Rural Health Information Hub Latest News

Guide to Support Ambulatory Care

The Agency for Health Research and Quality (AHRQ) has created a guide to support ambulatory care settings of all types in the design and implementation of successful Patient-Generated Health Data (PGHD) programs. The guide is organized into six folios that help ambulatory care practices navigate the many steps from design, to launch, to maintenance of a successful, sustainable PGHD program. Learn more and access the guide. AHRQ will also be offering a webinar, Transforming Health Care Through Patient-Generated Health Data Integration, on Feb. 22, at 1:00 pm. Learn more and register

Increases in Reported Syphilis

During Calendar Year (CY) 2021, Pennsylvania (exclusive of Philadelphia) reported a 28% increase in Early Syphilis from CY 2020. The reported 1,418 cases in CY 2021 represents the highest number of Early Syphilis cases in more than 30 years. Additionally, during CY 2021, there was also a reported 36% increase in Early Syphilis cases in females of whom 90% were child-bearing age. Read more.

Electronic Exchange Requirements Move Closer to Reality

After several COVID-related delays, the Office of the National Coordinator (ONC) has set a December 31 deadline for the healthcare industry to support apps that store records electronically, such as Apple Health. This is part of the 21st Century Cures Act, and it works both ways: Health IT developers will need standardized APIs and FHIR technology to support data exchange and interoperability, and providers will be expected to use APIs and FHIR technology. Patients won’t be required to use apps, but medical offices will at least have to support electronic exchanges using the FHIR standards. What remains to be seen is how this will be enforced.

Licensing Tools for Health Professionals

The Federal Office of Rural Health Policy (FORHP) has created the following web-based tools for certain health professions:

  • Online Resource for Licensure of Health Professionals. As telehealth usage increased during the pandemic, FORHP funded new work with the Association of State and Provincial Psychology Boards to reduce the burden of multi-state licensure. The site provides up-to-date information on emergency regulation and licensing in each state for psychologists, occupational therapists, physical therapists assistants and social workers.

Mobilizing Health Care Workforce via Telehealth. ProviderBridge.org was created by the Federation of State Medical Boards through the CARES Act and the FORHP-supported Licensure Portability Grant Program. The site provides up-to-date information on emergency regulation and licensing by state as well as a provider portal to connect volunteer health care professionals to state agencies and health care entities.

COVID-19 Can Destroy Placenta and Lead to Stillbirths

New research bolsters evidence from small case reports and confirms that placenta damage rather than an infection of the fetus is the likely cause of many COVID-19-related stillbirths. Researchers in 12 countries, including the U.S., analyzed placental and autopsy tissue from stillbirths and newborns who died shortly after birth. The cases all involved unvaccinated women who had COVID-19 during their pregnancy. Researchers found that placentas were infected and extensively destroyed. Read more.

Contract Pharmacy Restrictions Implemented

This week, GlaxoSmithKline (GSK) announced that it is implementing contract pharmacy restrictions under 340B. Fortunately, (and despite the somewhat confusing wording in the announcement) all FQHCs and other Federal “grantees” are exempted from these rules. GSK marks the 14th drug maker to implement 340B contract pharmacy restrictions and the 10th to explicitly exempt Federal “grantees” (which includes both FQHC grantees and look-alikes). Notably, GSK has informed hospitals that they can avoid the contract pharmacy restrictions if they provide data about their 340B drugs to the 340BESP website.

Special Enrollment Period

In 2021, the Pennie Board of Directors approved a Low-Income Special Enrollment Period (SEP) for individuals and dependents with household incomes that do not exceed 150% of the Federal Poverty Levels in accordance with the 2022 Notice of Benefit and Payment Parameters. These monthly SEPs are available for both new and current enrollees. New enrollees can enroll in a plan in any metal level now. Soon, Pennie will announce current enrollees can move to a silver-level plan. This SEP is available while subsidies under the American Rescue Plan remain in effect.