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Rural Health
Resources by Topic: Service delivery models

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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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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An Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State
Results of a study on use of telehealth services by New York healthcare providers, including limitations, barriers, and plans for expanding availability. Features statistics on frequency and type of use, financing and reimbursement by provider type, and reasons for future use, with breakdowns by region of state and urban or rural location.
Author(s): Robert Martiniano, Jean Moore
Date: 11/2015
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Systematic Review of Palliative Care in the Rural Setting
Synthesizes the results of an extensive search of the medical literature focused on the developments in palliative care for patients living in rural areas in the U.S. and internationally to determine where gaps in the research may occur. Suggests promising approaches including telehealth, community-academic partnerships, and training for rural healthcare providers.
Author(s): Marie A. Bakitas, Ronit Elk, Meka Astin, et al.
Citation: Cancer Control, 22(4), 450-464
Date: 10/2015
Type: Document
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Primary Care Clinics and Accountable Care Organizations
Presents the findings of a survey sent to 257 Rural Health Clinics (RHCs) in 9 states asking clinical management about their participation in Accountable Care Organizations (ACOs), and their willingness to join an ACO.
Author(s): Judith Ortiz, Chiung-Ya Tang, Yi-Ling Lin, Maysoun D. Masri
Citation: Health Services Research and Managerial Epidemiology, 2015 (2)
Date: 10/2015
Type: Document
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Beyond Rural Walls: Identifying Impacts and Interdependencies Among Rural and Urban Spaces - A Survey of Literature
Discusses the economic benefits of broadband distribution and usage in business, education, healthcare, and public safety in rural and urban areas. Describes the interdependencies between rural and urban broadband, and the impact of rural broadband utilization on urban areas.
Author(s): Joshua Seidemann
Date: 10/2015
Type: Document
Sponsoring organization: NTCA: The Rural Broadband Association
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