Rural Health
Resources by Topic: Service delivery models
Making the Most of Evolving Payment Policies to Enhance Hospital-based Care in Rural Communities
Presentation slides from the 2017 Rural Health Care Leadership Conference that discuss the transition from volume to value for rural hospital payment and how to make the most of resources available to facilities. Includes examples of services and documents for reference as well as data and statistics surrounding Medicare Advantage and Accountable Care Organizations in rural communities.
Author(s): Keith J. Mueller
Date: 02/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presentation slides from the 2017 Rural Health Care Leadership Conference that discuss the transition from volume to value for rural hospital payment and how to make the most of resources available to facilities. Includes examples of services and documents for reference as well as data and statistics surrounding Medicare Advantage and Accountable Care Organizations in rural communities.
Author(s): Keith J. Mueller
Date: 02/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Telemedicine and Primary Care Obesity Management in Rural Areas – Innovative Approach for Older Adults?
Explores telemedicine as a potential delivery tool for the Medicare Obesity Benefit in primary care settings. Describes challenges in implementing the benefit in rural areas, including increasing older adult populations, shortages in primary care and specialized healthcare providers, reimbursement issues, and transportation barriers. Presents the potential utility of telemedicine in rural obesity care and non-physician staff delivery options, which require regulatory changes.
Author(s): John Batsis, Sarah Pletcher, James Stahl
Citation: BMC Geriatrics, 17, 6
Date: 01/2017
Type: Document
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Explores telemedicine as a potential delivery tool for the Medicare Obesity Benefit in primary care settings. Describes challenges in implementing the benefit in rural areas, including increasing older adult populations, shortages in primary care and specialized healthcare providers, reimbursement issues, and transportation barriers. Presents the potential utility of telemedicine in rural obesity care and non-physician staff delivery options, which require regulatory changes.
Author(s): John Batsis, Sarah Pletcher, James Stahl
Citation: BMC Geriatrics, 17, 6
Date: 01/2017
Type: Document
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Accountable Care Organization Implementation Experiences and Rural Participation: Considerations for Nurses
Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Citation: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
Type: Document
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Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Citation: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
Type: Document
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Community Paramedics Team Up with Hospitals to Reduce Readmissions
Describes community paramedicine pilot projects in California, one of which is rural, that are providing follow-up calls and visits to patients between 24-72 hours after hospital discharge. Features statistics including number of patients and number of readmissions within 30 days, with breakdowns by 6 diagnoses and site.
Author(s): Karen Shore
Date: 01/2017
Type: Document
Sponsoring organization: California Health Care Foundation
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Describes community paramedicine pilot projects in California, one of which is rural, that are providing follow-up calls and visits to patients between 24-72 hours after hospital discharge. Features statistics including number of patients and number of readmissions within 30 days, with breakdowns by 6 diagnoses and site.
Author(s): Karen Shore
Date: 01/2017
Type: Document
Sponsoring organization: California Health Care Foundation
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Third Annual Report
Third annual evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Awardee-specific chapters focus on program objectives, implementation experiences, and participant outcomes. Programs include HealthLinkNow, which uses telehealth to provide behavioral care services in rural areas, and the Prevention and Recovery in Early Psychosis Program, which was expanded to serve to rural counties in California.
Additional links: Addendum, July 2017
Date: 01/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Third annual evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Awardee-specific chapters focus on program objectives, implementation experiences, and participant outcomes. Programs include HealthLinkNow, which uses telehealth to provide behavioral care services in rural areas, and the Prevention and Recovery in Early Psychosis Program, which was expanded to serve to rural counties in California.
Additional links: Addendum, July 2017
Date: 01/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Social Determinants of Health
Policy brief informed by a September 2016 National Advisory Committee on Rural Health and Human Services meeting held in Albuquerque, New Mexico, with site visits to update the committee about factors that affect health outcomes. Identifies emerging payment models and financing strategies, and provides policy recommendations for addressing the social determinants of health in rural communities.
Date: 01/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Policy brief informed by a September 2016 National Advisory Committee on Rural Health and Human Services meeting held in Albuquerque, New Mexico, with site visits to update the committee about factors that affect health outcomes. Identifies emerging payment models and financing strategies, and provides policy recommendations for addressing the social determinants of health in rural communities.
Date: 01/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Remote Eye Care Screening for Rural Veterans with Technology-Based Eye Care Services: A Quality Improvement Project
Highlights the improvement in access to eye care and screening services for veterans as a result of the Technology-based Eye Care Services (TECS), a quality improvement project developed by the Atlanta Veterans Affairs (VA). Provides data on patient demographics, eye care service, and diagnoses broken down by Rural Urban Commuting Area.
Author(s): April Maa, Barbara Wojciechowski, Kelly Hunt, et al.
Citation: Rural and Remote Health, 17(1), 4045
Date: 01/2017
Type: Document
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Highlights the improvement in access to eye care and screening services for veterans as a result of the Technology-based Eye Care Services (TECS), a quality improvement project developed by the Atlanta Veterans Affairs (VA). Provides data on patient demographics, eye care service, and diagnoses broken down by Rural Urban Commuting Area.
Author(s): April Maa, Barbara Wojciechowski, Kelly Hunt, et al.
Citation: Rural and Remote Health, 17(1), 4045
Date: 01/2017
Type: Document
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Native Americans with Diabetes: Better Diabetes Care Can Decrease Kidney Disease
Provides an overview of diabetes and related kidney disease among American Indians and Alaska Natives. Describes an Indian Health Service (IHS) approach using population health and team-based approaches to diabetes and kidney care.
Additional links: Podcast
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Provides an overview of diabetes and related kidney disease among American Indians and Alaska Natives. Describes an Indian Health Service (IHS) approach using population health and team-based approaches to diabetes and kidney care.
Additional links: Podcast
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Decrease in Incidence of Diabetes-Related End-Stage Renal Disease among American Indians/Alaska Natives — United States, 1996–2013
Reports on diabetes-related end-stage renal disease by race/ethnicity from 1996-2013. Discusses clinical, public health, and population management approaches used by Indian Health Service that may have positively impacted incidence rates among American Indians and Alaska Natives.
Author(s): Ann Bullock, Nilka Ríos Burrows, Andrew S. Narva, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(1), 26-32
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on diabetes-related end-stage renal disease by race/ethnicity from 1996-2013. Discusses clinical, public health, and population management approaches used by Indian Health Service that may have positively impacted incidence rates among American Indians and Alaska Natives.
Author(s): Ann Bullock, Nilka Ríos Burrows, Andrew S. Narva, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(1), 26-32
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Project Extension for Community Healthcare Outcomes (ECHO) in Multiple Sclerosis: Increasing Clinician Capacity
Reports on a pilot program conducted by the National Multiple Sclerosis Society and faculty from the University of Washington School of Medicine using the Project Extension for Community Healthcare Outcomes (Project ECHO) model. Determines if the Project Echo model was a viable option to support the capacity of clinicians in rural areas to effectively treat patients with Multiple Sclerosis (MS) in underserved areas.
Author(s): Kurt L. Johnson, Deborah Hertz, Gary Stobbe, et al.
Citation: International Journal of MS Care, 9(6), 283–289
Date: 2017
Type: Document
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Reports on a pilot program conducted by the National Multiple Sclerosis Society and faculty from the University of Washington School of Medicine using the Project Extension for Community Healthcare Outcomes (Project ECHO) model. Determines if the Project Echo model was a viable option to support the capacity of clinicians in rural areas to effectively treat patients with Multiple Sclerosis (MS) in underserved areas.
Author(s): Kurt L. Johnson, Deborah Hertz, Gary Stobbe, et al.
Citation: International Journal of MS Care, 9(6), 283–289
Date: 2017
Type: Document
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