Rural Health
Resources by Topic: Service delivery models
AHA Future of Rural Health Care Task Force: Final Recommendations
Presents the recommendations of the American Hospital Association Future of Rural Health Care Task Force, including innovation-based solutions and promising practices. Solutions include public-private funding changes for core services, flexible rural hospital infrastructure funding programs, creating a rural design center, and supporting grant writing services. Explores promising rural initiatives such as telemedicine, strategic partnerships, maternal health efforts, broadband investment, and rural philanthropy.
Date: 05/2021
Type: Document
Sponsoring organization: American Hospital Association
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Presents the recommendations of the American Hospital Association Future of Rural Health Care Task Force, including innovation-based solutions and promising practices. Solutions include public-private funding changes for core services, flexible rural hospital infrastructure funding programs, creating a rural design center, and supporting grant writing services. Explores promising rural initiatives such as telemedicine, strategic partnerships, maternal health efforts, broadband investment, and rural philanthropy.
Date: 05/2021
Type: Document
Sponsoring organization: American Hospital Association
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Telemedicine Increases Access to Buprenorphine Initiation During the COVID-19 Pandemic
Discusses the expanded access to buprenorphine prescription through telemedicine during COVID-19, comparing the experiences of two harm reduction primary care programs in a rural and urban region of New York. Discusses reduced barriers to treatment, particularly delays due to in-person evaluation requirements before to the pandemic, and innovations to opioid use disorder treatment made possible through telehealth.
Author(s): Linda Wang, Jeffrey Weiss, Elizabeth Bogel Ryan, et al.
Citation: Journal of Substance Abuse Treatment, 124, 108272
Date: 05/2021
Type: Document
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Discusses the expanded access to buprenorphine prescription through telemedicine during COVID-19, comparing the experiences of two harm reduction primary care programs in a rural and urban region of New York. Discusses reduced barriers to treatment, particularly delays due to in-person evaluation requirements before to the pandemic, and innovations to opioid use disorder treatment made possible through telehealth.
Author(s): Linda Wang, Jeffrey Weiss, Elizabeth Bogel Ryan, et al.
Citation: Journal of Substance Abuse Treatment, 124, 108272
Date: 05/2021
Type: Document
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Making Connections: A Guide to Starting a Rural HIV Care Telemedicine Program
Offers an overview of a program that provides HIV care to rural Alabama that started as an in-person service in rural clinics and transitioned to a telemedicine program. Includes a 10-step road map for planning and implementing a telemedicine program. Covers considerations for program development, including scheduling, service delivery, legal considerations, barriers and facilitators to planning, and technology. Free to download after registering name, organization, and email.
Date: 05/2021
Type: Document
Sponsoring organization: AIDS United
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Offers an overview of a program that provides HIV care to rural Alabama that started as an in-person service in rural clinics and transitioned to a telemedicine program. Includes a 10-step road map for planning and implementing a telemedicine program. Covers considerations for program development, including scheduling, service delivery, legal considerations, barriers and facilitators to planning, and technology. Free to download after registering name, organization, and email.
Date: 05/2021
Type: Document
Sponsoring organization: AIDS United
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Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth
An analysis of a behavioral mHealth intervention for Native American communities, ARORA (Amplifying Resilience Over Restricted Internet Access), co-developed with Native American youth, a clinical psychologist, and a community advisory board. Discusses the key themes and critical components of the intervention as identified by members of the Native American community, and offers recommendations to assist other researchers in their development of a cross-cultural design.
Author(s): Vigil-Hayes, M., Collier, A.F., Hagemann, S., et al.
Citation: Proceedings of the Association for Computing Machinery on Human-Computer Interaction, 5(CSCW1), 165.
Date: 04/2021
Type: Document
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An analysis of a behavioral mHealth intervention for Native American communities, ARORA (Amplifying Resilience Over Restricted Internet Access), co-developed with Native American youth, a clinical psychologist, and a community advisory board. Discusses the key themes and critical components of the intervention as identified by members of the Native American community, and offers recommendations to assist other researchers in their development of a cross-cultural design.
Author(s): Vigil-Hayes, M., Collier, A.F., Hagemann, S., et al.
Citation: Proceedings of the Association for Computing Machinery on Human-Computer Interaction, 5(CSCW1), 165.
Date: 04/2021
Type: Document
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Case Study: Avera Behavioral Health
Profiles Avera Behavioral Health, which partners with primary care providers, families, and other healthcare providers via a telepsychiatry network to serve rural communities nationwide. Discusses the development of the Avera Behavioral Health network, goals of the program, innovative approaches, and the impact of the COVID-19 pandemic on the network. Highlights key lessons for successful community networks.
Date: 04/2021
Type: Document
Sponsoring organization: American Hospital Association
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Profiles Avera Behavioral Health, which partners with primary care providers, families, and other healthcare providers via a telepsychiatry network to serve rural communities nationwide. Discusses the development of the Avera Behavioral Health network, goals of the program, innovative approaches, and the impact of the COVID-19 pandemic on the network. Highlights key lessons for successful community networks.
Date: 04/2021
Type: Document
Sponsoring organization: American Hospital Association
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How Grayson County is Getting Connected
Discusses efforts to build broadband infrastructure in Grayson County, Virginia in rural Appalachia. Describes the planning process, health implications of broadband access in the county, and advice for communities seeking broadband.
Author(s): AARP Livable Communities
Date: 04/2021
Type: Document
Sponsoring organization: AARP
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Discusses efforts to build broadband infrastructure in Grayson County, Virginia in rural Appalachia. Describes the planning process, health implications of broadband access in the county, and advice for communities seeking broadband.
Author(s): AARP Livable Communities
Date: 04/2021
Type: Document
Sponsoring organization: AARP
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Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Broadband in Rural America: Faster Speeds for Home and Healthcare
Highlights the importance of rural broadband infrastructure for access to telehealth, patient portals, and other services. Features a Colorado countywide broadband program, Alabama telehealth services provided via county health departments, and a program providing healthcare access to rural veterans in Kentucky.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights the importance of rural broadband infrastructure for access to telehealth, patient portals, and other services. Features a Colorado countywide broadband program, Alabama telehealth services provided via county health departments, and a program providing healthcare access to rural veterans in Kentucky.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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