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Rural Health
Resources by Topic: Service delivery models

Abstinence Reinforcement Therapy (ART) for Rural Veterans: Methodology for an mHealth Smoking Cessation Intervention
Determines the effectiveness of Abstinence Reinforcement Therapy (ART), a smoking cessation intervention, among rural veterans. ART combines evidenced-based cognitive-behavioral telephone counseling (TC), a telemedicine clinic for access to nicotine replacement (NRT), and mobile contingency management (mCM) compared to TC and NRT alone.
Author(s): Sarah M. Wilson, Lauren P. Hair, Jeffery S. Hertzberg, et al.
Citation: Contemporary Clinical Trials, 50, 157-165
Date: 09/2016
Type: Document
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North Sunflower Medical Center Successfully Addressing Chronic Care Management
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Medicare Accountable Care Organizations: Quality Performance by Geographic Categories
Using CMS 2014 and 2015 Medicare Accountable Care Organization (ACO) data, this brief examines the differences in ACO performance on 4 domains of quality measures: Patient/Caregiver Experience (PCE), Care Coordination/Patient Safety (CCP), Preventive Health (PH), and At-Risk Population (AtR) in rural and urban areas, and discusses the overall quality score of Medicare Shared Savings ACOs by geographic category.
Author(s): Xi Zhu, Keith Mueller, Thomas Vaughn, Fred Ullrich, A. Clinton MacKinney
Date: 09/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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Polypharmacy and Health-Related Quality of Life Among US Adults With Arthritis, Medical Expenditure Panel Survey, 2010-2012
Results of a study of 6,132 adults with arthritis, to determine the relationship between treatment with prescription drugs from 6 or more drug classes and health-related quality of life. Features demographic statistics with breakdown between urban and rural areas of residence.
Author(s): Abdulkarim M. Meraya, Nilanjana Dwibedi, Usha Sambamoorthi
Citation: Preventing Chronic Disease, 13
Date: 09/2016
Type: Document
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Telemedicine Penetration and Consultation Among Rural Trauma Patients in Critical Access Hospital Emergency Departments in North Dakota
Discusses the use of telemedicine in rural Critical Access Hospital (CAH) emergency departments in North Dakota and how the availability of those services changed outcomes for trauma patients. Includes data and statistics regarding use.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth Chrischilles, et al.
Date: 09/2016
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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EMS Leaders Speak
Five experts discuss emergency medical services in a changing rural healthcare delivery system. Topics addressed include EMS challenges and potential opportunities, such as community paramedicine and telehealth.
Author(s): Kevin McGinnis, Diane Calmus, Don Wood, Tom Nehring, Gary Wingrove
Citation: Rural Monitor
Date: 09/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Veterans Rural Health Advisory Committee Letter of Recommendations to Secretary, 2016
Details the recommendations of the Veterans Rural Health Advisory Committee to the Secretary of Veterans Affairs. Makes recommendations about the response time from the VA, reimbursement delays for non-VA providers, utilization of telehealth, and the implementation of quality care standards, among others.
Author(s): Margaret Puccinelli, Janice Casillas, Syreeta Long, et al.
Date: 08/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Sociocultural Construction of Food Ways in Low-Income Mexican-American Women with Diabetes: A Qualitative Study
Explores successful type 2 diabetes management practices of low-income Hispanic women residing in a rural community on the Texas-Mexico border in a sociocultural context, specifically looking at foodways. Foodways are the cultural, social, and economic practices relating to the production and consumption of food.
Author(s): Sandra Benavides-Vaello, Sharon A. Brown
Citation: Journal of Clinical Nursing, 25(15-16), 2367-2377
Date: 08/2016
Type: Document
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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