Rural Health
Resources by State: Virginia
Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Dialogue About the Workforce for Population Health Improvement: Proceedings of a Workshop
Presentations from a workshop facilitating a population health perspective among public health and healthcare leaders and professionals; framing the work of personnel such as community health workers, health navigators, and peer-to-peer chronic disease management educators within the context of population health; and leveraging the competencies of public- and private-sector workforces that are working to include a well-being orientation in their activities.
Additional links: Read Online
Author(s): Roundtable on Population Health Improvement
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Presentations from a workshop facilitating a population health perspective among public health and healthcare leaders and professionals; framing the work of personnel such as community health workers, health navigators, and peer-to-peer chronic disease management educators within the context of population health; and leveraging the competencies of public- and private-sector workforces that are working to include a well-being orientation in their activities.
Additional links: Read Online
Author(s): Roundtable on Population Health Improvement
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Benefits and Barriers to Pediatric Tele-Urology During the COVID-19 Pandemic
Study of remote video visits by a pediatric urology provider serving rural Virginia that examines the rapid integration of video visits into a practice that previously treated patients exclusively in-person. Discusses patient demographics, diagnosis and clinical outcomes, and success rates of video visits for 116 patients.
Author(s): Andrew J. Winkelman, Haerin L. Beller, Kathryn E. Morgan, et al.
Citation: Journal of Pediatric Urology, 16(6), P840.E1-840.E6
Date: 12/2020
Type: Document
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Study of remote video visits by a pediatric urology provider serving rural Virginia that examines the rapid integration of video visits into a practice that previously treated patients exclusively in-person. Discusses patient demographics, diagnosis and clinical outcomes, and success rates of video visits for 116 patients.
Author(s): Andrew J. Winkelman, Haerin L. Beller, Kathryn E. Morgan, et al.
Citation: Journal of Pediatric Urology, 16(6), P840.E1-840.E6
Date: 12/2020
Type: Document
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Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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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
Type: Document
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
Type: Document
Sponsoring organization: Flex Monitoring Team
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What Is the Impact on Rural Area Residents When the Local Physician Leaves?
Results of a pilot study exploring challenges in access to care that result when rural communities lose a family physician. Based on interviews with 18 participants from 3 geographically distinct rural areas of Virginia who had experienced the loss of a family physician within the past 5 years.
Author(s): Paulius Mui , Martha M. Gonzalez, Rebecca Etz
Citation: Family Medicine, 52(5), 352-356
Date: 05/2020
Type: Document
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Results of a pilot study exploring challenges in access to care that result when rural communities lose a family physician. Based on interviews with 18 participants from 3 geographically distinct rural areas of Virginia who had experienced the loss of a family physician within the past 5 years.
Author(s): Paulius Mui , Martha M. Gonzalez, Rebecca Etz
Citation: Family Medicine, 52(5), 352-356
Date: 05/2020
Type: Document
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Hospital Access in the Fifth District and COVID-19
Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Suppers in Virginia Give Rural Folks a Chance to Meet and Share Information
Describes community suppers, which are events organized by the Virginia State Office of Rural Health (VA SORH) to encourage health-related discussion among rural community members. Topics include wellness, examples of community success, and suggestions for improvement.
Author(s): Beth Blevins
Date: 02/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Describes community suppers, which are events organized by the Virginia State Office of Rural Health (VA SORH) to encourage health-related discussion among rural community members. Topics include wellness, examples of community success, and suggestions for improvement.
Author(s): Beth Blevins
Date: 02/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Impact of Medicaid Work Requirements on Hospital Finances
Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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