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Rural Health
Resources by Topic: Service delivery models

Geographic Scope and Accessibility of a Centralized, Electronic Consult Program for Patients with Recent Fracture
Examines a e-consult program that is used in various Veterans Affairs (VA) medical centers to provide osteoporotic treatment to older men with fractures. Focuses on geographic distribution, accessibility to rural patients, and the impact and evaluation of treatment.
Author(s): Richard Lee, Megan Pearson, Kenneth W. Lyles, Patricia W. Jenkins, Cathleen Colon-Emeric
Citation: Rural and Remote Health, 16(1), 3440
Date: 01/2016
Type: Document
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Foundation Funding to Improve Rural Health Care
Provides a sampling of foundation funding that is supporting innovation in rural healthcare delivery.
Citation: Health Affairs, 35(1), 174-175
Date: 01/2016
Type: Document
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Accountable Care Organizations: Looking Back and Moving Forward
Identifies key lessons from Accountable Care Organization (ACO) activities from their inception through 2015, examines how ACOs can build on successes, and informs policymakers and others about ways to further the development of effective ACOs. Includes a brief overview of virtual and rural ACO development.
Author(s): Rob Houston, Tricia McGinnis
Date: 01/2016
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Lessons Learned from the MAVEN Project Pilot: Using Physician Volunteers to Increase Access to Care via Telehealth
Describes the evaluation of pilot program of the Medical Alumni Volunteer Expert Network (MAVEN) Project, which used experienced volunteer physicians to provide consults via telehealth to rural and inner-city providers. Pilot program offered telehealth visits at 3 community health centers in Massachusetts and California.
Author(s): Lori Uscher-Pines, Robert S. Rudin
Date: 2016
Type: Document
Sponsoring organization: RAND Corporation
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Rural Behavioral Health: Telehealth Challenges and Opportunities
Reviews the barriers to mental and substance use disorder treatment and services in rural communities. Presents ways telehealth can address these barriers and discusses the challenges in implementing telehealth services in rural areas. Addresses differences in state policies for telemedicine coverage through private insurance.
Citation: SAMHSA In Brief, 9(2)
Date: 2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Accountable Care Guide: Preparing Rural Health for the Approaching Accountable Care Era
A practical guide for healthcare providers and administrators to the successful creation of an ACO in a rural community. Identifies the eight essential elements of an ACO and discusses how to implement an ACO in a rural setting.
Date: 2016
Type: Document
Sponsoring organization: Toward Accountable Care Consortium and Initiative (TAC)
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ACO Investment Model, Rural Hospital Collaboration
Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Telestroke Centers as an Option for Addressing Geographical Disparities in Access to Stroke Care in South Carolina, 2013
Research brief on the benefits of telestroke centers in rural and remote areas of South Carolina to improve outcomes. Includes a discussion of the impact of limited primary stroke center access and suggestions for policymakers.
Author(s): Marsha Samson, Tushar Trivedi, Khosrow Heidari
Citation: Preventing Chronic Disease, 12
Date: 12/2015
Type: Document
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Delivery System Reform and Implications for Rural Communities
Policy brief discussing how rural healthcare providers can benefit from participating in delivery system reform (DSR) to be able to continue providing accessible, quality health services. Offers recommendations to the Secretary of Health and Human Services, such as requiring rural healthcare providers to participate in CMS quality programs and having CMS incorporate rural-relevant quality measures that are appropriate for rural healthcare providers.
Date: 12/2015
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Feasibility and Acceptability of Administering a Telemedicine Objective Structured Clinical Exam as a Solution for Providing Equivalent Education to Remote and Rural Learners
Describes implementation of a pilot program to effectively and efficiently assess distance medical students' clinical skills in rural areas.
Author(s): Ryan T. Palmer, Frances E. Biagioli, Jasminka Mujcic, et al.
Citation: Rural and Remote Health, 15(4), 3399
Date: 12/2015
Type: Document
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