VRHA Weekly Update
In this Issue November 7-13, 2011

VRHA News
Virginia News National News Mark your calendar
Resources
Funding Opportunities
VRHA Site

Virginia Oral Health Coalition

Newsletter available

 

 

VRHA News

Behavioral Health

Research has shown that the majority of people seeking relief of mild to complex mental and behavioral health distress show up in primary care. The prevalence of atypical antipsychotic and antidepressant medication prescriptions written in primary care far exceeds those written in specialty care. In fact, recent data indicates that fewer than a quarter of patients who come to their primary care provider are found to have a biological basis for their complaint; stress, anxiety, substance use, depression and other disorders are known to have a profound impact on a person’s biopsychosocial and overall physical status. Additionally, chronic diseases such as diabetes, obesity, heart disease and respiratory diseases often have a prominent anchor in behavioral health. At Cherokee Health Systems believes that every health encounter has a behavioral component.

The behaviorist-embedded primary care practice model appreciates the profound impact of behaviors on one’s health. Cherokee Health Systems employs well-trained, highly-skilled behaviorists who are a part of our primary care provider team and assist with emerging mental health issues and chronic disease management of our primary care panel. As both a Community Mental Health Center (CMHC) and Federally Qualified Health Center (FQHC), Cherokee Health has practiced an integrated model for over 30 years in East Tennessee and subscribes to the “no wrong door” belief to healthcare.

Attend the Behavioral Health session at the VRHA Annual Conference to learn more about the Cherokee Health Systems model and discuss how elements of the program can be incorporated in your community. Click the logo below to learn more about this and other sessions.

2011 Annual Conference

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Members in the News

Two VRHA board members were featured in the fall edition of The Virginia Psychologist, a newsletter of the Virginia Psychological Association. James Werth co-authored The Ethics of Rural Practice: Focus on Confidentiality which is based on a presentation by the authors at the Spring 2011 VPA Convention. Jennifer Stroup submitted Ethics in the Use of Telepsychology.

Click here to access the newsletter.

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And the Winners Are???

Don't forget - nominations for the 2011 VRHA awards are due November 11.

All Virginia Rural Health Association members and member organizations are invited to submit nominations for the 2011 Virginia Rural Health Association Awards. Nominees are not required to be members of the association. Commitment and service to the advancement of rural health in Virginia may be in the form of direct provision of health care services, governmental or educational advocacy, activities or research that improves the health of communities or populations.

Click here to download the nomination form and instructions or click here to read about previous winners.

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Virginia News

Summit Registration is OPEN!

Virginia Rural Health Plan Access Council Summit

The Access Council is pleased to host the first Access Summit.  The Summit will include information on Health Care Reform and how it will directly impact access to quality health care services in rural areas.

Keynote: Overview of Health Care Reform and Impact on Rural Areas
Carolyn Long Engelhard, MPA
Health Policy Analyst, UVa Health System

Don't miss this along with cutting-edge reports on Oral Health, Behavioral Health, Obstetrical Care and discussion on how the information in those reports informs access to care in rural Virginia.

Visit the Summit website for information and registration. The Summit is being held in conjunction with the VRHA Annual Conference, so plan on attending both events!

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Community Health Training

By the Coalfield Progress

The LENOWISCO Health District is pleased to announce an exciting, new, free health promotion training program funded by the Virginia Department of Health, Office of Minority Health and Health Equity. The District will partner with local faithbased organizations to offer the Community Health Ambassadors Program (CHAP), an eight-week free health promotion training series which focuses on health issues, educational and healthcare resources in the community, and how individuals can share what they learn with others in their families and communities.

Read the full article.

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Rural Counties More Dependent on Social Security

By Bill Bishop and Roberto Gallardo - Daily Yonder with Virginia information by Beth O'Connor

As the country searches for ways to cut federal spending, Congress is considering cuts to Social Security payments. Any cuts to the program, however, will disproportionately affect rural America, and rural Virginia.

Rural America is more dependent on income from Social Security than are the nation’s cities. In rural counties, 9.3 percent of total personal income came from Social Security payments in 2009, according to an analysis of government data. That is almost twice the rate found in urban counties, where 5 percent of total income came from monthly Social Security payments.

Virginia lags behind the national average with an urban rate of 6.81 percent and a rural rate of 10.44% percent of total personal income from Social Security.

Social security payments come in three forms: an old-age pension, a survivor benefit or a disability check. Nationally, 16.7 percent of the population in 2009 received some form of monthly Social Security payments. In rural counties, however, 23.6 percent of residents receive at least one of these three Social Security benefits.

Throughout the Commonwealth, 22.12 percent of the total population received Social Security with large differences between urban (18.97%) and rural (25.9%).

Read the full article, or to see data for all states and all counties, go here.

Daily Yonder

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National News

High Risk of Late Diagnosis

By Ozarks First

Age and family history have long been factors in determining which women will be diagnosed with severe breast cancer. Now there may be a new factor to add to the list - where one lives. A new study from the University of Missouri found that women who live in rural areas are more likely than women living in cities to be diagnosed with late-stage breast cancer, due to inequalities in access to preventatives screenings and treatment.

"The stage at which the cancer is diagnosed has a tremendous impact on the type of treatment, recovery and survivability," said Faustine Williams, the lead researcher on the study.

Williams found that women who travel 50 to 75 miles to a healthcare facility are 10 percent more likely to be diagnosed with late-stage breast cancer, the hardest form of the disease to treat.

These women are less likely to seek preventative treatment and testing due to the high cost and time necessary.

Read the full article.

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Between A Hygienist And A Dentist

By Bryan Thompson - Kansas Public Radio

It’s a nagging problem for rural areas: not enough dentists to provide adequate care for the population. In Kansas and a few other states, advocates and some lawmakers want to solve this problem by creating a new level of dental care. A registered dental practitioner, or RDP, would have more training than a dental hygienist, but less than a dentist. Mid-level dental providers have been practicing in Alaska since 2005, and legislation has recently passed in Minnesota to establish the new level of care. Bills have been introduced in Ohio, New Mexico, Vermont and Washington.

The new providers would operate much the way nurse practitioners and physician’s assistants do in medical clinics. RDPs would be required to work under the supervision of a licensed dentist. Harding says she’s thrilled that Fort Hays State has agreed to offer a four-year bachelor’s degree program for Registered Dental Practitioners, pending approval by the legislature and the Board of Regents.

Read the full article.

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Telehealth Expansion Will Save Millions

By Sabrina Rodak - Becker's Hospital Review

A report by the Blue Sky Consulting Group for the Center for Connected Health Policy estimated that California's telehealth expansion bill, which is now approved, would generate a total general fund savings of up to $408 million annually.

Expanded telehealth can reduce healthcare costs by eliminating transportation costs, decreasing hospitalizations and increasing access to care, according to the report. The reported noted that although the literature is inconclusive on the cost-effectiveness of telehealth, published studies suggests telehealth for home monitoring of chronic diseases can save costs.

The Blue Sky Consulting Group used the results from published literature to estimate the potential cost savings to California's Medi-Cal program of using telehealth for home monitoring of heart failure and diabetes. They estimated a total general fund savings of up to $281 million for diabetes and up to $127 million for heart failure.

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Mark Your Calendar

For more information about these and other events, visit the VRHA Calendar.

November 9: Best Business Practices for the Dental Safety Net, Henrico
November 13-15: Virginia Association of Free Clinics Annual Conference - Staunton
December 7-9: Virginia Rural Health Association Annual Conference - Staunton
December 7-9: NRHA Rural Multiracial and Multicultural Health Conference - Daytona Beach, FL
January 30 - February 1: National Rural Health Association Policy Institute - Washington, DC

November 17 is National Rural Health Day! Don't forget that your submission for the Virginia video contest is due November 11th.

National Rural Health Day

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Resources

From the Medicare Learning Network:

Reminder – Beneficiary Cost-Sharing for Medicare-Covered Preventive Services Under the Affordable Care Act” MLN Matters® Special Edition Article designed to provide education on the changes to deductibles, copayments, and coinsurance for several Medicare-covered preventive services.  It includes a comprehensive list of preventive services and their respective copayment/coinsurances, and deductibles.

Predictive Modeling Analysis of Medicare Claims” MLN Matters® Special Edition Article designed to provide education on the predictive modeling system that CMS uses to analyze Medicare FFS claims for potentially fraudulent activity.  It includes an overview of the predictive analytics system that CMS implemented on Thu Jun 30.  This system uses algorithms and models to examine Medicare claims in real time to flag suspicious billing.

Medicare Pilot Project for Electronic Submission of Medical Documentation” designed to provide education on Medicare’s Electronic Submission of Medical Documentation pilot project.  It includes information about the project, which is designed to reduce provider costs and cycle time to minimize and eventually eliminate paper processing and mailing medical documentation to review contractors.

Items and Services That Are Not Covered Under the Medicare Program” booklet (ICN 906765) includes information about the four categories of items and services that are not covered under the Medicare Program and applicable exceptions to exclusions and the Advance Beneficiary Notice of Noncoverage.

Advance Beneficiary Notice of Noncoverage Part A and Part B” booklet (ICN 006266) is designed to provide education on the Advanced Beneficiary Notice (ABN).  It includes information on when an ABN should be used and how it should be completed.

Medicare Podiatry Services:  Information for Medicare Fee-For-Service Healthcare Professionals,” Fact Sheet (ICN 6948) has been revised.  This fact sheet is designed to provide education on Medicare-covered podiatry services.  It includes a list of services that are not covered by Medicare, billing guidelines, and a list of resources.

Medicare Quarterly Provider Compliance Newsletter [Volume 2, Issue 1],” (ICN 907163) has been released.  This educational tool is designed to provide education on how to avoid common billing errors and other erroneous activities when dealing with the Medicare program.  It highlights the top issues of the particular Quarter. 

New ICD-10 and Version 5010 resources available from CMS
The Centers for Medicare and Medicaid Services (CMS) has created a new interactive timeline widget now available on the CMS ICD-10 website.

Click here to discover how you can download this widget to your organization’s website. You’ll also find access to printer-friendly versions of the timelines as well as other resources to help your transition to ICD-10 and Version 5010.

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Funding Opportunities

Susan G. Komen for the Cure College Scholarship Program
The Susan G. Komen for the Cure College Scholarship Award Program offers college scholarships of up to $10,000 a year over a four-year period. The program assists young adults in their academic pursuits and is intended to help students who would otherwise find attending college to be a significant financial burden, due to the loss of a parent or guardian to breast cancer or having survived a breast cancer diagnosis at 25 years of age or younger. Recipients are selected based on scholastic achievement, community service, financial need, and demonstrated leadership potential. To further the fight against breast cancer, recipients also serve as Komen Collegiate Ambassadors by promoting breast cancer awareness in their community and on their college campus. The deadline for applications is November 15, 2011.

Technology Developers to Help Consumers Find Information on Quality of Care
The Robert Wood Johnson Foundation (RWJF) is seeking entries for its "Aligning Forces App Challenge." Competing developers will create applications for various devices that allow consumers to easily access comparative information about the quality of care provided in various regions of the country. Data to fuel the apps will come from RWJF's Aligning Forces for Quality initiative, the Foundation's signature effort to improve the quality of health care in 16 targeted communities nationwide. Aligning Forces community alliances have already developed publicly available online reports that provide information about the quality of care delivered in their local communities.

Participating developers will help make the consumer experience with these existing data more dynamic, interactive and consumer-friendly than when information is simply displayed on a website. The developer of the winning app will receive $100,000. The second place winner will receive $25,000, and the third place winner will be awarded $5,000.

Allen Foundation
The Allen Foundation supports nonprofit organizations and higher education institutions worldwide that promote human nutrition in the areas of health, education, training, and research. The Foundation's grantmaking priorities include the following: nutritional education for mothers during pregnancy and after the birth of their children, training for educators and demonstrators of good nutritional practices, and the dissemination of healthful nutritional information. Relevant nutritional research projects are also supported. Preference may be given to proposals that include matching funds from the applicant or other partners, including in-kind contributions. The upcoming application deadline is December 31, 2011.

Whole Kids Foundation: School Garden Grants
The mission of the Whole Kids Foundation is to improve children's nutrition and wellness with the goal of ending the childhood obesity epidemic. The Foundation's School Garden Grants are provided to K-12 schools and nonprofit organizations in the U.S., Canada, and the United Kingdom that are developing or currently maintaining a school garden project that will help children engage with fresh fruits and vegetables. Grants of $2,000 are provided for garden projects at any stage of development - planning, construction, or operation. The application deadline is December 31, 2011.

Department of Agriculture
The Solid Waste Management Grant Program provides support for activities designed to reduce or eliminate pollution of water resources and improve planning and management of solid waste sites in rural areas with populations below 5,500. Priority will be given to activities that serve rural associations with low income populations; provide technical assistance or training to staff of the associations being served; and serve regional, multi-state, or nationwide areas. Applications are due December 31, 2011.

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