Rural Health
Resources by Topic: Maternal health and prenatal care
Addressing the Impact of Rural Hospital Closures on Maternal and Infant Health
Blog post discussing the impact of rural hospital closures on rural maternal and infant health outcomes. Identifies risk-appropriate strategies to ensure the provision of maternal and infant healthcare at facilities that best meet each individual's level of health risk. Covers birthing centers, hub-and-spoke models, and telehealth models to preserve access to care.
Author(s): Lexa Giragosian
Date: 06/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Blog post discussing the impact of rural hospital closures on rural maternal and infant health outcomes. Identifies risk-appropriate strategies to ensure the provision of maternal and infant healthcare at facilities that best meet each individual's level of health risk. Covers birthing centers, hub-and-spoke models, and telehealth models to preserve access to care.
Author(s): Lexa Giragosian
Date: 06/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Improving Financial Access to Maternal and Infant Care in Rural Areas
A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Indiana's Contraceptive Care Workforce: Current State and Opportunities
Provides an overview of contraceptive care workers in Indiana, such as primary care, maternity care, and pharmacist providers. Includes a county-level map showing location of pharmacists as well as counties that are Primary Care Health Professional Shortage Areas (PC HPSAs) and that do or do not have sufficient Maternity Care Practitioner (MCP) Capacity.
Author(s): Becky Boustani, Courtney Medlock, Hannah Maxey
Date: 06/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides an overview of contraceptive care workers in Indiana, such as primary care, maternity care, and pharmacist providers. Includes a county-level map showing location of pharmacists as well as counties that are Primary Care Health Professional Shortage Areas (PC HPSAs) and that do or do not have sufficient Maternity Care Practitioner (MCP) Capacity.
Author(s): Becky Boustani, Courtney Medlock, Hannah Maxey
Date: 06/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Maniilaq Health Center: Providing High-Quality Obstetric Care to American Indian/Alaska Native People in Rural Kotzebue, Alaska
Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Understanding and Overcoming Barriers to Rural Training in Family Medicine Obstetrics Fellowships
Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Improving Access to Risk Appropriate Care and Maternal Health Outcomes through Provider Engagement
A podcast episode that discusses maternal mortality rates in the United States and strategies to improve access to and quality of maternal healthcare. Includes examples of how to engage providers in efforts to improve maternal healthcare equity in underserved and rural communities.
Author(s): Robert Johnson, Eugene C. Toy, Lily Lou
Date: 05/2023
Type: Audio
Sponsoring organization: Association of State and Territorial Health Officials
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A podcast episode that discusses maternal mortality rates in the United States and strategies to improve access to and quality of maternal healthcare. Includes examples of how to engage providers in efforts to improve maternal healthcare equity in underserved and rural communities.
Author(s): Robert Johnson, Eugene C. Toy, Lily Lou
Date: 05/2023
Type: Audio
Sponsoring organization: Association of State and Territorial Health Officials
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Access to Maternity Providers: Midwives and Birth Centers
Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Bend, Oregon, April 26-28, 2023
Summarizes the 92nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Bend, Oregon. Presents an overview of national, tribal, and state perspectives on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Date: 04/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 92nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Bend, Oregon. Presents an overview of national, tribal, and state perspectives on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Date: 04/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Wisconsin Perinatal Periods of Risk (PPOR) Analysis, 2015–2019: Understanding Inequities in Fetal and Infant Mortality Impacting American Indian and Alaska Native Communities
Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Type: Document
Sponsoring organization: Wisconsin Department of Health Services
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Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Type: Document
Sponsoring organization: Wisconsin Department of Health Services
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