Rural Health
Resources by Topic: Care coordination
HCIA Complex/High-Risk Patient Targeting: Second Annual Report
Second annual 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. Several projects serve rural areas, offering caregiver education and support, telehealth services, and various care coordination approaches. Discusses common experiences of grantees serving rural areas, as well as profiles of each project.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Second annual 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. Several projects serve rural areas, offering caregiver education and support, telehealth services, and various care coordination approaches. Discusses common experiences of grantees serving rural areas, as well as profiles of each project.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluation of the Frontier Community Health Care Coordination Network Grant
Policy brief analyzing the effectiveness of using community health workers as community healthcare coordinators during a 3 year period (2012–2015) in frontier Montana. Includes recommendations to other communities that may consider implementing this model. Project was supported by the Federal Office of Rural Health Policy (FORHP) Frontier Community Health Care Network Coordination (FCHCNC) grant program.
Date: 09/2015
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Policy brief analyzing the effectiveness of using community health workers as community healthcare coordinators during a 3 year period (2012–2015) in frontier Montana. Includes recommendations to other communities that may consider implementing this model. Project was supported by the Federal Office of Rural Health Policy (FORHP) Frontier Community Health Care Network Coordination (FCHCNC) grant program.
Date: 09/2015
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Leading Change: Best Practices in Technical Assistance for Rural and Frontier Health-Care in an Era of Transformation
Provides resources, tools, and proven practices to augment technical assistance and support the development and implementation of services provided by State Offices of Rural Health (SORH), nonprofit organizations, and government agencies when working with rural and frontier health service organizations (HSOs).
Date: 08/2015
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Provides resources, tools, and proven practices to augment technical assistance and support the development and implementation of services provided by State Offices of Rural Health (SORH), nonprofit organizations, and government agencies when working with rural and frontier health service organizations (HSOs).
Date: 08/2015
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Investing in Population Health
Profile of a pilot project in rural New Mexico focused on population health for Medicaid recipients. Offers communities 3 levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Value
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Profile of a pilot project in rural New Mexico focused on population health for Medicaid recipients. Offers communities 3 levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Value
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Missouri Community, Public Health, and Primary Care Linkage: 2011–2012 Pilot Project Results & Evaluation
Describes a study examining the Missouri Heart Disease and Stroke Prevention Program (HDSP), which established partnerships between community organizations, healthcare providers, and local public health departments to identify, refer, and provide follow-up for community members with uncontrolled high blood pressure or pre-hypertension in communities in rural Missouri.
Author(s): Shumei Yun, Ellen Ehrhardt, Lisa Britt, et al.
Citation: Missouri Medicine, 112(4), 323-328
Date: 07/2015
Type: Document
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Describes a study examining the Missouri Heart Disease and Stroke Prevention Program (HDSP), which established partnerships between community organizations, healthcare providers, and local public health departments to identify, refer, and provide follow-up for community members with uncontrolled high blood pressure or pre-hypertension in communities in rural Missouri.
Author(s): Shumei Yun, Ellen Ehrhardt, Lisa Britt, et al.
Citation: Missouri Medicine, 112(4), 323-328
Date: 07/2015
Type: Document
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Government and Philanthropies Join Forces for Rural Health
Overview of the work of the Rural Health Philanthropy Partnership, a collaboration between rural federal programs and rural-focused trusts and foundations. Describes a care coordination program the group developed, and discusses an upcoming focus on the priority area of leadership in health equity.
Author(s): Becca Cruger
Citation: Rural Monitor
Date: 06/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Overview of the work of the Rural Health Philanthropy Partnership, a collaboration between rural federal programs and rural-focused trusts and foundations. Describes a care coordination program the group developed, and discusses an upcoming focus on the priority area of leadership in health equity.
Author(s): Becca Cruger
Citation: Rural Monitor
Date: 06/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Care Coordination in Rural Communities: Supporting the High Performance Rural Health System
Examines current care coordination programs and processes to see how they impact rural communities, and to determine how well different approaches to care coordination are working. Offers policy recommendations that support care coordination and help facilitate a high-performance rural health system.
Author(s): Charles Alfero, Andrew F. Coburn, Jennifer P. Lundblad, et al.
Date: 06/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Examines current care coordination programs and processes to see how they impact rural communities, and to determine how well different approaches to care coordination are working. Offers policy recommendations that support care coordination and help facilitate a high-performance rural health system.
Author(s): Charles Alfero, Andrew F. Coburn, Jennifer P. Lundblad, et al.
Date: 06/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Cost Effectiveness of On-site versus Off-site Depression Collaborative Care in Rural Federally Qualified Health Centers
Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
Type: Document
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Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
Type: Document
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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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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
Type: Document
Sponsoring organization: Colorado Rural Health Center
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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
Type: Document
Sponsoring organization: Colorado Rural Health Center
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