Rural Health
Resources by State: Iowa
Community Engagement: An Essential Component of an Effective and Equitable Substance Use Prevention System
Describes the role of community engagement for tribal, urban, suburban, and rural communities when developing equitable evidence-based programs and policies supporting substance use prevention programs. Discusses research focused on community engagement activities and outcomes, hands-on strategies derived from participation in community engagement, and evaluation as part of the planning and implementation process. Presents examples of how community engagement facilitates substance use prevention systems in rural and tribal communities.
Date: 06/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Describes the role of community engagement for tribal, urban, suburban, and rural communities when developing equitable evidence-based programs and policies supporting substance use prevention programs. Discusses research focused on community engagement activities and outcomes, hands-on strategies derived from participation in community engagement, and evaluation as part of the planning and implementation process. Presents examples of how community engagement facilitates substance use prevention systems in rural and tribal communities.
Date: 06/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Examines the extent of missed opportunities (MOs) for human papillomavirus (HPV) vaccination among adolescents in Iowa between the ages of 11 to 13 and continuously enrolled in private health insurance. Compares the number of MOs by gender and rurality.
Author(s): Grace Ryan, Sato Ashida, Paul A. Gilbert, et al.
Citation: Journal of Community Health, 47, 783-789
Date: 06/2022
Type: Document
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Examines the extent of missed opportunities (MOs) for human papillomavirus (HPV) vaccination among adolescents in Iowa between the ages of 11 to 13 and continuously enrolled in private health insurance. Compares the number of MOs by gender and rurality.
Author(s): Grace Ryan, Sato Ashida, Paul A. Gilbert, et al.
Citation: Journal of Community Health, 47, 783-789
Date: 06/2022
Type: Document
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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Implementation of a Maternal Child Knowledgebase
Describes the development and implementation of the Maternal-Child Knowledgebase (MCK), an Obstetrics and Gynecology-focused enterprise data warehouse that integrates pregnancy and care data for patients of the University of Iowa Hospitals and Clinics to facilitate maternal and women's health surveillance and research. Offers an overview of the MCK architecture, interface, security, and data governance, and notes the need for maternal and child health data to address rural disparities.
Author(s): Donna A. Santillan, Mark K. Santillan, Heather A. Davis, et al.
Citation: AMIA Annual Symposium Proceedings Archive, 2022, 432-438
Date: 05/2022
Type: Document
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Describes the development and implementation of the Maternal-Child Knowledgebase (MCK), an Obstetrics and Gynecology-focused enterprise data warehouse that integrates pregnancy and care data for patients of the University of Iowa Hospitals and Clinics to facilitate maternal and women's health surveillance and research. Offers an overview of the MCK architecture, interface, security, and data governance, and notes the need for maternal and child health data to address rural disparities.
Author(s): Donna A. Santillan, Mark K. Santillan, Heather A. Davis, et al.
Citation: AMIA Annual Symposium Proceedings Archive, 2022, 432-438
Date: 05/2022
Type: Document
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Innovations from the Field: AAAs Work to Improve Diversity, Equity and Inclusion
Presents case studies of how seven Area Agencies on Aging (AAAs) implemented equity and inclusion efforts within their organizations and through service delivery. Highlights programs serving rural Iowa, Oregon, and New York.
Date: 05/2022
Type: Document
Sponsoring organization: USAging
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Presents case studies of how seven Area Agencies on Aging (AAAs) implemented equity and inclusion efforts within their organizations and through service delivery. Highlights programs serving rural Iowa, Oregon, and New York.
Date: 05/2022
Type: Document
Sponsoring organization: USAging
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The Impact of COVID-19 on the Rural Health Care Landscape: Challenges and Opportunities
Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Parent Partners Provide Mentoring and Support in Rural Iowa
Features a statewide program in Iowa that pairs families whose children have been removed from the home with mentors with shared experience who have successfully navigated the state's Department of Human Services system. Describes the services that mentors provide: coaching, advocating, and connecting clients with community resources.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features a statewide program in Iowa that pairs families whose children have been removed from the home with mentors with shared experience who have successfully navigated the state's Department of Human Services system. Describes the services that mentors provide: coaching, advocating, and connecting clients with community resources.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
Type: Document
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Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
Type: Document
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Out of the Shadows: Reducing the Rural Impact of Epilepsy
Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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