Meaningful HIT Adoption for CAHs
[Excerpted from CMS Proposed Rule: How to Stretch Without Breaking]
Let's Get Meaningful
One thing we can all agree on: for the EHR incentive program to be meaningful, it needs to be designed to support our national goals of reducing healthcare costs and increasing healthcare quality. We’re moving to electronic health records not for the technology’s sake, but because we believe the technology is a means to actually help people and make things better.
The main area where people disagree is whether or not the meaningful use bar has been set too high to facilitate the accomplishment of these common goals. Those who argue for a high bar believe that lower standards will lead to watered down benefits. Those who argue for a lower bar believe that unachievable standards will lead to dramatically fewer providers making EHR adoption (and accompanying quality and efficiency) gains.
Mixed into all this are accusations from high-bar proponents that people who disagree with them are lazy whiners who should be focusing on meeting the standards rather than arguing against them, as well as suspicions from lower-bar proponents that advanced-EHR hospitals, systems, and provider groups have found a way to skim billions from the tax-payer trough for work that they have already done.
Let’s leave behind the name-calling and get meaningful! Continue reading...

Resource: Health Workforce Information Center
February marks the one year anniversary of the launch of the Health Workforce Information Center, a free online library of health workforce resources funded by the Health Resources and Services Administration (HRSA). If you haven't already made use of our website or reference services to find statistics, funding, program ideas, or other information, check out our website now at http://www.healthworkforceinfo.org/. If you already use HWIC and have found it to be a great resource, please let others know about us and link to our website.
Users of the HWIC website can now access over 10,000 resources on 57 topics, 94 professions, and all states. Since HWIC's launch, we have responded to user suggestions to add a number of new topics, professions, and features to our website.
New Topics and Professions
New Features


Resource: RAC's Networking and Collaboration Information Guide
Looking for network models, funds, or information? The Rural Assistance Center (RAC) Networking and Collaboration Information Guide provides information for organizations at all stages of the networking development process - from conceptualization to establishment. The following is a list of some of the topics covered in this online tool:
- FAQs: What are the incentives, barriers, and benefits to networking/collaboration?
- FAQs: What funding sources are available to rural communities seeking to form or further develop networks?
- Success Stories
- The Role of Leadership in Successful Networks
- and more...
Visit RAC's Networking and Collaboration Information Guide...

NRHA Policy Institute Wrap-Up
[From the NRHA]
NRHA would like to thank everyone who attended last week’s Policy Institute. We hope you enjoyed your time in DC and found the Policy Institute educational and empowering – it is your voice that makes a difference on Capitol Hill.
Stay involved in rural health advocacy by joining the NRHA Grassroots Health Reform Workgroup. Send a blank e-mail to join-grassroots@lists.wisc.edu to be added to the e-mail listserv and participate in weekly conference calls, receive health reform updates and take action as opportunities arise.
Speaker-provided Policy Institute presentations are available by clicking here.
If you have additional questions regarding rural health advocacy or other legislative or regulatory issues, please feel free to contact NRHA’s government affairs staff at 202-639-0550 or dc@nrharural.org. We’re always happy to discuss the issues in greater detail or follow up on any questions that came out of your Hill visits.
Finally, we’d like to again extend our thanks to our 2010 Policy Partners: Agrisafe, the National Association of Rural Health Clinics, the National Cooperative of Health Networks Association, the National Organization of State Offices of Rural Health, the National Rural Mental Health Association, and the National Rural Recruitment and Retention Network.
We hope to see you back in DC Jan. 24-26, 2011.

Just Released: 2010 edition of State of the States
Issued by the State Coverage Initiatives program at the Robert Wood Johnson Foundation, the 2010 edition of State of the States (48 pages, PDF) analyzes recent trends in healthcare costs and coverage; tells the story of how states were able to increase coverage rates for children after the reauthorization of the Children's Health Insurance Program; and looks at examples of states that stayed the course with their health policy reform efforts despite the failure of Congress to agree on comprehensive reform at the national level.

Sebelius, Solis Announce Nearly $1 Billion Recovery Act Investment in Advancing Use of Health IT, Training Workers for Health Jobs of the Future
Grant Awards to Help Make Health IT Available to Over 100,000 Health Providers by 2014, Support Tens of Thousands of Jobs Nationwide
WASHINGTON, DC - Health and Human Services Secretary Kathleen Sebelius and Labor Secretary Hilda Solis today announced a total of nearly $1 billion in Recovery Act awards to help health care providers advance the adoption and meaningful use of health information technology (IT) and train workers for the health care jobs of the future. The awards will help make health IT available to over 100,000 hospitals and primary care physicians by 2014 and train thousands of people for careers in health care and information technology. This Recovery Act investment will help grow the emerging health IT industry which is expected to support tens of thousands of jobs ranging from nurses and pharmacy techs to IT technicians and trainers.
The over $750 million in HHS grant awards Secretary Sebelius announced today are part of a federal initiative to build capacity to enable widespread meaningful use of health IT. This assistance at the state and regional level will facilitate health care providers' efforts to adopt and use electronic health records (EHRs) in a meaningful manner that has the potential to improve the quality and efficiency of health care for all Americans. Of the over $750 million investment, $386 million will go to 40 states and qualified State Designated Entities (SDEs) to facilitate health information exchange (HIE) at the state level, while $375 million will go to an initial 32 non-profit organizations to support the development of regional extension centers (RECs) that will aid health professionals as they work to implement and use health information technology - with additional HIE and REC awards to be announced in the near future. RECs are expected to provide outreach and support services to at least 100,000 primary care providers and hospitals within two years.
"Health information technology can make our health care system more efficient and improve the quality of care we all receive," said Secretary of Health and Human Services Kathleen Sebelius. "These grant awards, the first of their kind, will help develop our electronic infrastructure and give doctors and other health care providers the support they need as they adopt this powerful technology."
Continue reading the release...
Additional Resources
For information on ARRA Funds, see http://www.recovery.gov/ and http://www.rurdev.usda.gov/arra/recovery-program.htm.

Free Program Helps Eligible Uninsured Americans Save on Prescription Medicines
As the economy struggles, those without insurance are finding it increasingly difficult to stay healthy. In fact, recent studies have found that consumers are cutting back on medical care to pay for more immediate needs.
Fortunately, resources are available that can help uninsured individuals save on their prescriptions – without sacrificing their family’s well being.
Rx Help for Uninsured Individuals
One free program, Together Rx Access, sponsored by many of the nation’s leading pharmaceutical companies, provides eligible individuals and families with immediate and meaningful savings on prescription products right at their neighborhood pharmacies.
Individuals may be eligible for the Together Rx Access® Card if they do not qualify for Medicare, do not have public or private prescription drug coverage, and have a household income of up to $45,000 for a single person to $90,000 for a family of four (income eligibility is adjusted for family size).
Most Together Rx Access cardholders save 25 to 40 percent* on hundreds of brand-name prescription products. Savings are also available on thousands of generics. The Together Rx Access Card is free to get and free to use. Cardholders simply bring the Card to their neighborhood pharmacist along with their prescription, and the savings are calculated right at the pharmacy counter.
The Together Rx Access Card is accepted at the majority of pharmacies nationwide and in Puerto Rico. Cardholders simply bring the Card to their neighborhood pharmacist along with their prescription, and the savings are calculated right at the pharmacy counter. There are no enrollment costs, monthly dues or hidden fees.
Quick and Easy Enrollment
Together Rx Access offers potential cardholders three easy ways to enroll. And, no documentation is required.
- Visit TogetherRxAccess.com to instantly enroll online.
- Call the toll-free phone number 1-800-250-2839.
- Complete a short paper application and return it by mail
All enrollment materials and the Together Rx Access website are available in English and Spanish. A Together Rx Access quick start savings card is also available. Potential enrollees simply call a toll-free number to find out if they are eligible, enroll, and instantly activate their Card.
Help Spread the Word
As trusted sources of information, health directors are encouraged to share information about Together Rx Access and other available prescription resources with their colleagues, and other healthcare professionals. Health directors can direct individuals to the Together Rx Access website, TogetherRxAccess.com, for more information, or recommend they order enrollment materials for distribution to eligible patients. Materials are available at www.togetherrxaccess.com.
For more information, visit TogetherRxAccess.com or call 1-800-250-2839.
*Each cardholder's savings depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased. Participating companies independently set the level of savings offered and the products included in the program. Those decisions are subject to change.

ORHP Announces Funding Opportunity
The Health Resources and Services Administration/Office of Rural Health Policy announces the following funding opportunity:
Delta States Rural Development Network Program HRSA-10-040 - The purpose of the Delta States Rural Development Network Grant Program (Delta) is to fund organizations located in the Delta States which address unmet local health care needs and prevalent health disparities through the development of new and innovative projects. Eligible organizations must be rural public or private entities located within an eligible rural Delta county/parish with one of the following Delta States: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri and Tennessee. To download the application package, please visit: www.grants.gov, Find Grant Opportunities, Basic Search and type in HRSA-10-040 as the Funding Opportunity Number.
A pre-application technical assistance call will be held on March 11 at 3 p.m. EST.
Call in number: (866) 556-4268
Participant pass code: 4387640
Contact: Valerie Darden, Delta Program Coordinator
Ph: 301-443-0837
Email: vdarden@hrsa.gov

Small Health Care Provider Quality Improvement Grant Program: Due March 15, 2010
A call for applicants interested in applying for the Small Health Care Provider Quality Improvement Grant was held on February 11, 2010. The toll-free number for the replay this call is will be available until March 11,2010. Interested parties may call 1-800-938-1164.
The purpose of the Grant Program is to improve patient care and chronic disease outcomes by assisting rural primary care providers (e.g., critical access hospitals, rural health clinics, FQHCs, tribal organizations etc.) with the implementation of quality improvement (QI) initiatives using the Chronic Care Model and electronic patient registries (EPR).
To access the grant guidance for this program visit: http://www.grants.gov/. Find Grant Opportunities and do a Basic Search by typing in the CFDA number: 93.912 or the Announcement Number: HRSA-10-045. The deadline to submit an application is March 15th, 2010.
Visit HRSA/ORHP for more information.

HRSA: Equipment to Enhance Training for Health Professionals (EETHP) Initiative
The Health Resources and Services Administration, Bureau of Health Professions is pleased to announce American Recovery and Reinvestment Act (ARRA) funding opportunities for the Equipment to Enhance Training for Health Professionals (EETHP) Initiative. This initiative, which includes multiple programs, provides grant funds for the purchase of health professions training equipment. This is a great opportunity for rural communities, AHECs and other rural programs to purchase health professions training equipment to both increase the number of skilled health workforce professionals in rural practice and strengthen the capacity for health professions education in rural communities.
There are 21 health professions training programs from Titles III, VII and VIII of the Public Health Service Act that comprise this initiative. Each program has limited eligible activities, which are described in the respective announcement. Several of the programs have a preference for rural providers, as explained in the individual program guidances.
You may access the HRSA Funding Opportunities Web site at http://www.hrsa.gov/grants/default.htm and www.grants.gov for additional information and application instructions.
For your convenience, the HRSA website http://bhpr.hrsa.gov/recovery/ contains a comprehensive list of frequently asked questions and answers and website links. If further technical assistance is needed, contact information is located in the “Agency Contacts” section of each program’s guidance.
The application process is divided into two phases for EETHP grants with two deadlines:
Applicants must complete Phase I of the application process in order to move on to Phase II. Applicants are encouraged to ensure that they register for both sites (if not already registered) and submit applications early.
Questions for registering and submitting to Grants.gov should be directed to the grants.gov contact center: 1-800-518-4726.
Questions for registering and submitting to HRSA EHB’s should be directed to the HRSA Call Center: 877-464-4772.
Prospective applicants may register at http://www.grants.gov/applicants/email_subscription.jsp to receive email notifications for other HRSA funding opportunities.
Technical Assistance Calls will take place:
- Friday, March 12th at 2 pm
- Monday, March 15th at 3 pm
- Wednesday, March 17th at 10 am
The telephone number is the same for each call.
Dial 888-942-9566, and use pass code 8511769

Quick Links: Grants and Funding Opportunities

|