Rural Health Information Hub Latest News

Regionalized Priority Testing for Agriculture Announced in Pennsylvania

As a direct result of agriculture and the entire food supply chain being life sustaining, combined with hot spots of COVID-19 in processing facilities, any symptomatic adult working in agriculture – including but not limited to those working in processing and manufacturing facilities, food warehouses, groceries stores, and on-farm labor (seasonal farm labor and H2A workers included) – is approved to receive priority testing if they live and/or work in Montgomery County or northeast Pennsylvania.

Members of Pennsylvania’s agriculture workforce who find themselves symptomatic for COVID-19 are encouraged to follow the steps found in the attachment to this email for priority testing if they live and/or work in Montgomery, Susquehanna, Wyoming, Luzerne, Carbon, Monroe, Pike, Wayne, or Lackawanna counties. There is no cost for testing at these sites, since the test is completed at the PA state public health laboratory.

Those working in agriculture outside of these prioritized regions who are showing symptoms for COVID-19 are encouraged to visit any other approved testing site in Pennsylvania. A full map of locations can be found on the Department of Health’s website.

Symptoms of COVID-19 include fever, cough, shortness of breath, and diarrhea. Symptoms may appear in as few as two days or as long as 14 days after exposure.

New Research on Profitability of Rural Hospitals

A new series of policy briefs coauthored by National Rural Health Association member George Pink examines the geographic variability in profitability of urban and rural hospitals; rural hospitals with long-term unprofitability; profitability of urban and rural hospitals by Medicare payment classification; and the broader context of rural hospitals and profitability. Another policy brief coauthored by NRHA members Xi Zhu and Keith Mueller looks at rural hospital participation in Medicare accountable care organizations, summarizing national and regional rates of rural hospital participation and identifying factors associated with ACO participation. Finally, new research coauthored by NRHA member Mark Holmes examines patterns of hospital bypass and inpatient care seeking by rural residents, as hospital bypass, or the tendency of local rural residents to not seek care at their closest hospital, is thought to be a contributing factor for rural hospital closure.

Perfect Storm: Coronavirus Comes for Rural America

Rural areas are more vulnerable to coronavirus than many people think, says National Rural Health Association member Carrie Henning-Smith of the University of Minnesota. Many in the outsize rural elderly population depend on children and other family caregivers who must also work jobs outside the home. Even before COVID-19 hit, Henning-Smith’s research found that “rural caregivers were dramatically less likely to be able to work at home” than their urban counterparts, “and they had less access to sick leave and time off.” All this makes it harder for them to safely distance themselves and protect their families. A county-by-county analysis of the United States by Princeton University suggests that rural counties with high populations of people over 60 and limited access to health care facilities could eventually be among the hardest hit by the coronavirus, and additional research shows that some remote counties in North Carolina are among the last without COVID-19 cases.

Rural Health Care Workers Face Long Shifts, Limited Supplies

While major cities have been hit hard by the coronavirus, health care workers in rural areas are also facing long shifts and limited supplies on the front line of COVID-19. In particular, rural facilities are struggling with a lack of personal protective equipment such as gloves, masks, N95 respirators, gowns, and face shields, with many stakeholders concerned that rural medical providers seem to have been left out of the supply chain. To help maximize the health care workforce, CMS recently unveiled new health care workforce flexibilities that will allow hospitals to quickly and virtually expand their staff and use them the most efficient way possible. Additionally, a recording of a Rural Health Information Hub presentation on critical care and pulmonary management updates from the COVID-19 frontlines is available on demand.

Updated: States with the Biggest Increases in Unemployment Due to Coronavirus – WalletHub Study

Today’s unemployment numbers show that roughly 26.5 million Americans have lost their jobs since the start of the coronavirus pandemic, completely wiping out the 22.7 million new jobs created since the Great Recession and adding another somber milestone to the economic toll this novel virus has taken on the U.S. Not all areas of the country have suffered equally, however, as you can see from WalletHub’s updated rankings for the States with the Biggest Increases in Unemployment Due to Coronavirus, released today, along with accompanying videos.

To identify which states’ workforces have been hurt most by COVID-19, WalletHub compared the 50 states and the District of Columbia based on increases in unemployment claims. We used this data to rank the most impacted states in both the latest week for which we have data (April 13) and overall since the beginning of the coronavirus crisis (March 16). Below, you can see highlights from the report, along with a WalletHub Q&A.

Most Affected States Last Week

Least Affected States Last Week

1. Florida 42. New Jersey
2. Louisiana 43. Illinois
3. West Virginia 44. Montana
4. Kentucky 45. Idaho
5. Mississippi 46. Wisconsin
6. Georgia 47. Vermont
7. North Carolina 48. Massachusetts
8. New Hampshire 49. Wyoming
9. Virginia 50. Oregon
10. Colorado 51. Rhode Island

To see the states most impacted since the beginning of the COVID-19 pandemic, click here.

To view the full report and your state’s rank, please visit:
https://wallethub.com/edu/states-with-the-biggest-increase-in-unemployment-due-to-coronavirus/72730/

Pennsylvania Governor Administration Announces Business Loan Deferrals

The Pennsylvania Department of Community and Economic Development (DCED) Secretary Dennis Davin announced that the Pennsylvania Industrial Development Authority (PIDA), Pennsylvania Minority Business Development Authority (PMBDA), and Commonwealth Financing Authority (CFA) are deferring loans and that the maturity dates and amortization schedules of all applicable loans are extended by three additional calendar months.

PIDA borrowers with payments due in April, May, and June of 2020 are deferred. All other terms and conditions of all applicable loans remain unchanged.

PMBDA borrowers with payments due in April, May, and June of 2020, including principal, interest, and any associated feeds are deferred. Accrual of interest that would be included with deferred payments is suspended. All other terms and conditions of all applicable loans remain unchanged.

CFA borrowers except for PENNWORKS loans, with payments due in April, May, and June of 2020, including principal, interest, and any associated fees are deferred. Accrual of interest that would be included with deferred payments is suspended. All other terms of all applicable loans remain unchanged.

 

USDA Increases Monthly SNAP Benefits by 40%

The U.S. Secretary of Agriculture Sonny Perdue announced emergency benefit increases have reached $2.0 billion per month for Supplemental Nutrition Assistance Program (SNAP) households across all 50 states and 3 territories to increase food security during the coronavirus national emergency. These emergency benefits represent a 40% increase in overall monthly SNAP benefits, significantly increasing food purchasing power for American families

PennState Extension – How to Bid for the USDA Food Box Distribution Program

PennState Extension is giving information on how to apply for the USDA Food Box Distribution Program, which is a procurement opportunity for farms, food processors, and distributors. The program will procure $3 billion in food boxes and is designed to address food supply chain and emergency food relief needs resulting from COVID-19.

The RFP should be available for download at the USDA’s Food Box Distribution Program website beginning April 24th. Completed applications should be emailed to USDAFoodBoxDistributionProgram@usda.gov and further instructions will be found in the RFP.

Rural Hospitals are Facing Financial Ruin and Furloughing Staff During the Coronavirus Pandemic

A nurse conducts a COVID-19 test in the drive thru site at Scotland County Hospital in Memphis, Missouri.

Williamson Memorial Hospital was more than the place where Carole Steele had surgery on her elbow. It was more than the place that treated her husband Samuel when his severe allergies make it hard for him to breathe.

One doctor there was her grandniece’s godfather. Another was a trusted friend. Going to the hospital was “like going home to us,” the 73-year-old retired schoolteacher said. “For Samuel and I, that is the only hospital we have ever known.”

Now, in the middle of the coronavirus pandemic, the hospital will close its doors Tuesday after serving the community for more than 100 years. The only hospital in the coal mining community of Mingo County, West Virginia, Williamson Memorial filed bankruptcy last year. And it’s not alone. As the deadly virus has spread beyond urban hotspots, many more small hospitals across the country are on the verge of financial ruin as they’ve been forced to cancel elective procedures, one of the few dependable sources of revenue.