HRSA Program Updates, Rural Health Resources, and Funding Opportunities 2019 Missouri Rural Health Conference August 22, 2019 Richard Overcast, Public.

HRSA Program Updates, Rural Health Resources, and Funding Opportunities Missouri Rural Health Conference August 22, 2019 Richard Overcast, Public Health Analyst Office of Regional Operations (ORO)

HRSA Overview

Health Resources and Services Administration (HRSA) Overview
9-Dec-19 Supports more than 90 programs that provide health care to people who are geographically isolated, economically or medically challenged. HRSA does this through grants and cooperative agreements to more than 3,000 awardees, including community and faith-based organizations, colleges and universities, hospitals, state, local, and tribal governments, and private entities. Every year, HRSA programs serve tens of millions of people, including people living with HIV/AIDS, pregnant women, mothers and their families, and those otherwise unable to access quality health care. One of 11 operational divisions within HHS (SAMHSA, CDC, NIH, IHS, etc.) HRSA is the “Access Agency.” MISSION “To improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs.” GRANTS We are a grant making organization with over 90 different programs that provide health care to people who are geographically isolated, economically or medically challenged Grants and cooperative agreements to 3,000+ awardees (community and faith-based organizations, colleges and universities, hospitals, state, local, and tribal government, and private entities)

HRSA Principal Program Areas
9-Dec-19 Primary Care HIV/AIDS Maternal and Child Health Health Workforce Rural Health Healthcare Systems HRSA supports more than 90 programs and this slide lists some of those programs. There are six principle program areas in HRSA: 1. Primary Care—Community Health Centers, Primary Care Associations 2. HIV/AIDS—Ryan White HIV/AIDS Program 3. Maternal and Child Health—Maternal and Child Health Block Grant Program, Home Visiting Program, Healthy Start 4. Health Workforce—National Health Service Corps, NurseCorps, Workforce Training 5. Rural Health—State Offices of Rural Health, Telehealth Programs, Rural Health Opioids Programs 6. Healthcare Systems—Organ donation and transplantation, poison control, vaccine injury compensation, 340B Drug Pricing Today’s Focus: HRSA’s Rural Health Programs and Resources. HRSA has over 90 programs, but this slides shows our 6 main programs. There are 16 bureaus/offices within HRSA, which includes 5 bureaus and 11 offices. There are 7 bureaus/offices that are external-facing—meaning that these offices/bureaus work with the public. These 7 bureaus/offices include: Bureau of Primary Health Care (BPHC) – improves health through access to comprehensive and quality primary health care services. Supports roughly 1,400 HRSA-supported health centers operate more than 10,400 service delivery sites across all U.S. states and territories. Bureau of Health Workforce (BHW) – addresses the shortage of primary health care providers through scholarship, loan, and loan repayment programs. The NHSC and NURSE Corps program support 12,000+ scholarships and loan repayments in exchange for service in high-need areas. Healthcare Systems Bureau (HSB) – directs programs that provide National leadership and strengthen the health system infrastructure in key areas (i.e. organ transplantation and the 340 B drug pricing program) HIV/AIDS Bureau (HAB) – oversees the Ryan White HIV/AIDS Program. It provides grants to cities, states, and local community-based organizations to provide HIV care and treatment services to low income people living with HIV Maternal and Child Health Bureau – administers grant programs to improve the health of women and children through grants to 59 states and jurisdictions Federal Office of Rural Health Policy (FORHP) – administers grant programs to improve rural health care Roles: Policy work, Program Work/Grants, Research Work Advise the Secretary of the Department of Health and Human Services on health care issues impacting rural communities, including: Access to quality health care and health professionals Viability of rural hospitals Effect of the Department’s proposed rules and regulations on access to and financing of health care in rural areas Office of Regional Operations (ORO) – provides leadership and technical assistance through HRSA's ten regional offices The programs and grants administered by theses bureaus and offices support States, local, and community-based organizations by offering training to health care providers, loan repayment, and scholarships as well as providing direct services.

HRSA Funding - National

HRSA Office of Regional Operations (ORO)
Ten Regions - One HRSA Mission: To improve health equity in underserved communities through on-the- ground outreach, education, technical assistance and partnering with local, state and federal organizations. I’d like to briefly introduce you to the Office of Regional Operations – or ORO. ORO’s mission is to improve health equity in underserved communities through on-the-ground outreach, education, technical assistance and partnering with local, state and federal organizations. ORO is uniquely positioned in the field to gather and assess local level intelligence about health care issues and trends that impact HRSA’s programs and stakeholders. There are 10 regional offices spread across the nation, with a headquarters office in Rockville, Maryland and a sub-office in Puerto Rico. As you may be aware, the role of ORO is different than other components of HRSA. Unlike most other parts of HRSA, ORO does not award or manage grants or cooperative agreements. INSTEAD, we work across HRSA’s program areas to extend the reach of the Bureau’s and Offices and to provide an additional touchpoint for HRSA’s stakeholders.

Office of Regional Operations (ORO) Connect
When should you contact ORO? When you would like to connect with HRSA or HHS programs When you have questions about HRSA or HHS programs, data, policies, or resources When you are looking for a new type of partner or resource (including funding opportunities) When you would like to share information with HRSA to inform decision making or programming When you would like HRSA representation at a meeting or event Simply to connect!

Priorities

The Opioid Epidemic and Rural America
Though opioid abuse and opioid-related death has been on the rise nationally, rural communities face unique challenges: Opioid-related overdose deaths in rural areas increased more than 10% from to 2016. Rural residents are most likely to be prescribed, and overdose on, prescription painkillers. Rural residents with opioid use disorder tend to be younger, less wealthy and educated, uninsured. More than 60% of rural counties lack a single physician that can prescribe buprenorphine, < 10% of opioid treatment programs in rural areas. Source: Hits both R and U But plays out a bit different in R Higher death rate More Rx OD in rural Docs less likely to have waiver And infrastructure more limited Both clinically and in support services (jobs, housing, aftercare and support on long-term road to recovery Hard to make it financially viable given low vol and tough payer mix SAMHSA funding, thru State Targeted Response, already being leveraged; more on way

How HRSA is Addressing the Opioid Crisis
Expanding access through health centers and other primary care Using telehealth to treat opioid use disorder Connecting stakeholders to opioid-related resources Sharing best practices and regional approaches Increasing opioid use disorder training in primary care Informing policy and future investment Addressing opioid related poisonings and overdose Source: How HRSA is Addressing the Opioid Crisis Expanding access through health centers and other primary care settings In September 2018, HRSA awarded $352 million in new funding to expand access to substance use disorder and mental health services at community health centers across the nation. Previously, HRSA awarded $200 million in 2017 to expand mental health services and substance use disorder treatment and $94 million in 2016 through Substance Abuse Services Expansion funding. In September 2018, HRSA awarded $19 million as part of a new Rural Communities Opioid Response initiative in FY 18, including 95 planning grants to rural communities. These one-year planning grants are a part of a multi-year initiative being implemented by HRSA to increase access to treatment and recovery services for opioid use disorder within rural areas. HRSA also expanded the 2017 Rural Health Opioid Program, adding over $6 million in September 2018 to fund a total of 26 rural health organizations. HRSA and SAMHSA jointly support the Center for Integrated Health Solutions. This Center provides direct technical assistance resources to HRSA-funded safety-net providers; helping to integrate mental health and substance use disorder treatment within primary care settings, including medication-assisted treatment. HRSA supports testing evidence informed interventions for integrating behavioral health with primary medical care for people living with HIV; using an implementation science model to develop tools and resources for Ryan White HIV/AIDS Program provider sites. HRSA's 340B Drug Pricing Program supports affordable medication-assisted treatment. Using telehealth to treat opioid use disorder The Substance Abuse Treatment Telehealth Network Grant Program provides $700,000 for evidence-based, telehealth programs and networks to improve access to substance use disorder treatment in rural, frontier and underserved communities. Similarly, the Regional Telehealth Resource Center Program supports the development and advancement of telehealth programs in high-need communities. HRSA supports a Substance Use Warmline so primary care providers can access expert clinical consultation to assist them in caring for patients with substance use disorders. Roughly 150 health centers participate in a HRSA-funded Opioid Addiction Treatment (OAT) Extension for Community Healthcare Outcomes (ECHO) . This Project ECHO model is a virtual, national technical assistance effort to enhance health center capacity to treat substance use disorder, including medication assisted treatment and pain management. Additionally, through the Pain Management Extension for Community Health Outcomes (ECHO) Pilot , 20 health centers are developing evidence-based prescribing guidelines and non-pharmacological approaches for pain management and related behavioral health services, including opioid use disorder. Connecting stakeholders to opioid-related resources HRSA supports training dissemination and information portals that provide resources on emerging public health issues including opioids. The Rural Health Information Hub has a number of opioid resources and toolkits targeted to rural providers. Similarly, TargetHIV helps providers caring for persons living with HIV/AIDS and includes a toolkit on integrating medication-assisted treatment in HIV primary care. State public health professionals can use the MCH Navigator to access learning tools to help mothers with opioid use disorder and infants with neonatal abstinence syndrome. HRSA’s Healthy Start and Maternal, Infant and Early Childhood Home Visiting (MIECHV) programs screen, educate and connect perinatal women and parents of young children to treatment and recovery support services. In September 2018, HRSA awarded $361 million to support families through the MIECHV program. In October 2018, HRSA released a comprehensive resource for MIECHV awardees, Supporting Families Impacted by Opioid Use and Neonatal Abstinence Syndrome. (PDF KB) As part of the Rural Opioid Federal Interagency Working Group, HRSA’s Federal Office of Rural Health Policy contributed to create a new Federal Resource Guide for Substance Use Disorder in Rural Communities (PDF MB). This comprehensive guide organizes federal grant programs and resources specifically available to rural communities, in order to improve coordination and awareness of these federal resources. Sharing best practices and regional approaches HRSA hosts webinars and regional events across the country that explore collaborative opportunities and ways to leverage expertise and resources to respond to the opioid crisis. HRSA Rural Health Opioid Program grantees have shared best practices in using care coordination efforts for recovery. Increasing opioid use disorder training in primary care In September 2018, HRSA awarded $18.5 million to support Behavioral Health Workforce Education and Training (BHWET) and Enhancing Behavioral Health Workforce (EBHW). These awards support partnerships between 21 academic institutions and 54 HRSA-funded health centers. Together, these award recipients will increase the number of professionals and paraprofessionals who are trained to deliver integrated behavioral health and primary care services as part of health care teams in HRSA-supported health centers. Previously in 2017, HRSA provided over $4 million in supplemental funding for medication-assisted treatment training to nearly 60 Primary Care Training and Enhancement Program grantees. HRSA also funded Area Health Education Centers to develop and enhance health education and trainings - including on opioid use disorder prevention. Through the Health Center Program, HRSA provides extensive training and technical assistance to potential and existing health center grantees nationwide, including opioid use disorder treatment and pain management. Informing policy and future investments HRSA-supported Rural Health Research Centers develop and disseminate research and policy briefs examining opioid use and treatment policies on the Rural Health Research Gateway . For example: a brief on the Changes in the Supply of Physicians with a DEA DATA Waiver to Prescribe Buprenorphine for Opioid Use Disorder (PDF MB). With HRSA support, the Association of State and Territorial Health Officials published a case study (PDF MB) that identified lessons learned and best practices for health officials from an analysis of Indiana’s response to the 2015 Hepatitis C Virus outbreak among injectable opioid users in Scott County. With HRSA support, the National Academy for State Health Policy released an October 2018 report entitled State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder (PDF - 1 MB) with policy recommendations and lessons-learned from ongoing efforts in Colorado, Pennsylvania, and Texas. Addressing opioid-related poisonings and overdoses In 2017, HRSA awarded $17.1 million to support all 55 poison control centers’ efforts to prevent and provide treatment recommendations for poisonings, including from misuse of prescription and illicit opioids. The Rural Opioid Overdose Reversal Program Best Practices Guide (PDF MB) provides a summary of lessons learned from HRSA’s Rural Opioid Overdose Reversal Program that supported overdose education and naloxone distribution programs in rural communities.

Ending the HIV Epidemic: A Plan for America
Goal: 75 percent reduction in new HIV infections in 5 years and at least 90 percent reduction in 10 years. Background During the 2019 State of the Union address, the Trump administration announced the new “Ending the HIV Epidemic: A Plan for America.” This will be a ten year initiative beginning in FY 2020 to achieve the important goal of reducing new HIV infections to less than 3,000 per year by Reducing new infections to this level would essentially mean that HIV transmissions would be rare and meet the definition of ending the epidemic. The initiative will focus efforts in 48 counties, Washington, DC, San Juan (PR), and seven states with substantial rural HIV burden. Key Strategies in the Plan The efforts will focus on four key strategies that together can end the HIV epidemic in the U.S. Diagnose all people with HIV as early as possible. Treat HIV rapidly after diagnosis, and effectively, in all people with HIV to help them get and stay virally suppressed. Prevent people at risk for using proven prevention interventions, including Pre-Exposure Prophylaxis (PrEP) and syringe service programs (SSPs). Respond quickly to potential HIV outbreaks to get needed prevention and treatment services to people who need them. HRSA’s Role in the Plan Through the Health Resources and Services Administration’s (HRSA) Ryan White HIV/AIDS Program and the HRSA-funded Health Center Program, the agency will play a leading role in helping diagnose, treat, prevent, and respond to end the HIV epidemic. HRSA's Role in the Plan Diagnose HRSA-funded health centers are a key entry point for people with HIV who are undiagnosed. Nearly two million patients annually receive an HIV test at a health center. HRSA’s Health Center Program will increase HIV testing in high impacted areas by conducting expanded outreach within their communities and increasing routine and risk-based HIV testing of health center patients. HIV Care and Treatment People living with HIV who take HIV medication daily as prescribed, and get and keep an undetectable viral load, effectively have no risk of sexually transmitting the virus (PDF KB) to their HIV-negative partner. This finding highlights the importance of getting people living with HIV linked to HIV care and treatment and helping them stay in care and on their medication. If HRSA’s Ryan White HIV/AIDS Program receives funding and flexibility to direct the funding to the identified jurisdictions for the Ending the HIV Epidemic initiative, HRSA will focus on linking people living with HIV who are either newly diagnosed, or are diagnosed but currently not in care, to the essential HIV care and treatment and support services needed to help them achieve an undetectable viral load. Prevent Many health centers provide HIV prevention services, including pre-exposure prophylaxis (or PrEP) for people at high risk of acquiring HIV. Studies show daily PrEP reduces the risk of getting HIV from sex by more than 90 percent. An estimated 1.2 million Americans are at high risk for HIV infection, but fewer than 10 percent use PrEP. HRSA plans to focus on key geographic areas and expand access to PrEP for health center patients who are at highest risk of acquiring HIV infection. This will include receiving referrals from community-based programs and providing PrEP for those who are at high risk. Respond New laboratory methods and disease control techniques allow health departments to see where HIV may be spreading most rapidly. Called "cluster detection," this technique will allow community partners to quickly develop and implement strategies to stop ongoing transmission. HRSA’s Ryan White HIV/AIDS Program and Health Center Program will support these transmission-ending strategies by providing HIV care and treatment (RWHAP) and PrEP (CHC) to those identified through cluster detection activities. Source:

Value-based Care

HRSA Investments in Missouri and Rural Health Funding Opportunities

HRSA Investments in Missouri FY 2018
Over $198 million in grants and cooperative agreements Awarded to 60 grantees through 113 grants The map illustrates the areas in Missouri which HRSA is provided funding in FY HRSA funding in Missouri supports: Primary Health Care Health Workforce (note that awarded grants in table reflect the Health Professions Training Grants to Support Institutions) Maternal and Child Health Rural Health Ryan White HIV/AIDS Program Healthcare Systems Source: Source: data.HRSA.gov

Rural Counties Missouri counties classified as Rural Health Areas for HRSA programs Source: HRSA data warehouse maps The gray areas on this map are designated by HRSA as rural, for purposes of applying for HRSA programs and HRSA funding announcements. It’s a large portion of the state. If you haven’t seen it, HRSA has a rural eligibility tool where you can put in your address and find out if your address is considered rural by various HHS programs – HRSA, CMS, etc. If you googled Am I Rural? You will find the tool. Background: HRSA definition of rural Source for definition: The FORHP accepts all non-Metro counties as rural and uses an additional method of determining rurality called the Rural-Urban Commuting Area (RUCA) codes. Like the MSAs, these are based on Census data that is used to assign a code to each Census Tract. Tracts inside Metropolitan counties with the codes 4-10 are considered rural. While use of the RUCA codes has allowed identification of rural census tracts in Metropolitan counties, among the more than 70,000 tracts in the U.S. there are some that are extremely large. In these larger tracts, use of RUCA codes alone fails to account for distance to services and sparse population. In response to these concerns, FORHP has designated 132 large area census tracts with RUCA codes 2 or 3 as rural. These tracts are at least 400 square miles in area with a population density of no more than 35 people. Following the 2010 Census the FORHP definition included approximately 57 million people, about 18% of the population and 84% of the area of the USA. RUCA codes represent the current version of the Goldsmith Modification . Source: data.HRSA.gov

Community-Based Grants Eligibility Requirements: Rural, Public or Private Non-Profit Entities (Faith-based organizations and federally-recognized tribal organizations and governments are eligible) & Consortium or Network (at least 3 partners) Rural Definition: The federal government uses two major definitions of “rural,” along with many variants that are also available. One is produced by the U.S. Census Bureau and the other by the Office of Management and Budget. The Federal Office of Rural Health Policy uses components of each definition when determining a classification for a geographic region. The HRSA website has a Rural Health Grants Eligibility Analyzer where you can search for eligible counties, or eligible census tracts inside Metro counties. You can also download complete lists of rural areas by County, Census Tract and ZIP code on the FORHP Data Files page.

Federal Office of Rural Health Policy (FORHP)
Community-Based Division Office for the Advancement of Telehealth Rural Healthcare Outreach Services Network Planning & Network Development Small Healthcare Provider Quality Improvement Rural Health Opioid Program Care Coordination Benefits Counseling & Allied Health Workforce Delta Health Systems Black Lung Clinics Program Radiation Exposure & Screening Education Telehealth Network Grants Evidence-Based (Emergency Departments) School-Based Rural Child Poverty Substance Abuse Telehealth Resource Centers Telehealth Research Center Telehealth Centers of Excellence Flex Rural Veterans Health Access Licensure Portability Policy and Research Division Rural Health Research Centers Rural Health Research Gateway Rural Health Information Hub Rural Policy Analysis Rapid Response Data Analysis Rural Health Value Hospital-State Division The Federal Office of Rural Health Policy provides policy support to the Office of Secretary and supports a number of rural health programs, including rural health networks, black lung clinics, telehealth, and veterans rural health access programs. FORHP helps increase access to care for underserved populations and build health care capacity through several programs: A. Community Based Division (CBD) – Provides support to community organizations to improve health service delivery and strengthen health networks, and encourages collaboration among rural health care providers. Currently funded projects include: Black Lung Clinics Program - Provides support to health facilities to reduce the morbidity and mortality associated with occupation-related coal mine dust lung disease through the provision of medical, outreach, educational and benefits counseling services to coal miners. Delta States Rural Development Network Grant Program (DELTA) - Provides support to rural communities in the Delta States (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri and Tennessee) to implement preventive or clinical health services for chronic diseases Radiation Exposure Screening and Education Program - Provides support for outreach services to individuals exposed to nuclear fallout or nuclear materials resulting from U.S. nuclear weapons testing. Outreach services include the development of education programs, dissemination of information on radiogenic diseases and the importance of early detection, screening of eligible individuals for cancer and other radiogenic diseases, referrals for medical treatment, and the facilitation of documentation for Radiation Exposure Compensation Act claims. Rural Health Opioid Program - Provides support to community consortiums in rural communities to prepare individuals with opioid-use disorder to start treatment, implement care coordination practices to organize patient care activities, and support individuals in recovery by establishing new or enhancing existing behavioral counseling, peer support, and alternative pain management activities. Rural Outreach Benefits Counseling Program - Provides support to rural communities to offer education and enrollment services for individuals and families eligible for qualified health insurance plans and public health insurance such as Medicare, Medicaid and the Children’s Health Insurance Program. Rural Health Care Coordination Network Partnership Program - Provides support to mature networks of rural health care providers to implement evidence-based care coordination models and strategies to address the prevalence and management of chronic diseases, including diabetes, congestive heart failure and chronic obstructive pulmonary disease. Rural Health Care Services Outreach Grant Program - Provides support to promote rural health care services outreach projects utilizing evidence-based or promising practice models in order to address community-specific health concerns. Rural Health Network Development Planning Program - Provides support to rural communities for the implementation of activities needed to plan and develop formal and integrated health care networks such as, but not limited to, business plan development, community needs assessment, network organizational assessment, SWOT analysis and health information technology readiness assessment. Rural Health Network Development Program Provides support to mature networks of rural health care providers and community health partners to integrate administrative, clinical, technological and financial functions to improve access and quality of health care in rural areas. Rural Network Allied Health Training Program Provides support for the recruitment, clinical training and retention of allied health professionals in rural areas. Small Health Care Provider Quality Improvement Provides support to mature networks of rural health care providers engaged in quality improvement initiatives to improve patient care and chronic disease outcomes using evidence-based quality improvement models, tests of change focused on improvement and the use of health information technology to collect and report data. B. Hospital State Division (HSD) – Supports on-going improvements in care to 50 State Offices of Rural Health (SORH) and to rural hospitals through the Medicare Rural Hospital Flexibility Program (Flex). HSD also supports technical assistance for small rural hospitals, including Critical Access Hospitals. C. Office for the Advancement of Telehealth (OAT) – Provides funding for telehealth grants and resource centers, as well as supporting efforts to align licensing and portability activities across states. D. Policy Research Division (PRD) – Coordinates the review of proposed regulations to assess the potential impact on rural health care delivery and financing, The division also supports eight Rural Health Research Centers across the country and staffs the National Advisory Committee on Rural Health & Human Services. State Offices of Rural Health Medicare Rural Hospital Flexibility Grants Small Hospital Improvement Grants

Telehealth Network Grant Forecasted
Program Purpose: Demonstrate the use of telehealth networks to improve healthcare services for medically underserved populations in urban, rural, and frontier communities. Networks can be used to: Expand access to, coordinate, and improve the quality of health care services; Improve and expand the training of health care providers; and/or Expand and improve the quality of health information available to health care providers, patients, and their families. Competitive again in 2020 Telehealth Network Grant Program (TNGP) The purpose of this program is to demonstrate the use of telehealth networks to improve healthcare services for medically underserved populations in urban, rural, and frontier communities. More specifically, the networks can be used to: Expand access to, coordinate, and improve the quality of health care services; Improve and expand the training of health care providers; and/or Expand and improve the quality of health information available to health care providers, patients, and their families. The current TNGP encourages telehealth services delivered through school-based health centers/clinics (SBHC), particularly those serving high-poverty populations

Community-Based Program Funding Opportunities Competitive Schedule
FY 2019 FY 2020 FY 2021 Rural Health Network Development Planning Program (Network Planning) Awards in Summer 2019 Funding applications available Winter 2019. Awards in Summer 2020. Funding applications available Winter 2021. Awards in Summer 2021. Small Healthcare Provider Quality Improvement Program (Quality) Awards in Summer 2019. Rural Health Care Services Outreach Program (Outreach) Funding applications available Fall 2020. Rural Health Network Development Program (Network Development) In any given fiscal year FORHP has between 2-3 competitive grant opportunities. This depends upon the appropriations and health care landscape. Sources: FORHP Community-Based Division, October 2018 (OC-approved slide)

Rural Health Network Development Program Grant Open
Supports mature networks of rural health care providers and community health partners to integrate administrative, clinical, technological and financial functions to improve access and quality of health care in rural areas. Focus areas included: Implementing telehealth services Implementing Health IT and Meaningful Use activities (3 year grant program) Funding applications available until November 29, / Awards in Summer 2020. Data Source: Application Accepted: 07/23/2019 to 11/29/2019 Projected Award Date: 07/01/2020 Estimated Award Amount: N/A Program Description: This notice announces the opportunity to apply for funding under the Rural Health Network Development Planning Program (“Network Planning”). The purpose of the Network Planning program is to assist in the development of an integrated health care network, specifically with network participants who do not have a history of formal collaborative efforts. Network Planning goals are: (i) to achieve efficiencies; (ii) to expand access to, coordinate, and improve the quality of essential health care services; and (iii) to strengthen the rural health care system as a whole. Additional Eligibility Eligible applicants must be rural nonprofit private or rural public entities that represent a consortium/network composed of three or more health care providers. Federally recognized tribal entities are eligible to apply as long as they are located in a non-metropolitan county or in a rural census tract of a metropolitan county, and all services must be provided in a non-metropolitan county or rural census tract.

Rural Health Network Development Planning Grant Forecasted
Supports one year of planning to develop an integrated healthcare network to address regional or local community health needs. Goal is to aid providers in better serving their communities given the changes taking place in health care, as providers move from focusing on the volume of services to focusing on the value of services. Focus areas have included: Population Health: Data Analytics/Health Information Technology Alleviating Loss of Local Services and Access to Care: Telehealth Rural Health Network Development Planning Program HRSA | Office of Rural Health Policy Application Accepted: 08/28/2018 to 11/30/2018 Projected Award Date: 07/01/2019 Program Description: The purpose of the Network Planning program is to assist in the development of an integrated health care network, specifically network participants who do not have a history of formal collaborative efforts in order to: (i) achieve efficiencies; (ii) expand access to, coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health care system as a whole. A rural health network is defined as an organizational arrangement among at least three separately owned regional or local health care providers that come together to develop strategies for improving health services delivery systems in a community. Health care networks can be an effective strategy to help smaller rural health care providers and health care service organizations align resources and strategies, achieve economies of scale and efficiencies, and address challenges more effectively as a group than as single providers. For example, a critical access hospital, a community health center, and a public health department may collaborate to form a network around a shared purpose. Other examples of health care providers could be: hospitals, public health agencies, home health providers, mental health centers, substance abuse service providers, rural health clinics, primary care providers, oral health providers, social service agencies, health profession schools, local school districts, emergency services providers, community and migrant health centers, federally-qualified health centers, tribal health programs, churches, faith-based organizations, and civic organizations that are/will be providing health care. The goals of the Network Planning program are centered around approaches that will aid providers in better serving their communities given the changes taking place in health care, as providers transition from focusing on the volume of services to focusing on the value of services. The intent is that rural health networks will expand access to care, increase the use of health information technology, explore alternative health care delivery models, and continue to achieve quality health care across the continuum of care from prevention and wellness to acute and long-term care. The increasing focus on showing value in health care delivery creates incentives to develop regional systems of care that preserve local autonomy for rural communities while also ensuring access to the appropriate continuum of care for the local service population. It remains critical in the health care environment for rural providers to participate in efforts such as implementing population health strategies to demonstrate the quality and value they provide rural residents. Additional Eligibility The applicant organization must be a rural nonprofit private or rural public entity that represents a consortium/network composed of three or more health care providers. Federally-recognized tribal entities are eligible to apply as long as they are located in a rural area. The applicant organization must be located in a non-metropolitan county or in a rural census tract of a metropolitan county, and all services must be provided in a non-metropolitan county or rural census tract. Past Network Planning projects have had an array of project focus areas including (but not limited to): Care Coordination among Network Partners; Patient Engagement; Data Analytics/Health Information Technology; Rural Hospital Closure/ Conversion; Telehealth. Furthermore, the program creates an opportunity to address other clinical areas such as mental health, and substance use (particularly opioid use disorder).

Rural Health Care Services Outreach Program Forecasted
Community-based grant program aimed towards promoting rural health care services by enhancing and expanding health care delivery in rural communities. Outreach projects focus on the improvement of access to services, strategies for adapting to changes in the health care environment, and overall enrichment of the respective community’s health. Funding can be used to meet a broad range of health care needs from health promotion and disease prevention to expanding oral and mental health services to case management for rural HIV patients. FROM PAST NOFO: Rural Health Care Services Outreach Program Due Date for Applications: December 6, 2017 Anticipated Total Annual Available FY18 Funding: $5,000,000 Estimated Number and Type of Awards: Up to 25 grants Estimated Award Amount: Up to $200,000 per year Project Period/Period of Performance: May 1, 2018 through April 30, 2021 (3 years) A. Background: The Outreach Program is authorized by Section 330A(e) of the Public Health Service (PHS) Act (42 U.S.C. 254c(e)), Public Law , as amended to “promote rural health care services outreach by expanding the delivery of health care services to include new and enhanced services in rural areas.” Since the creation of the Outreach Program, the non-categorical funding mechanism has enabled rural communities to take advantage of federal resources in the design and implementation of projects that are specifically tailored to meet their populations’ unique health needs. The Outreach Program authorizes projects that demonstrate innovative or effective models of outreach and service delivery in rural communities. Funding can be used for a broad range of health care services and are based on demonstrated community need. B. Program Description: The Outreach Program is a community-based grant program aimed towards promoting rural health care services by enhancing health care delivery in rural communities. Outreach projects focus on the improvement of access to services, strategies for adapting to changes in the health care environment, and overall enrichment of the respective community’s health. Through a consortia of local health care and social service providers, rural communities can develop innovative approaches to challenges related to their specific health needs. Furthermore, the program creates an opportunity to address the key clinical priorities of the U.S. Department of Health and Human Services (HHS): serious mental illness, substance abuse, and childhood obesity. The overarching goals for the Outreach Program are to:  Expand the delivery of health care services to include new and enhanced services exclusively in rural communities;  Deliver health care services through a strong consortium, in which every consortium member organization is actively involved and engaged in the planning and delivery of services;  Utilize and/or adapt an evidence-based or promising practice model(s) in the delivery of health care services; and  Improve population health, and demonstrate health outcomes and sustainability Outreach projects are grounded in an evidence-based or promising practice model (please see Appendix B for definitions). Projects take the framework or methodology of an evidence-based or promising practice model and can tailor the model to effectively address the need of the community with respect to the organization’s capacity. C. Eligibility: - Located in a rural county or eligible rural census tract; and - Rural public and nonprofit private entities including faith-based and community organizations; and - In a consortium with at least two additional organizations. These two other organizations can be rural, urban, nonprofit or for-profit. The consortium must include at least three or more health care providers; and Have not previously received an Outreach grant for the same or similar project unless the applicant is proposing to expand the scope of the project or the area that will be served through the project. ______ Resources: a) The Rural Health Care Services Outreach Directory is developed at the beginning of a project period and provides a brief description of each awardee’s project. To view the Outreach Directory for previous cohorts, please visit the Rural Health Information Hub website at b) The Rural Health Care Services Outreach Sourcebook is developed at the end of a project period and provides a description and outcomes of each awardee’s project. To view the Sourcebook for previous cohorts, please visit the Rural Health Information Hub website at: Consortium Requirements 1. As stated in Section 330A(e) of the Public Health Service Act (42 U.S.C. 254c(e)), a consortium composed of at least three or more health care providers (Appendix B for definition) will be required to be eligible for this notice of funding opportunity. 2. Only one consortium member will serve as the applicant of record and you, as the applicant organization, are required to meet the ownership or geographic requirements stated in Section III(1)(A). Other consortium members do not have to meet the ownership and geographic eligibility requirements. 3. For-profit organizations are not eligible to be the applicant organization but are eligible to be consortium members. Nonprofit organizations that support the delivery of health care are eligible consortium members and are eligible applicants. Examples of eligible consortium member entities include hospitals, public health agencies, home health providers, mental health centers, primary care service providers, oral health service providers, substance abuse service providers, rural health clinics, social service agencies, health professions schools, local school districts, emergency services providers, community and migrant health centers, black lung clinics, churches and other faith-based organizations, and civic organizations. 4. Each consortium member must demonstrate substantial involvement in the project and contribute significantly to the goals of the project. The roles and responsibilities of each consortium member must be clearly defined in a Memorandum of Understanding/Agreement (MOU/A). The MOU/A must be signed by all consortium members and submitted as Attachment 3. 5. For the purposes of this grant program, a consortium is defined as an organizational arrangement among at least three separately owned local or regional health care providers in which each member has their own EIN number and has a substantial role in the project. The consortium must maintain at least three separate and different health care provider organizational members throughout the entire project period. Q: My organization is located in a metropolitan area but we serve rural communities. Are we eligible to apply as the lead? A: No. You are not eligible to apply solely because of the areas or populations you serve. As stated on page 5of HRSA , “Your organization must be located in a non-metropolitan county or in a rural census tract of a metropolitan county.” Consider working with a community organization that meets the eligibility criteria and join as a member of the consortium. Q: We are a rural, public entity owned by an urban health care system. Are we eligible to apply as the lead applicant? A: The applicant organization may still apply as long as they have their own EIN (different from the urban or ‘parent’ organization). The rural site must be able to receive and administer the grant funds. (p. 6 of NOFO) Consider working with a community organization that meets the eligibility criteria and be a part of the network/consortium involved in the project.

Where to Find Funding Opportunities

9-Dec-19

Just a reminder……….Get Registered!
9-Dec-19 SAM Up to 4 weeks System Importance Website Data Universal Number System (DUNS) DUNS numbers are required to identify organizations and it tracks how federal grant money is allocated. System for Award Management (SAM) Designating an E-business Point of Contact. Registering with SAM is required for organizations to use Grants.gov. Grants.gov System by which organizations can submit applications for Federal funding. Before any entity can work with the Federal Government through grants or contracts they must register in Grants.gov. Even if you are not going to apply this year register NOW. The process can take up to 4 weeks.

HRSA Funded Resources and Technical Assistance

Vulnerable Rural Hospitals Assistance Program
Program Purpose: Provide targeted in-depth assistance to vulnerable rural hospitals within communities struggling to maintain health care services. Awardee: Texas A&M Serving 5 hospitals onsite and 25 virtually The Vulnerable Rural Hospitals Assistance Program funded the creation of the Center for Optimizing Rural Health, a technical advisory center for the nation, to actively help rural communities maintain their hospital or create other means of access to care after hospitals close. The recipient (Texas A&M) will work with individual hospitals and their communities on ways to address economic challenges, understand community health needs and resources, and find ways to ensure hospitals and communities can keep needed care locally, whether it is with a more limited set of services provided by the hospital, or by exploring other mechanisms for meeting community health care needs. Hospitals will need to apply to be a part of the CORH’s outreach. Applications were accepted Oct. 30 through Nov Within each application cycle, five hospitals will be selected for on-site technical assistance and 25 hospitals will be selected for remotely facilitated technical assistance. A new cohort of hospitals will be selected each year. Once the sites are selected, technical assistance began Jan. 1, 2019. Source:

National Health Service Corps (NHSC) & NURSE Corps
12/9/2019 National Health Service Corps (NHSC) & NURSE Corps National Health Service Corps Provides scholarships and loan repayment to primary care providers in NHSC-eligible disciplines. NHSC providers, in turn, commit to serving for at least two years at an NHSC-approved site located in a Health Professional Shortage Area (HPSA). NURSE Corps (Loan Repayment Program & Scholarship Program) Helps build healthier communities in urban, rural, and frontier areas by supporting nurses and nursing students committed to working in communities with inadequate access to care. The National Health Service Corps (NHSC) helps bring health care to those who need it most. Since 1972, we have been building healthy communities by connecting primary health care providers to areas of the United States with limited access to care. More than 50,000 primary care medical, dental, and mental and behavioral health professionals have served in the National Health Service Corps since its inception. Today, approximately 10,200 NHSC members provide culturally competent care to 10.7 million people. We provide this care at more than 5,000 NHSC-approved health care sites in urban, rural, and frontier areas. In addition to Corps providers currently providing care, nearly 1,400 additional members are in school or residency, preparing to practice. We award scholarships and loan repayment to primary care providers in NHSC-eligible disciplines. NHSC providers, in turn, commit to serving for at least two years at an NHSC-approved site located in a Health Professional Shortage Area (HPSA). Many choose to continue serving at their sites beyond the initial NHSC service commitment. Loan Repayment In the NHSC Loan Repayment Program, participants must first apply for, and accept, a position at an NHSC-approved site of their choosing, and then apply to the NHSC. Once accepted, members are able to follow their passion for helping those in need without having to worry about enormous student loans: providers have the opportunity to pay off all of their debt. Scholarships The NHSC Scholarship Program pays students’ tuition, books, and other costs, and provides a living stipend, while students train to become a primary care provider in an NHSC-eligible discipline. To receive an NHSC Scholarship, students must be enrolled in an accredited medical, dental, nurse practitioner, certified nurse midwife, or physician assistant training program. Upon graduation, NHSC Scholars serve as primary care providers in an NHSC-approved site for two to four years, depending on their service contract. Sites NHSC-approved sites are health care facilities that provide outpatient, ambulatory, primary health services in Health Professional Shortage Areas (HPSAs), which are communities with limited access to care. Sites (with the exception of Federally Qualified Health Centers, Health Center Program Look Alikes, US Immigration and Customs Enforcement, Bureau of Prison and Indian Health Service sites) must apply to become an NHSC site. Once approved, NHSC sites gain access to desperately-needed primary care providers. NHSC providers often continue to work at their sites after they complete their NHSC service commitments. Strengthening and growing our primary care workforce is critical to keeping this nation healthy. As more Americans gain access to health care, it is critical there are qualified health care providers to serve them. The NHSC, through its providers and sites, plays an important role in helping to address the country’s primary care shortage. NHSC SUMMARY Students pursuing primary care careers: The Scholarship Program pays for tuition and fees of future primary care providers, including physicians, dentists, nurse practitioners, certified nurse midwives, and physician assistants. Primary care providers interested in serving communities in need: The Loan Repayment Program provides up to $50,000 for loans in primary care—medical, dental, or mental/behavioral health. Students in the final year of medical or dental school pursuing primary care careers: The Students to Service Program provides up to $120,000 to students pursuing degrees in primary care and are in their final year of medical or dental school. NURSE Corps awards scholarships and loan repayment to nurses, nursing students, and nurse faculty. By supporting these nurses, we build healthier communities across the country—especially in areas of greatest need. If you apply and are accepted to the NURSE Corps, we will provide you loan repayment or a scholarship in exchange for a minimum commitment of two years of service at a facility experiencing a critical shortage of nurses. If accepted into the NURSE Corps, you can help those in need, without the burden of debt. You will also receive competitive pay and benefits from your employer in addition to your award. The Loan Repayment Program enables registered, advanced practice registered nurses and nurse faculty to pay off a portion of their student debt. If awarded, you can pay off up to 85% of your nursing education debt. The program will pay off 60% of your unpaid nursing student loans in exchange for 2 years of service. If you commit to a third year of service, we will pay an additional 25% of your original balance. The Scholarship Program helps nursing students in financial need complete their nursing education by paying tuition, fees, and other education costs, while providing a monthly living stipend.

Health Workforce Connector
Recruit and retain providers free of charge Post opportunities Matching made easy Recruit NHSC and NURSE Corps Participants Website: The Health Workforce Connector can assist sites in the recruitment and retention of qualified and dedicated primary care providers. You can promote your site and post job openings. All NHSC and NURSE Corps-approved sites can create a profile and post vacancies, including RHCs that are NHSC and NURSE Corps-approved sites. What are the benefits for NHSC and NURSE Corps-approved sites? SAVE RECRUITING RESOURCES – Recruit and retain providers free of charge. POST OPPORTUNITIES – With a complete site profile, NHSC and NURSE Corps-approved clinical sites can post vacancies. TODAY’S JOB SEEKER IS ALWAYS CONNECTED – The mobile-friendly Health Workforce Connector performs and shows well on mobile devices. MATCHING MADE EASY - Reach thousands of healthcare professionals who are actively seeking work in needy communities. RECRUIT NHSC/NURSE CORPS PARTICIPANTS - At any given time, about 1,500 students and residents-in-training are searching for positions to fulfill their service obligation. How do sites search for qualified candidates? To begin searching, site points-of-contact (POC) must sign-in to the Health Workforce Connector using their existing BHW Customer Service Portal login credentials. Access the ‘User Search’ link from the dropdown menu found in the header. Who can create an account in the BHW Customer Service Portal? We require all site POCs to create a BHW Customer Service Portal account. The POCs serve as coordinators of information concerning BHW programs and activities at the site. Of particular interest are POCs who perform the following duties: Own, oversee, or manage a significant portion of their organization. Understand and be able to answer questions about organization policies and operating procedures. Manage and be able to confirm employment status, work schedules, and/or absences of employees within their organization. Hire and/or recruit new employees for the organization. If I experience difficulty creating a profile or posting vacancies, where can I get help? Contact the Customer Care Center at (TTY: ) or your BHW DRO representative.

https://bhw.hrsa.gov/provider-recruitment/virtual-job-fairs
HRSA’s Virtual Job Fairs connect healthcare sites with job-seeking primary care trainees and practicing clinicians. Our Virtual Job Fairs are live, fully interactive – and most importantly, free – online events that occur online throughout the year. We invite medical, nursing, dental, and mental/behavioral health clinicians and trainees to attend, and learn about hundreds of opportunities. This slide shows past and upcoming virtual job fairs. You can learn more by visiting the website and signing up to participate. How can sites participate? [RHCs can participate if meet the below] To participate, sites must: Be an NHSC or NURSE Corps-approved site in good standing. Complete a Health Workforce Connector site profile. You must create an account in the BHW Customer Service Portal before you can create a Health Workforce Connector site profile. Post an eligible job vacancy on the Health Workforce Connector. Have access to the internet and a phone the day of the Virtual Job Fair. Register for the specific Virtual Job Fair in which you intend to participate. Source:

Rural Health Information Hub (RHIhub)
9-Dec-19 Rural Health Information Hub (RHIhub) Nation’s rural health information source library of resources coverage of rural issues state guides toolkits program models much more! Provides customized assistance By phone: By The Rural Health Information Hub, formerly the Rural Assistance Center, is funded by the Federal Office of Rural Health Policy to be a national clearinghouse on rural health issues. The RHIhub provides access to current and reliable resources and tools to help you learn about rural health needs and work to address them. RHIhub can help you: - Plan: Find toolkits and program models that show what works in rural communities so that you can build effective community health programs. Locate statistics, maps, and more to help you demonstrate need in your area. Develop: Get the information you need to build, maintain, and improve services in your community. The RHIhub online library offers easy access to thousands of resources from organizations across the U.S. Search federal, state, and foundation funding opportunities for those that might fund your project Learn: Gain insight and understanding of the issues affecting rural America through topic guides, timely news, and updates. Every morning you can get the latest news and regulations relevant to rural health. Hear right away about the newest key reports and opportunities from federal agencies and national organizations via the website, social media, or our regular updates. Connect: Find others who have passion and expertise in rural health issues. Our resources can help you identify organizations and experts on a variety of topics, as well as in your state. A few highlights: - RHIhub's topic and state guides bring together key resources and information in one spot. Start here for access to: publications, maps and websites; news and events; funding; organizations; and more. RHIhub Publications & Updates: webinars & maps Funding Opportunities: Search for funding by new, type, sponsor, topic, or state. Under more useful tools….Capital Funding Link for Rural Facilities (USDA, Appalachian Regional Commission, Economic Development) and Grant Writing: FAQ & Resource Page Am I Rural? Tool to find out if a location is considered rural based on various definitions of rural, including definitions that are used as eligibility criteria for federal programs. Community Health Gateway: The Rural Community Health Gateway is a resource for finding programs and approaches that rural communities can adapt to improve the health of their residents. The Gateway is the home for information about evidence-based models of rural health interventions, as well as innovative approaches. Find rural project examples in Rural Health Models and Innovations and proven strategies for strong rural programs with toolkits like the HIV/AIDS Prevention and Treatment Toolkit in the Rural Community Health Gateway. More useful tools (Tools for Success Tab): Economic Impact Analysis (Show how your program’s grant funding affects your community’s economic well-being and share this information with sponsors, funders and your community) & Planning for Sustainability (Tools to help you plan and position your grant-funded projects so that services can be sustained over the long term.) Source:

9-Dec-19

RHIhub Evidence-based Toolkits
Rural Community Health Community Health Workers Health Promotion and Disease Prevention Philanthropy Aging in Place Diabetes Prevention and Management Prevention and Treatment of Substance Abuse HIV/AIDS Prevention and Treatment Access to Care for Rural People with Disabilities Food Access Services Integration Obesity Prevention Care Coordination Health Networks and Coalitions Oral Health Tobacco Control and Prevention As I mentioned, RHIhub provides toolkits that can help your organization plan by showing what has worked in rural communities. Toolkits showcase program approaches that you can adapt to fit your community and the people you serve. Source: Transportation

Telehealth Resource Centers
HRSA’s Telehealth Resource Center program provides expert and customizable telehealth technical assistance across the country for organizations and health care providers who serve rural and medically underserved areas and populations. There are 12 regional TRCs located all across the United States and 2 national TRCs – one focused on policy and one focused on technology – that provide up to 10 hours of free TA The TRCs can help with a wide spectrum of telehealth-related issues including reimbursement, legal/regulatory issues, marketing, training, and telehealth program development. [website: Examples of TRC Technical Assistance Help hub sites receive technical assistance on selecting technologies, platforms, and purchasing options that will work for all of its spokes Assist with assessing available wireless and broadband strengths in the region Collaborate with hub staff on providing training with rural spoke clinics Assist hub and spoke sites on understanding telehealth regulations, reimbursement models, and parity laws in states ------ The TTAC (pronounced "tea-tac") aims to become the place for answers to questions about selecting appropriate technologies for your telehealth program. These interactive modules allow users to learn the fundamentals of how various technologies work, as well as how to assess them for use in telehealth programs. Some toolkits guide users through performing their own assessments. Other toolkits will help users identify their needs, bringing technology into alignment with clinical requirements. ----- The Center for Connected Health Policy serves as an independent center of excellence in telehealth policy providing technical assistance to the twelve federally funded telehealth regional resource centers. (This project is made possible by Grant #G22RH30365 from the Office of the Advancement of Telehealth, Health Resources and Services Administration, Department of Health and Human Services.) CCHP encourages collaboration among policymakers, researchers, industry leaders, health advocacy organizations, and other influential groups to advance telehealth policy solutions at the state and federal levels.

Examples of TRC Technical Assistance
Help hub sites receive technical assistance on selecting technologies, platforms, and purchasing options that will work for all of its spokes Assist with assessing available wireless and broadband strengths in the region Collaborate with hub staff on providing training with rural spoke clinics Assist hub and spoke sites on understanding telehealth regulations, reimbursement models, and parity laws in states The TRCs assist health care organizations, networks, and health care providers in implementing cost-effective telehealth programs in order to expand delivery of health care to rural and underserved populations. Assistance from the TRCs is generally free of charge (up to 10hrs of free technical consulting). Types of assistance include: How To Get Started/Strategic Planning Program/Protocol Development Business Model Development/Reimbursement Program Evaluation/Quality Assessment Best Practices/Networking National Telehealth Technology Assessment Resource Center Guidance on selecting appropriate technology National Telehealth Policy Resource Center Guidance on legal, regulatory and other policy issues

Telehealth - Centers for Excellence
Examine the efficacy of telehealth services in rural and urban areas Serve as national clearinghouse for telehealth research and resources, including TA Collaborate with Telehealth Resource Centers and the Rural Telehealth Research Center Systems with strong telehealth programs to provide TA to others

Rural Health Research Gateway
Free online library with access to research from all federally-funded Rural Health Research Centers Use the library to find: rural health research products and journal articles information about the research centers information about individual researchers current research center projects much more! Subscribe to Research Alerts notifications when new research products are complete Alerts posted on Facebook and Twitter The Rural Health Research Gateway provides easy and timely access to research conducted by the Rural Health Research Centers. The Centers study critical issues facing rural communities in an effort to secure adequate, affordable, high-quality health services for rural residents. Puts new findings and information in the hands of policymakers, educators, public health employees, hospital staff, and more. This online resource of research connects you to: • Research and Policy Centers • Reports & Journal Publications • Fact Sheets • Policy Briefs • Research Projects • Alerts • Experts • Dissemination Toolkit Alert s provide periodic updates when new publications become available. Alerts are available by and posted on our Facebook and Twitter accounts Source:

AIDS Education and Training Centers
The AIDS Education and Training Center (AETC) Program is the training arm of HRSA’s Ryan White HIV/AIDS Program. The AETC Program is a national network of leading HIV experts who provide locally based, tailored education, clinical consultation and technical assistance to healthcare professionals and healthcare organizations to integrate high quality, comprehensive care for those living with or affected by HIV. There are regional AETCs. The Midwest AETC serves Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio, and Wisconsin through its central office and local partners. For HIV training, technical assistance, and/or capacity building assistance you can contact the Midwest AETC. Midwest AETC University of Illinois at Chicago, College of Medicine Department of Family Medicine 1919 West Taylor, 8th Floor (MC 779) Chicago, IL 60612 Source: Midwest AIDS Education and Training Center Call for technical assistance or training Teresa Haro / Phone #:

Clinical Consultation Center
Monday-Friday 9 am - 8 pm EST Some weekends/holidays All services are FREE! The Clinician Consultation Center, a component of the AIDS Education and Training Centers Program, is funded by the Health Resources and Services Administration in partnership with the Centers for Disease Control and Prevention. The Clinician Consultation Center provides clinicians of all experience levels prompt, expert responses to questions about managing HIV/AIDS, perinatal HIV, pre-exposure prophylaxis, and post-exposure prophylaxis management for HIV and hepatitis B and C. Their clinical consultants are HIV-treatment experienced physicians, clinical pharmacists, nurses, and NPs from the University of California, San Francisco. The Center also provides clinically supported advice on substance use management for healthcare providers. You can receive Peer-to-peer consultation from physicians, clinical pharmacists, and nurses with special expertise in substance use evaluation and management. All of their services are free and confidential. Their services are for U.S.-based healthcare providers only. Source:

Poison Control Centers
Every day of the year, 24 hours a day, the nation’s 55 poison centers help with poisoning emergencies and provide information to help prevent poisonings. Specially trained poison experts at these centers – nurses, pharmacists, and doctors – can be reached by calling the toll-free Poison Help line ( ), which connects you to your local poison center. Poison centers provide: Help with a poisoning emergency, which can often be solved over the phone rather than calling 911 or visiting the emergency room Advice to health care professionals and the general public Poison prevention and treatment educational materials, including information on National Poison Prevention Week Real-time data collection that aids in detecting public health emergencies Free and confidential help, with interpretation services available in 161 languages. Service is available throughout the entire United States and many territories. The nation’s poison centers are locally operated and funded through a combination of state and private sources, as well as congressionally mandated federal funds. HRSA provides funds to support Poison Control Centers.

HRSA’s website for open data is data. HRSA. gov
HRSA’s website for open data is data.HRSA.gov. The website provides maps, data, reports, and dashboards to the public about HRSA’s health care programs. The data integrates with external sources, such as the U.S. Census Bureau, providing information about HRSA’s grants, loan and scholarship programs, health centers, and other public health programs and services. On the site, you can: Analyze, sort, and filter data on interactive dashboards Locate HRSA’s health centers and other HRSA-supported programs and services View HRSA’s data on maps Query and explore data using query tools and reports See what HRSA is doing in your state, county, region, and congressional district View and compare data by geography, by topic, and by HRSA program area Download data for research and analysis Embed widgets on any website to provide access to HRSA data Connect to HRSA data from third party applications through map services and web services Create custom maps and reports Data available on the site covers all of HRSA's programs, including health centers, grants, organ donation, and more. The site is interactive, easy to use, accessible, and will work on mobile devices.

12/9/2016 Contact Information Richard Overcast Public Health Analyst Office of Regional Operations, Region 7 Health Resources and Services Administration Phone:

To learn more about our agency, visit www.HRSA.gov
Connect with HRSA To learn more about our agency, visit Sign up for the HRSA eNews FOLLOW US:

CMS Update and Resources
MO Rural Health Conference August 22, 2019 Michelle Wineinger CMS Kansas City Regional Office

CMS Updates Proposed Rules OPPS/ASC PFS/QPP ESRD/DMEPOS Final Rule
IPPS 46

https://go.cms.gov/ruralhealth
CMS and Rural Health From Here To Here 47

Resource and Contact Info Michelle Wineinger Rural Health Coordinator 48

HRSA Program Updates, Rural Health Resources, and Funding Opportunities 2019 Missouri Rural Health Conference August 22, 2019 Richard Overcast, Public.

Similar presentations

Presentation on theme: "HRSA Program Updates, Rural Health Resources, and Funding Opportunities 2019 Missouri Rural Health Conference August 22, 2019 Richard Overcast, Public."— Presentation transcript:

Similar presentations

About project

Feedback

Log in

Auth with social network:

HRSA Program Updates, Rural Health Resources, and Funding Opportunities 2019 Missouri Rural Health Conference August 22, 2019 Richard Overcast, Public.

Similar presentations

Presentation on theme: "HRSA Program Updates, Rural Health Resources, and Funding Opportunities 2019 Missouri Rural Health Conference August 22, 2019 Richard Overcast, Public."— Presentation transcript:

Similar presentations

About project

Feedback