Rural health



Ideas for Your SORH WorkAs your SORH develops a workplan and budgets for the upcoming grant applications please consider the following opportunities for your SORH to utilize NOSORH resources in the coming year. Information is included on required meetings, the TruServe performance measures tools, NOSORH activities such as National Rural Health Day, Learning Institutes, and dues, including “supported SORH membership” which can include travel. Please remember that NOSORH can help you conduct webinars in your state, if you need access to that technology, costs are estimated for this service as well. A special supplement is attached for you to consider workplan activities to work with rural health clinics. More specific on costs to your SORH, if you need help, are available by contacting Donna Pfaendtner, Administrator, donnap@ For assistance with your SORH grant application or for an “outside” read, please contact Stephanie Hansen, Education & Services Director, steph@ OTHER: $500 for rural health grant writing training through the Grant Writing Institute conducted by the National Organization of State Offices of Rural Health. Training will provided via a series of at least 10 webinars on all aspects of rural health grant writing including commonly used acronyms, documentation of need, grant budget preparation, development of evaluations, workplans and sources of grant funds. Appropriate for SORH staff and your rural health partners like RHCs, CAHs, Free Clinics and FQHC staff.$250 for “Beyond the Basics” advanced rural health grant writing training through the Grant Writing Institute conducted by the National Organization of State Offices of Rural Health. Training will provided via a series of at least 4 webinars focusing on advanced rural health grant skills. Appropriate for SORH staff and your rural health partners like RHCs, CAHs, Free Clinics and FQHC staff.$500 for rural health clinic technical assistance training through the Rural Health Clinic (RHC) Institute conducted by the National Organization of State Offices of Rural Health. Training will provided via a series of at least 10 webinars on all aspects RHC education and ensure policy education for SORH on RHC issues. Appropriate for SORH staff.$1000 for conducting 4 webinars for your state on key rural health topics such as workforce, HIT and health promotion. Target audience for webinars includes health professionals throughout the state. Webinar costs are estimated at $250/webinar for approximately 20 callers for 1 hour webinar. Speaker and content will be coordinated by SORH staff, NOSORH technology and conference call line will be used for delivery and recording of webinar. $1000 membership dues for National Organization of State Offices of Rural Health. NOSORH membership provides the office with opportunities for training and learning on new rural, funding for special projects, coordination with other SORH, discounts to required meetings and monthly webinars on topics of key interest and concern for rural communities and the SORH. $3000 for a “supported SORH” membership for SORH which can include travel for up to one meeting per year for one staff person. $700 registration fees for two SORH staff to attend the NOSORH annual meeting, a required meeting.$3500 onsite grant writing workshop for your state includes NOSORH instructors, all materials, travel and support for registration and publicity activities, as needed by the individual SORH. $2000 for access to the TruServe basic performance measures tracking tool to allow capture of impact of SORH and other activities. Up to 10 customizable measures, mapping capabilities, all orientation, support and full features of this easy to use on-line tracking tool. $7000 for access to the TruServe enhanced performance measures tracking tool to allow capture of impact of SORH and other activities. Unlimited customized measures, mapping capabilities, all orientation, support and full features of this easy to use on-line tracking tool. $700 for onsite training for unlimited number of users for the TruServe performance measures tracking tool.Travel:$1218 for travel and per diem for two staff to attend the NOSORH Annual Meeting in Portland, Oregon on September 1-2, 2015. Per Diem rates: lodging, $137; meals, $66$1200 for travel and per diem for UND technical support staff to provide onsite training for TruServe. $1000 for travel for Community Apgar Program presentations. Bring Dr. David Schmitz to your state to introduce this community development / recruitment and retention tool to interested partners. Regional Meeting Travel – No registration fee. 2015 locations:Region A – Maryland – June 16-18 - Per Diem rates: lodging, $121; meals, $61 (hotel contract not signed yet, will confirm location ASAP)Region B – Wilmington, NC - Per Diem rates: lodging, $94; meals, $56Region C – Lansing, MI - Per Diem rates: lodging, $91; meals, $51Region D – Austin, TX – May 19-20 - Per Diem rates: lodging, $126; meals, $71Region E – Big Sky, MT – July 8-9 - Per Diem rates: lodging, $125; meals, $61Ideas for Including Rural Health Clinics and Free and Charitable ClinicsThe following list includes ideas for core functions of SORH to reach out to rural health clinics and to consider budgeting in the upcoming grant proposals to assist and strengthen RHCs in your state. Many of these suggestions are also appropriate for working with Free and Charitable Clinics.Through providing support and assistance to Rural Health Clinics (RHC) and Free and Charitable Clinics, State Offices of Rural Health are investing in assuring access to primary care for rural people, particularly Medicaid and Medicare beneficiaries. NOSORH is available as a resource for SORH who have not yet considered this work. SORH may request a NOSORH Education Exchange travel scholarship for a SORH experienced in working with RHCs to come to your state or work with your state to develop an RHC outreach and development strategy for your state improving business operations, i.e. billing, collections, sliding fee discounts, front desk operations, appointment systems, etc.CLEARINGHOUSE - DATA COLLECTION & INFORMATION DISSEMINATIONDevelop a RHC contact list and distribute it to state partners asking they include RHCs in their education seminars, webinars and workshopsUse your SORH website to post RHC relevant materials including the ORHP supported TA calls and RHC listservCollect RHC data to document RHC work as safety net providers including: types of patients served, by age, race, gender, income, major diagnoses, payment sources, as well as document the practice profile, location, RHC type and other demographic information.Disseminate Primary Care Health Professional Shortage Area (HPSA)/MUA information to RHC initiating location eligibility designation necessary for CMS certification status.Distribute ACA-Marketplace and State Medicaid insurance information to RHC and or state associations of RHCContribute rural health articles and SORH updates to RHC/ARHC newslettersTECHNICAL ASSISTANCE - EDUCATIONConduct RHC listening sessions to orient SORH staff to the TA needs of RHCsAssist, facilitate meetings for the initial development of State Association of RHCDevelop and/or sponsor state or regional workshops or webinars for RHC staff including topics of interest such as billing, coding, cost reporting, improving the quality of care provided, communicating effectively with other rural health providers.Provide sponsorships and/or scholarships for RHC staff to participate in National Rural Health Association conferences or state or regional rural health or primary care conferencesConduct mock surveys (including survey & certification, compliance and operations)LOCAL, STATE and FEDERAL PARTNERSHIPSWork with NOSORH to develop a SORH regional strategy to strengthen RHCs through training, technical assistance and outreach in the area of proving qualityWork with Primary Care Offices, State Loan Repayment Programs and other workforce programs/agencies to direct RHC providers to loans and grants sourcesICD-10Distribute information about CMS tools available for ICD-10 conversionProvide scholarships, awards or support to assist RHCs prepare for ICD-10 conversion, including developing a transition plan, assuring IT systems will be converted, developing a ICD-10 conversion strategy for small RHCs, participation in state, regional or national ICD-10 preparation conferencesDevelop RHC conferences or webinars to assist RHCs prepare for ICD-10 conversion and small practice transition, including transition planning, reviewing diagnoses most often used, checklists, working with your practice management and EHR vendors, provider, business office and coder training and timelines, system testingDevelop, adapt or purchase simple tools to assist RHCs with planning for ICD-10 conversionDistribute information about CMS tools available for ICD-10 conversionDevelop a RHC ICD-10 Conversion Tool Kit in cooperation with NOSORH or other SORHContract with RHC billing, coding, cost reporting, compliance, quality experts to be “on call” to answer RHC questionsEHR and HITSupport or conduct an assessment of the health information technology needs of RHCs in the stateSponsor HIT and EHR vendor conferences for RHC practices. Select vendors based on recommendations of RHCs who are satisfied with their EHR vendorDevelop and fund an HIT and EHR inventory of RHCs in the state, by size, organizational type and other characteristics aimed at documenting assets and developing resources for assisting RHCs be fully engaged in using HER for improving patient safety and careDevelop and fund mechanisms to assist RHCs with choosing, financing and adopting EHRProvide technical assistance to RHCs to select and purchase Electronic Health Records that will allow communication with other rural health providers in the service areaAllocate resources to assist a specific number of RHCs meet basic HIT or Electronic Health Records requirementsQUALITY IMPROVEMENTPlan funds for RHCs to purchase on-site technical assistance or consultants related to using evidenced based guidelines, documenting, monitoring and/or improving quality of careProvide funds to assist RHCs develop their annual evaluation plan tied to clinical quality improvement measuresFund a quality improvement expert to assist RHCs develop a quality improvement strategy for the clinic which links the RHC with at least one additional rural health provider in the communityDevelop a quality improvement network for RHCs and support national and state data collection effortsInclude RHCs in quality improvement conferences and trainingsDevelop or collect and distribute best practice guidelines and treatment plans for common conditions to assist in improving quality and documenting care provided by RHCProvide funding, consultation and support to assist selected RHCs gain certification as a Patient Centered Medical Home ................
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