Rural Health
Resources by State: Tennessee
Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
Type: Document
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Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
Type: Document
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
Type: Document
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Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
Type: Document
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Serum Cotinine Versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children
Highlights a study of secondhand smoke exposure in Appalachian children. Features data collected from children aged 7-9 and compares rates to national and Appalachian-state rates.
Author(s): Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes
Citation: Journal of Appalachian Health, 1(1), 15-26
Date: 2019
Type: Document
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Highlights a study of secondhand smoke exposure in Appalachian children. Features data collected from children aged 7-9 and compares rates to national and Appalachian-state rates.
Author(s): Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes
Citation: Journal of Appalachian Health, 1(1), 15-26
Date: 2019
Type: Document
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Hospital Mergers and Public Accountability: Tennessee and Virginia Employ a Certificate of Public Advantage
Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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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
Type: Document
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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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
Type: Document
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
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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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
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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