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Volume 5, Issue 8:
August 2023
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A Few Words From Jill:
One of the tenets of the MCRH Mission Statement is that we will always advocate on behalf of improving rural health in our state.
In the 45 years since the Rural Health Clinic program was introduced, there are over 5,300 RHCs providing quality care to rural and underserved populations, including 223 here in Michigan. The time has come to modernize some of the policies in place to continue the great work RHCs do.
Recently introduced, the Rural Health Clinic Burden Reduction Act (Senate Bill S.198) would usher in the following provisions to ensure RHCs operate efficiently in these evolving times:
- Modernize RHC physician supervision requirements by aligning them to state scope of practice laws governing PA and NP practice.
- Remove the requirement that RHCs must “directly provide” certain lab services on site and allow RHCs to instead offer “prompt access” to these services.
- Allow RHCs the flexibility to contract with or employ PAs and NPs.
- Maintain status quo location eligibility, allowing RHCs to be located in an area that is not in an urban area of 50,000 or more, given that the Census Bureau no longer utilizes the term “urbanized area.”
- Remove a regulatory barrier that limits an RHC's provision of behavioral health services in areas experiencing a shortage of such services.
I strongly encourage you to reach out to your Senator or Representative and share your support for the bill and how it will benefit your RHCs.
Our friends at the National Association of Rural Health Clinics have provided a brief video on how to utilize letter templates you can personalize on behalf of your RHC. You can find the video and templates here.
I hope you will take the time to advocate on behalf of not just your RHC, but all RHCs across Michigan. As always, please feel free to contact me if you have any questions or need any guidance (oester35@msu.edu).
Thanks,
Jill
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Webinar: What is in the Medicare Physician Fee Schedule
(and other CMS proposed rules) for RHCs?
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Every July, the Centers for Medicare & Medicaid Services (CMS) releases the Medicare Physician Fee Schedule (MPFS) and the Medicare Hospital Outpatient Prospective Payment System (HOPPS) proposed rules. Many provisions are relevant to RHCs each year, and the proposals for 2024 are no exception!
This year, the proposed rules included details about the implementation of the two additional provider types billable as RHC providers beginning January 1, 2024, as well as information on the Intensive Outpatient Services Treatment category.
Further, it contained a proposal to expand the billable services under G0511 to include RPM/RTM, Community Health Integration, and Principal Illness Navigation Services.
NARHC will craft and submit comments over the next few months on the various sections applicable to RHCs. CMS will review all comments and publish a final MPFS and HOPPS rule in November 2023.
In this upcoming webinar, the NARHC DC staff will discuss the relevant RHC provisions and seek feedback on what additional topics CMS should be considering in their rulemaking.
There will also be a Q&A session during the webinar.
Date: Wednesday, August 30th, 2023, 3 PM Eastern
Speakers:
- Nathan Baugh, Executive Director
- Sarah Hohman, Director of Government Affairs
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Rural Behavioral Health Workforce Summit - September 6, 2023 | |
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HRSA IEA Region 5 will host a rural behavioral health webinar in collaboration with the HRSA Bureau of Health Workforce, National Clinician Consultation Center (NCCC), and the Rural Communities Opioid Response Program (RCORP) Center of Excellence at the University of Rochester.
The webinar will provide:
- An Overview of HRSA Bureau of Health Workforce Programs
- Review how and when clinicians can access services from the NCCC
- Strategies to overcoming stigma in rural communities about substance use disorder treatment
Who Should Attend:
We welcome community health workers, community members, health care professionals, social workers, psychologists, peer counselors, addiction counselors, community health centers, behavioral health centers, faith-based organizations, tribal communities, institutes of higher education, and community-based organizations.
Date: Wednesday, September 6, 2023
Time: 9:00 AM – 11:30 AM CST/10:00 AM – 12:30 PM EST
For additional information, please contact HRSA IEA Region 5 at Region5@hrsa.gov
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Build Your Skills in Motivational Interviewing with Great Lakes ATTC/MHTTC | |
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Priority will be given to Great Lakes Region 5. Limited seats are available.
Build your Motivational Interviewing (MI) and Screening, Brief Intervention, and Referral to Treatment (SBIRT) skills in 2023. Attend all sessions and earn NAADAC Continuing Education hours. (Be sure to make note of prerequisites for each level of training.)
Join colleagues from across the region in learning to apply this evidence-based practice with fidelity.
Motivational Interviewing (MI) is an evidence-based collaborative conversational style used to help strengthen an individual's own motivation and commitment to change. In this interactive, skills-based workshop, participants will have the opportunity to learn about and practice the spirit and relational skills of MI.
Learning Objectives:
After completing Motivational Interviewing: Relational Skills (Level 1), participants will:
- Have an introductory level understanding of the purpose, benefits, and challenges of MI
- Understand and practice the four processes used in MI: planning, evoking, focusing, and engaging
- Recognize differences between helpful client engagement vs. harmful client engagement
- Prepare to apply the spirit of Motivational Interviewing to patient interactions
- Observe and practice the core skills of MI: listening, open-ended questions, affirmations, reflections, and summarization.
Training Dates for Motivational Interviewing Relational Skills:
- September 20, 2023 from 8:30AM-11:30AM CT
- September 27, 2023 from 8:30AM-11:30AM CT
- October 4, 2023 from 8:30AM-11:30AM CT
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Register for the National Telehealth Conference | |
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Navigating the latest in telehealth?
Attend the National Telehealth Conference on September 12 to hear from public and private sector leaders about the latest telehealth best practices. HRSA Administrator Carole Johnson and CMS Deputy Administrator Meena Seshamani, along with telehealth experts, are scheduled to attend.
Conference topics include:
- The adoption of telehealth and expansion of broadband connectivity to improve health equity
- Using tele-behavioral health as a successful model for integrating telehealth into the standard of care
- Telehealth’s role in supporting the healthcare workforce and expanding services for patients
- Implications of health policy to inform telehealth’s future in an evolving health care environment
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Register for the Central Michigan University Telemental Health Symposium Series III | |
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Registration is now open for the CMU Telemental Health Symposium 2023 Series - Part 3 to be held virtually on Tuesday, September 26, 2023.
At the symposium, Responding to Michigan's mental health crisis: Telehealth Innovations for Improving Access to Care, you will :
- Explore telehealth considerations when meeting with adolescents and young adults.
- Engage with experts to gain insights on current telemental health topics.
- Enhance community mental health services by building capacity and connections in rural and underserved communities.
- Identify telehealth strategies for improving access to care and developing successful patient outcomes by exchanging perspectives with colleagues and experts.
Also, learn about CMU telehealth initiatives including:
- Preventing Suicide in Michigan Men (PRISMM).
- Broadband Rural Capacity Assessment.
- Rural Telebehavioral Health Outreach.
The symposium's speakers are Natalie Kasiborski, Ph.D., LMSW, MPH, consultant for the School Community Health Alliance of Michigan and assistant professor for Michigan State University, and Reid Plimpton, MPH, project manager for the Northeast Telehealth Resource Center.
This event is FREE to attend and the registration deadline is September, 22.
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Upcoming MCRH Educational Events
September 2023
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GRAND ROUNDS:
September 1, 2023, 12- 1 PM EST
Geriatric Grand Rounds: TBD
(Check back periodically for updates on MCRH social media channels and website)
Speaker: Dr. Mark Ensburg, MD
Register Here
CE provided for: Dentists, Dental Hygienists, Dental Therapists, Dental Assistants
September 28, 2023, 12- 1 PM EST
Pediatrics Grand Rounds: Social and Emotional Development in Young Children
Speaker: Barbara Thompson, PhD
Register Here
CE provided for: Nursing, Social Work and CHW
Project ECHO:
September 15, 2023, 12 -1 PM EST
Infectious Disease ECHO: Topic TBA
(Check back periodically for updates on MCRH social media channels and website)
Speaker: Dr. Peter Gulick
Register Here
CME Provided
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RHC August News & Resources
Here are some of the topics impacting the RHC community in Michigan this month. Click on these links to read more:
NEW THIS MONTH:
RESOURCES:
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COVID-19 Vaccine Updates and Resources
This a reminder that COVID-19 is still having an impact on our rural neighbors and those providing care and solutions. Please click on the links below for important information regarding the latest on vaccines, boosters, testing, and other recommendations:
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A Special Thank You to MCRH's 2023 Organization Sponsors:
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Please visit MCRH's Social Media Channels for more news and information: | |
*All information in the RHC Weekly Bulletin is current as of date sent and is subject to change*
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