Committees

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

Committee Clips

i Nov 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.

RHC Committee- The committee discussed the release of a new toolkit: Engaging SORH and RHCs in Value-Based Care. They discussed the Emergency Preparedness rule again and shared many valuable resources and templates. They also began the conversation about a joint webinar with the Aging in Rural Interest Group about home health services.

Development committee – The Development Committee reviewed the initial results from the SORH Compensation Survey and discussed the completion of the full report.

Educational Exchange- The Educational Exchange committee met to review the progress of the workgroups, and to conduct a mini-roundtable discussion on “communicating the value of your SORH”. During the meeting, the group identified appropriate steps in providing education and resources to SORH on methods of communicating the value of their SORH office based on the resources available, and restrictions in place, for each office.

NOSORH Board of Directors – The Board met in October and began preparing for the annual board planning meeting. A report was provided by Mary Sheridan (ID) who serves on the National Advisory Committee on Rural Health and Human Services and helped to facilitate informing the committee about rural issues earlier this fall in Idaho. The committee will release an official report later this year. The Board provided input on comments made to DHHS on their strategic plan. Thanks to all of the NOSORH Board Regional Representatives who did a great job collecting information from SORH about their National Rural Health Day efforts.

Executive Committee – The October meeting of the Executive Committee included planning the October Board meeting and a report on the work of the task force working on annual meeting sites for 2018-2020.

Flex Committee- The Flex Committee co-chairs have decided to modify the meeting schedule for the Flex Committee and be more deliberate with our timing to avoid other meetings and deadlines. Due to members diligently working on Flex reporting and holiday scheduling challenges, it was decided to cancel the next 3 Flex Committee meetings and resume meeting on January 25 at 3pm ET. Please mark your calendar now for all 5 meetings next year. All calls are at 3pm EASTERN on the 4th Thursday of the months listed below. Dial-in information is the same.

2018 schedule:
January 25
March 22
May 24
August 23
October 25


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.

 Development committee – The Development Committee reviewed a draft of the next Beyond the Basics Grant Writing Institute that NOSORH will be offering in a new on-demand format. The committee will look at revenue generating opportunities and building additional sponsorships in the coming month.  The next meeting will be held October 10th at 2:00 pm ET.

Educational Exchange- The Educational Exchange committee has begun digging into the notes from the Rural Health Roundtable discussions that occurred at the NOSORH Annual Meeting. The group will be diving deeper into these topics to identify what resources may be beneficial for the membership. In addition, two new fact sheets on value-based payments are now available for SORHs to use when engaging with rural providers. The next regularly scheduled meeting will be held on October 16th at 4:00 pm ET.

Executive Committee –  The Committee discussed all follow up needed from the Annual Meeting, including work on National Rural Health Day and following up with partners. The Committee heard from the President-Elect regarding plans for the 2018 board activities.

Communications Committee – The Communications Committee has been busy planning National Rural Health Day (NRHD) activities, including three live, 30-mintue webinars to be held on the afternoon of November 16. The next meeting will be held on November 7 at 2:00 pm ET.

JCREC – The Joint Committee on Rural Emergency Care sponsored a pre-conference learning session in Savannah.  Attendees heard about First Net efforts, provided initial input for the Rural EMS Agenda for the Future.  During the September meeting of the committee heard member updates, discussed beginning the planning for the Rural EMS meeting this spring and learned more about plans to develop a Rural EMS Agenda for the Future.


Back to October Branch