July 2017
Rural Health Newsletter
In This Issue:                                                                       
  • Rural Health Report, Research From Georgetown University
  • American Telemedicine Association: State Telemedicine Gaps Analysis
  • Summary of the Top 10 Advances in Healthcare 2017 According to ECRI
  • Hendry Regional Medical Center (HRMC) Opens New Medical & Physical Therapy Building
  • 3D Printed Medical Devices, Drugs, and Tissue-on-a-chip
  • Chronic Care Management 2017 CCM Codes
  • Community Meetings
  • Funding Opportunities
  • Conferences/Webinars

Rural Health Report
Georgetown University, Health Policy Institute 

Georgetown University Health Policy Institute's research: Medicaid in Small Towns and Rural America: A Lifeline for Children, Families, and Communities, June 6, 2017, is available here

Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2014/2015. 

Okeechobee County:      64%  (6,090)
Glades County:               63%  (1,600)
Hendry County:               61%  (6,750)
Palm Beach County:       41%  (116,570)
Martin County:                35%   (9,470)

Percent of Uninsured Children in Small Towns and Rural Areas, by County 2014/2015.

Hendry Regional Medical Center (HRMC)
Medical & Physical Therapy Building

Hendry Regional Medical Center in Clewiston, Florida opened a new medical and physical therapy  building.  The new building is 7,300 square feet, with 4,300 square feet dedicated to physical therapy, occupational therapy, and speech therapy services. The brand new facility is located in Clewiston at 525 West Sagamore Avenue.

The orthopedic offices of Dr. Stephen A. Purvis, DO, is also located in the new facility and an additional medical office has been designated for future expansion.

”Hendry Regional Medical Center is pleased to be opening a new facility in Clewiston to allow us to better serve the residents of Hendry and Glades Counties” stated R.D. Williams, Chief Executive Officer.

The $1.9 million project started construction in November 2016. The HRMC Foundation worked tirelessly over 3 years to raise over $900,000 for the construction of the new medical office building.

The HRMC Foundation WISH group (Woman Involved in Supporting the Hospital) raised an additional $61,000 funding the equipment and furnishings for the facility. All funds were raised through the generosity of the local community.

Hendry Regional Rehabilitative Services offers therapy programs customized for your unique physical capabilities and challenges. Staff provides hands-on, compassionate care designed to evaluate and treat problems affecting mobility and function. Offices are open Monday through Friday from 8:00 a.m. to 4:30 p.m. Residents can schedule an appointment today at the new Clewiston location by calling 863-983-0100.

For more information, contact

Electa Waddell
Marketing/Foundation Director


About Hendry Regional Medical Center: Hendry Regional Medical Center is a 25-bed critical access hospital that incorporates modern technology with state-of-the-art medical staff to care for its patients. Hendry Regional Medical Center's mission is "to excel in quality, compassion, and innovation to make our community healthier."

Rural Health Care Leadership Conference
Feb 4-7, 2018

Phoenix, AZ

Florida Conferences

Jul 16 - 19, 2017
St. Petersburg, FL
Topics include: Strategies to Respond to the Opioid Crisis, Improving Access to Care for the Immigration Population, Telemedicine: Ways to Make it Work, Expanding your Medicare Market Share, 340B Federal State Update, Current Strategies For FTCA Compliance, Public Housing Opportunities for FQHC Expansion, Pharmacy Roundtable and much more. 

2017 Annual Florida Conference on Aging
Aug 28 - 30, 2017
Orlando, FL
Topics include: Medical Non-adherence in the Elderly, LGBT Elder Cultural Competency Training, Alzheimer’s Disease: Discovery, Development and Current Research, Tips on Ensuring Seniors Get Awarded Their Maximum SNAP Benefit, Results and Application of Findings from the 2016 Needs Assessment Survey, Social Security Program Updates, Policy: 2017 Florida Legislature, Best Practices in Senior Center Programming, YIKES! You Want Me to Evaluate My Senior Center? Senior Hunger and Nutrition for Older Adults and much more. 

2017 International Summit
Florida A&M University, Energy Water Food Nexus

Sep 21 - 22, 2017
Orlando, FL
The focus of this summit will be Global Access to Safe Water. This problem is not restricted to developing countries of the world; it is also a rural America problem as in Flint, Michigan, and as in many other rural communities in America that still depend on unregulated private wells and contaminated surface water for their water needs.

Funding Opportunities

Targeted Capacity Expansion: Medication Assisted Treatment - Prescription Drug and Opioid Addiction (MAT-PDOA) (Florida)
Provides funds for state agencies to expand or enhance access to medication assisted treatment services for individuals with opioid use disorder in states with the highest rates of treatment admissions for heroin and opioids per capita.
Geographic coverage: 17 states with the highest rates of treatment admissions for heroin and opioids per capita
Application Deadline: Jul 31, 2017
Sponsor: Substance Abuse and Mental Health Services Administration

Health Impact Project (FL: Glades, Hendry, and Okeechobee Counties)
Grants to support the use of health impact assessment to improve local health outcomes and to build the capacity of organizations to conduct health impact assessments to bring both health evidence and community voice to decisions made in sectors outside of healthcare.

Geographic coverage: Alabama, Arkansas, California, Florida, Georgia, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, South Carolina, Tennessee, Texas, and West Virginia
Application Deadline: Sep 15, 2017
Sponsor: Pew Charitable Trusts

Wells Fargo Corporate Giving Programs (FL: Martin County)
Funding for nonprofit organizations in the areas of community development, education, human services, arts and culture, civic responsibility, housing, and environmental consciousness.
Geographic coverage: Available in 44 States.
Applications accepted on an ongoing basis
Sponsor: Wells Fargo

Ronald McDonald House Charities (RMHC) of SW Florida (FL: Lee, Charlotte, Collier, Glades and Hendry Counites)
RMHC of Southwest Florida utilizes matching funds to financially assist qualified children’s charities in Lee, Charlotte, Collier, Glades and Hendry counties. Call Leanna Gonzalez at 239-437-0202 for more information.  


Substance Abuse & Mental Health Services Administration grant and award announcements.
Healthy Food Access Portal
Searchable database of funds, grants for healthy food access projects.

Posts funding opportunities by type, topic, and state.

Grants to improve and expand health care services for underserved people.

All Federal Grants Search
Government grants by key word, funding opportunity number, category, and agency.



Driving Individual and Population Health Improvements Using Data Analytics
Date: Thursday, August 10, 2017

Time: 2 p.m. CT
How do you ask the right questions and use your hospital’s data to drive strategy, systems change, risk assessment, and improved healthcare outcomes in rural communities? 

A Focus on Suicide Prevention in Rural Communities
Date: Wednesday, Aug 16, 2017
Time: 3:00 pm - 4:00 pm Eastern Time
By: Rural Behavioral Health Webinar Series 2017
SAMHA sponsored virtual event

Empowering a Rural Community to Create a Culture of Health: The Integrated Model of Hearts Beat Back
September 7, 2017

2 p.m. CT
Creating a culture of health requires multiple sectors to partner and align core values and strategy. Accomplishments, lessons, measurable outcomes and integrated model of Hearts Beat Back: The Heart of New Ulm Project, a 10-year rural population health research demonstration project started in 2009.


Community-Based Health Literacy Interventions: A Workshop

Date: July 19, 2017
Time: 9:00 am Eastern Time
Where: Live Streamed Webcast, National Academy of Sciences Building, Washington DC
The Roundtable on Health Literacy will host a one-day public workshop that will feature moderated panels, invited presentations, and discussions of community-based health literacy interventions. Potential areas of focus include the range of community-based health literacy interventions that currently exist, research related to community-based health literacy interventions, and best practices in community-based health literacy interventions. 


American Telemedicine Association:
State Telemedicine Gaps Analysis
(Coverage and Reimbursement)

The state telemedicine gap analysis indicated that Florida had no parity legislation introduced in 2016.

However, progress has been made in Florida. "FL added coverage of telemedicine to its Medicaid state plan amendment."


"FL finalized regulations to remove restrictions
and expand coverage under Medicaid."

Summary of the Top 10 Healthcare Technology Advances for 2017, According to ECRI

The complete article  Top 10 Healthcare Technology Advances for 2017, according to ECRI can be accessed here. (Below is an abbreviated summary of the article with highlights only).

1. Liquid biopsies. The FDA approved the first liquid biopsy for cancer in June 2016.

2. Genetic testing and biosensors (worn like wristwatches) for opioid addiction. 

3. Abdominal surgery initiative. Web-based algorithms combat poor outcomes.

4. Horizon scanners. A leader in an organization who uses methodology to provide a useful view of emerging technologies.

5. Ultraviolet-C LEDs for disinfection. Low power usage LEDs disinfect hard to reach areas.

6. AI. The humanoid robot, Pepper, can interpret human body language and read emotion to respond accordingly to the user, evolving as it learns the person. 

7. Robotic surgery. The latest surgical robot model boasts four robotic arms attached overhead that can be repositioned without the need to undock the robot. 

8. Florescent endoscopic imaging. Indocyanine green imaging highlights malignant tissue during an endoscopy that is normally undetectable under regular light; 

9. Immunotherapy and stem cell therapy for Crohn's disease. 

10. Type 1 diabetes vaccines. The second phase of the study is underway and will be completed in five years. 

3D Printed Medical Devices, Drugs, and Tissue-on-a-chip.

The article  3D Printing in Health Care by Charles Wright describes various 3D health care printing applications including medical devices, hip joints, custom surgical devices, dental crowns, and invisalign braces. Additionally, the FDA approved 3D printed epilepsy drug, Spritam, is now on the market and Harvard researchers have printed 3D human heart tissue on a chip with integrated sensors.

Find out more about 3D printers in hospitals, and read the 3D printer buying guide for schools and businesses. 

Chronic Care Managment
2017 CCM Codes

The Centers for Medicare & Medicaid Services (CMS) has adopted separately billable codes to improve payment and access to chronic care management (CCM) services for Medicare beneficiaries with two or more serious chronic conditions.
Health care professionals have an opportunity to be separately paid for important services while improving your Medicare patients’ self-management, health outcomes, and patient satisfaction.

By using the CCM codes below, your practice can be separately reimbursed for important care management services that it provides to Medicare Fee-For-Service patients with two or more chronic conditions.
CPT 99490
CPT 99487
CPT 99489
Your patients will gain a team of dedicated health care professionals who can help them plan for better health and stay on track. Services such as monthly check-ins and ready access to their care team can help them connect the dots and improve their care coordination.


Health Insurance Resources

Resources and Information about health insurance options:  Enroll America
Get Covered America

Free or low-cost health insurance for children who qualify up to age 19. 
Florida KidCare

Community Meetings
Martin County InterAgency Coalition
2nd Wednesday of each month
0 am - 10:00 am

Children’s Services Council
101 SE Central Parkway,
Stuart, FL 34994 
Green building to the left of the Unity Church entrance. 

Indiantown InterAgency Coalition
2nd Thursday of each month
8:30 am

Seminole Inn, Indiantown, FL

Glades P.A.T.C.H.
3rd Tuesday of each month
9:00 am
Glades Initiative, Belle Glade

Board Of Directors


Jacqueline Lobban-Marsan, MPA

Vice Chair
Michael Gervasi, MD

R. D. Williams

Ellen Geake

Past Chair
Traci Owens

Sandra Chamblee
Tiffany Collins, MSA
Gregory J. Finer
Karlette Peck
Joseph Pepe, Ed.D
Diane L. Walker

Executive Director
Andrea Stephenson-Royster, MBA, MHS