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Rural Health
Resources by Topic: Service delivery models

Transforming Care for Vulnerable Populations: Lessons from the Safety Net Medical Home Initiative
Thematic issue focused on the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to develop a replicable approach for establishing a patient-centered medical home (PCMH) in practices serving vulnerable and underserved populations. SNMHI included rural practices and the articles included in this issue are applicable to rural facilities.
Citation: Medical Care, 52(11), S1-S63
Date: 11/2014
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How 3 Rural Safety Net Clinics Integrate Care for Patients: A Qualitative Case Study
Case study of two Rural Health Clinics and one rural Federally Qualified Health Center that were part of the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to implement and evaluate the patient-centered medical home (PCMH). Reports on challenges encountered related to a transition to team-based care and practical approaches for rural care coordination.
Author(s): Sarah Derrett, Kathryn E. Gunter, Robert S. Nocon, et al.
Citation: Medical Care, 52(11), S39-S47
Date: 11/2014
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The Utah Remote Monitoring Project: Improving Health Care One Patient at a Time
Examines telemonitoring devices to expand and improve chronic disease management for patients living with diabetes and/or hypertension by measuring clinical parameters. Includes demographic data such as age, sex, and primary spoken language. Covers pre- and post-intervention data on patients' hemoglobin A1C, blood pressure, and low-density lipoprotein values.
Author(s): Laura Shane-McWhorter, Leslie Lenert, Marta Petersen, et al.
Citation: Diabetes Technology & Therapeutics, 16(10), 653-660
Date: 10/2014
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A Retrospective Evaluation of Remote Pharmacist Interventions in a Telepharmacy Service Model Using a Conceptual Framework
Examines a telepharmacy service in Nebraska using a conceptual framework to compare documented telepharmacy interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site pharmacist. Includes data on rural hospitals using the telepharmacy service, levels and categories for care interventions, and the documented telepharmacy interventions.
Author(s): Jayashri Sankaranarayanan, Lori J. Murante, Lisa M. Moffett
Citation: Telemedicine Journal and e-Health, 20(10), 893-901
Date: 10/2014
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METelemedicine: A Pilot Study With Rural Alcohol Users on Community Supervision
Describes a study of 127 alcohol users from 4 rural counties in Appalachian Kentucky who underwent several intervention sessions using motivational enhancement therapy via telemedicine (METelemedicine). Discusses the use of METelemedicine as a means of increasing access to treatment for rural alcohol users. Analyzes results at the 3 month follow-up from initial screening.
Author(s): Michele Staton-Tindall, Jennifer R. Havens, J. Matthew Webster, Carl Leukefeld
Citation: Journal of Rural Health, 30(4), 422-432
Date: 10/2014
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Annual Report 1
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Includes 2 projects focused on rural areas. One offers medication management services to patients with multiple chronic conditions and the other provides hospital pharmacist to community pharmacist care coordination.
Date: 10/2014
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report
Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Date: 10/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
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Qualitative Exploration of Rural Focus Group Members' Participation in the Chronic Disease Self-Management Program, USA
Explores the benefits of a self-managed approach to chronic illness as perceived by rural residents. Also discusses research in support of self-managed care for chronic illness in rural areas.
Author(s): Idethia Harvey, Megan Janke
Citation: Rural and Remote Health, 14(4), 2886
Date: 10/2014
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Responding to Medical Surge in Rural Communities: Practices for Immediate Bed Availability
Describes strategies and practices that enable local health departments and healthcare organizations serving rural areas to assist their communities during emergencies resulting in medical surge. Explores ways to ensure adequate levels of care for all patients, including telehealth services and integrated information sharing systems.
Date: 09/2014
Sponsoring organization: National Association of County and City Health Officials
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Controlling Hypertension: Focusing on "Why" Makes "How" a Lot Easier
Overview of a quality improvement project initiated by a group of 5 small rural practices and designed to improve the outcomes of patients with hypertension.
Author(s): Jennifer L. Brull
Citation: Family Practice Management, 21(5), 23-27
Date: 09/2014
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