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Rural Health
Resources by Topic: Service delivery models

Use of Telemedicine among Office-Based Physicians, 2021
Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Rates of Primary Care and Integrated Mental Health Telemedicine Visits Between Rural and Urban Veterans Affairs Beneficiaries Before and After the Onset of the COVID-19 Pandemic
Shares the results of a study examining changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among Veterans Affairs (VA) beneficiaries. Uses data from 138 VA healthcare systems from March 2019 to December 2021. Features demographics and statistics with breakdowns by visit type and rural or urban area.
Author(s): Lucinda B. Leung, Caroline Yoo, Karen Chu, et al.
Citation: JAMA Network Open, 6(3)
Date: 03/2023
Type: Document
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RHCs & the Medicare Shared Savings Program - What You Need to Know
Recording of a March 7, 2023, webinar providing an overview of the transition to value-based care, Accountable Care Organizations, and the Medicare Shared Savings Program. Discusses considerations for Rural Health Clinic participation in the Shared Savings Program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 03/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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CMS Bundled Payments for Care Improvement Advanced Model: Fourth Evaluation Report
Fourth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from populations that have been historically underserved, including beneficiaries in rural areas and areas with a high Area Deprivation Index (ADI).
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the First-Year Data from an HPV Vaccination Van Program in South Carolina, U.S.
Reports on implementation and results of a mobile vaccination program focused on human papillomavirus (HPV) and other childhood immunizations for underserved populations in rural South Carolina. Discusses the significance of HPV vaccination for cancer prevention.
Author(s): Marvella E. Ford, Kathleen B. Cartmell, Angela M. Malek, et al.
Citation: Journal of Clinical Medicine, 12(4), 1362
Date: 02/2023
Type: Document
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The Washington Rural Palliative Care Initiative Handbook
Handbook explores Washington State's rural palliative care initiative. Details the structure of the program, the cohorts around the state, and the activities implemented by the program.
Date: 02/2023
Type: Document
Sponsoring organizations: Washington State Department of Health, Washington State Office of Rural Health
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Office for the Advancement of Telehealth Grantee Directory, 2022-2023
Provides contact information and brief overviews for 72 initiatives across eight grant programs administered by the Office for the Advancement of Telehealth in the 2023 funding year.
Date: 02/2023
Type: Document
Sponsoring organization: Office for the Advancement of Telehealth
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Obstetric Readiness in Rural Communities Lacking Hospital Labor and Delivery Units
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Center for Medicare & Medicaid Innovation Initiatives to Address Rural Health and Health Disparities
Policy brief describing three national Center for Medicare & Medicaid Innovation (CMMI) value-based initiatives that allow providers to work toward health equity. Provides policy recommendations to design and refine programs to engage rural providers.
Author(s): Andrea Mitchell, Alyssa Meller, Hunter Nostrant
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Indigenous Evaluation Toolkit: An Actionable Guide for Organizations Serving American Indian/Alaska Native Communities through Opioid Prevention Programming
Toolkit presents guidance for American Indian and Alaska Native communities and organizations for providing opioid prevention services. Provides a four-phase plan for program design and details holistic and culturally competent approaches to opioid prevention.
Author(s): Danielle Eakins, Angela Gaffney, Caelin Marum, et al.
Date: 02/2023
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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