Rural Health
Resources by State: Vermont
Vermont's All-Payer Accountable Care Organization Model: Mt. Ascutney Hospital and Health Center's Experience
Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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Case Studies of Communities of Less Than 10,000 People with Bicycle & Pedestrian Infrastructure
Examines the availability of bicycle and pedestrian infrastructure in rural communities in the U.S. based on a sample of 5 states that represent the different regions of the U.S.: Northeast, North Central, South-Gulf, South-Atlantic, and the West. Discusses the health and community benefits of bicycle and pedestrian infrastructure, issues of maintaining infrastructure, and ways to engage communities in planning based on survey and interview data.
Author(s): Natalie Villwock-Witte, Karalyn Clouser
Date: 02/2022
Sponsoring organization: Western Transportation Institute
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Examines the availability of bicycle and pedestrian infrastructure in rural communities in the U.S. based on a sample of 5 states that represent the different regions of the U.S.: Northeast, North Central, South-Gulf, South-Atlantic, and the West. Discusses the health and community benefits of bicycle and pedestrian infrastructure, issues of maintaining infrastructure, and ways to engage communities in planning based on survey and interview data.
Author(s): Natalie Villwock-Witte, Karalyn Clouser
Date: 02/2022
Sponsoring organization: Western Transportation Institute
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Vermont Oral Health Plan 2022
Describes the oral health plan for Vermont including the burden of oral disease, prevention strategies, surveillance and assessment, school-based dental programs, and the oral health workforce. Addresses challenges for people living in rural areas, including healthcare access.
Date: 2022
Sponsoring organization: Vermont Department of Health
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Describes the oral health plan for Vermont including the burden of oral disease, prevention strategies, surveillance and assessment, school-based dental programs, and the oral health workforce. Addresses challenges for people living in rural areas, including healthcare access.
Date: 2022
Sponsoring organization: Vermont Department of Health
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Gradual Adoption of Needle Biopsy for Breast Lesions in a Rural State
Examines disparities in minimally invasive breast biopsy (MIBB) usage in rural and urban areas of Vermont, based on 9,122 diagnostic episodes from 1999 to 2018. Includes demographic data of women who underwent biopsy broken down by age, history of breast biopsy, education, and rural versus urban residence. Discusses efforts to eliminate disparities in relationship to MIBB rates to improve standard of care.
Author(s): Serena Murphy, Yi-Chuan Yu, Colleen Kerrigan, Brian Sprague, Michelle Sowden
Citation: Cancer Medicine, 10(23), 8320-8327
Date: 11/2021
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Examines disparities in minimally invasive breast biopsy (MIBB) usage in rural and urban areas of Vermont, based on 9,122 diagnostic episodes from 1999 to 2018. Includes demographic data of women who underwent biopsy broken down by age, history of breast biopsy, education, and rural versus urban residence. Discusses efforts to eliminate disparities in relationship to MIBB rates to improve standard of care.
Author(s): Serena Murphy, Yi-Chuan Yu, Colleen Kerrigan, Brian Sprague, Michelle Sowden
Citation: Cancer Medicine, 10(23), 8320-8327
Date: 11/2021
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: First Evaluation Report
Evaluates the first two 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. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first two 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. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Vermont Baseline Needs Assessment: Rural and Non-Rural Practitioners
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Rural Barriers to Early Lung Cancer Detection: Exploring Access to Lung Cancer Screening Programs in New Hampshire and Vermont
Evaluates how geographic access to lung cancer screening facilities is related to population density, adult smoker distribution, and education level in New Hampshire and Vermont. Utilizes 2013-2017 County Health Rankings data. Discusses the significance of rural-urban access disparities in lung cancer screening, and describes the value of identifying access barriers.
Author(s): Rian M. Hasson, Kayla A. Fay, Joseph D. Phillips, Timothy M. Millington, David J. Finley
Citation: American Journal of Surgery, 221(4), 725-730
Date: 04/2021
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Evaluates how geographic access to lung cancer screening facilities is related to population density, adult smoker distribution, and education level in New Hampshire and Vermont. Utilizes 2013-2017 County Health Rankings data. Discusses the significance of rural-urban access disparities in lung cancer screening, and describes the value of identifying access barriers.
Author(s): Rian M. Hasson, Kayla A. Fay, Joseph D. Phillips, Timothy M. Millington, David J. Finley
Citation: American Journal of Surgery, 221(4), 725-730
Date: 04/2021
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Looking at the Rural Homelessness Experience: Definitions, Data, and Solutions
Explains how homelessness impacts health. Features a Vermont organization's work using the evidence-based Housing First model to help people with mental health and substance use challenges and others who lack social supports and have housing needs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2021
Sponsoring organization: Rural Health Information Hub
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Explains how homelessness impacts health. Features a Vermont organization's work using the evidence-based Housing First model to help people with mental health and substance use challenges and others who lack social supports and have housing needs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2021
Sponsoring organization: Rural Health Information Hub
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Vermont Baseline Needs Assessment: Rural Practitioners and Community Stakeholders
Report details a needs assessment of Vermont's rural practitioners' capacity to treat substance use disorder (SUD). Breaks down workforce distribution by county and highlights their concern about various substances encountered in their practices. Discusses the need for consultation, resources, training, and technical assistance to facilitate SUD treatment.
Additional links: Report Summary
Date: 03/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report details a needs assessment of Vermont's rural practitioners' capacity to treat substance use disorder (SUD). Breaks down workforce distribution by county and highlights their concern about various substances encountered in their practices. Discusses the need for consultation, resources, training, and technical assistance to facilitate SUD treatment.
Additional links: Report Summary
Date: 03/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Exploring the Intersection of Rural Housing Quality and Health: Healthcare Providers and Housing Experts Provide Insight
Focuses on rural housing quality as a social determinant of health. Describes how healthcare, housing, and public health organizations can work together to address housing issues and improve population health. Features a Vermont healthcare system and several national programs working to address rural housing quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Sponsoring organization: Rural Health Information Hub
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Focuses on rural housing quality as a social determinant of health. Describes how healthcare, housing, and public health organizations can work together to address housing issues and improve population health. Features a Vermont healthcare system and several national programs working to address rural housing quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Sponsoring organization: Rural Health Information Hub
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