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Rural Health
Resources by Topic: Care coordination

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
Type: Document
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
Type: Document
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Interorganizational Care Coordination of Rural Veterans by Veterans Affairs and Community Care Programs: A Systematic Review
Details the findings of a systematic review of the efficacy of care coordination initiatives by Veterans Affairs (VA) to care for rural veterans. Distinguishes data from pre- and post-Veterans Choice Act and post-MISSION Act. Defines organizational policy and administration, culture, and mechanisms of community care programs, as well as relational practices, contextual factors, and third-party administrators.
Author(s): Lynn A. Garvin, Marianne Pugatch, Deborah Gurewich, et al.
Citation: Medical Care, 59, (6, Suppl3), 259-269
Date: 06/2021
Type: Document
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Primary Care in the United States: A Chartbook of Facts and Statistics
Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Robert Graham Center
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Grantee Directory: Rural Health Network Development Planning Program, 2020
Detailed descriptions of 26 Rural Health Network Development Planning Program grant projects funded in fiscal year 2020. Lists grantees by state and focus area, including topics such as integrated service delivery, telehealth, care coordination, and chronic disease management. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Mental Health Systems Solutions Explorer
Interactive tool offering evidence-based solutions to increase mental healthcare utilization, increase access to care, and establish a continuum of care. Contains examples of each solution in practice. Solutions can be filtered to view those specifically of interest to rural communities.
Date: 01/2021
Type: Tool
Sponsoring organization: RAND Corporation
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How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Type: Document
Sponsoring organization: RAND Corporation
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Grantee Directory: Rural Health Care Coordination Program, 2020
Provides contact information and brief overviews of the 10 rural healthcare coordination initiatives funded through the Rural Health Care Coordination Program in the 2020-2023 funding cycle. Each profile includes information on the focus areas to be addressed.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study
Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
Type: Document
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