Rural Health Information Hub Latest News

Lawmakers Seek to Change how Governors Implement Disaster Declarations

Lawmakers in the PA House of Representatives sent a slate of proposed constitutional amendments to the Senate that could significantly change how governors implement disaster declarations – the latest chapter in a battle between Republican legislators and Gov. Tom Wolf over the Democratic governor’s handling of the COVID-19 pandemic. Proponents of a bill said Tuesday that the constitutional amendments would help curtail the excessive use of executive powers by a governor.

Hazard Pay Funds Available from the Commonwealth: Apply by July 31

The state Department of Community and Economic Development is making $50 million available through the COVID-19 PA Hazard Pay Grant to help reimburse front-line workers in health care and several other industries. Community Health Centers   have until July 31, 2020, to apply. According to a press release from DCED, “grant funds may be used for hazard pay for direct, full-time and part-time employees earning less than $20/hour, excluding fringe benefits and overtime for the 10-week period from Aug. 16 to Oct. 24, 2020. Applicants may apply for up to $1,200 per eligible full-time equivalent (FTE) employee.” This does not include teleworking employees. Front-line employees are all employees deemed necessary by the employer to report to work during the COVID-19 pandemic for life-sustaining eligible industries. This is in addition to federal CARES Act funding (H8D and H8E). However, you must make sure your accounting accurately reflects base pay charged to Federal grants and hazard pay charged to the COVID-19 PA Hazard Pay Grant.  Download the nine-page program guidance PDF. 

As Residents Get Better at Treating COVID-19, they May Become Worse at their Own Specialties

This article presents concerns that, as COVID-19 continues to be an issue, residents will not be able to meet residency requirements. This follows the mid-March decision by the Accredited Council for Graduate Medical Education to allow hospitals to send residents to other specialties and suspend educational requirements. Thus, residents have been working as COVID-19 doctor’s, rather than practicing for their chosen specialties, which for residents that have chosen specialties like general surgery, acting like COVID-19 doctors has made it difficult to meet educational requirements. Many residents were sent to Emergency Departments and Intensive Care Units to act as medical interns, effectively stopping their specialties. Residents not changed to different specialties also experienced a shift in their education. Further, according to the Association of American Medical Colleges (AAMC), many medical students failed to match to residency programs.

Telehealth Can Improve Cancer Care in Rural Areas

There are higher cancer related death rates in rural America due to poorer access to proper care, despite lower cancer-incidence rates. The article states that researchers have found that the telehealth infrastructure implemented in California mountain communities “enhanced the reach and quality of care as measured by volume, in-migration, clinical trial activity, and national quality accreditations.” Telehealth has become increasingly more important, especially during the COVID-19 pandemic. In June, the Federal Communications Commission announced that it would supply funding to rural health providers to establish necessary broadband connectivity for telehealth and virtual care services. However, in May, rural hospitals stated that necessary payments models must also be put in place help them control costs and weather the pandemic.

Fatal Overdoses Climbed to Record High in 2019, Reversing Historic Progress

Drug overdose related deaths were at a record high in 2019, despite the Trump Administration using resources to combat the opioid crisis. This led to a 4.6% drop in 2018, but experts state progress was short-lived. This likely relates to the dramatic rise in synthetic opioid drug use and addiction experts note. Further, the 2019 data does not include racial and ethnic minorities, but the 2018 data notes an increase, particularly among black Americans. The situation is expected to get worse in 2020 because COVID-19 has exacerbated the situation after closing outpatient centers due to lockdowns in response to the virus. However, the Trump Administration has loosened restrictions on telehealth services, improving access issues that existed before the pandemic.

Boosting Oral Health Care in Rural Communities

Both societal and geographical barriers make it difficult for rural communities to access oral care. Additionally, rural communities are more likely to experience poverty and regions with higher rates of poverty have significantly fewer dentists per 100,000 people. Due to this shortage, State and Federal legislators are working to improve access to oral health care for rural communities. Boosting the health care workforce, expanding teledentistry, and improving access to insurance are common approaches states are taking to increase oral health services. Teledentistry, which consists of a range of services from video consultations to patient monitoring, would be efficient in screening patients for diseases and connecting them with appropriate care from their homes. Federally, the Health Resources and Services Administration (HRSA) is working with states to attract providers to underserved rural areas, expand facilities, and establish teledentistry programs. Together, state and federal government officials are working to bring a greater oral care presence to underserved rural areas.

CDC Pregnancy Risk Assessment Monitoring System

The Centers for Disease Control and Prevention (CDC) will make 57 awards of up to $175,000 each to support collection of population-based data on maternal and child health indicators that can be used to inform programs, research, and systems changes that influence maternal and infant health. Eligible applicants include state, local, and tribal governments, community-based organizations, and institutions of higher education. Extended to August 11th.

Committee Analysis Examines Longstanding Racial and Economic Disparities that Expose Inequities in the U.S. Health System

The House Ways and Means Committee released a report that analyzed health care inequity among different U.S. residents. It found that although 97% of America is rural, only a small percentage of Americans live in these areas. This creates challenges in sustaining the health care workforce and capacity for service delivery in rural communities. Some of these issues include an aging infrastructure, economic disinvestment, workforce shortages, and environmental challenges to higher burdens of chronic conditions. The report also highlighted the disparities among minority groups in statistics such as infant mortality, life expectancy, language diversity, and access to mental health care.