- Q&A: What Are the Challenges and Opportunities of Small-Town Philanthropy?
- HRSA Administrator Carole Johnson, Joined by Co-Chair of the Congressional Black Maternal Health Caucus Congresswoman Lauren Underwood, Announces New Funding, Policy Action, and Report to Mark Landmark Year of HRSA's Enhancing Maternal Health Initiative
- Biden-Harris Administration Announces $60 Million Investment for Adding Early Morning, Night, and Weekend Hours at Community Health Centers
- Volunteer Opportunity for HUD's Office of Housing Counseling Tribe and TDHE Certification Exam
- Who Needs Dry January More: Rural or Urban Drinkers?
- Rural Families Have 'Critical' Need for More Hospice, Respite Care
- States Help Child Care Centers Expand in Bid To Create More Slots, Lower Prices
- Rural Telehealth Sees More Policy Wins, but Only Short-Term
- Healing a Dark Past: The Long Road To Reopening Hospitals in the Rural South
- Study: Obstetrics Units in Rural Communities Declining
- Q&A: Angela Gonzales (Hopi), on New Indigenous Health Research Dashboard
- Not All Expectant Moms Can Reach a Doctor's Office. This Kentucky Clinic Travels to Them.
- Hawaiʻi's Physician Shortage Hits Maui Hardest
- Choctaw Nation Found a Better Way to Deliver Harm Reduction. It's Working.
- In Rural America, Heart Disease Is Increasingly Claiming Younger Lives
Federal Budget Proposal Includes Cuts for Programs Vital to Kids
During the week of February 10, 2020, the Trump Administration released its federal FY 2021 budget proposal, and the bottom-line impact to programs serving kids and families is stark. The silver lining, if any, is that the likelihood of the plan gaining any momentum in Congress is slim to none.
The proposed budget cuts Medicaid spending by at least $1 trillion over the next 10 years and makes further cuts to CHIP, undoubtedly impacting health care coverage for kids in Pennsylvania and across the country. While little detail is provided in the proposal, what is known is that states would be allowed to select between moving to either a Medicaid block grant program or a per capita cap option.
The budget advances a one-time increase of $1 billion for child care, but masks other elements including the flat-funding of Head Start and the Child Care Development Block Grant, as well as the elimination of Preschool Development Grants, which Pennsylvania received in 2019. While a $1 billion increase is eye-catching, it should also be noted that Congress passed a $2.4 billion increase for child care in 2018.
Read more about the Medicaid proposal from the Georgetown Center for Children and Families.
Child Welfare System Improvement Efforts Underway in Pennsylvania
in late 2019, the Office of Advocacy and Reform was created in Pennsylvania with the intent of overhauling state systems and services and identifying strategies to better protect vulnerable individuals. In addition to convening a council of reform, the position of Child Advocate was created and has recently been filled by Nicole Yancy, J.D. Ms. Yancy will be a liaison between the systems serving children and their families, triaging concerns and complaints, and making recommendations for system-wide improvements.
The Office of Children, Youth and Families, in partnership with the Pennsylvania Department of Human Services and the Office and Advocacy and Reform, is conducting roundtables around the state to engage local child welfare agencies, county leaders, advocates and elected officials in brainstorming ways to improve the child welfare system. The roundtables are an opportunity to openly discuss the struggles faced by child welfare agencies, and to develop recommendations on strength-based and solution-focused outcomes. Read more about the first roundtable held in York County.
AHRQ Toolkit for Chronic Pain Management in Primary Care
The Agency for Healthcare Research Quality (AHRQ) recently updated their toolkit to help primary care providers manage patients who use opioids to treat chronic pain. The new Self-Service How To Guide adds an important component to AHRQ’s Six Building Blocks opioid treatment toolkit, a structured, systems-based approach to improving management of patients who use long-term opioid therapy.
An Emerging Model for Community Health Workers in Rural Appalachia
Community Health Workers (CHWs) can provide ongoing behavioral support for patients and help decrease health care costs. In this program evaluation, the Centers for Disease Control report on a CHW-based care model that aimed to improve outcomes and lower costs for high-risk diabetes patients in rural Appalachia.
Request for Information Regarding Maternal and Infant Health Care in Rural Communities
The Centers for Medicare & Medicaid Services (CMS) seek public comments regarding rural maternal health care. Specifically, the CMS Office of Minority Health is seeking information related to opportunities to improve health care access, quality, and outcomes for women and infants in rural communities, before, during, and after pregnancy. This includes the reduction of maternal health disparities across this timeframe between rural and urban communities, within rural communities, and racial and ethnic disparities within rural communities. This notice also seeks public comments regarding readiness of rural providers, including emergency medical services to handle obstetric emergencies (i.e., emergencies related to pregnancy, birth, and after birth) in rural areas. Comments are due on April 12 and can be submitted here.
ERS: Rural Poverty and Well-Being
The Economic Research Service (ERS) at the U.S. Department of Agriculture updated their topic page on the factors that affect the poverty status of rural residents. The ERS uses Census data to track poverty over time, analyze the severity and persistence of poverty over decades, and provide a rural/urban breakdown by race, family structure and age. Read more here.
JAMA: Quantifying Neighborhood-Level Social Determinants of Health
In a free-access article, the Journal of the American Medical Association (JAMA) presents findings from a cross-sectional study of 71,901 Census tracts. Researchers sought to examine the association between social/neighborhood characteristics and health outcomes and create indices with multiple variations for different types of rural, urban and suburban neighborhoods.
Pennsylvania Prison Suicides are at an All-time High. Families Blame “Reprehensible” Mental Health Care
Philadelphia Inquirer, by Samantha Melamed,
Roland Alston was despondent.
The Graterford prison lifer, who had been diagnosed with depression and paranoid personality disorder, had thrown out all his photos and legal materials. According to a legal filing, he told mental health staff in March 2018 that he wanted “to give up,” and emphasized that, in the event he took his own life, his family should not blame themselves. Then, the staff allowed him to return to his cell in general population with no special monitoring, precautions or psychiatric treatment. Two days later, he was dead.
Alston was one of 15 people in state prison to die by suicide that year — a figure that climbed to 19 suicides in 2019, the most in at least 35 years and likely the highest figure in Pennsylvania’s history. That put the state prison suicide rate at 42 deaths per 100,000 people, a figure that’s double the national average, according to the most recent data available from the Bureau of Justice Statistics.
The families of at least five of those suicide victims, who died in the now-shuttered state prison in Montgomery County in 2017 and 2018, have filed lawsuits in recent months, alleging that the deaths represent systemic failures by the state Department of Corrections and contractors including MHM, a mental health provider, and Correct Care Solutions, a medical provider that according to a 2019 CNN investigation has been sued over more than 70 deaths in the past five years.
NIOSH News Flash! COVID-19 Update
The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus. Coronavirus disease 2019 (COVID-19) was first detected in Wuhan, Hubei Province, China and continues to spread in China. COVID-19 illnesses are being reported in a growing number of international locations. This is an emerging, rapidly evolving situation and CDC will provide updated information as it becomes available on the CDC COVID-19 website.
The National Institute for Occupational Safety and Health (NIOSH) recently released a webpage to highlight resources available for the protection of workers: https://www.cdc.gov/niosh/emres/2019_ncov.html. This page provides a centralized resource for new guidance and recommendations produced during CDC’s COVID-19 response, as well as pre-existing resources and materials, to promote the safety and health of workers.
National Health Service Corps Loan Repayment Programs: The application cycle is open!
National Health Service Corps
Loan Repayment Programs
The application cycle is open!
Accepting applications through
Thursday, April 23, 7:30 p.m. ET
The National Health Service Corps (NHSC) opened its application for three loan repayment programs: the NHSC Loan Repayment Program, the NHSC Substance Use Disorder Workforce Loan Repayment Program and the NHSC Rural Community Loan Repayment Program.
Find which one is right for you:
Visit the NHSC website to review the Application and Program Guidance (APG) documents and learn more about eligibility and specific disciplines. Each program has a different APG with the detailed information you need to apply, including eligibility requirements, site information, documentation, and service requirements. Read the APG carefully before you start your application.