Rural Health
Resources by Topic: Sustainability of programs
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
Sponsoring organization: Georgia Health Initiative
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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
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
Sponsoring organization: No Kid Hungry
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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
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
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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
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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
Sponsoring organization: No Kid Hungry
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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
Sponsoring organization: No Kid Hungry
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Teens Linked to Care Toolkit
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 2 case studies from the pilot program using either a school-based or community-based model.
Date: 03/2023
Sponsoring organization: Centers for Disease Control and Prevention
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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 2 case studies from the pilot program using either a school-based or community-based model.
Date: 03/2023
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
Sponsoring organization: Upper Great Plains Transportation Institute
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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
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
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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
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Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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National Institutes of Health Pathways to Prevention Workshop: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT) and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
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Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT) and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
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Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
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Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
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