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.

Educational Exchange- The Educational Exchange Committee met this month to review an outline of a Medicare Advantage fact sheet for SORH and their partners. In addition, discussion began on components of a Community-Based Division fact sheet for frequently asked questions of SORH. Testing of the SORH Proficiencies is expected to begin next week, with a launch by mid-May. The next meeting of the EE Committee will occur on Monday, May 14 at 4:00pm ET.

Executive – The Executive Committee met on April 12th.  Major topics of discussion were a follow up on NOSORH’s strategic planning effort and a family leave policy for NOSORH staff.

Policy Program Monitoring Team – The PPMT focused last month on drafting comments on Short Term Limited Duration Health Plans. Comments were filed with CMS last week and are available here. Additional efforts of the PPMT include the planning of a webinar series on state coverage initiatives.

Communications- The Communications Committee discussed upcoming plans for National Rural Health Day, including selecting a logo for 2018 and planning a NRHD Key Message virtual discussion.

Development- The Development Committee discussed a variety of topics, including ensuring a diverse funding base, the annual meeting sponsor prospectus, differences in this committee and the futures group, and organic partnerships. A discussion related to the new opioid funding encompassed most of the meeting with committee members sharing thoughts on the main needs of SORHs around the opioid issue such as education, establishing strategic partnerships, and Narcan. Further discussion will include potential revenue generation and/or resource development activities.

Flex- The Flex supplemental funding guidance was discussed at length during the March Flex Committee call. The guidance provided clarification on using Flex funding to provide needed technical assistance to provider-based Rural Health Clinics (those affiliated with Critical Access Hospitals). Additionally, there was discussion around EMS work. Alaska shared that they are including trauma activation from the field, including if CDC field criteria are met. They have established benchmarks to show if hospitals are working together and provided education is adjusted based on benchmark status. The measures will be reviewed and discussed by the committee on a future call.

RHC- The RHC Committee discussed how each participating state is working with RHCs on the opioid epidemic. States shared TA activities ranging from providing a “warm hand-off” of organizations with possible grant funders to an in-depth project in Michigan where rural primary care providers are managing pain when there is no local pain management specialist. The committee is developing several education opportunities, including two upcoming webinars on Chronic Care Management and Workforce Challenges in RHCs. Louisiana has a practice manager back on the team and are looking to have two PCMH-certified staff by September 2018 in partnership with the PCA. They hope to begin offering TA starting in 2019 with a focus on RHCs. Finally, if you have an interest in Rural Health Clinics or rural primary care and would like to participate in the committee, please email Tammy Norville (

JCREC-  After many national updates and a talk about the National Rural EMS & Care Conference, the JCREC talked about a draft bill and a letter of support from Andy Gienapp, Wyoming State EMS Director. The JCREC was asked to  support the letter regarding stroke centers and the issue discussed about clot removal procedures per practitioner being a sticking point for rural facilities.

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