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Rural Health
Resources by Topic: Service delivery models

Annual Report 1: HCIA Disease-Specific Evaluation
Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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HCIA Complex/High-Risk Patient Targeting: First Annual Report
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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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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