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Rural Health
Resources by Topic: Service delivery models

Veterans Community Care Program: VA Should Strengthen Its Ability to Identify Ineligible Health Care Providers
Examines the extent to which vulnerabilities in Veterans Community Care Program eligibility requirements contribute to potentially ineligible providers participating in the program. Offers recommendations to the Veterans Administration to enhance provider eligibility controls and oversight.
Additional links: Full Report
Date: 03/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Comparing Smoking Cessation Interventions among Underserved Patients Referred for Lung Cancer Screening: A Pragmatic Trial Protocol
Presents a study comparing four different smoking cessation support programs offered in tandem with lung cancer screening for underserved patients. Evaluates each intervention offered to Black, Latinx, and rural patients and draws conclusions based on outcomes.
Author(s): Rachel Kohn, Anil Vachani, Dylan Small, et al.
Citation: Annals of the American Thoracic Society, 19(2), 303-314
Date: 02/2022
Type: Document
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Teledentistry Helps Provide the Right Care at the Right Time
Presents a report on the best uses of teledentistry. Discusses the use of teledentistry for dental triage, follow-up care, and in place of in-person visits for patients with less access to care, such as those in rural areas.
Author(s): Lisa J. Heaton, Madhuli Thakkar-Samtani, Caroline D. McLeod, Eric P. Tranby
Date: 02/2022
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Providing Health Literate Virtual Health Services: Proceedings of a Workshop-in Brief
Summarizes 3 presentations and a panel discussion from a virtual public workshop held on September 23, 2021, by the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy, covering health-literate telehealth services. Discusses challenges and potential for health literate telehealth, access and equity, and resources available through the HRSA Office for the Advancement of Telehealth (OAT).
Additional links: Read Online
Author(s): Board on Population Health
Date: 02/2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Caregiver Experiences with Accessing Sickle Cell Care and the Use of Telemedicine
Study examining barriers to pediatric sickle cell disease (SCD) care and perceptions of telemedicine by caregivers in the Midwest based on interviews with 16 caregivers of 15 children with SCD. Discusses mental health and stress issues related to care, as well as geographic and financial barriers, and the impact of telemedicine on access to care.
Author(s): Seethal A. Jacob, Roua Daas, Anna Feliciano, Julia E. LaMotte, Aaron E. Carroll
Citation: BMC Health Services Research, 22, 239
Date: 02/2022
Type: Document
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From Idea to Reality: Federal Funding Supports Quapaw Nation's Community Paramedicine Program
Describes how the Quapaw Nation used federal COVID-related funding to launch a community paramedicine program. Explains how the program is serving local residents and meeting community needs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Outpatient Telehealth Use Soared Early in the COVID-19 Pandemic but Has since Receded
Brief examining outpatient telehealth visits from March 2019 to August 2021 based on a data set that includes over 126 million patients from 889 hospitals and 19,320 clinics nationwide. Covers changes in telehealth use during the pandemic, telehealth use by age group and gender, rural and urban rates of telehealth use, and telehealth use for management of chronic conditions. Discusses impacts on healthcare access, cost, quality, and outcomes, as well as policy implications.
Author(s): Justin Lo, Matthew Rae, Krutika Ann, Cynthia Cox
Date: 02/2022
Type: Document
Sponsoring organizations: KFF, Peterson Center on Healthcare
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How States Can Expand Health Care Access in Rural Communities
Discusses policy options states could use to increase access to care and the supply of healthcare providers in rural areas. Covers financial assistance programs for medical and dental education; malpractice reform; scope of practice changes for advanced practice registered nurses, physician assistants, and dental health aide therapists; telemedicine parity; and mobile clinics.
Date: 02/2022
Type: Document
Sponsoring organization: Center for American Progress
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Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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CMS Bundled Payments for Care Improvement Advanced Model: Third Evaluation Report
Third annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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