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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

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
Type: Document
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An Interview with Gina Capra
The Director of the Veterans Health Administration's Office of Rural Health (ORH) discusses the Veterans Choice Program and other VA activities underway to connect rural veterans to the healthcare services they need.
Citation: Rural Monitor
Date: 04/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Value Proposition of Retail Clinics
Describes the role retail clinics can play in improving healthcare access in underserved communities, including rural areas. Discusses the potential of telehealth use at retail clinics. Offers recommendations for optimizing the value of retail clinics to meet individual and community health needs.
Author(s): Deborah Bachrach, Jonah Frohlich, Allison Garcimonde, Keith Nevitt
Date: 04/2015
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Hospital Views of Factors Affecting Telemedicine Use
Discusses the observations of rural and urban hospital representatives, from both hub and spoke locations, regarding the obstacles and driving forces in the development and expansion of telemedicine services.
Author(s): Kimberly A. S. Merchant, Marcia M. Ward, Keith J. Mueller,
Date: 04/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Program Evaluation of Remote Heart Failure Monitoring: Healthcare Utilization Analysis in a Rural Regional Medical Center
Evaluates patients enrolled in Care Beyond Walls and Wires (CBWW) with a matched cohort comparison group. CBWW is a remote wireless monitoring program using broadband internet connected devices to facilitate patient and care team co-management for heart failure in a rural, Native American patient population in Arizona. Includes data for the number of hospitalizations, hospitalization days, and the hospital charges by the 3 cumulative day categories pre- and post-intervention.
Author(s): William T. Riley, Pamela Keberlein, Gigi Sorenson, et al.
Citation: Telemedicine Journal and e-Health, 21(3), 157-162
Date: 03/2015
Type: Document
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Accountable Care Communities in Rural: Laying the Groundwork in Humboldt County, California
Describes how Accountable Care Communities (ACCs) employ a unified approach to improving the health of a population and reducing costs, by emphasizing preventive health and wellness efforts, as well as promoting collaboration among community-based organizations, social services, and the local health care system. Examines the ways in which the ACC model may help rural communities face challenges associated with poorer health outcomes, transportation difficulties, and shortages of healthcare providers.
Author(s): Paula Weigel, Chance Finegan, Jocelyn Richgels, et al.
Date: 03/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telehealth in Rural America
Discusses the use of telehealth in rural areas, related reimbursement challenges, and provides recommendations to the Secretary of Health and Human Services for improving healthcare access and quality through the use of telehealth services.
Date: 03/2015
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Colorado Critical Access Hospitals and Clinics: Improving Communication and Readmission (iCARE) White Paper
Details how the Colorado Rural Health Center's Improving Communication and Readmission (iCARE) program is improving the patient experience at Critical Access Hospitals and Rural Health Clinics in Colorado by enhancing care coordination and lowering readmission rates.
Date: 03/2015
Type: Document
Sponsoring organization: Colorado Rural Health Center
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Evaluation of Hospital-Setting HCIA Awards: First Annual Report, Final
Evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Covers projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2015
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration: Observations from Exemplary Sites
Assists primary care and behavioral health practices in identifying professional practices that have developed a successful workforce model of integrated care. Several primary care organizations with effective integrated behavioral health and primary care participated in the study including 3 in rural areas.
Author(s): Deborah J. Cohen, Melinda M. Davis, Jennifer D. Hall, Emma C. Gilchrist, Benjamin F. Miller
Date: 03/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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