Rural Health
Resources by Topic: Service delivery models
Accelerating Value-Based Payment in California's Federally Qualified Health Centers: Options for Medicaid Health Plans
Highlights examples of value-based payment (VBP) models for Federally Qualified Health Centers (FQHCs), including a rural Hawaii model and a Colorado model that incorporates rural FQHCs. Covers Accountable Care Organization (ACO) models, state-led Capitated Alternative Payment Models (APMs), state-led quality payment adjustments, and Medicaid shared savings ACO models. Addresses how FQHCs and health plans can overcome challenges when launching new VBP models and offers recommendations for California's health plans.
Author(s): Greg Howe, Tricia McGinnis, Rob Houston
Date: 08/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Highlights examples of value-based payment (VBP) models for Federally Qualified Health Centers (FQHCs), including a rural Hawaii model and a Colorado model that incorporates rural FQHCs. Covers Accountable Care Organization (ACO) models, state-led Capitated Alternative Payment Models (APMs), state-led quality payment adjustments, and Medicaid shared savings ACO models. Addresses how FQHCs and health plans can overcome challenges when launching new VBP models and offers recommendations for California's health plans.
Author(s): Greg Howe, Tricia McGinnis, Rob Houston
Date: 08/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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A Rural Hospital Guide to Improving Chronic Obstructive Pulmonary Disease
A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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Mobile Telehealth Units and Care Coordinators Improve Emergency Care Services for Rural Arizona Patients
Features an Arizona program focused on lowering ER readmissions through care coordination and EMS telehealth services. Explains how the telehealth services are provided via mobile telehealth units. Describes how care coordination helps meet the behavioral health needs of patients with chronic diseases.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features an Arizona program focused on lowering ER readmissions through care coordination and EMS telehealth services. Explains how the telehealth services are provided via mobile telehealth units. Describes how care coordination helps meet the behavioral health needs of patients with chronic diseases.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Effectiveness of Peer-Delivered Trauma Treatment in a Rural Community: A Randomized Non-inferiority Trial
Discusses a study on the effectiveness of a peer-provided treatment of PTSD and substance use disorder compared to clinician-provided treatment in a rural county in a Southwestern state. Breaks down data by age, race, and diagnosis, among other factors.
Author(s): Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough
Citation: Community Mental Health Journal, 55(7), 1125–1134
Date: 07/2019
Type: Document
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Discusses a study on the effectiveness of a peer-provided treatment of PTSD and substance use disorder compared to clinician-provided treatment in a rural county in a Southwestern state. Breaks down data by age, race, and diagnosis, among other factors.
Author(s): Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough
Citation: Community Mental Health Journal, 55(7), 1125–1134
Date: 07/2019
Type: Document
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Methodology for Evaluating Models of Telemental Health Delivery Against Population and Healthcare System Needs: Application to Telemental Healthcare for Rural Native Veterans
Presents a study on service delivery models to improve access to mental healthcare for rural American Indian and Alaska Native veterans. Highlights and evaluates potential telehealth and in-person models for increasing access.
Author(s): Jay H. Shore, Cynthia W. Goss, Nancy K. Dailey, Byron D. Bair
Citation: Telemedicine and e-Health, 25(7)
Date: 07/2019
Type: Document
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Presents a study on service delivery models to improve access to mental healthcare for rural American Indian and Alaska Native veterans. Highlights and evaluates potential telehealth and in-person models for increasing access.
Author(s): Jay H. Shore, Cynthia W. Goss, Nancy K. Dailey, Byron D. Bair
Citation: Telemedicine and e-Health, 25(7)
Date: 07/2019
Type: Document
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Type: Document
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Type: Document
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Integrating Oral and General Health Through Health Literacy Practices: Proceedings of a Workshop
Summary of panel discussions held December 6, 2018 in Washington, D.C. by the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. Topics include health literacy, care integration, interventions for children, and development of a research agenda. Chapter 6 includes a discussion of provision of oral health services in urban versus rural settings.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 07/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summary of panel discussions held December 6, 2018 in Washington, D.C. by the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. Topics include health literacy, care integration, interventions for children, and development of a research agenda. Chapter 6 includes a discussion of provision of oral health services in urban versus rural settings.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 07/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Department of Veterans Affairs (VA): A Primer on Telehealth
Addresses how the Veterans Health Administration (VA) is using telehealth to increase access to care for veterans. Provides an overview of VA telehealth programs and requirements, the impact of the VA MISSION Act, issues for Congress to consider, and rural veterans.
Date: 07/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Addresses how the Veterans Health Administration (VA) is using telehealth to increase access to care for veterans. Provides an overview of VA telehealth programs and requirements, the impact of the VA MISSION Act, issues for Congress to consider, and rural veterans.
Date: 07/2019
Type: Document
Sponsoring organization: Congressional Research Service
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ACOs' Strategies for Transitioning to Value-Based Care: Lessons From the Medicare Shared Savings Program
Describes strategies used by successful Accountable Care Organizations (ACOs) to reduce spending and increase healthcare quality. Addresses social determinants of health, behavioral health, reducing hospitalizations, using technology to share information, and more. Two of the 20 ACOs included in the study served rural communities.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Describes strategies used by successful Accountable Care Organizations (ACOs) to reduce spending and increase healthcare quality. Addresses social determinants of health, behavioral health, reducing hospitalizations, using technology to share information, and more. Two of the 20 ACOs included in the study served rural communities.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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A Multilayered Analysis of Telehealth: How This Emerging Venue of Care is Affecting the Healthcare Landscape
White paper exploring ways in which telehealth is affecting the healthcare landscape. Features statistics including non-hospital-based, discharge-related, and provider-to-provider telehealth claim lines as a percentage of all medical claim lines from 2014-2018, with breakdowns by rural or urban location.
Date: 07/2019
Type: Document
Sponsoring organization: FAIR Health
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White paper exploring ways in which telehealth is affecting the healthcare landscape. Features statistics including non-hospital-based, discharge-related, and provider-to-provider telehealth claim lines as a percentage of all medical claim lines from 2014-2018, with breakdowns by rural or urban location.
Date: 07/2019
Type: Document
Sponsoring organization: FAIR Health
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