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Rural Health
Resources by Topic: Service delivery models

Providing Patient-Centered Enhanced Discharge Planning and Rural Transition Support: Building a Rural Transitions Network Between Regional Referral and Critical Access Hospitals
Details manual procedures used in Western Montana to develop a model to improve the likelihood of a good recovery for patients and decreasing chances of re-hospitalization. Includes a guide to ethical considerations in discharge and rural transition planning.
Author(s): Tom Seekins, Heidi Boehm, Jennifer Wong, Linda Yearous, AnnaJean Smith
Date: 08/2017
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Second Annual Report
Summarizes the second year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Describes implementation experiences during the second program year and examines pre-enrollment characteristics of participants. Focuses on program enrollment, implementation of service delivery models, development and implementation of payment models, and sustainability plans. Provides findings for the individual grantees, which include projects that serve rural areas.
Date: 08/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Research Highlight: The Virtual Specialty Care QUERI Program - Improving Access to High-Quality Specialty Care for Rural Veterans
Highlights the Virtual Specialty Care (VSC) QUERI Program, a measure to support operational partners, such as the Office of Rural Health, Office of Connected Care, and Mental Health Services, as virtual care technologies are implemented to increase access to specialty care for rural veterans. Discusses the challenges of evaluating rapidly evolving technologies without stifling their development.
Author(s): John Fortney, Greg Reger, Alexis Beatty
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Transitions in Care among Rural Residents with Congestive Heart Failure, Acute Myocardial Infarction, and Pneumonia
Findings brief examining continuum of care of Medicare patients as they are transferred from a hospital to another facility. Features statistics including patient residence and condition, admitting facility type, proportion of hospitalizations with a transfer, transfer patterns, and discharge status following transferred admission, with breakdowns by urban and rural locations.
Author(s): Kevin J. Bennett, Jarrod Bullard, Yu-Hsiu Lin, Janice C. Probst
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Improving Access to High Quality Sepsis Care in a South Dakota Emergency Telemedicine Network
Research and policy brief exploring whether emergency department-based telemedicine networks using real-time access to sepsis experts can improve outcomes and decrease variation in care. Discusses a pilot program for Critical Access Hospitals in South Dakota-based Avera Health's 140-hospital network in 12 states. Includes statistics for patients with positive sepsis screens from September 2016 to March 2017.
Author(s): Nicholas M. Mohr, Brian Skow, Amy Wittrock, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Telehealth Private Payer Laws: Impact and Issues
Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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Southwest Telehealth Resource Center Helps Rural Providers Connect
Highlights the work of the Southwest Telehealth Resource Center, which supports the region's healthcare providers through telehealth training and technical assistance.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medical Home Plus
Video featuring the Medical Home Plus project, which works to reduce diabetes, depression, and stroke risk in rural Idaho via a collaborative care model and a medical home model.
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Evaluation of Diabetic Retinal Screening and Factors for Ophthalmology Referral in a Telemedicine Network
Examines telemedicine retinal screening for diabetic retinopathy (DR) among type 1 or type 2 diabetics in rural and underserved communities in North Carolina. Discusses geographic and socioeconomic challenges that lead to disparities in screening and treatment for DR, exploring telehealth's potential to expand access. Analyzes data on patient characteristics, diagnoses, and referrals.
Author(s): Pooja Jani, Lauren Forbes, Arkopal Choudhury, et al.
Citation: JAMA Opthalmology, 135(7), 706-714
Date: 07/2017
Type: Document
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Williamson Health and Wellness Center
Video highlighting a West Virginia community health worker program that helps patients with chronic illness connect with services and manage their health.
Date: 07/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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