Rural Health
Resources by Topic: Service delivery models
National Advisory Committee on Rural Health and Human Services Meeting Summary, Washington, D.C., October 25-27, 2021
Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Household Experiences in Rural America During the Delta Variant Outbreak
Examines the impacts of the COVID-19 pandemic on rural U.S. households. Covers financial, education, childcare, health and healthcare, and employment and work-related impacts related to the pandemic.
Date: 10/2021
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Examines the impacts of the COVID-19 pandemic on rural U.S. households. Covers financial, education, childcare, health and healthcare, and employment and work-related impacts related to the pandemic.
Date: 10/2021
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Health Care in Rural America: Focus on Internet and Telehealth Use
Presents results of a survey of rural adults age 40 and older conducted between November-December 2020, addressing access to specialty health services, infrastructure gaps in rural areas, and utilization of telehealth services. Provides data on internet use relative to overall health, internet access at home and with smartphones, cost issues, and highlights concerns and barriers to telehealth utilization.
Additional links: Annotated Questionnaire
Date: 10/2021
Sponsoring organization: AARP
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Presents results of a survey of rural adults age 40 and older conducted between November-December 2020, addressing access to specialty health services, infrastructure gaps in rural areas, and utilization of telehealth services. Provides data on internet use relative to overall health, internet access at home and with smartphones, cost issues, and highlights concerns and barriers to telehealth utilization.
Additional links: Annotated Questionnaire
Date: 10/2021
Sponsoring organization: AARP
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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The Veterans Community Care Program: Background and Early Effects
Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Sponsoring organization: Congressional Budget Office
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Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Sponsoring organization: Congressional Budget Office
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U.S. Department of Health and Human Services Overdose Prevention Strategy
Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Fourth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Self-Management Education Class Attendance and Health Care Provider Counseling for Physical Activity Among Adults with Arthritis — United States, 2019
Examines self-reported self-management class attendance and healthcare provider physical activity counseling for adults with doctor-diagnosed arthritis. Includes data for metropolitan, micropolitan, and rural (non-core) areas, as well as overall state-by-state data.
Author(s): Lindsey M. Duca, Charles G. Helmick, Kamil E. Barbour, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(42), 1466-1471
Date: 10/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines self-reported self-management class attendance and healthcare provider physical activity counseling for adults with doctor-diagnosed arthritis. Includes data for metropolitan, micropolitan, and rural (non-core) areas, as well as overall state-by-state data.
Author(s): Lindsey M. Duca, Charles G. Helmick, Kamil E. Barbour, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(42), 1466-1471
Date: 10/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Out of the Shadows: Reducing the Rural Impact of Epilepsy
Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Sponsoring organization: Rural Health Information Hub
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Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Sponsoring organization: Rural Health Information Hub
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Preparing Health Professions Students to Serve Southern Rural Communities in the Time of COVID-19 and Beyond: A Model for Interprofessional Online Telehealth Education
Describes a model for online telehealth interprofessional education (IPE) designed to meet the needs of rural communities in the South. Offers an overview of the program's design and implementation and highlights lessons learned related to training fundamentals, staffing and planning, faculty involvement, technology concerns, and Heath Insurance Portability and Accountability Act (HIPAA) compliance, and more.
Author(s): Teri Browne, Selina H. McKinney, Lauren Duck, et al.
Citation: Southern Medical Journal, 114(10), 665-667
Date: 10/2021
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Describes a model for online telehealth interprofessional education (IPE) designed to meet the needs of rural communities in the South. Offers an overview of the program's design and implementation and highlights lessons learned related to training fundamentals, staffing and planning, faculty involvement, technology concerns, and Heath Insurance Portability and Accountability Act (HIPAA) compliance, and more.
Author(s): Teri Browne, Selina H. McKinney, Lauren Duck, et al.
Citation: Southern Medical Journal, 114(10), 665-667
Date: 10/2021
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