CDC releases "Rural Considerations for Vaccine Confidence and Uptake Strategies"

The Centers for Disease Control and Prevention has released another COVID-related rural resource that may be of interest. A “Rural Considerations” addendum was recently added to its field guide for conducting a Rapid Community Assessment (RCA). An RCA is a process for quickly collecting community insights about a public health issue in order to inform program design. The assessment involves reviewing existing data and conducting community-based interviews, listening sessions, observations, social listening, and surveys. In addition to the rural considerations addendum, the

Rural Medical Centers has clinics located in mountains where there is no internet or cell service, and in the middle of a tomato field. As you might imagine, they have a few challenges providing healthcare services. You can listen to a very interesting conversation with Jessica Zimmerman and Alexis Andino who are both with Rural Medical Services in East Tennessee.

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The following is from the National Association of Rural Health Clinics
Significantly Increased NHSC Funding Offers Major Provider Recruiting Opportunity for RHCs in Current HPSAs

The National Health Service Corps (NHSC) has received significantly increased funding this cycle which creates increased opportunity for rural health clinics (RHCs) to qualify for NHSC programs. The expectation for the current cycle of NHSC funding is that sites even in very low HPSAs may be able to qualify for NHSC programs. This is an excellent opportunity to recruit and retain providers in your community that you do not want to miss.

From the CDC: January 3, 2022 Monday Feature: Testing Supply Inquiries 

CDC, ASPR, and the HHS Testing and Diagnostics Workgroup (TDWG) offer the following information and programs to partners interested in federal government support for testing.  

The following information was an update made by the CDC on January 6, 2022: The CDC has updated guidance for K-12 schools to align with the updated quarantine and isolation guidance.

Quarantine is a strategy used to prevent transmission of COVID-19 by keeping people who have been in close contact with someone with COVID-19 apart from others. Isolation is used to separate people with confirmed or suspected COVID-19 from those without COVID-19.

Today the CDC Director issued two COVID-19 related recommendations following actions by the FDA:

• people who received the Pfizer-BioNTech COVID-19 Vaccine as their primary series are recommended to get a booster after 5 instead of 6 months
• moderately or severely immunocompromised 5–11-year-olds should receive an additional primary dose of the Pfizer-BioNTech COVID-19 vaccine 28 days after their second shot. 

The media statement released this morning is below.  The FDA action authorizing booster shots for children ages 12-15 will be discussed at an ACIP meeting scheduled for Jan 5.  When available,  we will communicate CDC’s decision. Providers are reminded to wait for the CDC recommendation before administering booster shots to this age group.  

Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) and TennCare convened the  Tennessee Public Behavioral Health Workforce Workgroup in June 2021. Serving as convenors and facilitators of this workgroup, the agencies gathered a diverse group of stakeholders and professionals, each of whom was uniquely positioned to provide insight to this critical issue. This report represents the work of the Public Behavioral Health Workforce Workgroup and proposes short-term and long-term strategies that directly address recruitment and retention opportunities that can be implemented by local behavioral health providers, colleges and universities, and various Tennessee State Government Departments.

Pages 17 and 18 name replication of RHA's Apprenticeship program as a key strategy for promoting public behavioral health careers.

Rural Health Association of Tennessee and it's partners at The Tennessee Justice Center hosts a webinar with the Tennessee Department of Health on COVID-19 Surveillance and Variants; Exploring how to prevent COVID-19, January 13, 2022 at 10:00am-11:00am CST.

The Tennessee Department of Environment and Conservation considers radon to be a very serious problem in our state. No matter where you live in Tennessee, there is the potential for radon to enter your home. Radon gas has been identified as the second leading cause of lung cancer, second only to cigarette smoking. 

If you would like to learn more about Radon and receive resources to have or share. Please register to attend our webinar by clicking here.

Please see the following links provided by the Department of Health Office of Minority Health for the COVID-19 vaccine invoice reimbursement guidelines for the community-based vaccine activities.  Also, attached please find the invoice template, invoice example and personnel expense template that organizations will need to complete and submit for reimbursement. 

The organization that is submitting for reimbursement will need to be setup as a vendor with the State of Tennessee first.  A blank W-9 form is attached and a hand signature is required. 

After working in various parts of the country, Erica Johnson-Locket fulfilled her promise to the elders of her community and returned home. That “homegrown kid” is now the Chief Nursing Officer of Bolivar General Hospital in Bolivar, TN. 

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Medical/Behavioral Telehealth Options: 

Removing the barriers of access, stigma of care, and cost of treatment are of paramount importance.  Whether you are charged with delivering healthcare to the uninsured public or providing a low-cost benefit to help recruit and retain employees (especially those who are part-time, unbenefited, or cannot afford group health plans), you need answers.  It sounds impossible that you could help solve that problem for as little as $10/mo/family, but it is possible - with TELADOC and Health Advocate.

On this week’s episode of Rural Health Leadership Radio, we’re talking to a nurse trying to make a difference in the Appalachian region. Robyn Seamon has earned advanced degrees, studied, and conducted research to help prepare her to serve Appalachian residents.

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Rural Health Association of Tennessee (RHA) celebrated National Rural Health Day in Pigeon Forge, Tennessee, November 18^th, 2021 to honor those who work every day to help keep Tennessee healthy. This year's conference was dedicated to local and state health department officials, providers, and advocates who have served on the front lines of the COVID-19 pandemic. Missed the event? Copies of presentations are in our Rural Resource Center (login required).

By Kimberly K. Estep, Ph.D.

The news is often gloomy regarding healthcare and education in rural communities. Rural hospitals are closing at a distressing rate, with nearly 140 closing their doors since 2010. Rural Tennessee has lost more hospitals than anywhere else in the country. It’s also true, as Taylor Sisk reported for The Daily Yonder, that we need to reassess our approach to filling the gaps. It’s terrible to see hospitals closed, jobs lost, and healthcare interrupted, but the solutions should be tailored to the needs.

On September 9, 2021, the Biden-Harris Administration announced they were acting to address the systemwide issue of unvaccinated health care staff and would require COVID-19 vaccinations for workers in nursing homes and additional regulated health care settings, including, but not limited to, hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies. On November 4, 2021, CMS released the finalized requirements for the “IFC6” Omnibus COVID-19 Health Care Staff Vaccination. We ask that you share the attached resource documents with your memberships, constituents, and post on your communication channels.  The web links to the resource documents are also below:

• Press Release: https://www.cms.gov/newsroom/press-releases/biden-harris-administration-issues-emergency-regulation-requiring-covid-19-vaccination-health-care
• Frequently asked questions (FAQs): www.cms.gov/files/document/cms-omnibus-staff-vax-requirements-2021.docx or https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page (on the CMS Current Emergencies webpage under “Clinical & Technical Guidance for all health care providers”)
• Interim Final Rule with Comment Period in Federal Register: https://www.federalregister.gov/public-inspection/current

Tyler Melton is an Assistant Professor in the Department of Clinical Pharmacy and Translational Science at the  University of Tennessee Health Science Center (UTHSC), College of Pharmacy. He has nine years of pharmacy practice experience including inpatient and outpatient pharmacy in rural environments. Tyler joined UTHSC in September of 2020, after completing a postdoctoral research fellowship in Community Pharmacy Practice and Prescription Drug Abuse and earning his Master of Public Health from East Tennessee State University. His areas of research expertise include community pharmacy practice, rural health, health disparities, and prescription drug abuse.

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Lisa Beasley joined the UTHSC CON faculty in September 2020. Prior to joining UT, Lisa was previously at the  University of Memphis Loewenberg College of Nursing for 10 years, serving as a Clinical Associate Professor and the Director of Clinical Education for the last 6 years of her time there. Lisa’s practice as a Family Nurse Practitioner has been in hospice and palliative care for the last 9 years serving patients in rural and underserved communities. Prior to becoming a nurse, Lisa enjoyed an 18-year career in the radio industry.

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We hope to see you in November!

Early Bird registration has been extended! Register by October 8, 2021 to receive a discounted rate.

To view the conference agenda and register, visit https://www.tnruralhealth.org/annual-conference. Continue reading for our planned safety measures.