Rural Health
Resources by State: Pennsylvania
The Pennsylvania Rural Health Model (PARHM): First Annual Report
Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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The Implementation of the Sexual Assault Forensic Examination Telehealth Center: A Program Evaluation
Study that evaluates the implementation of the Pennsylvania-based Sexual Assault Forensic Examination Telehealth (SAFE-T) Center in 3 rural hospitals, based on surveys of staff and patients. Discusses results related to nurse confidence scores, perspectives of telehealth in relation to examinations, quality care, and patient outcomes.
Author(s): Sheridan Miyamoto, Elizabeth Thiede, Elizabeth N. Wright, et al.
Citation: Journal of Forensic Nursing, 17(3), E24-E33
Date: 07/2021
Type: Document
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Study that evaluates the implementation of the Pennsylvania-based Sexual Assault Forensic Examination Telehealth (SAFE-T) Center in 3 rural hospitals, based on surveys of staff and patients. Discusses results related to nurse confidence scores, perspectives of telehealth in relation to examinations, quality care, and patient outcomes.
Author(s): Sheridan Miyamoto, Elizabeth Thiede, Elizabeth N. Wright, et al.
Citation: Journal of Forensic Nursing, 17(3), E24-E33
Date: 07/2021
Type: Document
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Perceptions of Diseases of Despair by Members of Rural and Urban High-Prevalence Communities: A Qualitative Study
Reports on a study of community perceptions of despair-related illnesses based on 4 focus groups of 60 patients from 1 urban and 2 rural census blocks in central Pennsylvania where diseases of despair (DoD) are prevalent. Discusses perceived causes of DoD, such as economic instability, substance misuse, and fragmented family life; and intervention strategies at the community, local, and state level.
Author(s): Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al.
Citation: JAMA Network Open, 4(7), e2118134
Date: 07/2021
Type: Document
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Reports on a study of community perceptions of despair-related illnesses based on 4 focus groups of 60 patients from 1 urban and 2 rural census blocks in central Pennsylvania where diseases of despair (DoD) are prevalent. Discusses perceived causes of DoD, such as economic instability, substance misuse, and fragmented family life; and intervention strategies at the community, local, and state level.
Author(s): Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al.
Citation: JAMA Network Open, 4(7), e2118134
Date: 07/2021
Type: Document
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Suicide Trends and Prevention in Rural Pennsylvania Counties and Schools
Examines the overall trends in suicide in Pennsylvania from 1990 to 2018 and the suicide prevention programs currently used by counties and in K-12 school districts. Features statistics comparing suicide rates in United States and Pennsylvania, suicide rates in Pennsylvania and predictors of suicide with breakdowns by rural and urban counties, and county-level maps showing rates of suicide per 100,000 and change in suicide rates from 1999-2018.
Author(s): Daniel J. Mallinson, Eunsil Yoo, Brandon Cruz
Date: 06/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Examines the overall trends in suicide in Pennsylvania from 1990 to 2018 and the suicide prevention programs currently used by counties and in K-12 school districts. Features statistics comparing suicide rates in United States and Pennsylvania, suicide rates in Pennsylvania and predictors of suicide with breakdowns by rural and urban counties, and county-level maps showing rates of suicide per 100,000 and change in suicide rates from 1999-2018.
Author(s): Daniel J. Mallinson, Eunsil Yoo, Brandon Cruz
Date: 06/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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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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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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The Hospital and Healthsystem Association of Pennsylvania - COVID-19 Resources
Highlights resources and information pertaining to the COVID-19 pandemic for Pennsylvania hospitals and health systems. Features information on testing, treatment, and supplies.
Date: 04/2021
Type: Website
Sponsoring organization: Hospital and Healthsystem Association of Pennsylvania
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Highlights resources and information pertaining to the COVID-19 pandemic for Pennsylvania hospitals and health systems. Features information on testing, treatment, and supplies.
Date: 04/2021
Type: Website
Sponsoring organization: Hospital and Healthsystem Association of Pennsylvania
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Coordination of Veterans Services in Pennsylvania: A Task Force and Advisory Committee Report
Describes networks of services available to Pennsylvania veterans, examines how accessible these services are, and offers recommendations for improvement to ensure that veterans get the assistance and care to which they are entitled. Includes a section on rural veterans and the challenges they face in accessing healthcare.
Author(s): Frank M. Lill, Glenn J. Pasewicz, Grant Rosul, Wendy L. Baker
Date: 03/2021
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Describes networks of services available to Pennsylvania veterans, examines how accessible these services are, and offers recommendations for improvement to ensure that veterans get the assistance and care to which they are entitled. Includes a section on rural veterans and the challenges they face in accessing healthcare.
Author(s): Frank M. Lill, Glenn J. Pasewicz, Grant Rosul, Wendy L. Baker
Date: 03/2021
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Measuring Neighborhood Deprivation for Childhood Health and Development: Scale Implications in Rural and Urban Context
Examines administrative neighborhood definitions such as census tract, block group, and school district as well as egocentric GIS neighborhood definitions in relationship to socioeconomic deprivation and their impact on childhood health and development. Utilizes the Family Life Project sample of families in North Carolina and Pennsylvania to evaluate neighborhood deprivation along the urban-rural continuum.
Author(s): Alexandra Ursache, Seann Regan, Allison De Marco, Dustin T. Duncan
Citation: Geospatial Health, 16(1)
Date: 03/2021
Type: Document
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Examines administrative neighborhood definitions such as census tract, block group, and school district as well as egocentric GIS neighborhood definitions in relationship to socioeconomic deprivation and their impact on childhood health and development. Utilizes the Family Life Project sample of families in North Carolina and Pennsylvania to evaluate neighborhood deprivation along the urban-rural continuum.
Author(s): Alexandra Ursache, Seann Regan, Allison De Marco, Dustin T. Duncan
Citation: Geospatial Health, 16(1)
Date: 03/2021
Type: Document
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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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