RHIhub This Week - June 19, 2024
Rural Chronic Disease Management Toolkit Created in collaboration with the NORC Walsh Center for Rural Health Analysis, this newly released toolkit features evidence-based and promising models and resources to support organizations and rural communities developing and implementing programs to manage chronic diseases in the populations they serve. |
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Jun 19, 2024 -- Highlights a new campaign to reduce injuries occurred while cutting grass, with particular focus on youth working on farms. Notes previous campaigns related to youth on farm equipment. Offers recommendations for safely operating lawn mower equipment for youth. Source: Marshfield Clinic Research Institute Access to Health Care Limited in SD Rural and Reservation Areas Jun 17, 2024 -- Presents overview of health disparities and barriers to healthcare access in rural and tribal communities in South Dakota. Describes a variety of efforts to improve access and lessen disparities, including mobile clinics, programs that offer financial incentives to rural providers, and efforts to address the social determinants of health. Source: South Dakota News Watch CMS Preparing to Close Program that Addressed Medicare Funding Issues Resulting from Change Healthcare Cyber-Attack Jun 17, 2024 -- Announces the conclusion of the Center for Medicare & Medicaid Services (CMS) Accelerated and Advance Payment (AAP) Program, which launched in March to address payment disruptions resulting from the Change Healthcare cyberattack. Notes that over $2.55 billion has been distributed to Part A providers as a result of the program, which will conclude on July 12. Source: Center for Medicare & Medicaid Services With Too Few Mental Health Providers, More Patients Turn to Primary Care Jun 17, 2024 -- Discusses the impact of Mental Health Professional Shortage Areas on primary care in Texas. Discusses a collaborative care model of healthcare that includes behavioral health screenings in primary care appointments. Highlights a successful statewide network for improving youth psychiatric care. Notes the challenges specific to rural residents. Source: The Texas Tribune Project Title: Development and Reevaluation of Maternal Health Measures and Designation Jun 14, 2024 -- Call for nominations for a Centers for Medicare & Medicaid Services (CMS) Technical Expert Panel (TEP) for the expansion of both the Maternal Morbidity Structural Measure (MMSM) and the Birthing-Friendly Hospital Designation. Ideal TEP nominees include clinical experts, obstetrical/gynecologic department chairs, hospital administrators, perinatal quality improvement experts, health equity and birth justice experts, statistical and performance measurement experts, and consumer/patient/family caregiver experts. Nominations can be submitted until July 12th. Source: Centers for Medicare & Medicaid Services Biden-Harris Administration Invests $11 Million to Expand Medical Residencies in Rural Communities Jun 13, 2024 -- Announces the awarding of over $11 million to 15 organizations to establish new rural residency programs. The programs will increase rural training opportunities for obstetrics and gynecology. Also discusses previous funding for rural healthcare. Source: U.S. Department of Health and Human Services Montana Creates Emergency 'Drive-Thru' Blood Pickup Service for Rural Ambulances Jun 13, 2024 -- Describes the Montana Interfacility Blood Network, a network allowing ambulances to transfuse patients with blood available at hospitals on the way to more advanced care facilities. The Network expects to benefit rural patients who have higher rates of injuries and less access to advanced care. Source: Daily Montanan Needed: More Rural Nurses Equipped to Treat Victims of Sexual Assault Jun 13, 2024 -- Discusses the lack of Sexual Assault Nurse Examiners (SANEs) in rural Minnesota. Highlights solutions to increase access through training and statewide protocols. Source: MinnPost |
Funding to increase the nursing workforce in rural and underserved areas to address the critical shortage of nurses, specifically in acute and long-term care settings. The program aims to enhance nursing education and clinical practice to expand the workforce and improve retention. Geographic coverage: Nationwide Application Deadline: Jul 26, 2024 Sponsors: Health Resources and Services Administration, U.S. Department of Health and Human Services Rural Hospital Stabilization Pilot Program Funding for a single entity to provide in-depth technical assistance to rural hospitals to enhance and/or expand service lines to meet local need and keep healthcare services available locally. Geographic coverage: Nationwide and U.S. Territories Application Deadline: Jul 26, 2024 Sponsors: Health Resources and Services Administration, U.S. Department of Health and Human Services Rural Housing Preservation Grants (Section 533) Grants to organizations that work to rehabilitate and preserve affordable housing for rural, low-income homeowners and renters. Geographic coverage: Nationwide Application Deadline: Jul 29, 2024 Sponsors: U.S. Department of Agriculture, USDA Rural Housing Service Opioid Crisis Innovation Challenge Funding for projects that bring an innovative approach to long-standing and complex issues related to the nation's opioid crisis. According to the funder, projects should "explore and/or evaluate new outside-the-box ideas, bring together approaches from several diverse fields, and engage multi-disciplinary, cross-sector teams to reduce overdoses, increase access to treatment, and support long-term recovery." Applications that address rural and underserved populations are encouraged. Geographic coverage: Nationwide Application Deadline: Aug 8, 2024 Sponsor: Foundation for Opioid Response Efforts (FORE) Rural Emergency Medical Communications Demonstration Project Funding for a single entity to examine communications barriers and identify solutions that enhance existing emergency communications infrastructure to improve the delivery of rural medical care and address implementation gaps in the National Emergency Communications Plan. Geographic coverage: Nationwide and U.S. Territories Application Deadline: Aug 9, 2024 Sponsor: U.S. Department of Homeland Security NRHA Rural Hospital CNO Certification Program A leadership and certification program for current Chief Nursing 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 |
Analyzes frequency of receiving a recent Papanicolau (Pap) test among rural and urban women aged 21 to 65, using Health Information National Trends Survey (HINTS) data from 2019, 2020, and 2022. Provides screening rate data comparisons by year and by demographic category, including race and ethnicity, age, insurance status, educational level, and more. Author(s): Tyrone F. Borders, Amanda Thaxton Wiggins Location: JAMA Network Open, 7(6), e2417094 Date: 06/2024 Colorectal Cancer Data Dashboard Dashboard providing maps and graphs of county-level colorectal cancer (CRC) data from a variety of sources. Includes data on CRC incidence, mortality, screening, obesity, tobacco use, age groups, educational attainment, poverty, and race and ethnicity. Also allows mapping of NCI-Designated Cancer Centers, Commission on Cancer-accredited hospitals, and Federally Qualified Health Centers. Additional links: Tutorial Sponsoring organization: American Cancer Society National Colorectal Cancer Roundtable Computer and Internet Use in the United States: 2021 Analyzes both 2021 American Community Survey 1-year data and 2017-2021 5-year data to report on computer use by device type and broadband subscriptions. Includes rural and urban comparisons within 4 regions and by state. Sponsoring organization: U.S. Census Bureau Date: 06/2024 Declines in Telemedicine Use Among Adults: United States, 2021 and 2022 Examines changes in telemedicine use by adults between 2021 and 2022. Analyzes data by various sociodemographic characteristics, Census Bureau region, and level of urbanization. Sponsoring organization: National Center for Health Statistics Date: 06/2024 Diagnosed Dementia in Adults Age 65 and Older: United States, 2022 Examines the prevalence of diagnosed dementia in the U.S. population in adults aged 65 or older. Utilizes 2022 National Health Interview Survey data to observe dementia prevalence in noninstitutionalized adults, with breakdowns according to age, sex, veteran status, race/ethnicity, education, income, region, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan location. Sponsoring organization: National Center for Health Statistics Date: 06/2024 Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2) Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas. Additional links: Findings at a Glance Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research Date: 05/2024 Evaluation of Using Telehealth for Opioid Use Disorders in a Correctional Setting Report evaluates a telehealth intervention in a rural county jail to provide medications for opioid use disorder (MOUD) and therapy to inmates with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights program goals and details data from participant surveys on the intervention's perceived quality and efficacy. Sponsoring organizations: National Criminal Justice Reference Service, Office of Justice Programs Date: 05/2024 Health Care Access Barriers Among Metropolitan and Nonmetropolitan Populations of Eight Geographically Diverse States, 2018 Reports on healthcare access and demographic differences in metro and nonmetro populations. Utilizes Behavioral Risk Factor Surveillance System (BRFSS) data to observe differences in noncore, micropolitan, and metropolitan sociodemographics and access barriers such as insurance, cost, non-financial delays in care, and more. Author(s): Whitney E. Zahnd, Peiyin Hung, Elizabeth L. Crouch, Radhika Ranganathan, Jan M. Eberth Location: Journal of Rural Health Date: 06/2024 Homelessness and Housing Needs of Native American Veterans Toolkit (V2.0) Report discusses homelessness among American Indian and Alaska Native (AI/AN) veterans. Provides data, cultural considerations, resources, and programs for addressing AI/AN veteran homelessness. Makes recommendations for programs and communities working to address this issue. Sponsoring organization: Veterans Health Administration's Office of Rural Health "I Don't Think That a Medication Is Going to Help Someone Long-Term Stay off Opioids": Treatment and Recovery Beliefs of Rural Vermont Family Members of People with Opioid Use Disorder Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma. Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al. Location: Journal of Rural Health Date: 06/2024 MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2024 Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers approaches for updating fee-for-service (FFS) Medicare's physician fee schedule (PFS) payments and incentivizing participation in alternative payment models; provider networks and prior authorization in Medicare Advantage (MA) plans; an assessment of the relative completeness of MA encounter data and other data sources; Medicare coverage and payments for medical software; alternate approaches to lower Medicare payment rates for select conditions in inpatient rehabilitation facilities; and Medicare's Acute Hospital Care at Home program. Includes rural references throughout. Additional links: Executive Summary Sponsoring organization: Medicare Payment Advisory Commission Date: 06/2024 Neighborhood Deprivation and Breast Cancer Mortality Among Black and White Women Compares the association of breast cancer mortality with neighborhood deprivation among Black and White women in Georgia who were diagnosed with breast cancer between 2010 and 2017. Measures deprivation via the Neighborhood Deprivation Index (NDI), utilizing 2011-2015 American Community Survey (ACS) data. Provides additional data breakdowns by level of rurality, neighborhood racial composition, and neighborhood residential mobility. Author(s): Lauren E. Barber, Maret L. Maliniak, Leah Moubadder, et al. Location: JAMA Network Open, 7(6), e2416499 Date: 06/2024 New Frontiers for Funding: An Introduction to Grantmaking in Rural Aging Offers guidance on offering grant funds for rural aging work, discussing scale of funding, rural assets, sustainability, and partnership building. Highlights rural aging issues including health, cultural sensitivities, transportation, broadband, housing and institutional care, and social isolation. Sponsoring organization: Grantmakers In Aging Date: 06/2024 Physician Assistants/Associates in Psychiatry: A Workforce Analysis Examines U.S. physician assistants (PAs) practicing in psychiatry with comparisons to PAs practicing in other specialties. Utilizes National Commission on Certification of Physician Assistants (NCCPA) data to analyze the PA workforce according to growth in the field since 2013, median income, job satisfaction, and demographics, including gender, ethnicity, languages used, age, and rural versus urban practice setting. Author(s): Mirela Bruza-Augatis, Andrzej Kozikowski, Roderick S. Hooker, Kasey Puckett Location: Human Resources for Health, 22(40) Date: 06/2024 Promoting Disposal of Left-Over Opioids After Surgery in Rural Communities: A Qualitative Description Study Evaluates factors influencing opioid disposal after surgery among 30 patients in rural communities in Arizona, Idaho, Montana, Nevada, Oregon, Utah, and Wyoming. Identifies barriers and facilitators of opioid disposal, including awareness and engagement, perceived risks of keeping left-over opioids, convenience of disposal, and motivators of intentional nondisposal. Author(s): Lyen C. Huang, Jordan E. Johnson, Josh Bleicher, et al. Location: Health Education & Behavior, 50(2), 281-289 Date: 04/2023 Providing Employment Services to Individuals in Recovery: Lessons from Addiction Recovery Care Explores a substance use disorder (SUD) recovery program in rural Appalachian Kentucky that pairs the residential clinic with employment services. Details the phases and strategies of the recovery program: stabilization, recovery and life skills, taking action, and job skills and education. Discusses the demographic profile of those in recovery and the impact of providing occupational training during treatment. Sponsoring organization: Administration for Children and Families Date: 05/2024 Stroke Prevention and Management in Rural Georgia: Evaluating the Effectiveness of a Community Paramedicine Program Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges. Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome Location: Journal of Public Health Management and Practice, 30, S32-S38 Date: 07/2024 Understanding the Rise of Ransomware Attacks on Rural Hospitals Explores trends in ransomware attacks on rural hospitals between 2016 and 2021 by analyzing data from the Tracking Healthcare Ransomware Events and Traits (THREAT) database. Describes the types of rural hospitals that experienced ransomware attacks during this period. Compares the frequency of hospitals' operational disruptions during attacks by urban and rural location. Sponsoring organization: University of Minnesota Rural Health Research Center Date: 06/2024 Updated Analysis: Using Population-Based Outcome Measures to Assess the Impact of Telehealth Expansion on Medicare Beneficiaries' Access to Care and Quality of Care Explores the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2018 and 2019 to the second half of 2022 by the level of telehealth utilization in Hospital Service Areas (HSAs). Describes the effects of telehealth for urban and rural beneficiaries and differentiates between telehealth utilization for behavioral and non-behavioral health services. Updates a June 2023 report that analyzed data from 2021. Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission Date: 06/2024 |
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