Rural Health
Resources by State: Vermont
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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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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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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Rural Initiatives Addressing Community Social Needs
Describes the role of Critical Access Hospitals (CAHs) in improving population health and addressing social needs in their communities. Profiles two Critical Access Hospital social needs programs: Lakewood Health System's food access initiatives in Minnesota, and Northeastern Vermont Regional Hospital's NEK Prosper. Provides an overview of both programs and highlights best practices of each.
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Describes the role of Critical Access Hospitals (CAHs) in improving population health and addressing social needs in their communities. Profiles two Critical Access Hospital social needs programs: Lakewood Health System's food access initiatives in Minnesota, and Northeastern Vermont Regional Hospital's NEK Prosper. Provides an overview of both programs and highlights best practices of each.
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Opioid Initiation and Injection Transition in Rural Northern New England: A Mixed-methods Approach
Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
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Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
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How Independent Primary Care Clinicians Leverage Trust to Help Vulnerable Populations
Examines how primary care clinics are meeting the needs of low-income, rural, and underserved patients. Features profiles of two New England facilities, including an independent clinic in rural Vermont.
Author(s): Martha Hostetter, Sarah Klein
Date: 09/2020
Sponsoring organization: Commonwealth Fund
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Examines how primary care clinics are meeting the needs of low-income, rural, and underserved patients. Features profiles of two New England facilities, including an independent clinic in rural Vermont.
Author(s): Martha Hostetter, Sarah Klein
Date: 09/2020
Sponsoring organization: Commonwealth Fund
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Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals
Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Sponsoring organization: Flex Monitoring Team
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Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Sponsoring organization: Flex Monitoring Team
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Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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