Rural Health
Resources by Topic: Care coordination
Small Rural Hospital Transition (SRHT) Project Behavioral Health Care Coordination Summit: Summit Findings
Summarizes the findings from a two-day summit on the role of rural hospitals in addressing behavioral health as part of a community-wide initiative. Identifies barriers to behavioral health care coordination in rural areas. Describes four areas of opportunity to advance care coordination. Includes resources for each area of opportunity identified.
Author(s): Amy Harding
Date: 08/2020
Sponsoring organizations: Advocates for Human Potential, National Rural Health Resource Center
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Summarizes the findings from a two-day summit on the role of rural hospitals in addressing behavioral health as part of a community-wide initiative. Identifies barriers to behavioral health care coordination in rural areas. Describes four areas of opportunity to advance care coordination. Includes resources for each area of opportunity identified.
Author(s): Amy Harding
Date: 08/2020
Sponsoring organizations: Advocates for Human Potential, National Rural Health Resource Center
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Sustainable Community Care Coordination Guide
Provides a framework for organizations to actively plan for the sustainability of established care coordination programs. Discusses identifying community organization partners, finding potential gaps in care coordination, and developing partnerships for ongoing success.
Date: 05/2020
Sponsoring organization: National Rural Health Resource Center
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Provides a framework for organizations to actively plan for the sustainability of established care coordination programs. Discusses identifying community organization partners, finding potential gaps in care coordination, and developing partnerships for ongoing success.
Date: 05/2020
Sponsoring organization: National Rural Health Resource Center
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Making a Difference for Generations to Come: School-Based Oral Healthcare in Louisiana
Features a Louisiana Federally Qualified Health Center that offers primary care oral health assessment and fluoride varnishes in school-based health centers. Discusses the impact that access to childhood oral health services may have into adulthood.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Features a Louisiana Federally Qualified Health Center that offers primary care oral health assessment and fluoride varnishes in school-based health centers. Discusses the impact that access to childhood oral health services may have into adulthood.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Options for Rural Health Care Delivery in Maryland
Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Understanding and Addressing the Drivers of Infant Mortality in Maine
Overview of infant mortality data for Maine between 2000 and 2017. Includes county-level data as well as rural and urban comparisons. Discusses causes of mortality, risk factors, challenges for rural residents in the Maine healthcare system, social determinants of health, and more. Makes recommendations for decreasing infant mortality with specific recommendations for rural.
Author(s): Katherine Flaherty
Date: 01/2020
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Overview of infant mortality data for Maine between 2000 and 2017. Includes county-level data as well as rural and urban comparisons. Discusses causes of mortality, risk factors, challenges for rural residents in the Maine healthcare system, social determinants of health, and more. Makes recommendations for decreasing infant mortality with specific recommendations for rural.
Author(s): Katherine Flaherty
Date: 01/2020
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The Rural Health Care Coordination Network Partnership Program: Critical Access Hospital Network of Eastern Washington
Describes and examines the impact of a care coordination program developed by the Critical Access Hospital Network (CAHN) of Eastern Washington. Provides care coordination services to Medicaid patients with at least two chronic conditions or one chronic condition and the risk of developing another. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional funding from the Empire Health Foundation.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Describes and examines the impact of a care coordination program developed by the Critical Access Hospital Network (CAHN) of Eastern Washington. Provides care coordination services to Medicaid patients with at least two chronic conditions or one chronic condition and the risk of developing another. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional funding from the Empire Health Foundation.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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The Rural Health Care Coordination Network Partnership Program: Avera St. Mary's Completing the Circle Project
Describes and examines the impact of a care coordination program developed by Avera St. Mary's located in Pierre, South Dakota. Used a Patient Centered Medical Home (PCMH) model, providing services to patients with type 2 diabetes. The program's care team connected patients to resources and coordinated the patient's primary care providers, medications, specialists, other health care services, and a variety of social services. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Describes and examines the impact of a care coordination program developed by Avera St. Mary's located in Pierre, South Dakota. Used a Patient Centered Medical Home (PCMH) model, providing services to patients with type 2 diabetes. The program's care team connected patients to resources and coordinated the patient's primary care providers, medications, specialists, other health care services, and a variety of social services. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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The Rural Health Care Coordination Network Partnership Program: Chautauqua County Health Hospital Network
Describes and examines the impact of a care coordination program developed by the Chautauqua County Health Network in New York. Offers well-coordinated preventive health services and links to community-based services to patients with diabetes, congestive heart failure (CHF), or chronic obstructive pulmonary disease (COPD) who need regular support but are not medically frail. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Describes and examines the impact of a care coordination program developed by the Chautauqua County Health Network in New York. Offers well-coordinated preventive health services and links to community-based services to patients with diabetes, congestive heart failure (CHF), or chronic obstructive pulmonary disease (COPD) who need regular support but are not medically frail. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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The Rural Health Care Coordination Network Partnership Program: South East Rural Physicians Alliance
Describes and examines the impact of a care coordination program developed by the South East Rural Physicians Alliance-Independent Physician Association located in Nebraska. Program focuses on clinic-based care coordination for high-risk patients with diagnosed diabetes or congestive heart failure. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Describes and examines the impact of a care coordination program developed by the South East Rural Physicians Alliance-Independent Physician Association located in Nebraska. Program focuses on clinic-based care coordination for high-risk patients with diagnosed diabetes or congestive heart failure. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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The Rural Health Care Coordination Network Partnership Program: Worcester County Health Department
Describes and examines the impact of a care coordination program developed by the Worcester County Health Department located on the Eastern Shore of Maryland. Describes the program's care team of a registered nurse, masters-level social worker, and community health worker (CHW), working in collaboration with primary care providers. Serves patients with diabetes, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD), with a home visit and services tailored to the patient's unique needs. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Describes and examines the impact of a care coordination program developed by the Worcester County Health Department located on the Eastern Shore of Maryland. Describes the program's care team of a registered nurse, masters-level social worker, and community health worker (CHW), working in collaboration with primary care providers. Serves patients with diabetes, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD), with a home visit and services tailored to the patient's unique needs. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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