Rural Health
Resources by State: Washington
Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Year Three Evaluation Report: Evaluation of the EMS Supplemental Funding Grants
Provides an overview of the eight Flex Program Emergency Medical Services (EMS) Supplemental funding grant recipients, including a summary of the project goals, partners, and outcome measures. Details each grantee's project accomplishments, lessons learned, and sustainability strategies.
Author(s): John Gale, Karen Pearson
Date: 09/2023
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the eight Flex Program Emergency Medical Services (EMS) Supplemental funding grant recipients, including a summary of the project goals, partners, and outcome measures. Details each grantee's project accomplishments, lessons learned, and sustainability strategies.
Author(s): John Gale, Karen Pearson
Date: 09/2023
Sponsoring organization: Flex Monitoring Team
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Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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How Regional Partnerships Bolster Rural Hospitals
Explores how Critical Access Hospitals (CAHs) and other rural providers partner to overcome challenges. Profiles six regional partnerships that address staffing, quality improvement, contracts with payers, value-based payment, and community development. Offers lessons learned that could inform policy changes to strengthen rural providers.
Author(s): Martha Hostetter, Sarah Klein
Date: 05/2023
Sponsoring organization: Commonwealth Fund
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Explores how Critical Access Hospitals (CAHs) and other rural providers partner to overcome challenges. Profiles six regional partnerships that address staffing, quality improvement, contracts with payers, value-based payment, and community development. Offers lessons learned that could inform policy changes to strengthen rural providers.
Author(s): Martha Hostetter, Sarah Klein
Date: 05/2023
Sponsoring organization: Commonwealth Fund
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The Washington Rural Palliative Care Initiative Handbook
Handbook explores Washington State's rural palliative care initiative. Details the structure of the program, the cohorts around the state, and the activities implemented by the program.
Date: 02/2023
Sponsoring organizations: Washington State Department of Health, Washington State Office of Rural Health
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Handbook explores Washington State's rural palliative care initiative. Details the structure of the program, the cohorts around the state, and the activities implemented by the program.
Date: 02/2023
Sponsoring organizations: Washington State Department of Health, Washington State Office of Rural Health
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Factors Impacting Implementation of Nutrition and Physical Activity Policies in Rural Schools
Examines school policies and implementation related to nutrition and physical activity (PA) to understand the disproportionate rates of obesity in rural Latino children. Analyzes perceptions of policies and barriers from 20 interviews with stakeholders in Lower Yakima Valley of Eastern Washington State K-12 school districts. Discusses themes such as knowledge of school PA and nutrition policies as well as barriers and facilitators to policy implementation.
Author(s): Caryn Ausenhus, Joshua M. Gold, Cynthia K. Perry, et al.
Citation: BMC Public Health, 23, 308
Date: 02/2023
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Examines school policies and implementation related to nutrition and physical activity (PA) to understand the disproportionate rates of obesity in rural Latino children. Analyzes perceptions of policies and barriers from 20 interviews with stakeholders in Lower Yakima Valley of Eastern Washington State K-12 school districts. Discusses themes such as knowledge of school PA and nutrition policies as well as barriers and facilitators to policy implementation.
Author(s): Caryn Ausenhus, Joshua M. Gold, Cynthia K. Perry, et al.
Citation: BMC Public Health, 23, 308
Date: 02/2023
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Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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Facing Unique Challenges, Rural Communities Find Unique Solutions to Protect Against Wildfire Smoke Exposure
Discusses the impact of wildfire smoke on health and describes efforts in rural Idaho, Nevada, and Washington to address air quality concerns.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2023
Sponsoring organization: Rural Health Information Hub
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Discusses the impact of wildfire smoke on health and describes efforts in rural Idaho, Nevada, and Washington to address air quality concerns.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2023
Sponsoring organization: Rural Health Information Hub
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2022-2023 NW Rural Opioid Technical Assistance Public Report
Highlights programming done for the 2022-2023 year including trainings, technical assistance, and relationship building. Notes goals for the next year.
Date: 2023
Sponsoring organization: Northwest (Region 10) Rural Opioid Technical Assistance Collaborative
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Highlights programming done for the 2022-2023 year including trainings, technical assistance, and relationship building. Notes goals for the next year.
Date: 2023
Sponsoring organization: Northwest (Region 10) Rural Opioid Technical Assistance Collaborative
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Hidden Crisis: Pediatric Oral Health In Rural America
Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Sponsoring organization: American Academy of Pediatric Dentistry
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Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Sponsoring organization: American Academy of Pediatric Dentistry
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