June 1-6, 2010

In this Issue...


Mark your calendar...

Resources...
Funding Opportunities...

Spring Newsletter

VRHA News
Members in the News

By Steve Igo - Kingsport Times

The Virginia director of the U.S. Department of Agriculture’s Rural Development Agency said she was “blown away,” while the commissioner of the Virginia Department for the Aging said the experience was breathtaking.

Ellen Davis and Linda Nablo were talking about their first impression of Mountain Empire Older Citizens Inc.’s new PACE Center, an innovative way to care for the elderly by melding health care needs with social and personal needs, yet allow elderly citizens to live in their own homes as long as possible without institutionalized care.

Davis and Nablo were present two years ago during groundbreaking ceremonies for the new facility, which began operating last December.

Read the full article.

More Members in the News

By Candice Nelson - WSLS10

More than 150 students with the Virginia College of Osteopathic Medicine met inside Burruss Hall at Virginia Tech for graduate rehearsal on Thursday. Many of these men and women went to medical school for different reasons. 

“I wanted to do something to give back. I always loved the sciences, and I found myself falling into medicine,” said Todd Fridley.

“Both of my parents are doctors and they actually both teach here at VCOM, and they were both great role models for me,” said Fred Rawlins.

Fewer people are going to medical school as the nation faces a doctor shortage. Some students at VCOM believe it’s because medical school doesn’t come cheap.

Click here to read the full transcript or view the video.

Virginia Rural Health News
Economy Slows Jobs for New Nurses

By Sarah Bruyn Jones - Roanoke Times

Josh Tucker graduated from Jefferson College of Health Sciences in Roanoke with an associate degree in nursing Friday morning. Next week he begins a job in the critical care unit at Martinsville Memorial Hospital.

"I'm jumping right in," said Tucker, 25, of Horse Pasture. "I consider myself lucky to have a job when I finished school. It's tough this year."

Students who have flocked to nursing school with the promise of jobs are finding that the economy has made landing a position immediately after graduating this spring more challenging. Still, while the number of entry-level jobs for nursing school graduates is limited, projections of a nursing shortage still exist, boosting the long-term prospects for job security.

"This is the first year that I taught that students didn't have jobs when they left the college," said Rebecca Greer, director of the associate degree program at Jefferson. "In previous years, the majority of students had jobs at graduation. ... It's a reflection of the economy."

Read the full article.


Stroke Leaders Recognized

Two of the co-founders of the Virginia Stroke Systems initiative were honored at the Virginia Stroke Systems Task Force (VSSTF) meeting this Spring.  Dr David Suttle, Director of the Office of Family Health Services of the Virginia Department of Health, attended to present awards of appreciation from the VSSTF, Virginia Department of Health and the American Heart Association. 

Timothy J. Shephard, PhD and Nina J. Solenski, MD have played pivotal roles in driving systems-based improvements to stroke care in Virginia for many years, stepping up to lead the VSS initiative for the state.  Countless hours were devoted to help accomplish significant advancements for stroke care, including establishment of the state-appointed stroke task force. 


ACS Seeks Partners

The American Cancer Society (ACS) is committed to reducing health disparities in our communities.  ACS wants to increase your Community Health Workers’ knowledge of cancer and resources for cancer prevention, detection, and treatment, in a way that is both culturally appropriate and accessible.

To that end, they have launched, Bridges: A Partnership of Community Health Worker Programs and the American Cancer Society. Based on regional demographics, African Americans, Hispanics/Latinos, and rural populations are priorities.

Please read the Bridges flyer for additional information.


Your Input Needed

On June 15, 16, and 17 the Appalachian Regional Commission (ARC) will hold a series of interactive webinars to obtain citizen input for a six-year (2011–2016) strategic plan that will guide future ARC economic and community development efforts in the Appalachian Region.

These webinars are an important opportunity for residents of Appalachia to contribute to a plan that will address issues, opportunities, and challenges the Region will face over the next six years.

The Commission invites you to take part in the webinars and to share this information with others in your community. Participants will be able to provide input via electronic polling and online comments on key issues facing the Region, such as jobs and business development; infrastructure and capital; community and leadership development; education, training, and health; the environment; and energy.

Three webinars will be held:

  • Southern Appalachia webinar (for residents of the states of Mississippi, Alabama, Georgia, and South Carolina): Tuesday, June 15, at 10:00 a.m. Eastern Daylight Time.
  • Central Appalachia webinar (for residents of the states of West Virginia, Kentucky, Virginia, Tennessee, and North Carolina): Wednesday, June 16, at 10:00 a.m. Eastern Daylight Time.
  • Northern Appalachia webinar (for residents of the states of New York, Pennsylvania, Ohio, and Maryland): Thursday, June 17, at 10:00 a.m. Eastern Daylight Time.
Each webinar will last approximately one hour. There is no cost to participate, and no pre-registration is required.

To learn more, please visit the ARC webinars information page.

Please join in these online events to help ARC address Appalachia's economic challenges and opportunities and improve quality of life for your community's residents.


National Rural Health News
Distance Technologies Help Rural Nurses

Demand in rural areas for registered nurses with advanced training will continue to increase, said Polly Bednash, CEO of the American Association of Colleges of Nursing (AACN).

“Fortunately for nurses already living in rural areas, more online programs are available to assist them in furthering their educations,” Bednash said. “Of the more than 630 RN-to-Baccalaureate programs available nationwide, at least 400 are offered partially online. These programs build on the education provided in diploma and associate degree programs and prepare graduates for a broader scope of practice.”

Many of the more than 160 RN-to-Master’s degree programs are also available through distance technologies.

A list of degree completion programs is available at the AACN web site. See: Schools Offering RN to Baccalaureate Programs, Fall 2009 and Schools Offering RN to Master's Programs, Fall 2009.


Travel Nurses for Rural Montana

By Candi Helseth - Rural Assistance Center

Two nonprofit ventures in Montana are proving that bigger isn’t necessarily better, especially when it comes to rural nursing staff needs.The Montana Health Network (MHN), serving eastern Montana, began offering a travel nurse staffing program in 2006 and Monida Healthcare Network in western Montana followed suit a year later.

Travel nurse companies and recruiters place nurses in temporary positions, often in large city hospitals. While rural Montana facilities can fill temporary nursing slots using large travel nurse organizations, local travel nurses are more likely to understand the rural environment and are often available for shorter time frames than those centered in urban environments.

Jill Domek, Vice President of Aging Services for two nursing homes in Glendive, Mont., says that MHN nurses provide a greater consistency of care. Having the same nurses return reduces staff’s time spent orientating temporary staff.



Change!

By Wayne Myers, MD

The monumental health insurance reform bill that passed last month is only the beginning. Within the evolving regulations and, perhaps, legislation, I think we’ll see several of the following trends.

One important idea is “bundled payments.” The policy objective is to reduce incentives for doctors and hospitals to do so many tests and procedures. Bundling of payments, paying a single, predetermined lump sum to care for an entire episode of illness from diagnosis through hospitalization to recovery regardless of how often tests are repeated, will save startling amounts of money. It will be widely adopted in spite of frantic lobbying by imaging and related interests.

For rural communities, bundled payments will accelerate movement toward the development of community health systems in which the docs, the hospital, the rehabilitation facility and home care join in a single organization. This will also increase pressure for rural hospitals and community health centers to develop an organizational framework under which they can join and prosper.

Read the full editorial.


Mark your calendar


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

June 2-5: National Association for Rural Mental Health Annual Conference - Denver, CO
June 9 - December 15: NOSORH Grant Writing Institute: Rural Health Grant Writing
June 16-18: Medication Use in Rural America Conference - Kansas City, MO
July 11-14: School Health and Education Partnership Conference - Farmville
July 21-23: NRHA's Quality and Clinical Conference - Portland, ME

August 24: Engaging the Community - webinar
September 14: Stewardship Essentials - webinar

Resources

Stroke Discharge Packet Guide Online
Virginia Stroke Systems Acute Project Team has developed a sample stroke discharge packet and guide that meets national recommendations and is customizable to meet individual provider’s needs. 


FQHC/CAH collaboration manual released
HRSA has released a manual entitled,Effective Collaboration Between Critical Access Hospitals and Federally Qualified Health Centers.   “With health centers and Critical Access Hospitals both facing increasing demand for services, the need for collaboration has never been greater.  Our goal, at HRSA, is to encourage strong partnerships between community health centers and Critical Access Hospitals,” said Mary Wakefield, HRSA Administrator. This manual is intended to assist providers in ideas toward those ends.


SCI: Skin Cancer Investigation
A brand new interactive and lessons just in time for summer vacation. The interactive, SCI: Skin Cancer Investigation, gives students the opportunity to explore the effects of the sun on skin, learn more about skin cancer diagnosis and prevention, and work in a lab and at a help desk.

AHRQ Health Literacy Toolkit Available 
The Agency for Healthcare Research and Quality has made available a Health Literacy Universal Precautions Toolkit, based on the principles of universal precautions, or specific actions that providers can take to make health information more understandable for all patients. It is designed to be used by all levels of staff in practices providing primary care for adults and/or pediatric patients.
 The toolkit includes: 

  • A Quick Start Guide
  • The Path to Improvement, which outlines the six steps to fully implement the toolkit  
  • Twenty short tools to identify and address areas that need improvement  
  • Links to Internet resources  
  • An appendix with resources to support implementation, such as sample forms, posters, PowerPoint presentations, and worksheets.
The toolkit was developed for AHRQ by University of North Carolina at Chapel Hill. You can download a copy of the Health Literacy Universal Precautions Toolkit from: http://www.ahrq.gov/qual/literacy/

Patient Ed Materials  
The newest patient education materials from Healthy Roads Media are designed to explain Pap test results and colposcopy (English and Spanish) and how to read medication labels (English, Somali and Karen). The materials are free and available in a variety of formats (video, audio and handouts).

TogetherONE™ Now Available
New online savings community from the creators of the Together Rx Access® Card
Free and open to everyone - communicate with others about new ways to save money



Funding Opportunities

Susan G. Komen - Richmond Affiliate
Applications for grants to support breast cancer and breast health programs from nonprofit organizations, governmental agencies, and educational institutions in cities and counties identified in the Service Area section of our website are eligible for funding. Applicants are encouraged to review the 2009 Community Profile to determine funding priorities of the Richmond Affiliate.

Health Care Resources Contest
DiversityRx.org is sponsoring a contest to identify the top resources related to cross cultural health care. Readers are asked to nominate tools, reports, guides, articles, and other items for inclusion in a searchable database. In appreciation, DiversityRx will hold a random drawing for an Amazon gift certificate from among those who submits a complete resource recommendation by May 15, 2010. 

Resources can be a program description, tool or toolkit, website, DVD, publication, curriculum guide, policy paper, issue brief, white paper, assessment tool, or annotated bibliography in the following categories:

  • Culturally Competent Care
  • Cultural Competence Training
  • Organizational Cultural Competence
  • Language Access (interpretation, translation, health literacy)
  • Policy
  • Research, evaluation and assessment, and data collection 
Use this link to nominate a resource: http://www.surveymonkey.com/s/HLSL2XL

Sigma Theta Tau International/ATI Educational Assessment Nursing Research Grant
Grant or contract. Sigma Theta Tau International/ATI Educational Assessment Nursing Research Grant supports research that encourages the appropriate use of a standardized assessment program in a nursing education curriculum.
Geographic Coverage: Nationwide
Application Deadline: July 1, 2010


Patient Navigator Outreach and Chronic Disease Prevention Program
Grant or contract. To implement patient navigator programs.
Geographic Coverage: Nationwide
Application Deadline: June 11, 2010


Beacon Community Program
The Beacon Community Cooperative Agreement Program provides funding to communities to build and strengthen their health information technology (health IT) infrastructure and exchange capabilities. These communities will demonstrate the vision of a future where hospitals, clinicians, and patients are meaningful users of health IT, and together the community achieves measurable improvements in health care quality, safety, efficiency, and population health.

The Program provides funding to communities at the cutting edge of electronic health record (EHR) adoption and health information exchange to push them to a new level of sustainable health care quality and efficiency. This program is anticipated to demonstrate how health IT can help providers and consumers develop innovative ways of delivering care leading to sustainable and measurable health and efficiency improvements.  The program also will generate lessons learned on how other communities can achieve similar goals enabled by health IT.

 
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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