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Rural Health
Resources by Topic: Service delivery models

Technical Assistance Helps Community #SilencetheShameTN
Features behavioral and mental health programming offered by Henry County Medical Center and the community of Paris, Tennessee. Describes technical assistance and resources provided by the Delta Region Community Health Systems Development program to support this effort.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 11/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
Type: Document
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Rural Telehealth and Healthcare System Readiness Measurement Framework: Final Report
Presents a performance measurement framework to guide quality and performance improvement for healthcare services delivered via telehealth in rural areas in response to disasters. Covers five domains — access to care and technology; costs, business models, and logistics; experience; effectiveness; and equity — rural-specific measurement issues, and potential solutions. Includes recommendations for rural telehealth measurement for time-sensitive emergencies, public health emergencies, and disasters.
Date: 11/2021
Type: Document
Sponsoring organization: National Quality Forum
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Enhancing Cancer Care of Rural Dwellers Through Telehealth and Engagement (ENCORE): A Protocol to Evaluate Effectiveness of a Multi-Level Telehealth-Based Intervention to Improve Rural Cancer Care Delivery
Describes a proposed study of telehealth-based cancer interventions at both the provider and patient levels in order to identify barriers and facilitators for the intervention. Outlines the study's protocols, methods, and contributions to technology-enabled and team-based delivery models to support cancer care for rural and underserved populations.
Author(s): Tuya Pal, Pamela C. Hull, Tatsuki Koyama, et al.
Citation: BMC Cancer, 21, 1262
Date: 11/2021
Type: Document
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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#RuralHealthChat: Digital Equity and the Health of Rural Americans
#RuralHealthChat discusses the role of digital equity in healthcare and the barriers to accessing digital tools faced by rural communities. Features experts from the National Rural Health Association, the American Telemedicine Association, and the USDA Rural Development Innovation Center, among others.
Date: 11/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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COVID-19 and the Rural Opioid Epidemic: Recommendations to Improve Health in Illinois
Examines the rural opioid epidemic in Illinois and offers policy recommendations to increase access to Medications for Opioid Use Disorder (MOUD) centers, engaging populations involved with the criminal justice system, and expanding harm reduction services. Offers data on state opioid fatality rates with rural and urban comparisons and monthly mortality rates based on state Department of Public Health data. Discusses the impact of the COVID-19 pandemic on the opioid epidemic.
Date: 11/2021
Type: Document
Sponsoring organizations: SIU Medicine Center for Rural Health and Social Service Development, SIU Paul Simon Public Policy Institute, Southern Illinois University Medicine Department of Population Science and Policy, University of Illinois Chicago School of Public Health
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Grantee Spotlight: Building Capacity for Tribal Health Providers to Deliver OUD Treatment in Rural Alaska
Profile features the Alaska Native Tribal Health Consortium and discusses its work supporting providers and organizations who provide treatment for opioid use disorder (OUD) in tribal communities in Alaska. Highlights some of the barriers to OUD treatment in rural Alaska and the methods used to overcome them.
Date: 11/2021
Type: Document
Sponsoring organizations: Alaska Native Tribal Health Consortium, Foundation for Opioid Response Efforts (FORE)
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Using CPT Charges as an Economic Proxy for Telehealth and Non-telehealth Emergency Department Utilization
Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A. S. Merchant
Date: 11/2021
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Improving Methadone Access for Rural Communities in the USA: Lessons Learned from Covid-19 Adaptations and International Models of Care
Explores the effect of changes to methadone treatment protocols for opioid use disorder in response to the COVID-19 pandemic on access to treatment in rural areas. Discusses telehealth, dispensing schedules, and distribution models before and during the pandemic.
Author(s): Jamey J Lister, Holly H Lister
Citation: Rural and Remote Health, 21(4)
Date: 11/2021
Type: Document
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