Rural Health
Resources by Topic: Service delivery models
How Rural Hospitals Improve Value and Affordability
Issue brief discussing four strategies rural hospitals are undertaking to improve the quality of care and patient experience, while decreasing the cost of healthcare services. Covers strategies on population health, new models of care, telehealth, and workforce programs. Includes multiple case studies and rural program examples for each strategy.
Date: 02/2019
Sponsoring organization: American Hospital Association
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Issue brief discussing four strategies rural hospitals are undertaking to improve the quality of care and patient experience, while decreasing the cost of healthcare services. Covers strategies on population health, new models of care, telehealth, and workforce programs. Includes multiple case studies and rural program examples for each strategy.
Date: 02/2019
Sponsoring organization: American Hospital Association
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Rural Report: Challenges Facing Rural Communities and the Roadmap to Ensure Local Access to High-Quality, Affordable Care
Reports on continuing, current, and emerging challenges for rural hospitals working to provide access to healthcare services in rural communities. Includes discussion on policy recommendations to improve access and covers new models of care, reimbursement policies, regulatory requirements, telehealth, workforce issues, and prescription drug costs.
Additional links: Executive Summary, Infographic
Date: 02/2019
Sponsoring organization: American Hospital Association
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Reports on continuing, current, and emerging challenges for rural hospitals working to provide access to healthcare services in rural communities. Includes discussion on policy recommendations to improve access and covers new models of care, reimbursement policies, regulatory requirements, telehealth, workforce issues, and prescription drug costs.
Additional links: Executive Summary, Infographic
Date: 02/2019
Sponsoring organization: American Hospital Association
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Delivery of Preventive Oral Health Services by Rurality: A Cross-Sectional Analysis
Examines the integration of oral health and primary care as a method of increasing access to preventive oral health services for children under age 6 using 2012-2014 Medicaid claims data from 39 states. Includes patient characteristics, such as age, sex, and poverty level, as well as healthcare utilization rates, with breakdowns by metro and nonmetro counties.
Author(s): Caroline K. Geiger, Ashley M. Kranz, Andrew W. Dick, et al.
Citation: Journal of Rural Health, 35(1), 3-11
Date: 01/2019
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Examines the integration of oral health and primary care as a method of increasing access to preventive oral health services for children under age 6 using 2012-2014 Medicaid claims data from 39 states. Includes patient characteristics, such as age, sex, and poverty level, as well as healthcare utilization rates, with breakdowns by metro and nonmetro counties.
Author(s): Caroline K. Geiger, Ashley M. Kranz, Andrew W. Dick, et al.
Citation: Journal of Rural Health, 35(1), 3-11
Date: 01/2019
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Medicaid in the Territories: Program Features, Challenges, and Changes
Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Sponsoring organization: KFF
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Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Sponsoring organization: KFF
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Project ECHO: Policy Pathways for Sustainability
Examines policy and funding options to provide for the long-term sustainability of Project ECHO, a telehealth mentoring program supporting the health workforce in rural and underserved areas. Offers state and federal policy recommendations, discussing how each would work, action steps, and feasibility.
Author(s): Greg Howe, Allison Hamblin
Date: 01/2019
Sponsoring organization: Center for Health Care Strategies
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Examines policy and funding options to provide for the long-term sustainability of Project ECHO, a telehealth mentoring program supporting the health workforce in rural and underserved areas. Offers state and federal policy recommendations, discussing how each would work, action steps, and feasibility.
Author(s): Greg Howe, Allison Hamblin
Date: 01/2019
Sponsoring organization: Center for Health Care Strategies
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Teleophthalmology: Ophthalmologists Talk Remote Eye Care Solutions
Discusses the role of remote eye care technology in meeting rural eye care needs. Highlights the use of teleophthalmology in rural Oregon. Features a collaboration of the Joslin Diabetes Center and the Indian Health Service to address diabetic retinopathy using remote surveillance.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Discusses the role of remote eye care technology in meeting rural eye care needs. Highlights the use of teleophthalmology in rural Oregon. Features a collaboration of the Joslin Diabetes Center and the Indian Health Service to address diabetic retinopathy using remote surveillance.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Eye Health Needs: Preserving the Eyesight of Rural Populations
Explains the importance of vision care in health and describes how rural vision care can be improved to increase quality of life and prevent disability in rural patients. Features a rural Federally Qualified Health Center that has added eye care to its services and a vision van that provides care in underserved areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Explains the importance of vision care in health and describes how rural vision care can be improved to increase quality of life and prevent disability in rural patients. Features a rural Federally Qualified Health Center that has added eye care to its services and a vision van that provides care in underserved areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Telepharmacy Service Brings HIV Preventive to Rural Iowans
Discusses a telepharmacy service in Iowa that works to provide rural residents at risk for HIV infection with the daily preventive medication, pre-exposure prophylaxis (PrEP). Covers barriers overcome by the program and next steps to address ongoing challenges program participants face.
Author(s): Kate Traynor
Date: 01/2019
Sponsoring organization: American Society of Health-System Pharmacists
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Discusses a telepharmacy service in Iowa that works to provide rural residents at risk for HIV infection with the daily preventive medication, pre-exposure prophylaxis (PrEP). Covers barriers overcome by the program and next steps to address ongoing challenges program participants face.
Author(s): Kate Traynor
Date: 01/2019
Sponsoring organization: American Society of Health-System Pharmacists
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Evaluating Home-Based Health Coaching from Community Health Representatives for Navajo Adults with Type 2 Diabetes
Reports on the Community Outreach and Patient Empowerment (COPE) program that utilizes community health representatives (CHRs) in the home setting to assist Navajo adults with diabetes management. Discusses CHRs' community-wide health promotion strategies and individualized in-home patient care. Includes results of the program on participant health.
Author(s): Sonya S. Shin, A. Katrina Nelson, Letizia Trevisi, et al.
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Reports on the Community Outreach and Patient Empowerment (COPE) program that utilizes community health representatives (CHRs) in the home setting to assist Navajo adults with diabetes management. Discusses CHRs' community-wide health promotion strategies and individualized in-home patient care. Includes results of the program on participant health.
Author(s): Sonya S. Shin, A. Katrina Nelson, Letizia Trevisi, et al.
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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An Innovative Approach to Care: Integrating Mental Health Services Through Telemedicine in Rural School-based Health Centers
Presents a study on the use of telemedicine to provide behavioral healthcare to rural children and adolescents through school-based health centers. Discusses the West Virginia Children's Access Network (WVCAN) and evaluates the successes and shortcomings of both the school-based health center model and telemedicine at providing behavioral healthcare to rural children.
Author(s): Taniya Pradhan, E. Ashley Six-Workman, Kari-Beth Law
Citation: Psychiatric Services, 70(3), 239-242
Date: 2019
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Presents a study on the use of telemedicine to provide behavioral healthcare to rural children and adolescents through school-based health centers. Discusses the West Virginia Children's Access Network (WVCAN) and evaluates the successes and shortcomings of both the school-based health center model and telemedicine at providing behavioral healthcare to rural children.
Author(s): Taniya Pradhan, E. Ashley Six-Workman, Kari-Beth Law
Citation: Psychiatric Services, 70(3), 239-242
Date: 2019
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