Rural Health
Resources by Topic: Care coordination
Care That Works: Support and Services at Home (SASH)
Examines the Vermont statewide program utilizing affordable housing communities to provide supportive services and care coordination for older adults and people with disabilities in rural areas. Describes how an on-site wellness nurse and care coordinator works with participants to coordinate assistance provided by social service agencies and community health providers with the services of the housing provider.
Date: 08/2018
Type: Document
Sponsoring organization: Center for Consumer Engagement in Health Innovation
view details
Examines the Vermont statewide program utilizing affordable housing communities to provide supportive services and care coordination for older adults and people with disabilities in rural areas. Describes how an on-site wellness nurse and care coordinator works with participants to coordinate assistance provided by social service agencies and community health providers with the services of the housing provider.
Date: 08/2018
Type: Document
Sponsoring organization: Center for Consumer Engagement in Health Innovation
view details
Grantee Sourcebook: Rural Health Network Development Grant Program, 2014-2017
Detailed descriptions of 54 Rural Health Network Development grant projects funded during the 2014-2017 period. Includes an overview of the networks and their impact, a list of grantees by state and focus area, and grantee profiles providing contact information and in-depth project descriptions.
Date: 08/2018
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, National Rural Health Resource Center
Detailed descriptions of 54 Rural Health Network Development grant projects funded during the 2014-2017 period. Includes an overview of the networks and their impact, a list of grantees by state and focus area, and grantee profiles providing contact information and in-depth project descriptions.
Date: 08/2018
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, National Rural Health Resource Center
Related funding:
Rural Health Network Development Program
view details
Navigating Towards Health
Examines how health navigators can be incorporated into workplaces and healthcare teams. Health navigators are professionals who help people find care despite barriers, such as insurance, transportation, or finding a doctor. Discusses three critical points for integrating health navigators into the workforce and offers guidance for employers to determine the appropriate ratio of navigators to patients.
Author(s): Karam Ahmad, Alex Caldwell, Brian Clark, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Colorado Health Institute
view details
Examines how health navigators can be incorporated into workplaces and healthcare teams. Health navigators are professionals who help people find care despite barriers, such as insurance, transportation, or finding a doctor. Discusses three critical points for integrating health navigators into the workforce and offers guidance for employers to determine the appropriate ratio of navigators to patients.
Author(s): Karam Ahmad, Alex Caldwell, Brian Clark, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Colorado Health Institute
view details
Delta Memorial Hospital's SEAL Team
Describes Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on improving quality of care and transition of care. DMH is a 25-bed Critical Access Hospital located in Dumas, Arkansas. 12 months after implementing the recommendations, DMH met two of their three measurable goals. The SEAL team, or Service Excellence Advisor Leaders, are charged with regularly reviewing patient satisfaction surveys to identify service areas that need improvement.
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Describes Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on improving quality of care and transition of care. DMH is a 25-bed Critical Access Hospital located in Dumas, Arkansas. 12 months after implementing the recommendations, DMH met two of their three measurable goals. The SEAL team, or Service Excellence Advisor Leaders, are charged with regularly reviewing patient satisfaction surveys to identify service areas that need improvement.
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
view details
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
view details
Case Studies From the 2017 Care Coordination Comparative Study
Provides an overview of four care coordination approaches being used in rural areas: care coach, clinical, community health worker, and school-based. Includes individual case studies of rural care coordination programs, with detailed information on target populations, technology used, partners, care team composition, and more.
Date: 05/2018
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
view details
Provides an overview of four care coordination approaches being used in rural areas: care coach, clinical, community health worker, and school-based. Includes individual case studies of rural care coordination programs, with detailed information on target populations, technology used, partners, care team composition, and more.
Date: 05/2018
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
view details
OSF HealthCare – Peoria, IL: Connecting Health Systems and Community-Based Organizations to Improve Outcomes
Features a faith-based, 13-hospital health care system serving Illinois and Michigan's Upper Peninsula. Describes OSF Center for Health - Streator, which will feature the first rural freestanding emergency department in Illinois. Discusses how OSF HealthCare is using a case management platform and working with community-based organizations to meet a wide range of patient needs.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association
view details
Features a faith-based, 13-hospital health care system serving Illinois and Michigan's Upper Peninsula. Describes OSF Center for Health - Streator, which will feature the first rural freestanding emergency department in Illinois. Discusses how OSF HealthCare is using a case management platform and working with community-based organizations to meet a wide range of patient needs.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association
view details
A Comparison of Collaborative Care Outcomes in Two Health Care Systems: VA Clinics and Federally Qualified Health Centers
Compares merged data from two different collaborative care trials: Telemedicine-Enhanced Antidepressant Management (TEAM) evaluating collaborative care for veterans with depression at a Veterans Affairs (VA) community-based outpatient clinics (CBOCs); and Outreach Using Telemedicine for Rural Enhanced Access in Community Health (OUTREACH) evaluating collaborative care for civilians with depression at Federally Qualified Health Clinics (FQHCs). Aim of study is to determine whether there are any significant differences in outcomes between the two population groups from each of the trials. Studies were conducted in the rural South.
Author(s): Kathleen M. Grubbs, John C. Fortney, Jeffrey Pyne, et al.
Citation: Psychiatric Services, 69(4), 431-437
Date: 04/2018
Type: Document
view details
Compares merged data from two different collaborative care trials: Telemedicine-Enhanced Antidepressant Management (TEAM) evaluating collaborative care for veterans with depression at a Veterans Affairs (VA) community-based outpatient clinics (CBOCs); and Outreach Using Telemedicine for Rural Enhanced Access in Community Health (OUTREACH) evaluating collaborative care for civilians with depression at Federally Qualified Health Clinics (FQHCs). Aim of study is to determine whether there are any significant differences in outcomes between the two population groups from each of the trials. Studies were conducted in the rural South.
Author(s): Kathleen M. Grubbs, John C. Fortney, Jeffrey Pyne, et al.
Citation: Psychiatric Services, 69(4), 431-437
Date: 04/2018
Type: Document
view details
An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
view details