Rural Health
Resources by Topic: Service delivery models
Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noëlle Siegfried, et al.
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noëlle Siegfried, et al.
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Telehealth in Rural America
Policy brief focused on telehealth in the rural U.S. Addresses state and national policies related to insurance coverage of telehealth, infrastructure challenges such as broadband access, licensure issues, reimbursement, and other barriers to telehealth access.
Author(s): Windy Alonso, Elizabeth Crouch, Nicole Thorell
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief focused on telehealth in the rural U.S. Addresses state and national policies related to insurance coverage of telehealth, infrastructure challenges such as broadband access, licensure issues, reimbursement, and other barriers to telehealth access.
Author(s): Windy Alonso, Elizabeth Crouch, Nicole Thorell
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
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The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder
Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
Type: Document
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Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
Type: Document
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Extending Access to Care Across the Rural US South: Preliminary Results from the Alabama eHealth Programme
Describes Alabama eHealth, a community-based initiative of Medical Advocacy and Outreach (MAO) that provides telehealth services to rural residents living with HIV. Discusses staff interviews describing barriers and successes to implementing the program. Evaluates the effectiveness and sustainability of the program by tracking patient appointment completion rates, CD4 counts, and viral loads. Table 1 provides an overview of Alabama eHealth affiliates and their roles in providing telehealth services.
Author(s): Kriti Jain, Prashanth Bhat, Cathy Maulsby, et al.
Citation: Journal of Telemedicine and Telecare, 25(5): 301-309
Date: 06/2019
Type: Document
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Describes Alabama eHealth, a community-based initiative of Medical Advocacy and Outreach (MAO) that provides telehealth services to rural residents living with HIV. Discusses staff interviews describing barriers and successes to implementing the program. Evaluates the effectiveness and sustainability of the program by tracking patient appointment completion rates, CD4 counts, and viral loads. Table 1 provides an overview of Alabama eHealth affiliates and their roles in providing telehealth services.
Author(s): Kriti Jain, Prashanth Bhat, Cathy Maulsby, et al.
Citation: Journal of Telemedicine and Telecare, 25(5): 301-309
Date: 06/2019
Type: Document
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Accountable Care Organizations Exiting the Medicare Shared Savings Program: Policy and Organizational Determinants
Poster presented at the 2019 AcademyHealth Annual Research Meeting on trends in Accountable Care Organization (ACO) exits. Identifies organizational factors such as rural/urban location affecting ACO exit, as well as policy-related motivations, such as financial incentives.
Author(s): Huang Huang, Xi Zhu, Keith Mueller, Clinton MacKinney
Date: 06/2019
Type: Document
Sponsoring organization: University of Iowa College of Public Health
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Poster presented at the 2019 AcademyHealth Annual Research Meeting on trends in Accountable Care Organization (ACO) exits. Identifies organizational factors such as rural/urban location affecting ACO exit, as well as policy-related motivations, such as financial incentives.
Author(s): Huang Huang, Xi Zhu, Keith Mueller, Clinton MacKinney
Date: 06/2019
Type: Document
Sponsoring organization: University of Iowa College of Public Health
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Factors Determining Patients' Choice Between Mobile Health and Telemedicine: Predictive Analytics Assessment
Results of a study to examine factors influencing the choice of communication medium for receiving healthcare, through analysis of mobile health versus telemedicine visits with a virtual urgent clinic. Features statistics including demographics of virtual urgent clinic users, with breakdowns by urban and rural settings.
Author(s): Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro
Citation: JMIR Mhealth Uhealth, 7(6)
Date: 06/2019
Type: Document
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Results of a study to examine factors influencing the choice of communication medium for receiving healthcare, through analysis of mobile health versus telemedicine visits with a virtual urgent clinic. Features statistics including demographics of virtual urgent clinic users, with breakdowns by urban and rural settings.
Author(s): Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro
Citation: JMIR Mhealth Uhealth, 7(6)
Date: 06/2019
Type: Document
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Tailoring Crisis Response and Pre-arrest Diversion Models for Rural Communities
Outlines a guide for rural communities to develop crisis response and pre-arrest diversion programs for people with mental health or substance use disorders. Discusses the use of technology to connect law enforcement with behavioral health programs, as well as building off of current programs to address the specific needs of the community.
Date: 06/2019
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Outlines a guide for rural communities to develop crisis response and pre-arrest diversion programs for people with mental health or substance use disorders. Discusses the use of technology to connect law enforcement with behavioral health programs, as well as building off of current programs to address the specific needs of the community.
Date: 06/2019
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Lower Health Care Costs Act
Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Access to Maternal Health Care in Rural Communities: A Patient's Personal Story
Offers a short video featuring a patient's story about accessing maternal healthcare in rural Iowa. Includes the perspective of the obstetrician/gynecologist who provided her care using a combination of telehealth and in-person visits from South Dakota, the closest facility offering the services she needed. Transcript available below description.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers a short video featuring a patient's story about accessing maternal healthcare in rural Iowa. Includes the perspective of the obstetrician/gynecologist who provided her care using a combination of telehealth and in-person visits from South Dakota, the closest facility offering the services she needed. Transcript available below description.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Broadband Availability and Access in Rural Pennsylvania
Report details broadband access in rural Pennsylvania. Discussed broadband speed and the role it plays in rural telehealth services. Features a literature review and policy recommendations.
Author(s): Sascha D. Meinrath, Hannah Bonestroo, Georgia Bullen, et al.
Date: 06/2019
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Report details broadband access in rural Pennsylvania. Discussed broadband speed and the role it plays in rural telehealth services. Features a literature review and policy recommendations.
Author(s): Sascha D. Meinrath, Hannah Bonestroo, Georgia Bullen, et al.
Date: 06/2019
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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