Rural Health
Resources by Topic: Service delivery models
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
view details
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
view details
Impact of Community Health Representative-Led Patient Activation and Engagement on Home-Based Kidney Care
Describes a study examining the effectiveness of a home-based education program for Zuni adults with kidney disease in rural New Mexico. Compares patients' knowledge, skills, and confidence to manage their kidney disease; quality of life; and clinical risk factors to patients who received care at local Zuni Indian Health Services clinics. Explores the role of community health representatives as part of the clinical care team.
Additional links: Results Summary
Author(s): Vallabh Shah, Robert Nelson, Thomas Faber, Val Panteah
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
view details
Describes a study examining the effectiveness of a home-based education program for Zuni adults with kidney disease in rural New Mexico. Compares patients' knowledge, skills, and confidence to manage their kidney disease; quality of life; and clinical risk factors to patients who received care at local Zuni Indian Health Services clinics. Explores the role of community health representatives as part of the clinical care team.
Additional links: Results Summary
Author(s): Vallabh Shah, Robert Nelson, Thomas Faber, Val Panteah
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
view details
Observational Study of the Distribution and Diversity of Interventional Pain Procedures Among Hospitals in the State of Iowa
Examines the diversity of interventional pain procedures offered by small and large hospitals using 2012-2017 data from hospital-owned facilities in the state of Iowa. Discusses the role of Critical Access Hospitals (CAHs) in pain management, their diversity of pain procedures, and if these procedures are performed by a few clinicians, or by the cumulative activity of many clinicians.
Author(s): Amy C. S. Pearson, Franklin Dexter
Citation: Pain Physician, 22, E157-E170
Date: 2019
view details
Examines the diversity of interventional pain procedures offered by small and large hospitals using 2012-2017 data from hospital-owned facilities in the state of Iowa. Discusses the role of Critical Access Hospitals (CAHs) in pain management, their diversity of pain procedures, and if these procedures are performed by a few clinicians, or by the cumulative activity of many clinicians.
Author(s): Amy C. S. Pearson, Franklin Dexter
Citation: Pain Physician, 22, E157-E170
Date: 2019
view details
For This Island Community, Better Health Is Everyone's Journey
Features the community of Sitka, Alaska, a winner of the 2019 Robert Wood Johnson Foundation Culture of Health Prize. Highlights some of Sitka's efforts to actively promote health and wellness throughout the community with projects such as the Sitka Health Summit, community gardens, and home-based childcare.
Date: 2019
Sponsoring organization: Robert Wood Johnson Foundation
view details
Features the community of Sitka, Alaska, a winner of the 2019 Robert Wood Johnson Foundation Culture of Health Prize. Highlights some of Sitka's efforts to actively promote health and wellness throughout the community with projects such as the Sitka Health Summit, community gardens, and home-based childcare.
Date: 2019
Sponsoring organization: Robert Wood Johnson Foundation
view details
Technical Assistance for Hospitals Applying to the Pennsylvania Rural Health Model — A CMMI-Sponsored Rural Hospital Global Budget Model
Describes the experiences of the Rural Health Value program in coaching hospitals in Pennsylvania that were interested in participating in a global budget model. Explains a process to quickly develop a plan focused on community health rather than exclusively on clinical services, to facilitate the transition from volume to value.
Date: 2019
Sponsoring organization: Rural Health Value
view details
Describes the experiences of the Rural Health Value program in coaching hospitals in Pennsylvania that were interested in participating in a global budget model. Explains a process to quickly develop a plan focused on community health rather than exclusively on clinical services, to facilitate the transition from volume to value.
Date: 2019
Sponsoring organization: Rural Health Value
view details
The Relationship Between Rural Setting and Health: Factors that Influence Individuals With or at Risk of CVD - A Summary of the Literature
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Sponsoring organization: American Heart Association
view details
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Sponsoring organization: American Heart Association
view details
Cost-Effectiveness of a Community-Based Cardiovascular Disease Prevention Intervention in Medically Underserved Rural Areas
Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
view details
Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
view details
State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Field
Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
view details