She Owed $227,000 in Medical Bills —Even With Insurance. Here’s What it Took to Pay Them
The first surprise was the massive heart attack, which struck as Debbie Moehnke waited in a Vancouver, Wash., medical clinic last summer. “She had an appointment because her feet were swollen real bad,” said Larry Moehnke, her husband. “But she got in there and it was like, ‘I can’t breathe, I can’t breathe!’” Her life suddenly at risk, the 59-year-old was rushed by ambulance, first to a local hospital, where she was stabilized, and then, the next day, to Oregon Health & Science University across the river in Portland for urgent cardiac care. That meant heart bypass surge...
Source: TIME: Health - March 21, 2019 Category: Consumer Health News Authors: JoNel Aleccia / Kaiser Health News Tags: Uncategorized medicine Source Type: news

Value of Training Physicians at Health Centers Pegged at $1.8 Billion in Public Program Savings
Research released today identifies how the Teaching Health Center Graduate Medical Education (THCGME) program could save $1.8 billion in Medicare and Medicaid spending, as residents trained in lower-spending areas average lower spending per patient once they begin practice. The THCGME program trains physicians and dentists at community health centers in rural and underserved areas, encouraging them to work in these areas and practice in primary care. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 21, 2019 Category: Rural Health Source Type: news

VA: Creating Options for Veterans Expedited Recovery (COVER) Commission; Notice of Meeting
Notice from the Department of Veterans Affairs (VA) of a public meeting of the Creating Options for Veterans Expedited Recover (COVER) Commission on April 16-17, 2019 in Washington, DC. The meeting will address evidence-based mental health treatment, telemental health, models of care, and more. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 21, 2019 Category: Rural Health Source Type: news

A Mother ’s Exposure to Pesticides During Pregnancy May Raise Children’s Autism Risk
In one of the largest studies looking at the potential effects of pesticide exposure on still-developing fetuses and newborns, scientists found that exposure to the most commonly used pesticides was linked to higher risk of autism spectrum disorder. Led by Ondine von Ehrenstein, associate professor in the Fielding School of Public Health at the University of California, Los Angeles, the researchers analyzed autism registry data in California along with data on pesticide spraying in the state. They published their findings in the BMJ. Overall, the study included nearly 38,000 people, with 2,961 cases of autism. The scientis...
Source: TIME: Health - March 20, 2019 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized Research Source Type: news

National Governor's Association Invitation: Improving Capacity for Health Care Service Delivery Meeting, June 4 –5, 2019
The National Governor’s Association (NGA) is inviting thoughtful state healthcare policy and EMS leaders who work closely with them to a meeting on improving capacity for healthcare service delivery—and EMS is on the agenda. States are invited to nominate a team of individuals from across health-related executive branch agencies and key partner organizations to participate in a multi-state meeting about how to effectively build and maintain health care workforce capacity to ensure access to care for state residents. The meeting will be held on June 5 – 6 in Indianapolis. For this opportunity, we’...
Source: JEMS: Journal of Emergency Medical Services News - March 20, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: EMS Insider News Administration and Leadership Mobile Integrated Healthcare Source Type: news

Piles of pigs: Swine fever outbreaks go unreported in rural China
When pigs on the Xinda Husbandry Co. Ltd breeding farm in northern China began dying in growing numbers in early January, it looked increasingly likely that the farm had been struck by the much feared African swine fever, an incurable disease that has spread rapidly across the country since last year. (Source: Reuters: Health)
Source: Reuters: Health - March 20, 2019 Category: Consumer Health News Tags: healthNews Source Type: news

VA: Veterans' Rural Health Advisory Committee, Notice of Meeting
The Department of Veterans Affairs (VA) announces a public meeting of the Veterans' Rural Health Advisory Committee April 17-18, 2019 in Iowa City, Iowa. The meeting will address rural healthcare access for Veterans as well as programs and policies impacting rural VA healthcare delivery, and include updates from VA leadership, the Director of the Office of Rural Health, and Committee Chairman. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 20, 2019 Category: Rural Health Source Type: news

NRHA Announces Top Rural Community Hospitals
The National Rural Health Association (NRHA) released its 2019 list of the top 20 rural prospective payment system (PPS) hospitals. Rural community hospitals were evaluated based on quality, financial stability, patient viewpoints, and other factors and will be recognized at the NRHA Rural Hospital Innovation Summit. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 20, 2019 Category: Rural Health Source Type: news

Mental health symptoms among rural adolescents with different parental migration experiences: a cross-sectional study in China - Wang J, Zou J, Luo J, Liu H, Yang Q, Ouyang Y, Hu M, Lin Q.
In rural regions of China, the rural-to-urban migrant worker population and their left-behind children-60 million children who remain in home villages-have diversified the rural adolescence experience in terms of family life, compounding known mental healt... (Source: SafetyLit)
Source: SafetyLit - March 19, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Cancer rates: Here's where Oregon's 36 counties rank
Oregon's 10 most cancer-prone counties are not all-urban or all-rural, nor are they concentrated in one geographic portion of the state. Some are close to state's biggest metro area, while others lie in Central and Southern Oregon, the Coast and along the Columbia River. We ranked all 36 Oregon counties by 2011-2015 age-adjusted rate of new cancers per 100,000 residents, the most recent data available, as compiled by the U.S. Centers for Disease Control& Prevention. In 2015, Oregon had a new… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - March 19, 2019 Category: Pharmaceuticals Authors: Brandon Sawyer Source Type: news

HRSA: Notice of Single Source Award Based on Non-Statutory Earmark to the Delta Region Community Health Systems Development Program
The Health Resources and Services Administration has awarded the Rural Health Resource Center an additional $4,000,000 to provide technical assistance services to all eight Delta Region communities as part of the Delta Region Community Health Systems Development Program. The increased award is also intended to provide additional assistance to rural hospitals in improving their operational and financial performance. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 19, 2019 Category: Rural Health Source Type: news

CDC: Agency Forms Undergoing Paperwork Reduction Act Review
Notice from the Centers for Disease Control and Prevention (CDC) of a proposed information collection revising and extending the annual National Ambulatory Medical Care Survey (NAMCS) through 2021. NAMCS provides information on office visits to physicians, as well as non-physician clinicians in community health centers. Some items will be modified or deleted, including data items on HIV and sexually transmitted infection prevention, alcohol and substance abuse screening, and culturally and linguistically appropriate services. Comments are due within 30 days of publication of this notice. (Source: Federal Register updates v...
Source: Federal Register updates via the Rural Assistance Center - March 19, 2019 Category: Rural Health Source Type: news

AHRQ: Agency Information Collection Activities: Proposed Collection; Comment Request
Announcement from the Agency for Healthcare Research and Quality (AHRQ) of a proposed information collection, "Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database." The Child HCAHPS survey compliments the Adult Hospital CAHPS Survey and evaluates the inpatient care experiences of patients under age 18 and their parents or guardians. The Child HCAHPS Survey Database will allow hospitals to access and use the data for quality improvement and research efforts. Comments are due April 18, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 19, 2019 Category: Rural Health Source Type: news

A Conversation with Mark Zellmer
Discussion focuses on the work of this CAH, which will be using physician assistants to fully staff the hospital, including their PA fellowship program. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 19, 2019 Category: Rural Health Source Type: news

Quality of Life Assessment Among Substance Use Disorder Patients - Measure Testing Opportunity
The Centers for Medicare and Medicaid Services and Mathematica Policy Research will be developing and testing an electronic clinical quality measure related to quality of life (QOL) for patients who have received any intervention for substance use disorder (SUD). To inform this effort, they are recruiting clinicians to interview about QOL assessments for SUD patients in daily practice. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 19, 2019 Category: Rural Health Source Type: news

Sens. Moran, Tester Introduce Landmark Veterans Mental Health and Suicide Prevention Legislation
Senators Jerry Moran and Jon Tester have introduced legislation intended to improve access to mental healthcare for veterans and reduce veteran suicides. One of the 5 major components of the "Commander John Scott Hannon Veterans Mental Health Care Improvement Act" focuses on rural mental healthcare access for veterans and includes a telehealth component. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 19, 2019 Category: Rural Health Source Type: news

AHRQ: Agency Information Collection Activities: Proposed Collection; Comment Request
Announcement from the Agency for Healthcare Research and Quality (AHRQ) of a proposed information collection, "Consumer Assessment of Healthcare Providers and Systems (CAHPS) Home and Community Based Services (HCBS) Survey Database." The database will allow states to compare Medicaid programs targeting adults with disabilities receiving long-term care services. Comments are due May 20, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 19, 2019 Category: Rural Health Source Type: news

Training, Mentorship, and Repurposed Equipment Expand Family Planning Use in Tanzania
March 18, 2019By repurposing unused surplus medical equipment, health facilities in Tanzania have addressed a crucial shortage of health workers who are certified to provide intrauterine contraceptive devices (IUDs) to clients in 22 districts throughout the country.As part of theTanzania Family Planning Outreach program, which is funded by the UK Department for International Development,IntraHealth International trained 300 public-sector health workers to deliver long-acting reversible contraceptives (LARCs) in 165 health facilities in 22 districts during 2014 –2016. But during follow-up sessions of mentorship and su...
Source: IntraHealth International - March 18, 2019 Category: International Medicine & Public Health Authors: mnathe Tags: Tanzania Tanzania Family Planning Outreach Education & Performance Health Workforce Systems Source Type: news

US Launches First National Firefighter Cancer Registry
The National Institute for Occupational Safety and Health has launched the first nationwide Firefighter Cancer Registry, linking workplace exposures to deadly malignancies such as mesothelioma. Officials administering the study believe the registry will help reduce the incidence of various cancers for firefighters. “A national registry will go a long way toward answering the many questions still out there,” Dr. Kenny Fent, an industrial hygienist at NIOSH who is leading the effort, told The Mesothelioma Center at Asbestos.com. “We’re just laying the groundwork now, but in the long run, we want to h...
Source: Asbestos and Mesothelioma News - March 18, 2019 Category: Environmental Health Authors: Matt Mauney Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
Request for comments from the Centers for Medicare and Medicaid Services (CMS) regarding a proposed information collection related to identity tracking for people accessing the HIPAA Eligibility Transaction System (HETS). HIPAA Security rules require employees using the system to have a unique identifier assigned by their provider office, health plan, group health plan, or clearinghouse. Comments are due May 17, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 18, 2019 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs: Approval of an Application From the Accreditation Association for Hospitals and Health Systems/Healthcare Facilities Accreditation Program for Continued CMS Approval of Its Hospital Accreditation Program
Final notice from the Centers for Medicare and Medicaid Services (CMS) of their decision to approve the Accreditation Assocation for Hospitals and Health Systems/Healthcare Facilities Accreditation Program (AAHHS/HFAP) as the national accreditation organization for hospitals who want to participate in Medicaid or Medicare. The notice is effective September 25, 2019 through September 25, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 18, 2019 Category: Rural Health Source Type: news

Gaps in HIV Testing and Treatment Hinder Efforts to Stop New Infections
The Centers for Disease Control and Prevention (CDC) published a newVital Signs report on the impact of undiagnosed and untreated HIV and the significant need to expand HIV testing and treatment in the U.S. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 18, 2019 Category: Rural Health Source Type: news

USDA Announces Investments in Rural Community Facilities that will Benefit Nearly 300,000 Americans
The U.S. Department of Agriculture (USDA) announced $91 million through the Community Facilities Direct Loan Program to help rural recipients make infrastructure improvements and provide essential facilities. 16 projects in 12 states have been funded, impacting nearly 300,000 people. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 18, 2019 Category: Rural Health Source Type: news

Ending HIV In Mississippi Means Cutting Through Racism, Poverty And Homophobia
Details barriers to eliminating HIV and AIDS in areas of the South where racism and homophobia as well as poverty and limited access can act as barriers. Focuses primarily on Mississippi and the experiences of residents there. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 16, 2019 Category: Rural Health Source Type: news

A cross-sectional study to assess the out-of-pocket expenditure of families on the health care of children younger than 5 years in a rural area - Shrivastava SRBL, Shrivastava PS.
This study aimed to estimate the out-of-pocket expenditure of families on the health care of children younger than 5 years in a rural area of Kancheepuram district. Methods: A cross-sectional descriptive study was performed in a rural area o... (Source: SafetyLit)
Source: SafetyLit - March 16, 2019 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

Trends of rural/urban homicide in Colombia, 1992-2015: internal armed conflict and hints for postconflict - Vallejo K, Tapias J, Arroyave I.
OBJECTIVE: To analyze the relationship between rural and urban homicide rates in Colombia between 1992 and 2015 and the fluctuations in these rates. METHODS: Individual records of homicides and population aggregates in men and women aged 15-64 year... (Source: SafetyLit)
Source: SafetyLit - March 16, 2019 Category: International Medicine & Public Health Tags: Rural and Agricultural Issues Source Type: news

Occupational stressors among farmers in Iran using fuzzy multiple criteria decision-making methods - Jahangiri M, Molaeifar H, Rajabi F, Banaee S.
INTRODUCTION: Rural communities, especially farmers, are exposed to numerous concerns and stressors due to their type of occupation. The present study aimed at evaluating and prioritizing occupational stressors that cause dissatisfaction among farmers usin... (Source: SafetyLit)
Source: SafetyLit - March 15, 2019 Category: International Medicine & Public Health Tags: Occupational Issues Source Type: news

Examining the associations between walk score, perceived built environment, and physical activity behaviors among women participating in a community-randomized lifestyle change intervention trial: strong hearts, healthy communities - Lo BK, Graham ML, Folta SC, Paul LC, Strogatz D, Nelson ME, Parry SA, Carfagno ME, Wing D, Higgins M, Seguin RA.
Little is known about the relationship between perceived and objective measures of the built environment and physical activity behavior among rural populations. Within the context of a lifestyle-change intervention trial for rural women, Strong Hearts, Hea... (Source: SafetyLit)
Source: SafetyLit - March 15, 2019 Category: International Medicine & Public Health Tags: Pedestrians and Bicycles Source Type: news

CMS, HHS: Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; Medicaid Promoting Interoperability Program; Quality Payment Program-Extreme and Uncontrollable Circumstance Policy for the 2019 MIPS Payment Year; Provisions From the Medicare Shared Savings Program-Accountable Care Organizations-Pathways to Success; and Expanding the Use of Telehealth Services for the Treatment of Opioid Use Disorder Under the Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; Correction
Notice from the Centers for Medicare and Medicaid (CMS) and Health and Human Services (HHS) correcting technical errors in the "Evaluation and Management Services" provisions in theNovember 23, 2018 final rule regarding Medicare Part B payment policies and the Medicare physician fee schedule. The corrections are effective March 14, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 15, 2019 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Centers for Medicare& Medicaid Services (CMS) requests comments on three information collection activities: 1) revisions to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey that removes three questions related to pain communication to avoid potential impacts on opioid prescriptions; 2) new Home and Community Based Services (HCBS) Incident Management Survey; 3) and a new section on The State Flexibility to Stabilize the Market Grant Program Reporting. Comments are due April 15, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 15, 2019 Category: Rural Health Source Type: news

MACPAC Calls on Congress to Phase In Medicaid Safety-Net Hospital Cuts, Shine Sunlight on Supplemental Payments
This report includes recommendations for Congress related to the implementation of pending cuts to disproportionate share hospital (DSH) allotments and the revision of the DSH funding formula to target states with the greatest share of low-income residents, among other things. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 15, 2019 Category: Rural Health Source Type: news

Medicare Payment Advisory Commission Releases Report to Congress on Medicare Payment Policy
The Medicare Payment Advisory Commission (MedPAC) released it's March 2019Report to the Congress: Medicare Payment Policy. It analyzes the payment adequacy in fee-for-service Medicare, reviews the status of Medicare Advantage (MA) and Medicare Part D, reports on incentives for prescribing opioid and non-opioid pain treatment under Medicare's hospital inpatient and outpatient payment systems, and includes a recommendation that Congress replace the four current hospital quality payment programs with a single streamlined program. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 15, 2019 Category: Rural Health Source Type: news

4-Year-Old Boy, Grandparents Survive Illinois Plane Crash
WATERLOO, Ill. (AP) — Authorities say a 4-year-old boy and his grandparents were rescued after their small plane crashed in southern Illinois. The fixed-wing, single-engine Piper PA-32 was traveling from Mobile, Alabama, when it went down Tuesday in rural Monroe County on its way to St. Louis Downtown Airport in Cahokia, Illinois. The plane, piloted by 62-year-old Michael Stodard of Fairhope, Alabama, crashed into the yard of Waterloo police officer Trin Daws. The officer says he and another man broke the plane's windows with a fire extinguisher and pulled the boy out. Sheriff's Maj. Jim Lansing says the boy, his gra...
Source: JEMS: Journal of Emergency Medical Services News - March 14, 2019 Category: Emergency Medicine Tags: News Source Type: news

FCC: Information Collections Being Reviewed by the Federal Communications Commission
Notice from the Federal Communications Commission (FCC) requesting comments on two information collection activities: 1) proposed revisions to the "Universal Service-Rural Health Care Program," which is required to obtain or retain benefits under the RHC Program and mandates enhanced access to advanced telecommunications for healthcare providers and providing them in rural areas at rates reasonably comparable to urban areas; 2) reporting from prepaid calling card service providers regarding access charges. Comments are due May 13, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 14, 2019 Category: Rural Health Source Type: news

Rural Nursing Homes Face Closure as Occupancy Wanes
Discusses the decreasing occupancy levels in skilled-nursing facilities, with a particular focus on facilities in rural areas. Rural facilities also struggle to find and keep staff due to decreasing rural populations. (May require subscription to view full article.) (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 14, 2019 Category: Rural Health Source Type: news

Call for Nominations: Measure Applications Partnership Rural Health Workgroup
The National Quality Forum (NQF) is seeking nominations for organizations and individual subject matter experts in rural health to serve on the Measure Applications Partnership (MAP) Rural Health Workgroup. Nominations will be accepted through April 12, 2019. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 14, 2019 Category: Rural Health Source Type: news

CMS Strengthens Monitoring and Evaluation Expectations for Medicaid 1115 Demonstrations
The Centers for Medicare and Medicaid Services (CMS) released new tools and guidance for states on monitoring metrics and research methods related to section 1115 demonstrations. These tools and guidance are designed to help states discern if their demonstrations are achieving expected outcomes. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 14, 2019 Category: Rural Health Source Type: news

Neighbourhood built environment and walking behaviours: evidence from the rural American South - Li C, Chi G, Jackson R.
This study examines the perceived neighbourhood characteristics and environmental barriers in association with two different types of walking - recreational and destination - in the context of a rural town in Mississippi. A cross-sectional survey was used ... (Source: SafetyLit)
Source: SafetyLit - March 13, 2019 Category: International Medicine & Public Health Tags: Community-Based Prevention Source Type: news

USDA: Submission for OMB Review; Comment Request
The U.S. Department of Agriculture (USDA) requests comments on information collected for two Rural Utilities Service programs: 1) Advance and Disbursement of Funds —Telecommunications, which provides loans to expand telephone service to rural subscribers; 2) Electric Standards and Specifications for Materials and Construction, which provides loans for rural electrification and to improve current systems providing electricity to rural areas. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 13, 2019 Category: Rural Health Source Type: news

USDA: Submission for OMB Review; Comment Request
The U.S. Department of Agriculture (USDA) requests comments regarding information collected as part of the application process to determine eligibility and other factors for three programs: 1) the Intermediary Re-lending Program, which provides loans to finance business facilities and community development; 2) Agriculture Innovation Centers, a grant-funded demonstration program to help agricultural producers create and market value-added products; 3) Rural Business Development Grants, which help develop and expand small employers and provide training and other assistance. Comments are due April 12, 2019. (Source: Federal R...
Source: Federal Register updates via the Rural Assistance Center - March 13, 2019 Category: Rural Health Source Type: news

'Virtual focus groups' uncover clues to rural and urban HPV vaccination disparities
(Virginia Commonwealth University) Researchers at Virginia Commonwealth University Massey Cancer Center and Dartmouth College have harnessed the power of social media to understand differences in attitudes and behaviors about human papillomavirus (HPV) vaccination among hundreds of thousands of parents living in rural and urban areas. Their findings were presented at the Society for Behavioral Medicine's 40th annual meeting in Washington, D.C., on March 6. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - March 13, 2019 Category: International Medicine & Public Health Source Type: news

Kansas Bill Relaxes Rules on Rural Ambulance Drivers
NORTON, Kan. - A proposal before the Kansas Legislature would allow people without medical training to drive ambulances in rural areas. The bill is in response to a statewide shortage of trained personnel for ambulances in rural areas. One person with medical training - such as a nurse or an EMT - would still be required to be on board ambulances. Supporters cite places like Norton County, in northwest Kansas. The county's 5,400 residents has six full-time ambulance workers and nine volunteers to respond to all 911 calls and take patients from one hospital to another. Kansas News Service reports some state and local offici...
Source: JEMS: Journal of Emergency Medical Services News - March 12, 2019 Category: Emergency Medicine Tags: News Ambulances & Vehicle Ops Administration and Leadership Operations Source Type: news

Kansas Bill Relaxes Rules on Rural Ambulance Drivers
NORTON, Kan. - A proposal before the Kansas Legislature would allow people without medical training to drive ambulances in rural areas. The bill is in response to a statewide shortage of trained personnel for ambulances in rural areas. One person with medical training - such as a nurse or an EMT - would still be required to be on board ambulances. Supporters cite places like Norton County, in northwest Kansas. The county's 5,400 residents has six full-time ambulance workers and nine volunteers to respond to all 911 calls and take patients from one hospital to another. Kansas News Service reports some state and local offici...
Source: JEMS Operations - March 12, 2019 Category: Emergency Medicine Tags: News Ambulances & Vehicle Ops Administration and Leadership Operations Source Type: news

Mumps, Other Outbreaks Force U.S. Detention Centers to Quarantine Over 2,000 Migrants Mumps, Other Outbreaks Force U.S. Detention Centers to Quarantine Over 2,000 Migrants
Christian Mejia thought he had a shot at getting out of immigration detention in rural Louisiana after he found a lawyer to help him seek asylum.Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - March 12, 2019 Category: Intensive Care Tags: Infectious Diseases News Source Type: news

Cortland physician honored for his work with Upstate Medical University students
Christopher Moheimani, MD, has been honored by Upstate's Rural Medical Education (RMED) Program with the 2019 Preceptor of the Year Award. (Source: SUNY Upstate Medical)
Source: SUNY Upstate Medical - March 12, 2019 Category: Universities & Medical Training Source Type: news

Uganda: Rural HIV Patients Becoming Resistant to ARVs - Report
[Observer] Many people living with HIV in rural areas are developing drug resistance due to lack of access to their daily antiretroviral drugs (ARVs), lack of food and drug stock-outs and shortages. (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - March 12, 2019 Category: African Health Source Type: news

CDC: Final National Occupational Research Agenda for Public Safety
The National Institute for Occupational Safety and Health (NIOSH) under the Centers for Disease Control and Prevention (CDC) announces the availability of the finalNational Occupational Research Agenda for Public Safety. The agenda focuses on the public safety workforce, which includes emergency responders, fire fighters, police and correctional officers, and addresses chronic disease reduction, infectious disease transmission, motor vehicle injuries, mental health, and more. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 12, 2019 Category: Rural Health Source Type: news

IHS: Loan Repayment Program for Repayment of Health Professions Educational Loans; Announcement Type: Initial
The Indian Health Service (IHS) announces the availability of over $27 million to be awarded under the IHS Loan Repayment Program for health professional education loans. Applications will be evaluated monthly starting March 15, 2019 until the final submission deadline of August 15, 2019 or the exhaustion of funds. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 12, 2019 Category: Rural Health Source Type: news

HUD: 30-Day Notice of Proposed Information Collection: Rural Capacity Building
The Housing and Urban Development Department (HUD) requests comments on revisions to the application for the Rural Capacity Building for Community Development and Affordable Housing (RCB) program. Comments are due April 11, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 12, 2019 Category: Rural Health Source Type: news