F. Douglas Scutchfield, Editor,

The Editorial Staff, and the Editorial and Advisory Boards

Invite you to participate in the launch of the

Journal of Appalachian Health.

The Journal of Appalachian Health is now open for both readers and authors. The journal is an online, open access, peer-reviewed journal with a mission of creating a healthy and thriving Appalachia. The journal, thanks to the support from the Robert Wood Johnson Foundation, will require no subscription fee or author publication fee.

The journal is particularly interested in receiving submissions that focus on Appalachian health inequities and social determinants of health. If you are interested in submitting articles for publication in the journal, the instructions for authors and further description of the journal are located at:

https://uknowledge.uky.edu/jah/

If you are interested in receiving your free copy of the journal, either go to the journal website https://uknowledge.uky.edu/jah/ to sign up for your free journal or send an email to

AppalachHealth@UKy.edu

to be put on our journal mailing list.

We thank you and appreciate your interest and commitment to improving the health of the Appalachian Region.

WASHINGTON, February 6, 2019 – Acting Administrator for USDA’s Rural Utilities Service Bette Brand announced today USDA would extend application deadlines for the Rural eConnectivity Pilot Program (ReConnect Program).

To give potential applicants adequate time to access technical assistance from USDA staff and its partners, the first application deadline will be pushed back to May 31, 2019 or later. Previously, application deadlines began in April. New specific deadlines for ReConnect Program grants, loans, and grant-loan combination applications will be posted in the Federal Register in late February.

“We’ve seen such strong interest in ReConnect from rural telecommunications providers and utility cooperatives, that we want to be sure there’s enough time for them to put solid applications together for these innovative funding opportunities,” said Bette Brand. “The USDA team stands ready to assist with engineering and business plans, to be sure these new Federal funds are as impactful as possible.”

As one part of that technical assistance, USDA is hosting a webinar with general information about the ReConnect program and guidance from experts for potential applicants. This webinar is open to the public and interested parties, and will be offered at 2:00 pm Eastern Time on both Thursday, February 7 and Wednesday, February 13, 2019.

In March 2018, Congress provided $600 million to USDA to expand broadband infrastructure and services in rural America. On December 13, Agriculture Secretary Perdue announced the rules of the program, called “ReConnect”, including how the loans and grants will be awarded to help build broadband infrastructure in rural America.

Telecommunications companies, rural electric cooperatives and utilities, internet service providers and municipalities may apply for funding through USDA’s new ReConnect Program to connect rural areas that currently have insufficient broadband service. Through the ReConnect Program, USDA is making available approximately $200 million for grants, as well as $200 million for loan and grant combinations, and $200 million for low-interest loans. Funds will be awarded to projects that have a financially-sustainable business models that will bring high-speed broadband to rural homes, businesses, farms, ranches, and community facilities such as first responders, healthcare sites, and schools.

More information about the ReConnect program may be found at http://reconnect.usda.gov.

Effective January 1, 2019, CMS announced new strategies to further help Medicare Part D sponsors prevent and combat opioid overuse including additional safety alerts at the time of dispensing as a proactive step to engage both patients and prescribers about overdose risk and prevention.  The new policies include (1) improved safety edits when opioid prescriptions are dispensed at the pharmacy and (2) drug management programs for patients determined to be at-risk for misuse or abuse of opioids or other frequently abused drugs.

CMS has posted tip sheets and other resources to help increase awareness of the new policies among stakeholders. Three sets of outreach materials designed for physician, pharmacist, and beneficiary audiences are available on the CMS website for download. Materials can be found at: https://www.cms.gov/Medicare/Prescription-Drug-coverage/PrescriptionDrugCovContra/RxUtilization.html

Please click here to read Rural Horizons Winter 2019.

In any community, developing a coordinated strategy to address unsheltered homelessness is challenging. Community Supportive Housing (CSH) now offers guidance that can help ensure better outcomes. Learn about their new Community Response Resources: Tools, Policies & Templates for Addressing Unsheltered Homelessness. These tools will assist you in identifying and leveraging local champions and strategies to tackle issues that may arise during the development and implementation of an outreach and engagement system.

In October 2018, the Office of the National Coordinator for Health Information Technology (ONC), in collaboration with the HHS Office for Civil Rights (OCR), released an updated, downloadable Security Risk Assessment (SRA) tool. This updated SRA tool is easier to use and applies more broadly to the risks of confidentiality, integrity, and availability of health information. The tool is designed to help healthcare providers conduct an SRA as required by the HIPAA Security Rule and the Centers for Medicare and Medicaid Services (CMS) Electronic Health Record (EHR) Incentive Program. The tool diagrams HIPAA Security Rule safeguards and provides enhanced functionality to document how your organization implements safeguards to mitigate, or plans to mitigate, identified risks. The new SRA tool is available for Windows computers and laptops. However, the previous iPad version of the SRA tool is still available from the Apple App Store (search under “HHS SRA Tool”). Go to the HealthIT.gov website to download the updated SRA tool.

Pennsylvania residents now have access to the Drug and Alcohol Referral Tool (DART), an online resource to help individuals seeking substance use disorder (SUD) treatment find appropriate, local care. This tool is fully anonymous, user friendly and can be translated into over 100 languages. DART is a centralized hub that will ask a series of questions based on a person’s age, county of residence and veteran status to assess appropriate needs and locate care. The tool will also provide potential resources that consider issues of homelessness, transportation and legal concerns. “Substance use disorders often occur when a person experiences other medical and behavioral health concerns, and they may need additional resources to live a stable, healthy life in recovery,” said Human Services Secretary Teresa Miller. “Connecting people seeking treatment to comprehensive services that can help meet all of their needs from the start is critical as they work towards recovery.”