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Rural Health
Resources by Topic: Service delivery models

Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
A guide to help primary care providers, practices, and healthcare systems manage patients who are on long-term opioid therapy. Provides an evidence-based prescribing guideline, quality improvement measures, and practice-level care coordination strategies. Appendix F provides examples of comprehensive management approaches, including discussion of telehealth approaches that could be used in rural communities.
Date: 2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities
Report explores implementation strategies for patient-centered medical homes (PCMH) via Indian Health Service (IHS) clinics in tribal communities. Details obstacles to implementation and steps to overcoming them, such as staff retraining, team-based care, and using health information technology, among others.
Author(s): Justin W. Timbie, Ammarah Mahmud, Christine Buttorff, Erika Meza
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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CMS Rural Health Strategy
Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Behavioral Health Integration into Primary Care: A Microsimulation of Financial Implications for Practices
Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
Type: Document
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Getting to Healthcare Value: Redirecting the Policy Debate Toward Lower Costs and Better Quality
Report reflecting discussions and views of participants of the Healthcare Value Hub meeting in New Orleans, November 6-8, 2017. Includes a section on challenges and opportunities for healthcare value in rural areas.
Date: 12/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Rural Primary Care Practice Guide to Creating Interprofessional Oral Health Networks
Provides guidance on establishing interprofessional networks between primary care providers and oral health providers. Presents activities for both parties to work toward the goal of oral healthcare integration.
Additional links: Executive Summary
Date: 11/2017
Type: Document
Sponsoring organization: DentaQuest Institute
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Impact of a Mobile Health Application on User Engagement and Pregnancy Outcomes among Wyoming Medicaid Members
Examines the effects of a mobile health application, Due Date Plus, on user engagement and birth outcomes among pregnant Medicaid members compared to pregnant Medicaid members not using the application in Wyoming. Compares data on four outcomes: 6-month or more prenatal visit, C-section, low birth weight, and neonatal intensive care unity (NICU) admission to evaluate the association between Due Date Plus with pregnancy and birth outcomes.
Author(s): James Bush, Dilek E. Barlow, Jennie Echols, Jasmine Wilkerson, Katherine Bellevin
Citation: Telemedicine Journal and e-Health, 23(11), 891-898
Date: 11/2017
Type: Document
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