Rural Health
Resources by Topic: Service delivery models
Integrated Care for Kids (InCK) Model: Evaluation Report 2
Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Lessons Learned from Efforts to Support Vulnerable Critical Access and Other Rural Hospitals
Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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How to Launch a Pulmonary Rehab Program
Highlights the benefits to hospitals and their community of operating rural pulmonary rehab programs, and shares practical advice and tips on how Critical Access Hospitals and small rural hospitals can successfully build and sustain their own pulmonary rehab programs. Features Sparta Community Hospital in Illinois and Hood Memorial Hospital in Louisiana, which opened pulmonary rehab programs in 2023. Transcript available below description.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Highlights the benefits to hospitals and their community of operating rural pulmonary rehab programs, and shares practical advice and tips on how Critical Access Hospitals and small rural hospitals can successfully build and sustain their own pulmonary rehab programs. Features Sparta Community Hospital in Illinois and Hood Memorial Hospital in Louisiana, which opened pulmonary rehab programs in 2023. Transcript available below description.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Understanding COPD and Pulmonary Rehabilitation
Provides an overview of chronic obstructive pulmonary disease (COPD) symptoms and causes, and explains how rural-based pulmonary rehabilitation services help to restore independence and quality of life in COPD patients. Highlights the prevalence of COPD in rural communities and the steps that Critical Access Hospitals and other small rural hospitals can take to improve access to much-needed pulmonary rehabilitation services. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Provides an overview of chronic obstructive pulmonary disease (COPD) symptoms and causes, and explains how rural-based pulmonary rehabilitation services help to restore independence and quality of life in COPD patients. Highlights the prevalence of COPD in rural communities and the steps that Critical Access Hospitals and other small rural hospitals can take to improve access to much-needed pulmonary rehabilitation services. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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State Medicaid & CHIP Telehealth Toolkit
Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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An 'Unseen' Struggle: Addressing Hoarding Disorder in Rural Communities
Discusses the challenges of identifying and addressing hoarding disorder in rural areas, as well as the impact it can have on the ability to age in place. Highlights resources and strategies that can be effective in rural areas to help address this issue.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the challenges of identifying and addressing hoarding disorder in rural areas, as well as the impact it can have on the ability to age in place. Highlights resources and strategies that can be effective in rural areas to help address this issue.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Bridging The Home-Based Primary Care Gap In Rural Areas
Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Availability of Mental Telehealth Services in the US
Examines availability, wait times, and service features of mental telehealth services across demographic and geographical characteristics. Analyzes mental health treatment facilities (MHTFs) across the U.S. and provides data on mental health conditions treated, types of services used, and facility and county characteristics of MHTFs, including metro versus nonmetro location.
Author(s): Jonathan Cantor, Megan S. Schuler, Samantha Matthews, et al.
Citation: JAMA Health Forum, 5(2)
Date: 02/2024
Type: Document
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Examines availability, wait times, and service features of mental telehealth services across demographic and geographical characteristics. Analyzes mental health treatment facilities (MHTFs) across the U.S. and provides data on mental health conditions treated, types of services used, and facility and county characteristics of MHTFs, including metro versus nonmetro location.
Author(s): Jonathan Cantor, Megan S. Schuler, Samantha Matthews, et al.
Citation: JAMA Health Forum, 5(2)
Date: 02/2024
Type: Document
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Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Service & Resource Sharing in Rural Settings: A Perspective Report - Overcoming Common Barriers Faced by Rural Local Health Departments
Discusses the challenges of small and rural local health departments (LHDs) regarding limited resources and capacity. Analyzes 12 examples of service and resource sharing arrangements (SRSAs) that allow LHDs to improve the quality of their services, advance health equity, and provide better healthcare access to local populations.
Author(s): Wyatt J. Beckman, Haleigh Leslie, Christen Minnick, Olivia Sulivan, Nneoma Ubah
Date: 01/2024
Type: Document
Sponsoring organizations: East Tennessee State University Center for Rural Health Research, Kansas Health Institute, Public Health Accreditation Board Center for Innovation
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Discusses the challenges of small and rural local health departments (LHDs) regarding limited resources and capacity. Analyzes 12 examples of service and resource sharing arrangements (SRSAs) that allow LHDs to improve the quality of their services, advance health equity, and provide better healthcare access to local populations.
Author(s): Wyatt J. Beckman, Haleigh Leslie, Christen Minnick, Olivia Sulivan, Nneoma Ubah
Date: 01/2024
Type: Document
Sponsoring organizations: East Tennessee State University Center for Rural Health Research, Kansas Health Institute, Public Health Accreditation Board Center for Innovation
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