July 31, 2023

Swing Bed Culture and Attention to Wellness Vital to Rural Healthcare

Allevant, developed by Mayo clinic and Select Medical, is launching a cohort of “Project Swing Bed on the MENDS®,” a Critical Access Hospital (CAH) Shared Learning Collaborative. Participating CAHs will have access to Allevant staff, tools and resources to maximize their Swing Bed program and begin to implement MENDS®, a wellness program for healthcare staff and post-acute patients.

Expected Outcomes

  • Improved Health Outcomes
    • Shortened post-acute length of stay
    • Low rate of post-acute patients discharged back to acute care (readmission from post-acute setting)
    • High level of post-acute patients discharged back to independent settings (home or assisted living)
    • Increased staff and community focus on wellness behaviors
    • Increased patient wellness, improved long-term health
  • Expanded Capacity for Essential Health Care Services
    • Increased utilization of CAH swing beds
    • Increase in confidence and capabilities of rural health workforce to provide post-acute care services locally
    • New focus on wellness strategies for rural staff and post-acute patients
    • New processes to facilitate rural primary care practices to support continuation of patient-identified wellness strategies for newly discharged rural post-acute patients
  • Increased Financial Sustainability
    • CAH – Increase census and revenue
    • Long term reduction in costs associated with increased staff wellness
    • Lower Medicare costs per patient day.

“Critical Access Hospitals can provide post-acute recovery via Transitional Care/Swing Bed better than virtually anyone else. Their competitive advantage is their culture of safety,” says Dr. Mark Lindsay, pulmonologist, Assistant Professor at Mayo Clinic College of Medicine, and Medical Director of Allevant Solution, LLC. “CAHs outperform larger hospitals in the culture of safety surveys. Handoffs and transitions are two areas with consistently low scores across healthcare, and post-acute care is all about handoffs and transitions.”

Jordan Tenenbaum, President of Allevant and NRHA Fellow, states he is, “concerned for the future viability of rural hospitals, more than 30% of which are at risk of closure. It is a tremendous benefit for larger hospitals to partner with smaller rural CAH Transitional Care programs to ensure rural patients admitted to larger hospitals for specialty care can be cared for closer to home.”

Allevant has participated in federally and state-funded grants throughout the country and will continue to identify opportunities to support rural providers with Transitional Care and MENDS® health and wellness programs.

If you have an interest in participating in the first cohort of Project Swing Bed on the MENDS®, contact Jordan Tenenbaum to learn more today.

Learn More

July 21, 2023

NRHA Webinar: Swing Bed Culture and Attention to Wellness Vital to Rural Healthcare, a Transitional Care Model

Allevant, a joint venture between Mayo Clinic and Select Medical, helps Critical Access Hospitals by developing post-acute Transitional Care programs using available Swing Beds. Focused on helping patients transition to their highest level of independence, Transitional Care is a program that involves the patient and family, makes available the full resources of the Critical Access Hospital and focuses on measured outcomes and evidence-based processes to ensure patients get the best care possible.

Allevant has supported approximately 100 Critical Access Hospitals across 22 states including both independent and part of health systems. Our clients have cared for over 12,000 patients representing more than 158,000 swing bed days. With a strong focus on quality, outcomes, and growth, our clients saw an average growth in swing bed days of 55% by the second year. 64% of patients were categorized as complex medical or complex surgical which is a growing patient population, and only 7% of Transitional Care patients were discharged directly back to acute care during a program stay of less than 30 days. 76% of patients were discharged from Transitional Care back to independence. The average patient rating was 4.84 out of 5 when asked if patients would “recommend the program to others”.

When: Thursday, July 27, 1:00 – 2:00 p.m. CST

Register

July 21, 2023

NRHA Webinar: Unlocking Value-Based Care: The Critical Role of Team-Based Care

Join this exclusive webinar to discover the power of team-based care in rural healthcare. Our expert speakers include Fred Wallisch, Signify Health’s VP and ACO Medical Director, who specializes in clinical oversight, utilization goal setting and innovative strategies for improved patient care. Catherine Chua, Chief Medical and innovative strategies for improved patient care. Catherine Chua, Chief Medical Officer at Davis Health System, West Virginia, with extensive experience in Osteopathic Family Medicine and Integrative Medicine, will provide insights into rural healthcare and patient-centered approaches, and Dr. Steven Reeves, Internal Medicine specialist from Greater Regional Health, will offer practical knowledge on the positive impact of team-based care on provider morale, retention, and buy-in.

Learning Objectives

  • Understand the role of team-based care in meeting value-based care requirements
  • Discover how a standardized approach improves annual wellness visit rates, chronic care management, and clinical documentation
  • Explore the benefits of team-based care for provider morale, retention, and buy-in

When: Tuesday, July 25, 2:00 – 3:00 p.m. CST

Register Here to join this concise and informative webinar to enhance healthcare delivery in your rural health organization.

July 21, 2023

Upcoming Swing Bed Learning Action Network Meetings with Stroudwater

Stroudwater Associates is hosting two more Swing Bed Learning Action Network (LAN) meetings this summer. Below are the LAN meeting topics and links to register.

  • July 28, 12 – 1 p.m. CT – Register Here
    • This education will provide foundational best practice discharge planning processes necessary to support a successful patient discharge thereby, reducing readmissions and unnecessary emergency department visits.
  • August 25, 12 – 1 p.m. CT – Register Here
    • This education will provide interdisciplinary steps to assist your Swing Bed team in formally determining what type of patients are appropriate for your swing bed program, decreasing variability in decision-making, improving efficiency, and growing your program.

July 17, 2023

Seeking Public Comment – Home Visiting Evidence of Effectiveness (HomVEE)

The Administration for Children and Families (ACF) seeks public comment on proposed revisions to the procedures and standards that guide the Home Visiting Evidence of Effectiveness (HomVEE) systematic review. ACF is committed to a rigorous and transparent review process. The proposed revisions include procedures related to virtual home visiting research. They also include updates to clarify HomVEE’s definition of subgroups, limit the eligibility of certain findings for review, and strengthen standards for validity.

View proposed changes to HomVEE Handbook of Procedures and Standards (Version 2.2)

Comments are due by July 28, 2023, 5:00 PM – Please submit comments via email to HomVEE@dcf.hhs.gov.

 

July 17, 2023

Register Now – Informational Webinar for Tribal Communities

The National Maternal Mental Health Hotline (NMMHH) team is please to invite you to an informational webinar on Monday, July 31, 2023, at 1:00 PM EST to provide insights on how the hotline works, key metrics in the first year, and what your community members can expect when you refer them to the Hotline.

Join the National Maternal Mental Health Hotline to hear how tribal communities can benefit from this 24/7, free, confidential service. American Indian/Alaska native leaders will provide perspective on the maternal health landscape and what tribal community members can expect when calling the Hotline.

The National Maternal Mental Health Hotline provides free, confidential, 24/7 emotional support, resources, and referrals to pregnant and postpartum individuals facing mental health challenges, and their loved ones. Professional counselors offer support via phone and text in English and Spanish. Interpreter services are available in 60 additional languages, and a relay service is available for people who are deaf or hard-of-hearing.

When: July 31, 1:00 p.m. EST

Register Now

July 17, 2023

MCH Training and Research Alert, Volume 18:07 Available Now

The Maternal Child Health (MCH) Training and Research Alert, Volume 18:07 is now available.

Topics include:

HRSA Funding Opportunities:

Informational:

Training & Educational

Training & Educational Webinars

Training & Educational: Webinar Archive

Click Here for Recent Issues of the Alert

July 17, 2023

Tips and Tools for Completing the Pediatric Specialty Loan Repayment Application

The Pediatric Specialty Loan Repayment Program application is open now through July 20 at 7:30 p.m. ET

Gathering and submitting the necessary documents is an important part of the application process. Review the criteria listed in the Application Program Guidance (pages 37-39) and have the following documents ready.

  • Proof of Status as a United States citizen, national or a permanent resident – You may include a copy of a birth certificate, the ID page of a current United States passport, a certificate of citizenship, or naturalization of copy of Permanent Resident Card (greencard). Note: Copies of a driver’s license or a Social Security card are not acceptable documents.
  • Health Professional License, Certification or Registration – Submit proof of tour current, full, permanent, unencumbered, unrestricted health professional license, certificate or registration (whichever is applicable), with an expiration date in the state in which you intend to practice under or from any state if practicing in a federal site.
  • Health Professional License, Certification or Registration – Submit proof of completion of your health professional degree.
  • Loan Information Verification – Provide two types of documentation for each loan that is being submitted for consideration.

Account Statement. This document is used to provide current information on your eligible loans. Often borrowers receive monthly statements indicating the status of your loan balance.

Disbursement Report. This report is used to verify the originating loan information.

  • Additional Supplemental Documentation (if applicable):
    • Specialty Certification
    • Postgraduate Training
    • Completion Verification
    • Postgraduate Training Acceptance or Good Standing Verification
    • Substance Use Disorder Certification/License
    • Verification of Existing Service Obligation

Final Q & A Session:

Thursday, July 20, 9 a.m. – 5 p.m. ET

Join on Zoom

Complete Your Application

For application or password reset questions contact: Customer Care Center 1-800-221-9393 or TTY: 1-877-897-9910

July 14, 2023

Registration is Open for the 2023 NTP Virtual Workshops

Registration for the 2023 CMS National Training Program (NTP) virtual workshops is now open.

Please click on the hyperlinked event title(s) to register for each event that you are interested in attending. You will be prompted to log into the NTP webpage. To log in, use the same email address and password you use to register for all NTP webinars. If you don’t have an account you’ll need to create on before you can complete registration.

After you register for an event, you’ll get an email confirmation which will include a calendar appointment.

Please email NTPHelp@cms.hhs.gov if you need help with your account or registration.

Sessions will start at 1:00 p.m. and conclude no later than 3:30 p.m. ET.

Sessions will be recorded for later viewing.

Training Schedule:

July 2023

This workshop will explain drug coverage under the different parts of Medicare and describe how Medicare drug coverage (Part D) works, coverage rules, eligibility, enrollment, and Extra Help.

This workshop will explain Medicare health plan options other than Original Medicare with a primary focus on Medicare Advantage (sometimes called Medicare Part C).

 

Qualifying for Medicare based on a disability is different from qualifying based on End-Stage Renal Disease (ESRD) or age. This workshop will explore the enrollment process and unique scenarios like returning to work while getting disability benefits. We’ll also discuss programs that can help with medical costs.

August 2023

This workshop will explain different payers’ responsibilities when people have both Medicare and certain other types of health and/or prescription drug coverage.

This workshop will walk through examples of Medicare coverage scenarios in a casework format to evaluate the case, review possible resources and options, and discuss appropriate solutions.

This workshop will explain Medicare for people with End-Stage Renal Disease (ESRD). It includes information on eligibility and enrollment, coverage and health plan options, and provides additional resources.

This workshop will explain tax-favored health programs and basic information about how those programs work with Medicare.

This workshop will demonstrate how to shop and compare Medicare plan options using Medicare Plan Finder on Medicare.gov.

This workshop will explain CMS current priorities, initiatives, and recent programmatic updates.

NOTES:

  • Registration requests will be considered on a first-come, first-served basis until each session reaches capacity. The number of attendees from the same organization may be limited. If any session reaches capacity, we’ll work to schedule an additional offering for a later date.
  • Session materials will be available for download at the time of the events.

The NTP website has been redesigned. Even though the website may look different from when you registered, you won’t have to re-register for any of the events.

July 14, 2023

Now Accepting Applications: Virtual/Onsite Technical Assistance for Small Rural Hospitals and RHCs

The Rural Healthcare Provider Transition Project (RHPTP) supported by FORHP and the National Rural Health Resource Center is now accepting applications for one year of virtual/onsite technical assistance for small rural hospitals and Centers for Medicare and Medicaid Services (CMS) certified rural health clinics (RHCs).

Hospitals must meet all three eligibility requirements listed below; clinics must only meet the “rural area” requirement listed below:

  • “Eligible small rural hospital” is defined as a non-federal, short-term general acute care hospital that:
    • Is located in a rural area as defined in 42 U.S.C. 1395ww(d) and
    • Has 49 available beds or less, as reported on the hospital’s most recently filed Medicare Cost Report
  • “Rural area” is defined as either:
    • Located outside of a Metropolitan Statistical Area (MSA)
    • Located within a rural census tract of a MSA, as determined under the Goldsmith Modification or the rural Urban Commuting Areas
    • Is being treated as if being located in a rural area pursuant to 42 U.S.C. 1395ww(d)(8)(E)
  • Eligible hospitals may be for-profit or not-for-profit, including faith-based. Hospitals in U.S. territories as well as tribally operated hospitals under Titles I and V of P.L. 93-638 are eligible to the extent that such hospitals meet the above criteria

Additional Requirements

  • Must not be a current participant in an advanced payment Model
  • Must be financially stable
  • Must be interested in and motivated to becoming part of an APM
  • Must, if a small rural hospital, be meeting the quality data reporting requirements of Inpatient Quality Reporting, Outpatient Quality Reporting or the Medicare Beneficiary Quality Improvement Project
  • Must not be a current participant in the Delta Region Community Health Systems Development Program, the Vulnerable Rural Hospital Project, the Small Rural Hospital Transition Project, or any other program that is duplicative in services

Applications are due August 15

Click Here to apply