Rural Health
Resources by Topic: Health information technology
Higher Electronic Health Record (EHR) Functionality Lowers Urban Hospital Costs but Rural Impacts Are Minimal
Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Sponsoring organization: Center for Economic Analysis of Rural Health
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Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Sponsoring organization: Center for Economic Analysis of Rural Health
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Adoption of Health System Innovations: Evidence of Urban-Rural Disparities from the Ohio Primary Care Marketplace
Examines the market penetration of Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), patient-centered medical homes (PCMHs), and the meaningful use of electronic health records (EHRs) among primary care providers (PCPs) in Ohio between 2011 and 2015. Compares the percentage of PCPs who are affiliated with ACOs, PCMHs, and meaningful use by urban and rural county status.
Author(s): Joseph E. Tanenbaum, Mark Votruba, Douglas Einstadter, Thomas E. Love, Randall D. Cebul
Citation: Journal of General Internal Medicine, 36(6), 1584–1590
Date: 06/2021
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Examines the market penetration of Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), patient-centered medical homes (PCMHs), and the meaningful use of electronic health records (EHRs) among primary care providers (PCPs) in Ohio between 2011 and 2015. Compares the percentage of PCPs who are affiliated with ACOs, PCMHs, and meaningful use by urban and rural county status.
Author(s): Joseph E. Tanenbaum, Mark Votruba, Douglas Einstadter, Thomas E. Love, Randall D. Cebul
Citation: Journal of General Internal Medicine, 36(6), 1584–1590
Date: 06/2021
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final 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. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final 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. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Hospital Capabilities to Enable Patient Electronic Access to Health Information, 2019
Reports on the percentage of U.S. hospitals that provide patients with electronic access to health information. Includes charts comparing types of electronic access; facility type including Critical Access, rural, and suburban-urban hospitals; and what types of information patients access.
Author(s): Christian Johnson, Wesley Barker
Date: 06/2021
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Reports on the percentage of U.S. hospitals that provide patients with electronic access to health information. Includes charts comparing types of electronic access; facility type including Critical Access, rural, and suburban-urban hospitals; and what types of information patients access.
Author(s): Christian Johnson, Wesley Barker
Date: 06/2021
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Lessons Learned from the Cohort Analysis of Rural Health Programs: Data Dashboards
Describes the use of data dashboards by Federal Office of Rural Health Policy grantees to capture key healthcare measures and track patient outcomes and trends. Identifies challenges and shares lessons learned that can help other rural health facilities design and implement data dashboards.
Additional links: Webinar Overview
Date: 05/2021
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Describes the use of data dashboards by Federal Office of Rural Health Policy grantees to capture key healthcare measures and track patient outcomes and trends. Identifies challenges and shares lessons learned that can help other rural health facilities design and implement data dashboards.
Additional links: Webinar Overview
Date: 05/2021
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Correlates of Personal Health Record Registration and Utilization among Veterans with HIV
Examines the relationship of registration and utilization of the Veteran Health Administration's (VHA) personal health record - My HealtheVet (MHV) - by a national cohort of veterans registered in MHV and who, prior to their registration, were diagnosed with HIV. Comparisons were made with veterans living with HIV who were not registered. Differences in registration and utilization were analyzed by age, sex, race/ethnicity, rurality, housing status, and behavior health.
Author(s): Tigran Avoundjian, Lara Troszak, Shayna Cave, et al.
Citation: JAIMA Open, 4(2)
Date: 04/2021
Sponsoring organization: American Medical Informatics Association
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Examines the relationship of registration and utilization of the Veteran Health Administration's (VHA) personal health record - My HealtheVet (MHV) - by a national cohort of veterans registered in MHV and who, prior to their registration, were diagnosed with HIV. Comparisons were made with veterans living with HIV who were not registered. Differences in registration and utilization were analyzed by age, sex, race/ethnicity, rurality, housing status, and behavior health.
Author(s): Tigran Avoundjian, Lara Troszak, Shayna Cave, et al.
Citation: JAIMA Open, 4(2)
Date: 04/2021
Sponsoring organization: American Medical Informatics Association
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Integrating Family and Friend Support, Information Technology, and Diabetes Education in Community-Centric Diabetes Self-Management
Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
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Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
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