Rural Health
Resources by Topic: Service delivery models
Disruptors, Essential Services, and Reflections on a Career in Rural Health, with John Supplitt
An episode of the Exploring Rural Health podcast featuring John Supplitt, Senior Director of Rural Health Services for the American Hospital Association. Focuses on the importance of maintaining rural essential services, along with insights from Supplitt's long career in rural health.
Date: 07/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring John Supplitt, Senior Director of Rural Health Services for the American Hospital Association. Focuses on the importance of maintaining rural essential services, along with insights from Supplitt's long career in rural health.
Date: 07/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Stroke Prevention and Management in Rural Georgia: Evaluating the Effectiveness of a Community Paramedicine Program
Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
Type: Document
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Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
Type: Document
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Can ERAS Help Reduce Health Disparities and Overcome Barriers to Equitable Surgical Care in Marginalized Communities?
Discusses the value of Enhanced Recovery after Surgery (ERAS) protocols in rural and marginalized communities. Identifies barriers to access and proposes strategies to increase equity. Highlights aspects of ERAS implementation including pediatrics, health literacy, communication with patients and among providers, telehealth, and more.
Author(s): Chirag Ram, Ruoying Li, Andrew D. Franklin, et al.
Citation: Journal of Pediatric Surgery Open, 7, 100141
Date: 07/2024
Type: Document
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Discusses the value of Enhanced Recovery after Surgery (ERAS) protocols in rural and marginalized communities. Identifies barriers to access and proposes strategies to increase equity. Highlights aspects of ERAS implementation including pediatrics, health literacy, communication with patients and among providers, telehealth, and more.
Author(s): Chirag Ram, Ruoying Li, Andrew D. Franklin, et al.
Citation: Journal of Pediatric Surgery Open, 7, 100141
Date: 07/2024
Type: Document
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Engagement Among Diverse Patient Backgrounds in a Remote Symptom Monitoring Program
Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Health Subcommittee Hearing on Improving Value-Based Care for Patients and Providers
Recording of a June 26, 2024, House Committee on Ways and Means Subcommittee on Health hearing on the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care. Features testimony from Sarah Chouinard, Chief Medical Officer of Main Street Health, regarding value-based care delivery in rural areas.
Additional links: Sarah Chouinard, Main Street Health - Testimony
Date: 06/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Recording of a June 26, 2024, House Committee on Ways and Means Subcommittee on Health hearing on the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care. Features testimony from Sarah Chouinard, Chief Medical Officer of Main Street Health, regarding value-based care delivery in rural areas.
Additional links: Sarah Chouinard, Main Street Health - Testimony
Date: 06/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Supporting Direct Acting Antiviral Medication Adherence and Treatment Completion in a Sample of Predominantly Rural Veterans with Hepatitis C and Substance Use Disorders
Explores strategies to improve direct acting antiviral (DAA) treatment among rural veterans with chronic hepatitis C virus (HCV) infection and substance use disorder (SUD). Analyzes a clinic-based intervention that utilizes motivational interviewing (MI) to improve medication adherence among 20 enrolled participants in a 12-week course.
Author(s): Mary Jane Burton, Andrew C. Voluse, Amee B. Patel
Citation: Addiction Science & Clinical Practice, 19, 51
Date: 06/2024
Type: Document
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Explores strategies to improve direct acting antiviral (DAA) treatment among rural veterans with chronic hepatitis C virus (HCV) infection and substance use disorder (SUD). Analyzes a clinic-based intervention that utilizes motivational interviewing (MI) to improve medication adherence among 20 enrolled participants in a 12-week course.
Author(s): Mary Jane Burton, Andrew C. Voluse, Amee B. Patel
Citation: Addiction Science & Clinical Practice, 19, 51
Date: 06/2024
Type: Document
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Declines in Telemedicine Use Among Adults: United States, 2021 and 2022
Examines changes in telemedicine use by adults between 2021 and 2022. Analyzes data by various sociodemographic characteristics, Census Bureau region, and level of urbanization.
Author(s): Jacqueline W. Lucas, Xun Wang
Date: 06/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines changes in telemedicine use by adults between 2021 and 2022. Analyzes data by various sociodemographic characteristics, Census Bureau region, and level of urbanization.
Author(s): Jacqueline W. Lucas, Xun Wang
Date: 06/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Updated Analysis: Using Population-Based Outcome Measures to Assess the Impact of Telehealth Expansion on Medicare Beneficiaries' Access to Care and Quality of Care
Explores the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2018 and 2019 to the second half of 2022 by the level of telehealth utilization in Hospital Service Areas (HSAs). Describes the effects of telehealth for urban and rural beneficiaries and differentiates between telehealth utilization for behavioral and non-behavioral health services. Updates a June 2023 report that analyzed data from 2021.
Author(s): Tanvi Rao, Angshuman Gooptu, Karin Johnson, Guido Cataife, Steven Susana-Castillo
Date: 06/2024
Type: Document
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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Explores the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2018 and 2019 to the second half of 2022 by the level of telehealth utilization in Hospital Service Areas (HSAs). Describes the effects of telehealth for urban and rural beneficiaries and differentiates between telehealth utilization for behavioral and non-behavioral health services. Updates a June 2023 report that analyzed data from 2021.
Author(s): Tanvi Rao, Angshuman Gooptu, Karin Johnson, Guido Cataife, Steven Susana-Castillo
Date: 06/2024
Type: Document
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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