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Rural Health
Resources by Topic: Service delivery models

Cibola General Hospital Pushes Forward
Describes Cibola General Hospital's (CGH) progress as part of the Small Rural Hospital Transition (SRHT) Project. CGH is a 25-bed Critical Access Hospital located in Grants, New Mexico. Discusses the impact of the COVID-19 pandemic on CGH, including the development of telehealth services.
Date: 09/2020
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Coordination of Services for People With Serious Mental Illness and General Medical Conditions: Perspectives From Rural Northeastern United States
Highlights a study on healthcare providers' perspectives on the coordination of mental and physical healthcare and social services for rural patients with physical and mental conditions. Breaks down survey responses by coordination level and theme.
Author(s): Marianne Storm, Karen L. Fortuna, Emily A. Gill, et al.
Citation: Psychiatric Rehabilitation Journal, 43(3), 234-243
Date: 09/2020
Type: Document
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Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
Study examining the impacts of telepsychiatric consultations on the capacity for clinical and non-clinical staff to recognize and treat psychiatric disorders. Draws from interviews with 17 staff members at 3 rural primary care facilities in Washington. Discusses implications of telepsychiatric consultation for primary care and behavioral health integration models.
Author(s): Morhaf Al Achkar, Ian M. Bennet, Lydia Chwastiak, et al.
Citation: Annals of Family Medicine, 18(5), 438-445
Date: 09/2020
Type: Document
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RHC Cost Reporting During COVID
Recording of a September 22, 2020, webinar covering cost reporting basics for Rural Health Clinics (RHCs), including telehealth reporting, FTE and visit calculations, productivity waiver requests, provider relief fund payments, and cost report filing deadlines. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 09/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Development and Implementation of a Community Paramedicine Program in Rural United States
Describes a community paramedicine care model developed in a rural Wisconsin Critical Access Hospital (CAH) and Primary Care Clinic. Presents data on 32 patients receiving treatment for chronic disease or other high-need medical condition. Discusses potential for community paramedicine models to decrease high utilization of healthcare services.
Author(s): Lucas A. Myers, Peter N. Carlson, Paul W. Krantz, et al.
Citation: Western Journal of Emergency Medicine, 21(5), 1227-1233
Date: 09/2020
Type: Document
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Building Capacity for Value
Slides presented at the 2020 Nebraska Rural Health Conference describing the evolution of value-based care. Discusses different approaches to value-based care transformation, including the Medicare Shared Savings Program Accountable Care Organizations and global budgeting. Presents management and leadership strategies to navigate future changes while meeting community health needs.
Author(s): Karla Weng
Date: 09/2020
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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Medical-Dental Integration Manual
Provides guidance to North Dakota's rural primary care providers looking to integrate a dental hygienist into their practice. Highlights rules and regulations, billing, scope of practice, and workflow issues, among other topics.
Date: 09/2020
Type: Document
Sponsoring organizations: North Dakota Department of Health, University of North Dakota Center for Rural Health
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VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study
Highlights a study on the ability of older veterans to use the VA Video Connect (VVC) app for telehealth services during the COVID-19 pandemic. Breaks down data by race, age, and rural versus urban location, among other factors.
Author(s): Kalpana P Padala, Kerrie B Wilson, Heath Gauss, Jessica D Stovall, et al.
Citation: Journal of Medical Internet Research, 22(9), e21561
Date: 09/2020
Type: Document
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Federal and State Policy Changes Since COVID-19
Video recording of a presentation on federal and state telehealth policy changes during the COVID-19 pandemic. Discusses Centers for Medicare and Medicaid (CMS) policies related to geographic and site location for the patient, provider location and type, and telehealth delivery modality. Addresses common issues related to reimbursement and payment codes, Medicare billing guidance for Federally Qualified Health Centers and Rural Health Clinics, and notes post-COVID policy questions and issues. Transcript available in the video description.
Date: 09/2020
Type: Video/Multimedia
Sponsoring organizations: Centers for Connected Health Policy, Northwest Regional Telehealth Resource Center
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A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice
Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Type: Document
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
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