Also online at http://www.vrha.org/weeklies.html

February 11 -17, 2008

In this Issue...


Mark your calendar...

Job Announcements...
Funding Opportunities...



Newest edition
now available!

VRHA News
VRHA Quoted on President's Budget

VRHA Executive Director Beth O'Connor and member James Tyler are both quoted in a recent press release from Senator Webb's office.

Webb issued a blistering 2-page commentary on the President's proposed FY 2009 budget and what the proposed cuts, including elimination of future funding for Rural Health Outreach & Network Grants and elimination of Rural Health Flexibility Grants, would mean for people in rural Virginia.

"At a time when President Bush is spending hundreds of millions of dollars to build hospitals and related facilities in Iraq, it is inconceivable that he would slash the very same programs here in America," said Webb. "Our people deserve better."

The administration’s budget proposal also cuts $105 billion over five years to Medicare and Medicaid, threatening Virginia’s 906,000 Medicare and 637,000 Medicaid recipients - a disproportionate amount of whom live in rural communities in Virginia.

"The President’s substantial cuts to Medicaid and Medicare undermine the significant progress we have made through quality rural health programs," said Webb.

Click here to read the full press release.

Members in the News

By Mason Adams - the Roanoke Times

Southwest Virginia legislators announced a grant to enable residents of three rural communities access to consultations from the University of Virginia Health System through telecommunications technology. A $63,537 grant from Verizon Communications will help pay for the extension of the telemedicine services to the Blue Ridge Medical Center in Nelson County, Stone Mountain Health Services in Dickenson County and Southwest Virginia Community Health Systems in Grayson County.

According to Karen Rheuban, medical director for UVa.'s office of telemedicine, there are about 60 facilities that take part in the telemedicine system, which allows UVa. doctors to use telecommunications technology to consult with patients in more rural parts of the state.

Sen. William Wampler, R-Bristol, said the expansion "represents an important step forward that will enhance health care for many of our citizens."


Virginia Rural Health News

Legislative Updates

VRHA has received several requests for support in the past week...

From the Interfaith Center for Public Health Policy

There are several key initiatives included in the Governor's biennial budget that will improve the lives of many of the one million uninsured Virginians.  We need your help in making certain that these initiatives are not stripped out of the Governor's budget.  There are one million uninsured Virginians – 60% have family income under 200% of the federal poverty line (FPL) ($34,340 / year for a family of three). About 75% of Virginia’s uninsured work or live with someone who works full time – often for small businesses that can’t afford to provide health insurance.

Click here to read additional information and for a link to send a letter to the appropriate committees.
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From Virginians for a Healthy Future/Smoke Free Virginia Now

The members of the ABC/ Gaming subcommittee of the General Laws committee voted NOT to recommend the smoke free air bills to the full committee. All of the House bills  have been killed in subcommittee by a voice vote.

However the Senate version of the bills remain alive and will be considered in the House of Delegates. While we may have lost a battle .. we have not lost the war and continue to ask that you help advocating for a smoke free Virginia and keep the Senate bills alive.

Click here for more information about the campaign or here to send a letter to your legislators in support of smoke free legislation.
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From The Hotseat Group

HJ 79 would barr physicians from prescribing an alternative brand of medicine for financial incentive. Click here and here to read more about the issue of Insurers offering financial incentives to entice doctors to prescribe cheaper medicines.

E-mail Hotseat Group Coordinator (and VRHA member) Kristin Thomas for additional information or to add your name to the petition of support for this bill.


National Rural Health News
President Cuts Nearly $200B in Medicare, Medicaid

President Bush proposed more than $182 billion in cuts to the Medicare program over five years, $64 billion of which would come from the hospital inpatient update. His fiscal year 2009 Department of Health and Human Services budget proposal would freeze Medicare updates for inpatient and outpatient services, inpatient rehab facilities and long-term care hospitals from 2009-2011, with updates of market-basket minus 0.65% each year thereafter.

Other Medicare reductions would include substantial cuts to indirect medical education and hospital capital and disproportionate share payments, and an overall cut to hospitals through the establishment of a value-based purchasing program. The Medicaid program would be cut by more than $17 billion over five years.

In addition to those made by Virginia's Senator Webb, comments about the budget include:
AHA President and CEO Rich Umbdenstock - "Today’s budget blueprint would have a disastrous impact on the health care that millions of patients and families depend on. Plain and simple: this plan slashes vital health programs for the elderly and children and must be rejected."
U.S. Rep. Fortney Pete Stark (D-CA) - "If press reports are accurate, President Bush's budget would endanger the health care of America's seniors, people with disabilities, and low-income children. We've known for years that his 'compassionate conservatism' was simply a slogan. These proposed cuts show his single-minded focus on starving popular and effective public programs, while protecting fat cat insurance companies that are overpaid with taxpayer dollars."
Senator Max Baucus (D-MT) - "You’ve asked for huge draconian cuts, which this Congress is not going to enact."
Senator Pat Roberts (R-KS) - "I certainly do not want to be in the business of tying the hands of our health care providers, especially those in our rural areas, and ultimately harming our seniors and low-income populations by restricting their access to care."


CMS to Allows CAHs to Participate in Reporting

The Centers for Medicare & Medicaid Services has decided to allow critical access hospitals to submit and publicly report outpatient quality data along with other hospitals. More information will be available from CMS later this year, including when CAHs can begin reporting data.

Hospitals participating in Medicare’s outpatient prospective payment system are required to submit data on seven outpatient quality measures to receive a full payment update in FY 2008. The program contractor last month announced that CAHs, which do not participate in the OPPS because they receive cost-based reimbursement, would not be allowed to submit the outpatient measures. However, the American Hospital Association urged CMS to let CAHs participate in the quality reporting in the interest of public transparency and quality improvement.


Latino Population in Rural America is Growing

Despite their traditional residence in U.S. urban areas, Latinos represent a large and growing segment of America's rural population, a new fact sheet from the Carsey Institute at the University of New Hampshire finds. Using recent data from the Census Bureau's 2006 American Community Survey (ACS), the fact sheet by Carsey Institute rural fellow Rogelio Saenz presents a profile of the Latino population in the non-metropolitan United States.

The fact sheet, A Profile of Latinos in Rural America, finds that nearly 3.2 million Latinos live in rural areas of the country, comprising 6.3 percent of the nation's non-metro inhabitants. In addition, the fact sheet finds the Latino population in the United States is young (three in ten Latinos in non-metro areas are younger than age 15) and is giving birth at a higher rate than other groups.

"The rural Latino population is growing and is spreading beyond the traditional Southwest, where they have been clustered in the past," said Saenz, who is a rural fellow at the Carsey Institute as well as a professor in the department of sociology at Texas A&M University. "This population is also young and faces the challenges associated with low levels of education and high rates of poverty. Rural policymakers and community leaders should consider these factors to ensure that Latinos prosper in their communities."

Click here for a copy of the fact sheet.


Mark your calendar


For more information about these and other events, visit http://www.vrha.org/events.html

March 24-28: 24th Annual HPR III Training Institute - Roanoke
March 28-30: Women's Health 2008: The 16th Annual Congress - Williamsburg
April 27-29: 12th Annual Virginia Faith Community Health Ministry Retreat - Toano

May 7-10: NHRA's Annual Conference - New Orleans, LA

Job Announcements


For more information about this and other positions, visit http://www.vrha.org/index/jobs.html

Position Description
The Department of Biological Systems Engineering at Virginia Tech is seeking a
graduate student to join a team of professionals working on a Virginia AgrAbility project.
The primary goal of this project is to rehabilitate disabled farmers in Virginia and allow
them to continue their farming responsibilities without risking secondary injuries.

While the incumbent may participate in all aspects of the project, the research focus will be on
the application of assistive technologies for bringing the disabled farmers back to the
work force. He/She will be responsible for either adapting existing or developing new
assistive technologies to help the disabled farmers in Virginia while pursuing a Masters
Degree program in Biological Systems Engineering.

Click here for additional information.

Funding Opportunities

Small Health Care Provider Quality Improvement Grant Applications Available

Applications are available through HRSA's Small Health Care Provider Quality Improvement (Rural Quality-not the SHIP grant) grant program to fund as many 60 rural public, non-profit, or private healthcare providers, such as a critical access hospital or rural health clinic,  totaling $4.5 million in FY 08 awards. 

Rural Quality funding helps improve patient care and chronic disease outcomes for patients with diabetes and CVD by assisting rural primary care providers with the implementation of quality improvement strategies.  Improving the quality of chronic disease management in primary care settings can improve health indicators and decrease emergency room visits or admissions to hospitals.  

Applications will be due March 20, and awards are expected to be made by September 1.  Please check the HRSA website for information on a TA conference call Wednesday, February 13, 2008 at 2:00 PM EST.

 

 
Do you have exciting rural health news that needs to be shared?
Do you know of an upcoming health-related event which should be on our calendar?
E-mail Beth O'Connor at: boconnor@vcom.vt.edu
Disclaimer: The VRHA circulates state and national news as an information service only. Inclusion of information is not intended as an endorsement. If you prefer to receive email in plain text or rtf format instead of html or if you receive this email more than once, email VRHA.
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