MARCH 2016 LORHN Edition             

Rural Impact County Challenge
At NACo’s 2016 Legislative Conference, U.S. Secretary of Agriculture Tom Vilsack asked counties nationwide to commit to reducing rural childhood poverty. He announced the Rural Impact County Challenge at the White House Rural Council’s Poverty Summit, on February 23th. The challenge is for at least 100 counties to pass resolutions by Summer, to prioritize reducing rural child poverty and to develop or fine tune ' actionable plans' to address rural needs. See Rural Impact Challenge here
Community Eligibility Provision
Forty-three percent of families who meet income eligibility guidelines do not participate in child rural poverty nutrition programs. Per the USDA Food and Nutrition Service, opportunities exist to improve rural children’s access to nutritious foods, one being the Community Eligibility Provision (CEP). Under the Healthy Hunger-Free Kids Act, all students in high poverty areas may participate in their school's meal program, without a household application, removing the stigma that may discourage participation. Review CEP  here
Mapping Medicare Disparities
Chronic diseases pose a significant problem in the U.S., resulting in substantial morbidity, mortality, disability and cost. CMS Office of Minority Health has designed an interactive map to identify areas of disparities between subgroups of Medicare beneficiaries (e.g. racial and ethnic groups) in health outcomes, utilization and spending. It is offered to inform policy decisions and target populations for potential interventions. Medicare Disparities Tool  here
2016 County Health Rankings Report
Now in its 7th year, the County Health Rankings continues to offer data and key findings re: how health varies across rural and urban counties, how health gaps among counties differ by state, and measures of each county's health.  Key Findings indicates that premature death rates are worsening in rural counties, while urban rates continue to improve. As well, state averages for factors that influence health mask significant gaps in health that exist between the counties, within each state. Download the 2016 Key Findings Report here
Tackling Food Insecurity to Improve Health
The Public Health Institute (PHI) is conducting a study to identify promising practices in health care to address food insecurity to improve health. They wish to identify hospitals, health care systems, community groups working with health care entities targeting food insecure individuals with chronic disease through any type of screening tool and/or addressing needs of food insecure patients within a hospital environment, or its greater community. Nominated entities may be recognized as leaders in addressing food security as a health issue. Nominate  here!
Smoking Prevention: A Public Health Concern
According to the 2014 National Survey on Drug Use and Health (NSDUH), about 1 in 30 (3.4%) children ages 14-15 and 1 in 10 ages 16-17 (10.2%) had recently smoked cigarettes. Per research, the earlier people begin to smoke cigarettes, the less likely they are to quit, emphasizing the need to educate youth on the risks of smoking before they begin. A Public Health Institute video features owners of independent grocery store chains who refuse to sell electronic smoking devices, alcopops, and highlights techniques used to entice children to purchase unhealthy items. Video access  here
Florida Healthy Kids' 2015 Report
Florida is reported to have one of the greatest declines in the nation in the number of uninsured children from 2013 to 2014. From 2008 to 2014, Florida's uninsured children dropped by 289,771. The  Healthy Kids' 2015 Annual Report, recently released, states 377,987 children remained uninsured in 2014, with Florida one of 13 states with an uninsured rate higher than the national. See the Report & Healthy Kids' Strategic Objectives here
Exploring Rural and Urban Mortality Differences
Examines the impact of rurality on mortality and explores regional differences in mortality rates. The study drew upon data from the National Vital Statistics System (NVSS), and builds off of the recently developed 2014 Update of the Rural-Urban Chartbook, which examined health status by level of rurality, gender and region. Access here
 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

If featured opportunities have been helpful, let us know here...!

Action for Healthy Kids School Grants
Combats childhood obesity, undernourishment and physical inactivity via School Breakfast Grants ($500-$5,000) that support increased breakfast participation and  Game On Grants ($500-$2,500) which promote physical activity and nutrition initiatives. Deadline April 1.Guidelines  here
Weyerhaeuser Family Foundation
The Foundation’s Children's Initiative provides support to direct service programs throughout the U.S. that create and promote stability, resilience and healing for children who have witnessed domestic violence. Grants range $15,000-$40,000 for evidence-based and innovative approaches. Letter of Inquiry Deadline April 1. Guidelines  here
HRSA Telehealth Network Grant Program
To demonstrate how telehealth networks expand access to, coordinate and improve health care services, training of health care providers and/or quality of health information available to health care providers and patients. SBHCs encouraged to provide telehealth for rural children re: asthma, obesity reduction/prevention, behavioral health, diabetes, oral health. Deadline April 8. Opportunity  here

Innovations in Rural Health Award
The Kate B. Reynolds Charitable Trust will make awards to finalists of $7,500 and one New Rural Award of $25,000 for innovation in rural health care. Applicants judged on ability to address difficult issues of prevention and treatment, transferability to other rural areas, potential for impact, etc. Individuals, for-profits, nonprofits and goverment agencies may apply. Deadline April 29Application  here

Aetna Foundation 2016 Grant Program
The Cultivating Healthy Communities program will support projects that benefit underserved, low-income and minority communities, that address social determinants of health and participants’ physical, mental, social, emotional well-being. Applicants may request an amount of $50,000 or $100,000 for a project period of 18-24 months. Stage 1 Applications due April 15Criteria & Guidelines here

TIGER Discretionary Grants
The 2016 TIGER grant program will focus on capital projects and innovative projects that generate economic development and improve access to reliable, safe and affordable transportation for communities, both urban and rural. Deadline April 29. Announcement here
Mary Kay Foundation DV Shelter Grant Program
The Foundation awards a grant to at least one domestic violence shelter in every state that applies. Any remaining funds are distributed based on state population. Deadline April 30. Submit  here
Voya Unsung Heroes™ Awards
U.S. educators selected to receive $2,000 to fund innovative class projects that improve student learning. Three receive top awards of an additional $5,000, $10,000 & $25,000. See eligibility requirements. Deadline April 30. Application  here
The Brookdale Foundation Group
The National Group Respite Program supports community-based efforts to develop new social model group respite and early memory loss programs. Selected nonprofits and/or public agencies will receive grants of $10,000 in year one. Deadline July 7Guidelines here 
Rural Scholarships Obstetrical Simulation Course
Courses at Ctr. for Advanced Medical Learning and Simulation, to develop an understanding of high risk, low frequency obstetrical emergencies. Scholarships available to Family Practice/Family Medicine physicians, Certified Nurse-Midwives (CNMs) and Licensed Midwives serving rural populations in southeast U.S. Announcement  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 70% of the nation's counties are rural, a combined population of nearly 40 Million
■Rural counties consistently have a much higher incidence of child poverty than urban
■In 1980, 36% of all U.S. counties had at least 20% of children in poverty. By 2010 that number grew to 58%
■In 2010, approximately 2/3 of rural counties had high child poverty compared to about half of urban counties
Currently, rural counties account for 85% of counties in persistent poverty

2016 County Health Rankings & Roadmaps 
April 5, 2016 3:00 pm ET 
Tour 2016 County Health Rankings website.
Robert Wood Johnson Fdtn.
Addressing Family Homelessness in Cleveland
April 12, 2016 1:00 PM ET 
Overview of homeless system: diversion, rapid re-housing, progressive engagement.
Nat'l Alliance to End Homelessness
Education: Why It Matters, Strategies for Making It Work and Solutions for Consideration 
April 14, 2016 1:00 PM ET 
FL Rural Health Association & HomeTown Health University
Surgeon General's Call to Action - Walking as a Practice
April 14, 2016 3:00 pm ET

Call to action for 'Walkable Communities'.
America Walks
Collaboration is Key: Addressing Hunger as a Health Issue
April 20, 2016 2:00 PM ET

Hunger, food insecurity and poor health are serious largely preventable health threats.
Hospitals in Pursuit of Excellence
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
Policy Brief
Rural Public Health 
February 2016
Value of rural public health services.
National Rural Health Association
Policy Brief
Medicare Costs and Utilization Among Beneficiaries in
Rural Areas
March 2016
Rural beneficiaries’ service utilization and delivery market structure, and rural costs.
U of M Rural Hlth. Research Ctr.
Making High-Poverty Schools Hunger Free 
Community Eligibility to ensure children in high-poverty areas have access to school meals.

Spring 2016
Award-winning quarterly magazine featuring articles specific to rural health care.
National Rural Health Association

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
Local Conference
12th Annual CFAR HIV Symposium
April 8, 2016
Coral Gables, FL

Overview: State of the Field
Miami CFAR, UM HIV/AIDS Institute, So FL SE AIDS Education & Training Ctr.
Rural Summit
Florida Rural Health Association
April 28 & 29, 2016
St. Petersburg, FL

FRHA's 22nd Annual Rural Health Educational Summit
Rural Conference
39th Annual Rural Health Conference
May 10-13, 2016
Minneapolis, Minnesota
Nation's largest rural health conference.
National Rural Health Association
Community Meetings 
Martin County InterAgency Coalition
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
3rd Tuesdays, 11:00 am
West Tech, Belle Glade 
Shared Services Network of Okeechobee

4th Tuesdays, 10:00 am
School Board Office, Okeechobee
Hendry Glades Community Resource
3rd Tuesdays bimonthly, Noon,  Hendry Regional M edical Center, Clewiston
Family Services Network Meeting
1st Wednesdays bimonthly, 8:30 am,  RCMA Krome Center, 551 W. Cowboy Way, LaBelle
LORHN Board of Directors

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

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