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Rural Health Information Hub

RHIhub This Week - December 11, 2024

RHIhub Topic Guides

New. Supporting Rural Health Leadership and Management
This new topic guide shares information to help rural communities find resources and strategies to support rural health leadership and management. Covers challenges related to the recruitment and retention of leaders and managers in rural areas, details on essential skills and skill development opportunities, strategic planning, and more!

Critical Access Hospitals (CAHs)
Our recently updated topic guide shares information and resources on reimbursement, eligibility, funding, regulations, and other factors that impact the operations of CAHs and the healthcare services they provide. Covers how the Medicare Rural Hospital Flexibility Program supports CAHs, details options for CAH quality improvement, and more!

Models and Innovations

Marshall University Rural Psychiatry Residency Program
A new West Virginia psychiatry residency program lets residents split their time between the rural town of Point Pleasant and the larger city of Huntington.

 Recently Added to the Online Library
 Information from around the web

Recent News

Prescription Delivery in Missouri Faces Delays under USPS Rural Service Plan
Dec 9, 2024 -- Discusses anticipated challenges with receiving prescription medication for rural Missouri residents relying on the U.S. Postal Service due to planned changes to distribution routes and less frequent service. Notes there have been increases in mail-order prescriptions alongside a national trend in rural pharmacy closures.
Source: Missouri Independent

45 Degrees North: Making a Difference With Cookies and Gatorade
Dec 6, 2024 -- Offers guidance to rural fire departments wanting to supplement their emergency response plans with non-firefighter trained support volunteers. Guidance includes planning for the health, safety, and nutrition needs of volunteers.
Source: The Daily Yonder

Creating a Clearer Path to Rural Heart Health
Dec 6, 2024 -- Highlights a partnership between the American Heart Association (AHA) and the National Rural Health Association (NRHA) to address cardiovascular health to reduce rural health disparities. The Get With The Guidelines program focuses on quality improvement for rural hospitals, offering free clinical consultants, evidence-based education, access to AHA resources, and peer collaboration for up to 700 hospitals.
Source: National Rural Health Association

Number of U.S. Hospitals Offering Obstetric Care Is Declining
Dec 4, 2024 -- Summarizes recent research finding that between 2010 and 2022 access to obstetric care has declined in both rural and urban hospitals, though closures for rural areas are felt more acutely. Notes the impact closures have on already high maternal mortality rates.
Source: University of Minnesota News and Events

Federal Register

Public Inspection: HHS: Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement
Dec 11, 2024 -- Pre-publication notice of final rule from the U.S. Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) that seeks to advance interoperability, improve transparency, and support the access, exchange, and use of electronic health information. This final rule amends the information blocking regulations by including definitions related to the Trusted Exchange Framework and Common agreement (TEFCA) Manner Exception and corrects and updates current regulatory provisions of the ONC Health IT Certification Program. The rule also implements certain provisions related to TEFCA, which would support the reliability, privacy, security, and trust within TEFCA. This rule is effective 30 days after publication of this notice, which is scheduled for December 16, 2024.
Source: Federal Register

HRSA: Notice of Availability of Draft Health Center Program Scope Policy Manual Guidance
Dec 9, 2024 -- The Health Resources and Services Administration (HRSA) Bureau of Primary Health Care (BPHC) seeks comments on the Draft Health Center Program Scope of Project Manual. The draft Scope of Project Policy Manual provides updated policy guidance on what constitutes the health center program scope of project under Section 330 of the Public Health Service Act. Comments are due February 7, 2025.
Source: Federal Register

Funding & Opportunities

Health Professions Extern Program
Externship opportunities for Indian Health Service Scholarship recipients and other interested health professions students.
Geographic coverage: Nationwide
Application Deadline: Jan 10, 2025
Sponsors: Indian Health Service, U.S. Department of Health and Human Services


Tribal Management Grant (TMG) Program
Grants to assist federally-recognized Tribes and Tribal organizations in assuming all or part of existing Indian Health Service programs, services, functions, and activities.
Geographic coverage: Nationwide
Application Deadline: Jan 13, 2025
Sponsor: Indian Health Service


Electronic Case Reporting (eCR) for Tribal Nations: A Tribal Data Sovereignty Project
Funding for tribal communities to begin directly receiving electronic case reporting (eCR) data or to improve processes and practices related to the use of eCR data already being received from state or local public health agency partners.
Geographic coverage: Nationwide
Application Deadline: Jan 24, 2025
Sponsor: National Indian Health Board


Rural Health Care Services Outreach Program
Grants to support projects that will expand, enhance, and sustain the delivery of effective healthcare in rural communities.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Jan 27, 2025
Sponsors: Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services


HUD Section 4 Capacity Building Grants: Rural and Tribal Communities
Grants to build the technical and administrative capacity of community development corporations, community housing development organizations, and Native American organizations to carry out community development and affordable housing activities that address the needs of households with low-income.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Jan 31, 2025
Sponsor: Enterprise Community Partners, Inc.


NRHA Rural Health Awards
Honors individuals and organizations that have made significant contributions to rural health.
Geographic coverage: Nationwide
Application Deadline: Feb 24, 2025
Sponsor: National Rural Health Association


Rural Grocery Specialist Program
A training for resource professionals to better support rural grocers through business transition. The Rural Grocery Initiative works to support healthy food options, jobs, local tax base, and attraction/retention of residents in rural communities.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Rural Grocery Initiative

Resources

Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 2025


Advancing Health Equity Through the "Why Age 9" Campaign: A Collaborative Effort in the Nebraska Panhandle
Discusses the Panhandle Immunization Coalition's Why Age 9 campaign, which promotes adolescent human papillomavirus (HPV) vaccination in Nebraska's panhandle. Highlights successes and challenges related to HPV messaging strategy, youth engagement, and health equity.
Sponsoring organization: St. Jude Children's Research Hospital
Date: 12/2024


Artificial Intelligence (AI) in Rural Health
Provides an overview of artificial intelligence (AI), applications of AI, and how AI can be used in healthcare. Discusses how AI can impact rural healthcare and considerations for AI use in healthcare.
Sponsoring organization: National Consortium of Telehealth Resource Centers
Date: 12/2024


County-Level Hypertension Prevalence and Control in the United States: A ZIP3-County Crosswalk Using Electronic Health Record Data
Provides county-level maps showing hypertension prevalence and control across the United States. Utilizes 2022 data from the IQVIA Ambulatory Electronic Medical Record-US database to analyze hypertension in over 7 million patients.
Author(s): Xingran Weng, Adam S. Vaughan, Siran He, et al.
Location: Preventing Chronic Disease, 21
Date: 12/2024


Enrollment in High-Deductible Health Plans Among People Younger Than Age 65 With Private Health Insurance: United States, 2019–2023
Examines privately insured adults under the age of 65 who are enrolled in high-deductible health plans (HDHP) and consumer-directed health plans (CDHP). Utilizes 2019-2023 National Health Interview Survey data of HDHPs and CDHPs, with breakdowns by employment-based versus directly purchased insurance, race/ethnicity, poverty level, education, sex, age group, and urbanization level by 4 groups: large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan.
Sponsoring organization: National Center for Health Statistics
Date: 12/2024


Environmental Inequality in Estimated Cancer Risk from Airborne Toxic Exposure across United States Communities from 2011 to 2019
Examines disparities in cancer risk due to airborne toxic exposure at the census tract level, utilizing American Community Survey, NATA, and AirToxScreen data sets. Breaks down cancer risk data in rural, suburban, and urban census tracts by race, educational attainment, and median household income, with year-by-year comparisons for the period 2011-2019.
Author(s): Patrick Hurbain, Matthew J. Strickland, Yan Liu, Dingsheng Li
Location: Environmental Science & Technology, 58(43), 19115-19127
Date: 10/2024


Health Information Technology Adoption and Utilization in Behavioral Health Settings
Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
Date: 12/2024


HRSA Supports Maternal Health in Rural Communities
A fact sheet that highlights the Federal Office of Rural Health Policy's 2024 investments and programs to improve rural maternal health.
Sponsoring organization: Health Resources and Services Administration
Date: 2024


Indian Health Service Strategic Plan Fiscal Years 2025-2029
Highlights the strategic plan for the Indian Health Service's 2025-2029 fiscal years. Features operational goals for workplace safety, cultural competency, workforce recruitment and retention, access to care, program management, healthcare facility infrastructure, and partnerships.
Sponsoring organization: Indian Health Service
Date: 12/2024


Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Location: JAMA Network Open, 7(12)
Date: 12/2024


The Relationship Between Food and Housing Insecurity and Healthcare Use among Virginia Medicaid Expansion Members: Considering the Neighborhood Context
Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Location: Health Services Research
Date: 12/2024


Restoring the Sacred Circle: A Toolkit for American Indian & Alaska Native Tribes
Offers guidance for American Indian and Alaska Native (AI/AN) tribes and those working with them regarding problematic sexual behavior in youth. Includes information on the health impacts of trauma, capacity challenges for under resourced tribal communities, and principles for working with tribal communities. Guidance offers culturally-relevant resources and information for healthcare workers, community advocates, and others addressing sexual behaviors for AI/AN children.
Sponsoring organizations: Allyson Kelley and Associates, Indian Country Child Trauma Center, National Center on the Sexual Behavior of Youth, Office of Juvenile Justice and Delinquency Prevention, White Buffalo Calf Women's Society
Date: 2024


The State of Rural Provider Compensation in 2024: Rural Provider & Advanced Practice Provider Compensation Survey Results
Results of a survey of over 2,841 rural providers, conducted in January and February of 2024 to provide insight into rural healthcare organizations and promote evidence-based, informed decisions when considering physician and advanced practice provider compensation. Features statistics with breakdowns by type of provider, specialty area, region, and more. Must provide email to access report.
Sponsoring organizations: National Organization of State Offices of Rural Health, National Rural Health Association, Stroudwater Associates
Date: 12/2024


Strategies for Critical Access Hospitals to Address Outmigration
Provides an overview of factors that may contribute to a rural healthcare facility experiencing bypass or market share loss. Offers strategies to help rural hospitals, Critical Access Hospitals (CAHs), and Rural Health Clinics (RHCs) increase Primary Service Area (PSA) market share and address outmigration.
Sponsoring organizations: Impact! Communications, Inc., National Rural Health Resource Center
Date: 12/2024


A Toolkit for Developing Local Multisector Plans for Aging in Rural Areas
Offers 10 steps for developing a master plan for aging with rural focus, covering leadership development, community engagement, implementation planning, evaluation, and sustainability. Highlights rural-specific challenges for aging in rural communities.
Additional links: One Pager
Sponsoring organization: The SCAN Foundation
Date: 10/2024


Understanding the Optimal Balance of Using Telehealth and In-person Services to Support Adults with Serious Mental Illness and Children with Serious Emotional Disturbance
Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 11/2024


Wait Time Standards for Behavioral Health Network Adequacy
Presents findings from an environmental scan, key informant interviews, and case studies exploring efforts to measure and monitor provider networks through wait time standards. Describes how wait time standards can vary by provider type, service type, patient characteristics, and geographic region. Discusses challenges faced by state regulators in setting such standards. Includes rural references throughout.
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
Date: 11/2024

Open Calls for Contributions

Call for Proposals: 2025 Annual National Rural Institute on Alcohol, Drugs, and Addictions
Deadline: Feb 1, 2025
National Rural Alcohol & Drug Abuse Network, Inc.
Event Dates: Jun 8 - 12, 2025
Menomonie, WI
Conference Website

Upcoming Events

Dec
11
Rural Health Care Services Outreach Program Webinar
Virtual
Dec 11, 2:00 p.m. Eastern
Federal Office of Rural Health Policy
Dec
13
FEMA Public Webinar on the Tribal Declarations Interim Guidance #1
Virtual
Dec 13, 3:00 p.m. Eastern
Federal Emergency Management Agency
Dec
17
FEMA Public Webinar on the Tribal Declarations Interim Guidance #2
Virtual
Dec 17, 3:00 p.m. Eastern
Federal Emergency Management Agency
Dec
18
All Tribes Webinar - Medicaid Home and Community Based Services 101
Virtual
Dec 18, 2:00 p.m. Eastern
Centers for Medicare and Medicaid Services
Dec
18
Food Access and Mobility Community Coordination Guide
Virtual
Dec 18, 11:00 a.m. Eastern
Federal Transit Administration
Dec
18
Introduction to the Rural Hospital Stabilization Program (RHSP)
Virtual
Dec 18, 2:00 p.m. Central
National Rural Health Resource Center
Dec
19
FEMA Virtual Tribal Consultation on the Tribal Declarations Interim Guidance
Virtual
Dec 19, 3:00 p.m. Eastern
Federal Emergency Management Agency
Jan
9
OneRD Guarantee - Discussion on Disaster Response and Recovery Activities
Virtual
Jan 9, 1:00 p.m. Eastern
USDA Rural Development
Jan
14
An Updated Model of Rural Hospital Financial Distress
Virtual
Jan 14, 12:00 p.m. Central
Rural Health Research Gateway
Jan
30
2025 Physician Fee Schedule Final Rule
Virtual
Jan 30, 1:00 p.m. Central
Rural Health Information Hub
Jan
30
Advancing Evidence-Based Interventions in Rural Communities
Virtual
Jan 30, 1:00 p.m. Eastern
Network of the National Library of Medicine
Jan
30
Getting the Grant: Successfully Applying for 2025 ARC Funding Opportunities
In-Person
Jan 30
Appalachian Regional Commission
Charleston, WV

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.