Rural Health
Resources by Topic: Care coordination
Tele-Collaborative Outreach to Rural Patients with Chronic Pain: Pragmatic Effectiveness Trial Protocol for the CORPs Study
Presents a trial protocol to examine the effectiveness of the Tele-Collaborative Outreach to Rural Patients (CORPs), a remote collaborative care intervention to improve pain interference among rural veterans with high-impact chronic pain. The intervention will be delivered through Veterans Health Administration (VA) system and will include pain education, care coordination, and navigation support provided by a nurse care manager (NCM). Discusses program implementation, evaluation, and cost-effectiveness.
Author(s): Benjamin J Morasco, Ntassja Pal, Sarah S Ono, et al.
Citation: Pain Medicine, 25, S91-S98
Date: 11/2024
Type: Document
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Presents a trial protocol to examine the effectiveness of the Tele-Collaborative Outreach to Rural Patients (CORPs), a remote collaborative care intervention to improve pain interference among rural veterans with high-impact chronic pain. The intervention will be delivered through Veterans Health Administration (VA) system and will include pain education, care coordination, and navigation support provided by a nurse care manager (NCM). Discusses program implementation, evaluation, and cost-effectiveness.
Author(s): Benjamin J Morasco, Ntassja Pal, Sarah S Ono, et al.
Citation: Pain Medicine, 25, S91-S98
Date: 11/2024
Type: Document
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The Rural Emergency Hospital Model: Year Two Progress Report
Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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A Qualitative Study of Providers' Perspectives on Cross-Institutional Care Coordination for Pancreatic Cancer: Challenges and Opportunities
Examines pancreatic cancer (PC) care coordination by comparing perspectives of urban, high-volume center providers (HVCPs) and rural, community-based providers (CBPs). Utilizes semi-structured interview feedback to explore issues such as communication, electronic health records (EHRs), patient co-management, and more.
Author(s): Matthew J. DePuccio, Karen Shiu-Yee, Natasha A. Kurien, et al.
Citation: BMC Health Services Research, 24, 1041
Date: 09/2024
Type: Document
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Examines pancreatic cancer (PC) care coordination by comparing perspectives of urban, high-volume center providers (HVCPs) and rural, community-based providers (CBPs). Utilizes semi-structured interview feedback to explore issues such as communication, electronic health records (EHRs), patient co-management, and more.
Author(s): Matthew J. DePuccio, Karen Shiu-Yee, Natasha A. Kurien, et al.
Citation: BMC Health Services Research, 24, 1041
Date: 09/2024
Type: Document
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Community Health Centers' Progress and Challenges in Meeting Patients' Essential Primary Care Needs: Findings from the Commonwealth Fund 2024 National Survey of Federally Qualified Health Centers
Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Type: Document
Sponsoring organization: Commonwealth Fund
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Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Type: Document
Sponsoring organization: Commonwealth Fund
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Rural Health Network Development Planning Program: 2023 Grantee Directory
Detailed descriptions of 36 Rural Health Network Development Planning Program grant projects funded in fiscal year 2023. Lists grantees by organization type and focus area, including topics such as network organization and infrastructure development, increasing health system efficiencies, behavioral health, and telehealth. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 05/2024
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Detailed descriptions of 36 Rural Health Network Development Planning Program grant projects funded in fiscal year 2023. Lists grantees by organization type and focus area, including topics such as network organization and infrastructure development, increasing health system efficiencies, behavioral health, and telehealth. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 05/2024
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Related funding:
Rural Health Network Development Planning Program
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Cancer Care Coordination in Rural Hawaii: A Focus Group Study
Presents results from focus group discussions about challenges and facilitators of coordinated care with 8 rural cancer patients receiving active treatment in Hawaii. Identifies themes related to access to care, insurance, travel, electronic patient portal use, and more.
Author(s): Shin Chang, Michelle Liu, Christa Braun-Inglis, Randall Holcombe, Izumi Okado
Citation: BMC Health Services Research, 24, 518
Date: 04/2024
Type: Document
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Presents results from focus group discussions about challenges and facilitators of coordinated care with 8 rural cancer patients receiving active treatment in Hawaii. Identifies themes related to access to care, insurance, travel, electronic patient portal use, and more.
Author(s): Shin Chang, Michelle Liu, Christa Braun-Inglis, Randall Holcombe, Izumi Okado
Citation: BMC Health Services Research, 24, 518
Date: 04/2024
Type: Document
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The First 1,000 Days of Life: Creating Brighter Futures for New Moms and Babies
Podcast episode featuring a discussion with leaders from Intermountain Healthcare and St. James Health Care in Butte, Montana, regarding how their initiatives provide wraparound and intensive case management services to at-risk new moms from pregnancy through their baby's first two years. Includes a discussion with a former program participant.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with leaders from Intermountain Healthcare and St. James Health Care in Butte, Montana, regarding how their initiatives provide wraparound and intensive case management services to at-risk new moms from pregnancy through their baby's first two years. Includes a discussion with a former program participant.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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