"Weathering the Storm"

10th Annual HomeTown Health Spring Meeting

Paul Moore, DPh

Senior Health Policy AdvisorDepartment of Health and Human Services

Health Resources and Services Administration

Office of Rural Health Policy

Overview:

• Current National Challenges• Policy Issues Affecting Rural

Health• Initiatives within ORHP,

HRSA, and HHS

Key Issues facing Georgia’s Rural

Hospitals and Providers• Access to High Quality

Healthcare• Regulation, Policy, and Programs• Workforce Issues• HIT Adoption - “meaningful use”

Access to High-Quality Health Services

CHIP

Recovery Act

Workforce

Prevention and Wellness

What’s New at ORHP?

Policy and Research

Regulation Review Regular Medicare payment updates Value-Based Purchasing and Quality Reporting HIT Meaningful Use

Demonstrations Frontier Extended Stay Clinics Frontier Payment Integration

Key Rural Regulatory Issues

Inpatient Hospital Payment

Outpatient Hospital Payment

Physician Payment Rehab Payment Psych Payment Skilled Nursing

Facility and Long Term Care Payments

Ambulance Fee Schedule

Medicare Advantage

Medicare Part D Rural Health

Clinics Federally Qualified

Health Centers Medicaid Waivers Medicare GME

Policy and Research

Rural Health Services Research

Six Rural Health Research Centers Three Policy Analytic Resources

Links with Agency for Health Research & Quality

ORHP & Key Rural Program

“Within the total amount requested for Rural Health, the Budget includes $79 million to continue the President’s initiative to improve rural health. The goal for of this initiative is toimprove the access to and quality of health care in rural areas.

The Improving Rural Health Initiative:

Key Elements Health Workforce Recruitment and Retention

Building a Programmatic “Evidence-Base”

Telehealth/HIT Coordination

Cross Governmental Collaboration

Community-Based Grants: Developing an Evidence Base

Outreach Best Practices and Tracking Performance Measures Increased Focus On …

Sustainability Targeted Technical Assistance Manuals and Reports Sharing Successful Models

Rural Health Grants 2005-2009Rural Health Grants 2005-2009

Rural Health Outreach Grants*Rural Health Network Planning GrantsRural Health Network Development GrantsSmall Health Care Provider Quality

Improvement Grants * Rural Health Outreach Grants include Rural Health Care Services Outreach Grant, Delta State Rural Development Network Grant and Frontier Extended Stay Clinic Cooperative Agreement.

ORHP Community-Based Grant Opportunities for 2010-2011

Guidance Available on http://www.grants.gov

Small Health Care Provider Quality Improvement

60+ Awards by September Network Planning

Guidance out July; Applications Due October

Next Year Network Development

Grants Technical Assistance Workshops

Michigan North Dakota Wisconsin

Hospital-State Division: Building an Evidence Base

New Flex Guidance Quality Improvement Performance Improvement Community Development Emergency Medical Services

Re-Focusing SHIP

East Morgan County Hospital, a CAH in eastern Colorado

Flex Program:

Flex Program: The Multi-State Project

A Focus on Medicare Beneficiary Outcomes Voluntary Project Using Common Focus Area and Metrics Proven Models, Processes, and Outcomes

Patient Safety Pharmacy Collaborative Free Team-Based Training

Use the Institute for Healthcare Improvement “Model for Improvement”

Series of Meetings and Calls to focus on Patient-Safety ORHP funds to support CAH and RHC teams

Apply by June, 2010 For more information: Contact Paul Moore at ORHP: 301-443-0835

Pharmacist in Jordan, MT

New Manual

FQHC-CAH Collaboration Statutory Background Case Studies

Rural Health Clinic Technical Assistance Free Quarterly

Conference Calls Past topics include billing, health information technology, regulation updates, etc.

http://www.narhc.org/members/orhp_series.php

A Rural Health Clinic in Michigan

http://www.narhc.org/members/orhp_series.php

Rural Assistance Center• Web-Based Services

http://www.raconline.org

• Electronic UpdatesSubscribe on the website

• Customized AssistancePhone: 1.800.270.1898

E-mail: info@raconline.org

HIT and Rural

Challenges Ahead Incentive Payments and “Meaningful Use” Possible Resources

ORHP grants Findings from CAH-HIT Evaluation HIT Resource Centers

Telehealth Resource Centers

Office for the Advancement of Telehealth

New Addition to ORHP … Telehealth Network Grants Telehealth Resource Centers Licensure and Portability

Telehealth Grant Opportunities

Telehealth Network Grant Program

Guidance available late Spring Eight awards Expected by September

Telehealth Resource Centers Guidance available late Spring Seven awards by September

Rural Health Workforce

Rural Workforce Issues: ORHP and Beyond

The Rural Recruitment and Retention Networkwww.3rnet.org

Rural Health Workforce

Rural Workforce Issues: ORHP Pilots

The Rural Training Track Technical Assistance Center

Guidance Now on Grants.gov

The Rural Network Training Grants

Guidance Expected Soon

A Family Medicine resident in Idaho

http://nhsc.hrsa.gov/communities/apply.htmhttp://nhsc.hrsa.gov/loanrepayment/apply.htm

Rural Workforce Issues

Nursing Loan Repaymenthttp://bhpr.hrsa.gov/dsa/nsl.htm

Nursing Scholarships http://bhpr.hrsa.gov/nursing/scholarship/

Rural Workforce Issues: Linking to Other HRSA Programs

Health Careers Opportunities Programhttp://bhpr.hrsa.gov/grants/diversity.htm

Nursing Programs Advanced Education Traineeships Nurse Education, Practice and Retention Nursing Workforce Diversity

http://www.bhpr.hrsa.gov/nursing

Health Workforce Information Center• Web site - Easy access to key

information on over 50 workforce topics and 80 professions, including:

– Events & training– Organizations– Funding– News and Updates– Resources

• HWIC Call Center

– 1-888-332-4942– info@healthworkforceinfo.org

www.healthworkforceinfo.org

Contact Information

Paul MooreOffice of Rural Health Policy

5600 Fishers Lane, Rm 10B-45Rockville, MD  20857

Tel: 301-443-1271  Fax:  301-443-2803pmoore2@hrsa.gov

http://ruralhealth.hrsa.gov