Rural Health
Resources by State: Kentucky
Trends in Drug Overdose Mortality Rates in Kentucky, 2019-2020
Evaluates the changes in drug overdose mortality rates for Kentucky residents, using provisional 2020 death certificate data from the Kentucky Office of Vital Statistics. Features statistics on Kentucky drug overdose deaths by month from 2011-2020, and Kentucky drug overdose mortality rates and rate ratios by demographic group from 2019-2020, with breakdowns by metropolitan and nonmetropolitan residence.
Author(s): Svetla Slavova, Dana Quesinberry, Sarah Hargrove, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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Evaluates the changes in drug overdose mortality rates for Kentucky residents, using provisional 2020 death certificate data from the Kentucky Office of Vital Statistics. Features statistics on Kentucky drug overdose deaths by month from 2011-2020, and Kentucky drug overdose mortality rates and rate ratios by demographic group from 2019-2020, with breakdowns by metropolitan and nonmetropolitan residence.
Author(s): Svetla Slavova, Dana Quesinberry, Sarah Hargrove, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County
Discusses efforts to improve nutrition of rural Appalachian citizens through community-developed marketing strategies. Examines statistical differences in food purchases at 5 Kentucky gas stations before and after healthier options were noted on station shelves via a "Smart Snack" logo.
Author(s): Rachel Gillespie, Emily DeWitt, Heather Norman-Burgdolf, Brynnan Dunnaway, Alison Gustafson
Citation: Nutrients, 13(7), 2200
Date: 06/2021
Type: Document
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Discusses efforts to improve nutrition of rural Appalachian citizens through community-developed marketing strategies. Examines statistical differences in food purchases at 5 Kentucky gas stations before and after healthier options were noted on station shelves via a "Smart Snack" logo.
Author(s): Rachel Gillespie, Emily DeWitt, Heather Norman-Burgdolf, Brynnan Dunnaway, Alison Gustafson
Citation: Nutrients, 13(7), 2200
Date: 06/2021
Type: Document
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COVID-19 Vaccine Communications Campaign Online Analysis
Provides links to online communication tools and state-level resources to increase COVID-19 vaccination confidence across the 8 Delta Regional Community Health Systems Development (DRCHSD) Program states: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.
Date: 06/2021
Type: Document
Sponsoring organizations: Legato Healthcare Marketing, National Rural Health Resource Center
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Provides links to online communication tools and state-level resources to increase COVID-19 vaccination confidence across the 8 Delta Regional Community Health Systems Development (DRCHSD) Program states: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.
Date: 06/2021
Type: Document
Sponsoring organizations: Legato Healthcare Marketing, National Rural Health Resource Center
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Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Broadband in Rural America: Faster Speeds for Home and Healthcare
Highlights the importance of rural broadband infrastructure for access to telehealth, patient portals, and other services. Features a Colorado countywide broadband program, Alabama telehealth services provided via county health departments, and a program providing healthcare access to rural veterans in Kentucky.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights the importance of rural broadband infrastructure for access to telehealth, patient portals, and other services. Features a Colorado countywide broadband program, Alabama telehealth services provided via county health departments, and a program providing healthcare access to rural veterans in Kentucky.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Promising Flex Program Initiatives to Support Critical Access Hospitals during the COVID-19 Pandemic
Reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) and address priority needs during the COVID-19 pandemic. Highlights initiatives implemented by SFPs in seven states: Alaska, Arizona, Idaho, Kentucky, Montana, Pennsylvania, and Wyoming. Discusses strategies regarding support for frontline staff, staff communication, communication to rural communities, clinical and service improvement, and CAH and Rural Health Clinic financial performance. Discusses ongoing considerations and concerns.
Author(s): Celia Jewell, Sara Kahn-Troster, John Gale
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) and address priority needs during the COVID-19 pandemic. Highlights initiatives implemented by SFPs in seven states: Alaska, Arizona, Idaho, Kentucky, Montana, Pennsylvania, and Wyoming. Discusses strategies regarding support for frontline staff, staff communication, communication to rural communities, clinical and service improvement, and CAH and Rural Health Clinic financial performance. Discusses ongoing considerations and concerns.
Author(s): Celia Jewell, Sara Kahn-Troster, John Gale
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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States Work to Support Rural Hospitals Despite Pandemic Challenges
Blog post highlighting state-level policies to address and prevent rural hospital closures. Discusses proposals in state legislatures regarding alternative payment methodologies and funding, service delivery models, and the recruitment and retention of a rural healthcare workforce.
Author(s): Beth Giambrone
Date: 04/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Blog post highlighting state-level policies to address and prevent rural hospital closures. Discusses proposals in state legislatures regarding alternative payment methodologies and funding, service delivery models, and the recruitment and retention of a rural healthcare workforce.
Author(s): Beth Giambrone
Date: 04/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Sourcebook: Delta States Rural Development Network Program, 2016-2020
Detailed descriptions of the twelve Delta States Rural Development Network grantees funded during the 2016-2020 grant period. Includes a list of grantees by focus area and grantee profiles providing contact information and in-depth project descriptions. The Delta States region comprises Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.
Date: 03/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Detailed descriptions of the twelve Delta States Rural Development Network grantees funded during the 2016-2020 grant period. Includes a list of grantees by focus area and grantee profiles providing contact information and in-depth project descriptions. The Delta States region comprises Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.
Date: 03/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Related funding:
Delta States Rural Development Network Grant Program
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Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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