- Rural America Faces Growing Shortage of Eye Surgeons
- NRHA Continues Partnership to Advance Rural Oral Health
- Comments Requested on Mobile Crisis Team Services: An Implementation Toolkit Draft
- 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.
The Future of Rural Value-Based Health Care and Surge Capacity
Healthcare service demands consequent to the COVID-19 pandemic have challenged preconceived rural value-based priorities such as inpatient-care reduction and just-in-time inventories. Thus, rural healthcare organizations may struggle with conflicting demands for surge-ready healthcare infrastructure and value-oriented business processes. This Rural Health Value commentary outlines questions for consideration about the future of rural value-based care and payment.
Link: https://ruralhealthvalue.org/files/Future%20of%20Rural%20VBC%20and%20Surge.pdf
Top resources on the Rural Health Value website:
- Value-Based Care Assessment – Assess capacity and capabilities to deliver value-based care. Receive an eight-category readiness report.
- Physician Engagement – Score current engagement and build effective relationships to create a shared vision for a successful future.
- Board and Community Engagement – Hold value-based care discussions as part of strategic planning and performance measurement.
- Social Determinants of Health – Learn and encourage rural leaders/care teams to address issues to improve their community’s health.
Contact information:
Keith J. Mueller, Ph.D., Co-Principal Investigator, keith-mueller@uiowa.edu
Rural Health Value helps create high performance rural health systems by building and offering an actionable knowledge base through research, practice, and collaboration. Visit www.ruralhealthvalue.org.
Developed with funding from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $250,000 with 0% financed with non-governmental sources. The contents are those of the authors(s) do not necessarily represent the official views of, nor an endorsement by HRSA, HHS or the U.S. Government.
The Federal Reserve Wants to Hear from You
In early April, the Federal Reserve System conducted a survey to better understand the range of challenges facing underresourced and low-income communities as an effect of the COVID-19 pandemic. The findings are available in Perspectives from Main Street: The Impact of COVID-19 on Communities and the Entities Serving Them and helped us understand how this crisis is impacting organizations, like yours, supporting community needs.
We are committed to fielding this survey every eight weeks to report on how the effects of COVID-19 are changing within communities over time. Please help us by taking this survey today.
The survey should take about 10 minutes to complete. If you have received the invitation to complete the survey from another Federal Reserve entity, please only take the survey once. If you are an organization whose members work in low-income communities, we encourage you to forward the survey link to others who have unique knowledge of what is happening in their communities.
Please use this link to access the survey.
CARES Act Provider Relief Fund Frequently Asked Questions
HHS released new FAQs on June 2, 2020 related to the Provider Relief Fund distributions. The FAQs are attached and available at the link below. One on page 5 expands on the definition of allowable expenses and determination of lost revenue. There are new FAQs scattered throughout the FAQ document. See ww.hhs.gov/sites/default/files/…
NRHA launches Rural COVID-19 Technical Assistance Center
Individuals in rural communities often face barriers to health stemming from economic factors, environmental differences, and feelings of isolation. The COVID-19 pandemic has presented a generational challenge and exacerbated these concerns, revealing a critical need for rapid response efforts. With the support of a generous grant of $200,000 from CoBank, the National Rural Health Association (NRHA) is helping rural health care providers overcome barriers they face through the creation of the Rural COVID-19 Technical Assistance Center.
The Technical Assistance Center will focus on two key areas: finance/reimbursement and operations/supplies, including personal protective equipment (PPE) sourcing and distribution, testing and contact tracing, and long-term care collaboration. NRHA will assess and triage needs from across the country to ensure rural communities are equipped with knowledge, connections, and resources throughout the pandemic. This is being accomplished through various partnerships and collaborations with organizations such as Project N95, Project C.U.R.E., Heart4Heroes, and NRHA Platinum Partner Intalere.
“With more than 84,000 COVID-19 cases in rural counties and more than 3,200 rural deaths, the need for rural assistance is growing,” says NRHA CEO Alan Morgan. “Through the generous support of CoBank, NRHA is proud to collaborate with so many dedicated stakeholders to provide technical assistance and critical support to rural health care providers across the country.”
Senate Passes Bill to Amend the Paycheck Protection Program
On June 4, 2020, H.R.7010, the Paycheck Protection Program Flexibility Act of 2020 was passed in the Senate by unanimous consent. This bill amends the PPP and provides small business recipients with necessary flexibility to receive the forgivable loans they need to keep their businesses open and their employees on their payrolls. Specifically, H.R.7010:
- Increases the loan forgiveness period from eight weeks to 24 weeks;
- Changes the 75/25 payroll / non-payroll requirement for loan forgiveness to 60/40
- Increases the loan repayment period from two to five years;
- Allows payroll tax deferral for PPP recipients; and
- Extends the June 30 rehiring deadline to December 31, 2020.
The full text of this legislation is available at: www.congress.gov/bill/116th-congress/house-bill/7010/…. The bill had previously passed the U.S. House of Representatives and was sent to President Trump for his signature. Following its enactment, the SBA will be required to update its loan forgiveness application and process.
Varying Trends In The Financial Viability Of US Rural Hospitals, 2011–17
Health Affairs
The financial viability of rural hospitals has been a matter of serious concern, with ongoing closures affecting rural residents’ access to medical services. We examined the financial viability of 1,004 US rural hospitals that had consistent rural status in 2011–17. The median overall profit margin improved for nonprofit critical access hospitals (from 2.5 percent to 3.2 percent) but declined for other hospitals (from 3.0 percent to 2.6 percent for nonprofit non–critical access hospitals, from 3.2 percent to 0.4 percent for for-profit critical access hospitals, and from 5.7 percent to 1.6 percent for for-profit non–critical access hospitals). Occupancy rate and charge markup were positively associated with overall margins: In 2017 hospitals with low versus high occupancy rates had median overall profit margins of 0.1 percent versus 4.7 percent, and hospitals with low versus high charge markups had median overall margins of 1.8 percent versus 3.5 percent. Rural hospital financial viability deteriorated in states that did not expand eligibility for Medicaid and was lower in the South. Rural hospitals that closed during the study period had a median overall profit margin of −3.2 percent in their final year before closure. Policy makers should compare the incremental cost of providing essential services between hospitals and other settings to balance access and efficiency.
Access the full article here.
Pennsylvania Governor’s Administration Outlines Preliminary Guidance for Phased Reopening of Schools
The Pennsylvania Department of Education (PDE) today said elementary and secondary schools in the state’s yellow and green phases may resume in-person instruction and activities beginning July 1 under a phased reopening approach that first requires schools to develop health and safety plans based on guidelines from the Centers for Disease Control and Prevention (CDC) and the state Department of Health (DOH).
PDE also released guidance that allows postsecondary institutions and adult basic education programs, effective June 5, to begin in-person instruction immediately following the development of a health and safety plan outlining strategies for safe operations.
The preliminary documents follow Governor Wolf’s Process to Reopen Pennsylvania, which has been updated to reflect the new guidance.
Pennsylvania Governor Renews COVID-19 Disaster Declaration for State Response and Recovery, Stay-at-Home Order Ends June 4
Pennsylvania Governor Tom Wolf today renewed the 90-day disaster declaration he originally signed on March 6 following the announcement of the first two presumptive positive cases of COVID-19 in the commonwealth. The declaration was set to expire on June 4.
The emergency disaster declaration provides for increased support to state agencies involved in the continued response to the virus and recovery for the state during reopening.
The Pennsylvania Department of Health’s Department Operations Center at the Pennsylvania Emergency Management Agency is still active as is the CRCC there.
Also today, Gov. Wolf announced that he would allow the amended stay-at-home order to expire at 11:59 p.m., June 4. The-stay at-home requirements were only in effect for counties in the red phase.
USDA Implements Immediate Measures to Help Rural Residents, Businesses and Communities Affected by COVID-19
WASHINGTON, June 3, 2020 – USDA Rural Development has taken a number of immediate actions to help rural residents, businesses and communities affected by the COVID-19 outbreak. Rural Development will keep our customers, partners and stakeholders continuously updated as more actions are taken to better serve rural America.
View the full stakeholder announcement.
Pennsylvania Governor: Department of Health Reaches COVID-19 Testing Goal in May, Continues to Increase Testing in Several Regions
Governor Tom Wolf announced that the Pennsylvania Department of Health reached its testing goals in May with more than 283,000 COVID-19 diagnostic test results reported to the department. The department achieved its 2 percent testing goal for the month by more than 11 percent.
In addition, beginning Friday, June 5, various Walmart and Quest Diagnostics drive-thru testing locations across the state will provide testing for residents living in areas with fewer testing sites. No COVID-19 testing will take place inside Walmart stores or Quest Diagnostics Patient Service Centers.
“We appreciate the hard work done by health systems, pharmacies, FQHCs, medical clinics and other entities that are providing testing for COVID-19 across Pennsylvania,” Gov. Wolf said. “This goal is just one step in ramping up the state’s testing capabilities and it demonstrates the tremendous progress made to ensure all Pennsylvanians who need to be tested are.”
Secretary of Health Dr. Rachel Levine said, “When we established our testing strategy, we wanted testing to be accessible, available and adaptable and we are working to meet that challenge. Anyone who believes they have symptoms of COVID-19 can get tested today in Pennsylvania.”
A soft launch of five drive-thru testing sites will begin on June 5. These sites will be open on Monday, Wednesday and Friday from 7:00 AM to 9:00 AM to test up to 50 registered patients. Registration is required one day in advance. The testing sites that will open on Wednesday include:
- Walmart Supercenter parking lot, 63 Perkins Rd, Clarion, PA
- Walmart Supercenter parking lot, 2711 Elm Street, Erie, PA
- Walmart Supercenter parking lot, 1015 N Loyalsock Ave, Montoursville, PA
- Walmart Supercenter parking lot, 100 Supercenter Drive, Clearfield, PA
- Walmart Supercenter parking lot, 1275 N Hermitage Rd, Hermitage, PA
Additional testing sites will be announced in upcoming days and will be listed on the department’s website.
“After testing, you are required to return home and self-isolate,” Dr. Levine said. “If your symptoms worsen while you are waiting for your test results, talk to your doctor. If you experience a medical emergency, please seek immediate care.”
The Department of Health is partnering with Quest Diagnostics to process the tests. At this time, the tests are being provided at no cost to Pennsylvanians. Patients will create an account on Quest’s patient portal and answer some eligibility questions to determine if they meet the criteria to get tested. The site will be available for appointment scheduling at 6:00 PM this evening.
If the patient is eligible, they will be notified of a testing location within a 50-mile radius of them with available appointment times. The patient will schedule an appointment time, print a voucher and bring the voucher to the location with them to their appointment. Patients will receive an email with their test results within 24 to 48 hours, and physicians will call any patient who has a positive test result.
Through the work of a number of entities, testing is accessible for Pennsylvanians. As entities such as Rite Aid, CVS, Patient First and Walmart offer testing regardless of symptoms, more Pennsylvanians can get tested close to home. Adding these locations to those already offered by hospitals, health systems, FQHCs, health clinics and other locations has expanded the testing network in the state.
With increased testing supplies through state and federal partners and Pennsylvania businesses, testing has become more available in Pennsylvania. This has helped ensure that the swabs and medium are available to conduct testing, and to also roll out universal testing at long-term care facilities.
The department’s testing plan remains adaptable. This includes ensuring everyone in a long-term care facility can be tested, providing all counties with at least one testing location, and other efforts based on the latest data and science surrounding COVID-19.
Symptoms of COVID-19 include:
- Fever
- Cough
- Shortness of breath or difficulty breathing
- Diarrhea
- Chills
- Repeating shaking with chills
- Muscle pain
- Headache
- Sore throat
- New loss of taste or smell
Symptoms may appear in as few as two days or as long as 14 days after exposure. Reported illnesses have ranged from people with little to no symptoms to people being severely ill and dying.
For the latest information for individuals, families, businesses and schools, visit “Responding to COVID-19” on pa.gov.
The Wolf Administration stresses the role Pennsylvanians play in helping to reduce the spread of COVID-19:
- Wash your hands with soap and water for at least 20 seconds or use hand sanitizer if soap and water are not available.
- Cover any coughs or sneezes with your elbow, not your hands.
- Clean surfaces frequently.
- Stay home to avoid spreading COVID-19, especially if you are unwell.
- If you must go out for a life-sustaining reason, please wear a mask.
Updated Coronavirus Links: Press Releases, State Lab Photos, Graphics
- Daily COVID-19 Report
- Press releases regarding coronavirus
- Latest information on the coronavirus
- Photos of the state’s lab in Exton (for download and use)
- Coronavirus and preparedness graphics (located at the bottom of the page)
- Community preparedness and procedures materials
- Map with the number of COVID-19 cases
All Pennsylvania residents are encouraged to sign up for AlertPA, a text notification system for health, weather, and other important alerts like COVID-19 updates from commonwealth agencies. Residents can sign up online at www.ready.pa.gov/BeInformed/Signup-For-Alerts.
MEDIA CONTACT: Lyndsay Kensinger, ra-gvgovpress@pa.gov or Nate Wardle, Health, 717-787-1783 or ra-dhpressoffice@pa.gov