Rural Health
Resources by Topic: Scope of practice
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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Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Family Physicians Have a Broader Scope of Practice than Urban Family Physicians
Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care
Examines the current and projected role of nurse practitioners (NPs) in rural and primary care settings, and discusses how changes in scope-of-practice (SOP) regulations for NPs may help alleviate healthcare access issues caused by a limited supply of physicians.
Author(s): Aziza Arifkhanova
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Examines the current and projected role of nurse practitioners (NPs) in rural and primary care settings, and discusses how changes in scope-of-practice (SOP) regulations for NPs may help alleviate healthcare access issues caused by a limited supply of physicians.
Author(s): Aziza Arifkhanova
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Rural Curricular Guidelines Based on Practice Scope of Recent Residency Graduates Practicing in Small Communities
Study using data from surveys self-administered between 2007-2014, exploring scope of practice of 586 recent graduates practicing in rural areas. Features statistics on demographics and various types of clinical activities, with breakdowns by small, medium, or large practice community size.
Author(s): Joe M. Skariah, Carl Rasmussen, Joyce Hollander-Rodriguez, et al.
Citation: Family Medicine, 49(8), 594-599
Date: 09/2017
Type: Document
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Study using data from surveys self-administered between 2007-2014, exploring scope of practice of 586 recent graduates practicing in rural areas. Features statistics on demographics and various types of clinical activities, with breakdowns by small, medium, or large practice community size.
Author(s): Joe M. Skariah, Carl Rasmussen, Joyce Hollander-Rodriguez, et al.
Citation: Family Medicine, 49(8), 594-599
Date: 09/2017
Type: Document
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Development and Deployment of Community Health Workers in Delaware
A guide for establishing a Community Health Worker program in the state of Delaware. Includes information about certification requirements and reimbursement mechanisms, along with model programs from other states.
Date: 06/2017
Type: Document
Sponsoring organizations: Delaware Center for Health Innovation, Delaware Health and Social Services
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A guide for establishing a Community Health Worker program in the state of Delaware. Includes information about certification requirements and reimbursement mechanisms, along with model programs from other states.
Date: 06/2017
Type: Document
Sponsoring organizations: Delaware Center for Health Innovation, Delaware Health and Social Services
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Projecting Demand for the Services of Primary Care Doctors
Estimates the expected growth in demand for primary care medical services in the U.S. between 2013 and 2023. Projections are based on an analysis of historical trends between 2003 and 2013, and factor in the following variables: population growth, population age, health insurance coverage status, and other sources of growth in volume and intensity. Examines legislative and non-legislative ways to increase the supply of primary care services, including in rural areas and facilities.
Author(s): Noelia Duchovny, Sam Trachtman, Ellen Werble
Date: 05/2017
Type: Document
Sponsoring organization: Congressional Budget Office
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Estimates the expected growth in demand for primary care medical services in the U.S. between 2013 and 2023. Projections are based on an analysis of historical trends between 2003 and 2013, and factor in the following variables: population growth, population age, health insurance coverage status, and other sources of growth in volume and intensity. Examines legislative and non-legislative ways to increase the supply of primary care services, including in rural areas and facilities.
Author(s): Noelia Duchovny, Sam Trachtman, Ellen Werble
Date: 05/2017
Type: Document
Sponsoring organization: Congressional Budget Office
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Dental Therapy Toolkit: A Resource for Potential Employers
Toolkit designed to provide prospective employers of dental therapists a history and understanding of the field and offer information on how to integrate dental therapists into their practices in the state of Minnesota. Includes regulations and scope of practice details, education and training requirements, and examples of successful dental therapy models, among other topics.
Date: 02/2017
Type: Document
Sponsoring organizations: Health Reform Minnesota, Minnesota Department of Health - Office of Rural Health and Primary Care, Minnesota Department of Human Services
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Toolkit designed to provide prospective employers of dental therapists a history and understanding of the field and offer information on how to integrate dental therapists into their practices in the state of Minnesota. Includes regulations and scope of practice details, education and training requirements, and examples of successful dental therapy models, among other topics.
Date: 02/2017
Type: Document
Sponsoring organizations: Health Reform Minnesota, Minnesota Department of Health - Office of Rural Health and Primary Care, Minnesota Department of Human Services
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Community Health Workers: Recommendations for Bridging Healthcare Gaps in Rural America
Policy brief reviewing research findings on community health worker (CHW) integration, and how CHWs can help bridge healthcare gaps in rural communities. Also reviews various state policies related to CHWs, identifies a number of care settings where CHWs are working in rural areas, and makes policy recommendations to support the continued integration of CHWs into the rural healthcare delivery system.
Author(s): Kailyn Dorhauer Mock, Tracy Morton, Prisci Quijada, Julie St. John
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief reviewing research findings on community health worker (CHW) integration, and how CHWs can help bridge healthcare gaps in rural communities. Also reviews various state policies related to CHWs, identifies a number of care settings where CHWs are working in rural areas, and makes policy recommendations to support the continued integration of CHWs into the rural healthcare delivery system.
Author(s): Kailyn Dorhauer Mock, Tracy Morton, Prisci Quijada, Julie St. John
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Association
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State Law Fact Sheet: A Summary of State Community Health Worker Laws
Details the state laws pertaining to Community Health Workers as of June 30, 2016. Includes laws defining scope of practice, team-based care models, reimbursement, and the core certification process.
Date: 2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Details the state laws pertaining to Community Health Workers as of June 30, 2016. Includes laws defining scope of practice, team-based care models, reimbursement, and the core certification process.
Date: 2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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