New! Community Paramedicine Impact Reference Guide

The Community Paramedicine Impact Reference Guide is a resource for those intending to research, plan, implement, evaluate, or otherwise consider community paramedicine (CP) systems. This resource includes a compilation of cited references that describe the impact of previously implemented CP initiatives. Those considering CP systems can review results as applicable to their initiative and use the information to inform implementation. References include both the impact that CP has, the potential to have, or has been demonstrated to have on patients, health care systems, payers, health care provider organizations, health care practitioners, and others. It also reflects the impact that policy and health, and medical practices have the potential or have been demonstrated to have on CP and its stakeholders.

Missouri Critical Access Hospital Receives National Recognition

June 2020

Ste. Genevieve County Memorial Hospital (SGCMH), located in Ste. Genevieve, Missouri, is one of only four critical access hospitals that received national recognition for demonstrating innovative care coordination initiatives to improve population health.

SGCMH has a swing bed hospital-based program for Transitional Care (skilled nursing). Recently, SGCMH implemented an innovative care model, standardized their triage process, and collaborated with select tertiary care centers to transition patients into a short-term skilled nursing program. The Transitional Care goal is to address the needs of patients who are being discharged from acute care but are not ready or it is not safe to go home. As a traditional skilled nursing facility (SNF) alternative, Transitional Care patients benefit from low nurse-to-patient ratios, and receive interventions typically seen in acute care including daily physician rounding, intravenous antibiotics (IVAB), IV medications, wound care, physical and occupational therapy (PT/OT), and palliative care. Differing from nursing homes, SNF have 24-hour per day availability of lab, radiology, and respiratory therapy.

Hirshell Parker, Executive Director of Quality & Risk Management, said, ”We identified a need in our community that led us to further develop our Transitional Care/Swing bed Program, which allows us to get patients back home in a safe and timely manner. By doing so, we have improved the quality of care for patients and reduced hospital readmissions.”

Click to view OVERVIEW.

Medicaid/CHIP Provider Relief Fund Payment Forms and Guidance

HHS, through the Provider Relief Fund, expects to distribute $15 billion to eligible Medicaid and CHIP providers. Providers must submit their data by Monday, July 20.

Before applying through the Enhanced Provider Relief Fund Payment Portal applicants can watch a webinar about the application process for Medicaid/CHIP providers (registration required). An additional webinar is scheduled:

Wednesday, July 8
4:00 p.m.-5:00 p.m. ET
Register today

Rural Health Network Development Program

The Federal Office of Rural Health Policy (FORHP) has awarded approximately $13 million to 44 rural health networks for the Rural Health Network Development (RHND) Program. This is a three-year opportunity designed to support integrated rural health care networks address the health care needs of their rural communities. 

Recipients will receive up to $300,000 per year and are expected to achieve efficiencies, expand access to and improve the quality of essential health care services, and strengthen the rural health care system as a whole. Awarded applications range in a variety of focus areas including care coordination, value based care, chronic disease management, and behavioral health services.

Historically, grantees have been successful in leveraging finances by using FORHP grants to sustain their efforts; they have been able to combine federal funds with local and foundation dollars to support the continuation and development of health care services in rural areas. Organizations have innovatively expanded their programs to serve different populations and regions while ensuring that their programs align with the current health care landscape. Any opportunities you may find to engage and collaborate with the new cohort of RHND grantees would be greatly appreciated.

COMING SOON: The Opportunity Fund Opens July 6

June 30, 2020

Missouri Foundation for Health is excited to announce the relaunch of the Opportunity Fund next week!

Through the Opportunity Fund, we’re offering the chance for forward-thinking organizations to share their game-changing ideas with us. By working in collaboration, we will test projects that have the potential to reduce health inequities and build communities where everyone can reach their potential.

We’re looking forward to hearing your best ideas and collaborating in exciting new ways, all in an effort to make Missouri a healthier place to live.

Visit the Opportunity Fund page to learn more.


June 30, 2020

Help Spread #WellChildWednesdays to Encourage Parents to Keep Up with Pediatric Checkups and Immunizations.

CDC data show that fewer children are receiving timely immunizations this year compared to last year. Declines in vaccination coverage can leave young children and communities vulnerable to otherwise preventable diseases like measles.

To encourage parents and stakeholders to keep up with these important well-child visits and immunizations, HRSA launched a new social media campaign with the hashtag #WellChildWednesdays. Each Wednesday for four weeks, messages will address well-child visits, immunizations, adolescent and young adult care, and nutrition, safety, and mental health as topics to be discussed with pediatric providers.

Health centers can encourage families to maintain well-child visits and immunizations by communicating directly with families. One easy way to do so is by sharing HRSA’s #WellChildWednesdays posts on your health center’s social media.

The first messages have already posted, and more messages will appear on Twitter and Facebook with the handle @HRSAgov and #WellChildWednesdays. Please share, retweet, and promote the hashtag #WellChildWednesdays to help us to amplify this important message!

Webinar Recording: Swing Bed Focus During Challenging Times

This webinar was recorded and available on-demand HERE.

Key Takeaways:

  • The Transitional Care program which began at Mayo Clinic is a quality and financial win for CAHs, helping them grow their Swing Bed volume.  The model also significantly benefits Tertiary Hospitals and most importantly, patients in rural communities.
  • Allevant has designed an 18 month Transitional Care program (first 3 months at no charge) geared towards addressing Covid-19 challenges.  The program is accessible so that any Critical Access Hospital can benefit and not be overwhelmed with the cost and work involved.  The model can be initiated without adding additional resources.
  • The Transitional Care Program is a great way to meet current patient demand and prepare and help pay for value-based population health efforts.
  • MENDS(R)  which is included in our program is a new model aimed at improving the health and wellness of rural community members and rural health care workers.

Identifying Vulnerable Rural Populations During COVID-19: The CDC’s Social Vulnerability Index

New issue brief describes the Center for Disease Control and Prevention’s (CDC) Social Vulnerability Index (SVI) and how it can be applied in monitoring vulnerable populations during COVID-19.

In the current COVID-19 pandemic, particularly as we see a surge in new cases across the country, it’s difficult to be proactive while being reactive. The SVI offers an opportunity to quickly identify populations of rural residents that could most benefit from currently available resources – allowing you to address current need while also focusing on prevention.

With support from the Federal Office of Rural Health Policy, NOSORH developed this Issue Brief for State Offices of Rural Health and other rural health stakeholders as a means of using data to target resources where they are needed most during COVID-19.

The issue brief offers an overview of the SVI and how it’s calculated, identifies indicators that highlights populations at high risk for spread of COVID-19 and indicators of those at high risk of infection.