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Rural Health
Resources by Topic: Service delivery models

Using Telemedicine to Increase Access, Improve Care in Rural Communities
Examines Avera Health, an integrated delivery system based in Sioux Falls, South Dakota, to highlight how telehealth can be used to improve access in rural areas. Avera offers "eEmergency" telehealth services to more than 130 rural hospitals and "ePharmacy" services to roughly 75 rural hospitals, and other telehealth services. Discusses Avera's expansion into other areas where provider recruitment may be difficult, including prisons, schools, and long-term care facilities.
Author(s): Sarah Klein, Martha Hostetter
Citation: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Promoting Colorectal Cancer Screening Through a New Model of Delivering Rural Primary Care in the USA: A Qualitative Study
Results of a study conducted in Nebraska, to explore ways in which colorectal cancer screening can be promoted by rural primary care clinics participating in an Accountable Care Organization. Features statistics including participants' gender, job, and breakdowns by three levels of rurality.
Author(s): Jungyoon Kim, Lufei Young, Sarbinaz Bekmuratova, et al.
Citation: Rural and Remote Health, 17(1), 4187
Date: 03/2017
Type: Document
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Anticipating Economic Returns of Rural Telehealth
Discusses the quantifiable and nonquantifiable benefits of utilizing telehealth services in rural areas across the U.S. Provides tables showing estimated savings on travel expenses, lost wages, and hospital costs by state. Outlines some of the challenges facing telehealth and makes recommendations for future improvements. Links to a video showing the author presenting portions of the paper at a Foundation for Rural Service event.
Additional links: Video Presentation
Author(s): Rick Schadelbauer
Date: 03/2017
Type: Document
Sponsoring organization: NTCA: The Rural Broadband Association
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Differences in Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders Among Children Aged 2–8 Years in Rural and Urban Areas — United States, 2011–2012
Provides rural and urban data on a variety of health-related factors for children 2-8 years of age with and without mental, behavioral, and developmental disorders. Topics addressed include demographics, health insurance coverage, having a medical home, parental mental health, family financial difficulties, and community factors.
Author(s): Lara R. Robinson, Joseph R. Holbrook, Rebecca H. Bitsko, et al.
Citation: MMWR Surveillance Summaries, 66(8), 1-11
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Emerging Strategies to Ensure Access to Health Care Services: Indian Health Services Strategy
Outlines federal policy solutions and facility-level strategies to improve care coordination between Indian Health Service (IHS) facilities and other healthcare providers.
Date: 03/2017
Type: Document
Sponsoring organization: American Hospital Association
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 2
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Third Annual Report
Third annual evaluations for the Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Presents findings on program impacts related to quality of care, service use, and medical spending. Includes projects serving rural areas.
Additional links: Addendum, August 2017
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Third Annual Report
Third annual evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Discusses awardees' progress and impact over the 3-year funding period from 2012 to 2015. Includes profiles of rural-focused projects, as well as projects serving rural and urban areas.
Additional links: Addendum, August 2017
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Vermont Care Network Advocates for Behavioral Health and Developmental Disability Agencies
Highlights the work of the Vermont Care Network, which supports 16 non-profit agencies that provide behavioral health and developmental disability services in the state. Discusses cross-sector collaboration and integration of mental health, substance use, and developmental disability services with primary care.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial
Results of a 12-week hula-based intervention coupled with self-care education on blood pressure management, done in Honolulu in 2012-2013. Features demographic statistics with breakdowns by ethnic group, and intervention effects on blood pressure from baseline to 3-month follow-up.
Author(s): Joseph Keawe'aimoku Kaholokula, Mele Look, Tricia Mabellos, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 4(1), 35-46
Date: 02/2017
Type: Document
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