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On February 2nd, 2021, the Department of Health Care Services (DHCS) released its telehealth policy recommendations consisting of broad-based telehealth policy changes that would remain permanent fixtures following the eventual termination of the COVID-19 public health emergency (PHE). At a high-level, DHCS is seeking to modify or expand the use of synchronous telehealth, asynchronous telehealth, telephonic/audio-only, and to add remote patient monitoring to create a greater alignment and standardization across delivery systems, as indicated.
DHCS's proposal includes advancing the following telehealth policy
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This collection provides a curated set of resources and tools for decision-makers managing healthcare workforce challenges in response to the COVID-19 emergency.
Please refer to CDC's Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID-19 outbreak management. Karen Paolinelli, Chief Executive Officer, Madera Community Hospital and President of the California Association of Rural Health Clinics, is presenting the FNP PREP Program at the 42nd Annual California Association of Nurse Practitioners Conference on Thursday, March 14, 2019. The Family Nurse Practitioner Partner Residency Education Program (FNP PREP) was published in the January edition of the Journal of Nurse Practitioners. Read full text here. Established in 2017, FNP PREP is a partnership with Fresno Pacific University designed to recruit future healthcare providers to curb the growing demand for practitioners in rural communities. Attendees of the 2019 California Rural Health Conference will hear directly for the program designers and learn the essential elements of replicating the program as well as the impact FNP PREP is having on recruitment, retention and quality health outcomes in rural communities. Register for the California Rural Health Conference today!
CARHC Board Officers and Committees President – Karen Paolinelli, Madera Community Hospital Vice President – Cheryl Duncan, Cheryl Duncan Consulting Secretary/Treasurer – Greta Elliott, Canby Family Practice Webmaster – Alex Giloff, Western Sierra Medical Center New Website
CARHC.org has been refreshed. Check us out and tell us what you would like us to add: www.carhc.org 2018 Conference Presentations: Needing to review or discover what you missed in 2018? Some of our favorite presentations are posted at: www.carhc.org/2019conference Could wage index reform buoy rural hospitals? CMS uses wage index data to set hospital payments and they are looking at revamping how this is done. https://www.modernhealthcare.com/article/20181127/NEWS/181129960 Healthcare - Associated Infection Report CDPH reported in the 2017 Annual HAI Report, California hospitals had 2,602 fewer healthcare-associated infections than in 2016 and statewide incidences for all reportable infection types are now lower than the 2015 baseline. Click the link for more info: https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/AnnualHAIReports.aspx?_ Rural Health Clinic Payment Limit Increase The RHC payment limit per visit for CY 2019 is $84.70 effective January 1, 2019 through December 31, 2019. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network MLN/MLNMattersArticles/Downloads/MM10989.pdf Nominations Sought CARHC members are invited to submit nominations for a worthy recipient of the California Rural Health Champion Award. This award recognizes and honors an outstanding leader of rural health clinics. Please nominate an individual that has dedicated their time and efforts to advance the health and wellbeing of others through their RHC program. You must be a CARHC member to make a nomination but nominees do not need to be CARHC members. Click the link below to submit your nomination: https://www.carhc.org/2019-california-rural-health-conference.html Poster Presentations * 2019 CARHC Conference * CARCH Members are the true experts in Rural Health. The 2019 California Rural Health Conference Planning Committee invites you to share a best practice and/or innovation, worthy of adoption by other RHC’s. Best practice and innovations in Rural Health will be featured as a poster presentations during the 2019 California Rural Health Conference. Guidelines will be announced soon. Donations to Our Nonprofit Association Would Be VERY Appreciated Donations to CARHC are tax-deductible and go toward development and maintenance of our website, education programs (CEUs, annual conference) and support of the rural health clinics in California. The financial support of our members and conference sponsors are greatly appreciated. CARHC members are invited to submit nominations for a worthy recipient of the California Rural Health Champion Award. This award recognizes and honors an outstanding leader of rural health clinics. Please nominate an individual that has dedicated their time and efforts to advance the health and wellbeing of others through their RHC program. You must be a CARHC member to make a nomination but nominees do not need to be CARHC members.
Rural Health Clinics (RHC) are established to improve healthcare access in medically underserved communities. All RHCs provide healthcare services for low income populations. This defined patient population has a disproportionate share of health disparities and social determinates challenging for healthcare practitioners.
California's vast geography is a significant challenge.
California’s Rural Health Clinics
Rural Health Clinic Medical Services
The primary way you can help is contacting your legislator. In its simplest terms, legislative advocacy is working with individual lawmakers and lawmaking bodies to gain support for your cause or initiative, for the needs of a specific population, for an organization or group of organizations, or for specific services.
Actual legislative advocacy can involve anything from working personally with a legislator or aide on the wording of a bill to mobilizing hundreds, or even thousands, of supporters to bombard a legislature with phone calls about an issue. It includes educating legislators, supporters, and the public about the issue; working with the media; continuously seeking out allies; and being persistent over long periods of time. Lawmakers' support can take several forms:A bill with funding attached. You might want to advocate with state or federal legislators to sponsor a bill which, if passed, would provide money to work on your issue or benefit your target population. Much government-sponsored AIDS research has resulted from funding legislation that passed largely through the work of advocates and other activists. A bill with wording that supports a particular philosophy or helps to legitimize your issue. Such a bill might affirm the responsibility of government to deal with a particular problem or provide a particular service. Even if there's no money attached, having that wording pass into law makes it easier to get funding later, and makes the importance of the issue clearer to the community at large. A bill with regulations that benefit your target population or advance your cause. A welfare reform program that includes education and training for recipients, continued medical insurance for a period after people get off welfare, and other support services is far more likely to work to the long-term advantage of recipients, for instance, than one that simply pushes people off the rolls after a certain period of time. A local ordinance that supports your cause. Town Councils, Boards of Health, Conservation Commissions, and other local bodies can make regulations that promote particular health, social, or environmental agendas. For example, in the past few years, many town Boards of Health have banned smoking in restaurants in order to protect non -smoking patrons from the effects of second-hand smoke. In some instances, local housing authorities evict from public housing the families of tenants who take part in racist activity. Budget advocacy. Federal, state, and local governments approve budgets each year. Groups often advocate to put new or more money in the budget for their issue; to get proposed funding levels approved by the whole legislative body and signed into law by the executive; or to reverse proposed cuts in funding. Simple political, intellectual, or moral support. This might be the support of lawmakers, like Congressmen or state legislators, or it might be the support of other powerful people who don't directly make laws themselves, but are listened to by those who do. A governor of a state, or the President, for instance, can't make laws; but he can propose and veto bills, push for specific policies, and set policy through the ways laws are implemented and enforced by his office. Links to other contacts. Through their own networks, lawmakers and other government officials can often introduce you to other legislators or people who can be more directly helpful than they themselves can, or can call in favors to support your issue. |
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