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Rural Health
Resources by Topic: Care coordination

Being Connected is the Key to "Survival of the Fittest" for HIV-Positive Women
Highlights a Texas program which is helping rural HIV-positive women face the challenges of their disease through a team approach.
Author(s): Kathleen Belanger
Citation: Rural Monitor
Date: 05/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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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
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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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
Type: Document
Sponsoring organization: Commonwealth Fund
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Creating a Patient Navigation Model to Address Cervical Cancer Disparities in a Rural Hispanic Farmworker Community
Details a program to address cervical cancer disparities in rural Hispanic agricultural workers. Addresses specific barriers to preventive screenings, including awareness and knowledge of screening, cultural beliefs, cost, lack of health insurance, transportation, and child care.
Author(s): Kristen J. Wells, Maria I. Rivera, Sister Sara K. Proctor, et al.
Citation: Journal of Health Care for the Poor and Underserved, 23(4), 1712-1718
Date: 11/2012
Type: Document
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Palliative Care Rural Initiative Dissemination Model and Implementation Guide
Includes tools, best practices, and lessons learned associated with implementing care coordination models to help rural community hospice organizations meet the needs of veterans. Created within a collaboration of the National Rural Health Resource Center and the Veterans Integrated Service Network (VISN) 23 and designed to be replicated by other VISNs.
Date: 11/2012
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Exploring Opportunities to Strengthen the Rural Health Network Development Planning Grant Program
Reports on the efforts of Office of Rural Health Policy (ORHP) Networking Planning grantees and provides recommendations for future rural health networks, including on the topics of network planning and sustainability. Focus areas included care coordination, health information technology, behavioral and mental health services, and services for vulnerable populations.
Author(s): Walter Gregg, Adam Hofer, Ira Moscovice
Date: 02/2012
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Transfer of Information from Personal Health Records: A Survey of Veterans Using My HealtheVet
Reports on the use of My HealtheVet, which is a personal health record for veterans to improve the coordination of their healthcare. Highlights rural veterans who might maintain local non-VA primary care providers, but seek specialty care at a VA medical center located in an urban setting.
Author(s): Carolyn L. Turvey, Donna M. Zulman, Kim M. Nazi, et al.
Date: 2012
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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Promising Practices for Rural Community Health Worker Programs
Identifies six rural community health worker models in the literature and in practice: promotora, member of the care delivery team, care coordinator, health educator, outreach and enrollment agent, and community organizer and capacity builder.
Author(s): Alycia Infante, Alana Knudson, Alexa Brown
Date: 03/2011
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Care Transitions: "Time to Come Home"
Examines care coordination with a focus on transitions from inpatient care back to the rural community and suggests ways of measuring the quality of care coordination on discharge from the hospital.
Additional links: Policy Brief
Author(s): Shailendra Prasad, Jill M. Klingner, Ira Moscovice
Date: 03/2011
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Experiences of Rural Non-VA Providers in Treating Dual Care Veterans and the Development of Electronic Health Information Exchange Networks Between the Two Systems
Reports on the experiences of non-VA (Veterans Administration) rural primary care providers treating veterans receiving care from both VA and non-VA providers. Highlights case studies where electronic health information exchange (HIE) networks improved communication between VA and non-VA health care providers.
Author(s): Michelle A. Lampman, Keith J. Mueller
Citation: Journal of Rural Social Sciences, 26(3), 201-219
Date: 2011
Type: Document
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