Category: Health Care

18th Annual Health Ethics Conference

Date: September 15, 2022

18th Annual Health Ethics Conference. Burnout, incivility, and moral injury: Optimizing ethical response in times of crisis

Date: October 6, 2022

Location: Hampton Inn Events Center, Columbia, MO 65201

Through the exploration of patient and provider stories, this conference will focus on navigating ethical challenges heightened by the global pandemic, divergent belief structures, and misinformation further polarizing communities. Join to listen to wellness advocates and a range of healthcare professionals who have first-hand experience of the challenges encountered in today’s complex healthcare environment leading to rising incivility, burnout, and moral injury. Participants will explore these challenges as well as interventions, processes and resources aimed at optimizing well-being and mitigating harm to health professionals.

The conference agenda is posted on the website.

Presented By:

Center for Health Ethics
MU Office of Clinician Well-being
MU School of Medicine
MU Sinclair School of Nursing
MU Continuing Education for Health Professions
MU Extension

Accreditation Information

Continuing Medical Education (CME)

Activity approved for AMA PRA Category 1 Credits™

Continuing Nursing Education (CNE)

University of Missouri Sinclair School of Nursing is approved as a provider of nursing continuing professional development by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Midwest Multistate Division Provider Number MO1022-6

Other credit being pursued: Licensed Professional Counselors, Psychologists, and Social Workers with Missouri licenses.

Availability of Emergency Department, Nursing Home, and Substance Use Disorder Services in Minoritized Racial/Ethnic Group Areas

Date: September 15, 2022

Availability of Emergency Department, Nursing Home, and Substance Use Disorder Services in Minoritized Racial/Ethnic Group Areas

This series of briefs documents disparities in geographic access to health services for ZIP code tabulation areas (ZCTAs) containing a high proportion of minoritized racial/ethnic group (MRG) residents.

Availability of Hospital-Based Emergency Department and Trauma Services in Minoritized Racial/Ethnic Group Areas

  • The median distance to the nearest emergency department in rural ZCTAs with a top proportion of minoritized groups was 16.2 miles compared to 3.9 miles for urban ZCTAs of the same classification. Similarly, rural MRG ZCTAs were a median of 25.6 miles from trauma services versus 6.4 miles for urban MRG ZCTAs.
  • Within rural ZCTAs, the ZCTAs at the top of the distribution for minoritized populations were slightly farther from an emergency department or trauma center.

Availability of Nursing Homes in Minoritized Racial/Ethnic Group Areas

  • Top MRG ZCTAs having the greatest median distance to a nursing home were American Indian/Alaska Native (AI/AN) (13.2 miles), Hispanic (10.6 miles), and multiple MRGs (11.3 miles). Rural ZCTAs were a median of 8.2 miles from the nearest nursing home compared to 2.9 miles for urban ZCTAs.
  • Overall, only 4.6% of rural ZCTAs lacked access to a nursing home within 30 miles. However, when looking at the top MRG ZCTAs, the percentage of rural ZCTAs lacking access to a nursing home within 30 miles was 14.7% for more than one MRG population ZCTAs, 13.6% for top AI/AN ZCTAs, and 11.1% for top Hispanic ZCTAs.

Availability of Substance Use Disorder Treatment in Minoritized Racial/Ethnic Group Areas

  • The median distance to the nearest methadone treatment program across all rural ZCTAs was 27.7 miles versus 8.0 miles for urban ZCTAs.
  • Overall, rural ZCTAs were more distant from the nearest buprenorphine provider than urban ZCTAs at a median of 8.0 versus 4.2 miles respectively.
  • Access to buprenorphine providers appeared poorest for top AI/AN ZCTAs with 11.9% of rural and 10.6% of urban top AI/AN ZCTAs being more than 30 miles from the nearest buprenorphine provider.

Contact Information:

Janice C. Probst, PhD
Rural and Minority Health Research Center
Phone: 803.251.6317
jprobst@mailbox.sc.edu

Additional Resources of Interest:

Health Insurance Marketplaces: Issuer Participation Trends in Non-Metropolitan Places, 2014-22

Date: September 14, 2022

Health Insurance Marketplaces: Issuer Participation Trends in Non-Metropolitan Places, 2014-22

Since the 2014 implementation of Health Insurance Marketplaces (HIMs), authorized by the Patient Protection and Affordable Care Act of 2010, considerable changes have been observed in the number of insurance companies offering plans across the 50 states and the District of Columbia. This policy brief describes the changes in HIM plan issuers over the 2014-2022 period with an emphasis on the variation across metropolitan and non-metropolitan places.

Key Findings

  • Non-metropolitan counties have had less marketplace participation than metropolitan counties since their implementation in 2014. However, issuer participation in metropolitan and non-metropolitan counties fluctuates in a similar manner over time.
  • Since 2018, metropolitan, micropolitan, and noncore counties have experienced steady growth in the number of competing issuers in the marketplaces.
  • A larger percentage of non-metropolitan counties (micropolitan: 37.9 percent; noncore: 42.3 percent) had fewer than three issuers participating in the marketplaces, compared to metropolitan counties (20.8 percent).
  • Non-metropolitan counties in states that have expanded Medicaid have had greater marketplace participation on average than their counterparts in states that have not expanded Medicaid. However, this difference appears to be closing as of 2022.

Contact Information:

Timothy D. McBride, MS, PhD
RUPRI Center for Rural Health Policy Analysis
Phone: 314.935.4356
tmcbride@wustl.edu

Additional Resources of Interest:

New Enhancing Oncology Model

Date: September 13, 2022

Enhancing Oncology Model (EOM) Resources

June 27, the CMS Innovation Center (CMMI) announced the new Enhancing Oncology Model (EOM). EOM builds on insights from the Oncology Care Model (OCM) and intends to drive transformation in oncology care by enhancing the quality of care furnished to beneficiaries undergoing chemotherapy while reducing Medicare Fee for Service (FFS) spending. The model features a focus on equity, with an aim to increase participation and support for oncology practices working with traditionally underserved populations. Applications for the model are due from interested organizations by September 30, 2022. The model itself will launch in July 2023.

To support awareness and increase successful applications, the EOM team has developed resources to assist cancer care and payment stakeholders in understanding the policies and benefits of EOM. The EOM website has resources to answer questions and help PGPs and other payers prepare to submit an application.

If you would like to learn more about the model:

Note: Dates are subject to change. Please sign up for the CMS listserv to receive direct announcements about the EOM

Free Peer Support Training for First Responders in Missouri

Date: September 9, 2022

The Warrior’s Rest Foundation is conducting FREE peer support training for First Responders in Missouri through a grant from the Missouri Department of Public Safety. There is a FREE one day Mental Health Conference: Survive First for First Responders on September 21, 2022. Register to see dynamic speakers featuring a firefighter and law enforcement discussing the Oklahoma City Bombing, Pulse Nightclub Shooting, and Surviving Depression and Thriving in Joplin, Missouri.

Register here

Other courses are also scheduled for 2022 and 2023.

Critical Incident Stress Foundation (ICISF) 3-day “Basic Peer” Critical Incident Stress Management (CISM) course (referred to as GRIN)

  • September 27-29, 2022
  • October 24-26, 2022
  • November 14-16, 2022
  • December 12-14, 2022

Additional 2-day Peer Support Training (PST)

  • October 4-5, 2022
  • November 17, 2022

These classes will be offered every 2 – 3 weeks in 2022 and 2023 across various regions in the state, to include Jefferson City, Columbia, Springfield, Joplin, Cape Girardeau, St. Louis, Kansas City, and more.

Additional training locations and registration links are continually being added. Check Back Often for Updates!

Check out these FREE training opportunities at: warriorsrestfoundation.mykajabi.com/missouri-training-page-1

Maternal Health Webinar Series:Utilizing Telehealth to Address Maternal Health Challenges

Date: September 8, 2022

Maternal Health Webinar Series: Utilizing Telehealth to Address Maternal Health Challenges

The Health Resources and Services Administration’s (HRSA), Office of Intergovernmental and External Affairs (IEA) in Regions 5, 6, and 7 invite you to a webinar on Utilizing Telehealth to Address Maternal Health Challenges. This webinar is part of HRSA IEA Regions 5, 6, and 7’s Maternal Health Webinar Series. The series’ goal is to highlight innovations and promising practices as well as resources to promote and further maternal health and well-being across the lifespan.

Date:  Tuesday, September 20, 2022

Time:  11:00 AM – 12:00 PM CST | 12:00 PM – 1:00 PM EST

Topics at a Glance

  • Learn more about HRSA Maternal Child Health Bureau (MCHB) funding and resources to support maternal and child health initiatives
  • Recognize the need and impact of tele- behavioral health resources for the perinatal population
  • Identify local and national resources to support community telehealth goals

Featured Speakers

Dawn Levinson, M.S.W, Health Resources and Services Administration, Maternal and Child Health Bureau

Dawn Levinson, M.S.W., is Behavioral Health Lead at the Division of Healthy Start  and Perinatal Services, MCHB, HRSA. As MCHB’s Behavioral Health Lead, Ms. Levinson provides leadership, coordination, subject matter expertise and recommendations on behavioral health policy, program, and technical assistance across MCHB divisions and programs. She coordinates across HRSA and HHS and provides guidance and oversight to the behavioral health-focused technical assistance for two cooperative agreement programs: the Screening & Treatment for Maternal Depression and Related Behavioral Disorders program, and the Supporting Healthy Start Performance Project. She is the project officer for the 2020 CARES Act award, Maternal Telehealth Access Project (MTAP), and the Supporting Fetal Alcohol Spectrum Disorders (FASD) Screening and Intervention program. Over the past two decades and across various HHS agencies, her experience has spanned behavioral and public health policy planning, development and analysis, grant program management, and administrative operations and management. Ms. Levinson entered federal service through the Public Health Service Commissioned Corps, and later, through the Presidential Management Fellows program. Prior to the government, she worked as a journalist, free-lance writer, and did direct practice social work

Patricia Carrillo, M.A, Research Project Coordinator, University of Kansas Center for Public Partnerships and Research

Patricia Carrillo is a Research Project Coordinator at the University of Kansas Center for Public Partnerships and Research. She has a Bachelor of Arts in Anthropology from Washburn University and has completed MA coursework in Cultural Anthropology at the University of Denver. Her professional and academic work are focused on reproductive and maternal health disruptions and systems improvements. She has served as the Program Manager for the HRSA Screening and Treatment for Maternal Depression and Related Behavioral Disorders (MDRBD) program in Kansas since 2019, supporting the management of grant deliverables and supporting community implementation, training, and outreach to providers and other perinatal stakeholders. 

Register for the webinar here. After registering, you will receive a confirmation email containing information about joining the webinar on September 20, 2022.

For more information about the webinar, contact Rachel Piotrowski at RPiotrowski@hrsa.gov.

Reasonable Accommodations

If you would like to request an auxiliary aid such as Sign Language Interpretive Services, please contact the HRSA Office for Civil Rights, Diversity, and Inclusion at RA- Request@hrsa.gov at least five business days prior to the date of the event.

HRSA IEA Region 7 distributes information regarding HRSA programs, funding, and updates that HRSA feels will be of interest to our partners and stakeholders. To receive these updates, send an email with “Subscribe” in the subject line or “Unsubscribe” to:  HRSAOIEARegion7@hrsa.gov.

 

Sensory Inclusive Pop-Up Vaccination Events For People With Developmental Disabilities

Date: September 8, 2022

Sensory inclusive pop-up vaccination events for people with developmental disabilities

JEFFERSON CITY, MO – Missourians with sensory needs are invited to receive vaccinations, including the COVID-19 vaccination, at sensory inclusive pop-up events in partnership with 10 local public health agencies and pharmacies throughout Missouri beginning next week.

The following sensory inclusive pop-up vaccination events are scheduled include:

  • Hayti event hosted by Pemiscot County Health Department
    • September 12 (morning) – Pemiscot County Health Department at 810 East Reed Street, Hayti
  • Cape Girardeau event hosted by Cape Girardeau County Health Department
    • September 12 (2:00 PM-4:00 PM) – Cape Girardeau County Health Department at 121 Linden Street, Cape Girardeau
  • Berkeley event hosted by St. Louis County Health Department
    • September 13 (9:00 AM-1:00 PM) – John C. Murphy Health Center at 6121 North Hanley Road, Berkeley
  • Cuba event hosted by Towne Pharmacy
    • September 14 (9:00 AM-11:00 AM) – Towne Pharmacy at 200 North Franklin Street, Cuba
  • Rolla event hosted by Sink’s Select Pharmacy
    • September 14 (2:00 PM-5:00 PM) – Sink’s Select Pharmacy  at 1100 S. Bishop Avenue, Rolla
  • Springfield event hosted by Springfield-Greene County Health Department
    • September 15 (9:00 AM-11:00 AM) – Westside Public Health Center at 660 South Scenic Avenue, Springfield
  • Stockton event hosted by Evan’s Drug and Zumwalt Pharmacy
    • September 15 (3:00 PM-5:00 PM) – Evan’s Drug at 19 Public Square, Stockton
  • Sedalia event hosted by Summer’s Pharmacy
    • September 16 (9:00 AM-11:00 AM) – Summer’s Pharmacy at 3400 West Broadway Boulevard, Sedalia
  • Warrensburg event hosted by Summer’s Pharmacy
    • September 16 (2:00 PM-5:00 PM) – Summer’s Pharmacy at 61 Burkarth Road, Warrensburg
  • Independence event hosted by Independence Health Department
    • September 17 (9:00 AM-12:00 PM) – Independence City Hall at 111 East Maple Avenue, Independence

“We are excited to partner with KultureCity to bring this sensory inclusive vaccination opportunity to Missouri,” says Vicky Davidson, executive director for the Missouri Developmental Disabilities Council, “Each vaccination event will have a mobile sensory space available and Sensory Inclusive Medical Training of vaccinators and medical professionals.”

Currently in the United States today, one in six individuals has a sensory processing need. Due to the increasing numbers of individuals diagnosed with sensory needs, it is important that vaccination environments exist where individuals feel regulated and are able to tolerate a vaccination to the best of their ability. KultureCity is an organization dedicated to creating sensory accessibility and inclusion to events and experiences.

KultureCity’s sensory activation vehicle (S.A.V.E) brings a mobile sensory experience to any event that lacks a physical space for a dedicated sensory room. From outdoor events like concerts and baseball games to indoor events like exhibitions and conferences, the S.A.V.E ensures that all guests can be included in all events.

The S.A.V.E. makes events accessible for all with the following features:

  • Designed to bring sensory relief to locations that do not have interior physical space for a sensory room.
  • Provides a quick sensory refuge for those with sensory needs.
  • Enables them to get a quick break and then go back to enjoying the event.
  • Enables families to attend these events together with their loved ones with sensory needs.

Funding for the sensory inclusive vaccinations events is provided by the Missouri Developmental Disabilities Council, in partnership with the Missouri Department of Health and Senior Services, UMKC Institute for Human Development, and Missouri Protection and Advocacy.

As part of the partnership, KultureCity’s Sensory Inclusive Medical training to Missouri’s state vaccinators free of charge to expand sensory accessibility and support for medical professionals.

The Missouri Developmental Disabilities Council is a federally funded 23-member consumer-driven council appointed by the Governor. Its mandate under P.L. 106-402, the Developmental Disabilities Assistance and Bill of Rights Act, is to assure that individuals with developmental disabilities and their families participate in the design of and have access to needed community services, individualized supports, and other forms of assistance that promote self-determination, independence, productivity, and integration in all aspects of community life. To learn more or to get involved, visit www.moddcouncil.org.

HRSA Telehealth Learning Series: Telehealth and Broadband Funding and Resources

Date: September 8, 2022

The Health Resources and Services Administration (HRSA) Telehealth Learning Series session on Telehealth and Broadband Funding and Resources is now available.

This webinar was part of HRSA’s Telehealth Learning Webinar Series. The series’ goal is to highlight successful projects/best practices as well as resources to promote and further the use of telehealth technologies for health care delivery, education, and health information services.

WATCH RECORDING

For additional information on the programs discussed, please visit:
https://broadbandusa.ntia.gov/

https://www.fcc.gov/acp

https://www.fcc.gov/programa-de-descuentos-para-internet-acp (Spanish)

https://www.rd.usda.gov/programs-services/telecommunications-programs

The next session of the HRSA Telehealth Learning Series will be on Healthcare Workforce Stress and Resiliency: The Role of Technology on September 13, at 12:00 pm ET. The webinar will feature expert panelists discussing best/promising practices and examples of how technology can be leveraged to address provider stress and promote healthcare workforce resiliency. Register here.

The Southwest Telehealth Resource Center (SWTRC) is hosting Funding for Your Telehealth Initiatives: Current and Upcoming Grant Programs on September 13, at 2:00 pm ET. This webinar will explore funding programs that can be used to support your organization’s telehealth efforts, improve broadband connectivity and adoption in your community, and help bridge the digital divide.  Register here.

For more information about the series, contact Kim Shiu at KShiu@hrsa.gov.

 For more resources and tools about telehealth, please visit:

https://www.hrsa.gov/rural-health/telehealth/index.html

https://telehealth.hhs.gov/

https://telehealthresourcecenter.org/