Rural Health
Resources by Topic: Service delivery models
Integrating Behavioral Health into Your RHC
Recording of a July 19, 2022, webinar regarding Rural Health Clinic (RHC) billing for behavioral health services. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a July 19, 2022, webinar regarding Rural Health Clinic (RHC) billing for behavioral health services. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Synthesis of Evaluation Results across 21 Medicare Models, 2012-2020
Summarizes results from evaluations of 21 Centers for Medicare & Medicaid (CMS) Innovation Center models. Examines measures related to gross and net Medicare spending, utilization, and quality of care. Identifies themes among models with similar participant types and interventions used. Offers considerations for acute or specialty care and targeted populations models and prevention and population management models.
Additional links: Findings at a Glance, Synthesis of Evaluation Results Across 21 Medicare Models Slides, Transcript, Webinar Recording
Date: 07/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes results from evaluations of 21 Centers for Medicare & Medicaid (CMS) Innovation Center models. Examines measures related to gross and net Medicare spending, utilization, and quality of care. Identifies themes among models with similar participant types and interventions used. Offers considerations for acute or specialty care and targeted populations models and prevention and population management models.
Additional links: Findings at a Glance, Synthesis of Evaluation Results Across 21 Medicare Models Slides, Transcript, Webinar Recording
Date: 07/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Pandemic-Triggered Adoption of Telehealth in Underserved Communities: Descriptive Study of Pre- and Postshutdown Trends
Examines telehealth utilization before and during the COVID-19 pandemic based on Medicaid reimbursement data for Alabama from March 2019 to June 2021. Breaks down data by race/ethnicity, gender, rurality, age, and service and provider type.
Author(s): Pei Xu, Matthew Hudnall, Sidi Zhao, et al.
Citation: Journal of Medical Internet Research, 24(7), e38602
Date: 07/2022
Type: Document
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Examines telehealth utilization before and during the COVID-19 pandemic based on Medicaid reimbursement data for Alabama from March 2019 to June 2021. Breaks down data by race/ethnicity, gender, rurality, age, and service and provider type.
Author(s): Pei Xu, Matthew Hudnall, Sidi Zhao, et al.
Citation: Journal of Medical Internet Research, 24(7), e38602
Date: 07/2022
Type: Document
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UVM CORA Community Rounds: Strategies for Distributing Naloxone to Rural Communities
Webinar recording discusses rural opioid overdoses and methods for distributing naloxone to prevent overdoses. Explores the use of data, technology, and working with emergency services partners to deliver naloxone to people at risk of overdosing, among other factors.
Additional links: Webinar Slides
Author(s): Geoff Capraro, Brooke A. Lawrence
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: University of Vermont Center on Rural Addiction
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Webinar recording discusses rural opioid overdoses and methods for distributing naloxone to prevent overdoses. Explores the use of data, technology, and working with emergency services partners to deliver naloxone to people at risk of overdosing, among other factors.
Additional links: Webinar Slides
Author(s): Geoff Capraro, Brooke A. Lawrence
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: University of Vermont Center on Rural Addiction
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Strategies for Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC)
Analyzes results of the National Heart, Lung, and Blood Institute–funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study, which lays the foundation for future quality improvement efforts in out-of-hospital cardiac arrest (OHCA). Identifies 49 strategies across the incident, stakeholder, and system levels to improve pre-hospital OHCA survival and care delivery. Includes rural references and considerations throughout.
Author(s): Mahshid Abir, Stephen R. Dowker, Wilson Nham, et al.
Date: 07/2022
Type: Document
Sponsoring organization: RAND Corporation
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Analyzes results of the National Heart, Lung, and Blood Institute–funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study, which lays the foundation for future quality improvement efforts in out-of-hospital cardiac arrest (OHCA). Identifies 49 strategies across the incident, stakeholder, and system levels to improve pre-hospital OHCA survival and care delivery. Includes rural references and considerations throughout.
Author(s): Mahshid Abir, Stephen R. Dowker, Wilson Nham, et al.
Date: 07/2022
Type: Document
Sponsoring organization: RAND Corporation
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
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Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
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Experiences with Use of Technology and Telehealth among Women with Prenatal Depression
Study examining the experiences of 17 women with prenatal depression who participated in videoconference intervention group meetings managed by the Utah Telehealth Network. Discusses positive and negative experiences with technology and group meetings, and notes the applicability of video-based telehealth interventions for increasing access to behavioral healthcare for rural populations.
Author(s): Uma D. Parameswaran, Ryoko Pentecost, Marcia Williams, Marcela Smid, Gwen Latendresse
Citation: BMC Pregnancy and Childbirth, 22, 571
Date: 07/2022
Type: Document
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Study examining the experiences of 17 women with prenatal depression who participated in videoconference intervention group meetings managed by the Utah Telehealth Network. Discusses positive and negative experiences with technology and group meetings, and notes the applicability of video-based telehealth interventions for increasing access to behavioral healthcare for rural populations.
Author(s): Uma D. Parameswaran, Ryoko Pentecost, Marcia Williams, Marcela Smid, Gwen Latendresse
Citation: BMC Pregnancy and Childbirth, 22, 571
Date: 07/2022
Type: Document
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Managing Innovation: A Qualitative Study on the Implementation of Telehealth Services in Rural Emergency Departments
Study examining adoption and utilization of telehealth through interviews with 18 key informants from 6 healthcare systems that provide telehealth support to 65 rural emergency departments through a hub-and-spoke model. Discusses stages of implementation and factors that facilitate or impede implementation.
Author(s): Mochamad Muska Nataliansyah, Kimberly A.S. Merchant, James A. Croker, et al.
Citation: BMC Health Services Research, 22, 852
Date: 07/2022
Type: Document
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Study examining adoption and utilization of telehealth through interviews with 18 key informants from 6 healthcare systems that provide telehealth support to 65 rural emergency departments through a hub-and-spoke model. Discusses stages of implementation and factors that facilitate or impede implementation.
Author(s): Mochamad Muska Nataliansyah, Kimberly A.S. Merchant, James A. Croker, et al.
Citation: BMC Health Services Research, 22, 852
Date: 07/2022
Type: Document
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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Mobile Health School Screening and Telemedicine Referral to Improve Access to Specialty Care in Rural Alaska: A Cluster-Randomised Controlled Trial
Study examining school-based telemedicine specialty referral for hearing loss in 15 rural Alaskan communities. Compares outcomes for participants who received a telemedicine specialty referral and who received a standard primary care referral, including time to follow-up, prevalence of hearing loss, hearing-related quality of life, and school performance.
Author(s): Susan D. Emmett, Alyssa Platt, Elizabeth L. Turner, et al.
Citation: The Lancet Global Health, 10(7), e1023-e1033
Date: 07/2022
Type: Document
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Study examining school-based telemedicine specialty referral for hearing loss in 15 rural Alaskan communities. Compares outcomes for participants who received a telemedicine specialty referral and who received a standard primary care referral, including time to follow-up, prevalence of hearing loss, hearing-related quality of life, and school performance.
Author(s): Susan D. Emmett, Alyssa Platt, Elizabeth L. Turner, et al.
Citation: The Lancet Global Health, 10(7), e1023-e1033
Date: 07/2022
Type: Document
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