Rural Health Information Hub Latest News

CDFIs ‘Make Dreams Come True’ by Creating Opportunity in Rural Spaces

Community Development Financial Institutions (CDFIs) can offer flexible financing options, but many operate at full capacity and there is a general lack of awareness of these institutions in rural spaces. Foundation and CDFI leaders share their perspectives about the difference CDFIs can make on rural health outcomes.

Read more: https://www.ruralhealthinfo.org/rural-monitor/cdfis/?utm_source=racupdate&utm_medium=email&utm_campaign=update120419

Health Affairs: The Decline In Rural Medical Students: A Growing Gap In Geographic Diversity Threatens The Rural Physician Workforce

Growing up in a rural setting is a strong predictor of future rural practice for physicians. This study reports on the fifteen-year decline in the number of rural medical students, culminating in rural students’ representing less than 5 percent of all incoming medical students in 2017. Furthermore, students from underrepresented racial/ethnic minority groups in medicine (URM) with rural backgrounds made up less than 0.5 percent of new medical students in 2017. Both URM and non-URM students with rural backgrounds are substantially and increasingly underrepresented in medical school. (Shipman, 12/1)

Read the full report here: https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.00924?utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_medium=email&_hsenc=p2ANqtz–6OoIys801LiNYEvvyuEeilY22hC4QIy0NYTp3iDoaFBjjglDJbKkB0qJHwOI5jHERYPU1fjtDPsqa1hOYBwuhY4mOdQ&_hsmi=80360894&utm_content=80360894&utm_source=hs_email

Health Affairs: Rural Counties With Majority Black Or Indigenous Populations Suffer The Highest Rates Of Premature Death In The US

Despite well-documented health disparities by rurality and race/ethnicity, research investigating racial/ethnic health differences among US rural residents is limited. We used county-level data to measure and compare premature death rates in rural counties by each county’s majority racial/ethnic group. Premature death rates were significantly higher in rural counties with a majority of non-Hispanic black or American Indian/Alaska Native (AI/AN) residents than in rural counties with a majority of non-Hispanic white residents. (Henning-Smith et al, 12/1)

Read the full report here: https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.00847?utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_medium=email&_hsenc=p2ANqtz–6OoIys801LiNYEvvyuEeilY22hC4QIy0NYTp3iDoaFBjjglDJbKkB0qJHwOI5jHERYPU1fjtDPsqa1hOYBwuhY4mOdQ&_hsmi=80360894&utm_content=80360894&utm_source=hs_email

Wolf Administration on SNAP Rule Change: Invest in Removing Barriers, Don’t Make Life More Difficult for Vulnerable Pennsylvanians

Harrisburg, PA – On December 4, 2019, the Pennsylvania Governor Wolf Administration today responded to the final rule released by the United States Department of Agriculture that limits states’ ability to waive work requirements based on local unemployment rates.

Continue reading “Wolf Administration on SNAP Rule Change: Invest in Removing Barriers, Don’t Make Life More Difficult for Vulnerable Pennsylvanians”

Telemedicine in Sexual and Reproductive Health

Overview of telemedicine use in sexual and reproductive healthcare by patients, and by providers in metropolitan and non-metropolitan areas. Reviews the potential of telemedicine to increase access particularly in rural areas, identifies the range of reproductive health services facilitated by telemedicine, and covers Medicaid reimbursement, insurance coverage, and investment costs.

Read the report here: http://files.kff.org/attachment/Issue-Brief-Telemedicine-in-Sexual-and-Reproductive-Health

Telehealth: An Opportunity for State and Territorial Health Agencies to Improve Access to Needed Health Services

Reports results from a 2019 telehealth capacity survey of state and territorial health agencies. Identifies strategies these agencies can take to advance state use of telehealth related to infrastructure, collaboration, and policy.

Read the report here: https://journals.lww.com/jphmp/Fulltext/2020/01000/Telehealth__An_Opportunity_for_State_and.16.aspx

Strategic Options for the Modernization of the Indian Health Service Health Information Technology: Final Report

Identifies recommended approaches and next steps for modernizing the Indian Health Service use of health information technology (HIT). Addresses the needs of both patients and the health workforce that will use the system, as well as governance and a variety of technological issues. Lists constraints to HIT modernization along with proposed mitigations for those constraints.
Additional links: Roadmap: Executive Summary

Read the report here: https://www.hhs.gov/sites/default/files/ihs-hit-final-report-C-102019.pdf

Rural-Urban Disparities in Health Care in Medicare

Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2018, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions and medication-related issues.

Read the report here: https://www.cms.gov/files/document/rural-urban-disparities-health-care-medicare-national-report

New Suicide Prevention National Patient Safety Goals (NPSG) for Critical Access Hospitals

Identifies new National Patient Safety Goals for the Joint Commission’s Critical Access Hospital Accreditation Program for hospital and behavioral healthcare programs. Covers minimizing the risk of suicide within the hospital environment, screening of patients for suicidal ideation, developing written policies and procedures addressing the care of at risk patients, and monitoring the implementation and effectiveness of policies. These standards are effective July 1, 2020.

Read the report here: https://www.jointcommission.org/assets/1/6/1015_Prepublication_Report_CAH_NPSG.pdf