Rural Health
Resources by State: Vermont
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
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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
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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
Sponsoring organization: Carsey School of Public Policy
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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
Sponsoring organization: Carsey School of Public Policy
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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
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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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
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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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
Sponsoring organization: Dartmouth Health
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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
Sponsoring organization: Dartmouth Health
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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
Sponsoring organization: American Hospital Association
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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
Sponsoring organization: American Hospital Association
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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 sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health 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 sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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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
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
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
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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
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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
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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
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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
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
Sponsoring organization: Center for Advancing Rural Health Equity
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