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Rural Health
Resources by Topic: Service delivery models

Telehealth: Delivering the Right Care, at the Right Place, at the Right Time
Highlights case examples of telehealth use in hospitals and health systems. Provides an overview and information on impacts, lessons learned, and future goals segments. Includes rural specific programs such as Intermountain Healthcare in Utah and Avera ePharmacy in South Dakota.
Date: 07/2017
Type: Document
Sponsoring organization: American Hospital Association
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Achieving Telehealth's Promise for Rural Health: Insights from Telehealth Leaders
Features five rural leaders discussing barriers to the use of telehealth in rural areas and the changes needed to fully implement telehealth in rural healthcare delivery.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Telehealth: Use in Medicare and Medicaid
Discusses the extent to which telehealth is used by Medicare and Medicaid, the factors affecting the use of telehealth in Medicare, and how emerging payment and delivery models could affect future telehealth use. Includes rural-specific information throughout with particular attention paid to the role of rural healthcare facilities as originating sites.
Additional links: Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Care Coordination for Community Transitions for Individuals Post-Stroke Returning to Low-Resource Rural Communities
Assesses the Kentucky Care Coordination for Community Transitions (KC3T) program of employing a specially trained community health worker (CHW) as a navigator to aid in the transition of individuals who have had a stroke from acute in-patient care to their rural community. The goal of the study was to determine the community navigation and resources required by people who have had a stroke in order to transition back to rural communities with few resources and to facilitate positive health outcomes.
Author(s): Patrick Kitzman, Keisha Hudson, Violet Sylvia, Johnnie Lovins
Citation: Journal of Community Health, 42(3), 565-572
Date: 06/2017
Type: Document
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Promising Practice: Advisory Group in Washington State Works to Bring Palliative Care to Rural Patients
Describes the Palliative Care Rural Health Integration Advisory Team (PC-RHIAT) initiated by the Washington State Office of Rural Health (WA SORH), which aims to bring palliative care to rural patients through the use of telehealth and community engagement. The WA SORH facilitates this process by bringing experts in palliative care, rural health and telehealth, together with hospitals, clinics, and community team members to develop an action plan based in the rural community and within their healthcare organizations.
Author(s): Beth Blevins
Date: 06/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Emergency Medical Services Professionals' Attitudes about Community Paramedic Programs
Evaluates perceptions and attitudes of emergency medical services (EMS) professionals' understanding and willingness to participate in community paramedic programs. Includes demographic data for EMS professionals participating in the study by level of certification or licensure and total years of EMS experience. Provides information on EMS participants' work experiences, including the type of community and population served.
Author(s): Robert J. Steeps, Denise A. Wilfong, Michael W. Hubble, Daniel L. Bercher
Citation: Western Journal of Emergency Medicine, 18(4), 630-639
Date: 06/2017
Type: Document
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Telehealth Delivery of the Diabetes Prevention Program to Rural Communities
Analyzes a rural telehealth diabetes prevention program (DPP) and compares it to an on-site DPP to determine if differences exist between the programs in monitoring diet and physical activity as well as weight loss in DPP participants.
Author(s): Liane M. Vadheim, Katherine Patch, Sarah M. Brokaw, et al.
Citation: Translational Behavioral Medicine, 7(2), 286-291
Date: 06/2017
Type: Document
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Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality
Describes the distribution of chronic disease self-management education (CDSME) programs across the U.S. by participants enrolled, workshops delivered, and counties reached. Compares the CDSME program distribution by rural designation, for example metro, nonmetro areas adjacent and not adjacent to metro areas. Includes a map of CDSME program distribution by rurality for every county in the U.S. and provides statistics on CDSME workshops and participants by rurality and workshop type.
Author(s): Matthew Lee Smith, Samuel D. Towne, Jr., Angelica Herrera-Venson, et al.
Citation: International Journal of Environmental Research and Public Health, 14(6), 638
Date: 06/2017
Type: Document
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Medical Center Barbour Reduces Readmission Rates
Highlights the accomplishments of Medical Center Barbour (MCB), a prospective payment system (PPS) hospital located in Eufaula, Alabama, as it progressed through a Small Rural Hospital Transition (SRHT) quality of care and transition of care project. MCB's top accomplishments include reducing readmissions, improving communication among staff and patients, and enhancing the discharge process.
Additional links: One-Page Summary
Date: 06/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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After Hospital Closure: Pursuing High Performance Rural Health Systems without Inpatient Care
Describes ways for rural communities to develop optimal healthcare delivery systems after a local hospital closure. Features 3 case studies from Arizona, Michigan, and Illinois. Includes tables showing options currently available under federal and state laws and policies under consideration.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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