Rural Health Information Hub Latest News

Wolf Administration Launches Pennsylvania Violence Data Dashboard

Governor Wolf announced that the Department of Health (DOH) has launched a violence data dashboard to collect data on the scope, frequency, geography and populations affected by violence in Pennsylvania. The creation of the dashboard was a mandate in the governor’s 2019 Executive Order to Reduce Gun Violence. The executive order included collecting data on the number of victims of gun violence, rates at which gun violence occurs in locations and contributory factors. DOH will coordinate with and collect data from the Department of Human Services, Pennsylvania State Police, Pennsylvania Coalition on Crime and Delinquency, and other commonwealth entities to populate the dashboard. Data will be available by gender, race/ethnicity, age group and geography.

New Rural Hot Spots are ICU Bed Deserts, Study Finds 

More than half of rural low-income communities in the United States have zero ICU beds, so many hospitals are having to transfer patients to wealthier urban facilities. Using Medicare data, Health Affairs researchers found that nearly 49 percent of all low-income areas did not have ICU beds. This gap exists across rural and urban settings, but it is far worse in rural America. Many hospitals have either converted regular beds to ICU beds or have had to rely on transfers to facilities with more resources. Poorer access to care and higher percentages of chronic health conditions increases the risk posed by COVID-19 in rural America. During a Senate Finance Committee hearing on Thursday, Sen. Ron Wyden (D-OR) warned that problems with supply chains and disparities in access to care in rural areas could further exacerbate racial disparities as well.

The Health 202: Hospitals Must Start Paying Back Millions Borrowed from Government during Pandemic 

Hospitals must start paying back the millions in federal loans that were provided at the beginning of the pandemic, but experts are worried that these payments, which will be docked from regular Medicare payments until they are completely paid off, will cause rural hospitals to struggle. Chip Kahn, President of the American Federation of Hospitals, expressed concerns that hospitals are in the middle of these COVID-19 surges and that being forced to repay these loans is “going to kill them.” NRHA is advocating for MAAP loan relief for rural hospitals in the upcoming COVID-19 relief package. However, thus far, Republicans and Democrats have failed to agree on what to include and how much to spend on the relief package.

Missouri Congressman Introduces Bill to Support Rural Hospitals 

Missouri Congressman Jason Smith introduced the Saving Rural Hospitals from Closure Act. The bill would require HHS to forgive all Medicare Advance and Accelerated Payments (MAAP) for rural hospitals that are experiencing severe financial hardship. Additionally, it would extend the timeline for rural hospitals’ repayment or lower the interest rate of their payments. The legislation stipulates that HHS must make a decision within 30 days of receiving a request from a struggling hospital. In the months since April, Congressman Smith has implored both the White House and Congressional leaders to explore cost saving opportunities to rural hospitals.

CMS Administrator: PPP Funds to Not be Counted on Medicare Cost Reports 

In a tweet on August 6, 2020, CMS Administrator Seema Verma said: “CMS does not intend for Paycheck Protection Program funds to impact Medicare payments to rural hospitals. More guidance will be out soon that’ll explain how hospitals should report those funds on their Medicare Cost Reports. The Trump Administration continues to use every tool to expand services & improve the healthcare communication infrastructure in rural areas – ensuring rural Americans have access to the medical care they need.” The National Rural Health Association applauds this action by Administrator Verma, but is continuing to work with Capitol Hill to ensure, through codified law, that these funds do not negatively impact Medicare Cost Reports in the future. You can find their most recent letter to the Administration on this issue linked here.

CMS COVID-19 Stakeholder Engagement Calls – August

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.

Call details are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.

Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts

CMS COVID-19 Office Hours Calls (twice a month on Tuesday at 5:00 – 6:00 PM Eastern)

 Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

  • Increase Hospital Capacity – CMS Hospitals Without Walls;
  • Rapidly Expand the Healthcare Workforce;
  • Put Patients Over Paperwork; and
  • Further Promote Telehealth in Medicare

Office Hours:

Tuesday, August 11th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 3498643

Audio Webcast link: https://protect2.fireeye.com/url?k=6f7db93e-3329a042-6f7d8801-0cc47adc5fa2-ed718e46a02e4dc1&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2361

Tuesday, August 25th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 8579003

Audio Webcast link: https://protect2.fireeye.com/url?k=b0ee57aa-ecbb5eb9-b0ee6695-0cc47adb5650-7cf527ad219c44d5&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2371

Weekly COVID-19 Care Site-Specific Calls

CMS hosts weekly calls for certain types of organizations to provide targeted updates on the agency’s latest COVID-19 guidance. One to two leaders in the field also share best practices with their peers. There is an opportunity to ask questions of presenters if time allows.

Home Health and Hospice (twice a month on Tuesday at 3:00 PM Eastern)

Tuesday, August 11th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5097566
Audio Webcast Link
: https://protect2.fireeye.com/url?k=b4723cca-e827351a-b4720df5-0cc47a6a52de-e4916e2be973d447&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2386

Tuesday, August 25th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 6782346
Audio Webcast Link
: https://protect2.fireeye.com/url?k=d56b6f04-893e66d4-d56b5e3b-0cc47a6a52de-db676249ca56a67f&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2391

Nursing Homes (twice a month on Wednesday at 4:30 PM Eastern)

Wednesday, August 12th 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 7857618
Audio Webcast Link:
https://protect2.fireeye.com/url?k=2884bdb1-74d1b4a2-28848c8e-0cc47adb5650-5b54c104cb155c28&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2411

Wednesday, August 26th 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5718509
Audio Webcast Link:
https://protect2.fireeye.com/url?k=4af88041-16ad8952-4af8b17e-0cc47adb5650-7a1a6bc3fec88107&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2416

Dialysis Organizations (twice a month on Wednesday at 5:30 PM Eastern)

Wednesday, August 12th at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 1027088
Audio Webcast Link:
https://protect2.fireeye.com/url?k=6b0af8ba-375ff16a-6b0ac985-0cc47a6a52de-6400b78b7f9a7c65&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2401

Wednesday, August 26th at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 1834329
Audio Webcast Link:
https://protect2.fireeye.com/url?k=660ee5d6-3a5accfd-660ed4e9-0cc47a6d17cc-f3e0100acefbe41f&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2406

Nurses (twice a month on Thursday at 3:00 PM Eastern)

Thursday, August 13th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 7844289
Audio Webcast Link:
https://protect2.fireeye.com/url?k=666e39a3-3a3b30b0-666e089c-0cc47adb5650-9c83dad655df67f4&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2421

Thursday, August 27th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 1556623
Audio Webcast Link:
https://protect2.fireeye.com/url?k=9527d1a9-c972d879-9527e096-0cc47a6a52de-3cc6130cbe1e01ac&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2426

Lessons from the Front Lines: COVID-19 (twice a month on Friday at 12:30 – 2:00 PM Eastern)

Lessons from the Front Lines calls are a joint effort between CMS Administrator Seema Verma, FDA Commissioner Stephen Hahn, MD, and the White House Coronavirus Task Force. Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an opportunity to ask questions of presenters.

Next Lessons from the Front Lines:

Friday, August 21st at 12:30 – 2:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5956858

Audio Webcast Link: https://protect2.fireeye.com/url?k=5bbe4eed-07ea67c6-5bbe7fd2-0cc47a6d17cc-0fae9923aae1404e&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2381

For the most current information including call schedule changes, please click here

To keep up with the important work the White House Task Force is doing in response to COVID-19 click here: https://protect2.fireeye.com/url?k=36fa2226-6aae0b0d-36fa1319-0cc47a6d17cc-2d06c219f858d641&u=http://www.coronavirus.gov/. For information specific to CMS, please visit the Current Emergencies Website.

#WellChildWednesdays Campaign Extended to Support Catch-up Visits and Immunizations

HRSA’s #WellChildWednesdays social media campaign, encouraging families to visit their pediatric provider for well-child visits and immunizations, kicked off in June, and due to its success is now extending into mid-August. The focus of an additional 3 posts will be to remind families to “catch up” on any missed appointments and vaccines.

The campaign has generated more than 400 new posts using the #WellChildWednesdays hashtag. More than 600 health centers in nearly every state, as well as federal agencies, the U.S. Surgeon General, and maternal and child health organizations nationwide have amplified the posts on social media. The posts offer families the information and support they need to make well-child visits a priority. Please continue to RETWEET and SHARE the messages on @HRSAgov Twitter and Facebook.

Healthy People 2030 Launch

August 18, 1 p.m. – 2 p.m. EDT

On August 18, the U.S. Department of Health and Human Services (HHS) will unveil the latest edition of Healthy People.

Healthy People 2030 is a set of science-based, 10-year national objectives for improving health and well-being in the United States. During the webcast, we’ll highlight the new Healthy People 2030 goals and objectives and provide an overview of the development process. We’ll also feature guest speakers from HHS who will discuss Healthy People 2030 data, social determinants of health, health equity, and more.

No registration is necessary. Just visit hhs.gov/live on August 18 at 1 p.m. EDT. We hope to see you at the virtual launch event.

Rural Health Surge Readiness Web Portal

We know rural health care faces unique challenges in the fight against the COVID-19 pandemic. The Federal Healthcare Resilience Working Group (HRWG) has developed the Rural Health Surge Readiness web portal, a collection of essential rural health care resources, tools, and training that health care workers and organizations – including EMS & 911, inpatient & hospital care, ambulatory care, and long-term care – can utilize to prepare for and respond to COVID-19.

This one-stop shop for rural health care lets users quickly find the information they need to prepare for or respond to surge events, navigate financial challenges related to the pandemic, and can enhance their capacity and capability to provide lifesaving care to Americans who live in rural areas across the country.

Check out the portal. For more information, contact the Federal Healthcare Resilience Working Group.

HHS Awards Over $101 Million to Combat the Opioid Crisis

The U.S. Department of Health and Human Services (HHS), through the Health and Resources and Services Administration (HRSA), awarded over $101 million to combat substance use disorders (SUD) and opioid use disorders (OUD). The awards support 116 organizations in 42 states and the District of Columbia, with many targeting high-risk rural communities.

“President Trump has focused on expanding access to treatment for Americans with substance use disorders, including opioid use disorder, and that commitment continues during the COVID-19 pandemic,” said HHS Secretary Alex Azar. “The pandemic has created particular stresses for many Americans struggling with substance use disorders, and these HRSA awards will help strengthen prevention, treatment, and recovery services, especially in rural America, at this difficult time.”

HRSA’s Federal Office of Rural Health Policy awarded $89 million to 89 rural organizations across 38 states as part of the Rural Communities Opioid Response Program-Implementation (RCORP-Implementation). Each RCORP-Implementation grant recipient will use the funding to enhance and expand service delivery for SUD and OUD in rural communities. Awardees will work with rural communities to implement a set of core SUD and OUD prevention, treatment and recovery activities grounded in evidence-based or promising practice models which can be tailored to communities’ unique needs. These awards are part of HHS’ broader focus on rural health and human service issues through the Secretary’s Rural Health Task Force and build on the Administration’s commitment to support rural communities under an Executive Order released August 3, 2020.

In addition to the RCORP-Implementation investments, HRSA’s Bureau of Health Workforce awarded nearly $12.5 million to 28 organizations to expand access to behavioral health services for families affected by opioids and other substance use disorders. The Opioid-Impacted Family Support Program (OIFSP) aims to increase the number of training opportunities for behavioral health paraprofessionals working with families, and provides tuition assistance for trainees. Today’s awardees will recruit and train paraprofessionals to work with youth, including in high-need rural areas across the United States.

“These RCORP-Implementation grants are an essential part of HRSA’s overall efforts in helping to combat the opioid epidemic in the rural areas of our country,” said HRSA Administrator Tom Engels. “In addition, behavioral health paraprofessionals play a critical role in taking care of youth and families struggling with substance use disorder and opioid use disorder. This HRSA funding gives trainees the chance to learn in the communities and with the families that most urgently need their services.”

For a list of today’s RCORP-Implementation award recipients, visit: https://www.hrsa.gov/rural-health/rcorp/implementation/fy20-awards

For a list of today’s OIFSP award recipients, visit: https://bhw.hrsa.gov/grants/behavioral-health/opioid-impacted-family-support-fy20-awards

To learn about HRSA-supported resources, visit HRSA’s Opioid Crisis page.

For more information about the national opioid crisis, visit: https://www.hhs.gov/opioids/.