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Resources by Topic: Service delivery models

The Interplay of Financial Toxicity, Health Care Team Communication, and Psychosocial Well-being among Rural Cancer Patients and Survivors
Examines the relationship among financial toxicity, healthcare team communication, and psychosocial health among rural oncology patients. Analyzes 273 patients who participated in the Cancer Support Community's Cancer Experience Registry between 2017-2023 by demographic information, depression, anxiety, social functioning, and healthcare team communication variables and their correlation with financial toxicity.
Author(s): Melissa F. Miller, Julie S. Olson, Kara Doughtie, Alexandra K. Zaleta, Kimberly P. Rogers
Citation: Journal of Rural Health, 40(1), 128-137
Date: 07/2023
Type: Document
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Addressing the Opioid Crisis: A Look at the Evolving Landscape of Federal OUD Treatment Policies
Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
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Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events
Examines how the Indian Health Service (IHS) uses its electronic health record system to monitor healthcare quality and adverse events at federally-operated facilities. Discusses how IHS informs clinicians and patients about options for telehealth use. Offers recommendations to IHS regarding regularly reviewing adverse event trends, making improvements, and disseminating best practices.
Additional links: Full Report
Date: 07/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Billing for Telehealth Encounters: An Introductory Guide on Fee-for-Service
Presents an overview of how to bill fee-for-service Medicare and Medicaid for telehealth encounters. Includes information on originating and distant sites, virtual healthcare, and coding telehealth services. Lists types of practice sites, including Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), and implications for billing telehealth services. Provides contact information for Regional Telehealth Research Centers (RTRC).
Date: 07/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Telehealth Adoption in Kentucky Prior to the COVID-19 Pandemic
Reports statistics and data on the adoption of telehealth, including remote patient monitoring, in Kentucky before the COVID-19 pandemic. Compares rural and urban areas with U.S. averages, and highlights adoption rates in Critical Access and short-term acute care hospitals. Discusses the implications of pre-pandemic telehealth adoption for COVID-19 response in Kentucky.
Author(s): Claudia A. Rhoades
Date: 06/2023
Type: Document
Sponsoring organization: Community & Economic Development Initiative of Kentucky
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National Advisory Council on the National Health Service Corps (NACNHSC) Meeting Minutes, June 27–28, 2023
Minutes from the June 27-28, 2023 meeting, including presentations on a family medicine residency program at the Northern Navajo Medical Center in Shiprock, New Mexico, the Choptank Community Health System community-based program in Maryland, managing patients with complex conditions, empowering clinicians for resiliency and transformative care, reports from Bureau of Health Workforce council meetings, and National Health Service Corps updates.
Additional links: Agenda, Choptank Community Health System Community-Based Program, Shiprock-UNM Family Medicine Residency
Date: 06/2023
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Telehealth in Michigan: Insights and Data for Effective Policymaking
Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Type: Document
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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Transforming Tribal Health: Addressing American Indians and Alaska Natives Health Disparities
Recording of a June 8, 2023, conference session on addressing tribal health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Includes presentations from the Arizona Health Care Cost Containment System on the use of care coordination and care management strategies and the National Indian Health Board on rethinking how CMS approaches health equity for American Indians and Alaska Natives. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Carrie Field, National Indian Health Board - Presentation Slides, Leslie Short, Arizona Health Care Cost Containment System - Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Disparities in Mental Health Care and Outcomes: A Healthy Metric Report for Wisconsin 2023
Provides an overview of mental health disparities in Wisconsin according to race/ethnicity, insurance type, age, and rural versus urban location. Utilizes 2021 Wisconsin Collaborative for Healthcare Quality (WCHQ) member organization data to report on mental health screenings, diagnoses, telehealth, and opportunities to improve mental healthcare in Wisconsin.
Date: 06/2023
Type: Document
Sponsoring organizations: Advancing a Healthier Wisconsin Endowment, Wisconsin Partnership Program
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A Rural Accountable Care Organization's Journey
Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Value
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