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Rural Health
Resources by Topic: Service delivery models

Peer Support Intervention Improves Pain-Related Outcomes Among Rural Adults With Diabetes and Chronic Pain at 12-Month Follow-Up
Reports on a study of an Alabama community-based cognitive behavioral training intervention on pain self-efficacy, pain intensity, and pain-related functional limitations, targeted specifically to rural low-income African American adults with diabetes. Features demographics and statistics on changes in control-intervention differences from baseline to 3-month and 12-month follow-up.
Author(s): Yulia Khodneva, Joshua Richman, Susan Andreae, Andrea Cherrington, Monika M. Safford
Citation: Journal of Rural Health, 37(2), 394-405
Date: 03/2021
Type: Document
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National Advisory Council on Nurse Education and Practice (NACNEP) Meeting Minutes, March 9-10, 2021
Summarizes the National Advisory Council on Nurse Education and Practice (NACNEP) meeting held on March 9-10, 2021. Includes updates from the Bureau of Health Workforce, an overview of the National Practitioner Data Bank, and a discussion of behavioral health workforce development programs, among other things. Features a presentation by the Federal Office of Rural Health Policy and the Office for the Advancement of Telehealth.
Date: 03/2021
Type: Document
Sponsoring organization: National Advisory Council on Nurse Education and Practice
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CMS Bundled Payments for Care Improvement Initiative Models 2­-4: Year 7 Evaluation & Monitoring Annual Report
Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Bundled Payments for Care Improvement Advanced Model: Year 2 Evaluation Report
Second 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. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
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RideSheet: Rural Transportation Benefits from New Coordination Technology
Discusses the transportation challenges rural human services providers face, specifically regarding demand-responsive transportation. Profiles RideSheet, a tool that supports scheduling requirements of rural and frontier communities with small transit providers. Describes two transportation agencies in rural Lake County, Oregon, and their experiences before and after utilizing RideSheet.
Date: 03/2021
Type: Document
Sponsoring organizations: AARP Public Policy Institute, Full Path Transit Technology
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Telehealth & Medicaid: A Policy Webinar Series
Summarizes a series of webinars on Medicaid telehealth policy changes during the first year of the COVID-19 pandemic. Topics covered include telehealth policy developments related to the public health emergency (PHE), Medicaid program engagement and education of healthcare providers, patient education and engagement to increase telehealth access, and discussions of the future of telehealth policy. Offers specific examples from state-level Medicaid programs, with charts and data on telehealth utilization and outcomes.
Date: 03/2021
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Telehealth Policy and Regulatory Considerations During a Pandemic
Toolkit examining policies related to telehealth regarding coverage and payment, licensing, patient privacy and security, remote prescribing, and others, noting temporary changes due to COVID-19. Offers policy recommendations and highlights other important policy areas for healthcare providers to be aware of.
Date: 03/2021
Type: Website
Sponsoring organization: National Telehealth Technology Assessment Resource Center
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CHWs At Work: Making a Difference for Oklahoma's Marshallese Community
Highlights an Oklahoma program that uses community health workers (CHWs) for outreach to the Marshallese community in a three-county area. Provides a brief history and overview of the Marshallese population and discusses the health concerns the CHWs address.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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