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Rural Health
Resources by Topic: Service delivery models

Extent of Telehealth Use in Rural and Urban Hospitals
Discusses the use of telehealth in rural and urban hospitals, and provides statistics on hospital characteristics and common departments and programs with telehealth services. Describes opportunities for telehealth to support healthcare in rural communities.
Author(s): Marcia M. Ward, Fred Ullrich, Keith Mueller
Date: 2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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
Type: Document
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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
Type: Document
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
Type: Document
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Effects of Patient-Centered Medical Home Attributes on Patients' Perceptions of Quality in Federally Supported Health Centers
Analyzes patient survey results that rated the quality of care and the patient-centered medical home attributes provided at federally supported health centers in rural and urban locations.
Author(s): Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, et al.
Citation: Annals of Family Medicine, 11(6), 508-516
Date: 11/2013
Type: Document
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Mixed-Methods Evaluation of a Telehealth Collaborative Care Program for Persons With HIV Infection in a Rural Setting
Discusses the feasibility of telehealth collaborative care (TCC), based on a study in which 32 veterans with HIV were treated through TCC in rural areas of Iowa and Illinois.
Author(s): Michael Ohl, Dena Dillon, Jane Moeckli, et al.
Citation: Journal of General Internal Medicine, 28(9), 1165-1173
Date: 09/2013
Type: Document
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Redesigning Health Professions Education and Practice to Prepare the Interprofessional Team to Care for Populations
12th Annual Report to the Secretary of the United States Department of Health and Human Services and the Congress of the United States. Discusses the need to educate healthcare professionals to care for diverse needs including culture, language, economic status, cultural competency, and health disparities. Discusses the importance of telehealth and telemedicine in population health in rural areas and for those with unstable health conditions that require close monitoring by a health professional.
Date: 08/2013
Type: Document
Sponsoring organization: Advisory Committee on Interdisciplinary Community-Based Linkages
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The Frontier Extended Stay Clinic Model: A Potential Health Care Delivery Alternative for Small Rural Communities
Describes how the Frontier Extended Stay Clinic model may be appropriate in rural communities other than the five original demonstration sites. Appendix includes data reports for the demonstration states.
Additional links: Appendix
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 08/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Accountable Care Organizations in Rural America
Examines the prevalence of Medicare Accountable Care Organizations (ACOs) in the U.S. Includes breakdowns by non-metropolitan, metropolitan, and mixed counties, as well as a map of ACO locations.
Additional links: National and Regional Maps
Author(s): A. Clinton MacKinney, Thomas Vaughn, Xi Zhu, Keith J. Mueller, Fred Ullrich
Date: 07/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Critical Access Hospital (CAH) Emergency Services and Telemedicine: Implications for Emergency Services Condition of Participation (CoPs) and Emergency Medical Treatment and Labor Act (EMTALA) On-Call Compliance
Memorandum clarifying the CMS Conditions of Participation (CoP) for Critical Access Hospital emergency services and Emergency Medical Treatment and Labor Act (EMTALA) On-Call Compliance.
Date: 06/2013
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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