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Rural Health Information Hub

Rural Health
Resources by Topic: Sustainability of programs

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, including for children in rural 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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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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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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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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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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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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Home on the Range: Plans and Providers Team Up to Bring Palliative Care to Rural Californians
Report discussing challenges and solutions to expanding palliative care access in rural California. Addresses barriers related to enrollment, staffing, and sustainability as well as strategies for creating partnerships between communities, healthcare systems, human services organizations, and other rural groups. Appendix features a chart listing health plans and rural providers offering palliative care services, with descriptions for each.
Author(s): Kathleen Kerr, Monique Parrish, Lyn Ceronsky
Date: 05/2020
Sponsoring organization: California Health Care Foundation
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Bringing it All Together for EMS in Wright County, Iowa
Video details how Wright County, Iowa, used supplemental Flex funding to solidify their emergency medical services (EMS). Highlights the way the county used the supplement funding to initiate a project to design a sustainable EMS program that provides coverage to the whole county.
Date: 01/2020
Sponsoring organization: National Rural Health Resource Center
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Sponsoring organization: Center for Health Care Strategies
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