2015 Rural Health Summit National Organization of State Offices of Rural Health Rural Recruitment and Retention Network National Cooperative of Health Networks Federal Office of Rural Health Policy Update September 1 st, 2015 Portland Oregon

Expanding the Rural Evidence BaseWorkforce Recruitment and RetentionTelehealth and Health IT IntegrationCross-Governmental Collaboration The President’s Improving Rural Health Care Initiative Driving Influences for FY 2016

 Encourage the integration and coordination of clinical care services  Improve population health  Promote patient engagement through shared decision making Incentives  Create transparency on cost and quality information  Bring electronic health information to the point of care for meaningful use Focus Areas Description Care Delivery Information  Promote value-based payment systems –Test new alternative payment models –Increase linkage of Medicaid, Medicare FFS, and other payments to value  Bring proven payment models to scale Delivery System Reform and Rural Implications Driving Influences for FY 2016

Rural Population Health as an Aligning Focus A Common Goal Across All FORHP Grant Programs Can Help Address Long- Standing Disparities Key Step in Moving Toward Measuring Outcomes

Policy-Research Division Telehealth Research Center F-CHIP? The Rural Health Philanthropy Partnership Care Coordination Aligned Funding Health Equity and Rural Leadership Recent Awards Telehealth Program Re-Design

Key Policy Issues for 2016 Rural Hospital Viability Closure/Suspension New Models?

Key Policy Issues for 2016 Alignment with Key National Trends Medicare Merit-Based Incentive Payments ACO/AIM Model Key Regulations Meaningful Use and Interoperability Broadband Regular Medicare Updates Marketplace Issues (Network Adequacy, Essential Community Providers, etc.)

FY 2016 Competitive Grant Programs Small Health Care Provider Quality Improvement Grant Program 3 years, $200,000 K per year ~ 20 awards To deliver quality improvement activities in rural communities – Evidence-based – Outcomes oriented – Population Health Eligibility: rural, non-profit or public entity, partner with 2 other entities FOA available: January, 2016 Program start date: August, 2016 Contact: Ann Ferrero, Rural Health Network Development Planning Program 1 year, $100,000 ~ 24 awards Help to promote the planning and development of healthcare networks Eligibility: rural, non-profit or public entity FOA available: November, 2015 Program start date: June, 2016 Contact: Amber Berrian,

FY 2016 Competitive Grant Programs 3 years, $460,000 per year (avg.) ~12 awards To deliver health care services in rural – Chronic Disease – Evidence-based – Outcomes oriented – Population Health Eligibility: rural, non-profit or public entity, partner with two other consortia members FOA available: February, 2016 Program start date: August, 2016 Contact: Valerie Darden,

Rural Community Health Gateway

Build On What Works 6 toolkits launched since August 2011: CHW, obesity prevention, mental health and substance abuse, care coordination, oral health, and health promotion and disease prevention Forthcoming toolkits: Fall 2015: diabetes, general toolkit, rural poverty 4 Future toolkits in 2016: Winter 2015: tobacco prevention 3 Topics TBD Sustainability planning and economic impact tools are available The Community Health Gateway and The Rural Health Models and Innovations Hub will be getting a facelift

FY 2016 Competitive Grant Programs Telehealth Network Grant Program 3 years $250,000 per year To demonstrate the use of telehealth networks that improve health care for medically underserved people Eligibility: nonprofit entities that will provide services to rural communities through a telehealth network FOA available: Winter 2016 Start date: September 2016 Contact: Carlos Mena, Telehealth Resource Center Grant Program 3 years $350,000 per year To support Telehealth Resource Centers to provide TA for telehealth implementation Eligibility: nonprofit entities, including faith-based, community-based, and tribal nonprofit organizations FOA available: Winter 2016 Start date: September 2016

FY 2016 Competitive Grant Programs Flex Veterans Rural Health Access Program 3 years $300,000 per year To demonstrate the use of telehealth and health information exchange to enhance care for rural Veterans Eligibility: States with hospitals and clinics and the VA as partners FOA available: Winter 2016 Start date: September 2016 Contact: Anthony Oliver, Telehealth Licensure and Portability Program 3 years Amount to be determined To identify ways to address strategies to support safe and effective telehealth service delivery across state lines Eligibility: State licensing boards FOA available: Winter 2016 Start date: September 2016

Hospital State Programs State Offices of Rural Health Small Hospital Improvement Program Flex Program Other resources, grants Environmental Factors

Quality Improvement Quality Measurement Quality Improvement Improved Patient Outcomes Outcomes will not improve from quality measurement alone…

NQF Rural Health Project To provide multistakeholder information and guidance on performance measurement issues for rural providers, including:  Critical Access Hospitals Rural Health Clinics Community Health Centers (CHCs)  Small rural hospitals, Small rural clinician practices 

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