July 3, 2023

Reminder: Funding Opportunity for the Healthy Start Initiative – Enhanced (HRSA-23-130) Closes July 17

The final date for applications to the Healthy Start Initiative – Enhance (HRSA-23-130) is July 17. The purpose of HSE is to improve health outcomes before, during, and after pregnancy and reduce the well-documented racial/ethnic differences in rates of infant death and adverse perinatal outcomes.

HSE is intended to support projects in diverse communities and populations (e.g., rural, urban, non-Hispanic Black, American Indian/Alaskan Native [AI/AN]) experiencing the greatest disparities in maternal and infant health outcomes.

HSE has two focus areas:

  • Providing direct and enabling services (e.g., screening and referrals, case management and care coordination, health and parenting education, and linkage to clinical care to enrolled HSE participants
  • Convening Community Consortia comprised of diverse multi-sector partners that advise and inform HSE activities and develop and implement plans to improve perinatal outcomes within the selected project area.

The program also provides recipients with increased flexibility to customize interventions to meet the unique needs of their target population.

The goals of HSE are to:

  • Continue reducing infant mortality rates (IMR) in the U.S., and
  • Decrease disparities in infant mortality (IM) across racial/ethnic groups by achieving steeper declines for groups with the highest infant mortality rates (e.g., non-Hispanic Black and AI/AN infants).

HSE projects should be implemented in communities experiencing high rates of maternal and infant mortality and morbidity that do not already have access to Healthy Start Services. Successful HSE projects will implement program activities in new project areas and accomplish the following objectives during the 5-year period of performance:

  • Direct and Enabling Services for HSE Participants ·
  • Increase receipt of case management and care coordination to facilitate access to medical care and community-based resources. ·
  • Increase uptake of healthy behaviors before, during, and after pregnancy. · Increase use of safe infant care practices.
  • Community Consortium · Convene diverse, multi-sector state, local, and community level partners, including HSE participants and other community members, that will: ·
    • Advise and inform strategies for providing direct and enabling services to HSE participants. ·
  • Develop cross-sector partnerships to ensure access for HSE participants to
    • Coordinated, comprehensive maternal, child, and family medical care;
    • health and parenting education;
    • and community-based resources that address social determinants of health within the project area. ·
  • Participate in Communities of Practice with other HSE projects to develop and implement a strategic plan for the community that focuses on at least one social determinant of health.

Who Can Apply:

  • Domestic public or private entities
  • Domestic faith-based and community-based organizations
  • Tribes and tribal organizations

Recipients of Healthy Start Initiative: Eliminating Disparities in Perinatal Health (HRSA-19-049) 13 are only eligible to apply for this grant if a new project area, not currently funded by your existing grant, is proposed. If overlapping areas are proposed, your application will be deemed ineligible and not considered. This provision ensures that new communities with the highest rates of maternal and infant mortality and morbidity that do not already have access to Healthy Start services are reached by this program.

Have Questions? Contact:

Mia Morrison, MPH

MCHBHealthyStart@hrsa.gov

(301) 443-2521

 Applications due July 17, 2023

For more information watch the June 7, 2023 Healthy Start Initiative Enhanced TA Webinar

Get answers to Frequently Asked Questions (FAQ) about this funding

Review Priority Points table (PDF-142 KB) to see if a county in your project area is eligible for Priority Points

Apply Now

July 3, 2023

MIH Summit Registration Now Open

Registration for the Mobile Integrated Healthcare (MIH) Summit is now open. The MIH Summit is a pre-conference to the EMS Conference.

THE MIH Summit will provide knowledge, skill-building and networking opportunities for individuals interested in integrating care and developing innovative solutions that minimize barriers to care through non-traditional partnerships and locally formed networks.

Why Attend:

The MIH Summit and MIH Track at Missouri’s EMS Conference & Expo is for healthcare and EMS professionals representing diverse disciplines working to improve healthcare outcomes for all. The MIH community includes but is not limited to:

  • healthcare leaders, managers, providers across all disciplines
  • community health workers
  • community paramedics
  • paramedics and EMTs
  • payers
  • nonprofit organizations
  • policy advocates
  • workforce development

When: July 30 – August 3, 2023

Where: St. Charles Convention Center, St. Charles, MO

Learn More

Click Here to Register or Scan the QR Code below

June 30, 2023

Your chance to be a Rural Health Fellow, speak in New Orleans

NRHA is accepting session and research presentation proposals for the nation’s largest gathering of rural health pros, our Annual Rural Health Conference and Rural Hospital Innovation Summit, which will be held May 7-10 in New Orleans, La. These events are curated for anyone with an interest in rural health care.

NRHA is also accepting applications for our Rural Health Fellows program, a yearlong, intensive leadership training. The goal of the Fellows program is to educate and develop a network of diverse rural leaders that will step forward to serve in key positions in the association, affiliated advocacy groups, and local and state legislative bodies with health equity as a main focus.

Submit Session and Research Presentation Proposals

Click Here for Rural Health Fellows Program

June 30, 2023

 

NRHA Supports Relaunch of Bipartisan Rural Health Caucus

Last active a decade ago, the Congressional Rural Health Caucus is now in its recruiting phase. The relaunch is a partnership between Reps. Jill Tokuda (D-Hawaii) and Diana Harshbarger (R-Tenn.). NRHA CEO Alan Morgan says the caucus provides “an opportunity to shed light on critical issues facing many rural providers and patients.” According to a 2020 report from the Chartis Center for Rural Health, an NRHA member, 62 percent of rural hospitals don’t have intensive care unit beds. Interested in advocating on behalf of rural health?

Sign up to participate in NRHA’s rural health advocacy campaigns and review NRHA’s updated advocacy 101 guide.

June 30, 2023

Rural Hospitals Face Closure While Solution Awaits Decision

According to the Missouri Hospital Association, an NRHA member, 18 hospitals in Missouri have shut down since 2014. In an effort to prevent more closures, an omnibus bill is currently awaiting a decision from the governor, but help can’t come soon enough. A total of 195 rural hospitals have shut down across the country since 2005, according to Sheps Center for Health Services Research, also an NRHA member. Additionally, stakeholders suggest that cyberattacks present a growing threat to hospitals’ financial viability. NRHA will share CAH-specific strategies to keep facilities open and care accessible to communities at NRHA’s 22nd Critical Access Hospital Conference Sept. 27-29 in Kansas City.

June 30, 2023

The Effects of More Than 1 Million Losing Medicaid Coverage

About 1.5 million Americans have lost Medicaid coverage in more than two dozen states, and hospitals are beginning to see the financial effects of caring for more uninsured patients. Additionally, site-neutral payment has forced physicians, patient advocates, and hospitals and health systems to take sides in the debate over Medicare reimbursement rates based on location of care, and a new report shows that approximately a quarter of residents in 18 states struggle with medical debt.

Register for the NRHA Rural Health Clinic and Critical Access Hospital Conferences, September 26-29, to explore how we can ensure we can care for patients and the bottom line with experts at NRHA’s Rural Health Clinic and Critical Access Hospital Conferences Sept. 26-29 in Kansas City.

June 30, 2023

CMS maintains the cost report data in the Healthcare Provider Cost Reporting Information System (HCRIS). The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data.

Medicare-certified institutional (Medicare Part A) providers are required to submit an annual cost report to a Medicare Administrative Contractor (MAC).

CMS released updated Medicare cost report instructions for acute care hospitals at the end of 2022. The revised instructions are effective for cost reporting periods that began on or after Oct. 1, 2022.

Have cost report questions? Attend live training sponsored by the American Institute of Healthcare Compliance on October 24-25, 2023 in Dallas, Texas.

Download the information packet,

register online (seating is limited).

June 30, 2023

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 4.83 out of 5 when asked if patients would “recommend the program to others”.

When: Thursday, July 27, 1:00 – 2:00 pm CST

Register Here

June 30, 2023

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 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: Wednesday, July 25, 2:00 – 3:00 pm CST

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

June 30, 2023

Webinar – Addressing Patient Surges and Rising Costs in Rural Healthcare

Discover the transformative power of telemedicine in rural healthcare and hear firsthand experiences from AdventHealth Murray Medical Center and AdventHealth Gordon as they share how telemedicine revolutionized their operations, improving sustainability and community service despite fiscal challenges.

Join Jason Povio, President and COO of Eagle Telemedicine, and Dr. Joseph Joyave, CMO and Medical Director for AdventHealth Medical Group, as they discuss their successful strategies. Povio, with his diverse background in systems engineering and healthcare, and Dr. Joyave, a practicing pediatrician and administrative leader, bring valuable perspectives from their unique professional journeys.

During this webinar, you will learn how telemedicine can mitigate fiscal and operational challenges in rural healthcare settings, strategies to reduce patient transfer rates, and address specialty physician gaps using telemedicine. Gain insight into leveraging telemedicine for cost-effective recruitment and round-the-clock patient care.

When: Wednesday, July 19, 2:00 – 3:00 pm CST

Register Here