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Rural Health Information Hub

Rural Health
Resources by State: North Carolina

Making the EHR Work: Rural Healthcare Organizations Use Data Extraction to Improve Patient Care
Discusses how rural organizations can use their electronic health record (EHR) data to address population health. Features data analytics programs at the White House Clinics in rural Appalachian Kentucky and Harris Regional Hospital in western North Carolina. Also discusses preparation of the rural health information technology (HIT) workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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2018 Update on Priority Strategies: North Carolina Rural Health Action Plan
Details the progress North Carolina has made in 6 priority areas outlined in the 2014 Rural Health Action Plan. These include investment in local industries, ensuring that childhood settings promote educational success, encouraging healthy eating and active living, screening for and treating substance abuse and mental health issues, educating people about insurance and safety net options, and creating incentives to support recruitment and retention of providers to underserved areas.
Date: 08/2018
Sponsoring organization: North Carolina Institute of Medicine
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Heart Matters: A Study Protocol for a Community Based Randomized Trial Aimed at Reducing Cardiovascular Risk in a Rural, African American Community
Presents a study evaluating an intervention aimed at addressing cardiovascular disease among African Americans in rural North Carolina. Evaluates program data collection, implementation, and outcomes.
Author(s): Giselle Corbie-Smith, Crystal Wiley-Cene, Kiana Bess, et al.
Citation: BMC Public Health, 18, 938
Date: 07/2018
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Identifying Bright Spots in Appalachian Health: Statistical Analysis
Describes analysis used in assessing how Appalachia's 420 counties scored in 19 health indicators, and identifies counties with health outcomes that were better than expected. Features statistics and county-level maps showing economic status. Second in a series of reports exploring health issues in Appalachia.
Author(s): G. Mark Holmes, Nancy M. Lane, William Holding, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Applicability of Precision Medicine Approaches to Managing Hypertension in Rural Populations
Discusses the Heart Healthy Lenoir Project study using a precision medicine approach in a rural population to gain knowledge on blood pressure (BP) control and BP intervention. The focus of the study is on single nucleotide polymorphisms (SNPs), a common type of genetic variation, to determine if SNPs corresponding with hypertension variation found in previous studies of populations near major medical organizations, are relative to BP control in subjects from a rural population.
Author(s): Jacqueline R. Halladay, Kaitlin C. Lenhart, Kimberly Robasky, et al.
Citation: Journal of Personalized Medicine, 8(2), 16
Date: 06/2018
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Quantifying Disparities in Accessibility and Availability of Pediatric Primary Care across Multiple States with Implications for Targeted Interventions
Examines disparities in accessing pediatric primary care for rural and urban communities and children with public versus private insurance. Uses data on accessibility and availability for children in 7 states: California, Georgia, Louisiana, Minnesota, Mississippi, North Carolina, and Tennessee. Discusses the policy implications of the findings both generally and for the states studied.
Author(s): Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
Citation: Health Services Research, 53(3), 1458-1477
Date: 06/2018
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Running the Numbers: County Level Dynamics of Heroin Mortality in North Carolina
Presents a study on opioid overdose mortality in North Carolina. Compares counties that have higher rates of overdose mortality with those with lower rates and aims to identify the factors that contribute to those rates.
Author(s): Alexander H Gunn, Bryce Bartlett, Grace Feng, et al.
Citation: North Carolina Medical Journal, 79(3), 195-200
Date: 05/2018
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Access to Syringe Services Programs — Kentucky, North Carolina, and West Virginia, 2013–2017
Overview of the role of syringe services programs (SSPs) in reducing hepatitis C transmission related to injection drug use. Describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia from 2013 through August 1, 2017. Discusses the opportunity to improve access to care through SSPs, including access to related services such as medication-assisted treatment, which can be included in comprehensive SSPs.
Author(s): Danae Bixler, Greg Corby-Lee, Scott Proescholdbell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(18), 529-532
Date: 05/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Social Determinants of Health: Transforming the Buzz Phrase to a Rural Action Item
Discusses how rural healthcare organizations can use social risk assessments as a tool to improve population health. Highlights the work of two rural organizations, CommWell Health in North Carolina and Tift Regional Health System in Georgia, to assess social risks and address patients' social determinants of health (SDOH).
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2018
Sponsoring organization: Rural Health Information Hub
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