Rural Health
Resources by Topic: Service delivery models
Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Community Reinvestment Program
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Care That Works: Support and Services at Home (SASH)
Examines the Vermont statewide program utilizing affordable housing communities to provide supportive services and care coordination for older adults and people with disabilities in rural areas. Describes how an on-site wellness nurse and care coordinator works with participants to coordinate assistance provided by social service agencies and community health providers with the services of the housing provider.
Date: 08/2018
Sponsoring organization: Center for Consumer Engagement in Health Innovation
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Examines the Vermont statewide program utilizing affordable housing communities to provide supportive services and care coordination for older adults and people with disabilities in rural areas. Describes how an on-site wellness nurse and care coordinator works with participants to coordinate assistance provided by social service agencies and community health providers with the services of the housing provider.
Date: 08/2018
Sponsoring organization: Center for Consumer Engagement in Health Innovation
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Frontier and Remote Paramedicine Practitioner Models
Reviews paramedic service delivery models in the U.S. and other English speaking countries, focusing on models with the potential to support and improve health and well-being of frontier populations.
Author(s): Peter O'Meara, Gary Wingrove, Michael Nolan
Citation: Rural and Remote Health, 18(3)
Date: 08/2018
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Reviews paramedic service delivery models in the U.S. and other English speaking countries, focusing on models with the potential to support and improve health and well-being of frontier populations.
Author(s): Peter O'Meara, Gary Wingrove, Michael Nolan
Citation: Rural and Remote Health, 18(3)
Date: 08/2018
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Strengthening the Oral Health System in Rural Minnesota
Provides an overview of oral health systems in rural Minnesota. Includes information on the current dental workforce, models of care, emerging dental professions, and the cost of dental services. Discusses recommendations to support oral health systems by improving access, increasing the dental workforce, and creating new methods of delivering rural oral healthcare.
Date: 08/2018
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Provides an overview of oral health systems in rural Minnesota. Includes information on the current dental workforce, models of care, emerging dental professions, and the cost of dental services. Discusses recommendations to support oral health systems by improving access, increasing the dental workforce, and creating new methods of delivering rural oral healthcare.
Date: 08/2018
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Innovation Center State-Based Initiatives: A Systematic Review of Lessons Learned
A synthesis of findings from 47 evaluation reports covering 12 Center for Medicare & Medicaid Innovation models with a state component. Includes information on the impact of models for rural areas and identifies barriers and challenges faced in rural areas.
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, L&M Policy Research
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A synthesis of findings from 47 evaluation reports covering 12 Center for Medicare & Medicaid Innovation models with a state component. Includes information on the impact of models for rural areas and identifies barriers and challenges faced in rural areas.
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, L&M Policy Research
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Advanced Primary Care: A Key Contributor to Successful ACOs
Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children's Health and Well-Being
Discusses strategies and benefits to adopting a telehealth program in a childcare center or school. Describes successful rural specific program examples. Outlines a guide for program adoption that covers identifying and building relationships with stakeholders, needs assessment, finding equipment, privacy, payment, sustainability, and implementation challenges.
Date: 08/2018
Sponsoring organization: The Children's Partnership
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Discusses strategies and benefits to adopting a telehealth program in a childcare center or school. Describes successful rural specific program examples. Outlines a guide for program adoption that covers identifying and building relationships with stakeholders, needs assessment, finding equipment, privacy, payment, sustainability, and implementation challenges.
Date: 08/2018
Sponsoring organization: The Children's Partnership
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Evaluation of the Accountable Care Organization Investment Model: AIM Impacts in the First Performance Year
Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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