Rural Health
Resources by Topic: Service delivery models
Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, and enhance care coordination. 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
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
view details
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, and enhance care coordination. 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
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
view details
Identifying Factors Associated with Variation in Telemental Health Delivery at Federally Qualified Health Centers
Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Citation: Journal of Primary Care & Community Health, 15
Date: 01/2024
view details
Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Citation: Journal of Primary Care & Community Health, 15
Date: 01/2024
view details
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
Sponsoring organizations: East Tennessee State University Center for Rural Health Research, Kansas Health Institute, Public Health Accreditation Board
view details
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
Sponsoring organizations: East Tennessee State University Center for Rural Health Research, Kansas Health Institute, Public Health Accreditation Board
view details
Stakeholder Perspectives on a Telemedicine Referral and Coordination Model To Expand Medication Treatment for Opioid Use Disorder in Rural Primary Care Clinics
Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
view details
Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
view details
Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
view details
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
view details
Exploring Telemental Health Practice Before, During, and After the COVID-19 Pandemic
Presents a study on the use of telemedicine by mental health providers since the COVID-19 pandemic. Highlights the expansion of telemental health during the pandemic and how that expansion has continued in the aftermath. Breaks down data by patient and provider characteristics, as well as the rurality of providers and of the area served.
Author(s): Demi Zhu, Samantha R. Paige, Henry Slone, et al.
Citation: Journal of Telemedicine and Telecare, 30(1), 72-78
Date: 01/2024
view details
Presents a study on the use of telemedicine by mental health providers since the COVID-19 pandemic. Highlights the expansion of telemental health during the pandemic and how that expansion has continued in the aftermath. Breaks down data by patient and provider characteristics, as well as the rurality of providers and of the area served.
Author(s): Demi Zhu, Samantha R. Paige, Henry Slone, et al.
Citation: Journal of Telemedicine and Telecare, 30(1), 72-78
Date: 01/2024
view details
AHIP Value-Based Care Workgroup
Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Sponsoring organization: Rural Health Value
view details
Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Sponsoring organization: Rural Health Value
view details
Fortifying Community Health Centers: Fostering Community Resilience, Equitable Response, and Disaster Preparedness
Discusses the impact of community health centers, with a focus on the diverse patients they serve, the low-cost/high-quality healthcare, and the ability to serve patients with complex needs. Includes discussion on disaster response, care coordination, and policies, such as those related to telehealth, that affect community health center work.
Date: 01/2024
Sponsoring organizations: Association of Clinicians for the Underserved, Healthcare Ready
view details
Discusses the impact of community health centers, with a focus on the diverse patients they serve, the low-cost/high-quality healthcare, and the ability to serve patients with complex needs. Includes discussion on disaster response, care coordination, and policies, such as those related to telehealth, that affect community health center work.
Date: 01/2024
Sponsoring organizations: Association of Clinicians for the Underserved, Healthcare Ready
view details
A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
view details
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
view details