Rural Health
Resources by Topic: Service delivery models
Report to Congress: Social Risk Factors and Performance Under Medicare's Value-Based Purchasing Program
Uses Medicare data to examine the relationship between social risk factors and the performance of value-based purchasing programs. Discusses policy considerations that could help ensure value-based purchasing programs achieve their intended results, especially among high social risk populations. Categorizes rurality as a community risk factor and discusses whether beneficiaries with social risk factors such as rurality have worse outcomes due to their social risk profile, or because of the providers they see. Also provides rural-specific statistics and recommendations for using value-based purchasing to improve health outcomes among high social risk populations. Appendices summarize and provide additional details for each of the 9 programs evaluated. See the second report.
Additional links: Appendices
Date: 12/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Uses Medicare data to examine the relationship between social risk factors and the performance of value-based purchasing programs. Discusses policy considerations that could help ensure value-based purchasing programs achieve their intended results, especially among high social risk populations. Categorizes rurality as a community risk factor and discusses whether beneficiaries with social risk factors such as rurality have worse outcomes due to their social risk profile, or because of the providers they see. Also provides rural-specific statistics and recommendations for using value-based purchasing to improve health outcomes among high social risk populations. Appendices summarize and provide additional details for each of the 9 programs evaluated. See the second report.
Additional links: Appendices
Date: 12/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Health Networks and Care Coordination: Health Care Innovation in Frontier Communities to Improve Patient Outcomes and Reduce Health Care Costs
Discusses the findings of a single-case, community-based participatory design study in a frontier community in northern Minnesota to determine the effectiveness of developing a community care team focused on collaboration and care coordination to improve patient outcomes and reduce emergency room use.
Author(s): Pat Conway, Heidi Favet, Laurie Hall, Jenny Uhrich, Jeanette Palcher, et al.
Citation: Journal of Health Care for the Poor and Underserved, 27(4A), 91–115
Date: 11/2016
Type: Document
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Discusses the findings of a single-case, community-based participatory design study in a frontier community in northern Minnesota to determine the effectiveness of developing a community care team focused on collaboration and care coordination to improve patient outcomes and reduce emergency room use.
Author(s): Pat Conway, Heidi Favet, Laurie Hall, Jenny Uhrich, Jeanette Palcher, et al.
Citation: Journal of Health Care for the Poor and Underserved, 27(4A), 91–115
Date: 11/2016
Type: Document
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Rural Promising Practice Issue Brief: Caring for Older Adults and Caregivers at Home (COACH)
Describes the efforts of the Durham Department of Veterans Affairs Medical Center (VAMC) to provide home-based care for veterans with moderate to severe dementia and their caregivers, through its COACH program. Helps VA providers to improve access for rural veterans and can be used as a model for other VAMCs.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Describes the efforts of the Durham Department of Veterans Affairs Medical Center (VAMC) to provide home-based care for veterans with moderate to severe dementia and their caregivers, through its COACH program. Helps VA providers to improve access for rural veterans and can be used as a model for other VAMCs.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Promising Practice Issue Brief: Telemental Health Clinics for Rural Native American Veterans
Describes a Veterans Health Administration program designed to increase access and quality of care for American Indian veterans with post-traumatic stress disorder.
Author(s): Jay Shore, Buck Richardson, Nancy Dailey, et al.
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Describes a Veterans Health Administration program designed to increase access and quality of care for American Indian veterans with post-traumatic stress disorder.
Author(s): Jay Shore, Buck Richardson, Nancy Dailey, et al.
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Promising Practice Issue Brief: Telehealth Collaborative Care for Rural Veterans with HIV Infection
Features a report on promising practices in providing access to care for rural veterans with HIV via telehealth enabled collaborative care. Details an organizational model and implementation information.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Features a report on promising practices in providing access to care for rural veterans with HIV via telehealth enabled collaborative care. Details an organizational model and implementation information.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Promising Practice Issue Brief: Using Clinical Video Telehealth to Provide Comprehensive Care to Rural Veterans with Multiple Sclerosis (MS)
Presents a report on the VHA's use of video telehealth in clinical settings to provide access to treatment for rural veterans with Multiple Sclerosis (MS). Discusses implementation strategies and the roles of neurologists, physical therapists, and telehealth support staff.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Presents a report on the VHA's use of video telehealth in clinical settings to provide access to treatment for rural veterans with Multiple Sclerosis (MS). Discusses implementation strategies and the roles of neurologists, physical therapists, and telehealth support staff.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Promising Practice Issue Brief: Remote, Telephone-Based Delivery of Cardiac Rehabilitation
Presents a model from the VHA that uses telemedicine to provide cardiac rehabilitation to rural veterans. Highlights the three phases of the program that facilitate patient rehabilitation from hospitalization to regular check ups.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Presents a model from the VHA that uses telemedicine to provide cardiac rehabilitation to rural veterans. Highlights the three phases of the program that facilitate patient rehabilitation from hospitalization to regular check ups.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Evaluation of Hospital-Setting HCIA Awards: Third Annual Report, Final
Third and final report evaluating 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Presents awardee-specific information on program impact and lessons learned. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Additional links: Addendum, March 2017
Date: 11/2016
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Third and final report evaluating 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Presents awardee-specific information on program impact and lessons learned. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Additional links: Addendum, March 2017
Date: 11/2016
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Innovations in Rural Health System Development: Recruiting and Retaining Maine's Health Care Workforce
Illustrates examples of rural-focused medical education programs to support an adequate supply of physicians in rural Maine. Also, discusses behavioral and oral health workforce development, and promising programs utilizing other types of healthcare workers such as community paramedics and community health workers (CHWs) to increase the availability and accessibility of healthcare in rural Maine and in other rural regions of the U.S.
Author(s): Amanda Burgess, Andrew F. Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Illustrates examples of rural-focused medical education programs to support an adequate supply of physicians in rural Maine. Also, discusses behavioral and oral health workforce development, and promising programs utilizing other types of healthcare workers such as community paramedics and community health workers (CHWs) to increase the availability and accessibility of healthcare in rural Maine and in other rural regions of the U.S.
Author(s): Amanda Burgess, Andrew F. Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Task Force on Ensuring Access in Vulnerable Communities
Report from a task force created by the American Hospital Association (AHA) charged with identifying access-related challenges facing vulnerable communities and examining ways in which hospitals can ensure access is maintained. Includes sections identifying characteristics of vulnerable rural and underserved communities, essential healthcare services to be maintained, emerging strategies, barriers to implementation, policy and advocacy issues, and more. Includes examples of emerging strategies and best practices from around the U.S.
Additional links: Executive Summary, Rural Chart Pack, Video
Date: 11/2016
Type: Document
Sponsoring organization: American Hospital Association
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Report from a task force created by the American Hospital Association (AHA) charged with identifying access-related challenges facing vulnerable communities and examining ways in which hospitals can ensure access is maintained. Includes sections identifying characteristics of vulnerable rural and underserved communities, essential healthcare services to be maintained, emerging strategies, barriers to implementation, policy and advocacy issues, and more. Includes examples of emerging strategies and best practices from around the U.S.
Additional links: Executive Summary, Rural Chart Pack, Video
Date: 11/2016
Type: Document
Sponsoring organization: American Hospital Association
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