Committees

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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Committee Clips

i Jan 14th 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.

 Board of Directors – The NOSORH Board met last week to begin its work on a 3-year strategic plan and a review of a framework of SORH and rural stakeholder needs. The Board’s early direction are for NOSORH to focus its partnership infrastructure for the future of the rural health landscape, population health and build capacity for data driven decisions and programs. 

Executive-The Executive Committee met in December to review a policy on a new employee benefit, the Board’s 2019 meeting schedule and to provide input regarding the Board’s strategic planning effort.

JCREC- Be looking for the EMS Tactical Agenda for the Future to be released for comment soon.

PPMT– The Policy and Program Monitoring Team reviewed comments on CMS Children’s Health Insurance Plan (CHIP) Managed Care and Rural Healthy People 2030. The next PPMT meeting will be held January 23 at 3:00 pm ET.

Educational Exchange- The EE committee met in December to discuss the experiences of the committee members with the SORH Proficiencies, begin strategizing on the development of the Benchmarking report and discuss the future mentoring program. The committee will reconvene on January 28th, 2019 – a week later than normal due to the Martin Luther King, Jr. holiday.

RHC Committee – The RHC Committee met with eight states represented along with our partners. Nathan Baugh (NARHC) and Kerri Conejo (FORHP) spoke regarding the newly proposed, soon to be final Physician Fee Schedule changes. One change provides opportunity for RHCs to take advantage of new Tele-Communication Codes that are reimbursed outside their All-Inclusive Rate (AIR). The Committee also discussed the newly proposed Value Based Project that is an opportunity for SORH and their RHCs to tap additional technical assistance resources coordinated by NOSORH in partnership with LilyPad and John Gale. The Committee is currently reviewing the RHC Education Modules #1 and #2. A re-release effort will be announced as the committee moves through the revision process. The next RHC Committee meeting is scheduled for February 18 at 2 PM ET.

Development Committee – The Development Committee discussed committee engagement and participation over the last eight months as well as current projects. The Committee will release the SORH Compensation Survey results shortly. The January 2019 meeting has been cancelled due to the Board Planning Meeting. The next Development Committee is scheduled for February 12 at 2 PM ET.


Back to January Branch

Committee Clips

i Oct 31st 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.

Aging in Rural Group – The Aging in Rural Group held its October meeting at the NOSORH Annual Meeting in Cheyenne, Wyoming. The group was fortunate to have two experts on hand to provide perspective and introduce the group to innovative programs. Dr. Kathy Black, Principal Investigator, Age-Friendly Sarasota, and faculty at University of South Florida Sarasota-Manatee, presented a plenary session on Rural Health Alignment with Age – Friendly Communities before joining the group discussion. She shared a vast array of resources and tools available for use in aging work. Shelly Jackson, OVC Visiting Fellow, Elder Justice Initiative, US Department of Justice, spoke to the group at length regarding the Rural and Tribal Elder Justice Initiative and associated resources. The group will continue to follow the work of these two highly regarded experts and will provide any relevant information and/or resources in coming months. If you have interest in joining the Aging in Rural group, please email Tammy Norville at tammyn@nosorh.org.

Development Committee – The Development Committee’s discussion centered around sponsorship status and potential growth of sponsorship opportunities moving forward. If you have interest in joining the Development Committee, please forward contact information to Tammy Norville (tammyn@nosorh.org).

Flex Committee –Harvey Licht, Varela Consulting joined the Flex Committee to share information regarding the CMS Star Rating Program for Hospitals proposed rules. Harvey is working with the PPMT Committee to formulate NOSORH comments on these proposed rules and having him join the Flex call provided members an opportunity to ask questions and provide “boots on the ground” input for consideration. There was also continued discussion around the desire for access to quality, affordable, easily accessible education for Board Members as well as potential topics for the coming year. Generally, the Flex Committee does not meet in November nor December. However, the Flex Guidance is scheduled for release in December, so there will be a call on Thursday, December 27 at 3 PM ET to discuss the Guidance. If you have interest in joining the Flex Committee, please forward contact information to Tammy Norville (tammyn@nosorh.org).

Executive Committee– Last month, the Executive Committee reviewed recommendations from the Governance and Structure task force, prepared for the NOSORH membership meeting and planned the appointment and election of Regional Reps to the 2019 Board of Directors.

Communications- The Communications Committee continued making plans for National Rural Health Day, including webinar topics and presenters. The group discussed the option of printing hardcover copies of the Community Stars e-book for the first time.

Policy Program Monitoring Team- Last month, the PPMT worked to finalize comments on rural ACO. At the Annual Meeting, Harvey Licht shared information on tracking state coverage initiatives and led a discussion on the increasingly important role of states on ensuring access. Analysis of these initiatives and several links for tracking these initiatives were included in the presentation. The work of the PPMT in November will include reviewing appropriate measures and recommends for hospital star ratings, and tracking efforts on global payment systems.


Back to November Branch

Committee Clips

i Sep 28th 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.

Board – During the September meeting, the Board heard plans of the Committee/Governance task force to assess Board expertise and to consider the Board Source recommended practices for non-profit Boards. These assessments will support the efforts to consider Board structure of the future. The Flex Committee Co-Chairs asked the Board to approve recommendations to update the Flex program for the future. The Board approved a budget for 2018-19 fiscal year and new policies on procurement, human trafficking and limited English proficiency.

Educational Exchange- The EE Committee met in September to discuss topics for future educational resources, review the results of the annual member survey, and receive an update on the SORH Proficiencies. On September 18th, co-chairs Natalie Claiborne (MT) and Alisa Druzba (NH) presented a webinar on completing the SORH Proficiencies self-assessment. The committee would like to thank Natalie and Alisa for their great work and encourage all SORH to complete the self-assessment. The Committee will host the next NOSORH 101 on Tuesday, October 2nd. Due to the NOSORH annual meeting, the committee will not meet in October. The next regular meeting of the committee will be Monday, November 19th at 3:00pm ET.

Executive Committee – The September meeting of the Committee included preparation for the NOSORH annual membership meeting, discussion of moving forward the strategic planning for 2018-19, and a brief on possible changes to personnel policies.

Flex Committee– The Flex Committee discussed what each program is doing with their new awards. Projects range from billing and coding workshops, to charge master reviews, to leadership education to revenue cycle management. The committee had a lengthy discussion about the need for board education and how Flex Programs are currently addressing the needs. The Flex Committee is scheduled to meet again on October 25 at 3 PM ET. Please contact Tammy (tammyn@nosorh.org) if you would like to join the Flex Committee and/or if you have potential agenda items.

Finance Committee – Policies for the investment of NOSORH reserve funds were considered by the Finance Committee during its September meeting. The committee will work with Edward Jones to identify NOSORH priorities for investment. The committee reviewed a proposed annual budget in preparation for recommendation to the Board. Thanks to Shannon Chambers (SC) who joined the Finance Committee this month after reading the request in the Branch newsletter in September. 

JCREC- Considering some new input, the JCREC is postponing the release of the Stroke Center Designation position letter. The JCREC is also looking closely at pending legislation, especially with the upcoming elections. The committee is also in the process of reviewing an EMS Tactical Plan for the future.  Plans are to release the report later this year.

Communications- The Communications Committee continued preparing for National Rural Health Day 2018. Committee members provided input on the NRHD breakout sessions at the NOSORH Annual Meeting and are currently creating video clips to promote NRHD Toolkit resources.

Policy Program Monitoring Team- The PPMT committee met in September to discuss the first draft of NOSORH comments on the proposed ACO regulations. Comments were filed with CMS on the physician fee schedule last month. The committee also explored issues related to the CMS Hospital Star system, the final NQF report, and were provided an update on state Medicaid litigation. The PPMT committee will meet again on Wednesday, October 24th at 3:00pm ET.


Back to October Branch

Committee Clips

i Sep 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.

Educational Exchange- The committee met on August 20th at their new time of 3:00pm ET. The group focused their efforts on the best way to work with SORH on completing the SORH Proficiencies self-assessment tool. Be sure to check the NOSORH calendar for upcoming webinars supported by the committee. Our next meeting will be held on September 17th at the new time of 3:00pm ET.

RHC Committee- During the August meeting, the RHC Committee examined the CMS proposed rule for the Physician Fee Schedule specific to Rural Health Clinics with presentations provided by Wakina Scott of FORHP and Nathan Baugh of NARHC. An overview of the Patient Centered Medical Home (PCMH) Facilitator Training provided in partnership of the Louisiana State Office of Rural Health and The Compliance Team (TCT). Tracie Ingram, LA SORH, and Kate Hill, TCT, presented the recap to the committee. TCT is the newest CMS endorsed PCMH Accreditation Body. Finally, the RHC Committee will host the Chronic Care Management for Rural Provider webinar with a Medicare focus presented by Captain Corinne Axelrod of CMSon Wednesday, September 19at 2 PM ET.

Communications- The committee has been working on new resources for NRHD and is excited to be announcing the slate of NRHD webinars in the coming weeks.

Policy Committee – The August meeting of the Policy Committee included updates on the efforts for SORH reauthoriziation. Hall Render is strategizing with leadership to push for a vote on the House version of the SORH reauthorization bill (HR 5641). The committee heard an update from FORHP including information on CY 2019 Proposed Rule for Hospital Outpatient Prospective Payment System.

Policy Program Monitoring Team- The August meeting included a review of recent State health coverage initiatives and PPACA related court cases. The team also discussed and formulated points for responding to CMS Request for Information on the Stark Law. The team plans to review comments on telemedicine reimbursement and AC0 definitions this month.


Back to September Branch

Committee Clips

i May 1st 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.

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 (tammyn@nosorh.org).

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.


Back to May Branch

Committee Clips

i Apr 3rd 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.

JCREC-  The Joint committee met, and many federal agency updates were given, along with the Policy Page that NRHA is working on, NASEMSO supporting the National Rural EMS & Care Conference, and an update from Tom Perkins, Virginia Office of EMS, on their ongoing partnership with rural.

Board – The NOSORH Board met last month to follow up on strategic planning efforts. A task force has been assigned to review committee structure and governance and a “futures” effort lead by Graham Adams (SC) will provide insight on positioning SORH for the future. Additionally, the Board acted to allow NOSORH employees to donate Paid Time Off to other employees. The Board also heard about a funding lines increase and plans to grow SORH engagement with the CDC. Board minutes of past meetings are posted here.

Executive– The Executive Committee met in March to plan the March Board agenda, follow up on strategic planning efforts and to follow up on a NOSORH employee family leave policy.

Flex – The Flex Committee reviewed the Funding Extension Progress Report guidance released last month with a focus on provider-based RHC work and EMS services. The group discussed several approaches to meet the newly clarified requirements such as including operational support services to clinics such as coding and billing education. Additionally, the group is developing a list of potential updates for the Flex Program.

RHC- The RHC Committee continues to focus on technical assistance offered to Rural Health Clinics across the nation as well as topics pertinent to SORH work. Currently, the committee is investigating rural Home Health designations and discussing Chronic Care Management coding and potential billing impact. The NOSORH RHC Institute had its Kickoff on March 18th in San Antonio as a precursor to the NARHC Spring Conference. The RHC Institute runs through July.

Policy Program Monitoring Team – The PPMT will meet twice this month, Tuesday April 10th and April 25th. The group will discuss proposed short-term limited duration health plans and work to continue planning a series of webinars which will help SORH and their partners with a framework for understanding potential state health care coverage initiatives. The initiatives discussed will include those affecting Medicaid programs and the Affordable Care Act (ACA) marketplace.


Back to April Branch

Committee Clips

i Mar 1st 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.

JCREC-  On the Joint Committee on Rural Emergency Care several states shared their activities: Minnesota on the challenges of an aging volunteer EMS force, Georgia on their success in Medicaid proposals on EMS in the state, and New Mexico on identifying data sets for Tribal health. NRHA has also developed an EMS Policy Paper that will be made available soon.

Board – The NOSORH Board of Directors will meet in March to review a first draft logic model which will provide a framework for NOSORH’s next strategic plan. Graham Adams (SC) has been appointed to lead a “Futures” task force to provide insight for the strategic plan on the role of the SORH in the future and to consider NOSORH services to ensure SORH are able to thrive in the new environment.

Executive– The Executive Committee met last month to plan some of the actions for moving forward with a 2018-2021 Strategic Plan. Melissa Van Dyne, NOSORH President, has appointed a task force to review NOSORH’s committee structure and governance. In addition, the committee is planning to conduct a review of the Executive Director salary structure.

Flex – The Flex committee has been re-purposed to allow for a simple dialogue among Flex coordinators and other SORH who have an interest in Flex issues. Meetings will no longer be recorded, and the agenda will be driven by discussion items provided to committee co-chairs Jody Ward (NC) and John Packham(NV). Last month, the committee began by considering and discussing how the Flex program could be used to respond to community and CAH needs to support primary care, address population health and social determinants of health.

PPMT –The Policy Program Monitoring Team has released a listing of essential community providers in each state. SORH and their partners are encouraged to check the list and provide feedback. A series of webinar/discussion sessions are being planned to look at state policies to ensure access to care. The committee met last month to review the 340 B Study released by the House Energy and Commerce committee, Medicaid waivers, and short term duration health plans. The committee meets the 4th Wednesday of every month at 3 PM eastern. All SORH should consider joining the call for regular updates on policy and program changes.

RHC – The Rural Health Clinic committee met last month and heard from NOSORH partners at the Compliance Team, the Southern Maine Rural Health Research Centers, the National Association of Rural Health Clinics regarding issues of concern for RHC including survey requirements, and the National Advisory Committee on Rural Health and Human Services RHC report. The committee serves as an advisory group and faculty for the upcoming Rural Health Clinic Institute for SORH.

Education Exchange – The Education Exchange committee met for a combined January and February meeting on February 5th, 2018. The committee began discussing opportunities for education related to “health and wellness”, led by co-chair Natalie Claiborne as a follow up to the January NOSORH Board meeting. An educational fact sheet/issue brief on Medicare Advantage plans is currently being drafted. The next EE committee meeting will be March 19, 2018 at 4:00pm ET.

Communications–  The Communications Committee met to provide recommendations on the new Roots newsletter template created in Constant Contact. The Committee will begin discussing initial plans for National Rural Health Day 2018.


Back to March Branch

Committee Clips

i Jan 8th 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.

Board- The NOSORH Board had a full agenda for the December 18th meeting. The Board approved recommendations from the task force on annual meeting sites. Sites for the next 3 years include Cheyenne, WY (2018), Albuquerque, NM (2019), and Sarasota Springs, NY (2020). The Board endorsed a framework for SORH proficiencies, which provide a tool for SORH self-assessment, and approved updated personnel policies and procedures. The board also approved August and October minutes.

Finance – NOSORH will release a Request for Proposals for an investment advisor later this month. For more information, contact Donna Pfaendtner, Administrator.

PPMT – The Policy Program Monitoring Team reviewed the need for SORH education on policy “levers” to address rural health access. A webinar is planned for February. Last month, the PPMT provided insight on comments made to CMS regarding Letters to Issuers and to the FCC on Net Neutrality. The next committee meeting will be held January 24th with a new meeting time of 3:00 PM eastern.

Educational Exchange – The EE Committee is excited to showcase a document which highlights the work completed by the committee over the last year. The Educational Exchange Committee Project Year 2017: A Year in Review is now available on the NOSORH website. In addition, the EE is completing their review of the SORH Proficiencies, which are anticipated to be available in March. Due to scheduling conflicts, the next EE Committee meeting will be held on February 5th at 4:00pm ET and will cover the months of January and February.

JCREC- The JCREC is looking forward to entering 2018 by finishing up work on the 2018 JCREC Workplan with NASEMSO, NOSORH, NRHRC, and NRHA. Welcome to the new NOSORH Chair of the JCREC, Joyce Hospodar of Arizona. The agenda has been set for the 2018 National Rural EMS & Care Conference in Tucson, AZ with the registration coming out very soon.

RHC- The RHC Committee discussed the report coming from the National Advisory Committee regarding a “modernizing RHC workgroup” meeting that was held in Idaho in 2017. They explored a joint webinar with the Aging in Rural Interest Group on helping RHCs understand the steps necessary to provide home health services.

Communications- The Communications Committee has been reviewing the outcomes from National Rural Health Day 2017 and will soon be making plans for 2018. The group also made recommendations for a revamp of the Roots newsletter template.

Workforce- The National Rural Recruitment and Retention Network (3RNet) and NOSORH work together to convene 3RNet and NOSORH members to discuss rural workforce issues and educational needs. The committee met last month and reviewed educational needs, including interest in more education on emerging health professions. The group also expressed interest in a workforce pre-conference at the NOSORH annual meeting this year to bring together state and national stakeholders to identify collaborative approaches to improve rural health workforce.


Back to January Branch

Committee Clips

i Nov 30th 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.

Executive Committee – During the November meeting the committee reviewed and discussed plans for the NOSORH Board’s annual strategic planning effort. The Board will meet in January in San Antonio to  review and develop the strategic focus of NOSORH work.

PPMT – Last month, the Policy and Program Monitoring Team prepared comments on the DHHS strategic plan, and comments to CMS on Expanded Opportunities for Participating in Advanced Payment Models last month. The December call is being held at an earlier time on December 6th at 3 PM and will be focused on comments to the FCC on rural broadband.

Finance– The Finance Committee is preparing to send out a request for proposals for any potential financial advisors. If you have any recommendations, please forward them to Donna Pfaendtner at donnap@nosorh.org.

Workforce – 3RNet and NOSORH are making plans to continue their work to build collaboration on rural workforce issues.  A meeting will be held in December to review SORH and 3R Net members needs for education on rural residencies, emerging health professions and telehealth workforce issues.

Educational Exchange – The full EE committee did not meet in November, while the SORH Proficiencies workgroup continued developing the final framework. The Proficiencies will be ready for Board and EE committee review at their December meetings. The next EE committee meeting will be December 18, 2017 at 4:00 pm ET.

JCREC- Dr. David Wheeler of Wyoming joined the Joint Committee on Rural Emergency Care for a special discussion on the “Joint Commission Proposed New Stroke Center Category.” The National Rural EMS & Care Conference planning has begun for the 2018 conference in Tucson, Arizona, and the EMS Agenda for the Future collaborative work is well under way. The next meeting will be December 11th at 3pm Eastern.


Back to December Branch