Rural Health Grant Opportunities Jerry Coopey, MPH Office of Rural Health Policy Health Resources and Services Administration U.S. Department of Health.

Rural HealthRural HealthGrant OpportunitiesGrant Opportunities

Jerry Coopey, MPHJerry Coopey, MPHOffice of Rural Health PolicyOffice of Rural Health Policy

Health Resources and Services Health Resources and Services AdministrationAdministration

U.S. Department of Health and Human U.S. Department of Health and Human ServicesServices

Indiana Rural Health AssociationIndiana Rural Health AssociationJanuary 9, 2008January 9, 2008

About the Office of About the Office of Rural Health Policy (ORHP)Rural Health Policy (ORHP)

Created in 1987 by Congress to help Created in 1987 by Congress to help address rural health problemsaddress rural health problems

Advises the Secretary and the DHHS on Advises the Secretary and the DHHS on rural issues.rural issues.

Administers grant programs, makes Administers grant programs, makes policy recommendations, and supports policy recommendations, and supports researchresearch

Monitor regulations and their impact on Monitor regulations and their impact on rural providers (Medicare/aid, SCHIP)rural providers (Medicare/aid, SCHIP)

ORHP StaffORHP Staff

Priorities for 2007Priorities for 2007

Performance/Performance/Quality Quality ImprovementImprovement

Health Information Health Information TechnologyTechnology

Mental HealthMental Health Oral HealthOral Health

HRSA Headquarters,Rockville, MD

ORHP Budget FY 08ORHP Budget FY 08

Rural Health Outreach                         $48.0 MRural Health Outreach                         $48.0 M Denali (AK) Project                              $38.6 MDenali (AK) Project                              $38.6 M Delta Health Initiative                         $24.6 MDelta Health Initiative                         $24.6 M Rural Hospital Flexibility                     $24.0 MRural Hospital Flexibility                     $24.0 M Small Hospital Improvement              $14.0MSmall Hospital Improvement              $14.0M Rural Health Research and Policy        $8.6 MRural Health Research and Policy        $8.6 M State Offices of Rural Health                $8.0 MState Offices of Rural Health                $8.0 M Black Lung Program                              $5.8 MBlack Lung Program                              $5.8 M Radiogenic Diseases                              $1.9 MRadiogenic Diseases                              $1.9 M Access to Emergency Devices               $1.5 MAccess to Emergency Devices               $1.5 M Earmarks                                                $????Earmarks                                                $???? TOTAL                                     $175.0M  TOTAL                                     $175.0M  

Health Information Health Information TechnologyTechnology

National Advisory National Advisory Committee Report ChapterCommittee Report Chapter

Collaboration with the Collaboration with the Agency for Healthcare Agency for Healthcare Research and QualityResearch and Quality

Collaboration with HRSA Collaboration with HRSA OHIT and OATOHIT and OAT

Lessons Learned from 2006 Lessons Learned from 2006 ORHP’s Rural HIT MeetingORHP’s Rural HIT MeetingA physician in a CAH that

uses the VA Electronic Medical Record system

CAH HIT GrantsCAH HIT Grants

$24 million$24 million 16 awards 16 awards Indiana - $1.6MIndiana - $1.6M Support the development of one Support the development of one

CAH-HIT Network pilot program in a CAH-HIT Network pilot program in a State Flex programState Flex program

Rural Health Information Rural Health Information TechnologyTechnology

New USDA Initiative on New USDA Initiative on Electronic Medical Electronic Medical RecordsRecords Combines grant and loan Combines grant and loan

funding (20:80) @ 5%funding (20:80) @ 5% Can apply up to one month Can apply up to one month

before end of FYbefore end of FY $50K up to $1 million$50K up to $1 million

http://www.usda.gov/rus/telecom/dlt/dlt.htm

Also continuing their annual grants and Also continuing their annual grants and loans for distance learning and telemedicineloans for distance learning and telemedicine

Rural Health ResearchRural Health Research Support 8 rural health research Support 8 rural health research

centers that conduct short and long-centers that conduct short and long-term studies on rural health issues – term studies on rural health issues – anticipate the policy questionsanticipate the policy questions

Studies inform policy makers at Studies inform policy makers at Federal, State, Tribal and local levelsFederal, State, Tribal and local levels

Single-Year Policy Oriented Grants: Single-Year Policy Oriented Grants: $150K$150K

Info about past and ongoing studiesInfo about past and ongoing studies

http://www.ruralhealthresearch.org/http://www.ruralhealthresearch.org/

The Rural Hospital The Rural Hospital EnvironmentEnvironment

The Rural Hospital The Rural Hospital EnvironmentEnvironment

Critical Access Hospitals/Flex

Conversions slowing What’s next? New competition will see a change in focus by Flex Grantees

Measuring the Impact of Measuring the Impact of Flex on CAHsFlex on CAHs

Developing performance measures Developing performance measures for the Flex programfor the Flex program Improving financial performance of CAHsImproving financial performance of CAHs Expansion of CAH core servicesExpansion of CAH core services Quality improvement/Patient SafetyQuality improvement/Patient Safety Increasing use of HIT Increasing use of HIT Community benefit/impactCommunity benefit/impact Flex State GranteesFlex State Grantees

Working with CMS to Working with CMS to develop strong but develop strong but common sense relocation common sense relocation guidelinesguidelines

Working with HUD, USDA Working with HUD, USDA & non-gov funders & non-gov funders

Model Plans Available Model Plans Available FreeFree www.hud.gov/offices/hsg/www.hud.gov/offices/hsg/hosp/prototype.pdfhosp/prototype.pdf

CAH Replacement ManualCAH Replacement Manual

Access To CapitalAccess To CapitalAccess To CapitalAccess To Capital

CAH Replacement CAH Replacement

Resources and Technical Resources and Technical AssistanceAssistance

Rural Assistance CenterRural Assistance Center One-stop shopping for information about One-stop shopping for information about

rural health and human servicesrural health and human serviceshttp://www.raconline.orghttp://www.raconline.org

TASC TASC Provides technical assistance for the Flex Provides technical assistance for the Flex

Program in the form of information, tools Program in the form of information, tools and resources.and resources.

http://tasc.ruralhealth.hrsa.govhttp://tasc.ruralhealth.hrsa.gov

Resources and Technical Resources and Technical AssistanceAssistance

RHPI Education and Training GatewayRHPI Education and Training Gateway

http://www.ruralcenter.org/?id=resourceshttp://www.ruralcenter.org/?id=resources

National Rural Recruitment and National Rural Recruitment and Retention Network (3RNet)Retention Network (3RNet) Helps States recruit providers; 750 last yearHelps States recruit providers; 750 last year

http://www.3rnet.orghttp://www.3rnet.org

Resources and Technical Resources and Technical AssistanceAssistance

Rural Health WorksRural Health Works TA, tools and training to help States measure TA, tools and training to help States measure

the economic impact of the health care sectorthe economic impact of the health care sector Conducts feasibility studies for new health care Conducts feasibility studies for new health care

servicesservices http://www.ruralhealthworks.orghttp://www.ruralhealthworks.org

Network DevelopmentNetwork Development TA for developing and improving rural networks.TA for developing and improving rural networks. http://networkassist.ruralhealth.hrsa.govhttp://networkassist.ruralhealth.hrsa.gov

Resources and Technical Resources and Technical AssistanceAssistance

National Association of Rural Health National Association of Rural Health Clinics Clinics RHC Technical Assistance Conference CallsRHC Technical Assistance Conference Calls

http://www.narhc.orghttp://www.narhc.org

CAH and FQHC CollaborationCAH and FQHC Collaboration

Others: USDA, HUD, FoundationsOthers: USDA, HUD, Foundations

TA and Grant ResourcesTA and Grant ResourcesRural Assistance CenterRural Assistance Center

http://www.raconline.orghttp://www.raconline.orgTASC TASC http://tasc.ruralhealth.hrsa.govhttp://tasc.ruralhealth.hrsa.gov

RHPI Education and Training GatewayRHPI Education and Training Gateway http://www.ruralcenter.org/?id=resourceshttp://www.ruralcenter.org/?id=resources

National Rural Recruitment and Retention Network (3RNet)National Rural Recruitment and Retention Network (3RNet) http://www.3rnet.orghttp://www.3rnet.org

Rural Health WorksRural Health Works http://www.ruralhealthworks.orghttp://www.ruralhealthworks.org

National Association of Rural Health ClinicsNational Association of Rural Health Clinics http://www.narhc.orghttp://www.narhc.org

ORHP www.ruralhealth.hrsa.gov

Beat the Chargers and then Beat the Chargers and then the the

Pats (cheaters)Pats (cheaters)

Speaker Contact Information Jerry [email protected]

ORHPwww.ruralhealth.hrsa.gov

301-443-0835301-443-0835