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Rural Health
Resources by Topic: Clinics

The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Community Health Centers Meeting Rural Health Needs
Discusses the barriers to receiving and providing healthcare in rural communities, and highlights with data how community health centers are addressing barriers, delivering needed services, and improving health outcomes.
Date: 08/2019
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics
Compares rates of emergency department visits and hospital admissions at a California academic children's hospital with similar groups of patients who received outpatient pediatric neurology care at remote telemedicine clinics or in-person clinics. Features statistics including baseline characteristics among telemedicine and in-person cohorts, and hospital encounter frequencies and rates.
Author(s): Parul Dayal, Celia H. Chang, William S. Benko
Citation: JAMA Network Open, 2(8)
Date: 08/2019
Type: Document
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A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study
Case study focused on application of the proactive office encounter (POE) model to understand how a rural Appalachian Kentucky Federally Qualified Health Center implemented changes to improve delivery of preventive care services, close care gaps, and reduce health disparities among patients.
Author(s): Angela L. Carman, Robin C. Vanderpool, Lindsay R. Stradtman, Emily A. Edmiston
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Addressing Rural Hospital Closures Through Infrastructure Reform
Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Accelerating Value-Based Payment in California's Federally Qualified Health Centers: Options for Medicaid Health Plans
Highlights examples of value-based payment (VBP) models for Federally Qualified Health Centers (FQHCs), including a rural Hawaii model and a Colorado model that incorporates rural FQHCs. Covers Accountable Care Organization (ACO) models, state-led Capitated Alternative Payment Models (APMs), state-led quality payment adjustments, and Medicaid shared savings ACO models. Addresses how FQHCs and health plans can overcome challenges when launching new VBP models and offers recommendations for California's health plans.
Author(s): Greg Howe, Tricia McGinnis, Rob Houston
Date: 08/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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A Rural Hospital Guide to Improving Chronic Obstructive Pulmonary Disease
A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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A Guide for Rural Health Care Collaboration and Coordination
Describes how rural hospitals, community health centers, local public health departments, and other organizations can work together to identify health needs in their community and develop partnerships and strategies to help address these needs. Identifies areas of collaboration and coordination. Includes networking and collaboration case studies in rural Missouri and North Dakota. Provides a template and discussion questions for developing partnerships.
Date: 08/2019
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Sugar-Sweetened Beverage Intake in a Rural Family Medicine Clinic
Results of a study to assess self-reported sugar-sweetened beverage intake among 121 adult primary care patients at a rural Nebraska clinic. Features demographics and average calories from beverage consumption, with breakdowns by ethnicity and body mass index category.
Author(s): Laura Pinon, Birgit Khandalavala, Jenenne Geske
Citation: Journal of the American Board of Family Medicine, 32(4), 601-606
Date: 07/2019
Type: Document
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Facilitators and Barriers to the Implementation of the HPV VACs (Vaccinate Adolescents Against Cancers) Program: A Consolidated Framework for Implementation Research Analysis
Results of a study examining the delivery of the human papillomavirus virus (HPV) vaccine in a primary care setting, using data from telephone interviews with representatives of 9 Federally Qualified Health Center (FQHC) systems. Features statistics including characteristics of the FQHCs, with breakdowns by urban, suburban, rural, or mixed locations.
Author(s): Cam Escoffery, Kara Riehman, Lesley Watson, et al.
Citation: Preventing Chronic Disease, 16
Date: 07/2019
Type: Document
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