Rural Health
Resources by Topic: Service delivery models
Hearing Norton Sound: Community Involvement in the Design of a Mixed Methods Community Randomized Trial in 15 Alaska Native Communities
Describes a community-based research project examining a telemedicine cell-phone based screening process to improve early detection and treatment of childhood hearing loss in rural Alaska. Community stakeholders assisted in shaping the research question, measurable outcomes, and project procedures. Serves as a model for community-based research in rural communities.
Author(s): Samantha Kleindienst Robler, S. Meade Inglis, Joseph J. Gallo, et al.
Citation: Research Involvement and Engagement, 6(67)
Date: 11/2020
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Describes a community-based research project examining a telemedicine cell-phone based screening process to improve early detection and treatment of childhood hearing loss in rural Alaska. Community stakeholders assisted in shaping the research question, measurable outcomes, and project procedures. Serves as a model for community-based research in rural communities.
Author(s): Samantha Kleindienst Robler, S. Meade Inglis, Joseph J. Gallo, et al.
Citation: Research Involvement and Engagement, 6(67)
Date: 11/2020
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November 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2020 meeting. Covers the expansion of telehealth in Medicare, Medicare beneficiaries' access to care in rural areas, effects of pharmaceutical manufacturer rebates on Part D's risk adjustment, and improving competition among Part D's benchmark plans.
Date: 11/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2020 meeting. Covers the expansion of telehealth in Medicare, Medicare beneficiaries' access to care in rural areas, effects of pharmaceutical manufacturer rebates on Part D's risk adjustment, and improving competition among Part D's benchmark plans.
Date: 11/2020
Sponsoring organization: Medicare Payment Advisory Commission
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An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments
Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
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Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
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The Complex Geographies of Telelactation and Access to Community Breastfeeding Support in the State of Ohio
Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
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Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
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Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report
Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 11/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 11/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Rural Challenges, Strategies, and Recommendations to Advance Value-Based Payment and Care During and Beyond the COVID-19 Crisis
Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Sponsoring organization: Delta Center for a Thriving Safety Net
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Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Sponsoring organization: Delta Center for a Thriving Safety Net
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The Future of State Telehealth Policy
Provides an overview of state and federal telehealth flexibilities implemented during the COVID-19 pandemic. Discusses long-term considerations for governors regarding the impact of these flexibilities on healthcare delivery and payment and the appropriateness of these policies in the future.
Date: 11/2020
Sponsoring organization: National Governors Association
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Provides an overview of state and federal telehealth flexibilities implemented during the COVID-19 pandemic. Discusses long-term considerations for governors regarding the impact of these flexibilities on healthcare delivery and payment and the appropriateness of these policies in the future.
Date: 11/2020
Sponsoring organization: National Governors Association
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Ensuring Health Across Rural Minnesota in 2030
Offers recommendations to policymakers and stakeholders on how to expand access to high-quality and inexpensive healthcare for rural communities in Minnesota. Covers trends in factors that may affect rural health, such as increased diversity, older populations, higher healthcare costs, lack of broadband, closures of healthcare facilities, and more. Discusses how the COVID-19 pandemic has exacerbated issues in rural communities.
Date: 11/2020
Sponsoring organization: National Rural Health Resource Center
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Offers recommendations to policymakers and stakeholders on how to expand access to high-quality and inexpensive healthcare for rural communities in Minnesota. Covers trends in factors that may affect rural health, such as increased diversity, older populations, higher healthcare costs, lack of broadband, closures of healthcare facilities, and more. Discusses how the COVID-19 pandemic has exacerbated issues in rural communities.
Date: 11/2020
Sponsoring organization: National Rural Health Resource Center
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Health Care Delivery System Reform: Six Policy Imperatives
Presents six recommendations for healthcare delivery system reform in order to improve quality, advance equity, and increase the affordability of healthcare in the United States. Includes specific policy recommendations for small and rural providers throughout.
Date: 11/2020
Sponsoring organization: Commonwealth Fund
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Presents six recommendations for healthcare delivery system reform in order to improve quality, advance equity, and increase the affordability of healthcare in the United States. Includes specific policy recommendations for small and rural providers throughout.
Date: 11/2020
Sponsoring organization: Commonwealth Fund
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Community Health Center Telehealth Utilization in Rural and Urban States During the COVID-19 Pandemic
Analyzes community health centers' utilization of telehealth services by state for the week prior to October 16, 2020. Compares the percentage of health center visits conducted virtually to the proportion of the population of each state that lives in rural areas.
Date: 11/2020
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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Analyzes community health centers' utilization of telehealth services by state for the week prior to October 16, 2020. Compares the percentage of health center visits conducted virtually to the proportion of the population of each state that lives in rural areas.
Date: 11/2020
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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