Rural Health
Resources by State: Vermont
Vermont Hub-and-Spoke Model of Care For Opioid Use Disorder: Development, Implementation, and Impact
Discusses the development, application, and effectiveness of a hub-and-spoke system of care developed by addiction medicine physicians and public health officials to expand opioid use disorder (OUD) treatment due the continuous shortage of office-based opioid treatment (OBOT) providers in the rural state of Vermont.
Author(s): John R. Brooklyn, Stacey C. Sigmon
Citation: Journal of Addiction Medicine, 11(4), 286-292
Date: 2017
Type: Document
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Discusses the development, application, and effectiveness of a hub-and-spoke system of care developed by addiction medicine physicians and public health officials to expand opioid use disorder (OUD) treatment due the continuous shortage of office-based opioid treatment (OBOT) providers in the rural state of Vermont.
Author(s): John R. Brooklyn, Stacey C. Sigmon
Citation: Journal of Addiction Medicine, 11(4), 286-292
Date: 2017
Type: Document
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Improving Health Care for Spanish-Speaking Rural Dairy Farm Workers
Evaluation of a project to improve services offered by Dartmouth Geisel Migrant Health and a Federally Qualified Health Center. The 25 participants were dairy workers originally from Southern Mexico who were employed on 6 farms in Vermont and New Hampshire during the 7 months of the study.
Author(s): Caledonia Buckheit, Dwan Pineros, Ardis Olson, Deborah Johnson, Stephen Genereaux
Citation: Journal of the American Board of Family Medicine, 30(1), 91-93
Date: 2017
Type: Document
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Evaluation of a project to improve services offered by Dartmouth Geisel Migrant Health and a Federally Qualified Health Center. The 25 participants were dairy workers originally from Southern Mexico who were employed on 6 farms in Vermont and New Hampshire during the 7 months of the study.
Author(s): Caledonia Buckheit, Dwan Pineros, Ardis Olson, Deborah Johnson, Stephen Genereaux
Citation: Journal of the American Board of Family Medicine, 30(1), 91-93
Date: 2017
Type: Document
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Rural Grant Evaluation Report: Journeys Home Home Visiting Project
Report evaluating home-based domestic abuse and sexual violence advocacy programs supported by a Vermont rural grant funded by the U.S. Department of Justice. Describes the project's response to issues of cultural competency and access to survivor-centered advocacy and its emphasis on strengthening relationships between rural caregivers and children affected by violence and abuse. Presents statistical data from program-wide surveys of adult clients, children of clients, and Vermont Network Against Domestic and Sexual Violence staff members along with qualitative data from four participant interviews.
Author(s): Emily F. Rothman, Amy Torchia
Date: 12/2016
Type: Document
Sponsoring organization: Vermont Network Against Domestic and Sexual Violence
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Report evaluating home-based domestic abuse and sexual violence advocacy programs supported by a Vermont rural grant funded by the U.S. Department of Justice. Describes the project's response to issues of cultural competency and access to survivor-centered advocacy and its emphasis on strengthening relationships between rural caregivers and children affected by violence and abuse. Presents statistical data from program-wide surveys of adult clients, children of clients, and Vermont Network Against Domestic and Sexual Violence staff members along with qualitative data from four participant interviews.
Author(s): Emily F. Rothman, Amy Torchia
Date: 12/2016
Type: Document
Sponsoring organization: Vermont Network Against Domestic and Sexual Violence
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Early Elective Delivery and Vaginal Birth After Cesarean in Rural US Maternity Hospitals
Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
Type: Document
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Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
Type: Document
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals (CAHs) and other rural hospitals having at least 10 births in 2010 by analyzing data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics, and services provided for labor and delivery.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals (CAHs) and other rural hospitals having at least 10 births in 2010 by analyzing data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics, and services provided for labor and delivery.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Caring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas
Provides an overview of the challenges managed and the approach used for the development of a comprehensive program for the treatment of opioid dependence during pregnancy in rural Vermont.
Author(s): Marjorie Meyer, Julie Phillips
Citation: Preventive Medicine, 80, 18-22
Date: 11/2015
Type: Document
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Provides an overview of the challenges managed and the approach used for the development of a comprehensive program for the treatment of opioid dependence during pregnancy in rural Vermont.
Author(s): Marjorie Meyer, Julie Phillips
Citation: Preventive Medicine, 80, 18-22
Date: 11/2015
Type: Document
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Systematic Review of Palliative Care in the Rural Setting
Synthesizes the results of an extensive search of the medical literature focused on the developments in palliative care for patients living in rural areas in the U.S. and internationally to determine where gaps in the research may occur. Suggests promising approaches including telehealth, community-academic partnerships, and training for rural healthcare providers.
Author(s): Marie A. Bakitas, Ronit Elk, Meka Astin, et al.
Citation: Cancer Control, 22(4), 450-464
Date: 10/2015
Type: Document
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Synthesizes the results of an extensive search of the medical literature focused on the developments in palliative care for patients living in rural areas in the U.S. and internationally to determine where gaps in the research may occur. Suggests promising approaches including telehealth, community-academic partnerships, and training for rural healthcare providers.
Author(s): Marie A. Bakitas, Ronit Elk, Meka Astin, et al.
Citation: Cancer Control, 22(4), 450-464
Date: 10/2015
Type: Document
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Rural Women Delivering Babies in Non-Local Hospitals: Differences by Rurality and Insurance Status
Describes the factors, including health insurance status and degree of rurality, that influence rural pregnant women to give birth in non-local hospitals.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 06/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes the factors, including health insurance status and degree of rurality, that influence rural pregnant women to give birth in non-local hospitals.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 06/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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