Orientation Session – EduBrite Learning Management System (MANDATORY)
MAY 16, 2019
SESSION 1 — LEAD: Introduction to the Leadership Institute
MAY 30, 2019
The first session will introduce the Institute and will outline the course progression and requirements. Participants will be introduced to the Jim Bernstein leadership philosophy with a focus on general principles of community driven leadership, program management and accountability. Discussion topics include: the differences and similarities between leadership and management, the SORH Leader role, and an assessment of their own leadership and how it relates to their SORH capacity.
SESSION 2 — LEAD: “Big Picture” Viewing
JUNE 13, 2019
Session 2 explores the concepts of vision. What is vision? Who has it? Learn the basics of how to complete an environmental scan to ensure an understanding population health, community health needs and other data to help understand rural health in your state and to shape an overall vision. Participants will review the NOSORH Futures Framework for rural communities and SORH to understand how to select a goal to impact change in rural health status in your state.
SESSION 3 — LEAD: Think Entrepreneurially
JUNE 27, 2019
This session will dive into the concept of entrepreneurial thinking and explore how future thinking is essential to successful leadership. Successful entrepreneur leaders must engage in risk analysis, ongoing evaluation and program assessment to ensure they see the bigger picture to imagine possibilities outside of their own self-awareness. Participants will learn how to leverage resources with partners and to consider how to implement revenue generation strategies to grow funding beyond typical SORH grants.
JULY 18, 2019
Session 5 digs in to understanding rural health landscape in context of the past and future and technology, policy and healthcare environments including a general overview of the healthcare revenue cycle and reimbursement basics. The session will explore how to find resources to address those including trusted advisors, subject matter experts and models that work. How do you best frame and influence others to understand needs and potential solutions for rural communities to what target audience? Participants will be introduced to strategies for being a trusted advisor to policy makers, partners to show that you “bring the rural brain to the game”.
JULY 25, 2019
What is an “inspired” vision? How can you lead change with an inspired vision? Session 4 will help participants to identify, develop and implement strategies which help them to be inspired and inspire others to implement that vision. Learn how to articulate vision effectively so that a team wants to “follow your lead”. The roles of resiliency and being a change agent in your current environment will be introduced. General concepts of psychology and how group behavior affects how a group can be inspired by appropriate vision development, articulation and implementation. This session will explore some scenarios in how leadership and team challenges can be addressed.
AUGUST 8, 2019
This session will examine lifelong learning in its purest form; from “do you know it all” to being open to different perspectives. What about diversity dynamics? How do they play out within your leadership style, the overall SORH vision and how the SORH is managed? Discussion of how we can learn from collaboration and community development models will include concepts of adult learning and how to use those concepts to further your leadership.
SESSION 7 — MANAGE: Be the “Worker Bee”
AUGUST 22, 2019
In session this session effective program management skills are introduced including planning, organizing and controlling a rural health program. Participants will learn to use the SORH Proficiencies self-assessment and be provided a perspective on the program planning and management functions needed to administer a successful rural health programs and partnerships.
SESSION 8 — MANAGE: SORH Operational Literacy
SEPTEMBER 5, 2019
This session will take a deeper dive into the operational aspects and functions of managing the resources of the SORH program and “business”. Topics covered will include planning, organizing and controlling both financial and staff resources. Components of business planning; best practices for team accountability will be examined. The session will dig into succession planning as an operational necessity (what if you — the person “in charge” — suddenly left?) and examine trends in turnover rates — potential root causes and possible tips and tricks to develop a well-balanced team culture and retention plan.
SESSION 9 — COMMUNITY: Approaching Approachableness
SEPTEMBER 26, 2019
The ability to establish and nurture community relationships is a key factor in the success or failure of a leader’s vision development, articulation and implementation. In this session, participants will explore the concept of social capital and what makes a community want to stay engaged. This session will also review ways to leverage/integrate programs such as Flex, SHIP, and SORH to get the highest value (ROI) while being true to the “big picture” vision.
SESSION 10 — COMMUNITY: Pay It Forward Community Partnerships
OCTOBER 3, 2019
Humility and a generous spirit are two of the traits of great leaders. Session 10 will explore this concept of a desire to cultivate leadership skill in others including how to apply components of succession planning (developing the people around you) and becoming a community driven leader. This session will review the foundational concepts of the Bernstein leadership philosophy, why this philosophy is key to improving the future of rural health and the emphasis on developing future leaders. Power of Rural resources will be reviewed to demonstrate their use to support community leaders.
Presentations are a formal recap of all assignments; which shall include an identified vision, demonstrating a personal understanding of how the session learning objectives and other aspects of the Jim Bernstein Leadership Philosophy provide a framework for the participants’ future work with rural communities. Participants shall be able to describe how this philosophy plays into current leader’s success or failure and how each of the newly introduced topics can be integrated into their leadership efforts and succession planning in their office and with rural communities. The participant must make a presentation in order to earn the Rural Health Leadership certificate.
SESSION 12 — Wrap Up
OCTOBER 31, 2019
We’ll begin with a recap of where we’ve been and what we’ve explored – what, where, when, why, and how of leadership and management and using these leadership skills to inform the work of NOSORH and other SORH on ensuring innovative rural health infrastructure, leading population health and health equity initiatives and building capacity for data driven programming. This session will be discussion based with no formal presentation.
This 12-part live webinar series is exclusively for State Office of Rural Health (SORH) staff.
The purpose of the Jim Bernstein SORH Leader Institute: Learning to Lead is to assist SORH staff to:
“Rare is the leader who so many would claim as mentor and friend.”
This quote from the Resolution adopted June 14, 2005 by the National Advisory Committee on Rural Health and Human Services, DHHS, sums up the character, integrity and legacy of Jim Bernstein. It’s also part of the inspiration for the Institute title — Learning to Lead.
I was fortunate to know the man a little, meaning he knew who I was and thanked me for my service. But, more importantly, I was one of the many “next generation” rural servant leaders forever changed by his passion, philosophy and dedication to community-driven rural service.
I’m excited to share this new Institute with you and hope you will join me on the journey to uncover your leader-potential!
— Tammy Norville
A Certificate of Rural Health Leadership will be awarded to participants at the conclusion of the Institute when a participant:
Contact Tammy Norville at (888) 391-7258 ext. 105 or email@example.com for additional information
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:
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:
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:
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.
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 Clinic– The 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.
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#
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.
By Beth Blevins
Human trafficking doesn’t just happen in big cities in the United States—it happens in rural areas as well. Lisa Davis, Director of the Pennsylvania Office of Rural Health (PORH), is working to bring more attention to this issue.
Davis said her interest in human trafficking came unexpectedly, at a presentation given at a Pennsylvania Critical Access Hospital Consortium meeting in November 2017. It was unclear if the topic resonated with the hospital leadership in the audience, she said. “But hospital CEOs came up to me after the meeting and told me they never knew that human trafficking was an issue in rural Pennsylvania or was something they should think about.”
Davis added, “It was clear that their facilities needed to be prepared to identify potential victims and to have systems in place to refer them for the services they would need.”
The administrators then asked if PORH could develop training programs for them. “PORH staff made a deliberate choice to train rural providers on the threat of human trafficking,” Davis said. “We know that we can be a resource for rural hospitals and other providers.”
Since the beginning of 2018, PORH has worked to address the issue in rural Pennsylvania. As a first step, a statewide committee of government, academic, community, and hospital representatives was organized. In November 2018, the group launched the Rural Human Trafficking Initiative with an introductory webinar targeting small rural hospitals, community-based organizations, and others interested in serving potential victims.
Since then, Davis said, “We continue to keep the hospitals informed—we’ve gotten a lot of interest from them.”
Davis also is reaching beyond Pennsylvania to raise awareness of rural human trafficking in other states. She gave a presentation in October 2018 at the Annual Meeting of the National Organization of State Offices of Rural Health (NOSORH) in Cheyenne, Wyoming. “It was the first time anyone had talked about that topic at NOSORH,” Davis said.
“I wanted to have NOSORH begin to think about how State Offices of Rural Health (SORHs) could address human trafficking with the Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Clinics with which they work,” she said.
This summer, PORH and its partners will host a summit on rural human trafficking (June 26-27) in State College, Pennsylvania. “We are beginning to put in place some of the training programs that the hospitals can implement to identify point persons in their facilities, and the programs and connections that they need to address human trafficking,” Davis said.
Davis observed, “Human trafficking is often thought of as sexual exploitation but it’s also labor exploitation, which can occur essentially anywhere: in restaurants, domestic service, agricultural production, and more.”
Human trafficking is of special concern in Pennsylvania, Davis said, “because we are a state with two main cities and a number of interstate systems that traverse rural areas. With lots of travel routes into, out of, and through the state, it’s much easier to transport victims from one place to another.” According to the National Human Trafficking Hotline, there were 127 cases of human trafficking in Pennsylvania in 2018, with the majority of those cases sex trafficking.
As PORH staff became more informed about human trafficking, Davis said, they found a large network of individuals and organizations that have been focusing on the issue for a long time.
“We’ve made excellent contacts,” she said. “We’ve connected with Villanova University’s Commercial Sexual Exploitation Institute. We’ve been learning about coordinated efforts between the FBI and other law enforcement agencies to address human trafficking. And we’re working with the Region III offices of HHS and HRSA, which have an intergovernmental task force focused on human trafficking.”
However, she noted, “PORH is still very early in the learning stage and is committed to becoming a trusted resource for rural health care providers.”
Davis concluded, “Every story is heartbreaking and if we can make a difference in even one life, this effort will be well worth it.”
If you see someone who you think might be a human trafficking victim, contact the National Human Trafficking Hotline at 1-888-373-7888 (text to: 233733).
Does your SORH have a “Promising Practice”? We’re interested in the innovative, effective and valuable work that SORHs are doing. Contact Ashley Muninger to set up a short email or phone interview in which you can tell your story.
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.
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:
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.
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.
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.
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.
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.
Call for Presentations
The National Organization of State Offices of Rural Health (NOSORH) invites you to partner with us in delivering high-quality educational opportunities to the State Offices of Rural Health (SORH) throughout 2019. NOSORH hosts five regional partnership meetings and one national meeting of the SORH each year, aimed at enhancing the ability of SORH to deliver technical assistance to rural communities in their state.
While all proposals are encouraged, we are particularly looking for submissions that are future-focused and encourage cross-sector collaboration. The NOSORH planning committee is prioritizing proposals that include collaborative partnerships with at least one SORH, and proposals that incorporate interactive discussion components.
Click here to access the Call for Proposal form: https://nosorh.org/calendar-events/annual-meeting-information/
Proposal forms are due to NOSORH by March 1, 2019 (with anticipated extension for annual meeting presentations) and emailed to firstname.lastname@example.org.
If you have any questions about the content of the submission, please contact Chris Salyers at email@example.com or 734.881.9551