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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Care Coordination Canvas Guide
A framework and resources for developing effective care coordination programs. Includes worksheets, guides, and case studies describing different care coordination approaches: care coach, clinical, community health worker, and school-based. Based on a survey of rural health networks engaged in implementing care coordination initiatives.
Type: Website
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
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Child Mental Health: Rural Policy Brief
Policy brief discussing options for improving access to mental health services for rural children, including telemedicine, integration of behavioral health and primary care, and school-based care. Features 3 brief case studies.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter B, Part 425: Medicare Shared Savings Program
Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Small Rural Hospital Improvement Grant Program (SHIP)
Resources for hospitals related to value-based purchasing, Accountable Care Organizations, and payment bundling. Developed for hospitals participating in the Small Rural Hospital Improvement Grant Program (SHIP).
Type: Website
Sponsoring organization: National Rural Health Resource Center
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Chronic Disease in Rural America Topic Guide
Provides resources and information on the impact of chronic disease in rural areas, as well as prevention and treatment strategies. Highlights specific chronic diseases, including heart disease and stroke, diabetes, chronic respiratory conditions, arthritis, and HIV/AIDS.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Case Study: Partnership Enables Hospital to Provide Local Access to 24-Hour Health Care Through Telemedicine
Shares the approach of Seward, Nebraska-based Memorial Health Care Systems' "convenience campaign," which focuses on using technology to meet the needs of a younger-than-average patient base. Discusses building partnerships and utilizing new technologies to improve healthcare accessibility through same-day clinics, online communications, and 24/7 virtual care.
Type: Document
Sponsoring organizations: Bryan Health, Early Adopter Partner, Memorial Health Care Systems
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Care Management Medicare Reimbursement Strategies for Rural Providers
Information for rural healthcare providers on Medicare billing codes for services to keep beneficiaries healthy and better coordinate services to support beneficiaries at home. Addresses Annual Wellness Visits, Chronic Care Management, Transitional Care Management, and Principal Care Management.
Type: Website
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Case Study: Paramedicine Program Strengthens Rural Health Care System
Shares how leaders of Community Hospital in rural McCook, Nebraska reached their goal of reducing ambulance transports, emergency room visits, and hospital readmissions by partnering with community organizations to create the McCook Community Paramedicine program. Focuses on program's approach, key steps, lessons learned, and results.
Type: Document
Sponsoring organizations: Bryan Health, City of McCook Fire Department, Community Hospital, Community Hospital Health Foundation, McCook Clinic PC
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MCN Health Network
Service for clinics who serve mobile patients, such as migrant workers. Helps ensure continuity of care and treatment completion by providing comprehensive case management, medical records transfer, and follow up services for mobile patients.
Type: Tool
Sponsoring organization: Migrant Clinicians Network
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Organized, Evidence-Based Care: Oral Health Integration
Provides tools to support the integration of oral healthcare into primary care practice. Includes a guide with topics focusing on screening for oral health risk factors and disease, the development of preventive interventions, the role of health information technology, staffing options, collecting data for quality improvement, and case examples of oral healthcare integration in rural primary care settings.
Type: Website
Sponsoring organization: Safety Net Medical Home Initiative
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