Rural Health Information Hub Latest News

Pennsylvanians in Phase 1B Now Eligible for COVID-19 Vaccine: 1B includes those in Congregate Care; Postal Service, Manufacturing and Transit Workers; and Clergy

Starting April 5, 2021, Pennsylvanians in Phase 1B of the state’s vaccination plan are now eligible to schedule a COVID-19 vaccination appointment to become protected against the virus. Phase 1B eligible Pennsylvanians include:

  • People in congregate settings not otherwise specified as long-term care facilities, and persons receiving home and community-based services
  • U.S. Postal Service workers
  • Manufacturing workers
  • Clergy and other essential support for houses of worship
  • Public transit workers
  • Education workers

Teachers and school staff for pre-K through 12 were vaccinated under a special initiative that concluded April 2 and that resulted in more than 112,500 vaccinations. Vaccinations continue for child care workers who are also part of that special initiative. All other education workers, including those in higher education, are now eligible for vaccination as part of 1B.  Last week, Acting Secretary Alison Beam also announced that targeted frontline industries were eligible March 31.

“Our revised vaccination eligibility plan means more Pennsylvanians now have access to the lifesaving COVID-19 vaccine as vaccine supply increases and providers and counties establish easier access to appointments,” Gov. Wolf said.

The remainder of the accelerated plan includes eligibility as follows:

  • April 12 all residents in Phase 1C will be eligible to start scheduling vaccination appointments.
  • April 19, all residents will be eligible to start scheduling vaccination appointments.

Pennsylvania’s vaccination plan can be found here.

Those eligible for an appointment can access the provider map available here. People without internet access can contact the Health Hotline by calling 1-877-PA-HEALTH (1-877-724-3258).

COVID-19 Vaccine Resources: 4/1/21 – Reaching Vulnerable Populations

As COVID-19 vaccines continue rolling out across the country, CMS is taking action to protect the health and safety of our nation’s patients and providers and keeping you updated on the latest COVID-19 resources from HHS, CDC and CMS.

With information coming from many different sources, CMS has up-to-date resources and materials to help you share important and relevant information on the COVID-19 vaccine with the people that you serve. You can find these and more resources on the COVID-19 Partner Resources Page and the HHS COVID Education Campaign page. We look forward to partnering with you to promote vaccine safety and encourage our beneficiaries to get vaccinated when they have the opportunity. For more information, visit the CMS COVID-19 Policies and Guidance page.

COVID-19 VACCINE RESOURCES TO SUPPORT VULNERABLE POPULATIONS

Many groups such as older adults and people with disabilities may have substantial challenges accessing COVID-19 vaccination services and warrant specific considerations to support equitable vaccine access. The CDC has provided guidance, tools and toolkits and other COVID-19 vaccine resources to support vulnerable populations who are a higher risk, to help them make decisions, protect their health, and communicate with their communities.

Toolkit for People with DisabilitiesThe CDC has created a toolkit to help people with disabilities and those who serve or care for them make decisions, protect their health, and communicate with their communities. This toolkit has several resources including:

Vaccinating Homebound Persons With COVID-19 Vaccine – COVID-19 vaccination of homebound persons presents unique challenges to ensure safe and effective vaccination, This webpage provides guidance on management of vaccines and vaccination for persons vaccinated at home or in small group settings.

Toolkit for People Experiencing Homelessness – This webpage provides guidance and tools to help homeless service providers make decisions and protect and communicate with staff and with people who are experiencing homelessness.

COVID-19 vaccines for patients in dialysis clinicsThe federal government is partnering with dialysis organizations, local and state jurisdictions to increase access to COVID-19 vaccines for patients and healthcare personnel in outpatient dialysis clinics. This webpage provides information for dialysis partners and public health jurisdictions to ensure equitable and effective access to COVID-19 vaccines and increase availability of COVID-19 vaccines for patients in dialysis clinics.

Other Communications Resources

April is National Minority Health Month, and this year, the HHS Office of Minority Health (OMH) is focusing on the impacts COVID-19 is having on racial and ethnic minority and American Indian and Alaska Native communities and underscoring the need for these vulnerable communities to get vaccinated as more vaccines become available. The theme for National Minority Health Month is #VaccineReady.

Spread the word by accessing and sharing the resources in the National Minority Health Month Toolkit, which has resources, sample social media messages, and downloadable graphics.

To learn more about National Minority Health Month, visit our website (English | Spanish), sign up to receive email updates on news and activities, and follow us on Twitter, Facebook, and Instagram.

NEW COVID-19 Public Education Campaign – HHS just launched We Can Do This, a national initiative to increase public confidence in and uptake of COVID-19 vaccines while reinforcing basic prevention measures such as mask wearing and social distancing. Campaign resources and toolkits are available to reach diverse communities. More information can be found here.

Communication Resources Updates – The CDC recently updated it’s Communication Resources for COVID-19 Vaccines and the Social Media Toolkit: COVID-19 Vaccinations with the latest and most up-to-date COVID-19 vaccine information.

IN CASE YOU MISSED IT:

NEW Guidance for Providers: COVID-19 Vaccine Administration – No Out-of-Pocket Cost to Patients

NEW Resources for Medicare beneficiaries:

For more information, please contact us at: Partnership@cms.hhs.gov

Appalachian Research Journal Publishes Coronavirus Research Results

The Journal of Appalachian Health has many research articles pertaining to the Coronavirus pandemic. Check them out HERE:

COVID-19 and Opioid Use in Appalachian Kentucky: Challenges and Silver Linings

Authors: Rachel Vickers-Smith, Hannah L.F. Cooper, April M. Young

Rural Appalachia Battling the Intersection of Two Crises: COVID-19 and Substance Use Disorders

Authors: Margaret Miller, Rebekah Rollston, Kate E. Beatty, Michael Meit

Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status

Authors: Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, Kate Leger, Katie Keynton, et al.

A Description of COVID-19 Lifestyle Restrictions Among a Sample of Rural Appalachian Women

Authors: Michele Staton, Martha Tillson, J. Matthew Webster

The Health Wagon Partners with the Virginia Department of Health to Provide COVID-19 Testing in Rural Southwest Virginia

Authors: Tauna Gulley, Teresa Tyson, Ethan Collins, Rachel Helton, Paula Hill-Collins, et al.

Advancing Cancer Prevention Practice Facilitation Work in Rural Primary Care During COVID-19

Authors: Dannell Boatman, Susan Eason, Mary E. Conn, Summer Miller, Stephenie Kennedy-Rea

Poll Finds Rural Residents More Hesitant to Get Vaccinated

Author: Tim Marema

NIOSH: April Is Workplace Violence Awareness Month


Workplace violence is any type of violence or threat of violence against workers. It generally occurs in the workplace but can also happen away from it. Workplace violence can range from threats and verbal abuse to more serious events that lead to physical assaults, homicides, and mass casualty events, such as those that occurred recently at workplaces in Atlanta, Georgia, and Boulder, Colorado. Because April is Workplace Violence Awareness month, we would like to share resources on what we know based on research and also where research gaps still exist.

Workplace violence can occur anywhere and at any time, but certain groups of workers are at increased risk. These groups include those who exchange money with the public; transport passengers, goods, or services; work alone or in small groups late at night or early in the morning; and come into close contact as they treat and provide patient care. Examples include retail workers, nurses, taxi drivers, and others who commonly interact with customers, clients, or patients. However, workplace violence doesn’t have to involve workers and customers or clients. Threats and assaults can also come from other employees, supervisors or managers, a domestic partner, or a current or former spouse.

Read more.

Rural Availability of Sexual Assault Nurse Examiners

For victims of sexual assault, high-quality health care provided by sexual assault nurse examiners (SANEs) is associated with improved health and prosecutorial outcomes. However, very little is known about access to SANEs.

Sheridan Miyamoto, assistant professor and SAFE-T Center principal investigator, and Elizabeth Thiede, nursing doctoral student and 2021 ENRS Student Conference Scholarship Award winner, wanted to learn more about whether rural areas in particular may have disparate access to SANEs.

“If rural areas have limited SANE availability, then rural victims of sexual assault may be at risk of receiving lower-quality care, which has implications not only for their health but also for prosecutorial outcomes,” stated Thiede.

The research recently was published in The Journal of Rural Health.

To examine rural access to SANEs, Thiede and Miyamoto analyzed data from the International Association of Forensic Nurses (IAFN) as well as data collected from 43 rural Pennsylvania hospitals.

The IAFN data showed that certified SANEs — those who have met rigorous qualifications and passed a certification exam — were only present in 16.7% of rural counties. The data collected from individual hospitals confirmed that very few have certified SANEs on staff and, instead, most rely on registered nurses with varying levels of additional training in sexual assault care.

Thiede and Miyamoto also found that most of these hospitals are not able to provide continuous sexual assault care coverage. This may lead them to encourage victims to seek care elsewhere or to rely on health care providers without additional training and experience in sexual assault care when victims present to emergency rooms.

Miyamoto and Thiede suspect that the absence of certified SANEs in the majority of rural Pennsylvania counties could be indicative of barriers to meeting certification requirements for rural SANEs. The two suggested one likely barrier to certification is the difficulty obtaining the supervised practice hours required for certification eligibility.

“Rural communities face challenges in recruiting, training, and retaining SANE nurses. Creative solutions are needed to increase access to quality sexual assault care.” Miyamoto stated. “The intent of the Penn State Sexual Assault Forensic Examination Telehealth (SAFE-T) program is to pair less experienced nurses working in rural areas with expert SANEs to receive examination support, precepting, and peer review via telehealth technology. Programs like this show great promise in growing and sustaining a rural SANE workforce.”

To continue ensuring that rural sexual assault victims receive expert quality sexual assault care, further research is needed to better understand how hospitals make decisions related to how they will provide sexual assault care and how ecological factors, such as hospital resources, the population size of the surrounding community, organizational culture, and state-level oversight may influence this decision-making.

More information about the SAFE-T Center and their work can be found on the website.

COMING SOON: Emergency Broadband Benefit Program

Health care centers, grantees and partners have an exciting opportunity to help spread the word about an upcoming program.  Eligible patients and households may apply for the Federal Communications Commission (FCC) Emergency Broadband Benefit (EBB) program when it opens in late April.

Background

The Federal Communications Commission’s (FCC) Emergency Broadband Benefit (EBB) program lowers the cost of high-speed internet service to ensure people have the connectivity they need during the ongoing COVID-19 public health emergency.  By the end of April, $3.2 billion in funding will be available to provide qualifying households discounts on their internet service bills and an opportunity to receive a discount on a computer or tablet.  The EBB program is similar to the Lifeline program with expanded eligibility, vendors, and subsidies.  This benefit is available directly to consumers on a first come, first serve basis.

Eligible patients and households may submit applications beginning around late April.  Health centers and organizations are encouraged to begin preparing to increase awareness and help patients apply (e.g., outreach, internet access, and supporting applications completion).  Organizations are encouraged to develop a plan now to support patients as funds are expected to go quickly.

How You Can Help

  • Share information about the EBB program with patients.
  • Provide access to the internet and basic technical support at your organization so patients can complete the application.

The Telehealth Resource Centers are available to assist with questions.  For more information, including recorded technical assistance webinars, please visit the FCC-supported technical assistance provider Universal Service Administrative Company and visit the resources below.

Resources for the EBB Program:

 

USDA Seeks Applications to Support Technical Assistance and Improve RuralTransportation Systems

U.S. Department of Agriculture (USDA) Deputy Under Secretary for Rural Development Justin Maxson announced that USDA is accepting applications for grants to improve rural transportation systems.

USDA is making the grants available under the Rural Business Development Grant program. Eligible applicants are organizations seeking to provide rural communities with training and technical assistance to improve transportation services and facilities. USDA does not provide funding directly to individuals under this program.

Applications will be scored, reviewed, and selected on a competitive basis. Applications must be submitted to the applicant’s nearest USDA office by June 30, 2021, at 4:30 p.m. local time. Additional information is available on page 17112 of the April1, 2021, Federal Register.

In Pennsylvania, please contact the Business and Cooperatives Program Director David Foster at 717-237-2181 or David.Foster@usda.gov with any questions about the program or application process.

Applicants are encouraged to consider projects that provide measurable results in helping rural communities build robust and sustainable economies through strategic investments in infrastructure, partnerships, and innovation.

USDA Seeks Public Input to Help Create a New Rural Renewable Energy Pilot Program

Agency to Host Public Listening Session on April 22

The U.S. Department of Agriculture (USDA) announced it is requesting public input from interested parties, including potential customers and interested stakeholders, to help create a new Rural Renewable Energy Pilot Program. To ensure a diverse group of voices are heard, USDA is seeking written comments and will host a public listening session on April 22, 2021.

“When we invest in creating new sources of renewable energy, we invest in rebuilding the middle class by creating good-paying jobs in rural America,” USDA Deputy Under Secretary for Rural Development Justin Maxson said. “To meet this goal, we must put rural communities at the heart of climate action and climate-smart solutions, and that begins with getting feedback from a broad, diverse set of voices from the start.”

The Consolidated Appropriations Act, 2021 (PL116-260) provided $10 million to USDA to develop a pilot program that provides financial assistance to rural communities to further develop renewable energy. This request for information and the stakeholder listening session seek input to help develop options for the Rural Renewable Energy Pilot Program. The new program will aim to support the Nation’s critical energy needs, and combat climate change while advancing environmental justice, racial equity, and economic opportunity through the use of distributed energy technologies, innovations, and/or solutions.

The stakeholder listening session will be held virtually on Thursday, April 22, 2021, 2 p.m. – 4:30 p.m. EDT. Anyone can RSVP to participate online.

Public comment is requested on the following topics:

  • Program purposes, goals, metrics, and standards;
  • Eligible applicants, participants, partners including but not limited to communities, residencies, industry, and commercial entities;
  • Eligible technologies including but not limited to generation, storage, controller, and grid;
  • Potential impact of the pilot program and renewable energy systems more broadly on each of the following: environmental justice, racial equity, and economic opportunity; and
  • Options to measure and maximize the benefits of renewable energy systems for environmental justice, racial equity, and economic opportunity in rural areas.

Written comments are encouraged and must be submitted online by April 29, 2021, via the Federal eRulemaking Portal. To submit a comment, visit http://www.regulations.gov and search for the Docket ID RBS–21–Business–0010. Follow the online instructions for submitting comments. All comments received will be posted without change and will be publicly available on regulations.gov.

For additional information on the request for information and listening session, see page 16575 of the March 30, 2021, Federal Register.

Under the Biden-Harris Administration, Rural Development provides loans and grants to help expand economic opportunities, create jobs and improve the quality of life for millions of Americans in rural areas. This assistance supports infrastructure improvements; business development; housing; community facilities such as schools, public safety and health care; and high-speed internet access in rural, Tribal and high-poverty areas. For more information, visit www.rd.usda.gov. If you’d like to subscribe to USDA Rural Development updates, visit our GovDelivery subscriber page.

USDA touches the lives of all Americans each day in so many positive ways. In the Biden-Harris Administration, USDA is transforming America’s food system with a greater focus on more resilient local and regional food production, ensuring access to healthy and nutritious food in all communities, building new markets and streams of income for farmers and producers using climate, smart food and forestry practices, making historic investments in infrastructure and clean energy capabilities in rural America, and committing to equity across the Department by removing systemic barriers and building a workforce more representative of America. To learn more, visit www.usda.gov.

HHS Announces Reduced Costs and Expanded Access Available for Marketplace Health Coverage Under the American Rescue Plan

U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra announced that additional savings and lower health care costs are available for consumers on HealthCare.gov. The American Rescue Plan (ARP) has increased tax credits available to consumers, helping to reduce premiums and giving consumers access to affordable health care coverage. The Department also announced an additional $50 million in advertising to bolster the Special Enrollment Period outreach campaign. The campaign will run through August 15, 2021.

“We’re delivering lower health care costs to more Americans because everyone deserves access to quality, affordable health care. Today help is here and millions of Americans can start saving money on their health insurance premiums thanks to the American Rescue Plan,” said HHS Secretary Xavier Becerra. “The Biden Administration is committed to bringing down health care costs for families. Consumers can save money by visiting HealthCare.gov and choosing a plan that works for them and their budget. HHS will be reaching out to encourage Americans to use the Special Enrollment Period to sign up for quality, affordable coverage through HealthCare.gov.”

To read the HHS press release (English), visit: https://www.hhs.gov/about/news/2021/04/01/hhs-secretary-becerra-announces-reduced-costs-and-expanded-access-available-marketplace-health-coverage-under-american-rescue-plan.html

To read the HHS press release (Spanish), visit: https://www.hhs.gov/about/news/2021/04/01/secretario-de-salud-y-servicios-humanos-xavier-becerra-anuncia-reduccion-de-costos-y-expansion-de-acceso-a-cobertura-de-salud-en-el-mercado-de-salud-bajo-american-rescue-plan.html

To read the ASPE brief, visit: https://aspe.hhs.gov/pdf-report/access-to-low-premiums-issue-brief-part-II