Rural Health Information Hub Latest News

“Vaccine Hesitancy” Fuels Outbreaks

With the start of a new school year upon us, no fewer than 15 major metropolitan areas in the U.S. have “hotspots” of unvaccinated children that make them vulnerable to preventable diseases similar to the recent measles outbreak in New York City, experts warned in a recent webcast. The trend has major implications for health centers, health departments, hospitals and schools alike.

Learn more about the health effects of vaccine opposition

Helping Emergency Rooms Prepare for Kids in Crisis

At a time when increasing numbers of children are showing up in emergency rooms with mental health issues, less than half of the nation’s hospitals have written protocols in place for care coordination and management of kids in crisis – and that number falls to about a third in rural areas, two senior HRSA leaders reported in a recent webcast.

Suicide is now the second leading cause of death among young people, age 10 to 19 years old. And absent immediate intervention, the risk of a suicide attempt or death by self-harm is highest within 30 days of discharge from an emergency department.

Those findings are the impetus behind a new HRSA toolkit to help emergency room staff manage young people in psychiatric distress, said Associate Administrators Dr. Michael Warren and Tom Morris.

Learn more about the new toolkit.

HRSA Releases Inaugural Report of Ryan White HIV/AIDS Program AIDS Drug Assistance Program Client-Level Data

HRSA’s HIV/AIDS Bureau (HAB) this week released the first report on national Ryan White HIV/AIDS Program AIDS Drug Assistance Program client-level data. The Ryan White HIV/AIDS Program (RWHAP) AIDS Drug Assistance Program (ADAP) Annual Client-Level Data Report 2017 (PDF – 659 KB) is the inaugural publication of data submitted through the ADAP Data Report system. The data describe the demographic characteristics of clients accessing ADAP services and the ADAP-funded services used. Data are included for 2014 through 2017, nationally and by state/territory.

This report provides a deeper look at service utilization, demographic, and socioeconomic factors among clients served by RWHAP ADAP. The report also includes client-level data based on age, race/ethnicity, federal poverty level, and health care coverage.

Census Bureau Launches Updated Website

The U.S. Census Bureau recently launched a new version of 2020census.gov. The new website adds features, resources, and materials to help inform the public about the 2020 Census. The site includes dozens of new Statistics in Schools materials, a new webpage to share facts about the 2020 Census, information on applying for jobs, and frequently asked questions (FAQs). It is also available in Spanish.

Pennsylvania Suboxone Prescription Legislation Stalls 

The Pennsylvania House of Representatives’ Human Services Committee met on September 18, 2019 to consider legislation to place regulations on how suboxone is prescribed to patients. The provider community, including PACHC, was heavily engaged with the legislature to express concerns about Senate Bill 675 ahead of the committee meeting. Chair Gene DiGirolamo (R-Bucks) decided to withhold the bill in the committee after hearing concerns from providers and members of the committee. Rep. DiGirolamo and staff will convene stakeholder conversations to revisit the bill to address provider concerns with the current language while also meeting the legislation’s goal of eliminating “cash clinics” – provider operations that provide suboxone prescriptions for cash payment without counseling.

Pennsylvania House of Representatives Passes Unanimous Vote on Credentialing Bill 

On Wednesday, the Pennsylvania House of Representatives’ Health Committee voted unanimously to pass Rep. Clint Owlett’s (R-Tioga) House Bill 533, which streamlines the current credentialing process for provider applications to managed care organizations (MCOs) and commercial insurance plans. Rep. Owlett passionately spoke on behalf of the provider community in the committee and has been adamant that the final bill will be fair to both providers and insurers to ensure that there is a timely process to complete applications as well as have an established communications loop.

The Help End Addiction for Life Initiative

The Association of State and Territorial Health Officials (ASTHO), in partnership with the National Association of County & City Health Officials (NACCHO), released a case study on the rural Kentucky Help End Addiction for Life (HEAL) initiative. This case study provides an in-depth examination of HEAL’s unique features and highlights the voices of local providers and stakeholders. The lessons learned by the HEAL coalition offer strategies for other communities to consider in their own collaborations to reduce opioid use.  The full report can be accessed here.

Comments Requested: Rural Eligibility for Federal Office of Rural Health Policy Funding

As part of an ongoing effort by the Federal Office of Rural Health Policy (FORHP) to assess the extent to which FORHP-administered grant programs align with the needs of rural communities, HRSA has published a Request for Information (RFI) soliciting public comment.  Respondents are asked to comment on whether and how the eligibility criteria governing FORHP’s community-based grant programs affect rural communities’ ability to leverage grant funding through FORHP.  RFI responses must be provided via email to RFIComments@hrsa.gov and must reference “Rural Health Grants Eligibility RFI” in the title.  Submissions are due no later than 11:59 p.m. Eastern Time on November 2, 2019. HRSA will not accept hard-copy responses or other formats.

Are Changes to Team-Based Care Models Needed for the Future?

Researchers have called for a new model of team-based care called “advanced team care with in-room support” in a report in the Annals of Family Medicine. They state that old primary care team models are “underpowered” and where the new model has been deployed, there has been improved productivity and growth, as well as enhanced patient and staff satisfaction. The researchers also contend the model would “allow clinicians to shed that portion of clinical and administrative work that a well-trained, well-staffed team could easily perform.” Attend “Team-Based Care: Empowering Patients, Reducing Provider Burnout and Achieving Quality” at our Annual Conference & Clinical Summit.  You’ll hear how one health center has created a financially sustainable structure that is transparent, promotes both patient and provider buy-in to team-based care, and incorporates performance improvement, care coordination, behavioral health and primary care providers in a synergistic manner in utilizing their team-based care model.

Addressing Diabetes Factors through School & Community Partnerships 

The National Nurse-Led Care Consortium and School-Based Health Alliance have created a resource, “Addressing Diabetes Factors in Elementary School Children Through School and Community Partnerships.” Health centers can play a powerful role in performing appropriate screening, prevention and management of elementary-aged children with obesity and other pre-diabetic indicators by collaborating with schools and other community partners.