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

Continuing Nursing Education Scholarship Opportunity for Missouri Nurses

Date: June 21, 2022

AgriSafe Network currently has a scholarship opportunity that allows nurses providing care for individuals in rural Missouri to complete the AgriSafe Nurse Scholar continuing nursing education program free of cost (a $500 value). These scholarships are made possible by FCS Financial and Farm Credit Services of Southeast Missouri.

The Nurse Scholar program provides learners with 20 hours of continuing nursing education and is accredited by the American Nurses Credentialing Center (ANCC). The AgriSafe Nurse Scholar program is completed when convenient for the learner, online in a self-paced format. It is taught by expert agricultural health & safety educators, and helps nurses increase their competence in prevention, identification, and assessment of diseases and conditions commonly experienced by people working in agriculture. Topics covered include mental health needs, heat related illnesses, sleep deprivation, chemical/pesticide safety, respiratory health and much more. Additional information about the program is available on the AgriSafe Nurse Scholar Program website.

The program can be completed anytime between now and March 15, 2023. The deadline to apply for this scholarship is July 30, 2022. Interested candidates can apply for the scholarship here. If you know anyone that might be interested in this scholarship opportunity, please share this information with them.

Questions may be sent to afey@agrisafe.org.

Paying Attention to Hypertension

Date: April 28, 2022

Mid-Year Virtual Convening: Paying Attention to Hypertension

Spotlight on Self Measured Blood Pressure (SMBP) Monitoring 

The National Forum for Heart Disease & Stroke Prevention announces the Mid-Year Virtual Convening: Paying Attention to Hypertension to be held on May 5, 2022 from 12:30 PM – 3:30 PM EDT.

Please register to attend the National Forum’s Mid-Year Convening.


  • Inform National Forum members and stakeholders of successful strategies and practices to improve self-measure blood pressure monitoring.
  • Motivate participants to carry out effective strategies to improve self-measure blood pressure monitoring in their settings.

Pre-meeting Partner Networking via Zoom Chat



John M. Clymer, Executive Director
The National Forum for Heart Disease & Stroke Prevention

An Economic Case for Self-Measured Blood Pressure

Michael W. Cropp, MD, MBA, President and Chief Executive Officer
Independent Health

Solving Barriers to Self-Measured Blood Pressure in the U.S.

Warren A. Jones, MD, FAAFP, National Forum Chair, Captain, United States Navy Medical Corps (Ret.)
Professor Emeritus of Family Medicine, University of Mississippi Medical Center
President, American Academy of Family Physicians, 2001-2002


Hilary K. Wall, MPH, Senior Health Scientist
Million Hearts Science Lead
Centers for Disease Control and Prevention

Stretch Break

Jen Childress, MS, MCHES, Senior Program Manager
National Forum for Heart Disease & Stroke Prevention

Self-Measured Blood Pressure in the National Hypertension Control Initiative

Ayanna Williams, MPH, Public Health Analyst
Quality/ Office of Quality Improvement
Bureau of Primary Health Care
Health Resources and Services Administration

Jeanette Guyton-Krishnan, PhD, Public Health Analyst
Office of Health Center Investment Oversight
Bureau of Primary Health Care
Health Resources and Services Administration

Video: Self-Measurement: How Patients and Care Teams Are Bringing Blood Pressure to Control (National Association of Community Health Centers)

Meg Meador, MPH, C-PHI, CPHQ, Director, Clinical Integration & Education
National Association of Community Health Centers

Integrating SMBP into Care Processes & Workflows

Debra McGrath, MSN, FNP, Director of Health Information Technology
Health Federation

The Importance of Using Validated Devices

Nar Ramkissoon, MPH, Senior Manager, Partner Development Strategy
Lead for the US Blood Pressure Validated Device Listing (VDL) initiative
American Medical Association

Call to Share Actions on SMBP (Facilitated Open Forum)

Mayors Prevent Hypertension through Move with the Mayor

Jen Childress, MS, MCHES, Senior Program Manager
National Forum for Heart Disease & Stroke Prevention


Loan and Loan Repayment Opportunity

Date: February 8, 2022

The Office of Rural Health and Primary Care is now accepting Student Loan and Loan Repayment applications for the Nurse Student Loan (NSL) Program, Nurse Loan Repayment Program (NLRP), Primary Care Resource Initiative for Missouri (PRIMO) Program, and Student Loan Repayment Program (SLRP). Apply between January 1, 2022 and March 1, 2022.

Applications submissions will not be accepted after March 1, 2022. Applications can be submitted via the following submission methods:

  • Electronic Submission:
    • Visit program webpage.
    • Click on the program Electronic Application Submission option at the top of the page.
    • Submit the completed application and required documentation.
  • Scan and Email: LoanRepayment@health.mo.gov.
  • Fax: (573) 522-8146
  • Mail: Missouri Department of Health and Senior Services
    Office of Rural Health & Primary Care
    P.O. Box 570
    Jefferson City, MO 65102-0570

If you have any questions, you can reach us by email at DHSS.LoanRepayment@health.mo.gov or by phone at 800-891-7415.

Grassroots Advocacy Forum : 2022 NHSC Loan Repayment Programs!

Date: December 15, 2021

The National Rural Health Association (NRHA) wanted to share with you an advisory from the Health Resources and Services Administration (HRSA) that the application for National Health Service Corps (NHSC) Loan Repayment Programs have been extended until February 3, 2022. Please find detailed information below: 

The deadline to submit an application for one of the National Health Service Corps (NHSC) Loan Repayment Programs is extended until Thursday, February 3 at 7:30 p.m. ET.

Last year, HRSA was able to award every eligible applicant thanks to additional funding through the Biden Administration’s American Rescue Plan (ARP). Even more ARP-funded awards are planned for this year. Eligible clinicians shouldn’t miss out and are encouraged to apply today!

Get specific details on eligibility and how to apply on the NHSC website.


EMS Quality Improvement Partnership: Reducing Lights-and-Siren Use in EMS

November 17, 2021

The National EMS Quality Alliance is recruiting EMS agencies from around the country to participate in a project on the use of lights and sirens.  This project is voluntary and is limited to 50 EMS agencies/system.

There will be an informational webinar on Dec 16th  from 3:00-4:00 pm ET.  Registration can be found here: https://us06web.zoom.us/meeting/register/tZArc-CspjwoEtaiJXcQm5l02z5MTEkAbWO6

Further information, including how to sign-up can be found below.

National EMS Quality Improvement Partnership Reduce Lights-and-Siren Use in EMS

Navigating Rural EMS Change

Date: October 20, 2021

Sustainable Rural EMS: Navigating Change

An Introduction and Guide

For more than five decades, rural ambulance services across the U.S. have been primarily staffed by volunteers. As volunteerism declines and rural ambulance staffing becomes more unpredictable, it would be prudent to ask if your community has an emergency medical services (EMS) problem.

 The Technical Assistance and Services Center (TASC), the Federal Office of Rural Health Policy (FORHP), and our many EMS partners are steadfast in helping communities navigate changes occurring within rural healthcare.

The Sustainable Rural EMS: Navigating Change An Introduction and Guide is designed to assist rural communities in navigating a change from unsustainable volunteer EMS and ambulance service models to sustainable ones. This guide is intended to direct community leaders through change based on a stepped process that has been used in rural communities throughout the U.S. It includes information on assessing if a community has an EMS problem, the needed ingredients to change, and a six-step process to implement change to a more sustainable model of rural EMS.

Recognizing early indicators of a problem helps ensure there is never a time when emergency medical help is needed, and no one responds. This potential situation is not hypothetical. Increasingly, rural ambulance services are being called and are unable to respond. In a survey of rural ambulance services in South Dakota in 2016, one-third reported not being able to respond because of a shortage of volunteers, and another one-third reported delays due to insufficient staffing


Portal Opens for Provider Relief Funding Applications, Awards for ending the HIV Epidemic in the U.S., and Primary Health Care Infrastructure

Latest Health Resources and Services Administration (HRSA) Maternal Child Health Bureau (MCHB) Data Highlight Children’s Mental Health Needs

A letter from Dr. Michael D. Warren, Pediatrician and Associate Administrator for the Maternal and Child Health Bureau (MCHB) at HRSA

The health and well-being of our children will determine the future of our nation.  As we recognized Child Health Day on Monday, I reflected on the nation’s journey through the challenges of the COVID-19 pandemic and the barriers children faced to growing and developing physically, socially, and emotionally this past year and a half.

Read Dr. Warren’s letter.

HHS Awards $2.21 Billion in Fiscal Year 2021 to Help Americans Access HIV Care, Support Services, and Medication

October 5 – The U.S. Department of Health and Human Services (HHS) announced approximately $2.21 billion in Ryan White HIV/AIDS Program funding for cities, counties, states, and local community-based organizations in fiscal year (FY) 2021. This funding, through the Health Resources and Services Administration (HRSA), supports a comprehensive system of HIV primary medical care, medication, and essential support services critical to improving the health outcomes of nearly 560,000 people with HIV in the United States.

Read the release.

Biden-Harris Administration Provides Nearly $1 Billion in American Rescue Plan Funds to Modernize Health Centers and Support Underserved Communities

September 28 – The U.S. Department of Health and Human Services (HHS) awarded nearly $1 billion in American Rescue Plan funding to nearly 1,300 Health Resources and Services Administration (HRSA) Health Center Program-funded health centers in all 50 states, the District of Columbia, and the U.S. territories to support major health care construction and renovation projects. These awards will strengthen our primary health care infrastructure and advance health equity and health outcomes in medically underserved communities, including through projects that support COVID-19 testing, treatment, and vaccination. The awards were made through the Health Resources and Services Administration.

Read the release.

HHS Announces $350 Million to Strengthen Maternal and Child Health Across the Nation

Health care providers can apply for $25.5 billion in provider relief funds. The package includes $8.5 billion in American Rescue Plan (ARP) resources for those who serve rural patients covered by Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP). It also includes $17 billion for Provider Relief Fund (PRF) Phase 4 for a broad range of providers experiencing changes in operating revenues and expenses.

Providers may apply for both programs with a single application. HHS is hosting technical assistance webinars for applicants. 

Application Due Date: Tuesday, October 26, 11:59 p.m. ET.

HIV and Aging Webinar: Enhancing Support Services for Older Adults with HIV

Join the HIV/AIDS Bureau and the Administration for Community Living (ACL) on Friday, October 22, 1 p.m. ET for a national HIV and aging webinar.

Presentations will include:

  • ACL and its network of programs and services
  • Area Agencies on Aging from USAging
  • ACL’s Evidence Based Chronic Disease Self-Management Education program
  • Healthcare Information and Counseling Programs’ support of older adults with HIV who are aging in the RWHAP

Presenters will offer examples of how state and local aging agencies have collaborated successfully with RWHAP providers. The target audience includes RWHAP providers and people with HIV.

Register for the webinar.

New Workforce Projections Dashboard and Primary Care Data Available

Will there be a shortage or surplus of primary care physicians, nurse practitioners, or physician assistants in the coming years?

The new health workforce projections dashboard allows users to view projections of supply and demand for health care workers by occupation, geographic area, and year, including the newest set of primary care projections. Policymakers can use this data to help limit shortages and surpluses. 

In the calculations, HHS factored in:

  • Changing population size, demographics, and location
  • New and exiting providers across the occupation
  • Differences in levels of access to care

Join the webinar on Thursday, October 14, 2 – 3:30 p.m. ET to learn more about this new tool. 

NIH Pathways to Prevention Workshop

Join the Associate Administrator for Rural Health Policy, Tom Morris, on Tuesday, October 12, as he and other speakers kick off the 3-day NIH Pathways to Prevention (P2P) Workshop.

The workshop will discuss how telehealth can help providers collaborate to improve care for rural patients. Attendees will have the opportunity to submit questions and comments during discussion periods.

Register for the workshop

Three-Part HIV Primary Care Webinar Series

Register for a three-part HIV primary care webinar series that the Office of Intergovernmental and External Affairs (IEA) Region 2 office is hosting in collaboration with Mount Sinai Institute for Advanced Medicine and the HIV Primary Care and the Prevention Center of Excellence. The series aims to provide medical providers updates to HIV primary care in New York State.

  • Part 1, Tuesday, October 12, 12 – 1 p.m. ET 
    Primary Care for Adults Living with HIV will explore the key concepts and best practices when providing primary care services to adults with living with HIV. 
  • Part 2, Tuesday, October 19, 12 – 1 p.m. ET
    HIV Prevention Updates will focus on PrEP (pre-exposure prophylaxis) efficacy and use, New York State PrEP guidelines, and evidence and guidelines for PEP (post-exposure prophylaxis).
  • Part 3, Tuesday, October 26, 12 -1 p.m. ET
    Antiretroviral Therapy Updates with Protocol for Rapid Initiation will be a deep dive in antiretroviral therapy updates with protocol for rapid initiation. 

All providers are welcome. Free CME, CNE & CPE are only available for New York State medical providers (1 CE per session).​

DATA 2000 Waiver Training Payments Still Available for Rural Health Clinics

The Health Resources and Services Administration (HRSA) continues to accept applications for payment from Rural Health Clinics (RHCs) employing buprenorphine-waivered providers under the Drug Addiction Treatment Act of 2000 (DATA 2000) Waiver Training Payment Program. 

The program gives RHCs the opportunity to apply for a $3,000 payment for each eligible employed provider who attained a DATA 2000 waiver on or after January 1, 2019.  Approximately $1.5 million in program funding remains available for RHCs and will be paid on a first-come, first-served basis until funds are exhausted.

HRSA is collaborating with the Substance Abuse and Mental Health Services Administration (SAMHSA) to process these applications. For more information, the program provides a video and FAQs.

New Results on the COVID-19 Pandemic’s Impact on Children

New results about the COVID-19 pandemic’s impact on the health of children under 18 years of age are available from our Maternal and Child Health Bureau (MCHB). MCHB partners with the U.S. Census Bureau on the Household Pulse Survey to gather data about children’s telemedicine appointments, missed and delayed preventive check-ups, and disruptions in childcare.

Results are available from Phase 3.1 of the survey (April-July, 2021). Phase 3.2 data collection continues July-October, 2021.

Primary Care Case Management

State Medicaid agencies have operated primary care case management (PCCM) programs for 40 years. In recent years, states leveraged these programs to improve primary care. Compared to other states, most states that operate PCCM programs have a greater portion of their population living in rural areas, where there are often shortages of primary care and other providers. As a result, these states’ efforts to leverage their PCCM programs to improve primary care can produce significant benefits for rural residents. The National Academy for State Health Policy report examines the efforts of five states to leverage their PCCM programs to strengthen primary care.

HRSA’s National Organizations of State and Local Officials Cooperative Agreement provided support for this resource.

AHRQ Toolkit Now Available to Help Engage Patients and Family Members in the Diagnostic Process

The Agency for Healthcare Research and Quality (AHRQ) released a new toolkit to engage patients and family members in the diagnostic process. The toolkit is for patients and clinicians and includes:

  • Two evidence-based strategies to promote meaningful engagement and communication to improve diagnostic safety
  • A patient note sheet to help patients share their symptoms
  • Several practice orientation and training tools to help clinicians foster deep listening and “presence” in the encounter