Rural Health
Resources by State: Virginia
Cross-Agency Approaches to Substance Use Disorder Prevention and Treatment: National Recommendations
Provides recommendations on how state agencies can work together to prevent and treat substance use disorder, including engaging with state offices of rural health. Offers examples from 8 states and emphasizes state efforts related to opioid misuse disorder.
Date: 03/2019
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Provides recommendations on how state agencies can work together to prevent and treat substance use disorder, including engaging with state offices of rural health. Offers examples from 8 states and emphasizes state efforts related to opioid misuse disorder.
Date: 03/2019
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Rural Hospital Closures and the Fifth District
Discusses reasons for rural hospital closures as well as the resulting consequences on communities, including decreased healthcare access, loss of jobs, and more. Emphasizes hospital closures in the Fifth Federal Reserve District and provides recommendations to policymakers and government leaders.
Author(s): Emily Wavering Corcoran, Sonya Ravindranath Waddell
Date: 2019
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Discusses reasons for rural hospital closures as well as the resulting consequences on communities, including decreased healthcare access, loss of jobs, and more. Emphasizes hospital closures in the Fifth Federal Reserve District and provides recommendations to policymakers and government leaders.
Author(s): Emily Wavering Corcoran, Sonya Ravindranath Waddell
Date: 2019
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
Type: Document
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Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
Type: Document
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Impact of Physical Activity and Sleep Quality on Quality of Life of Rural Residents With and Without a History of Cancer: Findings of the Day and Night Study
Reports on a cross-sectional study comparing the physical activity, sleep quality, and physical and mental health of cancer survivors with cancer-free individuals in medically underserved areas of rural Virginia. Evaluates the relationship between sleep quality, average sleep time, and self-reported outdoor activity with predicted mental health and quality of life. The Harvard Food Frequency Questionnaire, Pittsburgh Sleep Quality Index (PSQI), and RAND 36-Item Health Survey were used to collect data on dietary intake, sleep quality, and physical activity.
Author(s): Carlin Rafie, Yi Ning, Aiping Wang, Xiang Gao, Robert Houlihan
Citation: Cancer Management and Research, 2018(10), 5525–5535
Date: 11/2018
Type: Document
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Reports on a cross-sectional study comparing the physical activity, sleep quality, and physical and mental health of cancer survivors with cancer-free individuals in medically underserved areas of rural Virginia. Evaluates the relationship between sleep quality, average sleep time, and self-reported outdoor activity with predicted mental health and quality of life. The Harvard Food Frequency Questionnaire, Pittsburgh Sleep Quality Index (PSQI), and RAND 36-Item Health Survey were used to collect data on dietary intake, sleep quality, and physical activity.
Author(s): Carlin Rafie, Yi Ning, Aiping Wang, Xiang Gao, Robert Houlihan
Citation: Cancer Management and Research, 2018(10), 5525–5535
Date: 11/2018
Type: Document
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Rising Rates of Injection Drug Use Associated Infective Endocarditis in Virginia with Missed Opportunities for Addiction Treatment Referral: A Retrospective Cohort Study
Describes the geographic, clinical trends and characteristics of infective endocarditis related to injection drug use (IDU-IE). Study site serves a large rural area in West Virginia and Virginia. Counties of residence for patient admissions with IDU-IE were identified as rural or urban. Discusses opportunities for improved quality of care for people who inject drugs.
Author(s): Megan E. Gray, Elizabeth T. Rogawski McQuade, W. Michael Scheld, Rebecca A. Dillingham
Citation: BMC Infectious Disease, 18, 532
Date: 10/2018
Type: Document
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Describes the geographic, clinical trends and characteristics of infective endocarditis related to injection drug use (IDU-IE). Study site serves a large rural area in West Virginia and Virginia. Counties of residence for patient admissions with IDU-IE were identified as rural or urban. Discusses opportunities for improved quality of care for people who inject drugs.
Author(s): Megan E. Gray, Elizabeth T. Rogawski McQuade, W. Michael Scheld, Rebecca A. Dillingham
Citation: BMC Infectious Disease, 18, 532
Date: 10/2018
Type: Document
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Factors Affecting the Development of Medicaid Hospital Payment Policies: Findings from Structured Interviews in Five States
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Hospital Mergers and Public Accountability: Tennessee and Virginia Employ a Certificate of Public Advantage
Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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