- RPHARM Program Fulfills Need for Rural Pharmacists
- Farmers Don't Do Mental Health
- A Pilot Program in Rural Vermont Hopes to Build a Blueprint for Substance Abuse Recovery
- Rural Telehealth Extension Reintroduced in Congress
- Students From Across the State Emphasized the Need for Mental Health Resources in Rural Alaska During a Conference
- The South Was the Center of Rural Population Growth Last Year
- How HHS SUD Confidentiality Regulations Will Impact Rural Providers
- VA Announces Expansion of "Close to Me" Cancer Program as Part of the Cancer Moonshot, Bringing Cancer Diagnosis and Treatment Closer to Thousands of Veterans
- Navajo Psychiatrist Bridges Gaps Between Native American Culture and Behavioral Health Care
- Biden-Harris Administration Releases National Strategy for Suicide Prevention and First-Ever Federal Action Plan
- Biden-Harris Administration Takes Historic Action to Increase Access to Quality Care, and Support to Families and Care Workers
- Rural Communities Face Primary Care Physician Shortage
- Rural Jails Turn to Community Health Workers To Help the Newly Released Succeed
- Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don't Meet Them.
- Miles for Milk: How Student-Run Grocery Store Reshaped Rural Community's Food Access
HHS Awards Nearly $165 Million to Combat COVID-19 in Rural Communities
The U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA) awarded nearly $165 million to combat the COVID-19 pandemic in rural communities. These investments will support 1,779 small rural hospitals and provide additional funding to 14 HRSA-funded Telehealth Resource Centers (TRCs) to provide technical assistance on telehealth to help rural and underserved areas combat COVID-19.
AHRQ’s Easy-to-Understand Telehealth Consent Form
The Agency for Healthcare Research and Quality (AHRQ) provides a sample telehealth consent form and guidance for health care providers to use with patients.
Click here to access the form.
CMS Issues Recommendations to Re-Open Health Care Systems in Areas with Low Incidence of COVID-19
On April 19, the Centers for Medicare & Medicaid Services (CMS) issued new recommendations specifically targeted to communities that are in Phase 1 of the Guidelines for Opening Up America Again with low incidence or relatively low and stable incidence of COVID-19 cases. The recommendations update earlier guidance provided by CMS on limiting non-essential surgeries and medical procedures. The new CMS guidelines recommend a gradual transition and encourage health care providers to coordinate with local and state public health officials, and to review the availability of personal protective equipment (PPE) and other supplies, workforce availability, facility readiness, and testing capacity when making the decision to re-start or increase in-person care.
Comments Requested: CMS Proposed Rule for Inpatient Rehabilitation Facilities
On April 21, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for the FY 2021 Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS). The proposed rule includes a 2.9 percent payment increase ($270 million total) which rural areas will experience as an average increase of 3.2 percent. CMS is also proposing to amend the regulations to remove the post-admission physician evaluation requirement and to allow non-physician practitioners to perform certain requirements that currently a rehabilitation physician must perform. The rule also includes a five percent cap on wage index decreases and adopts the most recent Office of Management and Budget statistical area delineations with 34 urban counties becoming rural and 47 rural counties becoming urban. Comments are due on Juen 15, 2020.
Comments Requested: Medicare Revisions in Response to the COVID-19 Public Health Emergency
On March 30, the Centers for Medicare & Medicaid Services (CMS) issued an array of temporary regulatory waivers and new rules in response to the 2019 Novel Coronavirus (COVID-19) pandemic. CMS’s actions are designed to increase hospital capacity, rapidly expand the health care workforce, and further promote telehealth in Medicare. This interim final rule with comment period includes updates specific to rural health clinics and federally qualified health centers. A full list of CMS waivers and flexibilities for COVID-19 response is available online. Comments are due on June 1, 2020.
New Brief: Best Practices from 14 CAH Executives Operating in Challenging Environments
Rural hospital executives are tasked with broader and more general functions than urban hospital executives who have greater resources to employ area-specific specialists. As such, rural hospital executives have developed and fine-tuned a different skill set than urban hospital executives. This study found four major themes from the many identified skill sets of the Critical Access Hospital (CAH) CEOs interviewed. These “best practices” likely helped contribute to the positive status of the CAHs interviewed and could also be a resource from which other CAHs could find utility.
For this study, the Flex Monitoring Team interviewed 14 CAH CEOs about their perspectives and experiences leading CAHs with a low risk of financial distress despite their operating environment. CEOs described their experiences with financial and quality issues, leadership roles, performance measurement, policy challenges, and community health.
This brief summarizes best practices related to tasks of daily operation, forecasting, and community health outcomes and to craft advice for other CAH CEOs.
This paper may be accessed here or on the Flex Monitoring Team website.
New Stimulus Package Passed by Senate Missed the Mark, Rural Advocates Say
By Bryce Oates
The bill contains provisions meant for rural America, but critics believe it misses an opportunity to expand crucial federal programs like SNAP, or extend protections for vulnerable groups, like farmworkers, meatpackers, and family farms.
This Hospital Has Only 8 Nurses. They Are Also the Janitors
By Brianna Bailey
Eight nurses are the overwhelming majority of employees who remain at Haskell County Community Hospital in Oklahoma. The future of the 25-bed hospital, which has been whittled down to operating only an emergency room since 2019, is increasingly grim.
Recreation Counties See Threats to Their Hospitals During the Epidemic
By Bryce Oates
Recreation counties’ reliance on tourism and outdoor recreation may pose an existential threat to some of their publicly funded healthcare systems.
Rural Counties That Are Active Online Have Higher Incomes
By Brian Whitacre and Roberto Gallardo
A new dataset gives researchers a different way to measure internet use. What they’ve found is that when the number of “online ventures” goes up, so does the county’s prosperity.