the implementation of the add-on payments in 2010. Discusses the implications of the findings on home health payment policy. Author(s): Lacey Loomer, Momotazur Rahman, Tracy M. Mroz, Pedro L. Gozalo, Vincent Mor Location: Journal of Rural Health, 39(3), 604-610 Date: 06/2023 Improving Maternal and Infant Services in Rural Iowa Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes. Sponsoring organization: American Hospital Association Date: 09/2023 Mental Health Matters: Policy Framework on Workforce Mental Health Policy framework designed to support the development of workforce mental health policies. Discusses nondiscrimination, workplace supports, rural communities, workforce shortages and more. Sponsoring organization: National Conference of State Legislatures Date: 08/2023 Missing Components of Receptor Status Among Women With Invasive Breast Cancer Examines factors related to the testing of receptors that aid in accurate prognosis and treatment of patients with invasive breast cancer. Analyzes patient data of 321,913 women for missing components of receptor status (MCRS) according to patient and clinical characteristics, such as age at diagnosis, race, insurance status, rural versus urban residence, and more. Author(s): Julie A. Stephens, James L. Fisher, Robert Wesolowski, Electra D. Paskett Location: JAMA Network Open, 6(8) Date: 08/2023 National Advisory Council on the National Health Service Corps (NACNHSC) Meeting Minutes, June 27–28, 2023 Minutes from the June 27-28, 2023 meeting, including presentations on a family medicine residency program at the Northern Navajo Medical Center in Shiprock, New Mexico, the Choptank Community Health System community-based program in Maryland, managing patients with complex conditions, empowering clinicians for resiliency and transformative care, reports from Bureau of Health Workforce council meetings, and National Health Service Corps updates. Additional links: Agenda, Choptank Community Health System Community-Based Program, Shiprock-UNM Family Medicine Residency Sponsoring organization: National Advisory Council on the National Health Service Corps Date: 06/2023 National Rural Health Day 2023 Key Messages & Data Points Provides messages and data points regarding issues such as healthcare infrastructure, hospitals, and clinics; the strengths of the rural healthcare workforce; demographics of rural communities related to population, income, food insecurity, and healthcare shortages; and the services provided by the State Offices of Rural Health (SORHs). Sponsoring organization: National Organization of State Offices of Rural Health Date: 08/2023 Nonfatal and Fatal Falls Among Adults Aged ≥65 Years — United States, 2020–2021 Reports on older adults who reported falling, as well as unintentional fall-related death rates among older adults. Includes data for metropolitan, micropolitan, and noncore areas. Sponsoring organization: Centers for Disease Control and Prevention Location: MMWR (Morbidity and Mortality Weekly Report), 72(35), 938-943 Date: 08/2023 Pediatric Hospitalizations at Rural and Urban Teaching and Nonteaching Hospitals in the US, 2009-2019 Describes changes in the number and proportion of pediatric hospitalizations and costs at urban teaching, urban nonteaching, and rural hospitals versus freestanding children's hospitals from 2009-2019. Estimates the number and proportion of hospitals providing inpatient pediatric care and characterizes changes in clinical complexity. Features statistics including sociodemographic, clinical, and hospital characteristics of pediatric hospitalizations, with breakdowns by urban and rural location. Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, David C. Goodman, A. James O'Malley Location: JAMA Network Open, 6(9) Date: 09/2023 Quality Time: Sharing PIE – Improving Swing Bed Quality Podcast episode discussing how two Critical Access Hospital (CAH) quality improvement leaders in Mississippi and Nevada used proactive approaches to improve their swing bed programs. Describes efforts in reducing healthcare-associated infections with pneumonia and improving the documentation and coordination of swing bed patients. Sponsoring organization: Stratis Health Date: 09/2023 Rural Disaster Behavioral Health: A Guide for Outreach Workers and Crisis Counselors Provides recommendations to behavioral health professionals who are working with rural populations following a disaster. Offers an overview of rural populations in the United States, behavioral health impacts of disasters, strategies to effectively assist in a rural context, and disaster response recommendations and resources. Sponsoring organization: Substance Abuse and Mental Health Services Administration Date: 08/2023 Rural Emergency Hospitals: Legislative and Regulatory Considerations for States Provides an overview of the Rural Emergency Hospital designation, including licensure and federal requirements for the designation that states must consider before pursuing legislation for REH licensure. Presents a table comparing how 14 states addressed these considerations. Offers legislation to assist states that want to pursue the model. Additional links: Guide to Legislative and Regulatory Considerations for States Sponsoring organization: National Academy for State Health Policy Date: 08/2023 SAMHSA Strategic Plan 2023-2026 Details the Substance Abuse and Mental Health Services Administration's framework and funding priorities for 2023-2026. Discusses priorities such as strengthening the behavioral health workforce, suicide prevention, and behavioral health integration, among other issues. Highlights behavioral health equity measures that address rural communities. Sponsoring organization: Substance Abuse and Mental Health Services Administration Date: 08/2023 Sociodemographic Differences in COVID-19 Pandemic Experiences Among Families in the United States Examines challenges experienced by individuals during the COVID-19 pandemic according to sociodemographic differences. Analyzes survey data focused on children and caregivers and their experiences with infection and testing, healthcare, school, access to food, child care and work, financial concerns, and more. Data is broken down by demographic variables such as caregiver education, age of children, and rural versus urban location. Author(s): Kaja Z. LeWinn, Leonardo Trasande, Andrew Law, et al. Location: JAMA Network Open, 6(8) Date: 08/2023 Use of Medication for Opioid Use Disorder Among Adults With Past-Year Opioid Use Disorder in the US, 2021 Evaluated 47,291 adults using the 2021 National Survey on Drug Use and Health to determine whether rates of medication for opioid use disorder (MOUD) use changed following implementation of COVID-19 pandemic policies intended to increase availability. Discusses gender, age, race and ethnicity, telehealth, and metro versus nonmetro residence. Author(s): Christopher M. Jones, Beth Han, Grant T. Baldwin, Emily B. Einstein, Wilson M. Compton Location: JAMA Network Open, 6(8) Date: 08/2023 Year Three Evaluation Report: Evaluation of the EMS Supplemental Funding Grants Provides an overview of the eight Flex Program Emergency Medical Services (EMS) Supplemental funding grant recipients, including a summary of the project goals, partners, and outcome measures. Details each grantee's project accomplishments, lessons learned, and sustainability strategies. Sponsoring organization: Flex Monitoring Team Date: 09/2023 |
Deadline: Sep 18, 2023 Community Anti-Drug Coalitions of America Event Dates: Jan 29 - Mar 1, 2024 National Harbor, MD Conference Website |
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