Rural Health
Resources by Topic: Primary care
Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
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Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
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Ensuring Access and Improving Population Health Through Collaboration and Patient-Centered Care Columbia Memorial Hospital, Astoria, OR
Describes Columbia Memorial Hospital (CMH), an independent Critical Access Hospital (CAH), in Astoria, Oregon, that works to ensure access to specialty and primary care for Pacific North Coast and Lower Columbia regions of northwest Oregon. Shares strategies and collaborative efforts to address the community's needs by ensuring access to care, improving population health, and designing consumer driven patient-centered care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Describes Columbia Memorial Hospital (CMH), an independent Critical Access Hospital (CAH), in Astoria, Oregon, that works to ensure access to specialty and primary care for Pacific North Coast and Lower Columbia regions of northwest Oregon. Shares strategies and collaborative efforts to address the community's needs by ensuring access to care, improving population health, and designing consumer driven patient-centered care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Ensuring Access to Care: Wagner Community Memorial Hospital – Avera, Wagner, S.D.
Describes Wagner Community Memorial Hospital – Avera (WCMH-A), a 20-bed Critical Access Hospital (CAH) in Wagner, South Dakota, that works to ensure access to care while addressing the social determinants of health for the populations they serve. Shares strategies and collaborative efforts to address the community's needs through the use of telemedicine, housing and economic development, population health, and access to primary care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Describes Wagner Community Memorial Hospital – Avera (WCMH-A), a 20-bed Critical Access Hospital (CAH) in Wagner, South Dakota, that works to ensure access to care while addressing the social determinants of health for the populations they serve. Shares strategies and collaborative efforts to address the community's needs through the use of telemedicine, housing and economic development, population health, and access to primary care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Assessing Change in the Primary Care Service Delivery Profile in South Carolina
Poster presentation presented at the 2018 NRHA Annual Conference describing employment changes in primary care physicians from working in a solo or group practice to working for a larger health entity over time and by rurality in South Carolina.
Author(s): Charity B. Breneman, Elizabeth Crouch, Jan M. Eberth, Kevin J. Bennett, Janice C. Probst
Date: 05/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Poster presentation presented at the 2018 NRHA Annual Conference describing employment changes in primary care physicians from working in a solo or group practice to working for a larger health entity over time and by rurality in South Carolina.
Author(s): Charity B. Breneman, Elizabeth Crouch, Jan M. Eberth, Kevin J. Bennett, Janice C. Probst
Date: 05/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Weight Management in Rural Health Clinics: The Midwest Diet and Exercise Trial
Analyzes the effectiveness of providing weight management programs through remote delivery offered at 5 primary care clinics serving rural populations. Remote weight management programs included group phone conferences (GP) and individual phones calls (IP), with comparisons to enhanced usual care (EUC) consisting of individual face-to-face meetings.
Author(s): Anna M. Gorczyca, Richard A. Washburn, Lauren Ptomey, et al.
Citation: Contemporary Clinical Trials, 67, 37-46
Date: 04/2018
Type: Document
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Analyzes the effectiveness of providing weight management programs through remote delivery offered at 5 primary care clinics serving rural populations. Remote weight management programs included group phone conferences (GP) and individual phones calls (IP), with comparisons to enhanced usual care (EUC) consisting of individual face-to-face meetings.
Author(s): Anna M. Gorczyca, Richard A. Washburn, Lauren Ptomey, et al.
Citation: Contemporary Clinical Trials, 67, 37-46
Date: 04/2018
Type: Document
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Leveraging Health Care Reform to Accelerate Nurse Practitioner Full Practice Authority
Presents a descriptive study of legislation from 1994 to 2016 impacting the scope of practice for nurse practitioners (NPs). Discusses how supporting full practice authority (FPA) where physician involvement is not required can lessen the concern over the lack of primary care providers by allowing NPs to offer comprehensive healthcare services to rural and vulnerable patients. Identifies barriers and limitations to FPA.
Author(s): Heather M. Brom, Pamela J. Salsberry, Margaret Clark Graham
Citation: Journal of the American Association of Nurse Practitioners, 30(3), 120-130
Date: 03/2018
Type: Document
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Presents a descriptive study of legislation from 1994 to 2016 impacting the scope of practice for nurse practitioners (NPs). Discusses how supporting full practice authority (FPA) where physician involvement is not required can lessen the concern over the lack of primary care providers by allowing NPs to offer comprehensive healthcare services to rural and vulnerable patients. Identifies barriers and limitations to FPA.
Author(s): Heather M. Brom, Pamela J. Salsberry, Margaret Clark Graham
Citation: Journal of the American Association of Nurse Practitioners, 30(3), 120-130
Date: 03/2018
Type: Document
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Moving Away from the Tip of the Pyramid: Screening and Brief Intervention for Risky Alcohol and Opioid Use in Underserved Patients
Summarizes the findings of an online survey of a practice-based research network of 126 medical providers serving Hispanic/Latino and Native American patients in rural and urban settings in New Mexico. Discusses clinician perspectives on the need to address substance use in primary care, current screening and treatment practices, and their willingness to adapt practices to meet the needs of the patient populations.
Author(s): Kamilla L. Venner, Victoria Sánchez, Jacqueline Garcia, et al.
Citation: Journal of the American Board of Family Medicine, 31(2), 243-251
Date: 03/2018
Type: Document
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Summarizes the findings of an online survey of a practice-based research network of 126 medical providers serving Hispanic/Latino and Native American patients in rural and urban settings in New Mexico. Discusses clinician perspectives on the need to address substance use in primary care, current screening and treatment practices, and their willingness to adapt practices to meet the needs of the patient populations.
Author(s): Kamilla L. Venner, Victoria Sánchez, Jacqueline Garcia, et al.
Citation: Journal of the American Board of Family Medicine, 31(2), 243-251
Date: 03/2018
Type: Document
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Indiana Primary Care Needs Assessment, 2018
Summary of efforts to identify gaps in access to health care and allocate resources to communities in greatest need, from 2015-2017. Includes trends in Health Professional Shortage Area (HPSA) designations in Indiana, the preliminary HPSA analysis summary, projected need of providers in Indiana counties, and health rankings within Indiana.
Author(s): Analise Dickinson, Sierra Vaughn, Hannah Maxey
Date: 03/2018
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Summary of efforts to identify gaps in access to health care and allocate resources to communities in greatest need, from 2015-2017. Includes trends in Health Professional Shortage Area (HPSA) designations in Indiana, the preliminary HPSA analysis summary, projected need of providers in Indiana counties, and health rankings within Indiana.
Author(s): Analise Dickinson, Sierra Vaughn, Hannah Maxey
Date: 03/2018
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Behavioral Health Integration into Primary Care
Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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