Rural Health
Resources by Topic: Service delivery models
Integrated Care for Older Adults in Rural Communities
Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Project ECHO: Bridging the Gap in Health Care for Rural and Underserved Communities
Discusses the Project ECHO model and how it allows physicians, nurse practitioners, and other clinicians to jointly manage complex illness and promotes the use of best practices in care, while enabling patients to receive treatment in their rural communities.
Date: 04/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
view details
Discusses the Project ECHO model and how it allows physicians, nurse practitioners, and other clinicians to jointly manage complex illness and promotes the use of best practices in care, while enabling patients to receive treatment in their rural communities.
Date: 04/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
view details
Medicare Accountable Care Organizations: Program Eligibility, Beneficiary Assignment, and Quality Measures
Discusses the Medicare Shared Savings Program (MSSP) eligibility, participation requirements, beneficiary assignment processes, and quality measures to assist rural providers considering Accountable Care Organization (ACO) formation.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Xi Zhu, Thomas Vaughn
Date: 04/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Discusses the Medicare Shared Savings Program (MSSP) eligibility, participation requirements, beneficiary assignment processes, and quality measures to assist rural providers considering Accountable Care Organization (ACO) formation.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Xi Zhu, Thomas Vaughn
Date: 04/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
California State Health Care Innovation Plan
Describes California's plan to reform their healthcare system to meet the Triple Aim of better health, better healthcare, and lower costs. Discusses the proposed payment and delivery system initiatives supporting team-based care with a focus on maternity care, health homes, palliative care, and accountable care communities. Addresses the needed building blocks to support health, healthcare transformation, and payment reform including workforce training, health information technology technical assistance and research, development of cost and quality reporting systems, and payment reform.
Additional links: Appendices
Date: 03/2014
Type: Document
Sponsoring organization: California Health and Human Services Agency
view details
Describes California's plan to reform their healthcare system to meet the Triple Aim of better health, better healthcare, and lower costs. Discusses the proposed payment and delivery system initiatives supporting team-based care with a focus on maternity care, health homes, palliative care, and accountable care communities. Addresses the needed building blocks to support health, healthcare transformation, and payment reform including workforce training, health information technology technical assistance and research, development of cost and quality reporting systems, and payment reform.
Additional links: Appendices
Date: 03/2014
Type: Document
Sponsoring organization: California Health and Human Services Agency
view details
Blueprint for Community Paramedicine Programs Especially for EMS Agencies
Describes implementation of a Community Paramedicine program in Abbeville, South Carolina, and identifies ways that emergency medical technicians can expand their roles in order to bridge healthcare gaps in rural areas. Includes strategies for program promotion and evaluation.
Date: 03/2014
Type: Document
Sponsoring organization: South Carolina Office of Rural Health
view details
Describes implementation of a Community Paramedicine program in Abbeville, South Carolina, and identifies ways that emergency medical technicians can expand their roles in order to bridge healthcare gaps in rural areas. Includes strategies for program promotion and evaluation.
Date: 03/2014
Type: Document
Sponsoring organization: South Carolina Office of Rural Health
view details
Realizing Rural Care Coordination: Considerations and Action Steps for State Policy-Makers
Identifies action steps and policy considerations for coordinating care in rural areas based on the experiences of six states: Colorado, Alabama, New Mexico, Montana, Vermont, and North Carolina.
Author(s): Michael Stanek, Carrie Hanlon, Tess Shiras
Date: 03/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
view details
Identifies action steps and policy considerations for coordinating care in rural areas based on the experiences of six states: Colorado, Alabama, New Mexico, Montana, Vermont, and North Carolina.
Author(s): Michael Stanek, Carrie Hanlon, Tess Shiras
Date: 03/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
view details
Seizing the Opportunity: Early Medicaid Health Home Lessons
Compiles findings and discussion from states who were early adopters of health homes in urban and rural settings. Provides recommendations for states wanting to develop health home programs.
Author(s): Kathy Moses, Brianna Ensslin
Date: 03/2014
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Compiles findings and discussion from states who were early adopters of health homes in urban and rural settings. Provides recommendations for states wanting to develop health home programs.
Author(s): Kathy Moses, Brianna Ensslin
Date: 03/2014
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Nonmydriatic Fundus Photography for Teleophthalmology Diabetic Retinopathy Screening in Rural and Urban Clinics
Examines the diagnostic value of telehealth for eye exams to screen for diabetic retinopathy in remote California Native American reservations compared to patients seen in person at an urban University of California Davis medical clinic. Includes data and statistics for urban versus rural, ethnicity, and optic conditions present.
Author(s): Eric K. Chin, Bruna V. Ventura, Kai-Yin See, Joann Seibles, Susanna S. Park
Citation: Telemedicine Journal and e-Health, 20(2),102-108
Date: 02/2014
Type: Document
view details
Examines the diagnostic value of telehealth for eye exams to screen for diabetic retinopathy in remote California Native American reservations compared to patients seen in person at an urban University of California Davis medical clinic. Includes data and statistics for urban versus rural, ethnicity, and optic conditions present.
Author(s): Eric K. Chin, Bruna V. Ventura, Kai-Yin See, Joann Seibles, Susanna S. Park
Citation: Telemedicine Journal and e-Health, 20(2),102-108
Date: 02/2014
Type: Document
view details
The Evidence for Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program
Examines the role of the Flex program in supporting state Emergency Medical Services (EMS) in rural communities. Analyses the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery systems, and the challenges faced by states in implementing community paramedicine programs.
Additional links: Policy Brief
Author(s): Karen Pearson, John Gale, George Shaler
Date: 02/2014
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Examines the role of the Flex program in supporting state Emergency Medical Services (EMS) in rural communities. Analyses the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery systems, and the challenges faced by states in implementing community paramedicine programs.
Additional links: Policy Brief
Author(s): Karen Pearson, John Gale, George Shaler
Date: 02/2014
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Colorado's Primary Care Workforce: A Study of Regional Disparities
Analyzes the primary care workforce across Colorado in 2014, including rural and underserved urban areas. Covers solutions to address the healthcare workforce capacity. Provides statistics for 21 health regions in Colorado on practicing primary care physicians, population, average weekly patient care hours per physician, and more.
Author(s): Amy Downs, Rebecca Alderfer, Brian Clark, Rebecca Crepin, Deborah Goeken
Date: 02/2014
Type: Document
Sponsoring organization: Colorado Health Institute
view details
Analyzes the primary care workforce across Colorado in 2014, including rural and underserved urban areas. Covers solutions to address the healthcare workforce capacity. Provides statistics for 21 health regions in Colorado on practicing primary care physicians, population, average weekly patient care hours per physician, and more.
Author(s): Amy Downs, Rebecca Alderfer, Brian Clark, Rebecca Crepin, Deborah Goeken
Date: 02/2014
Type: Document
Sponsoring organization: Colorado Health Institute
view details