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Rural Health Information Hub

Rural Health
Resources by Topic: Sustainability of programs

Report to Congress on the Outcome Evaluations of Administration for Native Americans Projects
Provides an overview of 2020 Administration for Native Americans (ANA) projects, with a focus on each project's goals, objectives, accomplishments, and relevant data. Summarizes 33 projects that aim to promote social/cultural, environmental, and economic health and sustainability in American Indian/Alaska Native (AI/AN) populations, with several projects addressing population health in rural areas. Discusses the impacts of COVID-19 on ANA projects.
Date: 09/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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2022 Annual Report - Washington Rural Health Collaborative
Includes 2022 strategic goals and accomplishments for the 24 member hospitals, and features statistics including number of emergency room visits, clinic visits, net patient services revenue, and total patients served per day.
Date: 08/2023
Type: Document
Sponsoring organization: The Rural Collaborative
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Arkansas Rural Hospital Assessment: Final Report
An assessment of 18 rural Arkansas hospitals with regard to their financial stability, workforce challenges, facilities, distance from other facilities, sustainability, and more. Compares Critical Access Hospitals (CAH) and non-CAHs in the state. Discusses decision-making around the Rural Emergency Hospital designation.
Author(s): Alvarez & Marsal Public Sector Services LLC
Date: 06/2023
Type: Document
Sponsoring organization: Arkansas Department of Finance & Administration
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Healthcare Georgia Foundation's Journey Toward Equity: Creating a Sustainable Model to Improve Health Outcomes, Economic Access and Opportunity in Rural Communities
Primer for the Two Georgias Initiative, a program dedicated to health equity in rural Georgia. Provides stories and profiles of participants, highlights efforts and successes of coalitions supported by the Initiative in 11 Georgia counties, and discusses the state of rural health in Georgia. Also discusses program development, monitoring, and sustainability.
Date: 05/2023
Type: Document
Sponsoring organization: Georgia Health Initiative
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The Dakota 10: School Nutrition Success With Shared Services
Provides an overview of 10 rural school districts in South Dakota that created a shared services model to strengthen their nutrition programs. Describes the process of utilizing grant funds to build infrastructure and create plans that sustain a shared services model.
Date: 05/2023
Type: Document
Sponsoring organization: No Kid Hungry
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Patient-Centered Care Through Nurse Practitioner–Led Integrated Behavioral Health: A Case Study
Examines the implementation of a nurse practitioner-led interprofessional team-based behavioral healthcare delivery model in 5 rural or medically underserved clinics in Texas from July 1, 2020, through December 31, 2021. Analyzes the first year of implementation of the delivery model utilizing multiple data sources, with a focus on barriers to implementation, challenges to sustainability, and successes.
Author(s): Cindy Weston, Elizabeth Wells-Beede, Alice Salazar, et al.
Citation: Public Health Reports, 138(1)
Date: 05/2023
Type: Document
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Making the Most of a Moment: Non-Congregate Meal Service in Rural Areas
A recorded webinar that provides information on non-congregate meal service options in rural areas. Includes strategies from 3 food access stakeholders who discuss how to operate and sustain non-congregate meal programs.
Additional links: Program Overview
Author(s): Donna Martin, Kara Moore, Jamie Breidenbach
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
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Teens Linked to Care Toolkit
A toolkit from the Centers for Disease Control and Prevention (CDC) for developing prevention programs addressing substance use and sexual risk for youth in rural communities. Includes information on program planning, implementation, evaluation, and sustainability as well as two case studies from the pilot program using either a school-based or community-based model.
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Workforce Development and Driver Shortages in Small Urban and Rural Transit
Examines the workforce development, succession plans, and turnover mitigation practices of transit agency managers. Analyzes survey data focused on driver shortfall issues and strategies to recruit and retain new drivers in small urban and rural transit. Includes data on employment and driver characteristics as well as rural versus urban comparisons of workforce shortages.
Author(s): Del Peterson, Antonio Molina
Date: 03/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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A Comparison of Critical Access Hospitals and Other Rural Acute Care Hospitals in Pennsylvania
Examines finances of acute care hospitals in rural Pennsylvania between 2000 and 2020 to determine if the Critical Access Hospital (CAH) designation increases financial stability. Compares CAHs to rural Prospective Payment System hospitals to draw conclusions on the success of the Medicare Rural Hospital Flexibility Program's impact on CAHs. Includes information on financial measures, hospital characteristics, quality measures, payer mix, and more to suggest opportunities for strengthening CAH viability.
Author(s): Dinesh R. Pai, Chamila K. Dissanayake, Anna M. Anna
Citation: Journal of Rural Health, 39(4), 719-727
Date: 2023
Type: Document
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