Supporting Rural Health: Practical Solutions for State Policymakers

Supporting Rural Health: Practical Solutions for State Policymakers.  With input from HRSA’s Federal Office of Rural Health Policy, the Milbank Memorial Fund presents this issue brief with findings from three regional meetings of federal and state health officials and health services researchers working on rural issues.  Case studies summarized in the brief shed light on successful models for incentivizing investment, the need for workforce development, and the need for ongoing research and policy development specifically directed toward rural health.

David B. Nash, MD, MBA, Founding Dean, Jefferson College of Population Health, has announced that the application process is now open for the 2020 Hearst Health Prize! The winner will receive a $100,000 prize in recognition of outstanding achievement in managing or improving population health. Up to two finalists will receive a cash award of $25,000 each.

The Hearst Health Prize, in partnership with the Jefferson College of Population Health (JCPH), was created to help identify and promote promising initiatives in the field that improve health outcomes. The goal is to discover, support, and showcase the work of an individual, group, or institution that has successfully implemented a population health program that has made a measurable difference.

Last year, they received over 150 impressive submissions from across the country showcasing a range of projects aimed at improving the health of populations. The 2019 winner, Sharp Transitions, was recognized at the Population Health Colloquium for its outstanding home-based palliative care program for patients with advanced and progressive chronic illness who are not ready for hospice care. Additionally, two finalists, Arkansas SAVES, and Mental health Outreach for MotherS (MOMS) Partnership® were each awarded $25,000 for their impactful programs.

Finalists will be invited to present their project during a special poster session at the Population Health Colloquium in Philadelphia, March 30-April 1, 2020. The winner of the prize will be announced during the opening session of the Population Health Colloquium on March 31, 2020.

To apply or learn more about the Hearst Health Prize visit: Jefferson.edu/HearstHealthPrize. The deadline to submit an application is Friday, August 9, 2019, 3:00 PM (EDT)/12:00 Noon PM (PDT).

If you have any questions, please email HearstHealthPrize@Jefferson.edu. Please share this amazing opportunity with your colleagues!

 

Medicare Dental Benefit Act Introduced in House

Representative Nanette Diaz Barragan (D-CA) introduced the Medicare Dental Benefit Act of 2019, H.R. 2951 which, if passed, will add dental coverage to Part B of the Medicare program.  The legislation has now been introduced in both chambers of Congress. This is another milestone in efforts to elevate the need for improved oral health coverage in public health care programs.

Click here for more information.

Briefs Published on Identifying High-Need Rural Counties to Help in Resource Location Planning

The Rural Minority and Minority Health Research Center at the University of South Carolina has published two policy briefs.

The first brief, Identification of High-Need Rural Counties to Assist in Resource Location Planning, categorizes high-need, low-resource locations by identifying counties that lacked safety-net providers.

The second brief, Identification of High-Need Rural Counties to Assist in Resource Location Planning for Primary Care, examines areas with poor health outcomes and limited access to primary care safety net settings.

Economic Impact of a Bad Smile Estimated at $27 Million

An article in the Journal of Public Health Dentistry describes the impact improving oral health could have on employability. Dr. Halasa-Rappel, PhD and her co-authors used the National Health and Nutritional Examination Survey to develop a Dental Problem Index (DPI) to quantify the impact of dental caries and missing anterior teeth on employment, and estimate the impact of a routine dental visit on the health of anterior teeth and the benefits of expanding dental coverage for non-elderly adults. They found that a routine dental visit has a negative impact on the DPI and improves the probability of employment and estimated that improvement in dental coverage would improve the employability of 9,972 non-elderly adults with an associated annual fiscal impact of $27 million.

NHSC Starts News Rural Loan Repayment Program

The National Health Service Corps (NHSC) Rural Community Loan Repayment Program (LRP) is a new program for providers working to combat the opioid epidemic in the nation’s rural communities. The application cycle will open soon and you can sign up for email notices. The NHSC LRP will make FY 2019 loan repayment awards in coordination with the Rural Communities Opioid Response Program (RCORP) initiative within the Federal Office of Rural Health Policy (FORHP) to provide evidence-based substance use treatment, assist in recovery, and to prevent overdose deaths across the nation. Check out information on the NHSC Rural Community Loan Repayment Program website.

Cost Inhibits Access to Care

More than 25% of rural U.S. residents had trouble accessing health care in the last few years, and almost half of them reported it was because they could not afford the care, according to a survey by NPR, the Robert Wood Johnson Foundation, and the Harvard T.H. Chan School of Public Health released this week. The survey found that 49% of respondents said they would not be able to afford an unexpected expense, such as a medical bill totaling $1,000. (Source: NPR’s “Shots,” 5/21)

ARC’s Chartbook a Data Destination for Appalachia

What percentage of homes in West Virginia are owner-occupied? What percent of households in Appalachian Pennsylvania have access to a vehicle? How many households in Appalachian Tennessee have a computer or laptop? What is the labor participation rate in Appalachian South Carolina?

These are only a few of the more than  300,000 data points offered in the The Appalachian Region: A Data Overview from the 2013–2017 American Community Survey, also known as The Chartbook, which was released this week. Drawing from the American Community Survey and comparable Census Population Estimates, The Chartbook offers statistics on demographics, income, employment, as well as education, computer access, housing, and transportation and other indicators—all presented at the regional, subregional, state, and county level with comparisons to the rest of the nation. The Chartbook also examines data change over recent years to show trends.  For instance, Appalachia’s median household income is now 83% of the U.S. rate, up from 80% between 2012-2016, and all diploma and degree  rates – including high school, associate’s degree, and bachelor’s degrees – are rising across the Region.

“These patterns suggest that the pace of economic recovery since the Great Recession has varied across the Region, but the counties that saw increases in median household income are also those with higher levels of education and labor force participation, and lower levels of unemployment,” said report coauthor Linda A. Jacobsen, Population Reference Bureau’s vice president for U.S. Programs who helped spearhead the project on behalf of ARC.

Virtual Training for Trauma-Informed Care

Virtual Training for Trauma-Informed CareThe Office on Women’s Health at the U.S. Department of Health and Human Services offers free online courses with continuing education credits to help providers integrate  the principles of trauma-informed care into clinical practice.  The course work is informed by research findings demonstrating that exposure to traumatic events, particularly in childhood, is highly prevalent in our society. A recent report from the National Advisory Committee on Rural Health and Human Services examined the long-term health effects of Adverse Childhood Experiences for rural, tribal and other at-risk populations.