- Fact Sheet: The Biden-Harris Administration Highlights Investments in Rural America, Invites Public Nominations for Rural Innovators Initiative
- Rural Victims of Intimate-Partner Violence Need More Resources and Support, Study Finds
- A Tribe in Maine Is Using Opioid Settlement Funds on a Sweat Lodge to Treat Addiction
- Fact Sheet: USDA, HHS Announce New Actions to Reduce Impact and Spread of H5N1
- Call for Experts: Forum on Aging, Disability, and Independence
- Bill to Expand Definition of 'Village' Qualifying for Water Funds Passes Alaska House
- Child Care Workers Caught in Middle of Michigan's Broken Child Care System
- Few Options Available for Substance Abuse Treatment in the Big Bend
- In Rural Texas, ERs Are Facing a Growing Mental Health Crisis
- Ways and Means Members Put Forth Solutions to Strengthen Telehealth Access and Improve Health Care for Rural Communities
- Sage Memorial Hospital in Navajo Nation Constructs New Facility to Improve Health Care
- How the State, Tribes and Federal Government Are Working to Curb SD's Syphilis Epidemic
- Rural Children Struggle to Access Hospital Services, Say Researchers
- RPHARM Program Fulfills Need for Rural Pharmacists
- A Pilot Program in Rural Vermont Hopes to Build a Blueprint for Substance Abuse Recovery
Rural Health Resources Roundup: Rural Healthcare Surge Readiness Web Portal
In September’s session of the Rural Health Resources Roundup Series, CAPT Renee Joskow talks about the Rural Healthcare Surge Readiness Web Portal. The portal provides key and essential resources, tools, and training to prepare for and respond to COVID-19 in rural communities. It was developed by the Federal Healthcare Resilience Working Group and the Rural Surge Readiness Team.
Listen to the Rural Healthcare Surge Readiness Web Portal session.
Medical Errors Increase by Nearly 20% Around Daylight Saving, Study Finds
From Becker’s Hospital Review
In the days following the switch to daylight saving time, human mistakes tied to patient safety-related incidents increased by almost 20 percent, according to a study in the Journal of General Internal Medicine.
Researchers analyzed voluntarily reported data from Rochester, Minn.-based Mayo Clinic that occurred seven days before and after the spring and fall time changes for 2010-17. Patient safety-related incidents included defective systems, equipment failure or human error.
Researchers didn’t report significant differences in overall errors in the weeks before and after the time changes. However, when analyzing human error only, they found the number of human errors increased by a statistically significant 18.7 percent after daylight saving in the spring. Most of the errors involved medications, such as administering the wrong dose or wrong drug.
CMS Announces Innovative Payment Model to Improve Care, Lower Costs for Cancer Patients
Radiation Oncology Model will modernize Medicare payments for radiotherapy services
On September 18, CMS finalized a new Innovation Center model expected to improve the quality of care for cancer patients receiving radiotherapy and reduce Medicare expenditures through bundled payments that allow providers to focus on delivering high-quality treatments. The new Radiation Oncology (RO) Model allows this focus on value-based care by creating simpler, more predictable payments that incentivize cost-efficient and clinically effective treatments to improve quality and outcomes. The RO Model, part of a final rule on specialty care models issued by CMS, will begin on January 1, 2021 and is estimated to save Medicare $230 million over 5 years.
“President Trump knows that, for cancer patients, what matters is their quality of life and beating their cancer. But today, Medicare payment for radiotherapy is based on the number of treatments a patient receives and where they receive it, which can lead to spending more time traveling for treatment with little clinical value,” said CMS Administrator Seema Verma. “That’s why the Trump administration has developed a new innovative model that allows patients and providers to focus on better outcomes for patients.”
For More information:
These Models are a part of a CMS final rule on Medicare Program; Specialty Care Models To Improve Quality of Care and Reduce Expenditures (CMS-5527-F).
CMS Announces Transformative New Model of Care for Medicare Beneficiaries with Chronic Kidney Disease
Model focuses on reducing costs and improving quality of care for patients
On September 18, CMS announced it has finalized the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model, to improve or maintain the quality of care and reduce Medicare expenditures for patients with chronic kidney disease. The ETC Model delivers on President Trump’s Advancing Kidney Health Executive Order and encourages an increased use of home dialysis and kidney transplants to help improve the quality of life of Medicare beneficiaries with ESRD. The ETC Model will impact approximately 30 percent of kidney care providers and will be implemented on January 1, 2021 at an estimated savings of $23 million over five and a half years.
“Over the past year, the Trump Administration has taken more action to advance American kidney health than we’ve seen in decades,” said HHS Secretary Alex Azar. “This new payment model helps address a broken set of incentives that have prevented far too many Americans from benefiting from enjoying the better lives that could come with more convenient dialysis options or the possibility of a transplant.”
For More Information:
CMS Announces New Guidance for Safe Visitation in Nursing Homes During COVID-19 Public Health Emergency
On September 17, CMS issued revised guidance providing detailed recommendations on ways nursing homes can safely facilitate visitation during the coronavirus disease 2019 (COVID-19) pandemic. After several months of visitor restrictions designed to slow the spread of COVID-19, CMS recognizes that physical separation from family and other loved ones has taken a significant toll on nursing home residents. In light of this, and in combination with increasingly available data to guide policy development, CMS is issuing revised guidance to help nursing homes facilitate visitation in both indoor and outdoor settings and in compassionate care situations. The guidance also outlines certain core principles and best practices to reduce the risk of COVID-19 transmission to adhere to during visitations.
See the full text of this excerpted CMS Press Release (issued September 17).
HHS Invests Nearly $115 Million to Combat the Opioid Crisis in Rural Communities
The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA) awarded approximately $25 million to 80 award recipients across 36 states and two territories as part of the Rural Communities Opioid Response Program (RCORP). RCORP is a multi-year HRSA initiative to reduce morbidity and mortality of substance use disorder (SUD) and opioid use disorder (OUD) in high-risk rural communities. Today’s announcement builds upon HRSA’s RCORP awards made this August, reflecting a total fiscal year 2020 investment of nearly $115 million.
“The Trump Administration continues to provide historic levels of support for Americans with substance use disorders, especially those in rural areas, because the COVID-19 pandemic hasn’t put a pause on our country’s opioid crisis,” said HHS Secretary Alex Azar. “These grants are part of the Rural Action Plan that HHS launched in response to President Trump’s Executive Order on rural health, which lays out a path forward to transform and improve rural healthcare in tangible ways.”
HRSA’s Federal Office of Rural Health Policy (FORHP) awarded nearly $15 million to 30 award recipients through the Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome (RCORP-NAS). Each recipient will receive up to $500,000 over three-years to reduce the incidence and impact of neonatal abstinence syndrome in rural communities by improving systems of care, family supports, and social determinants of health.
In addition, through the Rural Communities Opioid Response Program-Planning (RCORP-Planning), $10 million is being awarded to 50 award recipients to strengthen and expand the capacity of rural communities to provide SUD/OUD prevention, treatment, and recovery services to high-risk populations. Award recipients will use the funds to build partnerships and develop comprehensive plans to address SUD/OUD workforce and service delivery challenges in their communities.
“We are excited to celebrate these awards during National Recovery Month,” said HRSA Administrator Tom Engels. “RCORP-Planning will continue to help rural communities build the coalitions needed to fight opioid use disorder, and RCORP-NAS will provide needed funding to rural residents grappling with the opioid epidemic to help many people reach recovery.”
Through the RCORP initiative, the funding will help rural communities address barriers to care and additional strains that COVID-19 has placed on both rural individuals with SUD and on rural organizations providing prevention, treatment, and recovery services.
For a list of today’s award recipients, visit HRSA’s RCORP-Planning and RCORP-NAS pages.
To learn about HRSA-supported resources, visit HRSA’s Opioid Crisis page.
For more information about the national opioid crisis, visit: https://www.hhs.gov/opioids/.
Coronavirus (COVID-19) Relief for Medicare Direct Bill Beneficiaries
Medicare provided extra time for people to pay their Medicare premiums because of the Coronavirus Disease 2019 (COVID-19) public health emergency. This extra time ends on September 30, 2020. Letters were sent to impacted people with Medicare last month. Please see the attached sample letter. This message is a reminder that the deadline to pay any owed Medicare premiums is approaching at the end of this month.
People with Medicare who owe past due Medicare premiums must pay the full amount owed before September 30, 2020, to keep their Medicare coverage. If there are people with Medicare who are unable to pay their past-due premiums in full by the end of September, they should contact their local Social Security Office as soon as possible to see if they are eligible for a payment plan with the Social Security Administration.
In Pennsylvania, KinConnector Website Connects Kinship Families to Resources
The Pennsylvania Department of Human Services has launched www.kinconnector.org, a resource designed to help kinship care families connect to services and supports that can help children and their caregivers.
Grandparents raising grandchildren are among the most common type of kinship caregiver, but kinship care families also can include an aunt or uncle, adult sibling, or a non-relative caregiver such as a close family friend raising a child when their parents cannot care for them. Kinship care arrangements help maintain family bonds and reduce trauma experienced when children cannot be cared for by their own parents.
Kinship caregivers make a selfless choice to care for young loved ones so they receive care and support from a family member they know and trust. As children navigate their own emotions around their family situation, this connection and familiarity can be a grounding force necessary to help children process and heal. While this can be an easy choice for kinship caregivers, navigating this new family situation can have its challenges for both the caregiver and children. KinConnector is here to be a resource and support to ease this process for the entire kinship family.
KinConnector was established through Act 89 of 2018 and is part of a kinship navigator program for Pennsylvania. After a competitive procurement process, The Bair Foundation was selected to administer the kinship navigator program coordinator and will work with kinship care families around Pennsylvania to help them access resources and supports and connect with families in similar situations around the commonwealth.
Kinship caregivers can visit the KinConnector website to find resources in their communities, learn about trainings and services available for kinship families, and find support groups and networks of other kinship care families and family care professionals.
KinConnector also runs a helpline that can be reached by calling 1-866-KIN-2111 (1-866-546-2111) The KinConnector helpline is staffed by knowledgeable, compassionate social service professionals prepared to help kinship care families understand and access resources that may be able to help them. The helpline is available from 9 a.m. to 10 p.m. Monday through Thursday and 9 a.m. to 5 p.m. Friday. The KinConnector helpline can support callers needing assisting in English and Spanish.
More information and resources are available on kinconnector.org. To speak with a trained KinConnector professional, call 1-866-KIN-2111.
Pennsylvania Governor’s Administration Warns of Heightened Fall Wildfire Dangers
With hunting and other outdoors activities increasing at a time when woodlands and brush can become tinder dry in just a few days, the Wolf Administration is urging all residents to guard against increased wildfire dangers in Pennsylvania’s 17 million acres of forestlands.
State officials noted a sustained dry period over much of the state comes at a time when wildfire dangers normally are high, and critical conditions can develop almost overnight in many forested areas of Pennsylvania.
“With rainfall varying greatly across the commonwealth, a dry windy span of just a few days quickly can make wildfires a very real threat,” said Department of Conservation and Natural Resources (DCNR) Secretary Cindy Adams Dunn. “Amid the pandemic we know so many are seeking outdoors pursuits. Hunting soon will be popular and fall foliage is a joy to behold, but when the leaves begin dropping and drying, they become added fuel for woodland fires.”
“Amid these conditions, it takes only a careless moment to ignite a devastating wildfires. We know debris burning is leading cause of wildfires throughout the state and more than 95 percent of Pennsylvania wildfires are caused by people,” Dunn said.
“While most Pennsylvanians are used to wildfires being confined to relatively far off places, these catastrophic events pose an escalating risk to communities throughout the commonwealth,” said State Fire Commissioner Bruce Trego. “Increasingly, our state is being affected by weather patterns that turn fields and forests into accidents waiting to happen.”
The wildfire warning comes amid sparse rainfall and drying conditions, and as drought advisories are widening in Pennsylvania.
DCNR is responsible for administering a grant program paid through federal grants from the U.S. Department of Agriculture Forest Service. This program has awarded more than $14.5 million since it began in 1982. In 2019, more than $617,800 was awarded to 133 volunteer fire companies. Both Dunn and Trego encourage eligible departments to learn more about this important program for future grant opportunities.
With several deer and small-game hunting seasons opening in the coming weeks, both Dunn and Trego urged hunters and other woodlands visitors to be especially careful with smoking and fires amid dry vegetation.
Dunn noted the need to guard against wildfires increases each year as more development encroaches on heavily wooded tracts. Homeowners always should be diligent when burning trash and debris, she said.
Property owners should always consider the weather and conditions when burning outdoors. If it’s windy or dry, burning should be postponed until conditions change. A hose, rake, and shovel should be handy when burning outdoors, and any burnable materials cleared within 10 feet of a fire.
The Bureau of Forestry is working through state agencies and local fire companies to educate Pennsylvania citizens on procedures to make their homes in forest environments safer from wildfires. Information can be obtained from the Bureau of Forestry, county Emergency Management Office, or the Office of the State Fire Commissioner.
Details on wildfire prevention can be obtained at local forest districts and the Bureau of Forestry also maintains information on county burn bans in effect.
Child Oral Health Resource Center Releases New Resources
The National Maternal and Child Oral Health Resource Center (OHRC) released three new resources focusing on the Title V national performance measure on oral health. The first resource, “Title V National Performance Measure 13 (Oral Health): Strategies for Success (2nd ed.),” provides information to help state maternal and child health programs in their implementation of the Title V NPM 13 and oral-health-related state performance measures. The other two resources are infographics that provide information for oral health professionals about benefits of and barriers to preventive dental visits for pregnant women and children.