Rural Health
Resources by State: Iowa
Filling the Gap: USDA, Utility Co-ops Working to Bring Badly Needed Dental Services to Rural Iowans
Features the Fulfilling Iowa's Need for Dentists (FIND) program funded by USDA Rural Development via pass-through loans to several telephone and electric cooperatives to provide dental care to Iowa's rural communities. Details the development of FIND and the ways in which it helps place dentists in underserved areas.
Author(s): Darin Leach
Citation: Rural Cooperatives, 85(1), 12-13, 43
Date: 01/2018
Type: Document
Sponsoring organization: USDA Rural Development
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Features the Fulfilling Iowa's Need for Dentists (FIND) program funded by USDA Rural Development via pass-through loans to several telephone and electric cooperatives to provide dental care to Iowa's rural communities. Details the development of FIND and the ways in which it helps place dentists in underserved areas.
Author(s): Darin Leach
Citation: Rural Cooperatives, 85(1), 12-13, 43
Date: 01/2018
Type: Document
Sponsoring organization: USDA Rural Development
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Affiliation Partners Sought to Prepare Small Hospital for Value-Based Care
Details how Grinnell Regional Medical Center (GRMC) in Grinnell, Iowa, followed a robust due diligence process to identify affiliation partners and prepare for participation in risk-based reimbursement models. GRMC is a 49-bed private, nonprofit medical center that serves 6 rural counties in Iowa.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Value
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Details how Grinnell Regional Medical Center (GRMC) in Grinnell, Iowa, followed a robust due diligence process to identify affiliation partners and prepare for participation in risk-based reimbursement models. GRMC is a 49-bed private, nonprofit medical center that serves 6 rural counties in Iowa.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Value
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Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Developing Smokeless Tobacco Prevention Messaging for At-Risk Youth: Early Lessons from "The Real Cost" Smokeless Campaign
Presents the findings of two separate qualitative research studies – strategic concept testing and creative concept testing - conducted with youth at risk or who had experimented with smokeless tobacco (SLT), to support the development of health messaging to inform youth on the consequences of SLT use. Focus groups were conducted with 252 rural male youth ages 12-17 from states with high prevalence of SLT associated with the target audience.
Author(s): Matthew W. Walker, Sarah A. Evans, Cameron Wimpy, Amanda T. Berger, Alexandria A. Smith
Citation: Health Equity, 2(1), 167–173
Date: 2018
Type: Document
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Presents the findings of two separate qualitative research studies – strategic concept testing and creative concept testing - conducted with youth at risk or who had experimented with smokeless tobacco (SLT), to support the development of health messaging to inform youth on the consequences of SLT use. Focus groups were conducted with 252 rural male youth ages 12-17 from states with high prevalence of SLT associated with the target audience.
Author(s): Matthew W. Walker, Sarah A. Evans, Cameron Wimpy, Amanda T. Berger, Alexandria A. Smith
Citation: Health Equity, 2(1), 167–173
Date: 2018
Type: Document
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Unintentional Firearm Injuries Remain Prevalent Over a 12 Year Experience at a Rural Midwestern Level 1 Trauma Center
Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
Type: Document
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Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
Type: Document
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Activation and Utilization of an Electronic Health Record Patient Portal at an Academic Medical Center: Impact of Patient Demographics and Geographic Location
Analyzes the rates of patient portal activation and usage associated with the University of Iowa Hospitals and Clinics by patients in rural and urban areas of the state. Identifies population groups with the lowest activation rates and discusses possible barriers to accessing patient portals.
Author(s): Sarah E. R. Oest, Maia Hightower, Matthew D. Krasowski
Citation: Academic Pathology, 5
Date: 2018
Type: Document
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Analyzes the rates of patient portal activation and usage associated with the University of Iowa Hospitals and Clinics by patients in rural and urban areas of the state. Identifies population groups with the lowest activation rates and discusses possible barriers to accessing patient portals.
Author(s): Sarah E. R. Oest, Maia Hightower, Matthew D. Krasowski
Citation: Academic Pathology, 5
Date: 2018
Type: Document
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Iowa's Marketplace Choice Summative Report
Summarizes an evaluation of the implementation of Iowa's Marketplace Choice Plan (MPC), a premium support health insurance plan for Iowans from 101-133% of the federal poverty level (FPL). Discusses the effects of the plan on member access to care, quality of care, insurance coverage gaps, and costs of providing care. Also examines the effects of the premium incentive and copayment disincentive programs on plan enrollees and the adequacy of the plan's provider network.
Author(s): Elizabeth T. Momany, Suzanne E. Bentler, Susan C. McKernan, et al.
Date: 12/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Summarizes an evaluation of the implementation of Iowa's Marketplace Choice Plan (MPC), a premium support health insurance plan for Iowans from 101-133% of the federal poverty level (FPL). Discusses the effects of the plan on member access to care, quality of care, insurance coverage gaps, and costs of providing care. Also examines the effects of the premium incentive and copayment disincentive programs on plan enrollees and the adequacy of the plan's provider network.
Author(s): Elizabeth T. Momany, Suzanne E. Bentler, Susan C. McKernan, et al.
Date: 12/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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State Innovation Model (SIM) Evaluation Report on Award Year 2 (AY2) Activities
Discusses the process and implementation activities of the State Innovation Model (SIM) grant program administered by the Centers for Medicare and Medicaid Services (CMS) in the state of Iowa. SIM provides funding for states to develop innovative strategies to address healthcare reform by improving the patient healthcare experience, population health, and reducing healthcare costs. Describes interventions and actions from the SIM initiative, community characteristics, and settings impacted by the initiative.
Author(s): Suzanne Bentler, Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, Peter Damiano
Date: 11/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Discusses the process and implementation activities of the State Innovation Model (SIM) grant program administered by the Centers for Medicare and Medicaid Services (CMS) in the state of Iowa. SIM provides funding for states to develop innovative strategies to address healthcare reform by improving the patient healthcare experience, population health, and reducing healthcare costs. Describes interventions and actions from the SIM initiative, community characteristics, and settings impacted by the initiative.
Author(s): Suzanne Bentler, Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, Peter Damiano
Date: 11/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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