Rural Health
Resources by Topic: Care coordination
The Rural Health Care Coordination Network Partnership Program: Williamson Health and Wellness Center
Describes and examines the impact of a care coordination program developed by the Williamson Health and Wellness Center based in Williamson, West Virginia. Describes the program's use of care teams of community health workers, a registered nurse, and a nurse practitioner providing care coordination to patients with diabetes, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD). Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional private funding from a network of local philanthropies.
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 Williamson Health and Wellness Center based in Williamson, West Virginia. Describes the program's use of care teams of community health workers, a registered nurse, and a nurse practitioner providing care coordination to patients with diabetes, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD). Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional private funding from a network of local philanthropies.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Care Coordination: A Self-Assessment for Rural Health Providers and Organizations
Developed to provide a preliminary review of important factors for rural organizations interested in developing, expanding, or enhancing care coordination activities.
Date: 2020
Sponsoring organization: Rural Health Value
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Developed to provide a preliminary review of important factors for rural organizations interested in developing, expanding, or enhancing care coordination activities.
Date: 2020
Sponsoring organization: Rural Health Value
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Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report
Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Russell County Hospital Listens to their Community to Improve Transitions of Care
Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Sponsoring organization: National Rural Health Resource Center
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Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Sponsoring organization: National Rural Health Resource Center
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Small Rural Hospital Transition (SRHT) Project Guide: A Rural Hospital Guide to Improving Care Management: 2019 Update
A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Rural Care Coordination and Population Health Management Summit: Summit Findings
Provides guidance to rural hospitals, clinics, and healthcare networks on incorporating community care coordination planning to prepare for population health management. Identifies tools and resources to support the transition to value-based payment models. Summarizes findings from a series of summits with national experts.
Author(s): Rebecca Jolley
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Rural Health Association of Tennessee
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Provides guidance to rural hospitals, clinics, and healthcare networks on incorporating community care coordination planning to prepare for population health management. Identifies tools and resources to support the transition to value-based payment models. Summarizes findings from a series of summits with national experts.
Author(s): Rebecca Jolley
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Rural Health Association of Tennessee
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Rural Hospital Care Coordination and Population Health Management Summit Report
Materials related to the 2019 Rural Care Coordination and Population Health Management Summit, which focused on the role community care coordination plays in helping healthcare leaders prepare for population health management. Includes a short video of panelist interviews as well as a findings report from the summit and a care management best practices guide.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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Materials related to the 2019 Rural Care Coordination and Population Health Management Summit, which focused on the role community care coordination plays in helping healthcare leaders prepare for population health management. Includes a short video of panelist interviews as well as a findings report from the summit and a care management best practices guide.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural older adults, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of current supportive services and caregiving policies for rural older adults, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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