Rural Health
Resources by Topic: Care coordination
Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Optimizing Care Coordination to Address Social Determinants of Health Needs for Dual-Use Veterans
Explores a study evaluating a care coordination program that aims to address social determinants of health (SDOH) for veterans who use both Veterans Health Administration (VHA) facilities and non-VA hospitals. Highlights the social worker-led program to help address SDOH factors, such as connecting veterans with transportation, homelessness resources, and financial assistance, among others. Discusses the role rurality plays in veterans' ability to access services and care.
Author(s): Heidi Sjoberg, Wenhui Liu, Carly Rohs, et al.
Citation: BMC Health Services Research, 22(59)
Date: 01/2022
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Explores a study evaluating a care coordination program that aims to address social determinants of health (SDOH) for veterans who use both Veterans Health Administration (VHA) facilities and non-VA hospitals. Highlights the social worker-led program to help address SDOH factors, such as connecting veterans with transportation, homelessness resources, and financial assistance, among others. Discusses the role rurality plays in veterans' ability to access services and care.
Author(s): Heidi Sjoberg, Wenhui Liu, Carly Rohs, et al.
Citation: BMC Health Services Research, 22(59)
Date: 01/2022
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Technical Assistance Helps Community #SilencetheShameTN
Features behavioral and mental health programming offered by Henry County Medical Center and the community of Paris, Tennessee. Describes technical assistance and resources provided by the Delta Region Community Health Systems Development program to support this effort.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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Features behavioral and mental health programming offered by Henry County Medical Center and the community of Paris, Tennessee. Describes technical assistance and resources provided by the Delta Region Community Health Systems Development program to support this effort.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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Delta Memorial Hospital and DePaul Community Health Centers Spotlight Video
Explores how Delta Memorial Hospital and DePaul Community Health Centers worked together through the Delta Region Community Health Systems Development Program to strengthen their community care coordination.
Date: 09/2021
Sponsoring organization: National Rural Health Resource Center
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Explores how Delta Memorial Hospital and DePaul Community Health Centers worked together through the Delta Region Community Health Systems Development Program to strengthen their community care coordination.
Date: 09/2021
Sponsoring organization: National Rural Health Resource Center
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"We Got an Invite into the Fortress": VA-Community Partnerships for Meeting Veterans' Healthcare Needs
Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
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Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
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Understanding Adaptations in the Veteran Health Administration's Transitions Nurse Program: Refining Methodology and Pragmatic Implications for Scale-up
Highlights a study on adaptations to the rural Transitions Nurse Program (TNP) in Veterans Health Administration facilities. Focuses on TNP sites and discusses the adaptations and lessons learned from each.
Author(s): Michaela S. McCarthy, Lexus L. Ujano-De Motta, Mary A. Nunnery, et al.
Citation: Implementation Science, 16, 71
Date: 07/2021
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Highlights a study on adaptations to the rural Transitions Nurse Program (TNP) in Veterans Health Administration facilities. Focuses on TNP sites and discusses the adaptations and lessons learned from each.
Author(s): Michaela S. McCarthy, Lexus L. Ujano-De Motta, Mary A. Nunnery, et al.
Citation: Implementation Science, 16, 71
Date: 07/2021
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Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake
Examines an intervention, Telehealth-based Coordination of Non-Veterans Health Administration Care (TECNO Care), designed to improve care coordination between the Veterans Health Administration (VHA) and community providers for veterans living in rural and underserved areas.
Author(s): Allison A. Lewinski, Matthew J. Crowley, Christopher Miller, et al.
Citation: Medical Care, 59(6 Suppl 3), S242-S251
Date: 06/2021
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Examines an intervention, Telehealth-based Coordination of Non-Veterans Health Administration Care (TECNO Care), designed to improve care coordination between the Veterans Health Administration (VHA) and community providers for veterans living in rural and underserved areas.
Author(s): Allison A. Lewinski, Matthew J. Crowley, Christopher Miller, et al.
Citation: Medical Care, 59(6 Suppl 3), S242-S251
Date: 06/2021
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew Charitable Trusts
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Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew Charitable Trusts
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Partnership Forum: The Role of Research in the Transformation of Veterans Affairs Community Care
Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
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Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
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