Rural Health
Resources by Topic: Service delivery models
Impact of Rural Address and Distance from Clinic on Depression Outcomes Within a Primary Care Medical Home Practice
Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
Type: Document
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Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
Type: Document
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The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial
Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
Type: Document
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Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
Type: Document
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The Use of Telehealth in School-Based Health Centers
Describes the growth in number and location of the telehealth model of care in traditional school-based health centers (SBHCs), and highlights how telehealth complements the care given by onsite providers. Examines the characteristics of SBHCs' use of the telehealth model including SBHCs who exclusively use telehealth, and the characteristics of provider types, medical sponsorship, and schools and students with access to SBHCs. Discusses the implications of the exclusive use of telehealth services, and how traditional health services are expanding due to the use of telehealth.
Author(s): Hayley Love, Nirmita Panchal, John Schlitt, et al.
Citation: Global Pediatric Health, 6
Date: 09/2019
Type: Document
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Describes the growth in number and location of the telehealth model of care in traditional school-based health centers (SBHCs), and highlights how telehealth complements the care given by onsite providers. Examines the characteristics of SBHCs' use of the telehealth model including SBHCs who exclusively use telehealth, and the characteristics of provider types, medical sponsorship, and schools and students with access to SBHCs. Discusses the implications of the exclusive use of telehealth services, and how traditional health services are expanding due to the use of telehealth.
Author(s): Hayley Love, Nirmita Panchal, John Schlitt, et al.
Citation: Global Pediatric Health, 6
Date: 09/2019
Type: Document
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Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care
Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Citation: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019
Type: Document
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Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Citation: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019
Type: Document
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Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report
Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Russell County Hospital Listens to their Community to Improve Transitions of Care
Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Type: Document
Sponsoring organization: AHIP
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Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Type: Document
Sponsoring organization: AHIP
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Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care
Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Toolkit: State Strategies to Support Older Adults Aging in Place in Rural Areas
Describes state initiatives helping older rural adults age in place by supporting services allowing them to remain in their homes. Strategies are focused around building the workforce, increasing access to services in rural areas, and addressing social determinants of health. Includes examples of programs that have already been implemented as well as emerging ideas from several states across the country.
Author(s): Neva Kaye, Kristina Long
Date: 09/2019
Type: Document
Sponsoring organizations: Health Resources and Services Administration, National Academy for State Health Policy, National Organizations of State and Local Officials
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Describes state initiatives helping older rural adults age in place by supporting services allowing them to remain in their homes. Strategies are focused around building the workforce, increasing access to services in rural areas, and addressing social determinants of health. Includes examples of programs that have already been implemented as well as emerging ideas from several states across the country.
Author(s): Neva Kaye, Kristina Long
Date: 09/2019
Type: Document
Sponsoring organizations: Health Resources and Services Administration, National Academy for State Health Policy, National Organizations of State and Local Officials
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A Framework for Evaluating the Return on Investment of Telehealth
Proposes a framework for calculating the return on investment (ROI) of a telehealth program. Identifies principles and considerations related to evaluating telehealth ROI. Includes a case study focused on a rural community hospital implementing a telecardiology program. Another case study features a hospital system with a tertiary hospital and smaller community hospitals adding pre-transfer video consults.
Author(s): Jacqueline Marks, Jared Augenstein, Anthony Brown, Sol Lee
Date: 09/2019
Type: Document
Sponsoring organization: Manatt Health Strategies
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Proposes a framework for calculating the return on investment (ROI) of a telehealth program. Identifies principles and considerations related to evaluating telehealth ROI. Includes a case study focused on a rural community hospital implementing a telecardiology program. Another case study features a hospital system with a tertiary hospital and smaller community hospitals adding pre-transfer video consults.
Author(s): Jacqueline Marks, Jared Augenstein, Anthony Brown, Sol Lee
Date: 09/2019
Type: Document
Sponsoring organization: Manatt Health Strategies
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