HRSA eNews October 17, 2019

New HRSA Data Show One in Three US Children Have Suffered an Adverse Childhood Experience

photo of four children

October 7 - Today, the Health Resources and Services Administration (HRSA) announces the release of data from the 2018 National Survey of Children's Health (NSCH). Data from the survey show that in 2017-2018, one in three children under the age of 18 were reported to have suffered at least one adverse childhood experience (ACE) in their lifetime and 14 percent experienced two or more ACEs.

The American Academy of Pediatrics describes ACEs as stressful or traumatic events that occur during childhood and are strongly related to a wide range of health problems throughout a person’s lifetime. The NSCH collects information on several of these experiences, including: having divorced/separated parents or a deceased parent, living with anyone with a drug or alcohol problem or who is mentally ill, having a parent who served time in jail, seeing or hearing parental violence, and witnessing or being the victim of neighborhood violence.

"The HRSA National Survey of Children’s Health provides critical data about the health and health needs of our nation’s children, including the prevalence of ACEs," said Tom Engels, HRSA Acting Administrator. "We will continue to leverage the survey so our programs can better support families as they deal with the burdens of ACEs and other health issues."

Read the release.

HRSA Gears Up for HIV Fight

Tom Engels (HRSA Acting Administrator) Jim Macrae (BPHC Associate Administrator)

More than half of the 1.1 million people diagnosed with HIV in America get medication and care through HRSA's Ryan White Program -- and more than 8 out of 10 of those in care -- are able to lead normal lives as a result. But some 400,000 people with the virus are outside the HRSA system, and 1 in 7 are unaware they are infected. Making HIV testing an essential part of routine primary health care offered by community health centers could be key to getting the remainder into treatment, the agency's senior leaders say.

Widely recognized for having helped transform the once deadly illness into a manageable disease, the Ryan White HIV/AIDS and Health Center Programs will be integral to making it preventable, agreed HRSA Acting Administrator Tom Engels and Associate Administrators Laura Cheever (HAB) and Jim Macrae (BPHC).

The trio addressed the annual gathering of HAB's National Partners on September 17.

"The agency," Engels pledged, "will play a leading role in helping to diagnose, treat, prevent, and respond to end the HIV epidemic in the United States."

Read more about ending the HIV epidemic.

HRSA’s Biennial 2019 Ryan White HIV/AIDS Program Highlights Released

photo of seven children sitting on the floor

HRSA's HIV/AIDS Bureau released its 2019 biennial report highlighting five Ryan White HIV/AIDS Program recipients who implemented successful strategies and models of HIV care and treatment – including practice transformation, public-private partnerships, rapid entry to HIV care and delivery of ART, the use of telehealth/telemedicine, and a jurisdictional approach to providing treatment and care. The 2019 biennial report theme is “Advancing Innovation to End the HIV Epidemic.”

Read the report (PDF - 7.95 MB).

Webcast on Reporting Clinical Privileges

clinical privileges webcast october 29, 2019

HRSA’s Bureau of Health Workforce will host a series of webcasts to educate participants about reporting to, and querying, the National Practitioner Data Bank (NPDB).

Register for the first webcast, taking place on Tuesday, October 29 at 2:00 p.m. EDT, to learn about clinical privileges reporting law, its basic definition, and issues such as investigations, proctoring, and summary suspensions.

Stay tuned for future webcasts that will focus on querying, National Practitioner Data Bank (NPDB) 101, and attestation. Learn more about the NPDB.

Connecting to the Future of Health Care

HRSA Acting Administrator Tom Engels addresses a gathering at HRSA Headquarters

HRSA's Bureau of Primary Health Care (BPHC) Associate Administrator Jim Macrae presided over two days of meetings (September 18-19) with state officials working to speed the adoption of health information technology in health centers nationwide. Computerized record systems promise to revolutionize care delivery while dramatically cutting costs and medical errors.

HRSA Acting Administrator Tom Engels -- who oversaw adoption of a statewide health information system in Wisconsin --  addressed officials from state Primary Care Associations, which recently were awarded almost $42 million to expand and maintain Health Center Controlled Networks to promote the use of digital technology.

"Overall, Health Center Controlled Networks ... serve 24 million patients at over 10,000 participating health center sites," observed the Acting Administrator, "(and) help health centers navigate the operational and clinical challenges related to the use of health information technology ... And many of you are working to ensure that patients have better access to their own personal health data."

Read more about the adoption of health information technology in health centers.

HHS Announces Guide for Appropriate Tapering or Discontinuation of Long-Term Opioid Use

photo of someone writing on a prescription pad

October 10 - Today, the U.S. Department of Health and Human Services published a new Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics (PDF - 118 KB). Individual patients, as well as the health of the public, benefit when opioids are prescribed only when the benefit of using opioids outweighs the risks.  But once a patient is on opioids for a prolonged duration, any abrupt change in the patient’s regimen may put the patient at risk of harm and should include a thorough, deliberative case review and discussion with the patient. The HHS Guide provides advice to clinicians who are contemplating or initiating a change in opioid dosage.

“Care must be a patient-centered experience. We need to treat people with compassion, and emphasize personalized care tailored to the specific circumstances and unique needs of each patient,” said Adm. Brett P. Giroir, M.D., assistant secretary for health. “This Guide provides more resources for clinicians to best help patients achieve the dual goals of effective pain management and reduction in the risk for addiction.”

Read the new guide (PDF - 118 KB)

Seminar – Diagnosis and Treatment of Hansen’s Disease (Leprosy) in the U.S.

November 4 - 5, 2019

This 2-day seminar will improve health care providers' understanding of the unique characteristics and current concepts in the diagnosis and treatment of Hansen’s disease. You will hear from specialists with over 100 years of expertise in diagnosing, treating, and studying Hansen’s disease. Continuing education credits approved for physicians and nurses.

Register for the seminar (PDF - 55 KB) .

HRSA Map Gallery

screenshot of a map from the map gallery

Visit the newly improved HRSA Map Gallery to download ready-made maps in PDF format, updated nightly with refreshed data.

Check out the Map Gallery.

National Breast Cancer Awareness Month

October is Breast Cancer Awareness Month (with image of a pink ribbon)

October is National Breast Cancer Awareness Month. About 1 in 8 women in the U.S. will get breast during her life. More than half a million patients received mammograms at HRSA-funded health centers.

Find a HRSA-funded health center near you

Egypt, U.S. Confer on Domestic Violence

HRSA staff briefed the delegates from Egypt

A delegation of social welfare officials from Egypt visited HRSA Headquarters on September 27 for a briefing on HRSA's two-year campaign to stop domestic violence. Egypt's National Council for Women has been engaged in a decade-long campaign to curb gender-based violence, which increasingly is being criminalized for the first time.

"Violence against women represents a violation of both the religious and cultural values of the Egyptian people," said then-Prime Minister Dr. Ibrahim Mehleb upon the release of Egypt's National Strategy for Combating Violence Against Women in June, 2015. "Such acts are an aggression against women's dignity, legal and social status. They are likewise a deviation from the traditions and customs of the Egyptian people."

Read more about the discussion on domestic violence.

National Domestic Violence Awareness Month

1 in 4 women and 1 in 10 men have experience severe physical violence by an intimate partner

October is National Domestic Violence Awareness Month. About 1 in 4 women and 1 in 7 men in the U.S. experience IPV in their lifetime.

  • New Report: The HRSA Office of Women’s Health has released the first progress report on The HRSA Strategy to Address Intimate Partner Violence, 2017-2020 (PDF - 428 KB). The report highlights key achievements by HRSA Bureaus and Offices between 2017 and 2018. Read the report’s executive summary to learn more (PDF - 3.1 MB).
  • Domestic Violence Awareness Month Webinar: Thurs., Oct. 31, 1:00 – 2:30 p.m. ET. HRSA’s Office of Women’s Health and Office of Regional Operations will host a webinar that highlights state-level efforts to address intimate partner violence and provide strategies for implementing trauma-informed care in health settings. Register to attend HRSA Exit Disclaimer.

National Rural Health Day is November 21, 2019

rural scene - sunrise over a field

National Rural Health Day was created to increase awareness of rural health-related issues and challenges; as well as recognize those who are working to improve the health and well being of the millions of people living in America’s rural communities. The week of November 18-21 there will be twitter chats, webinars, a virtual job fair, and a special webcast HRSA celebration with Health and Human Services Deputy Secretary Eric Hargan and several HHS agencies.

Learn more about National Rural Health Day.

Date Last Reviewed:  October 2019

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