- Weathering the Storm Together: Community Resiliency Hubs Hold the Promise of Local Self-Sufficiency and Supportive Mutual Aid
- Virginia Tech Researchers Bring Rural Families into the Nation's Largest Study of Early Brain and Child Development
- Expanding Access to Cancer Care for Rural Veterans
- VA: Veterans Rural Health Advisory Committee, Notice of Meeting
- Scaling Rural Wellness with Clever Collaboration
- Stroudwater Associates Enhances Rural Healthcare Dashboard with New Data to Support State Rural Transformation Grant Applications
- Harvest Season Is Here: Busy Times Call for Increased Focus on Safety and Health
- HHS Dispatches More Than 70 Public Health Service Officers to Strengthen Care in Tribal Communities
- Wisconsin Rural Hospitals Team up to Form Network
- CMS Launches Landmark $50 Billion Rural Health Transformation Program
- American Heart Association Provides Blood Pressure Kits at Southeast Arkansas Regional Libraries to Support Rural Health
- Broadening Access to Minimally Invasive Surgery Could Narrow Rural-Urban Health Gaps
- Instead of Selling, Some Rural Hospitals Band Together To Survive
- Help Line Gives Pediatricians Crucial Mental Health Information to Help Kids, Families
- Rural Health: A Strategic Opportunity for Governors
Pennsylvania Governor’s Administration Awards $10 Million to Fund Access to Fresh Food, COVID-19 Mitigation Efforts in Low-Income Communities
At Karimar Grocery in Franklin County today, Pennsylvania Agriculture Secretary Russell Redding and Community and Economic Development Secretary Dennis Davin announced that more than 100 projects, funding access for fresh food in low-income communities, have received grants through Pennsylvania’s $10 million Fresh Food Financing Initiative.
“There are three keys to food security — Is food available, is food affordable, and is food safe?” said Redding. “The Fresh Food Financing Initiative helps make ‘yes’ the answer to all three questions. Early in the pandemic, we were all shocked by the empty grocery store shelves. This program has given us the ability to offset the costs food retailers have incurred in making fresh, nutritious food available while safeguarding their employees and customers.”
The Fresh Food Financing Initiative (FFFI) was funded at $10 million through the federal Coronavirus Aid, Relief, and Economic Security (CARES) Act and opened in July to for-profit, nonprofit, or cooperative entities including grocery stores, corner stores, convenience stores, neighborhood markets, bodegas, food hubs, mobile markets, farmers markets, on-farm markets, urban farms, and food aggregation centers with a direct connection to direct-to-consumer retail outlets.
To be eligible, more than 70 percent of sales were required to be from staple, perishable foods to consumers and the retailer must serve customers who live in a low-to-moderate income area. Applicants were also required to demonstrate limited food access as a result of COVID-19 or that direct-to-consumer retail expansion is necessary due to lost or disrupted markets. Eligible applicants were required to accept SNAP and WIC or have plans to accept them through completion of the project.
“The COVID-19 pandemic laid bare the challenges that many Pennsylvanians face in accessing fresh, local food,” said Davin. “The Fresh Food Financing Initiative was developed to ensure that no one in our commonwealth will struggle to fill their pantry and the food supply chain will remain stable, whether during a crisis, emergency, or during times of normalcy.”
Karimar Grocery, a minority, woman-owned neighborhood store in Chambersburg, experienced increased demand for perishable and staple food products throughout the pandemic. Their $55,000 grant will fund the purchase of equipment – such as refrigerators, freezers, coolers, and a meat grinder – to allow them to store more fresh meat, dairy, and produce and will cover expenditures already made to create a safe, healthy shopping environment in the low-income, Black, Indigenous, and People of Color (BIPOC) community they serve.
“It is important to keep residents of the commonwealth safe and informed. COVID-19 has disproportionately affected the Latino community, placing this population at a greater disadvantage,” said Luz B. Colón, executive director to the Governor’s Advisory Commission on Latino Affairs. “Programs like the Fresh Food Financing Initiative help secure food resources to our minority communities and ensure that it will reach the families that need it the most.”
The $10 million FFFI grant program funded 115 projects in 39 counties. The projects fund expenses related to PPE and other in-store COVID-19 mitigation efforts, expansions, refrigeration, online marketing materials, mobile market enhancements, and more.
A full list of funded projects can be found online. Applicants could apply for impacts related to COVID-19 incurred between March 1, 2020 and November 30, 2020, such as:
- Higher operating costs related to cleaning and social distancing requirements, including costs related to outside contracting associated with managing social distancing, limited occupancy, and cleaning;
- Infrastructure improvements, including renovation, new construction, or adaptive reuse directly related to COVID-19;
- Equipment purchases that improve the availability of quality fresh food, such as additional refrigeration to manage volume, or personal protective equipment such as plexiglass dividers;
- Inventory (higher cost of goods, higher transportation or delivery costs, or procuring Pennsylvania-grown produce, meat, and dairy products, or loss of product);
- Innovative food access technology such as mobile or pop-up markets, or mobile EBT reader technology;
- Costs to expand access to Pennsylvania grown or processed produce, dairy, and meat products or provide stable market access for Pennsylvania farmers that have lost or limited markets; and
- Other one-time or increased expenses incurred related to COVID-19.
For more information on the Fresh Food Financing Initiative or about the Wolf Administration’s efforts surrounding food security, visit agriculture.pa.gov. For information as it relates to agriculture during COVID-19 mitigation in Pennsylvania visit agriculture.pa.gov/COVID. For the most accurate, timely information related to health in Pennsylvania, visit on.pa.gov/coronavirus.
New Publications on Oral Health and Telehealth from the National Organizations of State and Local Officials (NOSLO)
The National Academy for State Health Policy posted a case study on how Medicaid agencies in Colorado, Maine, and Oregon are leveraging primary care-based accountable care programs to improve the delivery of oral health care to adults and children.
The Association of State and Territorial Health Officials (ASTHO) published a brief on the Impact of Telehealth on Maternity Care (PDF – 228 KB) offering ways states can improve access to maternal care.
Both publications were developed through HRSA’s cooperative agreement with NOSLO.
Rural Health Resources Roundup: Rural Healthcare Surge Readiness Web Portal

In September’s session of the Rural Health Resources Roundup Series, CAPT Renee Joskow talks about the Rural Healthcare Surge Readiness Web Portal. The portal provides key and essential resources, tools, and training to prepare for and respond to COVID-19 in rural communities. It was developed by the Federal Healthcare Resilience Working Group and the Rural Surge Readiness Team.
Listen to the Rural Healthcare Surge Readiness Web Portal session.
Medical Errors Increase by Nearly 20% Around Daylight Saving, Study Finds
From Becker’s Hospital Review
In the days following the switch to daylight saving time, human mistakes tied to patient safety-related incidents increased by almost 20 percent, according to a study in the Journal of General Internal Medicine.
Researchers analyzed voluntarily reported data from Rochester, Minn.-based Mayo Clinic that occurred seven days before and after the spring and fall time changes for 2010-17. Patient safety-related incidents included defective systems, equipment failure or human error.
Researchers didn’t report significant differences in overall errors in the weeks before and after the time changes. However, when analyzing human error only, they found the number of human errors increased by a statistically significant 18.7 percent after daylight saving in the spring. Most of the errors involved medications, such as administering the wrong dose or wrong drug.
CMS Announces Innovative Payment Model to Improve Care, Lower Costs for Cancer Patients
Radiation Oncology Model will modernize Medicare payments for radiotherapy services
On September 18, CMS finalized a new Innovation Center model expected to improve the quality of care for cancer patients receiving radiotherapy and reduce Medicare expenditures through bundled payments that allow providers to focus on delivering high-quality treatments. The new Radiation Oncology (RO) Model allows this focus on value-based care by creating simpler, more predictable payments that incentivize cost-efficient and clinically effective treatments to improve quality and outcomes. The RO Model, part of a final rule on specialty care models issued by CMS, will begin on January 1, 2021 and is estimated to save Medicare $230 million over 5 years.
“President Trump knows that, for cancer patients, what matters is their quality of life and beating their cancer. But today, Medicare payment for radiotherapy is based on the number of treatments a patient receives and where they receive it, which can lead to spending more time traveling for treatment with little clinical value,” said CMS Administrator Seema Verma. “That’s why the Trump administration has developed a new innovative model that allows patients and providers to focus on better outcomes for patients.”
For More information:
These Models are a part of a CMS final rule on Medicare Program; Specialty Care Models To Improve Quality of Care and Reduce Expenditures (CMS-5527-F).
CMS Announces Transformative New Model of Care for Medicare Beneficiaries with Chronic Kidney Disease
Model focuses on reducing costs and improving quality of care for patients
On September 18, CMS announced it has finalized the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model, to improve or maintain the quality of care and reduce Medicare expenditures for patients with chronic kidney disease. The ETC Model delivers on President Trump’s Advancing Kidney Health Executive Order and encourages an increased use of home dialysis and kidney transplants to help improve the quality of life of Medicare beneficiaries with ESRD. The ETC Model will impact approximately 30 percent of kidney care providers and will be implemented on January 1, 2021 at an estimated savings of $23 million over five and a half years.
“Over the past year, the Trump Administration has taken more action to advance American kidney health than we’ve seen in decades,” said HHS Secretary Alex Azar. “This new payment model helps address a broken set of incentives that have prevented far too many Americans from benefiting from enjoying the better lives that could come with more convenient dialysis options or the possibility of a transplant.”
For More Information:
CMS Announces New Guidance for Safe Visitation in Nursing Homes During COVID-19 Public Health Emergency

On September 17, CMS issued revised guidance providing detailed recommendations on ways nursing homes can safely facilitate visitation during the coronavirus disease 2019 (COVID-19) pandemic. After several months of visitor restrictions designed to slow the spread of COVID-19, CMS recognizes that physical separation from family and other loved ones has taken a significant toll on nursing home residents. In light of this, and in combination with increasingly available data to guide policy development, CMS is issuing revised guidance to help nursing homes facilitate visitation in both indoor and outdoor settings and in compassionate care situations. The guidance also outlines certain core principles and best practices to reduce the risk of COVID-19 transmission to adhere to during visitations.
See the full text of this excerpted CMS Press Release (issued September 17).
HHS Invests Nearly $115 Million to Combat the Opioid Crisis in Rural Communities

The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA) awarded approximately $25 million to 80 award recipients across 36 states and two territories as part of the Rural Communities Opioid Response Program (RCORP). RCORP is a multi-year HRSA initiative to reduce morbidity and mortality of substance use disorder (SUD) and opioid use disorder (OUD) in high-risk rural communities. Today’s announcement builds upon HRSA’s RCORP awards made this August, reflecting a total fiscal year 2020 investment of nearly $115 million.
“The Trump Administration continues to provide historic levels of support for Americans with substance use disorders, especially those in rural areas, because the COVID-19 pandemic hasn’t put a pause on our country’s opioid crisis,” said HHS Secretary Alex Azar. “These grants are part of the Rural Action Plan that HHS launched in response to President Trump’s Executive Order on rural health, which lays out a path forward to transform and improve rural healthcare in tangible ways.”
HRSA’s Federal Office of Rural Health Policy (FORHP) awarded nearly $15 million to 30 award recipients through the Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome (RCORP-NAS). Each recipient will receive up to $500,000 over three-years to reduce the incidence and impact of neonatal abstinence syndrome in rural communities by improving systems of care, family supports, and social determinants of health.
In addition, through the Rural Communities Opioid Response Program-Planning (RCORP-Planning), $10 million is being awarded to 50 award recipients to strengthen and expand the capacity of rural communities to provide SUD/OUD prevention, treatment, and recovery services to high-risk populations. Award recipients will use the funds to build partnerships and develop comprehensive plans to address SUD/OUD workforce and service delivery challenges in their communities.
“We are excited to celebrate these awards during National Recovery Month,” said HRSA Administrator Tom Engels. “RCORP-Planning will continue to help rural communities build the coalitions needed to fight opioid use disorder, and RCORP-NAS will provide needed funding to rural residents grappling with the opioid epidemic to help many people reach recovery.”
Through the RCORP initiative, the funding will help rural communities address barriers to care and additional strains that COVID-19 has placed on both rural individuals with SUD and on rural organizations providing prevention, treatment, and recovery services.
For a list of today’s award recipients, visit HRSA’s RCORP-Planning and RCORP-NAS pages.
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/.
Coronavirus (COVID-19) Relief for Medicare Direct Bill Beneficiaries

Medicare provided extra time for people to pay their Medicare premiums because of the Coronavirus Disease 2019 (COVID-19) public health emergency. This extra time ends on September 30, 2020. Letters were sent to impacted people with Medicare last month. Please see the attached sample letter. This message is a reminder that the deadline to pay any owed Medicare premiums is approaching at the end of this month.
People with Medicare who owe past due Medicare premiums must pay the full amount owed before September 30, 2020, to keep their Medicare coverage. If there are people with Medicare who are unable to pay their past-due premiums in full by the end of September, they should contact their local Social Security Office as soon as possible to see if they are eligible for a payment plan with the Social Security Administration.
In Pennsylvania, KinConnector Website Connects Kinship Families to Resources
The Pennsylvania Department of Human Services has launched www.kinconnector.org, a resource designed to help kinship care families connect to services and supports that can help children and their caregivers.
Grandparents raising grandchildren are among the most common type of kinship caregiver, but kinship care families also can include an aunt or uncle, adult sibling, or a non-relative caregiver such as a close family friend raising a child when their parents cannot care for them. Kinship care arrangements help maintain family bonds and reduce trauma experienced when children cannot be cared for by their own parents.
Kinship caregivers make a selfless choice to care for young loved ones so they receive care and support from a family member they know and trust. As children navigate their own emotions around their family situation, this connection and familiarity can be a grounding force necessary to help children process and heal. While this can be an easy choice for kinship caregivers, navigating this new family situation can have its challenges for both the caregiver and children. KinConnector is here to be a resource and support to ease this process for the entire kinship family.
KinConnector was established through Act 89 of 2018 and is part of a kinship navigator program for Pennsylvania. After a competitive procurement process, The Bair Foundation was selected to administer the kinship navigator program coordinator and will work with kinship care families around Pennsylvania to help them access resources and supports and connect with families in similar situations around the commonwealth.
Kinship caregivers can visit the KinConnector website to find resources in their communities, learn about trainings and services available for kinship families, and find support groups and networks of other kinship care families and family care professionals.
KinConnector also runs a helpline that can be reached by calling 1-866-KIN-2111 (1-866-546-2111) The KinConnector helpline is staffed by knowledgeable, compassionate social service professionals prepared to help kinship care families understand and access resources that may be able to help them. The helpline is available from 9 a.m. to 10 p.m. Monday through Thursday and 9 a.m. to 5 p.m. Friday. The KinConnector helpline can support callers needing assisting in English and Spanish.
More information and resources are available on kinconnector.org. To speak with a trained KinConnector professional, call 1-866-KIN-2111.