SORH Leadership Institute

i Mar 7th No Comments by

RHIhub Spotlight

i Mar 4th No Comments by

RHIhub has a new Evidence-based Toolkit on Mental Health in Rural Communities. Developed in collaboration with the NORC Walsh Center for Rural Health Analysis and the University of Minnesota Rural Health Research Center, this toolkit is designed to help rural organizations create and maintain sustainable mental health programs.

Join the upcoming RHIhub webinar, Addressing the Burden of Chronic Obstructive Pulmonary Disease (COPD) in Rural America, in partnership with the National Advisory Committee on Rural Health and Human Services, on March 14th. Featured speakers include:

  • Former Governor Ronnie Musgrove, JD, Committee Chair for the National Advisory Committee on Rural Health and Human Services
  • Antonello (Tony) Punturieri, MD, PhD, Program Director, Division of Lung Diseases, National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health (NIH)
  • Kathleen Dalton, PhD, Retired Research Faculty, Department of Health Policy and Administration, University of North Carolina’s School of Public Health
  • Grace Anne Dorney Koppel, MA, JD, President, Dorney-Koppel Foundation

RHIhub is hosting a Twitter Chat on Rural Health Workforce Education and Training on March 18th, where they will be joined by expert co-hosts:

  • Steve Hirsh, Program Analyst, Policy Research Division, Federal Office of Rural Health Policy
  • Tracey Smith, Public Health Analyst, Division of Medicine and Dentistry, Bureau of Health Workforce
  • Davis Patterson, PhD, Director, Collaborative for Rural Primary Care Research, Education, and Practice (Rural PREP) and Research Assistant Professor, Department of Family Medicine, University of Washington
  • Andrew Bazemore, MD, MPH, Director, Robert Graham Center for Policy Studies in Family Medicine and Primary Care

Everyone is welcome to participate in the chat. Questions are posted online, so you can prepare in advance!

There are two new articles in the Rural Monitor:

There are also two new Models and Innovations:

  • Collaborative Approaches to Well-Being in Rural Communities – The Hogg Foundation has awarded grants to support five rural Texas communities in developing mental health collaboratives that best fit each community’s needs.
  • New Horizons Geriatric Counseling Program – Motivated by the suicide deaths of 5 local senior men over a 2-year period, Yoakum Community Hospital, Yoakum, Texas, created an outpatient behavioral health program coordinating the efforts of the CAH staff, medical staff, and community residents in order to deliver local treatment.

Finally, if you missed the Rural Philanthropy webinar from this past week, a recording is available online. This webinar includes strategies for rural communities to build partnerships with philanthropies, explores the new Rural Philanthropy toolkit and how it can assist in these efforts. It also features insights from Alycia Bayne, from the NORC Walsh Center for Rural Health Analysis, and from two rural organizations discussing their experience with building philanthropy partnerships.


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Committee Clips

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NOSORH committees are great focal points for engaging in many NOSORH initiatives.  Descriptions of all committees and contact information can be found on the NOSORH website.

Executive Committee – The officers of NOSORH met last month to review the first draft on the 2019-2022 strategic plan and prepare for the February Board of Directors meeting. Graham Adams joined the Executive Committee for 2019 to fill the Past President role left vacant when Melissa Van Dyne left the State Office of Rural Health to join the Missouri Rural Health Association.

NOSORH Board – The Board of Directors met in February to review the first draft of a strategic plan for 2019-2022.  Three themes were identified by the Board at their planning meeting in January:  cultivating a vital, innovative rural health landscape and infrastructure, developing leadership for population health and health equity, and building capacity for data driven rural programs and decision making. The board also adopted a policy for investing any NOSORH reserve funds, use of social media, staff paternity/maternity leave and adoption benefit, and revised the procurement policies.

Communications- The Communications Committee reviewed the recommendations from Impact! Communications to help inform this year’s National Rural Health Day activities. The committee meeting scheduled for March 5 has been cancelled.

Development- The Development Committee began work on the sponsor prospectus for the coming year by revisiting a brief history of sponsorship and then focusing on where the organization would like to go. The group would like to ensure that sponsorships/partnerships go beyond the Annual Meeting, focusing on the NOSORH mission and the Power of Rural. The goal is to have a meaningful Rural Champion level of sponsorship within the next month and to have the Sponsor Prospectus ready for distribution in April.

Rural Health ClinicThe RHC Committee welcomed the Department of Justice – Elder Justice Initiative Administrator, Andy Mao, as a new partner. The Committee is excited to engage in this new partnership and to assist the Initiative with information dissemination to rural communities. In addition, the Committee continued work revising the RHC Education Modules 1 and 2. These modules should be ready for re-introduction by mid-summer. John Gale, from the Maine Rural Research Center, shared a new resource that examines the breakdown of cost per visit in Rural Health Clinics (RHCs). With the current discussion of RHC reimbursement levels, this information is timely.  If you have interest in joining the RHC/rural primary care discussion, please reach out to Committee Chairs, Crystal Barter or Tammy Norville.

Educational Exchange- The EE Committee met in February to review the outline of the Mentoring program and plans for completing additional topical proficiencies. In March, the committee will review an outline of the Mentoring program’s curriculum and provide insight to resources for the upcoming Proficiencies Benchmarking Report. The March meeting is set for March 18 at 3:00pm ET.

Policy Program Monitoring Team- The PPMT worked together with the Policy Committee last month to craft comments to CMS on Payment Parameters for Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal Platform (SBE–FPs), including recommendations on silver-loading issues, automatic participant re-enrollment, and user fees for federal marketplace participation. The group also discussed an upcoming EMS demonstration project.

Joint Committee on Rural Emergency Care – The JCREC was given an update on the Tactical plan, and they also discussed opportunities to expand sponsorship of the National Rural EMS & Care Conference in Charleston, SC this year.

 


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Make Your TruServe Suggestions Heard!

i Mar 4th No Comments by

Throughout 2019, NOSORH and TruServe staff will be working to solicit feedback regarding TruServe. Listening sessions, interviews, and other methods will be used to gauge how to make TruServe more useful. As work continues on the next version of TruServe, make sure you share those great ideas you have! Please contact Mark Barclay at any time with suggestions.

Next TruServe Training:
Wednesday, March 27 at 2:00 pm Eastern.
Webinar link: https://undmed.webex.com/join/mark.barclay
Dial: 1-415-655-0002; Passcode 921 776 408#


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Policy Update

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Senator Pat Roberts (R-KS) was recently recognized as the NOSORH 2018 Legislator of the Year for his sponsorship of the SORH reauthorization bill. Cynthia Snyder, Director of the Kansas Office of Primary Care and Rural Health, and Teryl Eisinger, NOSORH Executive Director, presented his award at the NRHA Policy Institute last month. Senator Roberts met with NOSORH representatives and shared his experiences and vision for rural health.  “Senator Roberts has been a champion for rural health throughout his career,” said Snyder. “He has made tremendous strides to improve the quality of rural health care and access to it. I’m pleased that NOSORH has recognized his numerous achievements in this area.”

Other State Offices of Rural Health were also well represented at the Policy Institute. A NOSORH members meeting at the Institute included updates from FORHP with information on upcoming new programs, discussion of the NOSORH request for additional appropriation and a toast to Andrew Coats and the Policy Committee for their efforts in achieving SORH reauthorization.


The following update was provided by Hall Render, NOSORH Policy Liaison:

Federal Budget Season Heats Up
With the 35-day shutdown throughout January, funding for the fiscal year 2020 budget and appropriations cycle has been pushed back a month.  The President’s budget request, which is normally released in early February, should be released by mid-March. The late release date provides Congress with a tightened window to pass FY 2020 spending bills by the start of the new fiscal year, October 1, 2019. It has been reported that President Trump will propose a five percent cut to non-defense discretionary spending in his upcoming budget proposal to Congress. “With House Democrats supporting spending increases to non-defense spending, the President’s proposal won’t survive Congress,” said Andrew Coats, NOSORH’s Legislative Liaison.

HRSA Announces Upcoming Rural Grant Funding Opportunity
On February 4, the Health Resources and Services Administration’s (HRSA) Federal Office of Rural Health Policy announced plans to award approximately 75 grants of up to $1 million. The grants would seek to expand opioid and other substance use disorder services in high-risk rural communities. The grant award will cover a three-year period and require awardees to implement a set of core substance and opioid use disorder prevention, treatment and recovery activities that align with HHS’s Five Point Strategy to Combat the opioid crisis. All domestic public and private entities, nonprofit and for-profit, will be eligible to apply. The services must be provided in a HRSA designated rural area. HRSA intends to release a notice of funding opportunity in the coming weeks.

CMS Unveils Overhaul of Medicare Payment for Emergency Treatment
On February 14, CMS launched a voluntary payment experiment, the Emergency Triage, Treat and Transport (“ET3”) model, allowing first responders more flexibility to treat patients on the scene, through telehealth or at an urgent care clinic. CMS will pay participating ambulance teams to transport patients to hospital emergency departments, transport patients to other settings like a primary care physician’s office, use telehealth or provide care on the scene under supervision of a qualified practitioner. Currently, Medicare reimburses ambulance providers if they transport patients to the hospital, skilled nursing facility or dialysis center. The voluntary demonstration will likely begin in 2020 and run for five years. CMS will phase in the model across the country and will phase it to 30 percent of emergency room visits.

ACE Kids Act Reintroduced in the Senate
On February 5, Senate Finance Chairman Chuck Grassley (R-IA) reintroduced a bipartisan bill intended to provide states with the option of providing coordinated care for children with complex medical conditions through Medicaid.

The Advancing Care for Exceptional Kids Act is intended to make it possible for home health providers to coordinate care, lower costs and improve quality outcomes for children with complex medical conditions on Medicaid who require specialized care. The bill (S. 317) was referred to the Senate Finance Committee, which has jurisdiction over Medicaid.


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Survey Results Detail SORH Scope of Work and Compensation

i Mar 4th No Comments by

NOSORH surveyed State Offices of Rural Health in an effort to compile financial and compensation information as potential capacity indicators and to understand the scope of key position responsibilities across the nation. The “Scope of Work and Compensation Survey” explored total budgets, funding sources, roles of SORH Directors and “core position” salaries and/or compensation, as well as general staffing. Thirty-five SORH responded to the survey for a 70% response rate.

Click here to view the survey report. NOSORH appreciates all who took the time to participate in the survey and thanks the Development Committee for their effort in reviewing the report.

Please contact Tammy Norville, NOSORH Technical Assistance Director, if you have any questions.


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NOSORH Meetings Open for Registration

i Mar 4th No Comments by

The SORH Regional Partnership Meetings and the NOSORH Annual Meeting are just around the corner and all the regions are setting up agendas that will make for a year of firsts. All five regions agreed that SORH-to-SORH learning time was of most importance, setting aside time in each meeting agenda to learn from each other on a variety of different topics, including EMS issues, telehealth, hospital closures, ACOs, and SORH program infrastructure. Also, new topics, such as rural LGBTQ issues and workforce violence, will be explored. The agendas have shaped up to give each region a unique learning experience.

The NOSORH Annual Meeting will take place in Albuquerque, New Mexico, on October 16-17 at the DoubleTree by Hilton Albuquerque. Click here to reserve your hotel room. This will be on the heels of the WONCA World Rural Health Conference being held October 12-15 in Albuquerque.

Regional Meeting Information:

Region A:
Eastham, Massachusetts
June 18-20, 2019

Four Points Sheraton
3800 State Highway 
Eastham, Massachusetts 02642

Please Note: Hotel reservations must be made by May 1 at 5:00 pm ET. We are unable to guarantee availability beyond this day and time. 

The federal rate is $113 per night. The total rate including taxes is $123.96.  Please mention code “SORH Region A Meeting” to get the rate. Call 508-255-5000 to make a reservation.

Meeting Registration: click here

Draft Agenda: click here

There will be an optional pre-meeting session on working with FORHP’s Community Based Division grantees that you can choose while registering.

 

Region B:
Augusta, Georgia
August 27 – 29, 2019

DoubleTree by Hilton
2651 Perimeter Parkway
Augusta, Georgia 30909

Reservation: 800-222-TREE (8733) or 706-855-8100
The federal rate is $102 per night. The total rate including taxes is $122.28. Please use code “NOS” to get the rate.
Reservation deadline: August 5, 2019

Online reservations: click here

Meeting Registration: click here

Draft Agenda: click here

There will be an optional meeting centered around issues related to the Centers for Disease Control. It will take place on August 27, 2019 from 9:00 am – 12:00 pm. You will have the option to register for it when you register for the regional meeting.

Region C:

Kansas City, Missouri
July 30 – 31, 2019

Sheraton Kansas City Hotel at Crown Center
2345 McGee Street
Kansas City, Missouri 64108

Reservation: 866-932-6214. Or click here for the online reservation system.
The federal rate is $125 per night. The total rate including taxes is $149.39. Please use code: “NOSORH Region Meeting” to get the rate.

Reservation deadline: July 8, 2019

Meeting Registration: click here

Draft Agenda: click here

There will be an optional meeting hosted by the HRSA Office of Regional Operations Regions V and VII. It will take place on July 29 from 1:00-5:00pm. You will have the option to register for it when you register for the regional meeting.

Region D:

Kailua-Kona, Hawaii
June 5 – 6, 2019

King Kamehameha’s Kona Beach Hotel
75-5660 Palani Road
Kailua-Kona, Hawaii 96740

Reservation: The federal rate is $189 per night. The total rate including taxes is $216.76. Please use code: “NRHG” to get the rate. Click here to make your hotel reservation or call 800-367-2111.

Reservation deadline: May 13, 2019

Meeting Registration: click here

Draft Agenda: click here

There will be an optional telehealth meeting on June 4, 2019 from 1:00-5:00pm. You will have the option to register for it when you register for the regional meeting.

 

Region E:

Portland, Oregon
September 4-5, 2019

Embassy Suites – Downtown
319 SW Pine Street
Portland, OR 97204

Reservation:800-HILTONS (800-445-8667). The federal rate is $184 per night. The total rate including taxes is $212.15. Please use code: “NOS” to get the rate. Online reservations click here.

Reservation deadline: August 13, 2019

Online Registration: click here

Draft Agenda: click here

There will be an optional meeting centered around issues related to workforce. It will take place on September 6, 2019 from 9:00 am – 12:00 pm.


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National Rural EMS & Care Conference to Hold EMS Grant Writing Workshop

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Join rural EMS stakeholders from across the country in historic Charleston, South Carolina, for the 5th Annual National Rural EMS & Care Conference! Plan to arrive one day early for a half-day EMS Grant Writing 101 Workshop! This optional workshop will be held on Tuesday, April 16, from 1:00-5:00 pm. Rural EMS agencies and other interested partners will learn how to write and submit a complete grant proposal, understand rural relevant data important to EMS and identify funding opportunities. Click here for the draft workshop agenda.

For the first time, this year’s conference will feature breakout tracks with topics geared toward Critical Access Hospitals and the Flex program. Click here for the draft Conference agenda.

The conference will be held at the Francis Marion Hotel, 387 King Street, Charleston, SC. To book a room, please call 843-722-0600 or 877-756-2121 and reference the “NOSORH EMS Meeting” to get the $256.51 per room/per night rate (This includes taxes and fees). You may also book online by clicking here.

Click here to register for the Conference and the optional Grant Writing 101 Workshop.

Check the NOSORH website for more information.

Please share this registration information with all partners, providers, or other interested parties. Also, please include in any newsletters or other distributions you may have.


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RHIhub Spotlight

i Feb 4th No Comments by

The RHIhub has a new Evidence-based Toolkit on Rural Philanthropy. Developed in collaboration with the NORC Walsh Center for Rural Health Analysis, this toolkit is designed to help rural organizations create and maintain partnerships with philanthropies. Includes guidance on conducting outreach, model programs, emerging strategies, and a wealth of resources.

RHIhub is hosting a webinar related to Rural Philanthropy on Tuesday, February 26, 2019 at 1:00 pm Eastern. This webinar will feature two rural organizations discussing their experiences with building relationships with foundations and will delve into some of the strategies outlined in the toolkit.

Two new articles are featured in the Rural Monitor:

The toolkit on Rural Care Coordination has been updated, created and maintained in partnership with the NORC Walsh Center for Rural Health Analysis and the University of Minnesota Rural Health Research Center. Substantial revisions have been made to the Implementation module, which delves into considerations for workforce and staffing, different populations, quality improvement, and adopting a whole-person mindset, among other things.

Several of Topic Guides have also been updated:

Did you know?

The RHIhub features conferences with open calls for presentations each week in the RHIhub This Week newsletter, but you can also see the full list here: https://www.ruralhealthinfo.org/events/calls


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Committee Clips

i Feb 4th No Comments by

NOSORH committees are great focal points for engaging in many NOSORH initiatives.  Descriptions of all committees and contact information can be found on the NOSORH website.

Communications- The Communications committee met to review a summary report and accomplishments of the 2018 National Rural Health Day event, including recommendations for 2019. The group will soon begin planning for this year’s National Rural Health Day and Power of Rural campaign.

Educational Exchange- The committee reviewed the plans for accomplishing the mentoring program and the new topical proficiencies rubrics, including workforce and EMS, before the end of the year. Due to President’s Day, a new date and time will be scheduled for the February EE meeting. Stay tuned for more information.

Policy Program Monitoring Team- Last month, the PPMT reviewed and made comments on Healthy People 2030 objectives and made comments to CMS on the Child Health Insurance Program. These comments provide a rural perspective to agencies and stakeholders. If you’d like to learn more about these issues and rural policy, the PPMT is a great group to join. The team meets the fourth Wednesday of every month at 3 PM eastern. To join the email list, contact Beth Kolf, Program Coordinator.

JCREC- The JCREC heard about the successful NAEMSP Medical Directors meeting with resources from that meeting being made public soon. They also heard about community paramedicine – mobile integrated health.


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