Rural Health Information Hub Latest News

New Infographics Available for Oral Health Professionals

The National Maternal and Child Oral Health Resource Center (OHRC) published two new infographics for oral health professionals. The documents provide information about the benefits of and barriers to preventive dental visits for pregnant women and children and adolescents ages 1-17. The resources can be shared with program administrators and other stakeholders to raise awareness about the importance of preventive dental visits to reduce oral health problems and unnecessary treatment expenses.

Click on the below links to download the infographics:
“Preventive Dental Visits for Children and Adolescents are Important!”
“Preventive Dental Visits for Pregnant Women are Important!”

Study Results: Coverage is Critical for Reducing Dental-Related ER Use

A recent study from Community Catalyst highlights the relationship between Medicaid coverage and ER visits for oral health issues. The study found that states that offer Medicaid adult dental benefits and that have expanded their Medicaid programs under the ACA have the lowest rates of dental-related ER use. States that have taken up both of these policy options have also shown a decrease in dental-related ER use over time.

Click here for more information.

New Report: Ventilator-Assisted Pneumonia and the Mouth

A new report from the DentaQuest Partnership looks at the connection between oral health and overall health and further examines ventilator-associated pneumonia (VAP). The report asserts that addressing social conditions, structural racism, access to care, oral health education and other factors may not only improve oral health outcomes but also reduce the risk for COVID-19, VAP and even death in Black communities.

Click here to read the full report.

Gateway Health to Implement Expanded Oral Health Service Credentialing

Gateway Health has implemented Public Health Dental Hygiene Practitioner (PHDHP) credentialing and network participation. This opportunity will increase access to care for patients in Pennsylvania. For background, the Pennsylvania Department of Human Services released a bulletin in 2017 recognizing PHDHPs as providers able to be credentialed and contracted through managed care organizations. The role of dental hygienists across the nation has evolved due to the lack of cost-effective access to preventive oral health care and the need to increase oral health literacy across the nation.

Contact Holly Kauffman for more information or to request an application.

Celebrate 75 Years of Community Water Fluoridation

The American Public Health Association (APHA) and the American Dental Association (ADA) are hosting “A Toast to Community Water Fluoridation – Celebrating 75 Years!” on Sunday, October 25th at 7 p.m. ET. This celebration will serve as an opportunity to highlight the inspiring perseverance of public health partners across the country. There are multiple featured speakers including Rear Admiral Assistant Surgeon General Timothy Ricks.

Click here for more information and to register.

UPMC Cole Recognized for Innovative Post-Acute and End-of-Life Care

The National Rural Health Resource Center (The Center) and the Federal Office of Rural Health Policy (FORHP) recently recognized UPMC Cole for their innovative approach to post-acute care and palliative services in the region with its Critical Access Hospital award. The nomination for the award was made by Lannette Fetzer, Quality Improvement Coordinator, from the Pennsylvania Office of Rural Health (PORH). The award will be presented to UPMC Cole on November 4 in a virtual ceremony.

Located in one of the most remote regions of Pennsylvania, UPMC Cole provides necessary and lifesaving services focused on the needs of the communities it serves. A comprehensive community needs assessment identified a population of high risk, vulnerable patients who experienced a lack of support for comprehensive palliative services. Existing hospital services did not adequately meet and support the physical, emotional, spiritual, and social needs of those suffering from a serious or life-threatening illness. Advanced illnesses were limited to a home-based hospice program or placement in a skilled nursing facility. In response, UPMC Cole developed a robust and innovative palliative care service transforming care.

“An interdisciplinary team, passionate about palliative and end of life care, met routinely to identify service gaps and community needs and formulated concise goals utilizing best practices for end-of-life care,” said Timothy Brown, president, vice president of operations, UPMC Cole Medical Group. “Kristin Kratzer and Andrea Heller, MD, were appointed to lead this program to implement palliative services across the continuum of care. The team provided community education to ensure that palliative care services did not replace primary care, but rather supported and complemented established and trusted services.”

The Critical Access Hospital Recognition was established by The Center and the Federal Office of Rural Health Policy (FORHP) to recognize the excellent work in critical access hospitals (CAHs) and other rural safety net providers throughout the country. The recognition shares excellence and innovation and honors the achievements.

“The achievement in post-acute care initiatives by CAHs is impressive,” stated Sally Buck, chief executive officer at The Center. “It reflects the innovation required to address unique population health needs in rural communities. Providing services locally benefits the patient, the overall community, and enhances CAH performance outcomes.”

“UPMC Cole is dedicated to providing a comprehensive system of high-quality health care to include premier post-acute and palliative care services for their patients,” said Jennifer Edwards, Rural Health Systems Manager and Deputy Director from the Pennsylvania Office of Rural Health. “This program is a shining example of innovation, and commitment to the transition to value that the CAHs in Pennsylvania are pursuing every day.”

For more information on palliative care and other services available at UPMC Cole, visit UPMCSusquehanna.org.

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About UPMC

A $21 billion health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. The largest nongovernmental employer in Pennsylvania, UPMC integrates more than 90,000 employees, 40 hospitals, 700 doctors’ offices and outpatient sites, and a 3.8 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. In the most recent fiscal year, UPMC contributed $1.4 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $500 million in federal, state, and local taxes. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial, and technological skills worldwide through its innovation and commercialization arm, UPMC Enterprises, and through UPMC International. U.S. News & World Report consistently ranks UPMC Presbyterian Shadyside among the nation’s best hospitals in many specialties and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals. For more information, go to UPMC.com.

CMS COVID-19 Stakeholder Engagement Calls – October

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.

Call details are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.

Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts

CMS COVID-19 Office Hours Calls (twice a month on Tuesday at 5:00 – 6:00 PM Eastern)

Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

  • Increase Hospital Capacity – CMS Hospitals Without Walls;
  • Rapidly Expand the Healthcare Workforce;
  • Put Patients Over Paperwork; and
  • Further Promote Telehealth in Medicare

Next Office Hours:

Tuesday, October 13th at 5:00 – 6:00 PM Eastern
Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 6379959
Audio Webcast link:
https://engage.vevent.com/rt/cms2/index.jsp?seid=2607

Tuesday, October 27th at 5:00 – 6:00 PM Eastern – save the date, dial in to be provided

Weekly COVID-19 Care Site-Specific Calls

CMS hosts calls for certain types of organizations on an intermittent basis to provide targeted updates on the agency’s latest COVID-19 guidance. One to two leaders in the field also share best practices with their peers. There is an opportunity to ask questions of presenters if time allows.

Nursing Homes

Wednesday, October 14th at 4:30 – 5:00 PM Eastern
Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 1897041 Audio Webcast Link:
https://engage.vevent.com/rt/cms2/index.jsp?seid=2622

Wednesday, October 28th at 4:30 – 5:00 PM Eastern – save the date, dial in to be provided

 For the most current information including call schedule changes, please click here

To keep up with the important work the White House Task Force is doing in response to COVID-19 click here: https://protect2.fireeye.com/url?k=36fa2226-6aae0b0d-36fa1319-0cc47a6d17cc-2d06c219f858d641&u=http://www.coronavirus.gov/. For information specific to CMS, please visit the Current Emergencies Website.

New Rural Health Brief: Medicare Advantage Enrollment Update 2019

Medicare Advantage Enrollment Update 2019

Abdinasir K. Ali, MPH; Fred Ullrich, BA; and Keith Mueller, PhD

 The 2019 edition of the RUPRI Center’s annual report on Medicare Advantage (MA) enrollment shows that as of March 2019, 35.0 percent of eligible Medicare beneficiaries were in an MA plan. The proportion of metropolitan enrollment (37.0 percent) is higher than that in nonmetropolitan counties (25.6 percent) but the rate of growth in enrollment has been higher in nonmetropolitan counties for the past two years.

Although well over half of metropolitan MA enrollment has been in HMO plans over the past 10 years (65.0 percent in 2019), since 2012 the plurality of nonmetropolitan MA enrollment has been in local PPO plans. However, nonmetropolitan enrollment in both HMO plans and local PPOs has grown consistently since 2009 (2019 enrollment: 32.7 percent and 45.2 percent, respectively). Growth in these two plan types has come largely at the expense of nonmetropolitan PFFS plans which accounted for 54.5 percent of nonmetropolitan MA enrollment in 2009, but only 2.0 percent by 2019.

Please click here to read the brief.