Quarterly Newsletter: Summer 2023


Welcome Summer!

Happy June and welcome to Summer 2023! HTRC is excited to share several resources and stories with you this month. We re-cap our conference with gpTRAC and Episode 17 of Telehealth Unmuted. We also include resources to support LGBTQ+ patients for Pride Month and share information about National HIV testing day. 


HTRC Team

Here's the Scoop!

HIV Testing Day is June 27


National HIV Testing Day was first observed on June 27, 1995 to encourage people to get tested, know their status, and access resources for treatment. This year, the emphasis is on “Take the Test & Take the Next Step” to promote the importance of knowing your HIV status to link to care options to stay healthy. As an act of self care, HIV testing is a critical tool to help end the HIV endemic in the United States and to ensure linkage to care is quick. Visit HIV.gov for more information on testing, HIV treatment options, and to review the National HIV/AIDS Strategy.


The KU Internal Medicine Midtown Clinic in Wichita, KS provides care and treatment to over 1,400 patients as part of their Ryan White supported HIV Program. The mission of the program is to provide care and early intervention services to all HIV-positive individuals across Kansas, regardless of ability to pay. Led by Dr. Donna Sweet, and with HIV Outreach Clinics in Garden City, Pittsburg, and Salina,  a travel team, including 2 providers, a case manager, lab tech and medical assistant, will usually fly or drive out to those clinics. The visit could also include educational presentations by Dr. Sweet, who will also fill in at the clinics as needed. These travel visits support their goal to provide community-based medical care, education, and researchin Wichita and in rural areas.



The HTRC was fortunate to connect with Kayla Del Rio, APRN-C and HIV Certified specialist in HIV care with emphasis on transgender care, who took a moment to answer a few questions about telehealth options in their clinic. As with many clinics and health providers, they had to move to telehealth appointments after COVID-19 caused a public health emergency. As Kayla states, “during the pandemic it was our only option”. She states “during the pandemic it was impossible as the clinics we would go to did not allow us to [have in-person visits], including here in Wichita”, indicating people did not feel safe and at one point the clinic was completely operating with telehealth services. They agree telehealth really opened access to patients during that time and now as well. “At times patients cannot make appointments due to job, transportation, time constraints, or continued fear so telehealth gives the option to still be seen”. If the providers need labs they usually work with local hospitals in the area and send orders so patients can go in at their own time. Kayla says that [telehealth] has really given patients a sense of relief that they still can be seen via telehealth if they need that option. The clinic would adjust to language and technology barriers while keeping quality high by changing from video to audio-only calls, to maintain continuity of care.


The clinic has moved back to primarily in-person appointments as it is very important to build relationships with the patients, however as Kayla outlines “I think even every other [telehealth] visit for patients who are doing well would be beneficial. There are several appointments that would be appropriate for telehealth such as discussing meds, risks, questions, and screenings that can also be done as a Telehealth visit. Especially for those who are unable to make it in for an in person visit."


When asked what the future of HIV care and prevention would look like to the Midtown clinic team, Kayla offers “I am hopeful that we are able to team up with other clinics to create direct relationships so we can help providers feel comfortable and ultimately help provide the best care for patients. I have already teamed up with some clinics to develop PEP and PREP protocols in the past. I would love to see a local number available to providers of KS for questions or collaboration”.


Additionally, the Midwest AIDS Training and Education Center of Kansas and Nebraska (MATEC-KS/NE) is HRSA funded and based out of the Kansas University Medical Center - Wichita. The AETC’s are charged with educating health care professionals about HIV infection, prevention, diagnosis, treatment, and psychosocial issues. For more information, visit their website or contact Susan Tusher, LMSW, Program Director at

stusher@kumc.edu.


Patients can connect with provider by contacting the clinic and by visiting their website: https://kuwichitaim.com/midtown-clinic/

Supported by federal Ryan White funding, among other sources, Kayla Del Rio, APRN, and Dr. Donna Sweet work closely together to provide care to HIV patients across Kansas.

The HIV Program Care Team prepares to fly to a rural clinic in Pittsburgh, KS to provide needed services to the community.

To support #HIVTestingDay, here are HTRC partner programs that provide education and outreach opportunities. 


Oklahoma State ECHO: Get expert HIV specialist knowledge in a virtual learning network with the Oklahoma State University Center for Health Sciences HIV Specialist ECHO team. The curriculum is designed to expand expertise in treating HIV/AIDS in the primary care setting.


Missouri Telehealth Network ECHO: The University of Missouri has created an ECHO that will empower and educate care systems and teams about core concepts of multidisciplinary, patient-centered HIV care, as well as prevention through a nurturing forum for exchanging knowledge and sharing experiences. 


KUMC ECHO: KUMC will host an HIV ECHO this upcoming August. Be sure to keep checking the website for details.

Telehealth Everywhere! 2023 Conference Held


In May, the Heartland Telehealth Resource Center supported the Telehealth Everywhere! 2023 conference, hosted by the Great Plains Telehealth Resource Assistance Center. Held in Minneapolis, presentations focused on telehealth best practices following the end of the public health emergency declaration. Presentations from the heartland included Steve Kropp, Director of Telehealth at The University of Kansas Health System, Rachel Mutrux, Program Director at Missouri Telehealth Network, Tim Davis, Telehealth Manager with OSU Center for Rural Health, and Chad Stotler, Telemedicine Manager, Children’s Mercy Hospital. It was a great success!

Rachel Mutrux, Missouri Telehealth Network, Steve Kropp, The University of Kansas Health System, and Molly Brown, Heartland Telehealth Resource Center, attend the gpTRAC conference “Telehealth Everywhere” in Minneapolis.

Ann Mond Johnson, CEO of the American Telemedicine Association, as she served as the opening keynote “Telehealth: Where We Are and Where We Are Going”.

As part of the conference, Splash Sessions were provided as a breakout opportunity to learn more about telehealth programs across health systems and organizations. Heartland’s very own Tim Davis (OSU) and Rachel Mutrux (MTN) presented.

Left: Rachel Mutrux, Missouri Telehealth Network, presents “Interprofessional Telehealth Training Program” during the Splash Session.


Right: Tim Davis, OSU Center for Health Sciences, presents during a Splash Session “Emergency Virtual Consultations”. 

Surgeon General Urges Action to Ensure Social Media Environments are Healthy and Safe


On May 23, 2023, Surgeon General Dr. Vivek Murthy issued a new advisory on social media and youth mental health as a risk of harm and well-being to children and adolescents. With the increase in mental and behavioral health issues in school-aged youth, the added risk of exposure to harmful content on social media increases risk of poor mental health outcomes. While more research is needed to determine the full impact social media has on youth development, there are resources in place that aid in building strong environments to support children, youth, and adolescents across all factions of development.


The American Academy of Pediatrics offers a portal to ask questions regarding addressing social media access and impacts across the lifespan. Visit the portal here: Social Media and Youth Mental Health Q&A portal by the AAP.


Our Telehealth ROCKS team developed a two-part advanced series focusing on building capacity to strengthen trauma-response in schools.

Featured event: Trauma-Responsive Schools Training- Advanced Series


Telehealth ROCKS invites you to join us for trauma-responsive training focused on schools. There is no cost to attend, and training is online via Zoom. Click here for more info.

 

We invite those responsible for building the trauma-responsive environment at school to attend this 2-part advanced series. We will discuss the components and implementation of a trauma-responsive school plan. 

 

Advanced Series:

  • Part 1: June 21 from 10-11:30AM
  • Part 2: June 28 from 10-11:30AM
  • Register Here

 

We hosted a separate introductory session on this topic for a general school audience earlier this month. We invite you to view the intro session recording. The Advanced Series will go more in depth on this topic. 

HTRC Celebrates Pride Month!

June is pride month, which is a time for celebration and solidarity with members of the LGBTQ+ community. While many of the historical struggles for the community have been overcome, they still face issues of discrimination and prejudice today. In the medical community, there is a major issue of care for LGBTQ+ individuals not being culturally competent. To that end, we have compiled resources to refer to when caring for LGBTQ+ patients and populations.


HHS.Gov's Guide: Telehealth for LGBTQ+ Patients

Telehealth appointments are a safe, convenient way for LGBTQ+ patients to access healthcare. Telehealth can also be a necessary lifeline for some patients who do not have LGBTQ+-affirming healthcare available nearby.



Understanding the medical, emotional and social issues unique to LGBTQ+ patients will help providers give quality healthcare in a virtual setting. This guide covers best practices for LGBTQ+ telehealth care, telehealth workflow and treating LGBTQ+ patients.


U.S. Department of Veterans Affairs: VHA LGBTQ+ Health Program

The Department of Veterans Affairs (VA) welcomes all Veterans, families, caregivers, and survivor beneficiaries, including diverse gender identities and sexual orientations. LGBTQ+ Veterans have faced stigma and discrimination, which can affect health. As a healthcare institution, the VA is working to ensure that LGBTQ+ Veterans know that they are welcome at Veterans Health Administration (VHA), by providing a wide list of services to support and serve.


Telehealth Unmuted Episode 13 with Dr. Tori Gleason

What are the specific health issues facing the rural LGBTQ population right now? What are the measurements of success for the telemedicine practices that are serving the LGBTQ population? How does community differ between rural and urban areas?

All of this gets answered and more with seasoned professional in health care governance, leadership and private practice, Dr. Tori Gleason.

Juneteenth is a significant holiday commemorating the emancipation of enslaved African Americans in the United States. It holds great importance as it symbolizes freedom and resilience, while representing ongoing efforts for equality and justice. Understanding the importance of Juneteenth requires recognizing the historical context of systemic racism and its impact on black communities. Stemming from structural inequities and social determinants of health, many black individuals face health disparities that affect access to essential healthcare services. This year for Juneteenth, we’ve compiled a list of toolkits to support and advance health equity in Black communities.


Society for Public Health Education: Health Equity & Anti-Racism Toolkit

SOPHE’s Health Equity & Anti-Racism Task Force developed the following resources for SOPHE members, chapters, stakeholders, and other community-based organizations to use in their work.


Robert Wood Johnson Foundation: Tools to Guide Your Health Equity Journey

Powerful data, in-depth research, and wisdom from health equity champions can help us do our part in shaping healthier, more equitable, and more just communities. This article includes resources that can help you advance health equity in your community.


Kaiser Family Foundation: How Recognizing Health Disparities for Black People is Important for Change

While Black people have made great contributions and achievements in the United States, they continue to face many health and health care disparities that adversely impact their overall health and well-being. 

OSU Center for Rural Health Awarded $3 Million Grant

The OSU Center for Rural Health was awarded a $3 million as part of a larger health equity grant awarded to the university. Approximately $400,000 will be used to purchase two cargo vans to support telehealth efforts in the state. These programs include community-based partnerships to support broadband access initiatives. Read the full story here

Telehealth Unmuted: Ep. 17 is HERE!

Episode 17 features Richelle Marting, JD, MHSA, RHIA, is a practicing attorney licensed in Kansas, Missouri, and Nebraska. She is also a registered health information administrator and certified medical coder who leads a multi-disciplinary team in her legal practice. Richelle serves as outside general counsel for hospitals, provider practices, and long-term care communities; as interim director of managed care for an acute care facility and medical group; and teaches health law and policy at the University of Kansas School of Medicine. Richelle works with the Heartland Telehealth Resource Center as an education outreach partner to offer telehealth specific assistance for the Kansas, Missouri, and Oklahoma region.


Listen to Episode 17 on Spotify and Apple Podcasts!

Social Media


Our HTRC social channels have continued to

grow and evolve—with new, fresh content, graphics and followers each month. Follow us on LinkedIn and Facebook.

Upcoming Events and Opportunities

Interprofessional Telehealth Training Program - And it's FREE!

The Missouri Telehealth Network with the University of Missouri has developed a training program for telehealth practitioners. The Interprofessional Telehealth Training Program (ITTP) is an asynchronous, self-paced training that includes interactive videos focusing on access and equity, technology, communication and safety, assessment, and ethical and legal aspects. There is no charge and will be a great training tool for practicing clinicians, medical, nursing, and allied health students, social workers, anc community health workers, along with telehealth coordinators and interdisciplinary team members.

 

Registration opens July 1, 2023 so check their website for instructions.

The Public Health Emergency ended, what now?

Join us for the first "Heartland Hour" with Richelle Marting!


We will be hosting a one hour question and answer with our education and outreach partner, Richelle Marting! May 11 has come and gone, what questions do you have?


Join us June 21 from noon - 1pm CST.

REGISTER HERE

IHS Telebehavioral Health Center of Excellence

Child and Adolescent Behavioral Health Webinar Series: Interventions and Supports: Fetal Alcohol Spectrum Disorders (FASD)


Outcomes/Objectives

  1. Identify formal and informal community-based interventions for children with Fetal Alcohol Spectrum Disorders (FASD).
  2. Examine school-based resources for children with FASD.
  3. Assist families with directions for accessing resources and supports for children with FASD.


Join us July 13 at 12pm CST. Registration is required.

REGISTER HERE

The Heartland Telehealth Resource Center's goal is to increase access to healthcare for rural Americans through telehealth and telemedicine. The Heartland Telehealth Resource Center was made possible by grant number U1UTH42530 (PI: Nelson) from the Office for the Advancement of Telehealth, Health Resources and Services Administration, and the Department of Health and Human Services. The information and tools presented on the Heartland Telehealth Resource Centers’ (HTRC) website and other media should not be considered legal advice. The HTRC is not guaranteeing that any information provided will result in reimbursement from a payer. All materials are strictly for informational and educational purposes only.

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