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Rural Health Information Hub

RHIhub This Week - September 13, 2023

Models and Innovations

Mountain Area Health Education Center (MAHEC) Rural Fellowship
Offers mentorship, education, research support, and community-building opportunities for local providers in their first year of practice.

 New in Our Online Library
 Information from around the web

Recent News

Despite Successes, Addiction Treatment Programs for Families Struggle to Stay Open
Sep 13, 2023 -- Discusses the challenges that come with providing family-based residential treatment for addiction in rural Minnesota. Notes that treatment in a family-based facility can improve pregnancy outcomes, increase chances of completing treatment, and keep families from being separated. Maternal opioid-related diagnoses have increased in recent years with a disproportionate rise seen in rural areas.
Source: KFF Health News

Blueprint for a National Prevention Infrastructure for Behavioral Health Disorders : Call for Experts
Sep 11, 2023 -- Call for approximately 15 experts to participate in developing the Blueprint for National Prevention Infrastructure for Behavioral Health Disorders. Goals include identifying funding needs, identifying gaps in research, and developing policy recommendations at the state and federal level. Nominations are due September 20th.
Source: National Academies of Sciences, Engineering, and Medicine

Recovery-Friendly Workplaces Can Help Those on the Path to Healing
Sep 11, 2023 -- Describes the impact of "recovery-friendly workplaces" in rural areas. Recovery-friendly workplaces are employers with policies supportive of those recovering from substance misuse. Notes that rural places can be less private and that stigma can still impact the job prospects of someone in recovery. Also discusses the economic benefits of recovery-friendly workplaces for rural areas with a small workforce pool.
Source: The Daily Yonder

Water Hookups Come to Alaska Yup'ik Village, and Residents Are Thrilled to Ditch Their Honey Buckets
Sep 8, 2023 -- Homes in a rural Alaskan village are receiving indoor plumbing for the first time. Notes that residents of the village have higher rates of a variety of illnesses. Describes the infrastructure building by the community required to provide indoor plumbing.
Source: ABC News

Ways and Means Committee Seeks Broad Stakeholder Input on Addressing Chronic Disparities in Access to Health Care in Rural and Underserved Communities
Sep 7, 2023 -- Request for information from the U.S. House of Representative's Ways and Means Committee on improving access to healthcare for rural and underserved communities. Topics of interest include geographic payment differences, sustainable provider and facility financing, aligning sites of service, healthcare workforce, and innovate models and technology. Comments can be emailed until 5:00 pm ET on October 5 at
Source: Committee on Ways and Means, U.S. House of Representatives

UAB Study Shows How Teletrauma Can Help Rural Trauma Patients
Sep 6, 2023 -- Summarizes a recent study showing that teletrauma can increase access to emergency care for injured rural patients far from trauma centers. Notes that other benefits include reducing crowding in emergency departments, better outcomes, and adding expertise to the patient's care team.
Source: UAB News

Funding & Opportunities

Cigna Health and Well-Being Grants
Grants to address mental health and the root causes of health inequity, including supporting under-resourced and systemically disadvantaged communities with poor social determinants of health. Rural and tribal communities are a priority, among other disparity populations.
Geographic coverage: Nationwide
Application Deadline: Sep 19, 2023
Sponsor: The Cigna Group

Innovations in Alzheimer's Caregiving Awards Program
A monetary award for programs or projects that focus on supporting family and informal caregivers of adults with Alzheimer's disease and related dementias, including projects that focus on rural and low-income communities.
Geographic coverage: Nationwide
Application Deadline: Oct 6, 2023
Sponsors: Bader Philanthropies, Inc., Family Caregiver Alliance, The Rosalinde and Arthur Gilbert Foundation

National Environmental Public Health Internship Program Application for Students
10-16 week internship opportunity for students from accredited environmental health academic programs.
Geographic coverage: Nationwide
Application Deadline: Oct 9, 2023
Sponsor: National Environmental Health Association

Pathways to Removing Obstacles to Housing (PRO Housing)
Grants to state and local governments to identify and remove barriers to affordable housing production and preservation to help meet the demand for accessible and available housing in urban and rural areas.
Geographic coverage: Nationwide
Application Deadline: Oct 30, 2023
Sponsor: U.S. Department of Housing and Urban Development

Firearm Injury Prevention in Community Healthcare Settings (R01 – Clinical Trial Optional)
Grants for research that develops and evaluates firearm injury primary prevention interventions that capitalize on community healthcare settings, to identify risk factors; reduce exposure risk in individuals, families, and populations; prevent injury or reoccurrence of injury; and mitigate disparities.
Geographic coverage: Nationwide and U.S. territories
Letter of Intent (Optional): Oct 6, 2023
Application Deadline: Nov 7, 2023
Sponsors: National Institute of Nursing Research, National Institutes of Health, Sexual and Gender Minority Research Office

AmeriCorps VISTA Sponsoring Agency Request for Concept Papers
A national service program that provides resources and staffing for organizations and agencies working to alleviate poverty and address poverty-related problems in local communities.
Geographic coverage: Nationwide
Application Deadline: Nov 16, 2023
Sponsor: AmeriCorps

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, 2023
Sponsors: Commonwealth Fund, Harvard University

Community Access to Child Health (CATCH) Planning and Implementation Grants
Funding to support pediatricians and fellowship trainees in the initial planning and/or pilot stage of implementing innovative, community-based projects to increase children's access to optimal health and well-being and address unmet child health needs.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Jan 22, 2024
Sponsor: American Academy of Pediatrics

Community Access to Child Health (CATCH) Resident Grants Program
Grants to support pediatric residents in the planning of community-based child health initiatives that increase children's access to optimal health and well-being and address unmet child health needs.
Geographic coverage: Nationwide
Application Deadline: Jan 22, 2024
Sponsor: American Academy of Pediatrics

Intervention Research to Improve Native American Health (R01, R21, and R34 Clinical Trials Optional)
Funding to support research designed to improve health in Native American populations. Proposed research may address health promotion, disease prevention, treatment, recovery, or services research to inform intervention implementation and dissemination, and it must engage tribal partners and communities.
Geographic coverage: Nationwide
Application Deadline: Oct 21, 2024
Sponsors: National Institute of Mental Health, National Institute on Drug Abuse, National Institutes of Health

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

New Resources

Appalachian Diseases of Despair
Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2021 Multiple Cause of Death database broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
Date: 07/2023

Area and Road Ruggedness Scales
Provides measures of topographic variation for 2010 census tracts, showing the ruggedness of terrain and roads. Identifies rurality and primary Rural-Urban Commuting Area (RUCA) code of each census tract along with ruggedness data. Also provides documentation, descriptions of each scale, and national maps.
Sponsoring organization: USDA Economic Research Service

Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Location: Health Affairs Scholar, 1(3)
Date: 09/2023

Examining Rural-Urban Differences in the Availability of Hospital-Based Cardiac Services Between 2010-2020
Results of a study examining the availability of hospital-based general cardiology, diagnostic catheterization, and interventional catheterization services, and whether rural-urban differences in the availability of these services occurred between 2010 and 2020. Features statistics including differences in the proportion of hospitals offering cardiac services across metropolitan, micropolitan, and non-core counties in 2010 and 2020.
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
Date: 08/2023

Folic Acid and IMPLICIT Program - The Mother To Baby Podcast
Provides an overview of the Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) Network in rural Minnesota. Discusses the quality improvement program aimed at changing behavior and improving maternal and infant health. Transcript available by clicking the three dots above the description.
Sponsoring organization: MotherToBaby
Date: 09/2023

Further Extension of Grace Period Related to the "Four Walls" Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities to February 11, 2025
Guidance announcing the extension of a grace period permitting Indian Health Service (IHS) and tribal facilities to claim Medicaid reimbursement under the clinic services benefit for services provided outside of the "four walls" of the facility through February 11, 2025. Provides an overview of the history of this flexibility during the COVID-19 public health emergency (PHE) and previous guidance.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 09/2023

The Future Pediatric Subspecialty Physician Workforce: Meeting the Needs of Infants, Children, and Adolescents
Reports on barriers to increasing the pediatric subspecialist workforce and discusses the impact on research to improve health outcomes for children. Discusses access to care, education of the workforce, reimbursement rates, and more. Highlights rural specific challenges throughout.
Additional links: Read Online
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 2023

Income in the United States: 2022
Reports on income levels for 2021 and 2022, along with the percent change from 2021 to 2022. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2023 and earlier Current Population Survey Annual Social and Economic Supplements.
Sponsoring organization: U.S. Census Bureau
Date: 09/2023

Medicare Advantage Enrollment, Plan Availability and Premiums in Rural Areas
Research brief analyzing Medicare Advantage enrollment, availability, and premiums in rural areas to identify trends since 2010. Offers rural and urban comparisons.
Sponsoring organization: KFF
Date: 09/2023

MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 09/2023

New Research Shows RHC Program Continues to Grow
Explores trends in the Rural Health Clinic (RHC) landscape between 2020-2022 using data from the Center for Medicare and Medicaid (CMS) Quality, Certification, and Oversight Reports (QCOR). Presents data and maps on the number of RHCs that opened, closed, had a CMS Certification Number (CCN) change, and are no longer operating as an RHC by state and free-standing or provider-based status.
Sponsoring organizations: NARHC Research and Education Foundation, National Association of Rural Health Clinics, National Center for the Analysis of Healthcare Data (NCAHD)
Date: 09/2023

Poverty in the United States: 2022
Reports on poverty rates for 2021 and 2022, 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 2023 and earlier Current Population Survey Annual Social and Economic Supplements.
Sponsoring organization: U.S. Census Bureau
Date: 09/2023

Racial Disparities in Obesity‐Related Cardiovascular Mortality in the United States: Temporal Trends From 1999 to 2020
Examines disparities in obesity-related cardiovascular mortality in U.S. citizens from 1999 to 2020. Utilizes the Multiple Cause of Death database to analyze mortality trends by race, sex, age, and rural versus urban residence.
Author(s): Zahra Raisi‐Estabragh, Ofer Kobo, Jennifer H. Mieres, et al.
Location: Journal of the American Heart Association
Date: 09/2023

Rural Health Value Summit: Driving Value Through Community-Based Partnerships
Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Sponsoring organization: Rural Health Value
Date: 09/2023

Rural Patient and Provider Perceptions of Telehealth Implemented During the COVID-19 Pandemic
Evaluates patient and provider perceptions of telehealth in a large, rural healthcare system as well as the sustainability of telehealth during and after the COVID-19 pandemic. Utilizes 2020-2021 survey data to analyze patient satisfaction with telehealth and its perceived value and efficiency according to providers. Considers the long-term effectiveness of telehealth by assessing differences in missed appointments when compared to in-person visits at a family practice clinic.
Author(s): David Klee, Derek Pyne, Joshua Kroll, William James, Kelly A. Hirko
Location: BMC Health Services Research, 23, 981
Date: 09/2023

Sustainability Spotlight: State Funding for Produce Prescriptions
Provides an overview of two successful models of produce prescriptions (PPR) programs that provide access to fruits and vegetables for low-income families experiencing diet-related illness. Discusses sustainability, collaboration, and strategic planning of the New Mexico Fruit and Vegetable Prescription Program (FVRx) that works with tribal, rural, and frontier communities.
Sponsoring organization: No Kid Hungry
Date: 09/2023

This Team from HHS Has Spent Five Years Taking on the Rural Crisis of Opioid Use
Podcast episode interviewing Heath Resource and Services Administration (HRSA) officials running the Rural Communities Opioid Response Program (RCORP). Describes starting the program, types of projects funded, program impacts, and how to apply.
Sponsoring organization: Federal News Network
Date: 09/2023

Open Calls for Contributions

Call for Proposals and Research Abstracts: ATA Nexus 2024 Annual Conference
Deadline: Sep 22, 2023
Event Dates: May 5 - 7, 2024
Phoenix, AZ
Conference Website

Request for Presentations: 2024 AgrAbility National Training Workshop
Deadline: Nov 1, 2023
National AgrAbility Project
Event Dates: Mar 25 - 28, 2024
Atlanta, GA
Conference Website

Upcoming Events

Indivisible: Liberty and Social Justice for All
Time: 2:00 - 3:00 p.m. Eastern
Substance Abuse and Mental Health Services Administration
Promoting Farm Safety and Farm Safety Education Across Generations
Time: 1:00 p.m. Eastern
National Institute of Food and Agriculture
Physician-Focused Payment Model Technical Advisory Committee (PTAC) Meeting
Agenda focuses on encouraging rural participation in population-based total cost of care models (PB-TCOC)
HHS Office of the Assistant Secretary for Planning and Evaluation
Aging in Place: The Vital Role of Home Health in Access to Care
Time: 10:00 a.m. Eastern
Senate Committee on Finance, Subcommittee on Health Care
Tribal Students and Clinicians: NHSC Programs Webinar
Time: 1:00 - 2:00 p.m. Eastern
National Health Service Corps, National Indian Health Board
Wealth Creation in Rural and Indigenous Places
Time: 2:30 - 4:00 p.m. Eastern
Aspen Institute
HRSA Virtual Job Fair
Time: 6:00 - 9:00 p.m. Eastern
Health Resources and Services Administration
Presidential Advisory Council on HIV/AIDS Meeting
Time: 9:00 a.m. - 6:00 p.m. Eastern
U.S. Department of Health and Human Services
Medicaid and CHIP Payment and Access Commission (MACPAC) Public Meeting
Medicaid and CHIP Payment and Access Commission
Farm Youth and Stress
Time: 3:00 - 4:00 p.m. Eastern
National AgrAbility Project
Investing in Tribal Communities Through Medical Education and Training
Time: 12:00 - 1:00 p.m. Eastern
American Indian Medical Education Strategies (AIMES) Alliance
2023 21st Annual Rural Health Clinic Conference
National Rural Health Association
Kansas City, MO
2023 22nd Annual Critical Access Hospital Conference
National Rural Health Association
Kansas City, MO
Data Training Webinar: Area and Road Ruggedness Scales
Time: 1:00 p.m. Eastern
USDA Economic Research Service
Strategies for Identifying, Reaching and Effectively Serving Older Survivors in Rural Communities
Time: 1:00 p.m. Central
National Clearinghouse on Abuse in Later Life (NCALL)
2023 Annual Missouri Association of Rural Health Clinics Fall Conference
Missouri Association of Rural Health Clinics
Jefferson City, MO
2023 Annual Iowa Rural Health Association Conference
Iowa Rural Health Association
Marshalltown, IA
2023 15th Annual Rural Tobacco Summit
Suwannee River Area Health Education Center, Tobacco Free Columbia
Lake City, FL
386.462.1551 Ext. 106
2023 Center for Advancing Rural Health Equity Fall Gathering
Center for Advancing Rural Health Equity
Fairlee, VT
2023 Grantmakers in Health Fall Forum
Grantmakers in Health
Washington, DC
2023 Annual Oklahoma Rural Health Conference
Rural Health Association of Oklahoma
Edmond, OK
2023 National Conference on EMS
New Jersey Office of Emergency Medical Services
Atlantic City, NJ
2023 NACo Rural Action Caucus (RAC) Symposium
National Association of Counties
Greenbrier County, WV
2023 Louisiana Rural Health Summit
Louisiana Rural Health Association
Lafayette, LA
2023 Missouri Rural Health Association Conference
Missouri Office of Rural Health and Primary Care, Missouri Primary Care Association, Missouri Rural Health Association
Camdenton, MO
Total Health 2023: Create a Health System Fit for the Future
Reuters Events
Chicago, IL
IHS Tribal Consultation Series on Health Information Technology Modernization: The Path Forward
Time: 1:30 p.m. - 3:00 p.m. Eastern
Indian Health Service
2023 Annual Midwest Rural Agricultural Safety & Health (MRASH) Conference
Great Plains Center for Agricultural Health, Iowa's Center for Agricultural Safety and Health
Dubuque, IA
2023 Annual New England Rural Health Conference
New England Rural Health Association
Killington, VT
Reimagine Youth Wellness: A Caring Adults Summit
Albuquerque Area Indian Health Board, Inc. (AAIHB), Community Health Education and Resiliency Program (CHERP)
Santa Fe, NM
2023 Annual Rural Health Association of Utah Conference
Rural Health Association of Utah
St. George, UT

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