Rural Health
Resources by Topic: Primary care
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
view details
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
view details
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)
view details
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)
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
view details
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
view details
Access to Care: Populations in Counties with No FQHC, RHC, or Acute Care Hospital
Findings brief focusing on the 3 main facility types providing primary care in rural areas and examining how many people will likely have limited access to primary care based on their locations. Includes statistics on numbers of people living in counties without these facilities, with breakdowns by 9 census divisions.
Author(s): Meagan Clawar, Randy Randolph, Kristie Thompson, George H. Pink
Date: 01/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Findings brief focusing on the 3 main facility types providing primary care in rural areas and examining how many people will likely have limited access to primary care based on their locations. Includes statistics on numbers of people living in counties without these facilities, with breakdowns by 9 census divisions.
Author(s): Meagan Clawar, Randy Randolph, Kristie Thompson, George H. Pink
Date: 01/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details