Rural Health
Resources by State: Vermont
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
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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
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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
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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
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Vermont Baseline Needs Assessment Qualitative Report: Opioid Use Disorder Treatment Experiences in Rural Vermont
Presents a baseline needs assessment of opioid use disorder (OUD) treatment in rural Vermont. Discusses access to OUD treatment, experiences of people with OUD, and makes recommendations for improving care for OUD in rural Vermont.
Date: 03/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Presents a baseline needs assessment of opioid use disorder (OUD) treatment in rural Vermont. Discusses access to OUD treatment, experiences of people with OUD, and makes recommendations for improving care for OUD in rural Vermont.
Date: 03/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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2023 Vermont Primary Care Sourcebook
Describes the mission of the Vermont Primary Care Association (PCA), and includes sections on Federally Qualified Health Centers (FQHCs) and the Vermont Rural Health Alliance. Features a list of the Bi-State PCA's Vermont members with contact information, and a county-level map showing locations of the state's FQHCs.
Date: 01/2023
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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Describes the mission of the Vermont Primary Care Association (PCA), and includes sections on Federally Qualified Health Centers (FQHCs) and the Vermont Rural Health Alliance. Features a list of the Bi-State PCA's Vermont members with contact information, and a county-level map showing locations of the state's FQHCs.
Date: 01/2023
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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2020 Rural Opioid Overdose Mortality
Highlights the rate of rural opioid overdose mortality in 2020 for several northern New England states and compares it to the national rate. Breaks down rates based on substances used as well.
Date: 01/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Highlights the rate of rural opioid overdose mortality in 2020 for several northern New England states and compares it to the national rate. Breaks down rates based on substances used as well.
Date: 01/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Second Evaluation Report
Evaluates the first three 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 changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first three 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 changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Childcare for Farm Families: A Key Strategy to Keep Children Safe yet Largely Absent from Farm Programming
Analyzed programming and resources through an environmental scan and key informant interviews in Ohio, Vermont, and Wisconsin to assess how the farm industry addresses childcare and farm safety for farm families. Discusses the culture of families in farming and offers recommendations for future research.
Author(s): Florence Becot, Shoshanah Inwood, Andrea Rissing
Citation: Frontiers in Public Health, 10, 1043774
Date: 11/2022
Type: Document
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Analyzed programming and resources through an environmental scan and key informant interviews in Ohio, Vermont, and Wisconsin to assess how the farm industry addresses childcare and farm safety for farm families. Discusses the culture of families in farming and offers recommendations for future research.
Author(s): Florence Becot, Shoshanah Inwood, Andrea Rissing
Citation: Frontiers in Public Health, 10, 1043774
Date: 11/2022
Type: Document
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The Rural Opioid Initiative Consortium Description: Providing Evidence to Understand the Fourth Wave of the Opioid Crisis
Highlights an initiative aimed at developing interventions to address rural opioid use. Collects data from rural areas in 10 states via surveys of people who use drugs and explores overlapping issues, such as other drug use, homelessness, and lack of access to treatment, among others.
Author(s): Richard A. Jenkins, Bridget M. Whitney, Robin M. Nance, et al.
Citation: Addiction Science and Clinical Practice, 17, 38
Date: 07/2022
Type: Document
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Highlights an initiative aimed at developing interventions to address rural opioid use. Collects data from rural areas in 10 states via surveys of people who use drugs and explores overlapping issues, such as other drug use, homelessness, and lack of access to treatment, among others.
Author(s): Richard A. Jenkins, Bridget M. Whitney, Robin M. Nance, et al.
Citation: Addiction Science and Clinical Practice, 17, 38
Date: 07/2022
Type: Document
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Advancing Rural Health Equity Stakeholder Report
Outlines the strengths and challenges of rural healthcare delivery in New Hampshire and southeastern Vermont with a special emphasis on health equity using the Institute for Healthcare Improvement's Achieving Health Equity: A Guide for Healthcare Organizations framework. Describes the process for developing the Center for Advancing Rural Health Equity's (CARHE) scope and includes recommendations for the short-term, including strategies for collaboration among the community, healthcare research, and healthcare practice. Recommendations developed as a result of interviews with 13 rural stakeholders.
Author(s): Yaël Gill, Kate B. Hilton
Date: 06/2022
Type: Document
Sponsoring organization: Center for Advancing Rural Health Equity
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Outlines the strengths and challenges of rural healthcare delivery in New Hampshire and southeastern Vermont with a special emphasis on health equity using the Institute for Healthcare Improvement's Achieving Health Equity: A Guide for Healthcare Organizations framework. Describes the process for developing the Center for Advancing Rural Health Equity's (CARHE) scope and includes recommendations for the short-term, including strategies for collaboration among the community, healthcare research, and healthcare practice. Recommendations developed as a result of interviews with 13 rural stakeholders.
Author(s): Yaël Gill, Kate B. Hilton
Date: 06/2022
Type: Document
Sponsoring organization: Center for Advancing Rural Health Equity
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Northern Border Regional Commission State and Region Chartbooks: A Health-Focused Landscape Analysis
Webinar describing a project compiling the most recent publicly available data related to health and healthcare access at the county and state level for Maine, New Hampshire, New York, and Vermont. Discusses healthcare professional shortage areas and highlights counties with worse health outcomes than other counties in the region. Features statistics on demographics with breakdowns by rural location, socioeconomic characteristics, access to care, health outcomes and behaviors, community safety, death rates and top causes of death, internet access, insurance coverage, telehealth policies, scope of practice for various provider types, and maps showing Heath Professional Shortage Areas and locations of Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals.
Additional links: Presentation Slides, Transcript
Author(s): Katherine Ahrens
Date: 06/2022
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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Webinar describing a project compiling the most recent publicly available data related to health and healthcare access at the county and state level for Maine, New Hampshire, New York, and Vermont. Discusses healthcare professional shortage areas and highlights counties with worse health outcomes than other counties in the region. Features statistics on demographics with breakdowns by rural location, socioeconomic characteristics, access to care, health outcomes and behaviors, community safety, death rates and top causes of death, internet access, insurance coverage, telehealth policies, scope of practice for various provider types, and maps showing Heath Professional Shortage Areas and locations of Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals.
Additional links: Presentation Slides, Transcript
Author(s): Katherine Ahrens
Date: 06/2022
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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