The Rural Assistance Center is a collaborative effort of the University of North Dakota Center for Rural Health, and the Rural Policy Research Institute (RUPRI); and is funded by a grant through HRSA's Office of Rural Health Policy.

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In This Issue:

1. New Information Guide
2. Recent News
3. Funding Opportunities
4. New Documents
5. Tools
6. Success Stories
7. Open Calls for Contributions
8. Upcoming Events
9. Subscriber Services

New Information Guide

Medical Homes - includes an overview of the topic, along with frequently asked questions and links to resources, including organizations, publications, maps, and related web sites

Recent News Go to RAC Recent News page

CMS Proposes New Payment Rates for Medicare Skilled Nursing Facilities; Recalibration of Case-Mix Adjustment
May 2, 2008 -- The Centers for Medicare & Medicaid Services today announced its proposal for new, fiscal year (FY) 2009 payment rates for Medicare skilled nursing facilities that CMS says are more accurate and more closely reflect differences in patient care needs. Public comments on the proposal will be accepted until June 30, 2008.

Cell Phone Finds Use as Diagnostic Tool in Areas Without Ultrasound, X-Ray Machines
May 1, 2008 -- AHN, (CA) article reports that a professor of bioengineering at the University of California, Berkeley and his colleagues have developed a portable medical scanner that can be plugged into a cellular phone, which transmits raw ultrasound or X-ray scanning data to a remote computer processor.

CMS Announces Proposed Wage Index Changes for the Medicare Hospice Benefit
Apr 29, 2008 -- The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule to update and revise the Medicare hospice wage index (WI) for fiscal year (FY) 2009.

Dental Clinics, Meeting a Need with No Dentist
Apr 28, 2008 -- New York Times article via Yahoo Finance discusses a controversial program in Alaska where dental clinics in rural areas are being run by dental therapists, who with two years of training can perform basic dental work like drilling and filling cavities.

Critical New Information Added to Nursing Home Compare Web Site
Apr 24, 2008 -- Medicaid beneficiaries and families searching for top quality long-term care services can find critical new information added today to the Centers for Medicare & Medicaid Services’ (CMS) Web site “Nursing Home Compare.”

Important NPI Information for ALL Providers – Medicare and Non-Medicare
Apr 24, 2008 -- The Centers for Medicare & Medicaid Services (CMS) encourages all health care providers to contact other health plans with which you interact in order to ensure you fully understand their expectations for May 23, 2008.

Congress Seeks to Ease Doctor Shortage
Apr 22, 2008 -- Macon.com, (GA) discusses the problems arising with continued cuts to Medicare reimbursements to physicians and how the problem is exacerbated by a national doctor shortage.

Life Expectancy Slips in Poor Parts of America
Apr 22, 2008 -- ABC News article reports that a new nationwide study shows that depending on where you live, your life expectancy could actually be getting shorter, especially if you're a woman.

Fewer General Surgeons in U.S.
Apr 22, 2008 -- Reuters news reports that the United States may be facing a shortage of general surgeons, even as a growing and aging population creates a rising need for their broad capabilities, researchers said on Monday, and the trend could cause a crisis in some rural areas where finding any type of surgeon can be difficult.

Returning Veterans to Help Paramedic Shortage
Apr 22, 2008 -- KARE 11 TV, (MN) article reports that U.S. Senator Amy Klobuchar announced that she is introducing federal legislation this week that is designed to relieve the shortage of emergency medical personnel, especially in rural areas, by streamlining civilian paramedic training for returning veterans who already have emergency medical experience from the military.

Designation of Medically Underserved Populations and Health Professional Shortage Areas; Notice of Proposed Rulemaking; Extension of Public Comment
Apr 21, 2008 -- On February 29, 2008, HHS published a notice of proposed rulemaking, "Designation of Medically Underserved Populations and Health Professional Shortage Areas" (73 FR 11232), to revise and consolidate the criteria and processes for designating medically underserved populations (MUPs) and health professional shortage areas (HPSAs). HHS provided a 60-day public comment period, with written comments to be received on or before April 29, 2008. HHS and the Health Resources and Services Administration (HRSA) have received requests for an extension of the comment period. In consideration of these requests, HHS is extending the comment period an additional 30 days, with a new closing date of May 29, 2008.

One Size Does Not Fit All: Diverse Populations Pose Special Health Needs
Apr 21, 2008 -- As the face of America continues to change, a research report released today by The Joint Commission, entitled "One Size Does Not Fit All: Meeting the Health Care Needs of Diverse Populations," urges health care organizations to assess their capacity to meet patients’ unique cultural and language needs.

CMS Proposed to Expand Quality Program for Hospital Inpatient Services in FY 2009
Apr 15, 2008 -- The Centers for Medicare & Medicaid Services (CMS) today proposed additional steps to strengthen the tie between the quality of care provided to Medicare beneficiaries and payment for the services provided when they are in the hospital.

Small Town Pharmacies Struggle
Apr 14, 2008 -- Minnesota Public Radio article tells how the increasingly complicated world of medicine is taking a toll on a main street institution: the small town drug store.

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Funding Opportunities Go to RAC Funding Database

Community HealthCorps Fellowships
Application deadline: Applications accepted on an ongoing basis.
A national AmeriCorps program that promotes health care for America's underserved, while developing tomorrow's health care workforce.

State Offices of Rural Health (SORH) Performance Measures
Application deadline: May 8, 2008
NOSORH seeks a qualified contractor to assist the organization to identify the impact, outcomes and measurement approaches for key outcomes of SORHs.

Rural Housing and Economic Development Program
Application deadline: May 30, 2008
Provides support for innovative housing and economic development activities in rural areas.

SAMHSA Knowledge Dissemination Conference Grants
Application deadline: May 30, 2008
Funding for disseminating knowledge about practices within the mental health services and substance abuse prevention and treatment fields and integrating that knowledge into real-world practice as effectively and efficiently as possible.

Community-Based Abstinence Education Project Grants (CBAE)
Application deadline: Jun 2, 2008
Competitive grants to provide abstinence education to adolescents.

Robert Wood Johnson Foundation New Careers in Nursing
Application deadline: Jun 26, 2008
A scholarship program to help alleviate the nursing shortage and increase the diversity of nursing professionals.

Environmental Justice Small Grants Program
Application deadline: Jun 30, 2008
Funding to support and empower communities that are working on local solutions to local environmental and/or public health issues.

American Legacy Foundation, Small Innovative Grants Program
Letter of Intent (Required): May 23, 2008
Application deadline: Sep 12, 2008
Grant program provides funding for specific initiatives and research that advance efforts to reduce and prevent tobacco use, especially among youth.

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New Documents Go to RAC Document Database

"Medical Home" Gets Updated: Improving Outcomes While Reducing Costs
Reports on new models for medical home primary-care case management programs.
Organization: National Conference of State Legislatures
Date: 03 / 2008
Journal: State Health Notes Volume: 29 Issue: 511

2005 Physician Supply and Distribution in Rural Areas of the United States (Project Summary)
Describes the 2005 supply and distribution of physicians in rural areas.
Organization: WWAMI Rural Health Research Center
Date: 11 / 2007

Beyond Health Care: The Economic Contribution of Hospitals
Discusses economic impact of hospitals to communities, including rural communities.
Organization: American Hospital Association
Date: 04 / 2008

Building Leaderful Organizations; Succession Planning for Nonprofits
Presents emergency succession planning tools, guidance for executive directors on how and when to depart an organization, and suggestions for board members on how to be proactive in assuring that an organization is sustainable over time.
Organization: Annie E. Casey Foundation
Date: 2008

Multicultural Health Care: A Quality Improvement Guide
Provides a quality improvement framework for health care organizations seeking to promote culturally appropriate care, provide equitable access for individuals with limited English proficiency and reduce health care disparities.
Organization: National Committee for Quality Assurance
Date: 2008

Prevalence of Evidence-Based Safe Medication Practices in Small Rural Hospitals
Describes the prevalence of evidence-based safe medication practices, including the use of voluntary medication error reporting, in small rural hospitals.
Organization: RUPRI Center for Rural Health Policy Analysis
Date: 04 / 2008

Proposed Health Professional Shortage Area Designations: Impact on North Dakota
Reports on the federal proposal to consolidate the criteria and process for designating Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MAU/Ps) and its impact on North Dakota.
Organization: University of North Dakota Center for Rural Health
Date: 04 / 2008

Retooling for an Aging America: Building the Health Care Workforce
Results of a study to determine the health care needs of Americans over 65 years of age and to assess those needs through an analysis of the forces that shape the health care workforce, including education and training, models of care, and public and private programs. Executive summary is available as a PDF.
Organization: Institute of Medicine
Date: 04 / 2008

States' Roles in Shaping High Performance Health Systems
Presents findings from the State Health Policies Aimed at Promoting Excellent Systems project, undertaken by the National Academy for State Health Policy, with support from The Commonwealth Fund.
Organization: Commonwealth Fund
Date: 04 / 2008

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Tools

Health Care Innovations Exchange
Designed to support health care professionals in sharing and adopting innovations that improve the delivery of care to patients.
Organization: Agency for Healthcare Research and Quality

Medical Homes Information Guide
Information, sources and frequently asked questions for medical homes in rural communities.
Organization: Rural Assistance Center

National Agricultural Safety Database
Contains information contributed by safety professionals and organizations from across the nation to educate about occupational hazards, promote safety, and to provide prevention information.
Organization: Centers for Disease Control and Prevention

Rural Hospital Education Gateway
A one-stop shop for rural hospitals to access distance and web-based educational resources on topics including community engagement, hospital finance, management and leadership, performance improvement, workforce and quality.
Organization: Rural Health Resource Center

Seeking Rural Health Data: A Tool Kit
Provides State Offices of Rural Health with a toolkit for accessing and utilizing national, databases that are readily available, free, and have useful rural information.
Organization: National Organization of State Offices of Rural Health

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Open Calls for Contributions View all RAC Open Calls for Contributions

Call for Abstracts: 20th Annual Native Health Research Conference
Deadline: May 15, 2008
Indian Health Service
Event dates: Aug 25 - 28, 2008
Portland, OR
Conference Website

Call for Presentations: 14th Annual Rural Minority & Multicultural Health Conference
Deadline: May 30, 2008
National Rural Health Association
Event dates: Dec 11 - 12, 2008
Albuquerque, NM
Conference Website

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Upcoming Events Go to RAC Calendar of Events for complete listing

May 7 - 9, 2008

2008 National Farmworker Health Conference
National Association of Community Health Centers
San Juan, Puerto Rico
301.347.0400

May 7 - 9, 2008

31st Annual Colorado Rural Hospital Conference
Colorado Hospital Association
Estes Park, CO
720.330.6024

May 7 - 10, 2008

2008 Annual NRHA Conference
National Rural Health Association
New Orleans, LA
marsh@NRHArural.org

May 8, 2008

Bureau of Health Professions All Advisory Committee Meeting
Bureau of Health Professions
Washington, DC
epearson@hrsa.go

May 8, 2008

Great Lakes Chapter SOPHE 2008 Spring Workshop
"Achieving Health Equity Through Health Education"
Society for Public Health Education
Mt. Pleasant, MI
517.285.1059
jenawilliams8@gmail.com

May 8, 2008

Rural Health Care Program Outreach Conference Call
2 P.M., EST. .
Phone Number: 1-800-240-9939
Pass Code: 6772932#
Universal Service Administrative Company
rhc-admin@universalservice.org

May 12, 2008

Workshop #4: Toward Health Equality and Patient-Centeredness: Integrating Health Literacy
Institute of Medicine
Newport Beach, CA
202.334.2352
cacace@nas.edu

May 13, 2008

CMS Home Health, Hospice & Durable Medical Equipment Open Door Forum
2:00 PM Eastern
To participate by phone: Dial: 1-800-837-1935
Reference Conference ID: 41864430
Centers for Medicare & Medicaid Services
Washington, DC

May 13 - 14, 2008

4th Annual Iowa FLEX Conference
Iowa Department of Public Health, Iowa FLEX Program
West Des Moines, IA
515.281.8154
kpayne@idph.state.ia.us

May 13 - 17, 2008

Eleventh Annual Primary Care Update
University of Oklahoma Health Sciences Center
Oklahoma City, OK
888.682.6348
myrna-page@ouhsc.edu

May 14, 2008

CMS National NPI Roundtable
2-3:30PM Eastern
Registration will close at 2:00 p.m. EDT on May 13, 2008, or when available space has been filled.
Centers for Medicare & Medicaid Services

May 14, 2008

Developing the Framework for Healthy People 2020 Public Comment Meeting
Regions I and II
U.S. Department of Health and Human Services
New York, NY
2020regional@air.org

May 14, 2008

Rural Health Resources Live
9:00 a.m. to 12:00 p.m.
Washington Office of Community and Rural Health
360.236.2810
robin.walker@doh.wa.gov

May 15, 2008

A Vendor's Focus on the Rural HIT Market: How to Meet the HIT Needs of the Rural Health Care Market
Session #1: The Landscape of Rural Health Care
2:00 - 3:30 p.m. Central
Rural Health Resource Center
218.727.9390 ex. 233
sfosdick@rural center.org

May 20, 2008

Section 1011 Ask the Contractor Teleconference - HOSPITALS
1-2:30 p.m. (CT)
Centers for Medicare & Medicaid Services

May 21, 2008

CMS Rural Health Open Door Forum
2:00 PM Eastern
Dial: 1-800-837-1935
Reference Conference ID: 41862024
Centers for Medicare & Medicaid Services
Washington, DC

May 21 - 23, 2008

Rural and Frontier EMS Summit at the Lake
Critical Illness and Trauma Foundation
Coeur d' Alene, ID
406.994.6683
outreach@montana.edu

May 22, 2008

A Vendor's Focus on the Rural HIT Market: How to Meet the HIT Needs of the Rural Health Care Market
Session #2: Mapping Out Funding and Resources
2:00 - 3:30 p.m. Central
Rural Health Resource Center
218.727.9390 ex. 233
sfosdick@rural center.org

May 27 - 28, 2008

Grant Writing Workshop for Appalachian Ohio
Burr Oaks State Park, OH
614.644.9228
whairston@odod.state.oh.us

May 28, 2008

Developing the Framework for Healthy People 2020 Public Comment Meeting
DC Area Healthy People Stakeholders Meeting
U.S. Department of Health and Human Services
Bethesda, MD
2020regional@air.org

May 29, 2008

A Vendor's Focus on the Rural HIT Market: How to Meet the HIT Needs of the Rural Health Care Market
Session #3: The Journey: How to Work With and Market to Rural Hospitals and Clinics
2:00 - 3:30 p.m. Central
Rural Health Resource Center
218.727.9390 ex. 233
sfosdick@rural center.org

May 29 - 30, 2008

White House Conference on Faith Based and Community Initiatives: Conference on Disaster Relief and Preparedness
White House Office of Faith-Based and Community Initiatives
New Orleans, LA
202.456.6708
fbci@dtihq.com

Jun 2 - 3, 2008

Getting on Track with Telehealth
Great Plains Telehealth Resource and Assistance Center
Sioux Falls, SD
888.239.7092
contactus@gptrac.org

Jun 2 - 4, 2008

Meeting of the National Advisory Committee on Rural Health and Human Services
The meeting will be open to the public.
Office of Rural Health Policy
Chapel Hill, NC
301.443.0835
jchang@hrsa.gov

Jun 4 - 6, 2008

Sixth Annual Western Region Flex Conference
New Mexico Office of Primary Care and Rural Health
Albuquerque, NM
775.784.4782
jtremaine@medicine.nevada.edu

Jun 5 - 6, 2008

2008 National Conference on Medication Access, Use and Safety in Rural America
University of Minnesota College of Pharmacy PREPP Institute
Minneapolis, MN
612.624.4671
olson017@umn.edu

Jun 8 - 11, 2008

2008 Summer National Health Literacy Institute
Health Literacy Institute
Freeport, ME
207.602.2589
mbissonnette@une.edu

Jun 9 - 13, 2008

Bridging the Gap Training
Cross Cultural Health Care Program
Seattle, WA
rosel@xculture.org

Jun 9 - 13, 2008

I-CASH Agricultural Occupational Health Training Program
Iowa's Center for Agricultural Safety and Health
Iowa City, IA
319.335.4219
kay-mohling@uiowa.edu

Jun 11 - 13, 2008

Florida Rural Health Association's Annual Meeting
Florida Rural Health Association
Weston, FL
850.942.2144
reinshuttle@fachc.org

Jun 12, 2008

USAC Rural Health Care Program Outreach Conference Call
2 P.M., EST.
Phone Number: 1-800-240-9939
Pass Code: 6772932#
Universal Service Administrative Company
rhc-admin@universalservice.org

Jun 12 - 13, 2008

18th Annual Bar Harbor Rural Geriatric Conference: Where Policy Meets Practice
Acadia Health Education Coalition
Bar Harbor, ME
207.602.2589
cme@une.edu

Jun 15 - 27, 2008

Montana Health Careers Summer Camp
Montana AHEC
406.683.2790 ex. 101
julia@mtha.org

Jun 16 - 17, 2008

11th Annual Indiana Rural Health Conference
Indiana Rural Health Association
French Lick, IN
812.478.3919
telliott@indianarha.org

Jun 16 - 18, 2008

2008 Southern Regional Rural Health Care Conference
Louisiana Rural Health Association
Biloxi, MS
985.369.3813
fontenot@lrha.org

Jun 18 - 19, 2008

16th Annual Pennsylvania Rural Health Conference
Pennsylvania Office of Rural Health
State College, PA
814.863.8214
tjc136@psu.edu

Jun 18 - 20, 2008

17th Annual Colorado Rural Health Conference
Colorado Rural Health Center
Copper Mountain, CO
800.851.6782
info@coruralhealth.org

Jun 23 - 24, 2008

2008 Minnesota Critical Access Hospital & Rural Health Conference
Minnesota Office of Rural Health and Primary Care
Duluth, MN
651.201.3838
orhpcweb@health.state.mn.us

Jun 25, 2008

Rural Health Innovations - WebEXpert Call
"Retention in Times of Exponential Change"
Rural Health Innovations
2:00pm - 3:30pm CST
Rural Health Resource Center
218.727.9390 ext. 23
sfosdick@ruralcenter.org

Jun 26 - 27, 2008

White House Conference Faith-Based and Community Initiative
White House Office of Faith-Based and Community Initiatives
Washington, DC 202.456.6708
fbci@dtihq.com

Jun 28 - Jul 1, 2008

2008 National AHEC Conference
National Area Health Education Center Organization
Denver, CO
888.412.7424
info@nationalahec.org

Jul 1 - 2, 2008

National Conference of State FLEX Programs
Rural Health Resource Center
Kansas City, MO
218.727.9390
rhrc@ruralcenter.org

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Tell Us How RAC Has Impacted You

The Rural Assistance Center is seeking your comments on how our services have helped you in your efforts to improve health and human services delivery in rural communities. Have the RAC services helped you to stay informed, get a grant, find the proper federal agency contact or other expert, or otherwise changed your life? Please send an e-mail telling how RAC has impacted you to ksande@raconline.org. Your stories may be used in testimony, budget documents and presentations concerning the Rural Assistance Center.

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This e-mail and the RAC Health listserv are a service of the Rural Assistance Center. The Rural Assistance Center (RAC) does not assume any legal liability for the accuracy, completeness, or usefulness of the information provided in this message. Web site links included in the message are for your convenience. The RAC is not responsible for the availability or content of these web sites. For additional services and information, see the RAC web site at http://www.raconline.org or call 1-800-270-1898.