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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

MORE Care: Narrowing the Rural Interprofessional Oral Health Care Gap
Presents an integrated healthcare model that connects oral health to primary care Rural Health Clinics (RHCs). Discusses challenges and strategies in implementing oral health interprofessional practice (IPP), such as developing dental referral networks and ensuring access to health information technology, among others. Details the collaboration between the State Offices of Rural Health in South Carolina, Pennsylvania, and Colorado with the DentaQuest Institute and the Medical University of South Carolina.
Additional links: Executive Summary
Author(s): Sean G. Boynes, Lisa Davis, Graham Adams, Michelle Mills, Mark Deutchman
Date: 05/2017
Sponsoring organization: DentaQuest Institute
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Using Community Health Workers and Volunteers to Reach Complex Needs Populations
A recorded webinar that discusses how to integrate community health workers (CHWs) and volunteers into the healthcare system to care for complex patients in hard-to-reach areas. Includes a case study from rural Montana about collaborating with volunteers to help socially isolated patients access community resources and social services.
Date: 04/2017
Sponsoring organization: Center for Health Care Strategies
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Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations
Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Citation: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Health Care: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Sponsoring organization: Government Accountability Office
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The Sky's the Limit: Potential of Drone Usage in Rural Healthcare
Reports on how drones could be used in rural areas to address health-related concerns such as search and rescue, mosquito spraying, and delivery of supplies. Describes the July 2015 medical outreach event in rural Virginia where a drone was used to deliver prescription medicine.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2017
Sponsoring organization: Rural Health Information Hub
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
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Establishing Successful Patient-Centered Medical Homes in Rural Hawai'i: Three Strategies to Consider
Provides recommendations for effectively developing Patient-Centered Medical Homes (PCMHs) based on phone interviews with healthcare providers on Hawaii's islands and data from the state Area Health Education Center (AHEC). Includes strategies specific to improving care in rural Hawaii.
Author(s): Melissa Nelson Scriber, Kasey Kehoe
Citation: Hawai'i Journal of Medicine and Public Health, 76(3 Suppl 1), 18-23
Date: 03/2017
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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
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' sex, 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
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