Rural Health
Resources by Topic: Service delivery models
The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
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Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
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A Qualitative Study of Rural Primary Care Clinician Views on Remote Monitoring Technologies
Examines conclusions of a cross-sectional qualitative study based on interviews with primary care clinicians belonging to the Oregon Rural Practice-based Research Network (ORPRN) about the challenges of implementing remote monitoring technologies (RMT) as a means of increasing access and providing a more comprehensive level of care for older and/or less mobile patients in rural areas. Also discusses clinicians ability to use RMTs in coordination with the electronic health record (EHR) system.
Author(s): Melinda M. Davis, Jillian M. Currey, Sonya Howk, et al.
Citation: Journal of Rural Health, 30(1), 69-78
Date: 01/2014
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Examines conclusions of a cross-sectional qualitative study based on interviews with primary care clinicians belonging to the Oregon Rural Practice-based Research Network (ORPRN) about the challenges of implementing remote monitoring technologies (RMT) as a means of increasing access and providing a more comprehensive level of care for older and/or less mobile patients in rural areas. Also discusses clinicians ability to use RMTs in coordination with the electronic health record (EHR) system.
Author(s): Melinda M. Davis, Jillian M. Currey, Sonya Howk, et al.
Citation: Journal of Rural Health, 30(1), 69-78
Date: 01/2014
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The Relationship Between Perceived Burden of Chronic Conditions and Colorectal Cancer Screening Among Appalachian Residents
Describes the perceived burden of multiple morbidity among primarily rural Appalachian adults aged 50-75 and the likelihood these patients will undertake colorectal cancer screenings (CRCS). Discusses the prioritization of CRCS by patients with chronic disease and their physicians. Briefly compares reports from both urban and rural areas.
Author(s): Yelena N. Tarasenko, Steven T. Fleming, Nancy E. Schoenberg
Citation: Journal of Rural Health, 30(1), 40-49
Date: 01/2014
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Describes the perceived burden of multiple morbidity among primarily rural Appalachian adults aged 50-75 and the likelihood these patients will undertake colorectal cancer screenings (CRCS). Discusses the prioritization of CRCS by patients with chronic disease and their physicians. Briefly compares reports from both urban and rural areas.
Author(s): Yelena N. Tarasenko, Steven T. Fleming, Nancy E. Schoenberg
Citation: Journal of Rural Health, 30(1), 40-49
Date: 01/2014
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A Pilot Project to Improve Access to Telepsychotherapy at Rural Clinics
Describes the challenges and motivators regarding the implementation of a telemental health pilot project in rural outpatient clinics to improve access to mental health services for rural veterans.
Author(s): Geri Adler, Lonique R. Pritchett, Michael R. Kauth, Danielle Nadorff
Citation: Telemedicine Journal and e-Health, 2D(1), 83-85
Date: 01/2014
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Describes the challenges and motivators regarding the implementation of a telemental health pilot project in rural outpatient clinics to improve access to mental health services for rural veterans.
Author(s): Geri Adler, Lonique R. Pritchett, Michael R. Kauth, Danielle Nadorff
Citation: Telemedicine Journal and e-Health, 2D(1), 83-85
Date: 01/2014
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Assessing the Feasibility of a Virtual Tumor Board Program: A Case Study
Examines the feasibility of a Virtual Tumor Board (VTB) program connecting rural community clinicians to the University of North Carolina Lineberger Comprehensive Cancer Center (UNC LCCC) tumor board. Analyzes the individual clinical participants to explore their experiences with the VTB. Includes a summary of data collection methods, coding of interview data, and UNC tumor board participant survey results.
Author(s): Christopher M. Shea, Randall Teal, Lindsey Haynes-Maslow, et al.
Citation: Journal of Healthcare Management, 59(3), 177-193
Date: 2014
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Examines the feasibility of a Virtual Tumor Board (VTB) program connecting rural community clinicians to the University of North Carolina Lineberger Comprehensive Cancer Center (UNC LCCC) tumor board. Analyzes the individual clinical participants to explore their experiences with the VTB. Includes a summary of data collection methods, coding of interview data, and UNC tumor board participant survey results.
Author(s): Christopher M. Shea, Randall Teal, Lindsey Haynes-Maslow, et al.
Citation: Journal of Healthcare Management, 59(3), 177-193
Date: 2014
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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Community Paramedic Program Handbook
A comprehensive planning manual to be used by paramedic services or a community for the development of a community paramedic program. Provides an array of resources focused on assessing community needs, determining program scope, identifying services to provide, engaging the community, developing policies and procedures, conducting training, and developing an evaluation plan. Requires filling out a form to download the program manual.
Author(s): Jill Hunsaker Ryan, Christopher A. Montera, Anne Robinson
Date: 2014
Sponsoring organization: The Savvik Foundation
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A comprehensive planning manual to be used by paramedic services or a community for the development of a community paramedic program. Provides an array of resources focused on assessing community needs, determining program scope, identifying services to provide, engaging the community, developing policies and procedures, conducting training, and developing an evaluation plan. Requires filling out a form to download the program manual.
Author(s): Jill Hunsaker Ryan, Christopher A. Montera, Anne Robinson
Date: 2014
Sponsoring organization: The Savvik Foundation
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Scheduled Telephone Visits in the Veterans Health Administration Patient-Centered Medical Home
Discusses the Veteran's Administration patient-centered medical home model, Patient Aligned Care Teams (PACT), which includes telephone visits to improve care access and efficiency.
Author(s): Nina R. Sperber, Heather A. King, Karen Steinhauser, et al.
Citation: BMC Health Services Research, 14, 145
Date: 2014
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Discusses the Veteran's Administration patient-centered medical home model, Patient Aligned Care Teams (PACT), which includes telephone visits to improve care access and efficiency.
Author(s): Nina R. Sperber, Heather A. King, Karen Steinhauser, et al.
Citation: BMC Health Services Research, 14, 145
Date: 2014
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Telemental Health in Today's Rural Health System
Describes the organizational setting, services provided, and staff used in rural telemental health programs based on a study of 53 telemental health providers. Outlines the opportunities and challenges for telemental health in the rural health system.
Author(s): David Lambert, John A. Gale, Anush Y. Hansen, Zach T. Croll, David Hartley
Date: 12/2013
Sponsoring organization: Maine Rural Health Research Center
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Describes the organizational setting, services provided, and staff used in rural telemental health programs based on a study of 53 telemental health providers. Outlines the opportunities and challenges for telemental health in the rural health system.
Author(s): David Lambert, John A. Gale, Anush Y. Hansen, Zach T. Croll, David Hartley
Date: 12/2013
Sponsoring organization: Maine Rural Health Research Center
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Helping Primary Care Practices Attain Patient-Centered Medical Home (PCMH) Recognition Through Collaboration With a University
Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
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Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
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