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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
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
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
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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
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
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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
Sponsoring organizations: Centers for Medicare & Medicaid Services, RTI International
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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
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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
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Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder: A Randomized Clinical Trial
Analyzes therapy provided over the phone and its impact on symptoms of anxiety and depression among aging populations in rural areas that lack mental health services.
Author(s): Gretchen A. Brenes, Suzanne C. Danhauer, Mary F. Lyles, Patricia E. Hogan, Michael E. Miller
Citation: JAMA Psychiatry, 72(10), 1012-1020
Date: 08/2015
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Missouri Community, Public Health, and Primary Care Linkage: 2011–2012 Pilot Project Results & Evaluation
Describes a study examining the Missouri Heart Disease and Stroke Prevention Program (HDSP), which established partnerships between community organizations, healthcare providers, and local public health departments to identify, refer, and provide follow-up for community members with uncontrolled high blood pressure or pre-hypertension in communities in rural Missouri.
Author(s): Shumei Yun, Ellen Ehrhardt, Lisa Britt, et al.
Citation: Missouri Medicine, 112(4), 323-328
Date: 07/2015
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