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Rural Health
Resources by Topic: Service delivery models

Perspectives From the Frontline of Two North American Community Paramedicine Programs: An Observational, Ethnographic Study
Discusses the motivations, job satisfaction, and challenges from the viewpoints of community paramedics and their managers in two independent programs in rural Ontario, Canada and Colorado, USA. Presents qualitative data derived through interviews, informal discussions, focus groups, and direct observation of practice.
Author(s): Angela C Martin, Peter O'Meara
Citation: Rural and Remote Health, 19(1), 4888
Date: 02/2019
Type: Document
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Meeting Needs in Rural Health: Research, Action, Policy
Provides slides from a presentation at the 2019 American Hospital Association Rural Health Care Leadership Conference. Focuses on rural Accountable Care Organizations (ACOs), what happens after hospital closures, and opportunities for advancing rural health based on recommendations from RUPRI Health Panel. Includes maps showing non-metropolitan county locations of ACOs over time.
Author(s): Keith J. Mueller
Date: 02/2019
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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Fact Sheet: Telehealth
Discusses the growth of telehealth use in hospitals from 2010 through 2017, and ongoing challenges to expanding and providing telehealth services. Covers rural considerations throughout the document.
Date: 02/2019
Type: Document
Sponsoring organization: American Hospital Association
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2019 Telehealth Policy Barriers
Discusses existing policy barriers at the federal and state levels that inhibit the use of telehealth in rural and urban areas, including: reimbursement; malpractice; licensing; HIPAA, privacy, and security; prescribing; credentialing and privileging; and other influences on policy.
Date: 02/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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2019 Telehealth Reimbursement
Provides an overview of Medicare reimbursement for telehealth services and discusses factors, policies, and legislation affecting reimbursement including: geographic and originating site restrictions; provider restrictions; service restrictions; payment for remote communication technology; chronic care management and remote monitoring; Medicare Advantage; Accountable Care Organizations, bundled care, and telehealth. Covers Medicaid and private payer telehealth reimbursement policies.
Date: 02/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models
Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Case Studies of 6 Safety Net Organizations That Integrate Oral and Mental/Behavioral Health With Primary Care Services
Features an analysis of 6 Federally Qualified Health Centers (FQHCs) integrating oral health and behavioral health with primary care across the country. Features one rural example.
Additional links: Policy Brief
Author(s): M. Langelier, S. Surdu, N. Goodwin
Date: 02/2019
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Evidence Brief: Video Telehealth for Primary Care and Mental Health Service
Details an investigation by the Veterans Health Administration into video telehealth as a means of delivering primary and mental healthcare to veterans. Highlights advantages for increasing access for rural veterans.
Additional links: Supplemental Materials
Author(s): Stephanie Veazie, Donald Bourne, Kim Peterson, Johanna Anderson
Date: 02/2019
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Rural Patients with Chronic Disease: A Nonprofit Organization and a Health Department Leverage Federal Funding to Provide Health Education and Care Coordination
Features rural Alabama and North Carolina organizations that are using Federal Office of Rural Health Policy grants to improve health outcomes for patients with chronic disease through remote patient monitoring, health education, and network development.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Diabetes Disparities In Illinois
Examines inequalities between access to Chronic Disease Self-Management Program (CDSMP) locations in urban areas and those in underserved or rural areas. Includes a county-level map showing Illinois Health Care Centers and CDSMP locations with breakdowns by county diabetes prevalence.
Author(s): Taylor Jansen, Liliana Aguayo, James Whitacre, et al.
Citation: Preventing Chronic Disease, 16
Date: 02/2019
Type: Document
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