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Rural Health
Resources by Topic: Service delivery models

Fired Up: Community Paramedicine Models Blaze a Trail for Healthcare Delivery Reform
Discusses how fire departments can target frequent 911 users to reduce emergency room visits. Highlights community paramedicine program models in Arizona, including examples from rural communities.
Date: 02/2016
Type: Document
Sponsoring organization: Vitalyst Health Foundation
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Spotlight on Cibola General Hospital
Highlights Cibola General Hospital (CGH), a 25 bed Critical Access Hospital located in Grants, New Mexico. Examines the progress CGH has made working to improve quality of care and transitions of care as part of the Small Rural Hospital Transition (SRHT) Project.
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Responsive Rural Health Delivery Systems
Policy brief discussing how rural healthcare delivery systems can address current challenges while transitioning to value-based care. Offers recommendations for creating a high-performance rural healthcare system based on five critical factors as defined by the Rural Policy Research Institute's Rural Health Panel: affordability, accessibility, community-focused, high quality, and patient-centered.
Author(s): Brandon Baumbach, Sue Deitz, Maria Poepsel
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Economic Evaluation Alongside a Clinical Trial of Telephone Versus In-Person Genetic Counseling for BRCA1/2 Mutations in Geographically Underserved Areas
Examines the costs of providing genetic counseling in person to providing it via telephone for primarily rural areas in Utah. Focuses on women with genetic mutations related to a high risk of breast or ovarian cancer as part of the clinical trial, Bridging Geographic Barriers: Remote Cancer Genetic Counseling for Rural Women.
Author(s): Yaojen Chang, Aimee M. Near, Karin M. Butler, et al.
Citation: Journal of Oncology Practice, 12(1), 59
Date: 01/2016
Type: Document
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Community Health Workers: Roles and Opportunities in Health Care Delivery System Reform
Identifies and discusses health services research on the utilization and integration of Community Health Workers (CHWs) into healthcare service delivery. Includes an analysis regarding the various CHW models, employment data, training and credentialing, and challenges associated with the development of this occupation.
Author(s): John E. Snyder
Date: 01/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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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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