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
view details
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
view details
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
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
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
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
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
Sponsoring organization: National Association of Rural Health Clinics
view details
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
Sponsoring organization: National Association of Rural Health Clinics
view details
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
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
view details
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
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
view details
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
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
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
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
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
Sponsoring organization: Congressional Research Service
view details
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
Sponsoring organization: Congressional Research Service
view details
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
Sponsoring organization: Flex Monitoring Team
view details
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
Sponsoring organization: Flex Monitoring Team
view details
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
view details
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
view details
Evaluation of Post-Discharge Engagement for Emergency Department Patients with Opioid Use History Who Received Telehealth Recovery Coaching Services
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
view details
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
view details
Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
view details
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
view details