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Rural Health Information Hub

Rural Health
Resources by Topic: Maternal health and prenatal care

Maternal Health in Rural America
White paper describing factors contributing to rural maternal health disparities, including financial barriers to providing obstetric services at rural hospitals, maternal health workforce shortages, access to care, and quality of care. Outlines policy considerations to increase access to maternal health services in rural areas.
Author(s): Hailey Waldman, Alexandra Zimmerman
Date: 02/2024
Type: Document
Sponsoring organization: National Rural Health Association
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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
Type: Video/Multimedia
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
Type: Document
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
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2024 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Unrelenting Pressure Pushes Rural Safety Net Crisis into Uncharted Territory, Rural America's OB Deserts Widen in Fallout From Pandemic, and presentation slides on this report from the 2024 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2024
Type: Website
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, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Geographic Differences in Preconception Health Indicators Among Ohio Women Who Delivered Live Births, 2019–2021
Examines preconception health indicators in Ohio women based on geographical differences. Utilizes data from the 2019–2021 Ohio Pregnancy Assessment Survey to analyze indicators such as health behaviors and conditions, substance use, and wanted versus unwanted pregnancy according to metropolitan, Appalachian, rural non-Appalachian, and suburban location.
Author(s): Natalie DiPietro Mager, Michelle Menegay, Connie Bish, Reena Oza-Frank
Citation: Preventing Chronic Disease, 21
Date: 02/2024
Type: Document
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Snapshot of Rural Health in Colorado, 2024
Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, mental health, oral health, emergency medical services (EMS) and workforce shortages. Includes five regional snapshots from around the state.
Additional links: Eastern Plains Regional Snapshot, Mountain West Regional Snapshot, Northwest Regional Snapshot, San Luis Valley Regional Snapshot, Southwest Regional Snapshot
Date: 01/2024
Type: Document
Sponsoring organization: Colorado Rural Health Center
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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
Type: Document
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
Type: Document
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