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Category Archives: Research

Washington University Webinar: Buprenoprhine Treatment for Opioid Use Disorder in Missouri

December 7, 2018

WEBINAR:     Buprenoprhine Treatment for Opioid Use Disorder

                           in Missouri Primary Care

WHEN:            December 14, 2018

TIME:               12:00pm-1:30pm

Register in advance for this meeting:

https://zoom.us/meeting/register/27892ba619c328bcc5b9141539e44ee6

After registering, you will receive a confirmation email containing information about joining the meeting.

This video consultation will include:

1) Ned Presnall, STR Integration consultant: 20 minute didactic on the Medication First Model and evidence supporting integration of Opioid Use Disorder in primary care settings

2) Pete Pirotte, MD: 20 minute presentation on Jordan Valley’s program of buprenorphine treatment in an FQHC setting. Topics will include induction, patient flow, medical decision making, case management, and behavioral health treatment.

3) 45 minutes will be devoted to question/answer/discussion.

Providers from all RHCs and other primary care settings are encouraged to join this live video consultation whether you are already treating OUD and want to compare notes or would like to consider beginning OUD treatment.

Additional technical assistance for primary care OUD treatment implementation in Missouri is available.

Please contact Ned Presnall if you have any questions at: npresnall@gmail.com, or by phone at: 314-397-6805.

Federal Office of Rural Health Policy Announcements

November 29, 2018

 What’s New

USDA Report on Rural Individuals’ Telehealth Practices.  The Economic Research Service at the U.S. Department of Agriculture used detailed household data to analyze three basic telehealth activities as practiced by consumers age 15 or older: 1) online health research; 2) online health maintenance (communication with health providers, including communicating with medical practitioners, maintaining records, and paying bills); and 3) online health monitoring via devices that exchange data remotely with medical personnel.  The research found that rural residents were less likely than urban to engage in these telehealth activities, and the report breaks down the findings by income, education and other demographic factors.

Suicide Surveillance Strategies for American Indian and Alaska Native Communities.  The Suicide Prevention Resource Center (SPRC) is a federally-supported organization working to advance the National Strategy for Suicide Prevention.  This November 2018 report from the SPRC summarizes their findings on suicide prevention research, in an effort “to better understand how American Indian and Alaska Native (AI/AN) communities can gather information about suicide—in ways that are feasible and culturally appropriate.”  The report acknowledges the difficulty of collecting data around the sensitive topic of suicide, and also that “each tribe is different and has its own unique culture, so what works in one community might not work in another.”  Their findings and recommended strategies are meant to form a foundation for suicide surveillance in tribal communities, but the report stresses that local adaptation is critical to success.  Earlier this year, the Centers for Disease Control and Prevention issued research indicating that an estimated 70 percent of AI/AN who died by suicide lived in rural areas and more than a third of suicide deaths occurred among young people, ages 10-24 years.  See the Funding Opportunities section below for notices related to this topic. (more…)

Rural Health Research & Policy Center

November 26, 2018

View the Research Alert

Federal Office of Rural Health Policy Announcements

November 15, 2018

What’s New

Today is National Rural Health DayThe Federal Office of Rural Health Policy (FORHP) joins the National Organization of State Offices of Rural Health (NOSORH), along with state and local organizations across the country, in recognizing the challenges of delivering health care in rural communities, as well as the many creative ways these hurdles are overcome.  FORHP activities this year include online events with federal partners at the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS).  In addition, a Twitter Chat hosted by @HRSAgov will have an open Q&A on the benefits and barriers to implementing telehealth in rural areas.

Funding Opportunities

Rural Veterans Health Access Program Letter of intent November 30. The Federal Office of Rural Health Policy is collaborating with the Veterans Rural Health Resource Centers to improve access to care for rural veterans through Critical Access Hospitals, other rural health providers and the Veterans Affairs system.  Eligible applicants are state organizations participating in the Medicare Rural Hospital Flexibility Program.  Three awardees will receive $300,000 per year for efforts toward meeting one or more of three objectives for the program: 1) coordinating care for veterans among primary care and specialist health providers in a geographic region; 2) increasing access to mental health and/or substance use disorder services; and 3) increasing access to crisis intervention services and the detection of post-traumatic stress disorder, traumatic brain injury, and other signature injuries of veterans.  The application deadline is February 12, 2019. (more…)

Federal Office of Rural Health Policy Announcements

November 8, 2018

What’s New

Federal Resource Guide for Substance Use Disorder in Rural Communities. This comprehensive guide was created specifically for rural communities facing substance use disorder and opioid misuse.  It organizes federal grant programs and resources by 26 categories that include prevention, treatment and recovery, but also include social services, employment, economic development, transportation and justice.  The guide was created by the Rural Opioid Federal Interagency Working Group to help address the opioid crisis by improving coordination of and reducing potential overlap among the Federal responses in the nation’s rural communities.  Last year, the Centers for Disease Control and Prevention (CDC) issued data showing that the rate of drug overdose deaths in rural areas surpassed the rate in urban areas(more…)

Federal Office of Rural Health Policy Announcements

November 1, 2018

What’s New

Open Enrollment for Health Insurance Begins November 1.  The six-week period during which consumers may enroll in the Federal Health Insurance Exchange begins today and ends on Saturday, December 15.   Those without an employer-based plan may visit HealthCare.gov and CuidadodeSalud.gov to shop for plans that will begin coverage on January 1, 2019.  Eleven states and the District of Columbia have their own state-based websites for enrollment in individual/family or small business health coverage, or both.  Some states have expanded their Medicaid programs to cover more people. Choose your state and household size to learn if your state has expanded and if you may qualify.

Updated State Fact Sheets from the USDA Economic Research Service.  The Economic Research Service (ERS) at the U.S. Department of Agriculture (USDA) conducts research to inform public and private decision-making on economic and policy issues involving food, farming, natural resources and rural development.  The ERS State Fact Sheets provide information on population, income, poverty, food security, education, employment, organic agriculture, farm characteristics, farm financial indicators, top commodities, and agricultural exports. Data are available for all States, and for metro/nonmetro breakouts within States. Links to county-level data are provided where available. This release provides the latest available (2017) U.S. and State-level agricultural exports and poverty estimates. (more…)

Federal Office of Rural Health Policy Announcements

September 27, 2018

What’s New

Award to Support Rural Opioid Response Initiative.  HRSA announced that JBS International has been awarded a cooperative agreement to assist new grantees of the Rural Communities Opioid Response Program (RCORP) announced last week.  The agreement with JBS, administered through HRSA’s Federal Office of Rural Health Policy, will provide expertise to RCORP communities as they establish an infrastructure for sustainable treatment resources, build partnerships across social service and health sectors, and implement new models of care for treating opioid use disorder.

2017 National Healthcare Quality and Disparities Report.  This new report from the Agency for Healthcare Research and Quality (AHRQ)  tracks more than 300 healthcare measures, organized around the access to care, quality of care, disparities of care, and six priority areas, including patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability.  Non-metropolitan areas saw improvements in some measures of effective care for cancer, care coordination and patient safety but disparities still persisted in care coordination, patient safety, infant mortality, person-centered care, and access to care. (more…)