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MedWorm: Rural Health News



MedWorm.com provides a medical RSS filtering service. Thousands of medical RSS feeds are combined and output via different filters. This feed contains the latest news in Rural Health



Last Build Date: Wed, 22 Nov 2017 22:31:01 +0100

 



Light Pollution Is Getting Worse Every Year. That ’s Bad For Your Health

Wed, 22 Nov 2017 19:00:14 +0100

Nothing has captured the march of wealth and progress like any society’s ability to light up the night—first with campfires and torches, then with gas lamps, finally with incandescent lights. Franklin Roosevelt’s 1936 Rural Electrification Act was an effort both to bring modernity to the 90% of American farms that lacked electricity and to help jolt the American economy, which was still deep in the Depression. The modern nighttime image of the Korean peninsula as seen from space, with darkness north of the 38th parallel and brilliant light in the vibrant south, powerfully captures the connection between civilization and illumination. Now, however, a new study of satellite images, published in Science Advances, suggests that we may have taken an undeniably good thing too ...

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Disparities In Access To Health Care For Women

Wed, 22 Nov 2017 12:00:00 +0100

Access to contraceptives, sex ed and abortion continue to be threatened, disproportionately affecting women of color and those in rural areas. (Source: Forbes.com Healthcare News)



OhioHealth has a $3.6B nest egg to hedge against 'turmoil' in health care, help subsidize rural hospitals

Wed, 22 Nov 2017 11:59:13 +0100

OhioHealth Corp.'s unrestricted reserve fund grew by a half-billion this year to $3.64 billion – theoretically almost enough to let it go a year without revenue from patient care. (Source: bizjournals.com Health Care:Biotechnology headlines)



WHO gravely concerned by deteriorating situation in eastern Ghouta, Syrian Arab Republic

Wed, 22 Nov 2017 10:43:36 +0100

22 November 2017, Damascus, Syrian Arab Republic – Seven people have been killed and 42 people injured in Damascus city and surrounding areas in recent days. In eastern Ghouta, Rural Damascus, local health authorities report that during a 4-day period alone from 14 to 17 November, 84 people were killed, including 17 children and 6 women; and 659 people were injured, including 127 children and 87 women. During the same period, more than 200 surgical operations were conducted in eastern Ghouta’s overwhelmed and under-resourced hospitals. Despite escalating violence and increasing humanitarian needs, life-saving medicines, medical equipment, and surgical supplies are prevented from entering the area. The medical evacuation plan, developed by the Syrian Arab Red Crescent and the World ...



MAP Rural Health Workgroup Final Roster

Wed, 22 Nov 2017 06:00:00 +0100

The National Quality Forum's (NQF) Rural Health Workgroup's roster has been finalized. This workgroup was created to advise the Centers for Medicare and Medicaid Services (CMS) on issues related to measurement challenges in the rural population and to identify rural-relevant measures and gaps in measurement. The Measure Applications Partnership (MAP) Coordinating Committee provides oversight for this workgroup. (Source: News stories via the Rural Assistance Center)



Pollution in India's Cities Draws Residents Back to Rural Life Pollution in India's Cities Draws Residents Back to Rural Life

Tue, 21 Nov 2017 21:15:39 +0100

Namita Singh's young daughter suffered from bronchitis when the family lived in the northern Indian city of Lucknow, where fumes from clogged traffic and a smoky haze every winter outweighed the charms of its Mughal architecture and famed cuisine.Reuters Health Information (Source: Medscape Medical News Headlines)

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Rural Long-Term Services and Supports: A Primer

Tue, 21 Nov 2017 17:42:50 +0100

This paper provides policymakers and other interested stakeholders a primer on rural long-term services and supports (LTSS): (1) the fundamentals of the rural LTSS system, (2) rural access to and use of LTSS, and (3) discussion of the opportunities within and limitations of current Federal and State LTSS policy for advancing rural health system transformation toward a high-performing rural health delivery system. (Source: HSR Information Central)



3 Dead After Medical Helicopter Crash in Eastern Arkansas

Tue, 21 Nov 2017 15:57:00 +0100

DEWITT, Ark. (AP) — A pilot and two medical personnel were killed when a medical helicopter that was flying to a hospital in eastern Arkansas crashed in a rural area Sunday night. No patients were on board at the time. The cause of the crash is not yet known but federal agencies are investigating. Arkansas County Sheriff Todd Wright said a witness saw the helicopter spiral out of the sky about 7:55 p.m. Sunday, disturbing thousands of geese to the point that "they were louder than she had ever heard before." The helicopter crashed on a levee adjacent to Hampton Reservoir near Lodge Corner in Arkansas County, 52 miles (84 kilometers) southeast of Little Rock. Wright said Monday that the helicopter's tail section was the only portion of the aircraft that did not burn. Pafford Air...



CMS: Rural Health

Tue, 21 Nov 2017 08:30:49 +0100

CMS is taking measureable steps toward improving access to health care for rural populations, including forming a council of experts tasked with addressing rural health issues, engaging stakeholders in rural communities, and partnering with health organizations to raise awareness. (Source: HSR Information Central)



Rural Health and Safety Education Webinar Series: Combating Opioids

Tue, 21 Nov 2017 07:03:09 +0100

Webinar series focuses on opioid use prevention, capacity building, technology use, public health knowledge, and health literacy in rural counties. First webinar is on December 5, 2017 2:00pm ET. (Source: HSR Information Central)

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Targeted Rural Health Education

Tue, 21 Nov 2017 06:00:18 +0100

A new writing project gives medical students a better understanding of rural community health needs. (Source: HSR Information Central)



HRSA: Supplemental Award to the National Network for Oral Health Access

Tue, 21 Nov 2017 06:00:00 +0100

Announces a $250,000 supplement to the HRSA-funded National Network for Oral Health Access (NNOHA) cooperative agreement. The supplement will fund demonstration projects aimed at improving the integration of oral health competencies among non-dental healthcare providers in health center settings, focusing on services for pregnant women and children. (Source: Federal Register updates via the Rural Assistance Center)



CMS: Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rates, and Annual Deductible Beginning January 1, 2018

Tue, 21 Nov 2017 06:00:00 +0100

Presents the calendar year 2018 monthly actuarial rates for aged and disabled beneficiaries enrolled in part B of the Medicare Supplementary Medical Insurance (SMI) program. Also announces the monthly premium for aged and disabled beneficiaries, the deductible for 2018, and the income-related monthly adjustment amounts to be paid by beneficiaries with modified adjusted gross income above certain threshold amounts. Rates become effective on January 1, 2018. (Source: Federal Register updates via the Rural Assistance Center)



CMS: Medicare Program; CY 2018 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts

Tue, 21 Nov 2017 06:00:00 +0100

Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the inpatient hospital deductible, and hospital and extended care services coinsurance amounts for services furnished under Medicare Part A during calendar year (CY) 2018. The updated deductible and coinsurance amounts take effect January 1, 2018. (Source: Federal Register updates via the Rural Assistance Center)



CMS: Medicare Program; CY 2018 Part A Premiums for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement

Tue, 21 Nov 2017 06:00:00 +0100

Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the calendar year (CY) 2018 Medicare Hospital Insurance (Part A) premium for uninsured enrollees who are not otherwise eligible and for certain individuals who have exhausted other entitlement. Effective January 1, 2018, the CY 2018 monthly premium for the uninsured aged and certain disabled individuals is $422, and the reduced premium for certain eligible individuals is $232. (Source: Federal Register updates via the Rural Assistance Center)

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HHS: Announcement of Meeting of the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030

Tue, 21 Nov 2017 06:00:00 +0100

The Secretary ’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 will hold an open meeting via webinar on December 11, 2017, from 3:00 p.m. to 5:00 p.m. Eastern. The committee will discuss the nation's health promotion and disease prevention priorities and provide recommendations to improve health status and reduce health risks by the year 2030. Pre-registration is required and must be completed by 9:00 a.m. Eastern on December 11, 2017. (Source: Federal Register updates via the Rural Assistance Center)



Massachusetts Grabs Spotlight By Proposing New Twist On Medicaid Drug Coverage

Tue, 21 Nov 2017 06:00:00 +0100

Highlights the Massachusetts state Medicaid program's demonstration proposal, submitted to the Centers for Medicare and Medicaid Services (CMS). The proposal would allow the state to negotiate discounts for prescription drugs and to exclude drugs with limited treatment value. Discusses possible ramifications if this proposal were approved and implemented. (Source: News stories via the Rural Assistance Center)



A Conversation with Steve Tenhouse

Tue, 21 Nov 2017 06:00:00 +0100

Discussion includes the importance of a hospital's culture, lessons learned as a hospital CEO, and the importance of rural hospitals, among other things. (Source: News stories via the Rural Assistance Center)



Trump Administration Moves to Alter Drug Discount Program That Many Rural Hospitals Rely On

Tue, 21 Nov 2017 06:00:00 +0100

Details the 340B prescription drug program that allows hospitals serving low-income patients to buy medication at a discount and sell it to local pharmacies in order to bolster their bottom lines. In rural areas, this program has prevented hospital closures. A final rule from the Centers for Medicare and Medicaid Services (CMS) scheduled to go into effect on January 1, 2018 would reduce funding for hospitals in the program. Includes commentary from both those who support and those who oppose the rule. (Source: News stories via the Rural Assistance Center)



'Here It Goes': Coming Out To Your Doctor In Rural America

Tue, 21 Nov 2017 06:00:00 +0100

Details some of the fears faced by members of the LGBT community in seeking medical care in rural areas, especially as it relates to sexual health. Although the rural Californians interviewed did not face the discrimination they feared, their physicians had to do additional research in order to meet their medical needs. A local physician pointed out that doctors often don't get much education on LGBT health in medical school. (Source: News stories via the Rural Assistance Center)

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In Pakistan, empowering midwives to empower women

Mon, 20 Nov 2017 20:58:33 +0100

TANDO MOHAMMAD KHAN/NAUSHAHARO FEROZE, Pakistan –Aashu Tresa, 32, remembers when becoming a mother was a life-or-death proposition.When she was growing up, no one in her rural village, Misree Kolhi, gave birth under the care of a trained health worker. “Unskilled, untrained birth attendants were doing deliveries in our community. Some of the newborns died and some of the women had infections during deliveries,” she recounted.Even now, thejourney to motherhood remains a dangerous one in Pakistan. (Source: UNFPA News)



Rural Transportation: Challenges and Opportunities

Mon, 20 Nov 2017 16:23:30 +0100

This policy brief uses survey data from 113 key informants across all fifty states to describe challenges and opportunities related to rural transportation. (Source: HSR Information Central)



Another Alabama hospital to close

Mon, 20 Nov 2017 14:11:14 +0100

Another rural Alabama hospital is closing its doors to patients. Lakeland Community Hospital in Haleyville will shut down by the end of the year, according to the Cullman Times. Lakeland Community reported $2 million in losses from low reimbursements from the government and commercial insurers. The 59-bed hospital is the only one in Winston County. The neare st hospitals for Winston County residents are Cullman Regional Medical Center in Cullman County to the east and Walker Baptist Medical Center… (Source: bizjournals.com Health Care:Physician Practices headlines)



NOSORH Rural Health Grant Writing Institute

Mon, 20 Nov 2017 09:24:36 +0100

January 11 - May 3, 2018. Registration closes on January 3, 2018. (Source: HSR Information Central)



South Carolina's Rural Health Action Plan (2017)

Mon, 20 Nov 2017 09:18:30 +0100

A collective and comprehensive framework to enhance rural health outcomes in South Carolina. (Source: HSR Information Central)

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Foundations' Efforts To Improve Rural Health Care

Mon, 20 Nov 2017 08:47:45 +0100

Post highlights foundation efforts to improve access to health services in rural areas. (Source: HSR Information Central)



Public Inspection: CMS: Medicare Program: Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-for-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program

Mon, 20 Nov 2017 06:00:00 +0100

Proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would revise Medicare Advantage (Part C) and Prescription Drug Benefit (Part D) regulations to implement certain provisions contained in the Comprehensive Addiction and Recovery Act (CARA) and the 21st Century Cures Act. The proposed rule also clarifies the "any willing pharmacy" requirement, which may work to support independent community pharmacies often found in rural areas, and improve rural beneficiaries' access to specialty drugs. Comments regarding provisions of the rule must be submitted no later than 5:00 p.m. Eastern on January 16, 2018, and final publication in the Federal Register is scheduled for November 28, 2017. (Source: Federal Register updates via the Rural Assistance Center)



Public Inspection: CMS: Medicare Program: Medicare Part B Monthly Actuarial Rates, Premium Rates, and Annual Deductible Beginning January 1, 2018

Mon, 20 Nov 2017 06:00:00 +0100

Presents the calendar year 2018 monthly actuarial rates for aged and disabled beneficiaries enrolled in part B of the Medicare Supplementary Medical Insurance (SMI) program. Also announces the monthly premium for aged and disabled beneficiaries, the deductible for 2018, and the income-related monthly adjustment amounts to be paid by beneficiaries with modified adjusted gross income above certain threshold amounts. Rates become effective on January 1, 2018, and final publication in the Federal Register is scheduled for November 21, 2017. (Source: Federal Register updates via the Rural Assistance Center)



Public Inspection: CMS: Medicare Program: CY 2018 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts

Mon, 20 Nov 2017 06:00:00 +0100

Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing the inpatient hospital deductible, and hospital and extended care services coinsurance amounts for services furnished under Medicare Part A during calendar year (CY) 2018. The updated deductible and coinsurance amounts take effect January 1, 2018, and final publication in the Federal Register is scheduled for November 21, 2017. (Source: Federal Register updates via the Rural Assistance Center)



Public Inspection: CMS: Medicare Program: CY 2018 Part A Premiums for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement

Mon, 20 Nov 2017 06:00:00 +0100

Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing the calendar year (CY) 2018 Medicare Hospital Insurance (Part A) premium for uninsured enrollees who are not otherwise eligible and for certain individuals who have exhausted other entitlement. The CY 2018 monthly premium for the uninsured aged and certain disabled individuals is $422, and the reduced premium for certain eligible individuals is $232. Rates take effect January 1, 2018, and final publication in the Federal Register is scheduled for November 21, 2017. (Source: Federal Register updates via the Rural Assistance Center)

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Public Inspection: HHS: Meetings: Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030

Mon, 20 Nov 2017 06:00:00 +0100

The Secretary ’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 will hold an open meeting via webinar on December 11, 2017, from 3:00 p.m. to 5:00 p.m. Eastern. The committee will discuss the nation's health promotion and disease prevention priorities and provide recommendations to improve health status and reduce health risks by the year 2030. Pre-registration is required and must be completed by 9:00 a.m. Eastern on December 11, 2017. Final publication in the Federal Register is scheduled for November 21, 2017. (Source: Federal Register updates via the Rural Assistance Center)



RUS: Announcement of Loan Application Procedures, and Deadlines for the Rural Energy Savings Program

Mon, 20 Nov 2017 06:00:00 +0100

The Rural Utilities Service (RUS) is requesting letters of intent and loan applications under the Rural Energy Savings Program (RESP). Loans through the RESP are designed to help rural families and small businesses implement cost-effective energy efficiency measures. Approximately $8 million was appropriated for use through September 30, 2018. Letters of intent must be submitted no later than 11:59 p.m. Eastern on January 19, 2018. (Source: Federal Register updates via the Rural Assistance Center)



IHS: Request for Public Comment: 60 Day Notice for Extension of the Indian Health Service Loan Repayment Program

Mon, 20 Nov 2017 06:00:00 +0100

Notice of intent from the Indian Health Service (IHS) to continue collecting information as part of the IHS Loan Repayment Program (LRP). IHS seeks to collect professional, educational, financial, and general applicant information to help determine eligibility for loan repayment. Successful applicants receive loan repayment assistance in exchange for an initial two-year commitment to practice full-time in an eligible, often remote, IHS facility. Comments regarding the proposed information collection must be submitted by January 19, 2017. (Source: Federal Register updates via the Rural Assistance Center)



USDA Rural Development Announces New Executive Leadership

Mon, 20 Nov 2017 06:00:00 +0100

The U.S. Department of Agriculture (USDA) Rural Development announced the appointment of several new executive leaders including a Chief Innovation Officer to lead the Rural Development Innovation Center and a Director of External Affairs to manage legislative and public affairs activities. (Source: News stories via the Rural Assistance Center)



Why rural coal families are less likely to divorce

Mon, 20 Nov 2017 05:00:00 +0100

(Ohio State University) Rural coal-mining families show resilience against divorce when faced with the economic downturns common in the industry, a new study suggests. Researchers found that rural counties with higher levels of coal jobs had lower divorce rates compared with similar counties with fewer coal jobs during the 1990s, when the coal industry was losing jobs. (Source: EurekAlert! - Social and Behavioral Science)

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How a 'semi-retired' Oregon doctor hopes to keep rural hospitals alive

Fri, 17 Nov 2017 12:39:26 +0100

Dr. Larry Mullins is stepping away from Corvallis-based Samaritan Health Services to lead a new nonprofit aimed at highlighting economic opportunities for community hospitals. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)



Sudan:President Al-Bashir Inaugurates Signing of Contracts for Rehabilitation of 17 Hospitals

Fri, 17 Nov 2017 09:18:25 +0100

[SNA] Medani -President of the Republic, Field Marshal Omer Al-Bashir, Thursday attended in Medani city, in the context of his visit to Gezira State, the signing of a number of contracts for rehabilitation and maintenance of 17 rural hospitals in Gezira State at the cost of 80 million pounds. (Source: AllAfrica News: Health and Medicine)



The share of households with wired broadband remains below 60 percent in nearly 800 rural counties, mostly in poor and remote regions

Fri, 17 Nov 2017 09:01:37 +0100

Chart displays the disparities in broadband connectivity within the US. (Source: HSR Information Central)



Rural America at a Glance, 2017 Edition

Fri, 17 Nov 2017 08:38:19 +0100

A USDA report that provides recent trends in rural areas, including migration and population loss, income and employment, poverty, and broadband coverage. (Source: HSR Information Central)

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In Rural America, Community-Driven Solutions Improve Health

Fri, 17 Nov 2017 06:35:36 +0100

Post outlines examples of innovative local solutions in rural communities awarded the Robert Wood Johnson Foundation Culture of Health Prize for their efforts to help people live the healthiest lives possible. (Source: HSR Information Central)



Public Inspection: RUS: Funding Availability: Loan Application Procedures, and Deadlines for Rural Energy Savings Program

Fri, 17 Nov 2017 06:00:00 +0100

The Rural Utilities Service (RUS) is requesting letters of intent and loan applications under the Rural Energy Savings Program (RESP). Loans through the RESP are designed to help rural families and small businesses implement cost-effective energy efficiency measures. Letters of intent must be submitted within 60 days of final publication in the Federal Register, which is scheduled for November 20, 2017. Approximately $8 million was appropriated for use through September 30, 2018. (Source: Federal Register updates via the Rural Assistance Center)



Public Inspection: IHS: Agency Information Collection Activities; Proposals, Submissions, and Approvals: Loan Repayment Program

Fri, 17 Nov 2017 06:00:00 +0100

Pre-publication notice of intent from the Indian Health Service (IHS) to continue collecting information as part of the IHS Loan Repayment Program (LRP). IHS seeks to collect professional, educational, financial, and general applicant information to help determine eligibility for loan repayment. Successful applicants receive loan repayment assistance in exchange for an initial two-year commitment to practice full-time in an eligible, often remote, IHS facility. Comments regarding the proposed information collection must be submitted within 60 days of final publication in the Federal Register, which is scheduled for November 20, 2017. (Source: Federal Register updates via the Rural Assistance Center)



Opioid, Heroin Overdoses Contributing to Rural Population Decline, USDA Says

Fri, 17 Nov 2017 06:00:00 +0100

In its annual survey of rural America,Rural America at a Glance the U.S. Department of Agriculture found that population rates are decreasing in rural areas and that mortality rates of working-age adults are increasing, in part because of opioid overdoses. (Source: News stories via the Rural Assistance Center)



USDA Invests More Than $1 Billion to Improve Health Care in Rural Areas

Fri, 17 Nov 2017 06:00:00 +0100

The U.S. Department of Agriculture (USDA) announced that in fiscal year 2017 they provided more than $1 billion to improve access to healthcare services in rural communities. The USDA offered direct loans to 97 rural healthcare projects in 41 states through theCommunity Facilities Direct Loan Program. (Source: News stories via the Rural Assistance Center)

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Prevalence of mental health problems and associated risk factors among rural-to-urban migrant children in Guangzhou, China - Wang J, Liu K, Zheng J, Liu J, You L.

Thu, 16 Nov 2017 18:45:02 +0100

Rural-to-urban migration, which has achieved a huge scale during China's economic reform, is a potential risk factor for the mental health of migrant children. To test this hypothesis, this study assessed the mental health status of rural-to-urban migrant ... (Source: SafetyLit)



What Exactly Motivates and Retains Health Workers —and How Do We Measure It?

Thu, 16 Nov 2017 17:54:42 +0100

November 16, 2017The quirks, preferences, and priorities that drive our decisions are tough to nail down.Human beings do weird things sometimes.Or maybe the things we do as individuals onlyseem weird to others because they don ’t know our particular quirks, preferences, and priorities. Think about it: Why do you live where you live? How did you choose your job? What makes you go back to work day after day? The answers are different for us all.Maybe we want to live close to our family. Maybe we love the city life, or our hometown is the only place we want to live. Or maybe we choose our jobs based on what pays the best, or what feels the most rewarding, or what works with raising our kids. People ’s potential motivations are myriad. And health workers are no exception.Here at theFourth ...



SURVEILLANCE SUMMARIES: Racial/Ethnic Health Disparities Among Rural Adults — United States, 2012–2015

Thu, 16 Nov 2017 17:00:00 +0100

(Source: CDC Morbidity and Mortality Weekly Report)



Good to Know (Perhaps) That Food Is Being ‘Nuclearised’

Thu, 16 Nov 2017 13:00:51 +0100

Using nuclear sciences to feed the world. Credit: FAOBy Baher KamalROME, Nov 16 2017 (IPS)It might sound strange, very strange, but the news is that scientists and experts have been assuring, over and again, that using nuclear applications in agriculture –and thus in food production—are giving a major boost to food security. So how does this work? To start with, nuclear applications in agriculture rely on the use of isotopes and radiation techniques to combat pests and diseases, increase crop production, protect land and water resources, and ensure food safety and authenticity, as well as increase livestock production.This is how the UN food and agriculture organisation and the UN atomic energy agency explain this technique, highlighting that some of the most innovative ways being ...



Racial/Ethnic Health Disparities Among Rural Adults - United States, 2012-2015

Thu, 16 Nov 2017 07:04:24 +0100

Self-reported data from the 2012-2015 BRFSS were pooled to evaluate racial/ethnic disparities in health, access to care, and health-related behaviors among rural residents in all 50 states and DC, with a focus on rural adults. (Source: HSR Information Central)

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CMS: Medicare Program; CY 2018 Updates to the Quality Payment Program; and Quality Payment Program: Extreme and Uncontrollable Circumstance Policy for the Transition Year

Thu, 16 Nov 2017 06:00:00 +0100

Final rule and interim final rule providing updates for the second and future years of the Quality Payment Program (QPP), and establishing guidelines for MIPS-eligible clinicians who may face uncontrollable circumstances due to widespread catastrophic events, such as hurricanes, during calendar year 2017. Also finalizes the low-volume threshold, which exempts clinicians and groups providing care to fewer than 200 Medicare Part B beneficiaries annually, or submitting $90,000 or less to Medicare Part B annually. Comments regarding provisions of the rule, which take effect January 1, 2018, must be submitted no later than 5:00 p.m. Eastern on January 1, 2018. (Source: Federal Register updates via the Rural Assistance Center)



Administrator ’s Blog: National Rural Health Day (November 16, 2017)

Thu, 16 Nov 2017 06:00:00 +0100

Blog post from the Centers for Medicare and Medicaid Services (CMS) from CMS Administrator Seema Verma on the topic of National Rural Health Day. Touches on challenges faced by rural communities like physician recruitment and what CMS will do to mitigate those challenges and help improve rural health. (Source: News stories via the Rural Assistance Center)



CMS Releases Proposed Rule to Increase Choices and Lower Premiums for Medicare Advantage Enrollees

Thu, 16 Nov 2017 06:00:00 +0100

The Centers for Medicare and Medicaid Services (CMS) released a proposed rule to allow Medicare Advantage beneficiaries more flexibility with customized benefit designs to address their specific health needs. The proposed rule would also work to reduce regulatory burdens. There is afact sheet available. (Source: News stories via the Rural Assistance Center)






Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies

Wed, 15 Nov 2017 17:05:02 +0100

The purposes of this program are to assist rural communities with (1) conducting rapid data analyses, and (2) short term issue-specific rural research studies to help communities and policymakers understand the impact of current and proposed policies and regulations as well as provide information that will improve access to health care and population health in rural America. (Source: HSR Information Central)

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Rural Transportation Toolkit

Wed, 15 Nov 2017 06:19:56 +0100

This toolkit compiles promising models and resources to support organizations implementing transportation programs in rural communities across the United States. (Source: HSR Information Central)



HHS: Meetings Announcement for the Physician-Focused Payment Model Technical Advisory Committee Required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Wed, 15 Nov 2017 06:00:00 +0100

Announces the next meeting of the Physician-Focused Payment Model Technical Advisory Committee, which will be held on December 18-20, 2017, from 9:00 a.m. to 5:00 p.m. Eastern each day at the Hubert H. Humphrey Building in Washington, D.C. The meeting is open to the public and will include deliberations and voting on proposals for physician-focused payment models submitted by members of the public. Those wishing to participate may attend in person, over teleconference, or via livestream. Pre-registration is requested. (Source: Federal Register updates via the Rural Assistance Center)



CMS: Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program

Wed, 15 Nov 2017 06:00:00 +0100

Final rule from the Centers for Medicare and Medicaid Services (CMS) addressing changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies. Also includes policies necessary to begin offering the expanded Medicare Diabetes Prevention Program model, and information about new care coordination services and payments for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQCHs). Provisions of the rule take effect January 1, 2018. (Source: Federal Register updates via the Rural Assistance Center)



While Lower in Health Rankings, Rural Counties Still Have Advantages

Wed, 15 Nov 2017 06:00:00 +0100

Details the results of the 2017 County Health Rankings which found that rural counties are less likely than their urban counterparts to receive high marks for health and are less likely to have organizations, people, and infrastructure in place to improve community health. Also touches on rural advantages that are more difficult to measure, like personal relationships and the interconnected nature of rural communities. (Source: News stories via the Rural Assistance Center)



Ways & Means Committee Leaders Announce Bipartisan Medicare Extenders Package

Wed, 15 Nov 2017 06:00:00 +0100

The U.S. House of Representatives Committee on Ways and Means announced a bipartisan agreement to extend several expiring Medicare payment policies, including the Medicare Dependent Hospital Program and the Low-Volume Adjustment Program. The agreement includes offsetting the cost of these extensions with funding from other programs, including payments for Critical Access Hospital swing beds. (Source: News stories via the Rural Assistance Center)

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2017 In Rural America, Community-Driven Solutions Improve Health

Wed, 15 Nov 2017 06:00:00 +0100

Blog post from the Robert Wood Johnson Foundation (RWJF) on the diversity of rural America as well as the shared strengths and obstacles rural communities face and the impact those obstacles have on health. Includes examples of innovative local solutions in rural communities that were awarded the RWJF Culture of Health Prize, as well as a list of rural health resources. (Source: News stories via the Rural Assistance Center)



USDA helps Rural Communities Thrive with Health and Safety Outreach

Wed, 15 Nov 2017 05:00:00 +0100

(National Institute of Food and Agriculture) WASHINGTON, Nov. 13, 2017 - The U.S. Department of Agriculture's (USDA) National Institute of Food and Agriculture (NIFA) today announced support for health education projects for individuals and families living in rural areas. Funding is made through NIFA's Rural Health and Safety Education (RHSE) Competitive Grant Program. (Source: EurekAlert! - Medicine and Health)



Shape of Lake Ontario generates white-out blizzards, study shows

Tue, 14 Nov 2017 19:04:58 +0100

A 6-foot-wide snow blower mounted on a tractor makes a lot of sense when you live on the Tug Hill Plateau. Tug Hill, in upstate New York, is one of the snowiest places in the Eastern U.S. and experiences some of the most intense snowstorms in the world. This largely rural region, just east of Lake Ontario, gets an average of 20 feet of snow a year. Hence the tractor-mounted snow blower. The region's massive snow totals are due to lake-effect snowstorms and, it turns out, to ... More at https://www.nsf.gov/news/news_summ.jsp?cntn_id=243636&WT.mc_id=USNSF_51&WT.mc_ev=click This is an NSF News item. (Source: NSF News)



Malawi:Malawi Newspaper Calls for Speedy Heath-Targeted Solar Project

Tue, 14 Nov 2017 13:17:21 +0100

[Nyasa Times] Malawi leading newspaper has strongly called up government to speed the implementation of its K2.7 billion solar project which seeks to address power outages facing hospitals in rural areas. (Source: AllAfrica News: Health and Medicine)



National Rural Health Day Webcast

Tue, 14 Nov 2017 11:20:49 +0100

November 16, 2017. All-day webcast will run from 9:30am to 3:00pm ET and will cover Project ECHO, the opioid epidemic, and more. (Source: HSR Information Central)

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How the Opioid Crisis Impacts Individuals and Rural Communities

Tue, 14 Nov 2017 11:05:47 +0100

December 5, 2017 2:00pm ET. (Source: HSR Information Central)



Public Inspection: HHS: Meetings: Physician-Focused Payment Model Technical Advisory Committee

Tue, 14 Nov 2017 06:00:00 +0100

Announces the next meeting of the Physician-Focused Payment Model Technical Advisory Committee, which will be held on December 18-20, 2017, from 9:00 a.m. to 5:00 p.m. Eastern each day at the Hubert H. Humphrey Building in Washington, D.C. The meeting is open to the public and will include deliberations and voting on proposals for physician-focused payment models submitted by members of the public. Those wishing to participate may attend in person, over teleconference, or via livestream. Pre-registration is requested. Final publication in the Federal Register is scheduled for November 15, 2017. (Source: Federal Register updates via the Rural Assistance Center)



A Conversation with Karen Madden

Tue, 14 Nov 2017 06:00:00 +0100

Discussion focuses the history of National Rural Health Day and the Power of Rural movement, among other things. (Source: News stories via the Rural Assistance Center)



Rural Food-Stamp Usage Holds Steady While National Rate Declines

Tue, 14 Nov 2017 06:00:00 +0100

Use of the Supplemental Nutrition Assistance Program (SNAP) continues to decline nationally, but rural areas have not seen a significant decrease in usage. Details the ways in which SNAP use rates can reflect other economic trends. (Source: News stories via the Rural Assistance Center)



In UK pilot, paramedics send ultrasounds, high-res videos en route to hospitals

Mon, 13 Nov 2017 21:16:01 +0100

In rural Scotland ambulance rides can take as long as four or five hours. Those hours spent in the ambulance are critical, said Neil Fraser, director of space and communications at ViaSat UK. But new a new pilot program aims to use telemedicine to improve care during that important time frame.   (Source: mobihealthnews)

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SNAP Declines Continue in 2016, but Not for Rural Places (November 2017)

Mon, 13 Nov 2017 16:47:47 +0100

In 2016, 12.4 percent of households reported Supplemental Nutrition Assistance Program (SNAP, or food stamps) receipt, down 0.4 percentage point from 2015. (Source: PHPartners.org)



Webinar: Rural America at a Glance, 2017 Edition

Mon, 13 Nov 2017 16:28:04 +0100

November 17, 2017 1:00-2:00pm ET. (Source: PHPartners.org)



Global Campaign for Mercury-Free Dentistry Targets Africa

Mon, 13 Nov 2017 15:36:10 +0100

By Thalif DeenUNITED NATIONS, Nov 13 2017 (IPS)A vibrant global campaign to ban the use of mercury in dentistry is shifting direction: moving from Europe to the developing world. Charlie Brown, Attorney & President of the World Alliance for Mercury-Free Dentistry, an organization which is spearheading the campaign, told African and Asian delegates at a meeting in Geneva late September: “When you return to your home countries, please do as the European Union has done: phase out amalgam for children now, for one simple reason: The children of your nation are equally important as the children of Europe.”President of World Alliance for Mercury-Free Dentistry, Charlie Brown (2nd right), Dominique Bally (centre) at a meeting during Charlie Brown’s visit to West Africa.Bill...



Powerful Quake on Iran-Iraq Border Leaves Over 400 Dead

Mon, 13 Nov 2017 15:02:00 +0100

TEHRAN, Iran (AP) — A powerful 7.3 magnitude earthquake near the Iraq-Iran border killed over 400 people across both countries, sent residents fleeing their homes into the night and was felt as far away as the Mediterranean coast, authorities said Monday. Iran's western Kermanshah province bore the brunt of the temblor Sunday night, with authorities saying the quake killed 407 people in the country and injured 6,700. Kermanshah is a rural, mountainous region where residents rely mainly on farming. In Iraq, the earthquake killed at least seven people and injured 535, all in the country's northern Kurdish region, according to Iraq's Interior Ministry. The quake was centered 19 miles (31 kilometers) outside the eastern Iraqi city of Halabja, according to the most recent measurements from th...



The medical care of male and female youth who die by suicide: a population-based case control study - Rhodes AE, Boyle MH, Bridge JA, Sinyor M, Katz LY, Bennett K, Newton AS, Links PS, Tonmyr L, Skinner R, Cheung A, Bethell J, Carlisle C.

Mon, 13 Nov 2017 13:18:22 +0100

OBJECTIVE: Prior year medical care was compared among youth dying by suicide to their peers. Effect modification of these associations by age or place of residency (rural versus larger community sizes) was examined in a large, medically insured population.... (Source: SafetyLit)

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Pattern of road traffic injuries in rural Bangladesh: burden estimates and risk factors - Ul Baset MK, Rahman A, Alonge O, Agrawal P, Wadhwaniya S, Rahman F.

Mon, 13 Nov 2017 13:18:22 +0100

Globally, road traffic injury (RTI) causes 1.3 million deaths annually. Almost 90% of all RTI deaths occur in low- and middle-income countries. RTI is one of the leading causes of death in Bangladesh; the World Health Organization estimated that it kills o... (Source: SafetyLit)



Accidental falls related to clearing heavy snow on rooftops in a rural heavy snow area in Japan - Yamaguchi S, Endoh H, Nitta M.

Mon, 13 Nov 2017 13:18:22 +0100

AIM: The purpose of this study is to describe our experience with patients who fell from rooftops while clearing snow. The falls occurred in rural areas that receive heavy snowfall and are undergoing depopulation and an increasing proportion of elderly res... (Source: SafetyLit)



A pilot study in Cameroon to understand safe uses of pesticides in agriculture, risk factors for farmers' exposure and management of accidental cases - Pouokam GB, Lemnyuy Album W, Ndikontar AS, Sidatt MEH.

Mon, 13 Nov 2017 13:18:22 +0100

Chemical pesticides are widely used in Cameroon for agricultural production. In 2015, more than 600 pesticide products were approved for use in various foodstuffs. Much misuse of these chemicals by farmers has been documented in rural and urban settings. T... (Source: SafetyLit)



Health Matters: Navigating an Enhanced Rural Health Model for Maryland (2017)

Mon, 13 Nov 2017 10:24:50 +0100

Report addresses the adequacy of the health care workforce and access to care in rural Maryland. (Source: HSR Information Central)



Best Practices in Rural Regional Mobility (2017)

Mon, 13 Nov 2017 09:02:55 +0100

Report addresses the role of state transit program policies and regional planning agencies in the development of services that fall in the middle ground between intercity bus service and rural public transportation. Report provides lessons learned on how to address needs for rural regional mobility, and includes a checklist for developing a rural regional route. (Source: HSR Information Central)

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HRSA: National Advisory Committee on Rural Health and Human Services; Notice of Correction

Mon, 13 Nov 2017 06:00:00 +0100

Corrects the effective date of the National Advisory Committee on Rural Health and Human Services' (NACRHHS) charter renewal, which was incorrectly printed in the original October 31, 2017, notice. The effective date for the renewed charter is October 29, 2017. (Source: Federal Register updates via the Rural Assistance Center)



CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs

Mon, 13 Nov 2017 06:00:00 +0100

Final rule from the Centers for Medicare and Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) Payment System for calendar year 2018. Included in the rule is a provision that reduces Medicare Part B payments to Disproportionate Share Hospitals (DSHs) and Rural Referral Centers (RRCs) for drugs acquired through the 340B Drug Pricing Program. Effective January 1, 2018, payments to affected facilities will be reduced from average sales price (ASP) plus 6 percent, to ASP minus 22.5 percent. Among others, Critical Access Hospitals (CAHs) and rural Sole Community Hospitals (SHCs) are excluded from this payment adjustment. Comments regarding provisions of the rule must be submitted no later than 5:...



Trump Picks Alex Azar To Lead Health And Human Services

Mon, 13 Nov 2017 06:00:00 +0100

President Donald Trump has nominated Alex Azar to be the next Secretary of Health and Human Services (HHS). Details Azar's professional history including his previous position as deputy HHS Secretary under President George W. Bush and the five years he spent working for the pharmaceutical company Lilly. (Source: News stories via the Rural Assistance Center)



USDA Helps Rural Communities Thrive With Health, Safety Outreach

Mon, 13 Nov 2017 06:00:00 +0100

The U.S. Department of Agriculture's (USDA) National Institute of Food and Agriculture (NIFA) announced that it would be supporting health education projects for individuals and families in rural areas through the Rural Health and Safety Education Competitive Grant Program. These grants were awarded to extension agents and land-grant universities in nine states with a focus on prevention and reduction of opioid abuse and chronic disease prevention and management. (Source: News stories via the Rural Assistance Center)



Nigeria:Investigation - the Terrible State of Primary Healthcare Centres

Mon, 13 Nov 2017 05:16:00 +0100

[Premium Times] Grace Diashe says has not had a sound sleep since November last year when she started work as a nurse at a rural health centre. (Source: AllAfrica News: Health and Medicine)

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Urban trees are growing faster worldwide

Mon, 13 Nov 2017 05:00:00 +0100

(Technical University of Munich (TUM)) Trees in metropolitan areas have been growing faster than trees in rural areas worldwide since the 1960s. This has been confirmed for the first time by a study on the impact of the urban heat island effect on tree growth headed by Technical University Munich. The analysis shows that the growth of urban trees has already been exposed to changing climatic conditions for longer, which is just beginning to happen for trees in rural areas. (Source: EurekAlert! - Biology)



Nigeria:Years After Award of Huge Contracts, Federal Health Centres Never Built

Sun, 12 Nov 2017 08:41:47 +0100

[Premium Times] In mid-July, the Federal Government announced plans to revamp 10,000 primary healthcare centres across the country to provide quality health service delivery, particularly to rural dwellers. Three months after, YEKEEN AKINWALE embarks on a fact-finding tour of some contracts awarded for primary healthcare centres in four southeast states: Enugu, Imo, Ebonyi and Abia. He presents his findings in this disheartening report. (Source: AllAfrica News: Health and Medicine)



How The Opioid Crisis Is Affecting Native Americans

Sat, 11 Nov 2017 06:00:00 +0100

Discussion includes the impact of historical trauma and the necessity of medication-assisted treatment. (Source: News stories via the Rural Assistance Center)



Global Health: In Africa, Rural Clinics Entice Pregnant Women With ‘ Baby Pictures ’

Fri, 10 Nov 2017 22:15:38 +0100

Many pregnant women in poor countries don ’ t see a doctor until they are in labor. In Uganda, that changed when clinics began advertising ultrasounds. (Source: NYT Health)



First-Mile Family Planning Can Help More Women Avoid Unintended Pregnancies

Fri, 10 Nov 2017 20:02:46 +0100

November 10, 2017In the global health community, we often talk about reaching the “last mile”—generally those who live in the hardest-to-reach places of the world, farthest from the health services they need. But from the point of view of those families, the last mile is in fact the first mile.The global information and communications technology community seems to understand this more than we do in health. Studies  such as this look directly at first-mile issues—that is, “how connectivity looks, feels, and behaves from the subscriber's perspective. ” And researchers have done some work to shed light on how a true first-mile approach during an infectious disease outbreak like Ebola must take into account not only local resources, but also the importance of local know-how and...

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Weekly Postings

Fri, 10 Nov 2017 15:06:06 +0100

See something of interest? Please share our postings with colleagues in your institutions! Spotlight Funding available! The National Network of Libraries of Medicine, Middle Atlantic Region, is accepting applications for health information outreach, health literacy initiatives, emergency preparedness partnerships and health sciences library projects. Applications will be due by COB on December 1. See a recent blog post from Executive Director, Kate Flewelling for details, or review our funding opportunities and start your application today! Rural Health Week begins on Monday, November 13! Wondering how you can participate? The Health Resources and Services Administration (HRSA) is offering a number of online events next week, including Twitter chats and webcasts. Join the conversation by u...



Country diary: millions of birds arrive on their autumn migration

Fri, 10 Nov 2017 05:30:10 +0100

Many birds migrate at night, using the stars to orient themselves. For some, Britain is the last stop – for others, a staging postWaking in the small hours, I find my bedroom bisected by a ribbon of light. The waxing gibbous moon hangs like a beaten silver pendant, backlighting wisps of cloud that cling to the inky sky like cobwebs. As I raise my binoculars to view the moon ’s craters, I notice a tiny silhouette flutter across the lunar disc.Nocturnal migration allows birds to spend the daylight hours fuelling up in preparation for the long distances they must travel. It is believed that birds use the stars to help orient themselves, and it is advantageous for them to fly at night when the air is cooler and the atmosphere less turbulent. The cover of darkness also helps them to avoid a...



The Guardian view on pesticides: give bees a chance | Editorial

Thu, 09 Nov 2017 19:25:33 +0100

It may be hard to tie the neonicotinoid group of chemicals directly to the global bee decline but they do cause widespread harm. A ban is the right callMichael Gove, the leading Brexiter who ’s now in charge of the Department for Environment, Food and Rural Affairs, is a natural iconoclast, sometimes a valuable characteristic in government. His education revolution left a damaging legacy of unaccountability and underfunding. But in his year as justice secretary, he won fans across the prisons sector for his plans for radical reform. They were subsequently disappointed to find there was little to show for them after he left. Now he is ploughing up old Defra policies and on Thursday he made his first significant intervention.Writing on the Guardian website, he announced support for the EU ...



CMS Rural Health Open Door Forum

Thu, 09 Nov 2017 11:38:19 +0100

November 14, 2017 2:00-3:00pm ET. (Source: HSR Information Central)



Educating: How to Help Policy Leaders Understand the Impact of Rural Health

Thu, 09 Nov 2017 10:51:25 +0100

November 16, 2017 2:30-3:00pm ET. (Source: HSR Information Central)

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Marketing Strategies to Encourage Rural Residents of High-Obesity Counties to Buy Fruits and Vegetables in Grocery Stores

Thu, 09 Nov 2017 08:40:11 +0100

Obesity rates in Appalachia are among the highest in the United States, and knowledge of upstream approaches to decrease prevalence among this vulnerable population is limited. The primary aim of this study was to examine the association between healthy, diet-based, social marketing interventions in grocery stores and frequency of fruit and vegetable intake. (Source: HSR Information Central)



Public Inspection: HRSA: Charter Renewals: National Advisory Committee on Rural Health and Human Services

Thu, 09 Nov 2017 06:00:00 +0100

Corrects the effective date of the National Advisory Committee on Rural Health and Human Services' (NACRHHS) charter renewal, which was incorrectly printed in the original October 31, 2017, notice. The effective date for the renewed charter is October 29, 2017. Final publication in the Federal Register is scheduled for November 13, 2017. (Source: Federal Register updates via the Rural Assistance Center)



Explore: How Many Young Doctors Does Your State Retain after Residency?

Thu, 09 Nov 2017 06:00:00 +0100

Discusses the difficulty states face in trying to keep new doctors in state and in encouraging them to practice in underserved areas after they have completed their residencies. Also highlights data from anew report from the Association of American Medical Colleges tracking doctors and doctors-in-training by state. (Source: News stories via the Rural Assistance Center)



One in Five US Adults Still Using Tobacco Products in 2015

Thu, 09 Nov 2017 06:00:00 +0100

The Centers for Disease Control and Prevention (CDC) released a new Morbidity and Mortality Weekly Report (MMWR) that found that 1 in 5 U.S. adults used some form of tobacco product in 2015. The report also includes data on tobacco use by race/ethnicity and gender. Higher tobacco use was found for adults living in the Midwest, people with a General Equivalency Diploma (GED), people with annual household incomes under $35,000, those with a disability, uninsured adults or adults insured through Medicaid, adults with serious psychological distress, and those who are lesbian, gay, or bisexual. (Source: News stories via the Rural Assistance Center)



UTSA counseling researchers receive $800,000 grant to train students for rural areas

Thu, 09 Nov 2017 05:00:00 +0100

(University of Texas at San Antonio) UTSA is collaborating with UT Health San Antonio to train students in integrated behavioral health. (Source: EurekAlert! - Medicine and Health)

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Online Events for Rural Health Week

Wed, 08 Nov 2017 12:00:42 +0100

In 2010, the National Organization of State Offices of Rural Health (NOSORH) created National Rural Health Day (NRHD) as a way to applaud the ongoing efforts, contributions, and collaborations occurring in rural communities to address the unique challenges in accessing and delivering health care services. In the past six years, the Federal Office of Rural Health Policy (FORHP) has planned, hosted, and participated in this annual event. This year’s NRHD events will highlight the Power of Rural and on the Health Resources and Services Administration’s (HRSAs) Bureaus and Offices and HHS agencies collaborations to improve rural health. Twitter Chats Join the Twitter chat conversations by following @HRSAgov or using hashtag, #OurRural. Workforce Twitter Chat – Monday, Novemb...