Rural Health Information Hub Latest News

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.

96% of U.S. Counties See Decline in Share of White Population

Axios reports that America is more racially diverse than at any point in history, and racial minorities are becoming more geographically dispersed than ever before. Nationally, Hispanics and Asian Americans are the fastest-growing racial minority groups, increasing by 18.6% and 27.4%, respectively, between 2010 and 2018, according to an analysis by the Brookings Institution demographer Bill Frey, whose 2018 book “Diversity Explosion” outlined the country’s majority-minority future. Atlanta, Charlotte, Orlando, Dallas, Phoenix, Las Vegas, and Seattle registered substantial growth in their black populations. The nation’s white population has grown only 0.1% since 2010 and is projected to decline over the next decade. Read more.

Check Out the Pennsylvania Health Insurance Exchange Webpage

Keep up to date on the creation and rollout of Pennsylvania’s state-based health insurance exchange on the Department of Insurance’s State-Based Exchange webpage. Pennsylvania has been a federally facilitated marketplace or exchange since 2013. For the 2020 enrollment period, Pennsylvania has moved to a state-based exchange (SBE) using the federal platform (SBE-FP) and will fully transition to a SBE in 2021. For 2020, this will allow Pennsylvanians to continue to choose plans and enroll into the marketplace using Healthcare.gov, but the state is responsible for performing all marketplace functions for the individual market and the Small Business Health Insurance Options Program (SHOP).

 

Pennsylvania Governor Wolf’s Administration to Distribute More Free Naloxone

Later in September, Pennsylvania will recognize “Stop Overdoses in PA: Get Help Now Week” by making free Naloxone available at 95 location across the state. The free Naloxone will be available on two days while supplies last: Wednesday, Sept. 18, from 11:00 am to 7:00 pm, and Wednesday, Sept. 25, from 9:00 am to 3:00 pm.  Click here for a list of the locations.  Other commonwealth opioid use disorder activities and progress:

  • Through a standing order, Naloxone, used to reverse an overdose caused by an opioid by blocking the effects of opioids on the brain, is available to any Pennsylvanian through pharmacies across the commonwealth for anyone who may need it
  • According to the state Department of Health, more than 25,000 people have been revived with Naloxone by police officers and EMS providers in Pennsylvania since November 2014
  • In December 2018, the commonwealth distributed over 5,000 naloxone kits across Pennsylvania
  • Gov. Wolf announced in August that opioid related overdose deaths have decreased by 18 percent over the past 12 months
  • Gov. Wolf this week announced another renewal of the state opioid disaster declaration, the seventh one since he first made the declaration on Jan. 10, 2018

Research Brief: Technical Assistance for Hospitals Applying to the Pennsylvania Rural Health Model—A CMMI-Sponsored Rural Hospital Global Budget Model

The Rural Health Value team recently released a new Rural Innovation Brief focused on technical assistance for rural hospitals considering participation in the Pennsylvania Rural Health Model.

Technical Assistance for Hospitals Applying to the Pennsylvania Rural Health Model—a CMMI-Sponsored Rural Hospital Global Budget Model – Rural hospitals, interested in participating in the Pennsylvania Rural Health Model, participated in a rapid cycle process to develop plans to transition from being volume-oriented to focusing on community health, facilitated by a global budget. This brief summarizes Rural Health Value’s process to facilitate hospital development of a transition plan for those considering developing or participating in a global budget or other transformation models for rural hospitals. (August 2019)

The report can be accessed here.

Does a Lower Income Mean a Shorter Life?

Americans with lower incomes are less likely to live into their 70s and 80s than Americans with comparatively higher incomes, according to a Government Accountability Office (GAO) report released this week. GAO researchers found average life expectancy in the United States increased from 1992 to 2014, but it “has not increased uniformly across all income groups, and people who have lower incomes tend to have shorter lives than those with higher incomes.” (Source: Washington Post, 9/9)