Rural Health
Resources by Topic: Social determinants of health
A Multisectoral Approach to Advance Health Equity in Rural Northern Arizona: County-Level Leaders' Perspectives on Health Equity
Discusses health inequity and the role of multisectoral leadership, including health and human services, public health, education, criminal justice, and policy, in addressing health inequity based on data for 5 rural Arizona counties from the Southwest Health Equity Research Collaborative's Regional Health Equity Survey. Discusses the perspectives of multisectoral representatives on distribution of resources and services, causes of health inequity, and social determinants of health.
Author(s): Dulce J. Jiménez, Samantha Sabo, Mark Remiker, et al.
Citation: BMC Public Health, 22, 960
Date: 05/2022
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Discusses health inequity and the role of multisectoral leadership, including health and human services, public health, education, criminal justice, and policy, in addressing health inequity based on data for 5 rural Arizona counties from the Southwest Health Equity Research Collaborative's Regional Health Equity Survey. Discusses the perspectives of multisectoral representatives on distribution of resources and services, causes of health inequity, and social determinants of health.
Author(s): Dulce J. Jiménez, Samantha Sabo, Mark Remiker, et al.
Citation: BMC Public Health, 22, 960
Date: 05/2022
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Michigan's Roadmap to Healthy Communities Phase I: 2022-2024
Outlines a plan to address the social determinants of health (SDOH) to advance equity, provide social and economic opportunities, and improve health outcomes in Michigan. Discusses the collaborative process and partnerships that target improvements in housing, food security, health equity, data strategies, and more. Includes initiatives focused on rural areas.
Date: 04/2022
Sponsoring organization: Michigan Department of Health and Human Services
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Outlines a plan to address the social determinants of health (SDOH) to advance equity, provide social and economic opportunities, and improve health outcomes in Michigan. Discusses the collaborative process and partnerships that target improvements in housing, food security, health equity, data strategies, and more. Includes initiatives focused on rural areas.
Date: 04/2022
Sponsoring organization: Michigan Department of Health and Human Services
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The Role of Social Determinants of Health in Value-Based Payment Models During COVID-19: An Evolving Rural Perspective
Recording of an April 2022 webinar discussing how some rural health providers address social determinants of health in their communities and mitigate hardships associated with COVID-19. Highlights strategies using value-based payment models and collaboration with community partners. Transcript is available in the video description.
Additional links: Presentation Slides
Author(s): Alana Knudson
Date: 04/2022
Sponsoring organizations: National Rural Health Resource Center, NORC Walsh Center for Rural Health Analysis
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Recording of an April 2022 webinar discussing how some rural health providers address social determinants of health in their communities and mitigate hardships associated with COVID-19. Highlights strategies using value-based payment models and collaboration with community partners. Transcript is available in the video description.
Additional links: Presentation Slides
Author(s): Alana Knudson
Date: 04/2022
Sponsoring organizations: National Rural Health Resource Center, NORC Walsh Center for Rural Health Analysis
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April 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2022 meeting. Covers high prices of drugs covered under Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug rebates and discounts, segmentation in the stand-alone Part D prescription drug plan market, leveraging Medicare policies to address social determinants of health, an approach to streamline and harmonize Medicare's portfolio of alternative payment models, and aligning fee-for-service payment rates across ambulatory settings. Includes rural references throughout.
Date: 04/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2022 meeting. Covers high prices of drugs covered under Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug rebates and discounts, segmentation in the stand-alone Part D prescription drug plan market, leveraging Medicare policies to address social determinants of health, an approach to streamline and harmonize Medicare's portfolio of alternative payment models, and aligning fee-for-service payment rates across ambulatory settings. Includes rural references throughout.
Date: 04/2022
Sponsoring organization: Medicare Payment Advisory Commission
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The Justice Gap: The Unmet Civil Legal Needs of Low-Income Americans
Reports on civil legal needs experienced by low-income Americans who do not seek professional legal help and the paths they take when facing civil legal problems. Includes information on legal needs related to healthcare access and other issues that impact health, such as housing and COVID-19. Provides details for specific groups, including rural residents, seniors, veterans, people with disabilities, parents of children under 18, and domestic violence survivors.
Additional links: Executive Summary, Full Report, Special Focus Rural
Date: 04/2022
Sponsoring organization: Legal Services Corporation
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Reports on civil legal needs experienced by low-income Americans who do not seek professional legal help and the paths they take when facing civil legal problems. Includes information on legal needs related to healthcare access and other issues that impact health, such as housing and COVID-19. Provides details for specific groups, including rural residents, seniors, veterans, people with disabilities, parents of children under 18, and domestic violence survivors.
Additional links: Executive Summary, Full Report, Special Focus Rural
Date: 04/2022
Sponsoring organization: Legal Services Corporation
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Area-Level Deprivation and Adverse Childhood Experiences among High School Students in Maryland
Examines the frequency of adverse childhood experiences (ACEs) in adolescents in Maryland such as food insecurity and parental addiction, mental illness, violence, or incarceration. Reports on the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey data of 41,091 adolescents to examine the connection between ACEs and area-level deprivation. Includes data breakdowns by rural/not rural county.
Author(s): Shaheen Kurani, Lindsey Webb, Kechna Cadet, et al.
Citation: BMC Public Health, 22, 811
Date: 04/2022
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Examines the frequency of adverse childhood experiences (ACEs) in adolescents in Maryland such as food insecurity and parental addiction, mental illness, violence, or incarceration. Reports on the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey data of 41,091 adolescents to examine the connection between ACEs and area-level deprivation. Includes data breakdowns by rural/not rural county.
Author(s): Shaheen Kurani, Lindsey Webb, Kechna Cadet, et al.
Citation: BMC Public Health, 22, 811
Date: 04/2022
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The Codes of Care: How Words and Numbers Have Transformative Power for Rural Healthcare
Describes the process of translating clinical documentation into medical codes and the impact coding has on healthcare quality and population health. Highlights coding issues specific to rural settings. Also discusses graduate medical education efforts addressing clinical documentation and medical coding.
Author(s): Kay Miller Temple
Date: 04/2022
Sponsoring organization: Rural Health Information Hub
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Describes the process of translating clinical documentation into medical codes and the impact coding has on healthcare quality and population health. Highlights coding issues specific to rural settings. Also discusses graduate medical education efforts addressing clinical documentation and medical coding.
Author(s): Kay Miller Temple
Date: 04/2022
Sponsoring organization: Rural Health Information Hub
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Utilization of Z Codes for Social Determinants of Health among a Sample of Medicare Advantage Enrollees, 2017 and 2019
Examines the use of Z codes for social determinants of health in a sample of Medicare Advantage (MA) enrollees from 2016 through 2019. Identifies the five most-used Z codes among MA enrollees, including the percent of enrollees and claims with these Z codes in 2017 and 2019. Presents data on the proportion of MA enrollees with Z code claims in 2017 and 2019 across demographic characteristics, including rurality, place of service, and provider type.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Examines the use of Z codes for social determinants of health in a sample of Medicare Advantage (MA) enrollees from 2016 through 2019. Identifies the five most-used Z codes among MA enrollees, including the percent of enrollees and claims with these Z codes in 2017 and 2019. Presents data on the proportion of MA enrollees with Z code claims in 2017 and 2019 across demographic characteristics, including rurality, place of service, and provider type.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Social Determinants of Health: Examples of Successful Evidence-Based Strategies and Current Federal Efforts
Provides an overview of efforts to address social determinants of health (SDOH) that impact individuals living in rural areas, as well as other populations. Discusses housing, food and nutrition, transportation, social and economic mobility, and social service connections in terms of community (upstream) and individual (downstream) SDOH impacts.
Author(s): Amelia Whitman, Nancy De Lew, Andre Chappel, et al.
Date: 04/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of efforts to address social determinants of health (SDOH) that impact individuals living in rural areas, as well as other populations. Discusses housing, food and nutrition, transportation, social and economic mobility, and social service connections in terms of community (upstream) and individual (downstream) SDOH impacts.
Author(s): Amelia Whitman, Nancy De Lew, Andre Chappel, et al.
Date: 04/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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2020 Alabama State Health Assessment
Reports on the health of Alabama residents, providing demographic data and comparing rural and urban areas throughout. Presents county-level data and discussion of 14 selected health indicators, including mental health and substance abuse, access to care, pregnancy outcomes, social determinants of health, and environmental health, among others.
Date: 03/2022
Sponsoring organization: Alabama Department of Public Health
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Reports on the health of Alabama residents, providing demographic data and comparing rural and urban areas throughout. Presents county-level data and discussion of 14 selected health indicators, including mental health and substance abuse, access to care, pregnancy outcomes, social determinants of health, and environmental health, among others.
Date: 03/2022
Sponsoring organization: Alabama Department of Public Health
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