The U.S. Postal Service announced its new plan for rural post offices last week that will affect almost 13,000 offices nationwide. The agency will host community meetings in rural areas in the coming months to discuss with residents options for their offices. Steve Hutkins of Save the Post Office provides a link to an interactive Google map and table that can be accessed. The map shows the proposed reduced hours of operation at all the rural offices in question. (Source: The Rural Blog) [Read article]

Federal News
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USPS's Proposed Rural Post-Office Hours Highlighted In New Interactive Map
(05/18/2012)
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Nearly 62,000 ‘Uninsurable’ Patients Could Lose Coverage If The Health Care Law Is Overturned
(05/18/2012)
State officials who administer the federal pre-existing condition plan in 27 states are trying to make fallback arrangements in case the law is invalidated and coverage suddenly terminates. Federal officials who administer the plan in the remaining 23 states and Washington, D.C., remain mum on what might happen there if the law is overturned. (Source: Washington Post) [Read article]
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Innovation Grants: Adding Resources To Ideas To Improve Health Care Delivery
(05/18/2012)
To save on health care, you have to invest in it. At least that's the thinking of the Centers for Medicare & Medicaid Services. The CMS innovation center awarded 26 grants – worth a total of $122.6 million – to a variety of health care organizations. If these plans for better patient care pan out, the programs estimate they could reap about $254 million in savings over three years. (Source: Kaiser Health News) [Read article]
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AHRQ Quality Indicators™ Toolkit for Hospitals
(05/18/2012)
The Agency for Healthcare Research and Quality (AHRQ) has a series of seven audio interviews focused on the use of quality improvement tools in the AHRQ Quality Indicators Toolkit for Hospitals. The free toolkit is designed to help hospitals understand the Quality Indicators (QIs) from AHRQ, and support your use of them to successfully improve quality and patient safety in your hospital. The toolkit is a general guide to using improvement methods, with a particular focus on the QIs. (Source: AHRQ) [Toolkit]
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How is the Affordable Care Act Leading to Changes in Medicaid Today? State Responses to Five New Options
(05/18/2012)
This policy brief examines how states in every region have responded to five key opportunities available under the health reform law to help them prepare for the significant expansion of Medicaid in 2014. The options covered in the brief include incentives for states to get an early start on the Medicaid coverage expansion; increased federal funding to upgrade Medicaid eligibility systems; money to improve care for beneficiaries with chronic conditions by providing "health home" services; special funding for chronic disease prevention; and help in developing service delivery and payment models that integrate care for beneficiaries who are dually eligible for Medicare and Medicaid. (Source: Kaiser Family Foundation) [Read article]
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The Evolving Primary Care Physician
(05/18/2012)
The primary care doctor is a rapidly evolving species — and in the future could become an endangered one. As the United States grapples with the dual challenges of making health care more widely available and reducing the national price tag, it's hard to say how primary care physicians will fit into the delivery models that emerge. Article examines the dual challenges of making health care more widely available and reducing the national price tag, and how primary care physicians will fit into the delivery models that emerge. (Source: N Engl J Med 2012; 366:1849-1853) [Read article]
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Trash Can May Be Greenest Option For Unused Drugs
(05/18/2012)
American homes are filled with unused prescription drugs. Each year we squirrel away 200 million pounds of pharmaceuticals we don't need anymore, according to some estimates. Any disposal method has environmental consequences. Flushing, for instance, has fallen out of favor for all but a handful of drugs because of concerns about water contamination. And researchers at the University of Michigan, writing this week in Environmental Science and Technology, say they've determined that trashing drugs, paradoxically, may be the most environmentally-friendly option. (Source: NPR) [Read article]
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Measuring the Success of Medical Homes: Recommendations from the Patient-Centered Medical Home Evaluators' Collaborative
(05/18/2012)
There are currently more than 90 commercial health plans, 42 states, and three federal initiatives testing the patient-centered medical home (PCMH) model. Yet, while elements of the medical home have been shown to be associated with better quality and lower cost, there are only a few high-quality, published evaluations of the impact of the PCMH model as a whole. There is an urgent need for rigorous data to strengthen the evidence base of the medical home as well as to improve implementation. In an effort to harness and share lessons from the many disparate medical home pilots and evaluations under way, The Commonwealth Fund established the Patient-Centered Medical Home Evaluators' Collaborative in 2009. (Source: Commonwealth Fund) [Read article]
State News
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Health Insurance and the Role of Schools Highlights from a Survey of Parents in CESAs 1 and 8, Fall 2011
(05/18/2012)
To understand the perspective of parents in the districts where they are working with school staff, Covering Kids and Families conducted a survey of 546 parents in CESAs 1 and 8. The survey results present a view into the health coverage status of families in these regions and the thoughts of parents about the role of schools in helping families’ access health care and coverage. (Source: CFK) [Read article; Website]
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2012 WARM Applicant Workshop
(05/18/2012)
If you are interested in learning more about the Wisconsin Academy for Rural Medicine (WARM) program, consider attending the WARM Applicant Workshop in Madison on June 18. You will hear an overview of the program and learn more about the admissions process. Register by June 8. (Source: UW WARM) [Read article]
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Consider the Conversation: A Public Radio Interview
(05/18/2012)
Wisconsin Public Radio downloadable podcast of Ben Merens and his guests, Consider the Conversation co-producers Mike Bernhagen and Terry Kaldhusdal, as they discuss the American struggle with communication and preparation at the end-of-life. (Source: WMS) [Read article]
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USDA Rural Development: Home Loan Program Can Be A Great Deal For Rural Home Buyers
(05/17/2012)
With an abundance of homes for sale in most of the country, buyers continue to have plenty of choices and lots of bargaining power. Unfortunately, for many, being able to take advantage of the current housing market and purchase a home can be difficult. The down economy continues to make it hard for individuals and families to save for a down payment, extinguishing dreams of homeownership. With the help of the U.S. Department of Agriculture (USDA) Rural Development’s No Down Payment Direct Home Loan program, those dreams of homeownership may still come true. (Source: WisBusiness) [Read article]
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Concordia To Offer Physician Assistant Program
(05/17/2012)
The 26-month, full-time, year-round program is designed to prepare students to become physician assistants with an emphasis on primary care and preventative medicine. Concordia is the fifth university in the state to have a PA program and will accept 30 students annually with applications for the first class being accepted June 1 through Dec. 1. The program will grant the Master of Physician Assistant Studies degree to students. (Source: Business Journal) [Read article]
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VA Awards More than $300,000 to Wisconsin Veterans Home
(05/17/2012)
The Department of Veterans Affairs is awarding more than $300,000 for maintenance and repair of the water tower at the Wisconsin Veterans home in King. Information about the Wisconsin state Veterans homes can be obtained at: http://dva.state.wi.us/homes.asp. (Source: VA.gov) [Read article]
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Wisconsin Local Health Department Survey, 2010
(05/17/2012)
The report compiles results from a survey in which each local health department in Wisconsin provides responses to questions about the department's financing and staffing. (Source: WI DHS) [Read article]
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Green Bay City Council Backs Medical College of Wisconsin Campus
(05/16/2012)
The suburban Milwaukee medical school is conducting a statewide search for new campus locations to expand its presence outside the Milwaukee area. City Council support for the development would send an important signal to college administrators, who have asked to see signs of support from various institutions around town. (Source: Green Bay Press Gazette) [Read article]
Funding Opportunities
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Regional Partnership Grants to Increase the Well-Being of, and to Improve the Permanency Outcomes for, Children Affected by Substance Abuse - Administration for Children and Families
07/16/2012
These targeted grants will be awarded to regional partnerships that provide, through interagency collaboration and integration of programs and services, activities and services that are designed to increase the well-being of, improve permanency outcomes for, and enhance the safety of children who are in out-of-home placements or are at risk of being placed in out-of-home placements as a result of a parents or caretakers substance abuse. [Funding]
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Project LAUNCH - Substance Abuse & Mental Health Services Administration
07/03/2012
The purpose of Linking Actions for Unmet Needs in Children’s Health (Project LAUNCH) is to promote the wellness of young children from birth to 8 years by addressing the physical, social, emotional, cognitive and behavioral aspects of their development. The goal of Project LAUNCH is to create a shared vision for the wellness of young children that drives the development of Federal, State, Territorial, Tribal and locally-based networks for the coordination of key child-serving systems and the integration of behavioral and physical health services. The expected result is for children to be thriving in safe, supportive environments and entering school ready to learn and able to succeed. [Funding]
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Minority Fellowship Program - Substance Abuse and Mental Health Services Administration (SAMHSA)
05/25/2012
This grant aims at reducing health disparities and improving health care outcomes among racially and ethnically diverse populations by increasing the number of culturally competent mental health counselors available to serve these populations through either public or private not-profit settings. [Funding]
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Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grant Program under the Affordable Care Act (ACA)
05/30/2012
Funds will support 5-year demonstration grants (cooperative agreements) between ACF and Federally-recognized Indian Tribes (or a consortium of Indian Tribes), Tribal Organizations, or Urban Indian Organizations to conduct community needs assessments; develop the infrastructure needed for widespread planning, adopting, implementing, expanding, enhancing, and sustaining of evidence-based maternal, infant, and early childhood home visiting programs; and provide high-quality evidence-based home visiting services to pregnant women and families with young children aged birth to kindergarten entry. LOI deadline: May 30, 2012; Application deadline: July 16, 2012. [Funding]
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Head Start Grantee - Buffalo, Eau Claire, Jackson, and Trempealeau Counties, Wisconsin - Administration for Children and Families
08/14/2012
The Administration for Children and Families solicits applications from local public or private non-profit organizations, including community-based and faith-based organizations, or for-profit agencies within a community that wish to compete for funds that are available to provide Head Start services to children and families residing in Buffalo, Eau Claire, Jackson, and Trempealeau Counties, WI. [Funding]
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Project Rental Assistance Demonstration Program – Department of Housing and Urban Development
07/31/2012
This Section 811 PRA Demo Program seeks to identify, stimulate, and support sustaining innovative state approaches that will transform the provision of housing for persons with disabilities while providing access to appropriate support and services. [Funding]
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Pediatric Environmental Health Specialty Unit (PEHSU) Program - Centers for Disease Control and Prevention
06/14/2012
The purpose of the Program is to: (1) Reduce environmental health threats to children; (2) expand and enhance access to pediatric environmental medicine expertise; (3) strengthen pediatric environmental medicine and public health prevention capacity through education and expanded collaborative relationships with medical schools, residency programs, schools of nursing and other allied health programs, and schools of public health; and (4) deliver relevant education and consultative services to assist in the care of pediatric patients and the education of their families and health care providers in addressing environmental health threats to children. [Funding]
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Transitional Living Program and Maternity Group Homes - Administration for Children & Families - ACYF/FYSB
07/10/2012
Transitional Living Programs (TLP) provide an alternative to involving RHY in the law enforcement, child welfare, mental health, and juvenile justice systems. Each TLP must provide a safe and appropriate shelter for up to 21 months of services with adult supervision, life and interpersonal skill building, career counseling and job skills, counseling, and medical care as appropriate. Maternity Group Homes (MGH) provide the same services as a TLP in addition to providing parenting instructions and child care. Other services that are offered include, but are not limited to, transportation, family planning, comprehensive sex education, and pregnancy prevention services. [Funding]
WORH Updates
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The new 2011-2012 recruitment “year” began on July 1st, following a very challenging 2010-2011 “year”. The number of available physician positions keeps increasing, while the supply of physicians stayed the same or decreased in some areas. Competition for primary care physicians is extremely keen, and clinics /hospitals around the state are struggling to fill their physician shortages. This is especially true in rural facilities, and even more so in rural facilities in northern Wisconsin. Check out the Physician Recruitment News, and Physician Recruitment Tips & Advice which is the latest physician recruitment trends, newsworthy items, and/or offer tips & advice related directly to any/all aspects of physician recruitment. [Continue reading]
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The Office of Rural Health is proud to announce that we have scheduled our 3rd Annual Wisconsin Rural Health Summit for May 24th at Chula Vista in Wisconsin Dells. We hope you can join us to learn how the changes on the State and Federal level have impacted rural health care. Don’t miss this opportunity to learn from, and network with, other rural health professionals. This year we are pleased to have Brock Slabach from the National Rural Health Association (NRHA). Brock will provide a legislative update from the federal level. We will also have local rural health experts to provide us with state updates. [Continue reading]





