Rural Health
Resources by Topic: Service delivery models
Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study
Highlights a study on the use of telemedicine for primary care visits among children. Explores the role of telemedicine in expanding access to primary care, and discusses some of the barriers to care such as insurance coverage, low health literacy, and slow technology uptake in rural areas.
Author(s): Kristin N. Ray, Samuel R. Wittman, Sarah Burns, et al.
Citation: Journal of Medical Internet Research, 25, e42892
Date: 02/2023
Type: Document
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Highlights a study on the use of telemedicine for primary care visits among children. Explores the role of telemedicine in expanding access to primary care, and discusses some of the barriers to care such as insurance coverage, low health literacy, and slow technology uptake in rural areas.
Author(s): Kristin N. Ray, Samuel R. Wittman, Sarah Burns, et al.
Citation: Journal of Medical Internet Research, 25, e42892
Date: 02/2023
Type: Document
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FQHC & RHC CMS Policy Manual Updates
Highlights policy changes in the 2022 and 2023 Final Physician Fee Schedules, but not included in the FQHC/RHC CMS Policy Manual, regarding mental health face-to-face and telehealth encounters, and care management services. Details when permanent policies take effect. Discusses the current CMS modified definition of a mental health visit. Provides clarification on the Medicare allowance for general care management services including chronic care, chronic pain, and behavioral health integration.
Date: 02/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Highlights policy changes in the 2022 and 2023 Final Physician Fee Schedules, but not included in the FQHC/RHC CMS Policy Manual, regarding mental health face-to-face and telehealth encounters, and care management services. Details when permanent policies take effect. Discusses the current CMS modified definition of a mental health visit. Provides clarification on the Medicare allowance for general care management services including chronic care, chronic pain, and behavioral health integration.
Date: 02/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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The Approaching End of the COVID-19 Public Health Emergency and Its Implications for RHCs
Outlines Rural Health Clinic (RHC)-specific waivers implemented in response to the COVID-19 pandemic and will end at the conclusion of the public health emergency (PHE). Highlights how other policies will be impacted by the end of the PHE, including telehealth flexibilities; Medicaid redetermination; the commercialization of COVID-19 vaccines, treatments, and tests; and Emergency Use Authorizations.
Date: 02/2023
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
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Outlines Rural Health Clinic (RHC)-specific waivers implemented in response to the COVID-19 pandemic and will end at the conclusion of the public health emergency (PHE). Highlights how other policies will be impacted by the end of the PHE, including telehealth flexibilities; Medicaid redetermination; the commercialization of COVID-19 vaccines, treatments, and tests; and Emergency Use Authorizations.
Date: 02/2023
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
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Rural School- and Community-Based Programs Supporting LGBTQ+ Youth
Highlights several school and community based programs that support the mental health and wellness of LGBTQ+ youth in rural communities. Presents four case studies of youth programs in rural communities in Minnesota and Maine. Discusses the context, organizational overview, key features, and challenges and opportunities for each program.
Author(s): Madeleine Pick, Robert Libal, Mariana Tuttle, Carrie Henning-Smith
Date: 02/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Highlights several school and community based programs that support the mental health and wellness of LGBTQ+ youth in rural communities. Presents four case studies of youth programs in rural communities in Minnesota and Maine. Discusses the context, organizational overview, key features, and challenges and opportunities for each program.
Author(s): Madeleine Pick, Robert Libal, Mariana Tuttle, Carrie Henning-Smith
Date: 02/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Utilizing Innovations In Telehealth To Advance The Care Of Patients In Congregate Settings
Webinar describing best practices, lessons learned, and innovations developed in telehealth mobile technologies to support clinical screening, treatment, and care of isolated, high-risk rural populations in prison and nursing home facilities.
Additional links: Presentation Slides, Transcript
Author(s): Michael Patterson, David C. Gordon
Date: 02/2023
Type: Video/Multimedia
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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Webinar describing best practices, lessons learned, and innovations developed in telehealth mobile technologies to support clinical screening, treatment, and care of isolated, high-risk rural populations in prison and nursing home facilities.
Additional links: Presentation Slides, Transcript
Author(s): Michael Patterson, David C. Gordon
Date: 02/2023
Type: Video/Multimedia
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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Achieving Whole Health: A New Approach for Veterans and the Nation
Report offers guidance for providers both inside and outside of the VA for filling gaps in veterans healthcare. Discusses a team-based interprofessional care structure for preventing disease and promoting well-being. Highlights some considerations for providing a whole health approach for rural veterans as well.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 02/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Report offers guidance for providers both inside and outside of the VA for filling gaps in veterans healthcare. Discusses a team-based interprofessional care structure for preventing disease and promoting well-being. Highlights some considerations for providing a whole health approach for rural veterans as well.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 02/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Federal Telehealth Flexibilities in Private Health Insurance During the COVID-19 Public Health Emergency: In Brief
Provides an overview of how private health insurance plans cover telehealth services, as well as federal flexibilities that encouraged private health insurance plans to promote telehealth services during the COVID-19 pandemic. Summarizes the two main types of laws at the state level addressing telehealth coverage in private health insurance. Outlines considerations for telehealth coverage after the end of the COVID-19 public health emergency.
Date: 02/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of how private health insurance plans cover telehealth services, as well as federal flexibilities that encouraged private health insurance plans to promote telehealth services during the COVID-19 pandemic. Summarizes the two main types of laws at the state level addressing telehealth coverage in private health insurance. Outlines considerations for telehealth coverage after the end of the COVID-19 public health emergency.
Date: 02/2023
Type: Document
Sponsoring organization: Congressional Research Service
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The Role of Telehealth in Achieving a High Performing Rural Health System: Priorities in a Post-Pandemic System
Presents a review of the potential for expanded use of telehealth in rural America and the use of telehealth services during the COVID-19 public health emergency (PHE). Examines the uses of telehealth in a high-performing rural health system. Expands on considerations outlined in the October 2020 publication The Evolving Landscape of National Telehealth Policies during a Public Health Emergency: Responsiveness to Rural Needs.
Author(s): Joel M. James, Keith J. Mueller, Joanne Constantin, et al.
Date: 02/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Presents a review of the potential for expanded use of telehealth in rural America and the use of telehealth services during the COVID-19 public health emergency (PHE). Examines the uses of telehealth in a high-performing rural health system. Expands on considerations outlined in the October 2020 publication The Evolving Landscape of National Telehealth Policies during a Public Health Emergency: Responsiveness to Rural Needs.
Author(s): Joel M. James, Keith J. Mueller, Joanne Constantin, et al.
Date: 02/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Patient Transfers to and from Critical Access Hospitals During the COVID-19 Pandemic
Examines inbound and outbound transfer patient volumes among Critical Access Hospitals (CAHs) during the COVID-19 pandemic. Discusses the barriers and facilitators to transferring patients that CAHs experienced. Compares transfer volume and facilitators for outbound transfers by CAH system ownership status.
Author(s): Abigail Wenninger, Madeleine Pick, Megan Lahr
Date: 02/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines inbound and outbound transfer patient volumes among Critical Access Hospitals (CAHs) during the COVID-19 pandemic. Discusses the barriers and facilitators to transferring patients that CAHs experienced. Compares transfer volume and facilitators for outbound transfers by CAH system ownership status.
Author(s): Abigail Wenninger, Madeleine Pick, Megan Lahr
Date: 02/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial
Results of a study examining the use of pediatric critical care telemedicine compared with telephone consultations associated with transfer rates of acutely ill children from community and rural emergency departments. Features statistics including baseline characteristics and disposition of patients in the telemedicine and telephone groups.
Author(s): James P. Marcin, Hadley S. Sauers-Ford, Jamie L. Mouzoon, et al.
Citation: JAMA Network Open, 6(2)
Date: 02/2023
Type: Document
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Results of a study examining the use of pediatric critical care telemedicine compared with telephone consultations associated with transfer rates of acutely ill children from community and rural emergency departments. Features statistics including baseline characteristics and disposition of patients in the telemedicine and telephone groups.
Author(s): James P. Marcin, Hadley S. Sauers-Ford, Jamie L. Mouzoon, et al.
Citation: JAMA Network Open, 6(2)
Date: 02/2023
Type: Document
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