JULY 2016 LORHN Edition             
IN THIS ISSUE
Impact of the Affordable Care Act Coverage Expansion on Rural Populations
The Cost of Chronic Disease
Unique Health Challenges of Rural Children: Pediatric Hospital Admissions
The 2016 Commonwealth Fund Scorecard on Local Health System Performance
What Works? Strategies to Improve Rural Health
Integrating Community Health Workers into Primary Care Practice
AND Funding/Awards, Webinars, Rural Resources and Research
Rural Affordable Care Act Coverage Increasing
According to the U.S. Department of Health and Human Services, rural Americans are gaining health insurance coverage through the Affordable Care Act at rates outpacing urban counterparts. From before the first open enrollment period, through early 2015, rural individuals have had about an 8% coverage gain under the ACA, and those who reported being unable to afford needed care declined by nearly 6%. See Issue Brief here
The Cost of Chronic Disease
More than 190 million Americans, about 59% of the population, are affected by chronic disease. At this rate, those with three or more chronic diseases is expected to increase to 83 million by 2030, with overall national costs accumulated to more than $42 trillion. In Florida, more than 1 in 2 adults has at least one chronic condition, such as diabetes, heart disease, or depression, and nearly 1 in 3 have two or more chronic conditions. The percentage of Florida's children with chronic health conditions has risen dramatically, with childhood obesity rates alone more than tripled since the 1970s. Review Florida Report here
Rural Children Face Unique Health Challenges
This study reinforces that the delivery of high-quality care to children living in rural areas can be challenging. Researchers assessed characteristics and hospitalizations of rural children admitted to U.S. children’s hospitals in 2012, and conclude their information may be useful as providers strive to integrate with surrounding local and regional care areas, and in ameliorating disparities in health and quality of care between rural and nonrural children, especially those with complex medical needs. Review Research here
Scorecard on Local Health System Performance
The 2016 Commonwealth Fund’s Scorecard on Local Health System Performance assesses the state of health care in more than 300 U.S. communities from 2011 through 2014, a period when the Affordable Care Act was being implemented across the country. Utilizing 36 measures, the Scorecard shows many U.S. communities experienced improvements: fewer uninsured residents, better quality of care, more efficient use of hospitals, fewer deaths from treatable cancers, among other gains. However, widespread differences between certain areas continue to persist. Review  here
Strategies to Improve Rural Health
The 2016 County Health Rankings include differences in health between rural and urban counties, finding that rural counties have had the highest rates of premature death for many years, lagging far behind other counties. While urban counties continue to show improvement, overall rates of premature death are worsening in rural counties, with nearly one in five rural counties experiencing worsening premature death rates over the past decade. The 2016 report includes key steps toward building healthy communities and improving health in rural areas  here  
Community Health Worker in Primary Care 
“Integrating Community Health Workers (CHWs) into Primary Care Practice” shares insights from the National Health Care for the Homeless Council’s three-year demonstration project funded by the Center for Medicare and Medicaid Innovation to measure the impact of integrating CHWs into Health Care for the Homeless (HCH) clinical practice. The project demonstrated the significant impact that CHWs can have on the lives of people experiencing homelessness while assessing best practices. Review the Guide here

FUNDING, AWARDS & SCHOLARSHIPS
If featured opportunities have been helpful, let us know here...!

 
SOURCES for OPEN FUNDING OPPORTUNITIES
SAMHSA
 Substance Abuse & Mental Health Services Administration grant and award announcements  here
'Available Funding' 
Searchable database of funds, grants for healthy food access projects here
RHI Hub (formerly Rural Assistance Center) 
Posts funding opportunities by type, topic, state here
HRSA All Open Opportunities Grants to improve and expand health care services for underserved people  here
All Federal Grants Search Government grants by key word, funding opportunity number, category, agency  here
National Academy for State Health Policy
here
Bank of America Charitable Foundation
Foundation's 2016 RFP addresses immediate needs, and long-term solutions for economic self-sufficiency. Basic needs application due August 5. Guidelines  here
Lost Tree Village Charitable Foundation
Funds health and human service nonprofits within its geographic giving area, with consideration of projects with demonstrated strong community needs, clearly defined objectives, with strategic plans for implementation. Grants typically range $5,000-100,000, primarily for capital needs. LOI due August 15. Guidelines here 
Lowe’s Charitable and Educational Foundation
Toolbox for Education Program grants $2,000-$5,000 to public U.S. K-12 schools and associated parent-teacher groups, with preference for projects with permanent impact to the facility, landscaping, cleanup. Due September 26. Guidelines  here
Allegany Franciscan Ministries Grants
Allegany Franciscan Ministries opened their 2016 Major and Tau Grants' processes in specific regions, to positively impact health within its communities and improve access to health care and information for vulnerable, marginalized, underserved persons. See Grant Programs  here

Let's Get Grant-Ready!
Invite LORHN to your grant-writing 'table' to:
• locate and match potential funding sources, fiscal agents, partners • research best-practices & predictive models tailored to local need • develop results-based strategies, program activities, and outcomes/impacts.

Did You Know?
• Nearly one-third (31.7%) of all rural counties had 20% or more of their population living in poverty by 2010, versus 15.3% of urban counties.
• Poverty was regionally concentrated in the South by 2010, with 44.9% of all counties
having 20% or more 'in poverty'.
Rural counties also experienced a growth in the over 65 population.
• By 2010, 40% of remote rural counties experienced a concentration of older residents.
Full Report
Webinar
Assessing Benefits and Harms of Opioid Therapy for Chronic Pain
August 3rd, 2:00 pm ET
call-in link

Webinar
Medicare Diabetes Prevention
August 9th, Noon ET
16 intensive “core” sessions.
register
Ctrs. for Medicare/Medicaid Svcs. 
Webinar
Geographic Variation in Health Insurance Marketplaces: Rural and Urban Trends in ... 2016
August 9th, 1:00 pm ET
register
Webinar
Exploring Community-Wide Interventions That Have Health Impact in 5 (HI-5) Years
August 9th, 2:00 pm ET
register
Webinar
12 Essential Steps to Building a Telemedicine Program
August 17th, 3:00 pm ET
register
Research
Telehealth: Mapping the Evidence for Patient Outcomes
From Systematic 
Reviews

here

Infographic
Impact of Chronic Disease on Florida
here
  FightChronicDisease.org
Resource
The Journal of Rural Health
here
Findings Brief
Does ACA Insurance Coverage Expansion Improve the Financial Performance of Rural Hospitals?
here
StellarEd Solutions
Suwannee River AHEC
Online portal for professional education.
CE/CME credits available
click to view
Agency for Healthcare Research & Quality
CME/CE activities & presentations from patient centered outcomes research. 
click to view
Florida Kidcare
Kids Oughta be Covered!
Applications accepted year round for ALL qualified Florida children. 
click to apply!
Enroll America/Get Covered America
Connects to resources and information about health insurance options.
Digital Interest Card
Community Meetings 
Martin County InterAgency Coalition
NO AUGUST Mtg.
2nd Wednesdays, 8:30 am
CSC/Martin Cty., Stuart 
Indiantown InterAgency Coalition 
2nd Thursdays, 8:30 am
Seminole Inn, Indiantown
Glades P.A.T.C.H.

3rd Tuesdays, 9:00 am
Glades Initiative, Belle Glade
Glades Interagency Network
NO AUGUST Mtg.
3rd Tuesdays, 11:00 am
West Tech, Belle Glade 
Shared Services Network of Okeechobee
4th Tuesdays, 10:00 am
School Board Office, Okeechobee
Family Services Network Meeting
            NO AUGUST Mtg.          
1st Wednesdays bimonthly, 8:30 am,  RCMA Krome Center, 551 W. Cowboy Way, LaBelle
LORHN Board of Directors
Chair

Jacqueline Lobban-Marsan
Vice Chair
Dr. Michael Gervasi
Treasurer
R. D. Williams

Secretary
Ellen Geake
Past Chair
Traci Owens
Sandra Chamblee
Tiffany Collins

Darcy Davis
Gregory J. Finer
Karlette Peck
Dr. Joseph Pepe

Diane L. Walker
Executive Director
Andrea Stephenson