Rural Health Information Hub Latest News

Coronavirus Pandemic Threatens to Take Crushing Toll on Rural Areas, Data Show

Summarizes an analysis of every U.S. county’s preparedness level, revealing that rural areas are less prepared to handle the coronavirus pandemic. The dashboard scores are based on measurements such as nearby critical care capacity and underlying demographics of the community. Describes how existing disparities in underserved populations may also put them at a higher risk.

Read more.

Livestream Conversation Offers First-Hand Accounts of Broadband Challenges During Coronavirus Pandemic

Summarizes the first Daily Yonder/National Rural Assembly Livestream Conversation on rural broadband, featuring leaders from a school district in Central Texas, a hospital in a Washington tribal community, a community nonprofit in Mississippi, and groups serving rural youth in Vermont. Includes a recording of the webinar, discusses challenges to rural broadband access and highlights how they are responding to COVID-19.

Listen to conversations here.

HHS Launches COVID-19 Uninsured Program Portal

The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA) has launched a new COVID-19 Uninsured Program Portal, allowing health care providers who have conducted COVID-19 testing or provided treatment for uninsured COVID-19 individuals on or after February 4, 2020 to submit claims for reimbursement. Providers can access the portal at COVIDUninsuredClaim.HRSA.gov.

The Trump Administration is committed to ensuring that individuals are protected against financial obstacles that might prevent them from getting the testing and treatment they need for COVID-19. As part of the Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security (CARES) Act, health care providers can request claims reimbursement electronically through the COVID-19 Uninsured Program Portal and receive reimbursement, generally at Medicare rates for testing uninsured individuals for COVID-19 and treating uninsured individuals with a COVID-19 diagnosis.

Read more.

Health Care Professional Workforce Composition Before and After Rural Hospital Closure

A new rural policy brief is available from the RUPRI Center for Rural Health Policy Analysis authored by Erin Mobley, PhD; Fred Ullrich, BA; Redwan Bin Abdul Baten, MPH; Mina Shrestha, MPH and Keith Mueller, PhD.  This policy brief examines the composition of the local health care workforce before and after rural hospital closure to reveal any associations with discontinuation of inpatient services in rural communities.

Please click here to read the brief.

 

States Offering the Most Coronavirus Support – WalletHub Study

With 89 percent of adults hospitalized with COVID-19 having some sort of pre-existing condition, the personal-finance website WalletHub today released its report on the States Offering the Most Coronavirus Support, as well as accompanying videos. The report seeks to examine how states care for people who are at risk both health-wise and financially.

To identify which states offer the most support during the COVID-19 pandemic, WalletHub compared the 50 states and the District of Columbia across 17 key metrics. Our data set ranges from whether the state will offer free vaccinations once a vaccine exists to the share of households in poverty that receive social assistance. Below, you can see highlights from the report, along with a WalletHub Q&A.

States with the Most Support

States with the Least Support

1. Massachusetts 42. Texas
2. District of Columbia 43. Tennessee
3. Rhode Island 44. Florida
4. Maine 45. Indiana
5. North Dakota 46. Virginia
6. New Mexico 47. South Carolina
7. Vermont 48. Georgia
8. Colorado 49. Arizona
9. Kentucky 50. Mississippi
10. Minnesota 51. North Carolina

To view the full report and your state’s rank, please visit:
https://wallethub.com/edu/states-offering-the-most-coronavirus-support/73333/

Pennsylvania Governor Announces May 1 Statewide Reopening of Limited Outdoor Recreational Activities to Help Maintain Positive Physical, Mental Health

To ensure that Pennsylvanians have opportunities to safely enjoy outdoor recreation as a way to maintain positive physical and mental health, and in keeping with the commonwealth’s stay-at-home orders to mitigate the spread of COVID-19, Governor Tom Wolf today announced that the Wolf Administration is lifting some restrictions on businesses related to certain outdoor activities.

Starting Friday, May 1, golf courses, marinas, guided fishing trips and privately owned campgrounds may reopen statewide and are required to follow updated life-sustaining business guidance and FAQ issued by the Wolf Administration to include specifics for how these outdoor recreational industries can resume activities while prioritizing public health and safety. Campgrounds in state parks will remain closed through Thursday, May 14.

The Centers for Disease Control and Prevention (CDC) issued guidance on visiting parks and recreational facilities. These guidelines must be followed statewide by businesses and when engaging in outdoor activity while the state disaster declaration remains in effect. The guidelines will ensure the safety of individuals and families engaging in outdoor activities and adherence will help slow the spread of COVID-19.

  • Stay close to home: Pennsylvanians are encouraged to enjoy permitted outdoor recreational activities within their community and avoid crowding popular destinations.
  • Practice social distancing: Maintain the recommended minimum 6 feet apart from fellow recreationists. Pennsylvanians are also encouraged to wear a mask or protective garment that covers the nose and mouth any time they go outside. If a parking lot at a park is full or there are too many people on the same trail, find an alternate place to recreate. Cross the street to avoid running directly past another runner or wait longer at a golf hole for a fellow golfer to move forward.
  • Minimize risk to others: Individuals should only go out if they feel healthy and have not been exposed to someone who has tested positive for COVID-19.
  • Practice good hygiene: Wash hands often with soap and warm water for 20 seconds. If soap and water are not available, use a hand sanitizer containing at least 60 percent alcohol. Avoid surfaces that are touched often, such as doorknobs and handrails.
  • Have a plan: Create a safety plan before heading outdoors. Explain to children the need to keep their distance from others, even if they happen to see a friend while outside. Discuss with partners, social distancing while on the golf course. Think through how to avoid other runners when waiting to safely cross a street at the same time.

Policy Brief: Measure and Data Element Identification for the HRSA Evidence-Based Tele-Behavioral Health Network Program and the HRSA Substance Abuse Treatment Telehealth Network Grant Program

A Research & Policy Brief is available from the Rural Telehealth Research Center.

To address the many challenges in treating behavioral health in rural areas, the Federal Office of Rural Health Policy (FORHP) in the Health Resources and Services Administration (HRSA) established the Evidence-Based Tele-Behavioral Health Network Program (EB THNP) in 2018, funding 14 grantees, and the Substance Abuse Treatment Telehealth Network Grant Program (SAT TNGP) in 2017, funding 3 grantees. Concurrently, the Rural Telehealth Research Center (RTRC) worked cooperatively with FORHP to establish data collection protocols and tools on a set of measures that could be used for a cross-grantee evaluation of behavioral health services over their funding periods. This brief details multi-project work to identify the standardized set of measures appropriate to behavioral health, create an Excel-based tool – termed the Behavioral-Telehealth Evidence Collection (B-TEC) Tool- and begin to systematically collect data from the grantees.

Please click here to read the brief.

Closed Hospitals Leave Rural Patients ‘Stranded’ as Coronavirus Spreads

New York Times

Michael Nuzum had spent weeks fighting coronavirus-like symptoms — a wracking cough, terrible chills, an exhausting fever — before collapsing at his home in rural West Virginia.

Mr. Nuzum, a 54-year-old animal control worker, was already in cardiac arrest when the emergency workers arrived on April 3. That left them with a difficult decision: Should they transport their patient to the nearest hospital, 30 minutes away?

“There’s only so much one paramedic can do in the back of an ambulance,” said Michael Angelucci, who leads the Marion County rescue squad that cared for Mr. Nuzum. The two-person team that responded decided it couldn’t risk the long ride and instead tried to revive the patient at the scene. But the workers couldn’t save him.

Two weeks earlier, the options would have been different. Fairmont Regional Medical Center, just five minutes from Mr. Nuzum’s home, would still have been open. Mr. Angelucci, who is also a state representative, can’t help wondering if the hospital and its emergency room could have given the man a fighting chance.

“It’s incredibly frustrating that this entire community is stranded without a hospital,” he said.

Fairmont was one of three hospitals that have shut down in this corner of rural West Virginia and Ohio since September. They delivered hundreds of babies each year, treated car crash and gunshot victims, repaired hearts and knees and offered addiction treatment and psychiatric care.

Read more.

Pennsylvania Governor’s Administration Announces Second Round of State Funding for Pennsylvania Businesses

The Pennsylvania Department of Community and Economic Development (DCED) Secretary Dennis Davin announced that 160 companies in 43 counties have received $13.5 million in funding during the second round of the COVID-19 Working Capital Access Program (CWCA). Funds awarded under the program to date total more than $23 million awarded to a number of diverse businesses like restaurants, wellness centers, wineries and breweries, consulting firms, and salons and spas.

A list of approved projects can be found here. New disbursements are highlighted in yellow.

Pennsylvania Governor’s Administration Elaborates on Data Driven Reopening Standard

In consultation with public health professionals and in an effort to simplify and to better capture growth, decline, or stability, the Wolf Administration elaborated on the Department of Health metrics and included an example to aid in calculation

The target data goal is not the only metric to be met before reopening a region. Additionally, the commonwealth must ensure there is:

                 Enough testing available for individuals with symptoms and target populations such as those at high risk, health care personnel and first responders.

                 Robust case investigation and contact tracing infrastructure in place to facilitate early identification of cluster outbreaks and to issue proper isolation and quarantine orders.

                 Identification of an area’s high-risk settings including correctional institutions, personal care homes, skilled nursing facilities and other congregate care settings, and assurance that facilities have adequate safeguards in place such as staff training, employee screening, visitor procedures and screening and adequate supplies of PPE to support continued operations.