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Rural Health
Resources by Topic: Service delivery models

Delta Memorial Hospital's SEAL Team
Describes Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on improving quality of care and transition of care. DMH is a 25-bed Critical Access Hospital located in Dumas, Arkansas. 12 months after implementing the recommendations, DMH met two of their three measurable goals. The SEAL team, or Service Excellence Advisor Leaders, are charged with regularly reviewing patient satisfaction surveys to identify service areas that need improvement.
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Telemedicine Reimbursement
Policy position brief showing how telemedicine can help safety net providers care for people who live and work in rural and underserved areas. Lists types of programs, explores reimbursement issues, gives examples of innovative programs with telemedicine components, and offers recommendations for increasing access and improving outcomes.
Author(s): Becky Sanders, Zach Allen, Greg Maurer
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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Demonstrations and Pilots: Rural Centric Transformation
Policy brief describing the need for an intentional increase in funding for rural centric innovation for demonstration projects and pilot programs. Analyzes current national policies and National Rural Health Association (NRHA) policy positions, and covers the need for rural specific demonstration project data. Includes policy recommendations.
Author(s): Kathy Whitmire, Sue Grafstrom, Erin Tanenbaum
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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Toward Hospital Global Budgeting: State Considerations
Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Type: Document
Sponsoring organization: State Health & Value Strategies
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Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Establishing Effective Patient Navigation Programs in Oncology: Proceedings of a Workshop
Summarizes workshop proceedings and discussion to examine how to improve cancer patients' healthcare services navigation. Discusses current models of patient navigation programs, including programs in rural areas. Covers lessons learned, policy changes, and opportunities to improve cancer patient healthcare services navigation. Document is free to download after providing an email address.
Additional links: Read Online, Videos
Author(s): Board on Health Care Services
Date: 05/2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
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Case Studies From the 2017 Care Coordination Comparative Study
Provides an overview of four care coordination approaches being used in rural areas: care coach, clinical, community health worker, and school-based. Includes individual case studies of rural care coordination programs, with detailed information on target populations, technology used, partners, care team composition, and more.
Date: 05/2018
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
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Behavioral Health Integration and Workforce Development
Examines the need for states to assess behavioral health integration (BHI) workforce needs, identify legal and policy barriers to practice, and effectively train and retain BHI practitioners, especially in underserved areas. Includes case studies of programs in Washington, Nebraska, and Michigan, and lists of resources.
Author(s): Rachel Block
Date: 05/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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