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National Rural Health Issues10th Annual Mid-South CAH Conference
August 24th, 2012Memphis, TN
Tom MorrisAssociate Administrator
Department of Health and Human ServicesHealth Resources and Services Administration
Office of Rural Health Policy
Department of Health & Human Services (HHS)
HHS Headquarters
• Implementation of the Affordable Care Act
• Setting the Stage for Expanded Coverage• Focusing on Improving Quality • Expanding the Primary Care Workforce
• Completion of the Medicare Payment Updates for 2013
• Inpatient• Outpatient• SNF and Home Health• Physician Fee Schedule
Key Activities
Health Resources & Services Administration (HRSA)
• Maternal & Child Health Programs• Ryan White HIV Aids Programs• Health Professions Training• Community Health Centers• National Health Service Corps
Resources• HRSA In Your State• Shortage Designation Finder
http://datawarehouse.hrsa.gov/FactSheetNav.aspx
Key Programs Supporting Rural Communities
http://www.whitehouse.gov/administration/eop/rural-council
Executive Order Establishing the Council
•Expansion of National Health Service Corps to Critical Access Hospitals
•Expanding Access to HIT Capital through an HHS-USDA Partnership
• National Call• Regional Workshops
•Expanding Training of Health Information Technology Workers
The White House Rural CouncilKey Health Activities
USDA Contacts
AR • Lawrence
McCullough, State Director
• 700 West Capital Avenue, room 3416 Little Rock, AR72201-3225
• (501) 301-3200
• www.rurdev.usda.gov/ar
TN• Bob Mack Goode,
State Director
• 3322 West End Avenue, Suite 300Nashville, TN37203-1071
• (615) 783-1300
• www.rurdev.usda.gov/tn
LA• Clarence Hawkins,
State Director
• 3727 Government StAlexandria, LA 71302
• (318) 473-7920
• www.rurdev.usda.gov/la/
MS• Trina George, State
Director
• Federal Building, Suite 831Jackson, MS 39269
• (601) 965-4316
• www.rurdev.usda.gov/ms
•Responding to the Drought Crisis•Rural Access to Capital Meeting
The White House Rural CouncilCurrent Activities and Next Steps
•Follow up from Rural Health Stakeholder Meeting
•Identifying New Policy Proposals
Office of Rural Health Policy (ORHP)2012 Budget
Office of Rural Health Policy (FY12) Rural Health Policy Development $9.8 million
Rural Health Outreach $55 million
Rural Hospital Flexibility $41 million
State Offices of Rural Health $10 million
Telehealth $11.5 million
Radiogenic Diseases $1.9 million
Black Lung $7.1 million
Improving Rural Health Initiative
“Within the total amount requested for Rural Health Activities, the Budget includes $79 million to continue the President’s initiative to improve rural health. The goal of this initiative is to improve the access to and quality of health care in rural areas.”
Current Environment Facing Rural Health
• Opportunities• Expanded Coverage• Partnership for Patients• Innovation Center• HIT
• Challenges• Industry Consolidation• Uncertainty• Transition from Volume to
Value• Meeting Meaningful Use
Opportunities and Challenges
What’s ORHP’s Role?How best to help rural communities through a transitioning health care environment?
• Community-Based Pilot Programs
• Policy and Research
• Hospital-State Programs
• Telehealth Programs and Resources
The Mid-South: A Key Focus AreaBuilding a Rural Community Health Evidence Base
Delta States Initiatives• Delta States Networking
Grants• Delta Rural Hospital
Performance Improvement Project
http://www.hrsa.gov/ruralhealth/about/hospitalstate/delta/index.html
Improving Rural Health Care InitiativeBuilding a Rural Community Health Evidence Base
Community
Health Workers Toolkit
Obesity Toolkit (in Final Review)
http://www.raconline.org/collaborate/pr_chwtoolkit.php
Improving Rural Health Care InitiativeTechnical Assistance: Sustainability
• Economic Multiplier Calculator for Community-Based Programs• Available on the Rural Assistance Center Website• (http://www.raconline.org/econtool/)• Sustainability Primer (http://www.raconline.org/pdf/sustain_primer508.pdf)
Improving Rural Health Care InitiativeUpcoming Funding Opportunities
FY 2013: Network Planning
• Guidance available: Now
• Application deadline: October 15th, 2012
• # of New Awards: 10-15
• Funding: up to $85K /yr (1yr)
• Start Date: 04/2013• Contact: Eileen
Holloran, [email protected]
FY 2013: Small Health Care Provider Quality Improvement Program
• Guidance Available: Winter 2012
• Application deadline: early Spring 2013
• # of New Awards: 50-60
• Funding: up to $100K/yr (3 years)
• Start Date: 09/2013• Contact: Ann Ferrero,
FY 2013: Delta States Rural Development Network Program
• Guidance Available: early Winter 2012
• Application deadline: late Winter 2012
• # of new awards: TBD
• Funding up to: TBD• Start date: 8/2012• Contact: Valerie
Darden, [email protected]
Improving Rural Health Care InitiativeOverview: Building a Rural Hospital Evidence Base
• Measuring Outcomes• Sharing Best Practices• Providing Resources• Aligning Programs to the Health
Care Environment
• Grants• Small Hospital Improvement
Program (SHIP)• State Offices of Rural Health
(SORH)• Medicare Rural Hospital
Flexibility Program (FLEX)
• Initiatives • Flex Medicare Beneficiary
Quality Improvement Project (MBQIP)
• Technical Assistance
Focus Programs
Hospital State Division (HSD)
• Pilot Project under Quality Improvement• Common Metrics• Measuring Outcomes and Demonstrating
Improvements• Sharing Best Practices
http://www.hrsa.gov/ruralhealth/about/video/index.html
Medicare Beneficiary Quality Improvement Project (MBQIP)
Improving Rural Health Care InitiativeWorkforce: Linking Rural Health Care Providers to the Federal Workforce Programs
• HRSA Programs• National Health Service Corps• Nursing Loan Repayment • Primary Care Training• Nursing Education
• Key Challenge: Linking Providers & Educational Institutions
http://www.hrsa.gov/ruralhealth/pdf/ruralhealthfundingguidance.pdf
Improving Rural Health Care Initiative
• Technical Assistance Grant with the National Rural Health Association• Sustaining & Expanding the “1+2”
Family Medicine Residences• Helping Communities Start New RTTs• Increasing Resident Interest in RTTs• www.raconline.org/rtt_new
Workforce: Rural Training Tracks
Improving Rural Health Care InitiativeTelehealth Programs: Offering a Continuum of Program Resources
• Telehealth Network Grant• Including Tele-Home Care
• Telehealth Resource Centers• Free Technical Assistance Nationally
• Telehealth Technology Assessment Center• Guidance in Matching Technology to
Need and Resources
• Licensure and Portability Program• Information and Collaboration on Cross-
State Telehealth Practice
http://www.hrsa.gov/ruralhealth/aout/telehealth/telehealth.html
Improving Rural Health Care InitiativePartnering with the Institute of Medicine
• Planning Meeting August 8-9 • Focus on the Role of Telehealth in an
Evolving Health Care Environment• Report Due in Fall
• Key Issues• Evidence Base• Reimbursement• Privacy and Standards• Infrastructure
http://www.iom.edu/Activities/HealthServices/Telehealth/2012-AUG-08.aspx
Watch the archived webcast at:http://www.iom.edu/Home/Activities/HealthServices/Telehealth/2012-AUG-08/webcast.aspx
Leveraging Our Policy and Research Activities
• Analyzing the Regulations• Collaboration with CMS
• Central Office Point of Contact• Regional Office Rural Coordinators
• Collaboration with the Office of the National Coordinator for HIT• HHS Rural HIT Task Force
• Rural Hospital Issues Group• Rural Primary Care Providers Issues
Group
Policy
Leveraging Our Policy and Research Activities
• Research Center Findings• Rural Research Gateway
• New Rural Health Systems Analysis and Technical Assistance Center
• Flex Monitoring Team Reports• Annual Compendiums of Financial and
Quality Data for All CAHs
Research
http://www.hrsa.gov/advisorycommittees/rural/publications/index.html
Leveraging Our Policy and Research Activities
• Frontier Extended Stay Clinic• Frontier Community Health
Integration Project• Working with CMS Center for
Innovation
Leveraging Demonstrations
Office of Rural Health Policy (ORHP) Activities
• Advises the Secretary of HHS on Rural Issues
• Eight Affordable Care Act Policy Briefs Available Online
National Advisory Committee on Rural Health & Human Services
http://www.hrsa.gov/advisorycommittees/rural/publications/index.html
The Goal … Helping CAHs Make the Transition
Providing Grants, Data and Technical Assistance to CAHs
Grants
•Flex •SHIP•Outreach•Network•Network Development•Quality Improvement•Telehealth Network
Technical
Assistance
•TASC•Flex Monitoring Team•RHSATA•Rural Assistance Center•Telehealth Resource Centers•Telehealth Licensure and Technology Assessment
•National Center for Rural Health Works
•Rural Health Clinic TAPolicy
•Regulation Review•White House Rural Council•National Advisory Committee on Rural Health and Human Services
•Collaboration with NRHA, AHA and NOSORH
ResourcesKey Partners & Resources
National Rural Health Association• Annual Policy Brainstorming Sessions• State Rural Health Association Support• Rural Medical Educators• Partner in Rural Hospital Issues Group
American Hospital Association• Policy Analysis
SORHs Making a Difference
• Promotion of the first Rural Health Day: November 17, 2011!• This Year: November 15, 2012
• Collaboration with USDA for Rural HIT Investment
• Promotion of Partnership for Patients• Enhanced Performance Measurement
Contact Information
Tom Morris
Associate Administrator
Rural Health Policy
Health Resources & Services Administration
U.S. Department of Health & Human Services
http://www.hrsa.gov
301-443-4269