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Rural Health
Resources by Topic: Sustainability of programs

2023 Indiana EMS Workforce Assessment
Provides an overview of the emergency medical services (EMS) workforce in Indiana. Focuses on sustainable EMS workforce tracking, pipeline and retention assessments, and county-level workforce needs. Includes county-level data on population characteristics, such as uninsurance, opioid use, and emergency department utilization rates as compared to EMS workforce characteristics and supply in each respective county.
Author(s): Mykayla Tobin, Becky Boustani, Courtney Medlock, Sierra Vaughn, Hannah L. Maxey,
Date: 2024
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Supporting Resilience in Rural Areas Through Cross-Sector Partnerships
Discusses the importance of working across multiple agencies and organizations to address social, economic, and environmental determinants of health. Describes the Health in All Policies (HiAP) approach that uses cross-sector strategies to build health infrastructure and sustainability, with examples from rural communities.
Date: 12/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Keeping Rural EMS Reliable and Sustainable, with James Small
An episode of the Exploring Rural Health podcast featuring James Small, Rural EMS Outreach Director for the Wisconsin Office of Rural Health. Focuses on rural emergency medical services workforce and funding shortages, and how rural EMS can be maintained and expanded.
Date: 12/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Financial Evaluation of Minnesota's Ground Ambulance Industry
Provides an overview of ground ambulance costs in Minnesota, with a focus on operational expenses, personnel costs, operational cost per transport, revenue sources, and financial sustainability of ambulance services. Reports on both statewide and regional costs.
Date: 11/2023
Type: Document
Sponsoring organization: Minnesota Emergency Medical Services Regulatory Board
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Filling the Gaps: Program Builds Referral and Recovery Services in Western Massachusetts
Features a rural Massachusetts coalition's work to address substance misuse and build sustainable recovery services, with support from the Rural Communities Opioid Response Program (RCORP). Discusses youth outreach and engagement, stigma reduction activities, facilitating access to services, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Guide to Working with Rural Philanthropy
Strategies for rural communities and organizations to help build and sustain partnerships with philanthropies. Includes background information on rural philanthropy and identifies actions and characteristics that may make a program successful in seeking funding from a philanthropy that wants to invest in rural health.
Date: 10/2023
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Patterns of Sustainability Capacity Among Organizations That Deliver the National Diabetes Prevention Program: A Latent Profile Analysis
Examines sustainability of National Diabetes Prevention Programs (DPPs) since they began in 2010. Analyzes 440 surveys taken in 2021 by staff members at National DPP delivery organizations to better understand issues such as environmental support, funding stability, partnerships, organizational capacity, program evaluation and adaptation, communications, and strategic planning. Includes sustainability scores of DPPs in rural, suburban, and urban locations.
Author(s): Lillian Madrigal, Regine Haardörfer, Michelle C. Kegler, et al.
Citation: Preventing Chronic Disease, 20
Date: 10/2023
Type: Document
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Rural Patient and Provider Perceptions of Telehealth Implemented During the COVID-19 Pandemic
Evaluates patient and provider perceptions of telehealth in a large, rural healthcare system as well as the sustainability of telehealth during and after the COVID-19 pandemic. Utilizes 2020-2021 survey data to analyze patient satisfaction with telehealth and its perceived value and efficiency according to providers. Considers the long-term effectiveness of telehealth by assessing differences in missed appointments when compared to in-person visits at a family practice clinic.
Author(s): David Klee, Derek Pyne, Joshua Kroll, William James, Kelly A. Hirko
Citation: BMC Health Services Research, 23, 981
Date: 09/2023
Type: Document
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Sustainability Spotlight: State Funding for Produce Prescriptions
Provides an overview of two successful models of produce prescriptions (PPR) programs that provide access to fruits and vegetables for low-income families experiencing diet-related illness. Discusses sustainability, collaboration, and strategic planning of the New Mexico Fruit and Vegetable Prescription Program (FVRx) that works with tribal, rural, and frontier communities.
Author(s): Audrey Immel
Date: 09/2023
Type: Document
Sponsoring organization: No Kid Hungry
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Year Three Evaluation Report: Evaluation of the EMS Supplemental Funding Grants
Provides an overview of the eight Flex Program Emergency Medical Services (EMS) Supplemental funding grant recipients, including a summary of the project goals, partners, and outcome measures. Details each grantee's project accomplishments, lessons learned, and sustainability strategies.
Author(s): John Gale, Karen Pearson
Date: 09/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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