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Rural Health
Resources by Topic: Health information technology

Differences in Access to and Use of Electronic Personal Health Information Between Rural and Urban Residents in the United States
Analyzes nationally representative data to detect geographic differences in access to and utilization of health information technology (HIT). Compares rural and urban locations on internet accessibility and sociodemographic factors, including sex, age, race/ethnicity, educational attainment, annual income, and health insurance coverage.
Author(s): Alexandra Greenberg, Danielle Haney, Kelly Blake, Richard Moser, Bradford Hesse
Citation: Journal of Rural Health, 34(S1), s30-s38
Date: 02/2018
Type: Document
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The Opioid Crisis: The Role of Technology and Data in Preventing and Treating Addiction
Highlights the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the use of data and technology interventions in combating the opioid epidemic. Features testimony from representatives of Express Scripts, the National Alliance for Model State Drug Laws, the Santa Clara University Public Health Program, and the University of Illinois at Chicago.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care Practices
Describes a study on Electronic Health Record (EHR) use in ambulatory care practices. Analyzes data by rural versus urban location, practice size, practice type, and other factors. Presents county-level data.
Author(s): Juliet Rumball-Smith, Paul Shekelle, Cheryl L. Damberg
Citation: The American Journal of Managed Care, 24(1), 26-31
Date: 01/2018
Type: Document
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Activation and Utilization of an Electronic Health Record Patient Portal at an Academic Medical Center: Impact of Patient Demographics and Geographic Location
Analyzes the rates of patient portal activation and usage associated with the University of Iowa Hospitals and Clinics by patients in rural and urban areas of the state. Identifies population groups with the lowest activation rates and discusses possible barriers to accessing patient portals.
Author(s): Sarah E. R. Oest, Maia Hightower, Matthew D. Krasowski
Citation: Academic Pathology, 5
Date: 2018
Type: Document
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual 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. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities
Report explores implementation strategies for patient-centered medical homes (PCMH) via Indian Health Service (IHS) clinics in tribal communities. Details obstacles to implementation and steps to overcoming them, such as staff retraining, team-based care, and using health information technology, among others.
Author(s): Justin W. Timbie, Ammarah Mahmud, Christine Buttorff, Erika Meza
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Rural Aging in America: Proceedings of the 2017 Connectivity Summit
Summarizes discussions from the 2017 Connectivity Summit on rural aging in the U.S. Covers social connections, access to health resources, and innovative approaches to improve care and deliver programs to the rural elderly. Includes recommendations for stakeholders to improve collaboration and work to improve the health of aging rural residents.
Author(s): Alexis Skoufalos, Janice L. Clarke, Dana Rose Ellis, Vicki L. Shepard, Elizabeth Y. Rula
Citation: Population Health Management, 20(Suppl 2), S-1-S-10
Date: 12/2017
Type: Document
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Utilizing Patient Geographic Information System Data to Plan Telemedicine Service Locations
Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
Type: Document
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report
Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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State Innovation Models (SIM) Round 2: Model Design Final Report
Shares results from a federal evaluation of the Round 2 State Innovation Models (SIM) Initiative awards, which focused on reforming payment and delivery systems, health information exchanges, workforce development, and sustainability. Provides a summary and review of each awardees' final State Health System Innovations Plan (SHSIP). Includes several suggestions and recommendations for improving rural healthcare delivery, payment, and access.
Author(s): Donald Nichols, Kathleen Farrell, Marisa Morrison, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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