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Rural Health Information Hub

Rural Health
Resources by Topic: Maternal health and prenatal care

Kansas Center for Rural Health: Maternal Care Mapping Project
A recorded webinar describing a project that aims to map obstetric providers, facilities providing obstetric care, and mental health providers in Kansas. Provides data on 2021 live births and female residents per county.
Author(s): Karen Weis, Udana Urceo, Danielle Ast, Amy Garcia, Alexander Alsup
Date: 02/2024
Sponsoring organization: Kansas Nursing Workforce Center
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Maternal and Child Health Resources: 2023 Synopsis
Provides podcasts, issue briefs, blogs, and additional resources related to maternal and child health. Includes examples of maternal and child health initiatives specific to indigenous and rural populations.
Date: 02/2024
Sponsoring organization: American Hospital Association
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Unrelenting Pressure Pushes Rural Safety Net Crisis Into Uncharted Territory
Examines financial and operational metrics for rural hospitals. Discusses the growth of Medicare Advantage (MA) enrollment in rural communities between 2019 and 2023, the impact of MA on rural hospital reimbursement, how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities, and the discontinuation of obstetrics and chemotherapy services at rural hospitals since 2011. Includes the percentage of rural hospitals in each state vulnerable to closure and nine factors significantly associated with rural hospital vulnerability.
Date: 02/2024
Sponsoring organization: Chartis Center for Rural Health
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State Medicaid & CHIP Telehealth Toolkit
Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, older adults, and other specific populations.
Date: 02/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Needs Assessment of the Obstetric Workforce in Maine's Rural Hospitals
Report assessing the workforce needs for 15 hospitals with obstetrics units in rural Maine. Offers a SWOT Analysis and discusses factors contributing to sustainability of the workforce, community characteristics impacting the workforce, recruitment and retention challenges, and training challenges. Offers recommendations at the state, regional, health system, hospital, and unit level.
Author(s): Brianna Keefe-Oates, Katherine Simmonds, Louisa H. Smith, Jeni Stolow
Date: 01/2024
Sponsoring organizations: MaineHealth, Roux Institute, The Maine Rural Maternity & Obstetrics Management Strategies Network
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Evaluating an Enterprise-Wide Initiative to Enhance Healthcare Coordination for Rural Women Veterans Using the RE-AIM Framework
Evaluates success of a program to expand access to cancer screenings and maternal healthcare for rural female Veterans in the areas of reach, effectiveness, adoption, implementation, and maintenance in 14 Veterans Health Administration facilities.
Author(s): Mark R. Relyea, Rebecca L. Kinney, Eric C. DeRycke, et al
Citation: Frontiers in Health Services 3, 1237701
Date: 01/2024
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Health Status Profile of American Indians in Arizona: 2021 Data Book
Provides detailed data on Native Americans in Arizona. Covers sociodemographics, healthcare use, mortality by age and for different causes such as diabetes, and maternal and newborn health factors. Presents data by tribe and by select county for Native populations residing off-reservation.
Author(s): Matthew Roach, Yan Huang, Clare Torres
Date: 01/2024
Sponsoring organization: Arizona Department of Health Services
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Closing the Gap: How a Community Effort Can Improve Rural Maternity Care
Case study of a Critical Access Hospital (CAH) that increased access to maternal healthcare in rural North Carolina by opening a maternity care center. Discusses recruitment and retention of healthcare professionals and collaboration among healthcare organizations in the community.
Author(s): Jesus Ruiz
Citation: Annals of Family Medicine, 22(1), 68
Date: 01/2024
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Veterans Health: VA Should Improve Its Monitoring of Severe Maternal Complications and Mental Health Screenings
Examines Veterans Administration (VA) data on deaths and severe maternal morbidity among pregnant and postpartum veterans from fiscal year 2011 through 2020. Explores actions the VA has taken to monitor maternal health outcomes among pregnant and postpartum veterans and the extent to which the VA facilitates mental health screenings for these veterans. Offers recommendations to the VA regarding monitoring trends in severe maternal morbidity by veteran characteristics and maternity care coordinators' screening of veterans for mental health conditions. Includes rural references throughout.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Health in Rural Missouri: Biennial Report 2024-2025
Provides information on rural population health in Missouri, focusing on the social drivers of health, maternal and infant health, healthcare access, and more. Includes metro versus nonmetro as well as county-level data on health outcomes, social indicators, and mortality.
Date: 2024
Sponsoring organization: Missouri Department of Health and Senior Services
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