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Rural Health
Resources by Topic: Policy

Task Force on Ensuring Access in Vulnerable Communities, Rural and Frontier: Executive Summary and Report
Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Additional links: South Dakota Vulnerable Communities Task Force Map
Date: 09/2016
Type: Document, Map/Mapping System
Sponsoring organization: South Dakota Association of Healthcare Organizations
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Albuquerque, New Mexico, September 14-16, 2016
Provides a summary of the 80th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Albuquerque, New Mexico. The main meeting discussion focused on rural-relevant social determinants of health.
Date: 09/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicare Accountable Care Organizations: Quality Performance by Geographic Categories
Using CMS 2014 and 2015 Medicare Accountable Care Organization (ACO) data, this brief examines the differences in ACO performance on 4 domains of quality measures: Patient/Caregiver Experience (PCE), Care Coordination/Patient Safety (CCP), Preventive Health (PH), and At-Risk Population (AtR) in rural and urban areas, and discusses the overall quality score of Medicare Shared Savings ACOs by geographic category.
Author(s): Xi Zhu, Keith Mueller, Thomas Vaughn, Fred Ullrich, A. Clinton MacKinney
Date: 09/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Opioid Addiction: Laws, Regulations, and Other Factors Can Affect Medication-Assisted Treatment Access
Examines current federal laws and regulations related to the medication-assisted treatment (MAT) of opioid dependency, and discusses how these laws affect access to treatment, including in rural areas. Also explores other factors that affect access to treatment such as cost, insurance coverage, practitioner availability, and perceived value. Provides detailed descriptions about the uses and concerns of the three medications currently approved by the FDA for use in opioid MAT - methadone, buprenorphine, and naltrexone.
Additional links: Full Report
Date: 09/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Behavioral Health Among American Indian and Alaska Natives: An Overview
Describes Indian Health Service (IHS) and Substance Abuse and Mental Health Services Administration (SAMHSA) programs designed to address behavioral health problems in the American Indian and Alaska Native (AI/AN) population. Provides background information about risk factors, prevalence, and limited access to care.
Date: 09/2016
Type: Document
Sponsoring organization: Congressional Research Service
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How Migration Impacts Rural America
Identifies five migration patterns that impact rural counties: youth migration, rural exodus, retirement, destination, and university influence. Discusses how different migration patterns impact the need for services, including healthcare. Part of the publication series Population Trends in Post-Recession Rural America.
Author(s): Miranda N. Smith, Richelle L. Winkler, Kenneth M. Johnson
Date: 09/2016
Type: Document
Sponsoring organization: Applied Population Laboratory
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Preparing Nurses for New Roles in Population Health Management
Report based on two meetings of the National Advisory Council on Nurse Education and Practice in 2016. Emphasizes changes in policy, legislation, and research to promote nursing's role in leading and practicing population health initiatives and addresses potential changes in nursing education to shift away from illness-focused acute care skills. Includes a section on population health in rural and underserved areas.
Date: 09/2016
Type: Document
Sponsoring organization: National Advisory Council on Nurse Education and Practice
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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EMS Leaders Speak
Five experts discuss emergency medical services in a changing rural healthcare delivery system. Topics addressed include EMS challenges and potential opportunities, such as community paramedicine and telehealth.
Author(s): Kevin McGinnis, Diane Calmus, Don Wood, Tom Nehring, Gary Wingrove
Citation: Rural Monitor
Date: 09/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Veterans Rural Health Advisory Committee Letter of Recommendations to Secretary, 2016
Details the recommendations of the Veterans Rural Health Advisory Committee to the Secretary of Veterans Affairs. Makes recommendations about the response time from the VA, reimbursement delays for non-VA providers, utilization of telehealth, and the implementation of quality care standards, among others.
Author(s): Margaret Puccinelli, Janice Casillas, Syreeta Long, et al.
Date: 08/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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