The Health Resources and Services Administration (HRSA) is accepting applications for fiscal year (FY) 2019 Rural Residency Planning and Development (RRPD) Program via Grants.gov. The purpose of this grant program is to develop new rural residency programs or Rural Training Tracks (RTT) in family medicine, internal medicine, and psychiatry to support expansion of the physician workforce in rural areas. The new rural residency programs or RTTs are intended to be sustainable through separate public or private funding beyond the three-year RRPD grant period of performance. Up to 28 awardees also will receive technical assistance from the Rural Residency Planning and Development – Technical Assistance Center, which was awarded via cooperative agreement in September 2018, for the duration of the project period. Hospitals, medical schools and community-based ambulatory settings that have a rural designation along with consortia of urban and rural partnerships are eligible to apply for a grant award. Applications are due March, 9, 2019.
HRSA has scheduled a technical assistance webinar to help you understand, prepare, and submit an application for this NOFO for Monday, December 17, 2018 from 2 – 3:30 pm ET. The webinar will provide an overview of pertinent information in the NOFO and an opportunity for applicants to ask questions. Questions about this grant opportunity can be directed to Tracey Smith (email@example.com) and Jemima Drake (firstname.lastname@example.org).
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NOTICE OF FUNDING OPPORTUNITY (HRSA-19-004)
Fiscal Year 2019
Application Due Date: November 28, 2018
Apply for this grant on Grants.gov.
The Health Resources and Services Administration (HRSA) is accepting applications for fiscal year (FY) 2019 Nurse Faculty Loan Program (NFLP). The purpose of this program is to increase the number of qualified nursing faculty. The program provides funds to accredited schools of nursing so these institutions can offer loans to students in advanced education nursing degree programs. Upon graduation, in exchange for full-time employment as nurse faculty, the program will pay off 85 percent off the faculty member’s loans.
Minnie Hamilton Health Care Center (MHHCC) is an 18-bed, not-for-profit Critical Access Hospital (CAH), providing acute care, emergency medicine, rehabilitation therapies, imaging and related outpatient ancillary services to the residents Grantsville, West Virginia and surrounding communities. In addition, MHHCC operates a rural health clinic (RHC) in Grantsville and an FQHC in Glenville, WV along with various community programs including dental services, and 24-bed long-term-care facility. MHHCC is one of two Federally Qualified Health Centers (FQHC) in the United States that operate a CAH. Their mission is to provide personalized, high-quality care on an as-needed or preventative basis. They proudly state, “We have created a practice that we believe in and choose for our own family members.” Carla Brock Wilber, Senior Consultant, with Stroudwater Associates, worked with MHHCC in 2017, through the Small Rural Hospital Transition (SRHT) project, on a Quality of Care and Transition of Care Project. Center staff spoke with Stephen Whited, CEO; Sandra Ellis, Director of QI, Risk and Patient Safety; and Brittany Frymier, Administrative Assistant, just six months after the implementation of the consultant recommendations to discuss their progress.
Q: What are some of the recommendations that you’ve implemented in these first six months and what are your next steps?
A: Regarding the Emergency Department (ED), MHHCC closely tracked time on “Decision to admit to time of ED departure.” They educated ED providers concerning details of the measure and they provide the data monthly to providers and nursing staff so they can see each individual patient times and provider and nurse information. This has decreased from pre-project measure of 122 minutes to a recently low of 57 minutes. Currently they are at 74 minutes, very close to the goal of 70.
Previously, daily huddles to discuss discharge planning were held three days a week and they now conduct them five days a week and strongly encourage providers to participate. In preparation for this change, administration shared ideas with their providers about with this topic. Participation is tied to incentives. The huddles also include representatives from pharmacy, physical therapy and other disciplines relevant to individual cases. Recently the discharge planner implemented LACE tool. This is a new strategy for MHHCC and they are closely evaluating patients for risk for readmit in 30 days. This has been very important since it’s been difficult to identify readmissions to other facilities. Internally, their readmission rates are very good (0 for 12 months) but they are most interested in preventing external readmissions. Another strategy to reduce readmissions has been to enhance their swing bed program. They developed brochures for this program and communicate this service to patients before they are transferred from the ED. They plan to increase marketing to other hospitals for referral back to MHHCC and track transfers so that the discharge planner can follow up with the receiving hospital to discuss a referral back.
MHHCC believes their biggest accomplishment on the SRHT project is the improved education of providers and staff on data. The board quality committee is very involved and HCAHPS training is conducted for all supervisors. Each supervisor receives a monthly dashboard of current data to post in their departments.
Q: What has been the impact of this project so far on MHHCC?
A: The measurable outcomes will be reported in six months. Non-measurable impact has already been clear and includes:
• Improved information and data sharing with supervisors and then driving information down to staff
• The addition of quality as a topic to staff meeting agendas
• More transparency as they create a culture of quality and safety
• A desire to continue to improve even though they are doing well in comparison to peers
Q: Lastly, how do you believe this project has helped you move forward in the newly emerging system of health care delivery and payment?
A: “Things are working; we are getting there. Ready to have conversations about raising the bar without settling. All the documentation and quality impacts reimbursement and we have a better understanding of this now. Understanding better how to meet patient needs and prevent readmission while impacting wellness.”
What is Microresearch?
Microsearch is a community-based research approach that supports, with small “seed grant” funding, locally generated and implemented projects leading to local solutions to problems in underserved communities, resulting in big impact.
Rural PREP’s Microresearch Approach
Rural PREP is providing multiple awards of up to $4,000 each to encourage research by learners in rural health professions education and training about:
- Rural primary care
- Rural population health
- Rural health workforce education and training
A faculty mentor will be assigned by Rural PREP or approved as requested by the student.
Who is eligible to apply?
Current students in a medical school or a nurse practitioner or physician assistant program, residents in a rural physician residency program, or other health professionals training for primary care practice in a rural location.
We will begin reviewing the first group of applications after January 12. If funding remains after the first review, we will fund additional applicants through March 1 on a rolling basis until all funds are expended.
Photo by MarineCorps NewYork/FlickrCC
By Shannon Muchmore/Healthcare Dive
- The U.S. Department of Veterans Affairs has released a proposed rule that would allow its healthcare providers to treat patients anywhere through telehealth, regardless of state laws.
- The proposed rule would bring about change more quickly than legislation introduced earlier this year that would also waive state telemedicine laws for VA physicians. The Veterans E-Health and Telemedicine Support (VETS) Act has been referred to the Senate Veterans’ Affairs Committee.
- Health IT Now Executive Director Joel White said he supports both the proposed rule and the VETS Act. “This proposed rule will be instrumental in breaking down geographic barriers that, for too long, have prevented our nation’s heroes from accessing the care they need where they need it,” he said in a statement.
The VA says its proposed rule is needed for the agency to continue growing its telehealth services, which are particularly crucial for veterans who need mental health care.
The VA has been quite active on the telehealth front recently, as it works to improve care for veterans in rural areas and remove hurdles to accessing care. It comes in the wake of the agency’s scandals from the past few years, which included care quality lapses, excessive appointment wait times and falsified records…
Read the full story at www.healthcaredive.com