Rural Health
Resources by Topic: Sustainability of programs
Alternatives to Hospital Closure: Findings from a National Survey of CAH Executives
Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health
Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): Devika Bhushan, Krista Kotz, Julianne McCall, et al.
Date: 12/2020
Sponsoring organization: California Office of the Surgeon General
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Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): Devika Bhushan, Krista Kotz, Julianne McCall, et al.
Date: 12/2020
Sponsoring organization: California Office of the Surgeon General
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An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors
Describes the implementation and effectiveness of Step It Up! Survivors (SIUS), an evidence-based program designed to help promote social connections and increase physical activity among cancer survivors and their family and friends. Discusses the acceptability, feasibility, cost, sustainability, and other factors associated with implementing SIUS in Oregon, including responses from 6 rural organizations.
Author(s): Cynthia K. Perry, Laura P. Campbell, Jessica Currier, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Describes the implementation and effectiveness of Step It Up! Survivors (SIUS), an evidence-based program designed to help promote social connections and increase physical activity among cancer survivors and their family and friends. Discusses the acceptability, feasibility, cost, sustainability, and other factors associated with implementing SIUS in Oregon, including responses from 6 rural organizations.
Author(s): Cynthia K. Perry, Laura P. Campbell, Jessica Currier, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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IDeA States Pediatric Clinical Trials Network for Underserved and Rural Communities
Describes the goals of the Institutional Development Awards States Pediatric Clinical Trials Network to provide research infrastructure to pediatrician scientists as well as run clinical trials related to healthcare for children, particularly for children in rural and underserved areas. Discusses the structure of the network, characteristics of ISPCTN states, sustainability efforts, and more.
Author(s): Robert D. Annett, Sheva Chervinskiy, Thomas H. Chun, et al.
Citation: Pediatrics, 146(4), e20200290
Date: 10/2020
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Describes the goals of the Institutional Development Awards States Pediatric Clinical Trials Network to provide research infrastructure to pediatrician scientists as well as run clinical trials related to healthcare for children, particularly for children in rural and underserved areas. Discusses the structure of the network, characteristics of ISPCTN states, sustainability efforts, and more.
Author(s): Robert D. Annett, Sheva Chervinskiy, Thomas H. Chun, et al.
Citation: Pediatrics, 146(4), e20200290
Date: 10/2020
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Implementation of Flex EMS Supplemental Funding Projects: Year One Activities
Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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A Sustainable Model for Preventive Services in Rural Counties: The Healthier Together Study
Describes a study of a patient outreach program in rural Oklahoma that brought together wellness coordinators, primary care providers, county health departments, health information exchange (HIE) networks, and rural hospitals to provide preventive services. Examines the return on investment for coordinated preventive services and the sustainability of outreach programs to support rural healthcare.
Author(s): Zsolt Nagykaldi, Dewey Scheid, Yan D. Zhao, Bhawani Mishra, Tracy Greever-Rice
Citation: The Journal of the American Board of Family Medicine, 33(5), 698-706
Date: 09/2020
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Describes a study of a patient outreach program in rural Oklahoma that brought together wellness coordinators, primary care providers, county health departments, health information exchange (HIE) networks, and rural hospitals to provide preventive services. Examines the return on investment for coordinated preventive services and the sustainability of outreach programs to support rural healthcare.
Author(s): Zsolt Nagykaldi, Dewey Scheid, Yan D. Zhao, Bhawani Mishra, Tracy Greever-Rice
Citation: The Journal of the American Board of Family Medicine, 33(5), 698-706
Date: 09/2020
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A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice
Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
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Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
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Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Providing Maternity Care in a Rural Northern Iowa Community
Describes how a rural Critical Access Hospital in Iowa has sustained its maternity care practice and offers suggestions for other rural hospitals and communities seeking to retain local access to pregnancy and childbirth services.
Author(s): Alexandria Kristensen-Cabrera, Julia D. Interrante, Carrie Henning-Smith, Katy Kozhimannil
Date: 08/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes how a rural Critical Access Hospital in Iowa has sustained its maternity care practice and offers suggestions for other rural hospitals and communities seeking to retain local access to pregnancy and childbirth services.
Author(s): Alexandria Kristensen-Cabrera, Julia D. Interrante, Carrie Henning-Smith, Katy Kozhimannil
Date: 08/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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The DNA of Program Sustainability: Findings from a Study of Federal Office of Rural Health Policy Grantees
Reports on the factors that contribute to program sustainability after grant funding ends, based on a study of Rural Health Care Services Outreach Program grantees. Discusses leadership, collaboration, alignment between need and demand, data use, and policy expertise as contributors to sustainability for rural programs.
Date: 07/2020
Sponsoring organization: Georgia Health Policy Center
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Reports on the factors that contribute to program sustainability after grant funding ends, based on a study of Rural Health Care Services Outreach Program grantees. Discusses leadership, collaboration, alignment between need and demand, data use, and policy expertise as contributors to sustainability for rural programs.
Date: 07/2020
Sponsoring organization: Georgia Health Policy Center
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