1. "Weathering the Storm" 10th Annual HomeTown Health Spring Meeting Paul Moore, DPh Senior Health Policy Advisor Department of Health and Human Services Health Resources and Services Administration Office of Rural Health Policy

2. Overview: Current National Challenges Policy Issues Affecting Rural Health Initiatives within ORHP, HRSA, and HHS

3. Key Issues facing Georgia’s Rural Hospitals and Providers Access to High Quality Healthcare Regulation, Policy, and Programs Workforce Issues HIT Adoption - “meaningful use”

4.  Access to High-Quality Health Services CHIP Recovery Act Workforce Prevention and Wellness

6.  What’s New at ORHP?

7. Policy and Research  Regulation Review  Regular Medicare payment updates  Value-Based Purchasing and Quality Reporting  HIT Meaningful Use  Demonstrations  Frontier Extended Stay Clinics  Frontier Payment Integration

8. Key Rural Regulatory Issues Inpatient Hospital Payment Outpatient Hospital Payment Physician Payment Rehab Payment Psych Payment Skilled Nursing Facility and Long Term Care Payments Ambulance Fee Schedule Medicare Advantage Medicare Part D Rural Health Clinics Federally Qualified Health Centers Medicaid Waivers Medicare GME

9. Policy and Research  Rural Health Services Research  Six Rural Health Research Centers  Three Policy Analytic Resources  Links with Agency for Health Research & Quality

11. ORHP & Key Rural Program

12. “Within the total amount requested for Rural Health, the Budget includes $79 million to continue the President’s initiative to improve rural health. The goal for of this initiative is to improve the access to and quality of health care in rural areas.

13. The Improving Rural Health Initiative: Key Elements  Health Workforce Recruitment and Retention  Building a Programmatic “Evidence-Base”  Telehealth/HIT Coordination  Cross Governmental Collaboration

14. Community-Based Grants: Developing an Evidence Base  Outreach Best Practices and Tracking  Performance Measures  Increased Focus On …  Sustainability  Targeted Technical Assistance  Manuals and Reports  Sharing Successful Models

15. Rural Health Outreach Grants* Rural Health Network Planning Grants Rural Health Network Development Grants Small Health Care Provider Quality Improvement Grants * Rural Health Outreach Grants include Rural Health Care Services Outreach Grant, Delta State Rural Development Network Grant and Frontier Extended Stay Clinic Cooperative Agreement.

18. ORHP Community-Based Grant Opportunities for 2010-2011 Guidance Available on http://www.grants.gov  Small Health Care Provider Quality Improvement  60+ Awards by September  Network Planning  Guidance out July; Applications Due October  Next Year  Network Development

19. Grants Technical Assistance Workshops  Michigan  North Dakota  Wisconsin

20. Hospital-State Division: Building an Evidence Base  New Flex Guidance  Quality Improvement  Performance Improvement  Community Development  Emergency Medical Services  Re-Focusing SHIP East Morgan County Hospital, a CAH in eastern Colorado

21. Flex Program:

22. Flex Program: The Multi-State Project  A Focus on Medicare Beneficiary Outcomes  Voluntary Project Using Common Focus Area and Metrics  Proven Models, Processes, and Outcomes

23. Patient Safety Pharmacy Collaborative  Free Team-Based Training  Use the Institute for Healthcare Improvement “Model for Improvement”  Series of Meetings and Calls to focus on Patient- Safety  ORHP funds to support CAH and RHC teams  Apply by June, 2010  For more information: Contact Paul Moore at ORHP: 301-443-0835 Pharmacist in Jordan, MT

24. New Manual  FQHC-CAH Collaboration  Statutory Background  Case Studies

25. Rural Health Clinic Technical Assistance  Free Quarterly Conference Calls  Past topics include billing, health information technology, regulation updates, etc. http://www.narhc.org/members/orhp_series.php A Rural Health Clinic in Michigan http://www.narhc.org/members/orhp_series.php

26. Rural Assistance Center Web-Based Services http://www.raconline.org Electronic Updates Subscribe on the website Customized Assistance Phone: 1.800.270.1898 E-mail: info@raconline.orginfo@raconline.org

27. HIT and Rural  Challenges Ahead  Incentive Payments and “Meaningful Use”  Possible Resources  ORHP grants  Findings from CAH-HIT Evaluation  HIT Resource Centers

28. Telehealth Resource Centers

29. Office for the Advancement of Telehealth  New Addition to ORHP …  Telehealth Network Grants  Telehealth Resource Centers  Licensure and Portability

30. Telehealth Grant Opportunities  Telehealth Network Grant Program  Guidance available late Spring  Eight awards Expected by September  Telehealth Resource Centers  Guidance available late Spring  Seven awards by September

31. Rural Health Workforce

32. Rural Workforce Issues: ORHP and Beyond The Rural Recruitment and Retention Network www.3rnet.org

33. Rural Health Workforce

34. Rural Workforce Issues: ORHP Pilots  The Rural Training Track Technical Assistance Center  Guidance Now on Grants.gov  The Rural Network Training Grants  Guidance Expected Soon A Family Medicine resident in Idaho

35.  http://nhsc.hrsa.gov/communities/apply.htm http://nhsc.hrsa.gov/loanrepayment/apply.htm

36. Rural Workforce Issues  Nursing Loan Repayment  http://bhpr.hrsa.gov/dsa/nsl.htm  Nursing Scholarships  http://bhpr.hrsa.gov/nursing/scholarship/

37. Rural Workforce Issues: Linking to Other HRSA Programs  Health Careers Opportunities Program http://bhpr.hrsa.gov/grants/diversity.htm  Nursing Programs  Advanced Education  Traineeships  Nurse Education, Practice and Retention  Nursing Workforce Diversity http://www.bhpr.hrsa.gov/nursing

38. Health Workforce Information Center Web site - Easy access to key information on over 50 workforce topics and 80 professions, including: –Events & training –Organizations –Funding –News and Updates –Resources HWIC Call Center –1-888-332-4942 –info@healthworkforceinfo.org www.healthworkforceinfo.org

39. Contact Information Paul Moore Office of Rural Health Policy 5600 Fishers Lane, Rm 10B-45 Rockville, MD 20857 Tel: 301-443-1271 Fax: 301-443-2803 pmoore2@hrsa.gov http://ruralhealth.hrsa.gov