Rural Health
Resources by Topic: Care coordination
Accountable Care Communities in Rural: Laying the Groundwork in Humboldt County, California
Describes how Accountable Care Communities (ACCs) employ a unified approach to improving the health of a population and reducing costs, by emphasizing preventive health and wellness efforts, as well as promoting collaboration among community-based organizations, social services, and the local health care system. Examines the ways in which the ACC model may help rural communities face challenges associated with poorer health outcomes, transportation difficulties, and shortages of healthcare providers.
Author(s): Paula Weigel, Chance Finegan, Jocelyn Richgels, et al.
Date: 03/2015
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Describes how Accountable Care Communities (ACCs) employ a unified approach to improving the health of a population and reducing costs, by emphasizing preventive health and wellness efforts, as well as promoting collaboration among community-based organizations, social services, and the local health care system. Examines the ways in which the ACC model may help rural communities face challenges associated with poorer health outcomes, transportation difficulties, and shortages of healthcare providers.
Author(s): Paula Weigel, Chance Finegan, Jocelyn Richgels, et al.
Date: 03/2015
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Colorado Critical Access Hospitals and Clinics: Improving Communication and Readmission (iCARE) White Paper
Details how the Colorado Rural Health Center's Improving Communication and Readmission (iCARE) program is improving the patient experience at Critical Access Hospitals and Rural Health Clinics in Colorado by enhancing care coordination and lowering readmission rates.
Date: 03/2015
Sponsoring organization: Colorado Rural Health Center
view details
Details how the Colorado Rural Health Center's Improving Communication and Readmission (iCARE) program is improving the patient experience at Critical Access Hospitals and Rural Health Clinics in Colorado by enhancing care coordination and lowering readmission rates.
Date: 03/2015
Sponsoring organization: Colorado Rural Health Center
view details
CPC Practice Spotlights
A collection of short features on primary care practices that participated in the CMS Comprehensive Primary Care (CPC) initiative, a multi-payer initiative that offered population-based care management fees and shared savings opportunities to participating practices. Includes examples of practices serving rural areas.
Date: 01/2015
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
A collection of short features on primary care practices that participated in the CMS Comprehensive Primary Care (CPC) initiative, a multi-payer initiative that offered population-based care management fees and shared savings opportunities to participating practices. Includes examples of practices serving rural areas.
Date: 01/2015
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Sponsoring organization: RAND Corporation
view details
Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Sponsoring organization: RAND Corporation
view details
Annual Report 1: HCIA Disease-Specific Evaluation
Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
HCIA Complex/High-Risk Patient Targeting: First Annual Report
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
How 3 Rural Safety Net Clinics Integrate Care for Patients: A Qualitative Case Study
Case study of two Rural Health Clinics and one rural Federally Qualified Health Center that were part of the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to implement and evaluate the patient-centered medical home (PCMH). Reports on challenges encountered related to a transition to team-based care and practical approaches for rural care coordination.
Author(s): Sarah Derrett, Kathryn E. Gunter, Robert S. Nocon, et al.
Citation: Medical Care, 52(11), S39-S47
Date: 11/2014
view details
Case study of two Rural Health Clinics and one rural Federally Qualified Health Center that were part of the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to implement and evaluate the patient-centered medical home (PCMH). Reports on challenges encountered related to a transition to team-based care and practical approaches for rural care coordination.
Author(s): Sarah Derrett, Kathryn E. Gunter, Robert S. Nocon, et al.
Citation: Medical Care, 52(11), S39-S47
Date: 11/2014
view details
Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report
Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Date: 10/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Date: 10/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Realizing Rural Care Coordination: Considerations and Action Steps for State Policy-Makers
Identifies action steps and policy considerations for coordinating care in rural areas based on the experiences of six states: Colorado, Alabama, New Mexico, Montana, Vermont, and North Carolina.
Author(s): Michael Stanek, Carrie Hanlon, Tess Shiras
Date: 03/2014
Sponsoring organization: Robert Wood Johnson Foundation
view details
Identifies action steps and policy considerations for coordinating care in rural areas based on the experiences of six states: Colorado, Alabama, New Mexico, Montana, Vermont, and North Carolina.
Author(s): Michael Stanek, Carrie Hanlon, Tess Shiras
Date: 03/2014
Sponsoring organization: Robert Wood Johnson Foundation
view details
Care Management for Medicaid Enrollees Through Community Health Teams
Presents data from a 2011-2012 review of state Medicaid medical home programs in 8 states. Identifies community health team programs that provide services such as care coordination and self-management coaching. Includes information on small or rural practices.
Author(s): Mary Takach, Jason Buxbaum
Date: 05/2013
Sponsoring organization: Commonwealth Fund
view details
Presents data from a 2011-2012 review of state Medicaid medical home programs in 8 states. Identifies community health team programs that provide services such as care coordination and self-management coaching. Includes information on small or rural practices.
Author(s): Mary Takach, Jason Buxbaum
Date: 05/2013
Sponsoring organization: Commonwealth Fund
view details