Monthly Infection Control and Prevention Webinar Series

Date: July 6, 2022

Monthly Infection Control and Prevention Webinar Series: What you need to know to keep you, your patients and community safe

Date: July 14, 2022

Time: 12:00 PM – 1:00 PM CT

Title: Recommendations for Change in Infection Prevention: What you need to know

Presenter: Taylor Nelson, DO, Assistant Professor of Clinical Medicine, Division of Infectious Diseases, MU Health Care, Columbia

Register Today!

If you have registered for a previous webinar in this series, you do not need to register again.

Self-Rated Health Among Gay, Lesbian, and Bisexual Adults: Rural/Urban Differences

Date: July 6, 2022

Self-Rated Health Among Gay, Lesbian, and Bisexual Adults: Rural/Urban Differences

This study examines the intersections of sexual orientation, geographic context, and race/ethnicity and their associations with self-rated health. The Rural Health Research & Policy Centers leveraged three nationally representative and population-based datasets in this brief; the National Health Interview Survey (NHIS), the Behavioral Risk Factor Surveillance System (BRFSS), and the Health Information National Trends Survey.

Key Findings

  • Two national datasets (NHIS and BRFSS) revealed statistically significant differences in self-rated health between rural lesbian, gay, and bisexual (LGB) respondents and heterosexual respondents, with LGB respondents more likely to report fair or poor self-rated health.
  • In multivariable models adjusting for age, sex, race, ethnicity, educational attainment, and income, LGB rural adults had lower likelihood of excellent/very good/good self-rated health, compared with heterosexual rural adults in both the NHIS and the BRFSS datasets.
  • Among rural adults, there were differences in self-rated health by race and ethnicity and sexual orientation.

Contact Information:

Carrie Henning-Smith, PhD, MPH, MSW
University of Minnesota Rural Health Research Center
Phone: 612.626.4512
henn0329@umn.edu

Additional Resources of Interest:

Rural Health Clinic (RHC) Navigator 2023

Date: July 5, 2022

InQuiseek, North American HMS, Rural Advantage ACO, and The Compliance Team would like to announce “RHC Navigator 2023” on August 25-26, 2022. Federally Qualified Health Centers are welcome, too! This event will be held at North American HMS Corporate Headquarters, located at 1921 South 9th St., St. Louis, MO 63104.  The theme is “envisioning the path ahead” for RHCs. Providers, Administrators, Quality Managers, and anyone else interested in the future of RHCs is welcome to attend.  Topics will include:

  • Change Leadership – Jeff Harper
  • Compliance 2023 – Patty Harper
  • Value-Based Care for Providers – Tom Davis, MD/ Rural Advantage Medical Director
  • The Future of PCMH – Kristen Odgen/TCT
  • Value-Based Dollars – Charles James
  • Ask Us Anything – Panel
  • Rural Advantage Participant Meeting

There is no registration cost for North American clients, InQuiseek clients, or Rural Advantage participants. Otherwise, registration is $379 per person.  An event will be scheduled for Thursday evening, so attendees can have a bit of fun.  A more detailed agenda will be announced in the coming weeks.

Register here

How a Team-based Care Program in Rural Virginia Helped to Reduce Patient Readmissions and Improve Health Outcomes

Date: July 5, 2022

How a Team-based Care Program in Rural Virginia Helped to Reduce Patient Readmissions and Improve Health Outcomes

New Community Guide in Action Story

BuchananCares Program: A Team-based Care Pilot led by a Rural Community Hospital and Local Pharmacist.

A team of clinical health professionals from the Appalachian College of Pharmacy, Buchanan General Hospital, and the Virginia Department of Health, developed the program, BuchananCares, to reduce patient readmissions and improve health outcomes. Led by Randall Cole, PharmD, the team built the program using recommendations from the Community Preventive Services Task Force and CDC resources.*

As reported by Dr. Cole, the BuchananCares program helped “prevent 30-day readmissions for patients with COPD, diabetes, heart failure, and pneumonia.” The BuchananCares program has been established as usual care at Buchanan General Hospital, and patient education has been expanded beyond the five disease conditions in the program pilot to include all disease conditions.

Read the full Community Guide in Action Story.

* The BuchananCares team used a Division for Heart Disease and Stroke Prevention (DHDSP) website as a resource while developing the program.

The Guide to Community Preventive Services (The Community Guide) is a website that is a collection of all the evidence-based findings and recommendations of the Community Preventive Services Task Force.

Prevalence of Chronic Conditions by Sexual Orientation and Rural-Urban Location

Date: June 23, 2022

Prevalence of Chronic Conditions by Sexual Orientation and Rural-Urban Location

Despite the similar challenges that rural residents and lesbian, gay, and bisexual (LGB) individuals face in accessing health care and achieving positive health outcomes, few studies focus on the intersection of rurality and sexual orientation. This policy brief addresses that gap using nationally representative data to examine rates of chronic conditions by rurality and sexual orientation.

Key Findings

  • Compared with heterosexual adults and urban LGB adults, rural LGB adults have the highest rates of chronic conditions overall and were the most likely to report having three or more chronic conditions (43.8% of rural LGB adults).
  • Rural LGB adults have statistically higher rates of arthritis, depression, and diabetes, compared with urban LGB adults.
  • Rural LGB adults have statistically higher rates of asthma, depression, and anxiety, compared with rural heterosexual adults.
  • More than half (54.0%) of rural LGB adults reported a diagnosis of depression, and 43.8% reported a diagnosis of anxiety — rural LGB adults reported higher levels of depression and anxiety than any other group.

Contact Information:

Carrie Henning-Smith, PhD, MPH, MSW
University of Minnesota Rural Health Research Center
Phone: 612.626.4512
henn0329@umn.edu

Additional Resources of Interest:

Anxiety, Depression, and Access to Mental Health Care by Sexual Orientation and Rurality

Date: June 30, 2022

Anxiety, Depression, and Access to Mental Health Care by Sexual Orientation and Rurality

The purpose of this policy brief is to illustrate the differences in two of the most common mental health disorders (anxiety and depression) and in access to mental health care by sexual orientation and rurality.

Key Findings

  • Rural lesbian, gay, and bisexual (LGB) adults reported the highest rates of depression and anxiety disorder diagnosis, as well as the highest levels of depressed feelings, compared with urban LGB adults and rural and urban heterosexual adults.
  • Urban LGB adults reported the most barriers to accessing health care.
  • Both rural and urban LGB adults were more likely to have delayed mental health care in the past 12 months because of cost, compared with their heterosexual counterparts.

Contact Information:

Carrie Henning-Smith, PhD, MPH, MSW
University of Minnesota Rural Health Research Center
Phone: 612.626.4512
henn0329@umn.edu

Additional Resources of Interest:

Engaging the Primary Care Provider as Part of the HCV Workforce

Date: June 30, 2022

Now Available On-Demand: Engaging the Primary Care Provider as Part of the Hepatitis C (HCV) Workforce

Description

What is the role of primary care in combating the hepatitis C (HCV) epidemic? This on-demand webinar is designed to build knowledge and skills of the primary care provider workforce to implement effective HCV care and treatment in their practices, including the use of simplified HCV treatment strategies and strategies for providing culturally-responsive, comprehensive HCV care. The webinar is formatted as a panel discussion with presentations from two faculty.

1.0 free CME, CE, and CPE are available for this webinar. 

Educational Objectives

Upon completion of this activity, participants will be able to:

  • Describe how to incorporate evidence-based guidelines for screening and evaluating patients for HCV infection in the primary care setting.
  • Explain the importance of effective follow-up and counseling for patients upon a confirmed diagnosis of HCV infection.
  • Describe how to implement direct-acting antiviral agents into individualized treatment plans for patients with HCV infection in accordance with current guidelines and expert recommendations.

Identify strategies that support a multidisciplinary team-based approach for treating HCV infection, to distinguish patients who can be managed in the primary care setting versus those requiring linkage to specialist care.

Access the webinar by visiting HealthHIV Medical Education.

Audiences

Primary care providers, nurse practitioners, physician assistants, and other clinicians in primary care settings involved in the care of patients with HCV.

Faculty

Arun B. Jesudian, MD, Weill Cornell Medicine. Dr. Arun Jesudian is a Transplant Hepatologist and Associate Professor of Clinical Medicine, as
well as Director of Inpatient Liver Services at New York Presbyterian Hospital/Weill Cornell Medicine.

Christian Ramers, MD, Family Health Centers of San Diego. Dr. Ramers is the Chief of Population Health and Director of Graduate Medical Education at the
Family Health Centers of San Diego (FHCSD), a large Federally Qualified Health Center (FQHC).

Joint Accreditation Statement:

In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and HealthHIV. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity is supported by an educational grant from Gilead Sciences, Inc.

Upcoming Vulnerability Assessment Stakeholder Meetings

Date: June 30, 2022

The Missouri Department of Health and Senior Services has been granted Overdose Data to Action funding to update the Missouri Opioid Overdose and Bloodborne Infection Vulnerability Assessments. These assessments were last published in 2020 and identified counties at highest risk for 1) opioid overdoses and 2) bloodborne infections (i.e., HIV, hepatitis C, hepatitis B) associated with nonsterile drug injection. The overall purpose of the assessments is to raise awareness of areas more impacted by these health conditions and allow stakeholders to use the findings to better target services that will reduce risk of overdoses and risk of bloodborne infection spread through nonsterile drug injection.

In order to gain community-level feedback on the 2022 update and gather suggestions for possible future updates, DHSS is holding stakeholder meetings in each of Missouri’s six HIV Care Regions. DHSS is partnering with the Disaster and Community Crisis Center at the University of Missouri to facilitate the meetings.

Due to the need to gather very specific feedback on the assessments (rather than comments on the opioid epidemic in general) in a relatively short amount of time and due to the need for social distancing, a limited number of stakeholders will be accepted to each meeting. Registration is required and will be accepted on a first come, first served basis. Lunch will be provided at the meetings. DHSS will take additional steps to gather feedback from a broader audience in the future. 

For more information on the overall Overdose Data to Action funding, visit the web page.

The 2020 Missouri Opioid Overdose and Bloodborne Infection Vulnerability Assessments and related materials are available here. 

Use the links below to register for currently scheduled meetings.

Liberty, Missouri (Clay County Public Health Center) – Tuesday, July 12 Registration Link

St. Joseph, Missouri (Remington Nature Center) – Wednesday, July 13 Registration Link

St. Louis, Missouri – Date to be determined

Cape Girardeau, Missouri – Date to be determined

Springfield, Missouri – Date to be determined

Columbia, Missouri – Date to be determined