Rural Health
Resources by State: Vermont
Examining Alignment of Community Health Teams' Preferences for Health, Equity, and Spending with State All-payer Waiver Priorities: A Discrete Choice Experiment
Provides an overview of the Vermont All-Payer Model (VAPM) and regional community health teams (CHTs). Analyzes the results of a survey of all 13 Vermont CHTs to describe how VAPM and CHTs interact and how VAPM impacts the priorities and design of community-based CHTs. Examines how community-based CHTs make trade-offs made between health, health equity, and healthcare spending.
Author(s): Eline M. van den Broek-Altenburg, Jamie S. Benson, Adam J. Atherly
Citation: Health Services Research, 59(Suppl.1), e14257
Date: 11/2023
Type: Document
view details
Provides an overview of the Vermont All-Payer Model (VAPM) and regional community health teams (CHTs). Analyzes the results of a survey of all 13 Vermont CHTs to describe how VAPM and CHTs interact and how VAPM impacts the priorities and design of community-based CHTs. Examines how community-based CHTs make trade-offs made between health, health equity, and healthcare spending.
Author(s): Eline M. van den Broek-Altenburg, Jamie S. Benson, Adam J. Atherly
Citation: Health Services Research, 59(Suppl.1), e14257
Date: 11/2023
Type: Document
view details
Recent Incarceration, Substance Use, Overdose, and Service Use Among People Who Use Drugs in Rural Communities
Compares 2,935 people who use drugs (PWUD) in rural areas of 10 states to evaluate the impact of time since last incarceration on access to treatment and overdose rates. Discusses policy measures that could increase access to and successful completion of treatment for substance use disorders.
Author(s): Daniel B. Hoover, Todd Korthuis, Elizabeth Needham Waddell, et al.
Citation: JAMA Network Open, 6(11), 2342222
Date: 11/2023
Type: Document
view details
Compares 2,935 people who use drugs (PWUD) in rural areas of 10 states to evaluate the impact of time since last incarceration on access to treatment and overdose rates. Discusses policy measures that could increase access to and successful completion of treatment for substance use disorders.
Author(s): Daniel B. Hoover, Todd Korthuis, Elizabeth Needham Waddell, et al.
Citation: JAMA Network Open, 6(11), 2342222
Date: 11/2023
Type: Document
view details
Development of the Rural Perception Scale (RPS-18)
Examines perceptions of rurality through a survey of 1,384 people in rural Kentucky, New Hampshire, and Vermont. Provides data breakdowns by geography of 18 perceptions related to belonging, attitudes toward rurality, loneliness, and community social ties. Discusses the relationship between individual factors, the concept of rurality, and geographically defined versus perceived rurality.
Author(s): Sunny Jung Kim, Jennifer Alford-Teaster, Jenna E. Schiffelbein, Tracy Onega
Citation: The Journal of Rural Health, 40(2), 348-367
Date: 09/2023
Type: Document
view details
Examines perceptions of rurality through a survey of 1,384 people in rural Kentucky, New Hampshire, and Vermont. Provides data breakdowns by geography of 18 perceptions related to belonging, attitudes toward rurality, loneliness, and community social ties. Discusses the relationship between individual factors, the concept of rurality, and geographically defined versus perceived rurality.
Author(s): Sunny Jung Kim, Jennifer Alford-Teaster, Jenna E. Schiffelbein, Tracy Onega
Citation: The Journal of Rural Health, 40(2), 348-367
Date: 09/2023
Type: Document
view details
Vermont Suicide Data-Linkage Project: 2020-2021 Data Analysis
Identifies risk factors for suicide, populations at disproportionate risk for suicide, and patterns in how Vermonters who died by suicide interacted with various state, community systems, and services prior to death. Features statistics with breakdowns including suicides by rural or urban residence and suicides of rural veterans.
Date: 09/2023
Type: Document
Sponsoring organization: Vermont Department of Health
view details
Identifies risk factors for suicide, populations at disproportionate risk for suicide, and patterns in how Vermonters who died by suicide interacted with various state, community systems, and services prior to death. Features statistics with breakdowns including suicides by rural or urban residence and suicides of rural veterans.
Date: 09/2023
Type: Document
Sponsoring organization: Vermont Department of Health
view details
A Descriptive Study of Covid-Era Movers to the Northern Forest Region
Discusses citizen relocation to the northern forest region, consisting of counties in Maine, New Hampshire, Vermont, and New York. Describes motivations for relocation during the COVID-19 pandemic, such as opportunities for outdoor recreation and access to rural spaces.
Author(s): Jess Carson, Sarah Boege, Libby Schwaner
Date: 08/2023
Type: Document
Sponsoring organization: Carsey School of Public Policy
view details
Discusses citizen relocation to the northern forest region, consisting of counties in Maine, New Hampshire, Vermont, and New York. Describes motivations for relocation during the COVID-19 pandemic, such as opportunities for outdoor recreation and access to rural spaces.
Author(s): Jess Carson, Sarah Boege, Libby Schwaner
Date: 08/2023
Type: Document
Sponsoring organization: Carsey School of Public Policy
view details
Evaluation of the Vermont All-Payer Accountable Care Organization Model: Third Evaluation Report
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
New England Health System CEOs Address Rural Healthcare Crisis In A Live Conversation
Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available in the video description.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Dartmouth Health
view details
Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available in the video description.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Dartmouth Health
view details
Retaining A Rural Nursing Workforce: It Takes A Village
A podcast that discusses attracting and retaining nurses in rural areas. Focuses on the University of Vermont Health Network and how they addressed the nursing shortage, such as focusing on staff well-being, creating a positive work environment, and investing in higher pay for nurses.
Date: 05/2023
Type: Audio
Sponsoring organization: American Hospital Association
view details
A podcast that discusses attracting and retaining nurses in rural areas. Focuses on the University of Vermont Health Network and how they addressed the nursing shortage, such as focusing on staff well-being, creating a positive work environment, and investing in higher pay for nurses.
Date: 05/2023
Type: Audio
Sponsoring organization: American Hospital Association
view details
Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
view details
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
view details
Stigma and Opioid Use Disorder in Northern New England
Report presents a study on the stigma around opioid use disorder (OUD) in Northern New England. Details the results of a survey of clinicians and counselors on the perceived stigma around OUD and OUD treatment in the rural counties of Maine, Vermont, New Hampshire, and Northern New York.
Date: 04/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
view details
Report presents a study on the stigma around opioid use disorder (OUD) in Northern New England. Details the results of a survey of clinicians and counselors on the perceived stigma around OUD and OUD treatment in the rural counties of Maine, Vermont, New Hampshire, and Northern New York.
Date: 04/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
view details