Rural Health
Resources by Topic: Service delivery models
Predictive Analytics Shape Care Processes
Reports on an Accountable Care Organization (ACO) model in Maine that uses a predictive analytics platform in conjunction with Maine's statewide health information exchange (HIE) to prescribe care management interventions based on patient risk. Describes the predictive analytics system, discusses how the ACO is using it to manage care, and highlights future plans, such as targeting patients hospitalized for an opioid overdose and integrating social determinants of health data.
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Value
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Reports on an Accountable Care Organization (ACO) model in Maine that uses a predictive analytics platform in conjunction with Maine's statewide health information exchange (HIE) to prescribe care management interventions based on patient risk. Describes the predictive analytics system, discusses how the ACO is using it to manage care, and highlights future plans, such as targeting patients hospitalized for an opioid overdose and integrating social determinants of health data.
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Value
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Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population, 2012-2015
Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Mobile Mammography Participation Among Medically Underserved Women: A Systematic Review
Describes the effect of mobile programs in promoting mammographic screening participation among medically underserved women. Examines 4 studies conducted in rural areas and 3 studies conducted in both urban and rural areas, through articles published from 2010-2018.
Author(s): Suzanne Vang, Laurie R. Margolies, Lina Jandorf
Citation: Preventing Chronic Disease, 15
Date: 11/2018
Type: Document
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Describes the effect of mobile programs in promoting mammographic screening participation among medically underserved women. Examines 4 studies conducted in rural areas and 3 studies conducted in both urban and rural areas, through articles published from 2010-2018.
Author(s): Suzanne Vang, Laurie R. Margolies, Lina Jandorf
Citation: Preventing Chronic Disease, 15
Date: 11/2018
Type: Document
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Rural Residents with Higher Educational Attainment Were More Likely to Engage in Telehealth Activities
Bar chart showing 2015 data on the use of telehealth for health monitoring, health maintenance, and health research by education level for rural residents.
Date: 11/2018
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Bar chart showing 2015 data on the use of telehealth for health monitoring, health maintenance, and health research by education level for rural residents.
Date: 11/2018
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Information on Medicare Telehealth
Report to Congress, as mandated by the 21st Century Cures Act, examining how Medicare patients are using telehealth, particularly in rural areas, with breakdowns by race/ethnicity, age group, and primary diagnoses including mental health issues. Includes an analysis of Medicare claims data regarding high volume services that could be delivered through telehealth, an overview of telehealth models funded by the Center for Medicare and Medicaid Innovation, and state-level breakdowns of Medicare telehealth data. Discusses who may benefit from telehealth expansion and barriers to expansion.
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report to Congress, as mandated by the 21st Century Cures Act, examining how Medicare patients are using telehealth, particularly in rural areas, with breakdowns by race/ethnicity, age group, and primary diagnoses including mental health issues. Includes an analysis of Medicare claims data regarding high volume services that could be delivered through telehealth, an overview of telehealth models funded by the Center for Medicare and Medicaid Innovation, and state-level breakdowns of Medicare telehealth data. Discusses who may benefit from telehealth expansion and barriers to expansion.
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Individuals' Telehealth Practices: An Overview
Compares rural and urban use of online health monitoring, online health research, and online health maintenance, which includes communication with healthcare providers. Provides breakdowns by level of education, age, race/ethnicity, income, and other factors. Briefly addresses access to technology, including internet availability.
Additional links: Report Summary
Author(s): Peter L. Stenberg
Date: 11/2018
Type: Document
Sponsoring organization: USDA Economic Research Service
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Compares rural and urban use of online health monitoring, online health research, and online health maintenance, which includes communication with healthcare providers. Provides breakdowns by level of education, age, race/ethnicity, income, and other factors. Briefly addresses access to technology, including internet availability.
Additional links: Report Summary
Author(s): Peter L. Stenberg
Date: 11/2018
Type: Document
Sponsoring organization: USDA Economic Research Service
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Rationale and Development of a Randomized Pragmatic Trial to Improve Diabetes Outcomes in Patient-Centered Medical Homes Serving Rural Patients
Reports on a randomized trial developed to determine the effectiveness of a health literacy intervention supporting diabetes self-management education compared to enhanced usual care. Clinical trial occurred in six rural clinics in Arkansas that are Patient-Centered Medical Homes (PCMH), targeting patients with uncontrolled type 2 diabetes.
Author(s): Kristie B. Hadden, Connie L. Arnold, Laura M. Curtis, et al.
Citation: Contemporary Clinical Trials, 75, 152-157
Date: 10/2018
Type: Document
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Reports on a randomized trial developed to determine the effectiveness of a health literacy intervention supporting diabetes self-management education compared to enhanced usual care. Clinical trial occurred in six rural clinics in Arkansas that are Patient-Centered Medical Homes (PCMH), targeting patients with uncontrolled type 2 diabetes.
Author(s): Kristie B. Hadden, Connie L. Arnold, Laura M. Curtis, et al.
Citation: Contemporary Clinical Trials, 75, 152-157
Date: 10/2018
Type: Document
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
Type: Document
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Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
Type: Document
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Leveraging Telehealth to Support Aging Americans
Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Type: Document
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Type: Document
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Community-based Palliative Care: Scaling Access for Rural Populations
Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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