Rural Health
Resources by Topic: Service delivery models
Cost Effectiveness of On-site versus Off-site Depression Collaborative Care in Rural Federally Qualified Health Centers
Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
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Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
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Realizing the Promise of Telehealth: Understanding the Legal and Regulatory Challenges
Describes federal and state compliance issues and regulatory challenges specific to the implementation of telehealth technologies in hospitals, healthcare systems, and with providers, and how they will affect telehealth services, particularly in rural healthcare facilities. Includes discussion on coverage and payment including Medicare and Medicaid, health professional licensure and credentialing, online prescribing, patient privacy, fraud, and medical malpractice and professional liability insurance.
Date: 05/2015
Sponsoring organization: American Hospital Association
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Describes federal and state compliance issues and regulatory challenges specific to the implementation of telehealth technologies in hospitals, healthcare systems, and with providers, and how they will affect telehealth services, particularly in rural healthcare facilities. Includes discussion on coverage and payment including Medicare and Medicaid, health professional licensure and credentialing, online prescribing, patient privacy, fraud, and medical malpractice and professional liability insurance.
Date: 05/2015
Sponsoring organization: American Hospital Association
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The Transformation of Behavioral Health in New Mexico
Provides an in-depth look at public-sector behavioral healthcare in New Mexico by examining how decisions made at the system level influence the implementation of initiatives by the service providers, and how changes at the gubernatorial level can affect implementation efforts. Discusses findings in relation to efforts made to promote and establish medical home models under the Affordable Care Act.
Author(s): Cathleen E. Willging, Louise Lamphere, Barbara Rylko-Bauer
Citation: Administration and Policy in Mental Health, 42(3), 343-355
Date: 05/2015
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Provides an in-depth look at public-sector behavioral healthcare in New Mexico by examining how decisions made at the system level influence the implementation of initiatives by the service providers, and how changes at the gubernatorial level can affect implementation efforts. Discusses findings in relation to efforts made to promote and establish medical home models under the Affordable Care Act.
Author(s): Cathleen E. Willging, Louise Lamphere, Barbara Rylko-Bauer
Citation: Administration and Policy in Mental Health, 42(3), 343-355
Date: 05/2015
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An Overview of the Patient-Centered Medical Home for Rural Patients, Caregivers, and Healthcare Stakeholders
Summary of a project designed to prepare rural stakeholders to participate in comparative effectiveness research (CER), obtain baseline information to learn more about patient-centered medical homes from a rural perspective, select an area in need of CER, and create channels for sharing those results.
Date: 05/2015
Sponsoring organization: University of Kansas School of Social Welfare Center for Children and Families
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Summary of a project designed to prepare rural stakeholders to participate in comparative effectiveness research (CER), obtain baseline information to learn more about patient-centered medical homes from a rural perspective, select an area in need of CER, and create channels for sharing those results.
Date: 05/2015
Sponsoring organization: University of Kansas School of Social Welfare Center for Children and Families
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Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Date: 05/2015
Sponsoring organization: Commonwealth Fund
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Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Date: 05/2015
Sponsoring organization: Commonwealth Fund
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Testimony by Kristi Henderson, University of Mississippi Medical Center, before the U.S. Senate Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses how telehealth is improving healthcare in rural communities. Includes examples of telehealth across the nation, with more in-depth information about the telehealth services available to rural Mississippi through the University of Mississippi Medical Center's Center for Telehealth.
Author(s): Kristi Henderson
Date: 05/2015
Sponsoring organization: Senate Committee on Appropriations
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Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses how telehealth is improving healthcare in rural communities. Includes examples of telehealth across the nation, with more in-depth information about the telehealth services available to rural Mississippi through the University of Mississippi Medical Center's Center for Telehealth.
Author(s): Kristi Henderson
Date: 05/2015
Sponsoring organization: Senate Committee on Appropriations
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Statement of Sean Cavanaugh, Centers for Medicare & Medicaid Services, on Rural Health before the U.S. Senate Appropriations Committee Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of the Centers for Medicare & Medicaid Services (CMS) activities to improve access to services for rural Medicare beneficiaries. Discusses telehealth, Critical Access Hospitals, Rural Health Clinics, and rural projects being tested through the Health Care Innovation Awards.
Author(s): Sean Cavanaugh, Centers for Medicare & Medicaid Services
Date: 05/2015
Sponsoring organization: Senate Committee on Appropriations
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Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of the Centers for Medicare & Medicaid Services (CMS) activities to improve access to services for rural Medicare beneficiaries. Discusses telehealth, Critical Access Hospitals, Rural Health Clinics, and rural projects being tested through the Health Care Innovation Awards.
Author(s): Sean Cavanaugh, Centers for Medicare & Medicaid Services
Date: 05/2015
Sponsoring organization: Senate Committee on Appropriations
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HERO: New Mexico's Health Extension as a Model for Primary Care Transformation
Describes the benefits and lessons learned of a New Mexico state-wide primary care improvement infrastructure program - Health Extension Rural Offices (HERO) - to address social determinants of health. Through the use of extension agents (HEROs) information about patient centered medical homes (PCMH) and university resources was provided to 34 participating small primary care clinics of which half were rural. Program was funded by the Agency for Healthcare Research and Quality (AHRQ) Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants.
Author(s): Arthur Kaufman
Date: 04/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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Describes the benefits and lessons learned of a New Mexico state-wide primary care improvement infrastructure program - Health Extension Rural Offices (HERO) - to address social determinants of health. Through the use of extension agents (HEROs) information about patient centered medical homes (PCMH) and university resources was provided to 34 participating small primary care clinics of which half were rural. Program was funded by the Agency for Healthcare Research and Quality (AHRQ) Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants.
Author(s): Arthur Kaufman
Date: 04/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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The Persistent Health Care Access Gap for Children Living in Poverty: Will the Health Technology Revolution Level the Playing Field?
Discusses the need for and challenges to expanding healthcare technology for medically underserved children living in poverty stricken areas and rural areas. Highlights the potential to improve access to healthcare and health outcomes through the use of electronic health records (EHRs), telehealth, mobile medical clinics and diagnostic tools, and mobile communication devices. Offers recommendations for accelerating the use of technology in rural and underserved areas.
Date: 04/2015
Sponsoring organization: Children's Health Fund
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Discusses the need for and challenges to expanding healthcare technology for medically underserved children living in poverty stricken areas and rural areas. Highlights the potential to improve access to healthcare and health outcomes through the use of electronic health records (EHRs), telehealth, mobile medical clinics and diagnostic tools, and mobile communication devices. Offers recommendations for accelerating the use of technology in rural and underserved areas.
Date: 04/2015
Sponsoring organization: Children's Health Fund
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Rural Populations and Early Periodic Screening, Diagnosis, and Treatment Services: Challenges and Opportunities for Local Public Health Departments
Results of a study using data from 1995 to 2010, examining geographic differences in screening, diagnosis, and treatment of South Carolina normal birth weight infant cohorts with continuous Medicaid coverage. Explores how the level of services changed as local health departments transitioned away from direct service provision to a population-based delivery service model. Includes statistics with breakdowns by urban or rural residence.
Author(s): Nathan L. Hale, Michael Smith, James Hardin, Amy Brock-Martin
Citation: American Journal of Public Health, 105(Suppl 2), S330-S336
Date: 04/2015
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Results of a study using data from 1995 to 2010, examining geographic differences in screening, diagnosis, and treatment of South Carolina normal birth weight infant cohorts with continuous Medicaid coverage. Explores how the level of services changed as local health departments transitioned away from direct service provision to a population-based delivery service model. Includes statistics with breakdowns by urban or rural residence.
Author(s): Nathan L. Hale, Michael Smith, James Hardin, Amy Brock-Martin
Citation: American Journal of Public Health, 105(Suppl 2), S330-S336
Date: 04/2015
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