Rural Health
Resources by State: Iowa
A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Sustainability Resources for Rural Public Health Workforce Training Network (RPHWTN) Program Awardees
Offers guidance to awardees of the Rural Public Health Workforce Training Network (RPHWTN) on creating sustainability for funded projects. Lists resources and funding opportunities for awarded projects at the national and state levels.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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Offers guidance to awardees of the Rural Public Health Workforce Training Network (RPHWTN) on creating sustainability for funded projects. Lists resources and funding opportunities for awarded projects at the national and state levels.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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The Impact of Internet Connectivity When Conducting a Virtual Clinical Trial with Participants Living in Rural Areas
Evaluates the effectiveness of virtual randomized clinical trials for research involving rural family caregivers. Analyzes notes across 1,003 visits with research participants in Minnesota, Iowa, and Wisconsin to identify internet reliability issues and impact on the research. Discusses internet access a social determinant of health.
Author(s): Diane E. Holland, Catherine E. Vanderboom, Jay Mandrekar, et al.
Citation: Contemporary Clinical Trials Communications, 42, 101366
Date: 12/2024
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Evaluates the effectiveness of virtual randomized clinical trials for research involving rural family caregivers. Analyzes notes across 1,003 visits with research participants in Minnesota, Iowa, and Wisconsin to identify internet reliability issues and impact on the research. Discusses internet access a social determinant of health.
Author(s): Diane E. Holland, Catherine E. Vanderboom, Jay Mandrekar, et al.
Citation: Contemporary Clinical Trials Communications, 42, 101366
Date: 12/2024
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Transitional Palliative Care for Family Caregivers: Outcomes From a Randomized Controlled Trial
Examines the influence of mentoring from a palliative care nurse on family caregivers in rural and other areas of three states. Analyzes adult caregivers from 2018-2022 after their care recipient who utilized inpatient palliative care was discharged from the hospital. Compares a control group who received only monthly phone calls with an intervention group who received teaching, guidance, and counseling. Discusses importance of both caregiver support and patient wellness.
Author(s): Joan M. Griffin, Jay N. Mandrekar, Catherine E. Vanderboom, et al.
Citation: Journal of Pain and Symptom Management, 68(5), 456-466
Date: 11/2024
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Examines the influence of mentoring from a palliative care nurse on family caregivers in rural and other areas of three states. Analyzes adult caregivers from 2018-2022 after their care recipient who utilized inpatient palliative care was discharged from the hospital. Compares a control group who received only monthly phone calls with an intervention group who received teaching, guidance, and counseling. Discusses importance of both caregiver support and patient wellness.
Author(s): Joan M. Griffin, Jay N. Mandrekar, Catherine E. Vanderboom, et al.
Citation: Journal of Pain and Symptom Management, 68(5), 456-466
Date: 11/2024
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Increasing Digital Equity to Promote Online Smoking Cessation Program Engagement among Rural Adults: A Randomized Controlled Pilot Trial
Evaluates 3 digital access interventions for a smoking cessation program among 90 rural adults. Discusses trial engagement among the 3 intervention types, smoking cessation-related outcomes, and patient experience.
Author(s): Sydney Kelpin, Tabetha A. Brockman, Paul A. Decker, et al.
Citation: Communications Medicine, 4, 194
Date: 10/2024
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Evaluates 3 digital access interventions for a smoking cessation program among 90 rural adults. Discusses trial engagement among the 3 intervention types, smoking cessation-related outcomes, and patient experience.
Author(s): Sydney Kelpin, Tabetha A. Brockman, Paul A. Decker, et al.
Citation: Communications Medicine, 4, 194
Date: 10/2024
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Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery
Examines the presence of family medicine (FM) physicians and obstetricians (OBs) during labor and delivery. Utilizes survey data from 849 clinicians at 39 Iowa hospitals to analyze hospitals with FMs, OBs, or both and the association to safety culture and caesarean birth rates. Discusses the importance of FM physicians having intrapartum training and the impact on rural access to pregnancy care.
Author(s): Emily White VanGompel, Lavisha Singh, Francesca Carlock, et al.
Citation: The Annals of Family Medicine, 22(5), 375-382
Date: 09/2024
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Examines the presence of family medicine (FM) physicians and obstetricians (OBs) during labor and delivery. Utilizes survey data from 849 clinicians at 39 Iowa hospitals to analyze hospitals with FMs, OBs, or both and the association to safety culture and caesarean birth rates. Discusses the importance of FM physicians having intrapartum training and the impact on rural access to pregnancy care.
Author(s): Emily White VanGompel, Lavisha Singh, Francesca Carlock, et al.
Citation: The Annals of Family Medicine, 22(5), 375-382
Date: 09/2024
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Challenges and Opportunities in Rural Health Care: Chelsea Lensing
A video recording of a podcast episode that discusses mental healthcare access in rural Iowa. Features Chelsea Lensing, economics professor at Coe College in Iowa, who studies disparities in healthcare access in rural versus urban populations. Transcript available below video.
Author(s): Paul Yeager, Chelsea Lensing
Date: 09/2024
Sponsoring organization: Iowa PBS
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A video recording of a podcast episode that discusses mental healthcare access in rural Iowa. Features Chelsea Lensing, economics professor at Coe College in Iowa, who studies disparities in healthcare access in rural versus urban populations. Transcript available below video.
Author(s): Paul Yeager, Chelsea Lensing
Date: 09/2024
Sponsoring organization: Iowa PBS
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A National Study of Firearm Exposure and Safety Training Among Rural Youth
Examines firearm exposure and related safety training in rural adolescents. Utilizes survey data from 3,206 adolescents aged 13 to 18 who attended the 2021 National FFA Convention & Expo in Iowa. Provides data breakdowns according to demographics, firearm use, hunting experience, firearm safety experiences, age when exposed to firearms, and more.
Author(s): Jamie L. Koopman, Benjamin M. Linden, Megan R. Sinik, et al.
Citation: Injury Epidemiology, 11, 47
Date: 09/2024
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Examines firearm exposure and related safety training in rural adolescents. Utilizes survey data from 3,206 adolescents aged 13 to 18 who attended the 2021 National FFA Convention & Expo in Iowa. Provides data breakdowns according to demographics, firearm use, hunting experience, firearm safety experiences, age when exposed to firearms, and more.
Author(s): Jamie L. Koopman, Benjamin M. Linden, Megan R. Sinik, et al.
Citation: Injury Epidemiology, 11, 47
Date: 09/2024
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Changes in Substance Use Diagnoses in the Great Plains During the COVID-19 Pandemic
Analyzed 109,671 patient visits for alcohol use disorder, opioid use disorder, or stimulant use disorder in 7 Great Plains states between March 2019 and March 2021 to report on demographic and geographic pattern disruptions in healthcare during the COVID-19 pandemic. Includes discussion of metropolitan and nonmetropolitan residency on data and policy implications regarding access to care.
Author(s): Ahmed Nahian, Lisa M. McFadden
Citation: Healthcare, 12(16)
Date: 08/2024
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Analyzed 109,671 patient visits for alcohol use disorder, opioid use disorder, or stimulant use disorder in 7 Great Plains states between March 2019 and March 2021 to report on demographic and geographic pattern disruptions in healthcare during the COVID-19 pandemic. Includes discussion of metropolitan and nonmetropolitan residency on data and policy implications regarding access to care.
Author(s): Ahmed Nahian, Lisa M. McFadden
Citation: Healthcare, 12(16)
Date: 08/2024
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Variation in Dentist Participation Between Dental Medicaid Managed Care Organizations
Examines the variation in Medicaid managed care organization (MCO) participation among private practice dentists in Iowa. Describes factors associated with Medicaid MCO participation, including dentists' personal and practice characteristics, including practice type, rural or urban location, and dental Health Professional Shortage Area (HPSA) designation.
Author(s): Pamela C. Nwachukwu, Peter C. Damiano, Steven Levy, et al.
Citation: Journal of Public Health Dentistry, 84(4), 362-370
Date: 07/2024
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Examines the variation in Medicaid managed care organization (MCO) participation among private practice dentists in Iowa. Describes factors associated with Medicaid MCO participation, including dentists' personal and practice characteristics, including practice type, rural or urban location, and dental Health Professional Shortage Area (HPSA) designation.
Author(s): Pamela C. Nwachukwu, Peter C. Damiano, Steven Levy, et al.
Citation: Journal of Public Health Dentistry, 84(4), 362-370
Date: 07/2024
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