Rural Health
Resources by Topic: Service delivery models
'Planting Seeds of Change': In Rural Counties, Expanding Jail-Based Mental Health Services is a Community Effort
Examines the challenges of providing access to mental health services in rural jails. Features a telehealth counseling program in rural Texas and an Ohio program offering case management and mental health services to people in the county jail.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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Examines the challenges of providing access to mental health services in rural jails. Features a telehealth counseling program in rural Texas and an Ohio program offering case management and mental health services to people in the county jail.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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Year Three Evaluation Report: Evaluation of the EMS Supplemental Funding Grants
Provides an overview of the eight Flex Program Emergency Medical Services (EMS) Supplemental funding grant recipients, including a summary of the project goals, partners, and outcome measures. Details each grantee's project accomplishments, lessons learned, and sustainability strategies.
Author(s): John Gale, Karen Pearson
Date: 09/2023
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the eight Flex Program Emergency Medical Services (EMS) Supplemental funding grant recipients, including a summary of the project goals, partners, and outcome measures. Details each grantee's project accomplishments, lessons learned, and sustainability strategies.
Author(s): John Gale, Karen Pearson
Date: 09/2023
Sponsoring organization: Flex Monitoring Team
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Improving Maternal and Infant Services in Rural Iowa
Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023
Sponsoring organization: American Hospital Association
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Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023
Sponsoring organization: American Hospital Association
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Care Coordination Between Rural Primary Care and Telemedicine to Expand Medication Treatment for Opioid Use Disorder: Results from a Single-Arm, Multisite Feasibility Study
Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
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Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Who's Accountable? Low-Value Care Received By Medicare Beneficiaries Outside Of Their Attributed Health Systems
Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report
Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Telehealth Use and Perceptions among Prostate Cancer Survivors
Examines the perceptions of telehealth among prostate cancer survivors and considers its perceived usefulness during the COVID-19 pandemic. Analyzes survey data from 487 prostate cancer survivors according to age, race, education, income, rural-urban residence, and time of survey.
Author(s): Luke W. Chen, Deborah S. Usinger, Aaron J. Katz
Citation: Cancer Medicine, 12(16), 17308-17312
Date: 08/2023
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Examines the perceptions of telehealth among prostate cancer survivors and considers its perceived usefulness during the COVID-19 pandemic. Analyzes survey data from 487 prostate cancer survivors according to age, race, education, income, rural-urban residence, and time of survey.
Author(s): Luke W. Chen, Deborah S. Usinger, Aaron J. Katz
Citation: Cancer Medicine, 12(16), 17308-17312
Date: 08/2023
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Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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DRCHSD Spotlight: Urgent & Primary Care of Clarksdale in Clarksdale, Mississippi
Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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