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Rural Health Information Hub

RHIhub This Week - December 4, 2024

Exploring Rural Health Podcast

Ethical Aspects of Rural Healthcare, with Stephanie Larson and Devora Shapiro
Check out our latest episode featuring Stephanie Larson, an Associate with the Institute of Ethics at the University of New Mexico Health Sciences Center and lecturer in the English department at Case Western Reserve University, and Devora Shapiro, Associate Professor of Medical Ethics at the Ohio University Heritage College of Osteopathic Medicine, in a discussion about ethical issues in rural healthcare and the principles and practices that can be used to address them.

Updated RHIhub Topic Guide

Community Vitality and Rural Healthcare
Our recently updated topic guide provides information and resources on the impacts and connections between strong, healthy rural communities and the provision of healthcare services in rural areas. Shares economic development and impact resources, covers asset-mapping, infrastructure investment opportunities, and more!

 Recently Added to the Online Library
 Information from around the web

Recent News

Alabama Prepares to Launch Public Health Care Boarding School; First Class Set for 2026
Dec 3, 2024 -- Offers updates on the planning and implementation of the Alabama School of Healthcare Sciences, a rural residential high school focusing on training students for careers in healthcare. Notes rural health disparities and workforce shortages the school aims to improve.
Source: Alabama Reflector

NRHA Announces 2025 Rural Health Fellows
Dec 3, 2024 -- Highlights the 2025 class of Rural Health Fellows from the National Rural Health Association.
Source: National Rural Health Association

Rural Mental Health Providers Overcome Stigma, Rugged Individualism, and Distance to Provide Care
Dec 3, 2024 -- Highlights the work of 3 rural Michigan community mental health agencies. Discusses challenges related to workforce, stigma, transportation, substance use, and more as well as work to overcome those challenges through outreach and partnering with other community institutions.
Source: Flint Side

Telehealth Significantly Boosts Treatment Success for Hepatitis C in Rural Patients
Nov 27, 2024 -- Summarizes recent research that found positive impacts from telehealth and peer support in diagnosing and curing hepatitis C for rural residents who use drugs. Discusses telehealth use following COVID-19 related increases and the value of peer support by those with lived experience.
Source: OHSU News

Federal Register

DOT: Request for Information on US DOT's Transportation Community Explorer (TC Explorer) Tool and Index Methodology
Dec 3, 2024 -- The U.S. Department of Transportation (DOT) is seeking comments on a request for information related to the updated Transportation Community Explorer (TC Explorer) Tool and Index methodology. The TC Explorer is a data-driven tool that allows communities to better identify transportation investments that can benefit communities. DOT intends to make updates to its Equitable Transportation Community Explorer (ETC Explorer v1.1) to improve the usefulness and accuracy of the tool, particularly for rural and tribal communities, and rename the tool as the Transportation Community (TC) Explorer. Comments are due by December 16, 2024.
Source: Federal Register

VA: Solicitation of Nomination for Appointment to the Veterans' Rural Health Advisory Committee
Nov 29, 2024 -- The Department of Veterans Affairs (VA) is seeking nominations to the Veterans' Rural Health Advisory Committee. The committee advises the Secretary through the Under Secretary for Health on ways to improve and enhance access to VA health care services for Veterans residing in rural areas by reviewing current program activities and identifying barriers to accessing care and services. Nominations must be received by January 21, 2025.
Source: Federal Register

Funding & Opportunities

Building Community Capacity through Rural Community Behavioral Health Organizations Mentorship and Support Program
Funding, mentorship, and support for rural and/or frontier serving community behavioral health organizations to help enhance and expand critical services that reduce the risk of overdose by increasing engagement in evidence-based and innovative risk reduction strategies, linkage to care, and peer support services.
Geographic coverage: Nationwide
Application Deadline: Dec 16, 2024
Sponsor: National Council for Mental Wellbeing


Patient-Centered Outcomes Research Institute (PCORI) Funding: Improving Mental and Behavioral Health
Funding for patient-centered comparative clinical effectiveness research (CER) projects that focus on improving mental and behavioral health. Studies should compare system, community, and individual level interventions that improve mental and behavioral health conditions.
Geographic coverage: Nationwide
Letter of Intent (Required): Jan 14, 2025
Application Deadline: May 6, 2025
Sponsor: Patient-Centered Outcomes Research Institute


Maternal and Child Health Secondary Data Analysis Research (MCH SDAR)
Funding to support applied research through analysis of existing databases and/or administrative records to improve the quality, efficiency, and accessibility of healthcare services and health outcomes for underserved maternal and child health populations. Underserved populations include Indigenous and Native American persons, people in rural areas, persons otherwise adversely affected by persistent poverty or inequality, among others.
Geographic coverage: Nationwide
Application Deadline: Feb 25, 2025
Sponsors: Health Resources and Services Administration, Maternal and Child Health Bureau, U.S. Department of Health and Human Services


Rural Health Care Program – Healthcare Connect Fund
Provides assistance to healthcare providers for eligible expenses related to broadband connectivity at a flat discounted rate of 65%. Participants can apply as a member of a consortium or a stand-alone entity.
Geographic coverage: Nationwide
Application Deadline: Apr 1, 2025
Sponsors: Federal Communications Commission, Universal Service Administrative Company


Rural Health Care Telecommunications (Telecom) Program
Assistance to healthcare providers for eligible expenses related to telecommunications and voice services for the use of telemedicine and telehealth.
Geographic coverage: Nationwide
Application Deadline: Apr 1, 2025
Sponsors: Federal Communications Commission, Universal Service Administrative Company


Native American Research Centers for Health (NARCH) Planning Grants (R34 - Clinical Trial Not Allowed)
Funding to support federally recognized American Indian/Alaska Native (AI/AN) tribes, tribal colleges and universities, tribal health programs, or tribal organizations to plan and conduct preparatory work for developing competitive NARCH applications.
Geographic coverage: Nationwide
Application Deadline: Jul 9, 2026
Sponsor: National Institutes of Health


Notice of Special Interest (NOSI): Data Informed, Place-Based Community-Engaged Research to Advance Health Equity
Notice of Special Interest for community-engaged research that leverages geospatial data to probe the influence of geographic factors on disease development and health outcomes. The program goal is to use place-based research to help advance health equity in different communities, including rural communities.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Jan 8, 2027
Sponsors: National Institute on Minority Health and Health Disparities, National Institutes of Health

Resources

Differences in Hepatitis C Virus (HCV) Testing and Treatment by Opioid, Stimulant, and Polysubstance Use among People Who Use Drugs in Rural U.S. Communities
Examines hepatitis C virus (HCV) testing in rural people who use drugs (PWUD) when drug combinations are used. Analyzes 2,705 PWUD across 10 rural communities in the U.S. from 2018-2020 for drug use combinations, testing, treatment, and more.
Author(s): Angela T. Estadt, David Kline, William C. Miller, et al.
Location: Harm Reduction Journal, 21, 214
Date: 11/2024


Emergency Medical Services (EMS): A Look at Disparities in Funding and Outcomes
Details disparities related to rurality, income, sex, and race in emergency medical services (EMS) funding, staffing, and patient outcomes. Provides a case study of local EMS agencies in 11 California counties, highlighting challenges rural agencies face related to funding and quality of care.
Sponsoring organization: Centers for Disease Control and Prevention
Date: 10/2024


Epidemiological Model Can Forecast COVID-19 Outbreaks from Wastewater-Based Surveillance in Rural Communities
Examines the ability of wastewater-based epidemiology (WBE) to identify potential outbreaks of SARS-CoV-2 in rural communities. Analyzes wastewater in 6 communities and observes WBE's predictive accuracy to forecast SARS-CoV-2 outbreaks.
Author(s): Tyler Meadows, Erik R. Coats, Solana Narum, et al.
Location: Water Research, 268
Date: 01/2025


Identifying Factors Associated With Variation in Telemental Health Delivery at Federally Qualified Health Centers
Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Location: Journal of Primary Care & Community Health
Date: 11/2024


Implementation and Sustainability of Systems Change for Mental Health Promotion and Substance Misuse Prevention: A Qualitative Study
Examines the implementation and sustainability of the Indiana Regional Prevention System (RPS), a community-focused systems change program focused on mental health promotion and substance use prevention, from interviews with 9 active regional coordinators. Discusses the impact of RPS in rural communities.
Author(s): Ashlyn Burns, Haleigh Kampman, Lauren Magee, et al.
Location: BMC Health Services Research, 24, 1477
Date: 11/2024


The Obstetrics Comorbidity Index as a Predictive Tool for Risk-Appropriate Maternal Care
Assesses the use of obstetric co-morbidity index (OBCMI) to predict severe maternal morbidity (SMM) for antepartum obstetrics transfers, utilizing 2016-2020 data of 561 transfers to a level IV facility in a rural health system. Provides data on the associations between OBCMI score and SMM, and discusses the use of OBCMI for triage and comprehensive risk assessment.
Author(s): Allison R. McCarter, Regan N. Theiler, Megan E. Branda, et al.
Location: BMC Pregnancy and Childbirth, 24, 797
Date: 11/2024


Pharmacy-Based Preventive Services for Opioid Use Disorder: A Survey of U.S. Pharmacists
Examines pharmacist perceptions related to addressing opioid use disorder (OUD) and substance use disorder (SUD) in their patients. Utilizes online survey data from 1,146 pharmacists to analyze pharmacist concerns about drug use; drug screenings, interventions, and referrals; and commitment and readiness to address OUD and SUD in their patients. Includes breakdowns of pharmacist demographics as well as rurality of pharmacy locations.
Author(s): Li-Tzy Wu, Jacquie King, Kathryn Hefner, et al.
Location: Addiction Science & Clinical Practice, 19, 88
Date: 12/2024


School-Based Health Centers Addressing Health Equity for LGBTQ + Patients (SBHCs HELP): Protocol for a Stepped-Wedge Trial to Implement Innovations Promoting Structural Competency
Research protocol to test the effectiveness of the Dynamic Adaptation Process (DAP) in improving health equity and reducing stigma and discrimination for sexual and gender diverse (SGD) youth in school based health centers (SBHC) in New Mexico. Describes study design and strategies for implementing LGBTQ+ supportive practices across culturally and geographically varied areas, including rural communities.
Author(s): Cathleen E. Willging, Daniel Shattuck, Marisa Sklar, et al.
Location: BMC Health Services Research, 24, 1485
Date: 11/2024


State of the Behavioral Health Workforce, 2024
Offers demographic and occupational data on the behavioral health workforce including current and projected shortages. Data sources include both 2022 and 2023. Offers comparisons of shortages between rural and urban counties. Discusses challenges driving workforce shortages.
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
Date: 11/2024


State of the U.S. Health Care Workforce, 2024
Offers demographic data on a variety of health professions from data sources between 2019 and 2023. Examines distribution, education and licensing, and projected shortages for the physician, nursing, and oral health fields. Describes challenges contributing to health workforce shortages. Highlights nonmetropolitan workforce shortages and state by state comparison of physician distribution.
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
Date: 11/2024


State of the U.S. Maternal Health Workforce, 2024
Offers demographic and occupational data on the maternal health workforce. Data sources include various years between 2021 and 2023. Includes current and projected comparisons of the workforce with the female population of childbearing age. Table 7 includes distribution of maternal health physicians compared with the population of women of childbearing age for large metropolitan, medium metropolitan, small metropolitan, micropolitan, and noncore areas in 2022.
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
Date: 11/2024

Open Calls for Contributions

Call for Presentations: 2025 30th NRHA Health Equity Conference
Deadline: Dec 5, 2024
National Rural Health Association
Event Dates: May 19 - 20, 2025
Atlanta, GA
Conference Website

Call for Proposals: 2025 Indiana University Rural Conference
Deadline: Dec 31, 2024
Indiana Center for Rural Engagement
Event Dates: May 12 - 13, 2025
French Lick, IN
Conference Website

Call for Presenters: 2025 21st Annual American Indian Disability Summit
Deadline: Jan 3, 2025
Ability360
Event Dates: Apr 11, 2025
Phoenix, AZ
Conference Website

Upcoming Events

Dec
6
Farmworker Housing and Firefighters Webinar
Virtual
Dec 6, 12:00 p.m. Central
National Farm Medicine Center, Rural Firefighters Delivering Agriculture Safety and Health (RF-DASH)
Dec
6
Recognizing and Addressing Elder Abuse in Native Communities
Virtual
Dec 6, 12:00 p.m. - 1:00 p.m. Eastern
Elder Justice Initiative (EJI), U.S. Department of Justice, Office for Victims of Crime Training and Technical Assistance Center
Dec
9
2024 Tribal Nations Summit
In-Person
Dec 9
The White House
Washington, DC
Dec
10
December 2024 Tribal and Lifeline Webinar
Virtual
Dec 10, 4:00 p.m. Eastern
Universal Service Administrative Company
Jan
22
2025 Rural Hospital and Clinic Virtual Conference - FORHP Regions A, B, C
Virtual
Jan 22
National Organization of State Offices of Rural Health, Wintergreen
Jan
23
2025 Rural Hospital and Clinic Virtual Conference - FORHP Regions D and E
Virtual
Jan 23
National Organization of State Offices of Rural Health, Wintergreen

Tell Us How RHIhub Has Impacted You

Email kristine@ruralhealthinfo.org about how RHIhub has impacted you. Your stories may be used in testimony, budget documents, and presentations concerning the Rural Health Information Hub.