VRHA Weekly Update
In this Issue June 23, 2014

VRHA News Virginia News National News Mark your calendar
Funding Opportunities






Webinar Schedule

This week...

Funding Opportunities for Healthcare Reform in Rural America: Claiming a Seat at the Table   Thursday, June 26, 2:00 p.m. - click here to register
The Affordable Care Act presents both challenges and opportunities for all healthcare providers, particularly those in rural America.  All too often, rural providers are left out of the conversation on healthcare reform.  Claiming a seat at the table requires being proactive in developing and participating in new models of care; but the question of how to pay for these initiatives leaves many providers scratching their heads.  This webinar will provide an overview of the ACA reforms and their implications for rural America, then focus on identifying federal, state, and federal funding opportunities, assessing grant readiness, and examining trends in funding.

Coming up:

  • You Are the Key to HPV Cancer Prevention - Tuesday, July 2nd, noon
  • HIPAA Privacy and Security for Rural Providers: The Security Risk Analysis Tool and other free compliance resources - Thursday, July 10, 2:00 p.m.

For more information on these webinars and to review slides and recordings from past events, visit the VRHA webinar page.

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Members in the News

By Frances Hubbard - Daily Press

Kay Bradley, executive director of the [VRHA member] Gloucester-Mathews Care Clinic, compares the process of opening the new facility to crafting a patchwork quilt.

"Each piece was created by support from donors, the community, the board, staff, volunteers and, of course, our patients," Bradley said at the clinic's grand opening celebration Friday.

Formerly known as the Gloucester-Mathews Free Clinic, the new facility boasts spacious accommodations for a large patient waiting area, a full pharmacy, separate patient screening areas, a room with equipment for rehab services, and six examination rooms.

Read the full article.

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Looking for Submissions

VRHA will be publishing the summer edition of its bi-annual print newsletter in August.  Anyone wishing to submit an article for consideration should send it to Beth O'Connor no later than July 18th.

Please contact Beth for submission guidelines.  You can also review archived editions.

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Virginia News

Partial Veto

By Laura Vozzella, Michael Laris and Rachel Weiner - Washington Post

Virginia Gov. Terry McAuliffe vetoed portions of the state budget Friday and vowed to defy the legislature by expanding Medicaid without its approval, setting up a legal showdown with Republicans even as he averted a government shutdown.

McAuliffe’s actions — cheered as bold leadership from the left, denounced as brazen overreach on the right — represent a bid to reassert his power as chief executive following the GOP’s recent takeover of the state Senate. They plunged a Capitol that puts a premium on gentility more deeply than ever into harsh, Washington-style enmity.

Legislators will act on McAuliffe’s vetoes Monday when they reconvene in Richmond, and the outcome is uncertain. The GOP’s majority is large enough in the House of Delegates to override a veto, but not in the Senate. Yet House Republicans are considering parliamentary moves that could kill the vetoes before they ever get to the other chamber.

Read the full article and related articles from the Virginia Oral Health Coalition, TPMWashington Post and Richmond Times-Dispatch.

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Salute to Service

From the Medical Society of Virginia

Nominations are now being accepted for the 11th Annual Salute to Service Awards. These awards recognize outstanding efforts by a physician, medical student or resident that have substantially improved patient care both locally and abroad. Service awards on behalf of the Medical Profession, the Uninsured and Underserved, and the International Community are each accompanied by a $500 contribution to the charitable medical organization of the recipient’s choice. The winner of the service award for Advancing Patient Safety and Quality Improvement will receive a $1,200 scholarship to attend a medical educational symposium of their choice courtesy of The Doctors Company Foundation. The winner of Medical Student or Resident service award will receive a $1,000 scholarship and a $250 contribution to the charitable medical organization of the recipient’s choice courtesy of the Medical Society of Virginia Alliance.

We invite you to nominate a physician, medical student or resident who has made a difference in nurturing a caring health promotion and disease prevention environment. Medical Society of Virginia (MSV) membership is not required. 

Click here for more information. The nomination form must be received at the MSV Foundation office by Friday, July 11, 2014. 

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Controlling Fraud

By Prue Salasky - Daily Press

For a second time Virginia has taken top honors in the nation for its work eliminating waste and intercepting Medicaid fraud. The Office of the Inspector General presented the award to Randy Clouse, director of the Virginia Medicaid Fraud Control Unit in the Attorney General's Office.

The unit broke its own record for the largest case ever investigated by a state agency with its $1.5 billion case against Abbott Labs in 2011 for improperly marketing and promoting the prescription drug Depakote, which is approved for seizure disorders. The drug's unauthorized use included treatment for dementia patients in nursing homes and for schizophrenia. 

Read the full article.

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National News

Observation & Two-Midnight Rules

By Cheryl Clark - HealthLeaders Media

Hospital leaders testifying before the House Ways and Means Committee derided Medicare's two-midnight and observation rules, saying that not only are the policies not working, they've also added huge costs and quality issues for providers and patients.

The rules mean that patients who receive care in observation status—and who often are unaware they were placed in that category—then can't qualify for Medicare Part A coverage in a skilled nursing home because they weren't an inpatient for at least three days.

Read the full article.

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ARCH to End?

From the Office of Senator Jerry Moran

U.S. Senator Jerry Moran (R-Kan.), a member of the Senate Veterans’ Affairs Committee, has asked acting Secretary of the Department of Veterans Affairs (VA) Sloan Gibson to explain why the VA is not being straightforward with Congress about the future of the Access Received Closer to Home (ARCH) program, which rural veterans rely on for access to timely, quality health care. While the VA continues to tell Members of Congress that no decision has been made about the future of the successful pilot program, which expires in September 2014, sources tell Sen. Moran that the national program director for ARCH directed the five pilot sites several months ago to begin contacting veterans who participate in ARCH to let them know the program would be ending. 

Since 2011, the ARCH pilot program has been operating in five rural sites – Caribou, Maine; Farmville, Virginia; Pratt, Kansas; Flagstaff, Arizona; and Billings, Montana – offering rural veterans the opportunity to access health care services from community providers if they reside at least one hour from a VA medical center or Community Based Outpatient Clinic (CBOC). Veterans are overwhelmingly satisfied with this program and the medical services they are receiving, which falls directly in line with the VA’s recent statements that the Department is working to “accelerate access to care” for veterans across the country. It is becoming clear that VHA made plans months ago to dismantle the program, not seek extension of the contracts, and not offer access to services that veterans have come to appreciate and rely upon.

Read the full article.

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In Critical Condition

By Kelly Baumgarten - KHAS

Amidst the rural healthcare crisis, doctors are finding ways to ease the shortage. Rural physicians are relying more and more on nurse practitioners and physician assistants to take some of the weight off their shoulders. And they are utilizing new technology to connect with doctors hundreds of miles away.

Telemedicine is changing rural healthcare. Doctor Jeff Harrison told me the technology has been extremely successful in eliminating the isolation of small town physicians. The technology can connect rural emergency rooms to metropolitan hospitals in a matter of seconds.

Some experts suggest allowing nurse practitioners and physician assistants to function to the full extent of their training could ease the doctor shortage. This past session, a bill was presented in the that would have granted nurse practitioners full autonomy. But Governor Heineman vetoed the bill.

Read the full article.

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Representing Rural 

By Mark Wolf - Daily Yonder

Fifty years ago, rural areas held considerably more sway in legislatures, a tradition going back to the country’s founding, when districts were drawn to be similar in physical size, affording rural lawmakers outsized influence. But the Supreme Court changed that in the 1960s when it ruled legislative districts had to have roughly equal populations to ensure the principle of one person, one vote.

In the most recent reapportionment in 2011, eastern Colorado’s three sparsely populated House districts were consolidated into two, a pattern seen across rural America. Colorado Representative Jerry Sonnenberg, stated; 

“City people don’t understand the issues out here. “There is such a lack of ties to agriculture today. Fifty years ago you might have had a grandfather or an uncle on the farm you could have related to, but now so many of our urban cousins don’t even have that.”

 “My sense,” says Indiana state Senator Richard Young, “is that urban legislators are smart enough to know where their food comes from and that the city can’t exist without the rural countryside.”

Read the full article

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Mark Your Calendar

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

June 26: Funding Opportunities for Healthcare Reform in Rural America - webinar
June 26: Addressing Disaster Preparedness in Rural Communities - Richmond & videoconference
July 2: You Are the Key to HPV Cancer Prevention - webinar
July 10: HIPAA Privacy and Security for Rural Providers - webinar
July 16-18: Rural Quality & Clinical Confernce - Atlanta, GA
September 30-October 1: Rural Health Clinic Conference - Kansas City, MO
October 1-3: Critical Access Hospital Conference - Kansas City, MO

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Eligiblity Comparisons
State-by-state comparisons of the uninsured who became eligible for financial assistance with health insurance coverage through Medicaid, CHIP or subsidized private coverage through the new marketplaces.

Uninsured, Medicaid Eligible by Legislative District
Number of uninsured people who would be eligible for Medicaid insurance under the expansion called for in the Affordable Care Act by Virginia legislative district.

Quit Now Virginia
A variety of tobacco cessation resources for healthcare professionals and patients:

National Diabetes Statistics Report, 2014 
Presents the most current information on diabetes and prediabetes in the U.S. among people all ages and ethnicities. 

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Funding Opportunities

Susan G. Komen® Grants
The Central Virginia Affiliate of Susan G. Komen® is proud to announce the availability of grant funds for fiscal year 2015.  Nonprofit organizations, governmental agencies, and educational institutions serving the communities in our Affiliate service area are eligible for funding. Applications are being accepted for community grants up to $40,000 to support local breast cancer and breast health programs. Additionally, our small grants program is accepting applications year round for projects up to $5,000.
Deadline: 12:00 noon on Thursday, August 28, 2014.  

RMHC Global Grants
Deadline: 08/20/2014
Funding to organizations that promote sustainable healthcare solutions, implementing "train-the-trainer" models that focus on improving the health and well-being of children around the world.   

PNC Foundation Economic Development Grant
Deadline: Ongoing
Funding to organizations that support economic development in communities. Priority is given to community development initiatives that strategically promote the growth of targeted low-and moderate-income communities and/or provide services to these communities.
Mary Allen Lindsey Branan Foundation Grants
Deadline: 11/15/2014 
Funding to support organizations that promote the relief of suffering and other charitable purposes - for example, for the victims of floods and disasters, or for the care of the sick, feeble, helpless, and orphans.  

Joseph H. Stahlberg Foundation Grants
Deadline: Ongoing
Funding to support organizations that engage in medical, psychiatric, or psychological research and must not be associated with a particular religion. Preference may be given to research related to dementia, autism, or Alzheimer's disease.

Water Stewardship
Deadline: Ongoing
Funding to organizations that support access to clean water and sanitation, watershed protection in water-stressed regions, utilization of water for production and or multiple use systems that do more than provide clean drinking water, education and awareness programs that promote water conservation within communities and industry.

Rosalynn Carter Institute for Caregiving: Rosalynn Carter Leadership in Caregiving Award
The Rosalynn Carter Leadership in Caregiving Award recognizes leadership in implementing innovative partnerships between community agencies and caregiving researchers that bridge the gap between science and practice.

Healthy Smiles, Healthy Children
Healthy Smiles, Healthy Children (HSHC), an initiative of the Foundation of the American Academy of Pediatric Dentistry, is committed to improving the quality of pediatric oral health in the United States. HSHC’s Access to Care Grants support community-based initiatives throughout the country that provide dental care and ultimately serve as a Dental Home to underserved/limited access children. Special consideration will be given to programs supporting the age-one dental visit and providing care to special needs patients. These grants of up to $20,000 require cash or in-kind matching funds equal to the grant request dollar amount.
Deadline: Online letters of intent must be submitted by August 18, 2014.

Youth Service America: Global Youth Service Day Lead Agency Program
Youth Service America (YSA) is a resource center that partners with organizations committed to increasing the quality and quantity of volunteer opportunities for young people to serve locally, nationally, and globally. YSA’s Global Youth Service Day Lead Agency Program offers organizations support to lead high-impact, high-visibility youth service activities and celebration events during Global Youth Service Day, April 17-19, 2015. Lead Agencies will receive a planning grant of $1,000 to $3,000 funded by State Farm, capacity-building training, and ongoing consultation. Typically, Lead Agencies are local, regional, or statewide nonprofit organizations with a focus on youth development and positive community engagement. 
Deadline is July 31, 2014.

Department of Education
The Technologies to Enhance Independence in Daily Living for Adults with Cognitive Impairments program supports efforts that will contribute to improved outcomes related to independence in daily activities in the home, community, or workplace setting for adults with cognitive impairments. Optional letters of intent are due July 10, 2014. The application deadline is August 4, 2014.

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