- How the State, Tribes and Federal Government Are Working to Curb SD's Syphilis Epidemic
- Rural Children Struggle to Access Hospital Services, Say Researchers
- USDA Rural Development Seeks Input to Improve Access to Grants and Help More Communities Thrive
- Outlining the Intersection between Health Care and Missing and Murdered Indigenous People
- Biden-Harris Administration Announces Critical More Than $1.5 Billion State and Tribal Opioid Response Funding Opportunities
- 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
The Internet For All Map Has Been Released
The interactive map shows 56 states and territories that have received grants from the federal Broadband Equity, Access, and Deployment Program. More than $42 billion has been committed to infrastructure planning and deployment nationwide. Click each state or territory on the map to learn the details of current internet availability, amount of funding, and contact information for the state/territory Broadband Office.
read About a New Approach to Integrating Behavioral Health in Rural Primary Care Practices
This resource highlights the role of a behavioral health care manager (BHCM) to screen and monitor patients, coordinate care with other healthcare providers, track treatment response, and recommend patient medications. The University of Rochester is one of three Centers of Excellence for the federal Rural Communities Opioid Response Program (RCORP).
Watch the Orientation to Rural Emergency Hospital Conversion and Technical Assistance Presentation
Here, you’ll find a recording and presentation slides from the January 18 webinar that gives an overview of the new Rural Emergency Hospital designation, policy and regulatory requirements, and an introduction to technical assistance provided by the Rural Health Redesign Center.
Rural Provider Participation Has Started in Accountable Care Relationships
The Centers for Medicare & Medicaid Services (CMS) released information on three Medicare accountable care initiatives in which groups of providers collaborate to improve care. For 2023, the Medicare Shared Savings Program will have 456 accountable care organizations (ACOs), including 2,240 Rural Health Clinics (RHCs) and 467 Critical Access Hospitals (CAHs). The ACO Realizing Equity, Access, and Community Health (ACO REACH) model will have 132 ACOs with 78 RHCs and 15 CAHs. The Kidney Care Choices Model will have 130 entities with more than 8,000 providers participating, including newly expanded areas in North Dakota and South Dakota.
A Rural Hospitals Make Gains in Interoperability
According to a new report, interoperability – the ability of healthcare providers to exchange electronic health information – continues to improve among hospitals. As of 2021, 88 percent of hospitals engaged in sending and obtaining patient health information electronically. The rate of availability of outside information at the point of care grew over 20 percent in 2021 reaching 62 percent nationwide. For rural and small hospitals the rate grew by more than 26 percent, reaching a rate of 48 percent. Additionally, usage of information received electronically from outside sources by rural and small hospitals increased at twice the rate of hospitals nationally (over 40% vs. over 20%) between 2017 and 2021. The report concludes these less-resourced hospitals are still not on par with their counterparts, indicating the need to continue addressing challenges with having full access to electronic information from external sources.
OMB Proposes Updates to Race and Ethnicity Standards
Last week, the Office of Management and Budget (OMB) published a notice and request for comments on their effort to improve the quality and usefulness of Federal race and ethnicity data. The topics for evaluation include 1) whether the guidelines for collecting and reporting race and ethnicity data can be improved, 2) how to best address detailed race and ethnicity groups; and 3) the wording of questions and instructions for respondents. The working group is also seeking participants for their virtual, bi-monthly listening sessions to hear directly from members of the public. According to one study analyzing the latest Census data, the rural population declined between 2010 and 2020 to just 14 percent of the U.S. total. At the same time, racial and ethnic diversity in rural areas increased overall, with Hispanics representing 9 percent of the rural population, followed by non-Hispanic Black people, representing 7.7 percent. Nearly one-third of all rural children (32.5 percent) come from racial or ethnic minority populations, compared to 28.1 percent in 2010. Comments are due by April 12, 2023.
Changes Were Made in Service Offerings Post-System Affiliation in Rural Hospitals
Among the findings in this policy brief from the RUPRI Center for Rural Health Analysis: gains in services occurred more frequently in hospitals that left healthcare systems, while the majority of service losses occurred in hospitals that joined systems.
The Community Socio-Demographics and Rural Hospital Survival Analysis Has Been Released
Among the key findings in this study from the Center for Economic Analysis of Rural Health: among rural hospitals at risk of financial distress, closures disproportionately took place in communities with specific sociodemographic characteristics: lower incomes, a lower percentage of college graduates, larger populations, lower percentages of the White population, higher percentages of the Black population, higher child poverty, higher unemployment rates, higher uninsurance rates for those younger than 65, a higher percentage of adults reporting fair or poor health, higher obesity levels, and higher rates of smoking.
New Guidelines Have Been Released for Pregnant People with HIV
This week, a federal panel of experts issued new guidelines for people with HIV who are pregnant, have recently given birth, or are trying to conceive. Thanks to antiretroviral medications and other viral suppression strategies, parent-to-child transmission of HIV is less than 1 percent in the United States. The updated recommendations include new information about the use of antiretroviral drugs before and during pregnancy, guidance for pregnant people who have not achieved viral suppression, and infant feeding options. The Panel on Antiretroviral Therapy and Medical Management of Children Living with HIV also co-authored sections published in the Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection. Updates to these guidelines are anticipated in April 2023.
Approaching Deadline for Rural HIV and Aging Challenge
The Administration for Community Living will award $500,000 in cash prizes for innovative and effective pilot solutions that address the needs of people in rural communities who are aging with HIV. Some potential solutions may be: enhancing the capacity of community-based organizations; increasing engagement/reducing isolation for long-term survivors; or addressing social determinants of health such as transportation or access to physical activities. Up to 10 winners may be selected to each receive a prize of up to $15,000. Because these are prize competitions, there are no reporting requirements, deliverables, or other restrictions associated with federal grants. The participants selected to receive a prize for Phase 1, Design of Concept, may compete for Phase 2, Development of Solution. The date was extended to February 14, 2023.