Rural Health
Resources by Topic: Service delivery models
Partnerships to Address Social Needs Across Metropolitan and Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals: A Randomized Clinical Trial
Evaluated efficacy of peer coaching and practice facilitation compared to enhanced usual care on blood pressure control for 1,209 rural Black patients in Alabama and North Carolina. Discusses impact of age on findings.
Author(s): Monika M. Safford, Doyle M. Cummings, Jacqueline R. Halladay, et al.
Citation: JAMA Internal Medicine, 184(5), 538-546
Date: 03/2024
Type: Document
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Evaluated efficacy of peer coaching and practice facilitation compared to enhanced usual care on blood pressure control for 1,209 rural Black patients in Alabama and North Carolina. Discusses impact of age on findings.
Author(s): Monika M. Safford, Doyle M. Cummings, Jacqueline R. Halladay, et al.
Citation: JAMA Internal Medicine, 184(5), 538-546
Date: 03/2024
Type: Document
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2025 Health and Human Services Evaluation Plan
Provides an overview of the 2025 evaluation activities for 49 Department of Health and Human Services (HHS) programs. Includes evaluation information on rural focused programs such as Rural Maternity and Obstetrics Management Strategies (RMOMS); the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities; the Telehealth Technology Enabled Learning Program (TTELP); and more.
Author(s): Maura R. Reilly, Kristen Hudgins, Susan Jenkins
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the 2025 evaluation activities for 49 Department of Health and Human Services (HHS) programs. Includes evaluation information on rural focused programs such as Rural Maternity and Obstetrics Management Strategies (RMOMS); the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities; the Telehealth Technology Enabled Learning Program (TTELP); and more.
Author(s): Maura R. Reilly, Kristen Hudgins, Susan Jenkins
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Acceptability and Feasibility of a Mobile Behavioral Economic Health Intervention to Reduce Alcohol Use in Adults in Rural Areas
Presents results of a remotely-delivered alcohol use reduction pilot program focused on promoting use of behavioral economic strategies and participation in alternative activities among 75 rural people with at-risk alcohol use. Discusses the viability of service delivery via mobile phones and other internet-enabled devices to rural and remote areas.
Author(s): Natalie D. Bayrakdarian, Erin E. Bonar, Isabelle Duguid, et al.
Citation: Drug and Alcohol Dependence Reports, 100225
Date: 03/2024
Type: Document
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Presents results of a remotely-delivered alcohol use reduction pilot program focused on promoting use of behavioral economic strategies and participation in alternative activities among 75 rural people with at-risk alcohol use. Discusses the viability of service delivery via mobile phones and other internet-enabled devices to rural and remote areas.
Author(s): Natalie D. Bayrakdarian, Erin E. Bonar, Isabelle Duguid, et al.
Citation: Drug and Alcohol Dependence Reports, 100225
Date: 03/2024
Type: Document
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Loud and Clear: Improving Access to Hearing Care in Rural America
Discusses barriers to rural hearing care access and the importance of hearing conservation. Features a hearing clinic in South Dakota, a telehealth program in Alaska, and a nationally available agriculture safety program working to address rural hearing care.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses barriers to rural hearing care access and the importance of hearing conservation. Features a hearing clinic in South Dakota, a telehealth program in Alaska, and a nationally available agriculture safety program working to address rural hearing care.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Kentucky Outreach Service Kiosk (KyOSK) Study Protocol: A Community-Level, Controlled Quasi-Experimental, Type 1 Hybrid Effectiveness Study to Assess Implementation, Effectiveness and Cost-Effectiveness of a Community-Tailored Harm Reduction Kiosk on HIV, HCV and Overdose Risk in Rural Appalachia
Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
Type: Document
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Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
Type: Document
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Hearing on Enhancing Access to Care at Home in Rural and Underserved Communities
Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Use of In-Network Insurance Benefits Is Critical for Improving Retention in Telehealth-Based Buprenorphine Treatment
Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, age, gender, race and ethnicity, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, age, gender, race and ethnicity, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare and Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Value
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Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare and Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Value
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Office for the Advancement of Telehealth (OAT) 2020-2024 Telehealth Network Grant Program (TNGP) Performance Improvement and Measurement System (PIMS): Summary Report for Program Year 3 (September 1, 2022 - August 31, 2023)
Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Type: Document
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Type: Document
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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